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The impact of the Coronavirus disease 2019 (COVID-19) pandemic on autoimmune diseases (AID) patients has been an important focus. This study was undertaken to characterize the incidence, clinical manifestations and hospitalization among AID affected by COVID-19 and to analyze the association between immunomodulatory medication and these outcomes. Clinical, demographic, maintenance treatment, symptoms and disease course data and outcomes of AID patients with COVID-19 infection were assessed via an online survey tool and printed copy from 1 January till February 28, 2023. A total of 432 patients with AID were enrolled in the study. The results showed the most common conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) was hydroxychloroquine (HCQ). The usage of csDMARDs didn't increase the risk of COVID-19 infection. Patients who warranted hospitalization were significantly older. ILD was associated with higher hospitalization rate. No csDMARDs other than calcineurin inhibitor (CNI) was associated with increased risk of hospitalization. HCQ intake was associated with cough. Compared with no glucocorticoids (GCs) group, high doses of GCs were accompanied with higher proportion of gastrointestinal symptoms and tachycardia, lower proportion of sore throat and ageusia. GCs didn't provoke the COVID‐19 infection in patients with AID, but chronic use of oral GCs was significantly more common in those requiring hospitalization, and higher dose of GCs were correlated with higher risk of hospitalization. 97 patients discontinued csDMARDs after infection, which resulted in an elevated risk of hospitalization. Meanwhile, withdrawal of csDMARDs was associated with higher odds of disease flare and lower proportion of remission than maintenance groups. Collectively, our analysis provides the evidence that maintenance treatment of csDMARDs may be more prudent for AID patients during COVID-19 pandemic.

Magnesium (Mg) is one of the essential elements for the growth of tea trees. In this study, we investigated changes in metabolites, photosynthetic fluorescence parameters and quality indexes of tea leaves under different concentrations of magnesium treatment, and the results showed that there were no significant differences in the quantity and total content of metabolites in tea leaves under different Mg concentrations. The results of volcano map analysis showed that the content of 235 metabolites in tea leaves showed an increasing trend and the content of 243 metabolites showed a decreasing trend with the increase of Mg concentration. The results of the combined analysis of the OPLS-DA model and bubble map showed that 45 characteristic metabolites were screened at different concentrations of Mg. Among these, the content of 24 characteristic metabolites showed an increasing trend and 21 characteristic metabolites showed a decreasing trend with the increase of Mg concentrations. The results of KEEG pathway enrichment showed that 24 characteristic metabolites with a upward trend were significantly enriched in saccharides metabolism, nucleic acid metabolism and vitamin metabolism, while the 21 characteristic metabolites with a downward trend were enriched in the synthesis of plant secondary metabolites, phenylpropanoid biosynthesis, biosynthesis of terpenoids, synthesis and metabolism of alkaloids, and synthesis and metabolism of amino acids. It can be inferred that Mg regulation was beneficial to enhance the photosynthetic capacity of tea trees, improve the accumulation and metabolism of carbohydrate substances in tea trees, and thus promoted the growth of tea trees, but was not conducive to the synthesis of secondary metabolites and amino acids related to tea quality. The results of photosynthetic fluorescence parameters and quality indexes of the tea tree confirmed the conclusion predicted by metabolomics. This study provided a reference for regulating of the growth and quality of tea trees with Mg fertilizer in tea plantations.

Soil acidification in Chinese tea plantations is widespread, and it has significantly affected the growth of tea trees; it was important to explore soil remediation of acidified tea plantations in depth for the sustainable development of tea industry. In this study, the effects of sheep manure fertilizer with different application depths on soil acidification, tea yield and quality, and soil nitrogen transformation in tea plantations were analyzed for five consecutive years from 2018 to 2022. The results showed that long-term use of sheep manure fertilizer significantly reduced soil acidification (P< 0.05) in tea plantations, improved soil pH and soil ammonium nitrogen content, enhanced root activity and root nitrogen uptake capacity of tea trees, and thus improved tea yield and quality. The effect of different application depths of sheep manure fertilizer on tea yield and quality was mainly reflected in the transformation ability of soil ammonium nitrogen and nitrate nitrogen, which showed that high transformation ability of soil ammonium nitrogen and high ammonium nitrogen content were beneficial to high tea yield and vice versa, and the best effect was achieved when sheep manure was applied at a depth of 50 cm and 70 cm. The topsis analysis confirmed that sheep manure fertilization had a greater effect on root activity, ammonium nitrogen, ammonia intensity, and nifH gene. This study provided an important practical basis for the restoration of acidified tea plantation soil through sheep manure fertilizer management.

