The coronavirus disease 2019 (COVID-19) outbreak caused by the severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2 virus) has been sustained in China since December 2019, and has become a pandemic. The mental health of frontline medical staff is a concern. In this study, we aimed to identify the factors influencing medical worker anxiety in China during the COVID-19 outbreak. We conducted a cross-sectional study to estimate the prevalence of anxiety among medical staff in China from 10 February 2020 to 20 February 2020 using the Zung Self-rating Anxiety Scale (SAS) to assess anxiety, with the criteria of normal (⩽49), mild (50–59), moderate (60–70) and severe anxiety (⩾70). We used multivariable linear regression to determine the factors (e.g. having direct contact when treating infected patients, being a medical staff worker from Hubei province, being a suspect case) for anxiety. We also used adjusted models to confirm independent factors for anxiety after adjusting for gender, age, education and marital status. Of 512 medical staff in China, 164 (32.03%) had had direct contact treating infected patients. The prevalence of anxiety was 12.5%, with 53 workers suffering from mild (10.35%), seven workers suffering from moderate (1.36%) and four workers suffering from severe anxiety (0.78%). After adjusting for sociodemographic characteristics (gender, age, education and marital status), medical staff who had had direct contact treating infected patients experienced higher anxiety scores than those who had not had direct contact (β value = 2.33, confidence interval (CI) 0.65–4.00; P = 0.0068). A similar trend was observed in medical staff from Hubei province, compared with those from other parts of China (β value = 3.67, CI 1.44–5.89; P = 0.0013). The most important variable was suspect cases with high anxiety scores, compared to non-suspect cases (β value = 4.44, CI 1.55–7.33; P = 0.0028). In this survey of hospital medical workers during the COVID-19 outbreak in China, we found that study participants experienced anxiety symptoms, especially those who had direct clinical contact with infected patients; as did those in the worst affected areas, including Hubei province; and those who were suspect cases. Governments and healthcare authorities should proactively implement appropriate psychological intervention programmes, to prevent, alleviate or treat increased anxiety.
The design of electrocatalysts capable of selectively reducing nitrate to ammonia is gaining interest as a means of transforming waste into fertilizers. However, most prior investigations of prototypical electrocatalysts, such as polycrystalline Pd and Pt, have focused on unraveling the mechanisms responsible for the selective reduction of nitrate to nitrogen gas. Such polycrystalline noble metals demonstrate notoriously low activity for nitrate reduction (nitrate to nitrite) and high activity for nitrite reduction (nitrite to nitrogen). Here, we aim to elucidate the effect Pd surface structure has on nitrate and nitrite reduction and to determine what role catalyst structural design can play in enabling selective reduction of nitrate to ammonia. Through synthesizing nanocatalysts with controlled facets (e.g., nanocubes, cuboctahedrons, octahedrons, and concave nanocubes), we demonstrate that Pd(111) > Pd(100) > Pd(hk0) for nitrate reduction activity and Pd(100) > Pd(hk0) > Pd(111) for nitrite reduction activity in an alkaline electrolyte. Octahedrons without Pd (100) facets exhibited nearly selective production of NO2 – with little to no measurable NH3 or N2. However, nanocubes that expose only the Pd(100) facet exhibited high activity for NO2 – reduction to NH3. Cuboctahedrons that expose both Pd(111) and Pd(100) facets demonstrated the highest production of ammonia (306.8 μg h–1 mgPd –1) with a faradaic efficiency of 35%. Density functional theory (DFT) simulations reveal that *NO3 dissociation to *NO2 + O* is more favorable on Pd(111) than Pd(100), explaining the faster nitrate reduction kinetics on the Pd(111) facet observed in the experiments. The simulations also show that *NO2 binds less strongly to Pd(111) compared to Pd(100). Thus, nitrite formed via nitrate dissociation readily desorbs from the Pd(111) surface, which explains why Pd(111) selectively reduces nitrate to nitrite. The results show that cuboctahedron is bifunctional in nature, with the (111) facet catalyzing the conversion of NO3 – to NO2 – and the (100) facet catalyzing the conversion of NO2 – to NH3.
Porphyrin-based donor–acceptor COFs are effective heterogeneous photocatalysts for photoinduced electron transfer-reversible addition–fragmentation chain transfer (PET-RAFT), including for aqueous polymerizations and under red-light excitation.
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