Background: Since the coronavirus disease 2019 (COVID-19) emerged in Wuhan, China, it has become a global public health emergency. Besides conventional care, pulmonary rehabilitation (PR) is an equally important treatment for patients with COVID-19 suffering from respiratory, physical and psychological disease. The aim of this study is to investigate the role of PR on the inpatients with severe COVID-19.Methods: This study was a self-pre-and post-control prospective clinical trial, which totally recruited 31 inpatients confirmed COVID-19 by RT-PCR. They were performed 3-weeks PR. The demographic data, medical records, symptoms, laboratory findings and chest computed tomographic (CT) scans of patients were collected at baseline. The effect of PR was assessed by questionnaires before PR as well as after 2-and 3-weeks PR.Results: After 3-weeks PR and treatment, neutrophil percentage decreased, while lymphocyte percentage and lymphocyte count increased (before vs. 2 weeks after PR respectively: P=0.001; P=0.001; P<0.0001).Besides, CRP and procalcitonin reduced significantly (before vs. after respectively: P<0.0001; P=0.023).Patients' oxygen intake decreased and oxygen saturation increased significantly. Meanwhile, PR relieved the patients' symptoms of cough and dyspnea, improved the patients' self-care ability, physical fitness and mental state significantly. Activities of daily living (ADL) score increased and Modified Medical Research Council Dyspnea Scale (mMRC) decreased after PR.Conclusions: PR can relieve symptoms, enhance health-related quality of life, improve respiratory muscle function and alleviate disease-related anxiety and depression of severe patients with COVID-19. PR should be provided throughout the diseases management process, regardless of whether the patient is hospitalized or at home.
In this study, jute fabrics were used to reinforce epoxy resin to prepare laminated composites. KH-560 silane coupling agent modification was used to improve the interfacial compatibility between fibers and epoxy. The effects of different immersion times (0 min, 10 min, 30 min, 60 min, 90 min, and 120 min) on the jute fiber’s element content, crystal structure, and thermal stability, and the mechanical properties of laminated composites were studied. X-ray diffractometry (XRD) analysis showed that the KH-560 modification improved the crystallinity index (CI) and crystallite sizes (CS) of jute fibers. Scanning electron microscopy (SEM) analysis of the tensile fracture surfaces revealed a thick epoxy on the modified pulled fiber surfaces. Fourier transform infrared spectroscopy (FTIR) and energy dispersive spectrometer (EDS) analysis identified the presence of silicon and C–O–Si/Si–O–Si cross-linked structures on the surface of modified jute fibers. These cross-linked structures improved the thermal stability and mechanical properties of the laminated composites. When the immersion time was 60 min, the CI, CS, tensile strength, tensile modulus, flexural strength, and flexural modulus of the modified samples were 42.39%, 3.62 nm, 34.6 ± 1.1 MPa, 2.11 ± 0.12 GPa, 83.7 ± 1.8 MPa, and 4.08 ± 0.12 GPa, respectively, which were better than that of unmodified and other modified composites.
Diabetes can cause various complications and affect the normal functioning of the human body. A theranostic and diagnostic platform for real-time glycemia sensing and simultaneous self-regulated release of insulin is...
For zero band‐gap metal Ag and ultrawide band‐gap Al2O3, it is difficult to produce impressive photoresponse to visible light due to the limitation of energy gaps. Herein, it is demonstrated that individual Ag@Al2O3 hybrid nanorods, synthesized by a two‐stage hydrothermal method and followed by thermal reduction annealing, can show excellent negative photoconduction of about 400 nm violet and 800 nm near‐infrared lights at room temperature. Moreover, the light‐induced high resistance state (HRS) is well maintained at relatively low operation bias after the removal of illumination, indicative of a nonvolatile memory effect. More importantly, the device is back to its initial low resistance state (LRS) after subsequently being applied a relatively large bias, suggestive of an erasable effect with large bias. In the hybrid nanorods, Ag nanoparticles serve as trap centers and can capture and store charges. Under the illumination of sub‐band‐gap light, trapped charges are excited, resulting in an HRS due to emptying the traps. On the contrary, a large external electric field triggers charges to be injected into traps in dark, resulting in an LRS. Regarding a superior negative photoswitching with light‐writing and bias‐erasing memory, Ag@Al2O3 nanohybrids have a tremendous potential in optical sensors and nonvolatile photomemory applications.
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