Fermentation is extremely important for the formation of the special flavor of Wuyi rock tea. This study determined volatile metabolite contents using GC-MS technique and futher analyzed their odor characteristics during the traditional deep fermentation technology of Wuyi rock tea. The results showed that 17 characteristic compounds significantly changed during the first stage of the preliminary processing, namely fresh leaves, withering and fermentation. The key to the formation of floral aroma lied in dihydromyrcenol, and the woody aroma derived from six terpenoids, and their synthesis depended on dihydromyrcenol content. The fruity aroma was dominated by six esters, and the fruity aroma mainly came from (Z) -3-hexen-1-yl butyrate, (E) -3-hexen-1-yl butyrate and 5-Hexenyl butyrate. This study provided an important theoretical and practical basis for improving the preliminary processing of Wuyi rock tea.

Objective To analyze the clinical characteristics and controllable risk factors of osteoporosis in elderly men with type‐2 diabetes mellitus (T2DM). Methods A total of 250 elderly OP patients with T2DM were included in the present study. Patients with one or more common chronic diseases (including hypertension, coronary heart disease, heart failure, chronic bronchitis, chronic nephrosis, and cirrhosis), and a course of more than 3 years were defined as complicated with chronic diseases. Blood glucose, cholesterol, triglyceride, low‐density lipoprotein, high‐density lipoprotein, calcium, phosphorus, glycosylated hemoglobin, urea nitrogen, creatinine, fasting insulin, liver function, and 25‐hydroxy vitamin D3 levels were measured. Bone mineral density was also measured. Results A total of 16 patients (6.4%) had severe osteoporosis. Furthermore, 66 patients (26.4%) had blood glucose control that reached the standard, while 176 patients (70.4%) used more than two anti‐diabetic drugs. The serum testosterone level was lower than the median in 87 patients (34.8%) and in 56 smokers (22.4%). Furthermore, 138 patients (55.2%) were overweight and obese, six patients (2.4%) were underweight, 197 patients (78.8%) had chronic diseases, 88 patients (35.2%) were sticking to exercise, and 117 patients (46.8%) had less exercise. In addition, 92 patients (36.8%) were treated with osteotrophy‐protective agents, and 24 patients (9.6%) received anti‐osteoporosis therapy. Smoking, poor glycemic control, low testosterone levels, less exercise, and complications with chronic diseases were the most relevant controllable risk factors. Conclusion For elderly male osteoporosis patients with type‐2 diabetes, smoking cessation, blood sugar control up to the standard, regular exercise, active prevention and treatment of complications, and appropriate testosterone supplementation are necessary for preventing and curing osteoporosis.

In order to investigate the effect of pruning on the soil environment in which tea trees grow and the growth of tea trees, this study used Wuyi Meizhan (Camellia sinensis) as a research object and measured its growth indexes, soil physicochemical indexes, soil enzyme activity and microbial functional diversity to analyze the effects of pruning treatments on the growth of tea trees, soil enzyme activity and soil microbial functional diversity and the correlation between them. The results of the analysis of tea tree growth indexes showed that the hundred-bud weight, leaf area and yield in the pruning treatment were significantly higher than those in the unpruned treatment. The results of soil physicochemical index analysis showed that pH, available phosphorus, available potassium and organic matter were significantly higher in the pruning treatment than in the unpruned treatment (p < 0.05), while available nitrogen and total phosphorus were significantly lower than in unpruned treatment (p < 0.05). The results of soil enzyme activities showed that only polyphenol oxidase and catalase activities were significantly higher in the pruning than in the unpruned treatment, while urease, protease, acid phosphatase, asparaginase and glutaminase activities were significantly lower than in the unpruned treatment (p < 0.05). Biolog analysis showed that the utilization of microbial carbon sources, especially amino acid and amine, increased in the rhizosphere soil of the pruned tea tree, while there was a significant decrease (p < 0.05) in microbial diversity. It is evident that pruning promoted tea tree growth and some enzyme activity, while inhibiting the activity of enzymes associated with the nitrogen cycle, and the utilization of microbial carbon sources increased, but their diversity decreased. This study provides a theoretical basis for the daily management of tea plantation after pruning.

