Since December 2019, the outbreak of pneumonia caused by a new coronavirus [1], which was later identified as coronavirus disease 2019 (COVID19), has infected more than 410,000 patients globally according to the situation report of World Health Organization. Lung ultrasound is an important tool for the diagnosis and follow-up of pneumonia in neonates, children, and adults [2][3][4]. Recent CT reports demonstrated that most of the lesions were distributed peripherally in the lung, which facilitates detection by lung ultrasound [5,6]. In this study, we characterize the lung ultrasound findings COVID-19 pneumonia, and study the relationship between the ultrasound findings and clinical severity and the time-course of disease progress. Bedside lung ultrasound was performed to detect B-lines, lung consolidation, and pleural line abnormalities at 5 areas in each lung. Vascular ultrasound was also performed to detect potential deep vein thrombosis.A total of 20 patients of COVID-19 pneumonia (12 males and 8 females) were categorized as 4 moderate, 5 severe, and 11 critical cases according to the current diagnosis and treatment program. All patients showed abnormal lung ultrasound findings, including 100% (20) pleural line abnormalities, 100% (20) B-lines, and 50% (10) consolidation. Most of the moderate and severe cases could show both separated B-lines and confluent B-lines during admission. All critical patients showed confluent Blines, and 18% (2) of them had compact B-lines. Bilateral involvement was observed in all patients. The predominate involved areas in moderate patients were on the back, i.e., the interscapular and infrascapular areas. For severe and critical patients, all 5 areas could be involved. Consolidations were not detected in moderate cases, and distributed mainly on the posterior areas in severe and critical cases. Pleural effusion (18%, 2 cases), pericardial effusion (9%, 1 case), and deep vein thrombosis (64%, 5 cases) were only found in critical patients. (Table 1).A total of 36 ultrasound examinations were categorized to four groups based on the time interval between onset of symptoms and ultrasound examinations (1st to 4th week). All of the examinations showed abnormal lung ultrasound findings, including 100% (36) pleural line abnormalities, 100% (36) B-lines, and 64% (23) consolidation. The separate B-lines were found more than half of the examinations after the 2nd week. The majority of examinations during the 2nd and 3rd weeks showed confluent B-lines. The involvement of anterior areas with B-lines decreased along with the infected time course. The lateral and back areas were always involved in all stages for B-lines. Consolidations were found in more than half examinations after the 1st week. Most of consolidation lesions confined within unilateral lung except at the 2nd week. The anterior and lateral areas were not involved of consolidations during 1st and 4th week. Consolidations were
Thyroid nodules are very common all over the world, and China is no exception. Ultrasound plays an important role in determining the risk stratification of thyroid nodules, which is critical for clinical management of thyroid nodules. For the past few years, many versions of TIRADS (Thyroid Imaging Reporting and Data System) have been put forward by several institutions with the aim to identify whether nodules require fine-needle biopsy or ultrasound follow-up. However, no version of TIRADS has been widely adopted worldwide till date. In China, as many as ten versions of TIRADS have been used in different hospitals nationwide, causing a lot of confusion. With the support of the Superficial Organ and Vascular Ultrasound Group of the Society of Ultrasound in Medicine of the Chinese Medical Association, the Chinese-TIRADS that is in line with China's national conditions and medical status was established based on literature review, expert consensus, and multicenter data provided by the Chinese Artificial Intelligence Alliance for Thyroid and Breast Ultrasound.
The [1,5] sigmatropic migration of hydrogen in the adduct between buckminsterfullerene C60 and morpholine (Hmorph) is fast at −25°C already. Elemental analysis, thermogravimetry, IR and NMR spectroscopy, and cyclic voltammetry all support the formulation of the adduct as C60H6 (morph)6. The amine is covalently added to six pyracylene units. The small activation barrier to the migration is astounding, especially as large changes in the C60 framework are involved.
An inorganic model approach to the photosynthetic water oxidation enzyme has been initiated, and synthetic entry into tetranuclear Mn complexes containing [Mn402]6+,7+,8+ cores has been achieved. They have been obtained by bipyridine (bipy)-mediated conversion of trinuclear [Mn30]-containing species, with the product oxidation level governed by the exact identity of the [Mn30] reagent employed. Treatment of Mn30(02CMe)6(py)3 with ~3 equiv of bipy in MeCN yields
Although semiconductor photocatalysis has made great progresses as a promising solution to solve the problem of environmental pollution, the highly efficient decomposition of organic pollutants driven by sunlight is still a challenge. Herein, we successfully constructed a Z-scheme photocatalyst BiOCl-Au-CdS for the first time by stepwise deposition of Au and CdS. It was found that the Au nanoparticles (NPs) were selectively anchored on the {001} facets of BiOCl nanosheets in the process of photoreduction while CdS NPs were further in situ deposited on Au NPs via the strong S–Au interaction. Compared to BiOCl, BiOCl-Au, and BiOCl-CdS, the Z-scheme BiOCl-Au-CdS exhibited evidently higher sunlight-driven photocatalytic activity toward the degradations of anionic dye Methyl Orange, cationic dye Rhodamine B, colorless pollutant phenol, and antibiotic sulfadiazine. The radical trapping experiments indicated that ·OH, h+, and ·O2 – are the main reactive species responsible for the degradations of organic pollutants over BiOCl-Au-CdS. Based on the photoelectrochemical measurements, PL spectra, and band potential calculation, it can be concluded that the Z-scheme structure of BiOCl-Au-CdS not only retains the photogenerated electrons and holes with higher redox ability but also decreases their recombination rate. As a highly efficient sunlight driven photocatalyst, BiOCl-Au-CdS can be potentially used in environmental pollutant remediation.
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