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        Three-Month Follow-Up Study of Survivors of Coronavirus Disease 2019 after Discharge

        Liang Limei,Yang Bohan,Jiang Nanchuan,Fu Wei,He Xinliang,Zhou Yaya,Ma Wan-Li,Wang Xiaorong 대한의학회 2020 Journal of Korean medical science Vol.35 No.47

        Background: Most patients including health care workers (HCWs) survived the coronavirus disease 2019 (COVID-19), however, knowledge about the sequelae of COVID-19 after discharge remains limited. Methods: A prospectively observational 3-month follow-up study evaluated symptoms, dynamic changes of severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) IgG and IgM, lung function, and high resolution computed tomography (HRCT) of survivors of COVID-19 after discharge at Wuhan Union Hospital, China. Results: Seventy-six survivors (55 females) with a mean age of 41.3 ± 13.8 years were enrolled, and 65 (86%) were HCWs. A total of 69 (91%) patients had returned to their original work at 3-months after discharge. Most of the survivors had symptoms including fever, sputum production, fatigue, diarrhea, dyspnea, cough, chest tightness on exertion and palpitations in the three months after discharge. The serum troponin-I levels during the acute illness showed high correlation with the symptom of fatigue after hospital discharge (r = 0.782; P = 0.008) and lymphopenia was correlated with the symptoms of chest tightness and palpitations on exertion of patients after hospital discharge (r = −0.285, P = 0.027; r = −0.363, P = 0.004, respectively). The mean values of forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), FEV1/FVC, total lung capacity and diffusion capacity were all normal (> 80% predicted) and lung HRCTs returned to normal in most of the patients (82%), however, 42% of survivors had mild pulmonary function abnormalities at 3-months after discharge. SARS-CoV-2 IgG turned negative in 11% (6 of 57 patients), 8% (4 of 52 patients) and 13% (7 of 55 patients), and SARS-CoV-2 IgM turned negative in 72% (41 of 57 patients), 85% (44 of 52 patients) and 87% (48 of 55 patients) at 1-month, 2-months and 3-months after discharge, respectively. Conclusion: Infection by SARS-CoV-2 caused some mild impairments of survivors within the first three months of their discharge and the duration of SARS-CoV-2 antibody was limited, which indicates the necessity of long-term follow-up of survivors of COVID-19.

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        Suspension design and posture control for a novel by-wire chassis based on integrated electric wheel module

        Qiuyue Du,Song Chen,Shuo Cheng,Fengshan Du,Liang Li,Quantong Li,Limei Zhang 대한기계학회 2022 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.36 No.6

        The integrated electric wheel module (IEWM) with large-angle steering capability is blooming which greatly alters the conventional chassis structure over recent years. The IEWM brings challenges to the suspension system due to higher requirements, which includes 360 degrees steering, active adjustment of chassis height and posture, superior ride comfort, and compact mechanical structure. Hence, a novel double trailing arm suspension mechanical system for the aforementioned IEWM and its control strategy are studied to get better driving maneuverability, ride comfort, driving safety, and posture stability of automobiles in this paper. The 6 degree of freedom (DOF) roll model of active suspension vibration with seats and multiobjective optimization controller are constructed for vehicle posture active control to solve the difficult trade-off between suspension dynamic deflection, roll angle, and seat vertical acceleration. The controller weight coefficients are optimized by an improved genetic algorithm (IGA) method, and the fitness function in piecewise form is adopted to reduce the search range. The simulation analysis shows that the combination of IGA and a multi-objective controller can defuse the conflict of goals between different suspension performance evaluation indexes, which also improves the overall suspension performances compared with the experience adjustment method and passive suspension system. In detail, this simple optimization control strategy can reduce the vertical acceleration root mean square value (RMSV) of the left and right seat by 45 % and 11 %, respectively; the left and right tire dynamic load decreased by 13 % and 2 %, respectively; and 25 % reduction in roll angle. These performance improvements only sacrifice part of suspension dynamic deflection RMSV increase, but do not affect driving safety.

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        Piperonyl butoxide synergizes the larvicidal activity of Origanum vulgare essential oil and its major constituents against the larvae of Aedes albopictus and Culex pipiens quinquefasciatus

        Chen Junhui,Liu Yangqing,Ma Guangqiang,Yang Feiying,Zhan Zhigao,Guan Limei,Kuang Wendong,Wang Jinchang,Li Jianghuai,Han Fei,Jin Liang 한국응용곤충학회 2023 Journal of Asia-Pacific Entomology Vol.26 No.1

        Mosquitoes bite human beings and transmit many diseases, such as malaria, dengue fever, and Zika virus. Vector control of mosquitoes is an effective strategy for reducing the spread of disease. However, extensive use of in secticides (e.g. pyrethroids and organophosphorus) has caused resistance in mosquitoes, which weakens the effectiveness of mosquito control. Phytochemicals have been considered an alternative approach to mosquito control. Essential oil (EO) was obtained from the leaves and flowers of Origanum vulgare, and its synergistic activity with piperonyl butoxide (PBO) was tested against Aedes albopictus and Culex pipiens quinquefasciatus larvae. Thirty-seven compounds were identified, among which carvacrol and thymol were two major constitu ents (30.73 % and 18.81 %, respectively). O. vulgare EO had a significant toxic effect against fourth-stage larvae of Cx. p. quinquefasciatus and Ae. albopictus, with LC 50 values of 17.51 and 75.90 mg/L. Carvacrol and thymol also each appeared to be more effective against Cx. p. quinquefasciatus (LC 50 = 19.30 and 11.56 mg/L, respectively) than Ae. albopictus (LC 50 = 26.62 and 26.66 mg/L, respectively). PBO interacted synergistically with O. vulgare EO, carvacrol and thymol with 2.60–6.26 times as much of the active compound needed without PBO as against Cx. p. quinquefasciatus and Ae. albopictus larvae. Overall, our results contribute to the development of new natural mosquito insecticides.

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