Magnesium (Mg) is one of the essential elements for the growth of tea tree and is extremely important for its development. In this study, we investigated the effect of Mg on the transcriptome and physicochemical indexes of tea leaves, and the results showed that Mg could significantly affect the gene expression of tea leaves. The results of Orthogonal Partial Least-Squares Discriminant Analysis (OPLS-DA) model analysis showed that a total of 300 key genes (Variable Importance for the Projection, VIP > 1) were screened under different concentrations of Mg treatment, among which 140 genes were up-regulated and 160 genes were down-regulated. The bubble map was used to screen the characteristic genes from the above key genes, and a total of 121 representative characteristic genes were obtained, mainly involving 9 metabolic pathways. Among them, gene expression of three metabolic pathways, including porphyrin metabolism, alpha-linolenic acid metabolism and photosynthesis, showed an increasing trend with the increase of Mg concentration, while gene expression of four metabolic pathways, including biosynthesis of secondary metabolites, anthocyanin biosynthesis, ABC transporters, pentose and glucuronate interconversions, showed a decreasing trend. The results of physiological index analysis showed that with the increase of Mg concentration, the photosynthetic physiological index, theanine and soluble sugar content of tea leaves showed an increasing trend, while the content of tea polyphenol, flavone and caffeine showed a decreasing trend. The results of TOPSIS analysis showed that the physiological indexes of tea trees most affected by Mg were chlorophyll, tea polyphenols and flavonoids, while the metabolic pathways most affected by Mg on gene expression were the metabolic pathways and biosynthesis of secondary metabolites. It can be seen that the effects of Mg on tea tree were mainly related to photosynthesis and synthesis of secondary metabolites, and Mg was beneficial for improving the photosynthetic capacity of tea tree, enhancing the accumulation of primary metabolites, and thus increasing tea yield. However, Mg was not conducive to the synthesis of secondary metabolites of tea tree and the accumulation of main quality indexes of tea leaves.

Surface micro-discharge (SMD) plasma with a large-area and homogeneous discharge has attracted much attention in the skin disinfection due to its high antimicrobial efficiency and less side effects on tissues. Although SMD plasma sterilization is undisputedly attributed to the reactive oxygen and nitrogen species (RONS), the exact RONS speciation on the tissues and their individual contribution to the plasma inactivation are still not fully understood. Herein, we investigated the generation and distribution of hydroxyl radical (·OH), hydrogen peroxide (H2O2), ozone (O3), nitrite (NO2−), and peroxynitrite/peroxynitrous acid (OONO−/ONOOH) on the agarose tissue model and their contribution to yeast inactivation by helium (He) or air SMD plasma at different irradiation distances. The results show that He and air SMD plasma exhibited different RONS speciation and antimicrobial activity. The He SMD plasma mostly generated ·OH and H2O2 on the tissue model, which were concentrated in every hexagon micro-discharge unit and decreased with the irradiation distance, while the air SMD plasma mainly produced O3, NO2−, and OONO−/ONOOH, which were uniformly distributed on the whole tissue model. More importantly, the ·OH generation on the tissue model by the He SMD plasma was derived from the plasma delivery, while UV photolysis led to the in situ ·OH generation by the air SMD plasma. Additionally, the air SMD plasma has a higher inactivation efficiency than the He SMD plasma and the major antimicrobial agent for He and the air SMD plasma is, respectively, ·OH and O3 in this plasma–tissue interaction system.

Surface micro-discharge (SMD) plasma holds great potential as an effective, economical and safe method for the treatment of diverse skin infections. Although the antimicrobial effect of SMD plasma is undisputed, the factors most responsible for the inactivation effect and their corresponding killing mechanisms are still not fully understood. Herein, we evaluate the roles of hydroxyl radicals (·OH), hydrogen peroxide (H2O2), oxidation–reduction potential (ORP) and pH in the inactivation of yeast cells on an agarose tissue model by helium SMD plasma over different irradiation distances and time periods. The ·OH distribution pattern shows that ·OH is mostly produced in the center of every hexagon mesh electrode, whose concentration is closely related to humidity and is markedly increased at a shorter irradiation distance and longer treatment time. Meanwhile, the killing pattern of yeast cells corresponds to ·OH distribution and the inactivation efficiency has a similar trend to that of ·OH concentration. The results of Pearson correlation analysis reveal that the inactivation efficiency is more dependent on ·OH and pH compared with H2O2 and ORP. Furthermore, we investigated the effects of ·OH and pH on yeast cell viability, membrane integrity and intracellular ROS and pH homeostasis by using a specific ·OH scavenger D-mannitol (D-man) and phosphate buffer solution (PBS). The results showed that D-man could significantly reduce the inactivation efficiency by maintaining cell membrane integrity and intracellular ROS and pH homeostasis, while PBS only slightly mitigates the plasma-caused damage on yeast cells. Based on the results, it is concluded that ·OH contributes most to the inactivation of yeast cells on a tissue model by helium SMD plasma studied here. [ABSTRACT FROM AUTHOR]