Since the outbreak of coronavirus disease 2019 (COVID-19) in Wuhan, China, it has rapidly spread across many other countries. While the majority of patients were considered mild, critically ill patients involving respiratory failure and multiple organ dysfunction syndrome are not uncommon, which could result death. We hypothesized that cytokine storm is associated with severe outcome. We enrolled 102 COVID-19 patients who were admitted to Renmin Hospital (Wuhan, China). All patients were classified into moderate, severe and critical groups according to their symptoms. 45 control samples of healthy volunteers were also included. Inflammatory cytokines and C-Reactive Protein (CRP) profiles of serum samples were analyzed by specific immunoassays. Results showed that COVID-19 patients have higher serum level of cytokines (TNF-α, IFN-γ, IL-2, IL-4, IL-6 and IL-10) and CRP than control individuals. Within COVID-19 patients, serum IL-6 and IL-10 levels are significantly higher in critical group (n = 17) than in moderate (n = 42) and severe (n = 43) group. The levels of IL-10 is positively correlated with CRP amount (r = 0.41, P < 0.01). Using univariate logistic regression analysis, IL-6 and IL-10 are found to be predictive of disease severity and receiver operating curve analysis could further confirm this result (AUC = 0.841, 0.822 respectively). Our result indicated higher levels of cytokine storm is associated with more severe disease development. Among them, IL-6 and IL-10 can be used as predictors for fast diagnosis of patients with higher risk of disease deterioration. Given the high levels of cytokines induced by SARS-CoV-2, treatment to reduce inflammation-related lung damage is critical.

We demonstrate the continuous and reversible tuning of the optical band gap of suspended monolayer MoS 2 membranes by as much as 500 meV by applying very large biaxial strains. By using chemical vapor deposition (CVD) to grow crystals that are highly impermeable to gas, we are able to apply a pressure difference across suspended membranes to induce biaxial strains. We observe the effect of strain on the energy and intensity of the peaks in the photoluminescence (PL) spectrum, and find a linear tuning rate of the optical band gap of 99 meV/%. This method is then used to study the PL spectra of bilayer and trilayer devices under strain, and to find the shift rates and Grüneisen parameters of two Raman modes in monolayer MoS 2 . Finally, we use this result to show that we can apply biaxial strains as large as 5.6% across micron sized areas, and report evidence for the strain tuning of higher level optical transitions.KEYWORDS: Strain engineering, MoS 2 , photoluminescence, bandgap, Raman spectroscopy, biaxial strain 3 The ability to produce materials of truly nanoscale dimensions has revolutionized the potential for modulating or enhancing the physical properties of semiconductors by mechanical strain 1 . Strain engineering is routinely used in semiconductor manufacturing, with essential electrical components such as the silicon transistor or quantum well laser using strain to improve efficiency and performance 2,3 . Nano-structured materials are particularly suited to this technique, as they are often able to remain elastic when subject to strains many times larger than their bulk counterparts can withstand 4 . For instance, bulk silicon fractures when strained to just 1.2%, whereas silicon nanowires can reach strains of as much as 3.5% 5 . Parameters such as the band gap energy or carrier mobility of a semiconductor, which are often crucial to the electronic or photonic device performance, can be highly sensitive to the application of only small strains. The combination of this sensitivity with the ultra-high strains possible at the nanoscale could lead to an unprecedented ability to modify the electrical or photonic properties of materials in a continuous and reversible manner.Monolayer MoS 2, a 2D atomic crystal, has been shown in both theory 6,7 and experiment [8][9][10][11][12] to be an ideal candidate for strain engineering. It belongs to the class of 2D transition metal dichalcogonides (TMD's), and as a direct-gap semiconductor 13 has received significant interest as a channel material in transistors 14 , photovoltaics 15 and photodetection 16 devices. It has a breaking strain of 6-11% as measured by nanoindentation, which approaches its maximum theoretical strain limit 17 and classifies it as an ultra-strength material. Its electronic structure has also proven to be highly sensitive to strain, with experiments showing that the optical band gap reduces by ~50 meV/% for 4 uniaxial strain 8,11 , and is predicted to reduce by ~100 meV/% for biaxial strain 18,19 . This reversible modulation of the band...

Objective: To provide clinical management guidelines for novel coronavirus in pregnancy. Methods:On February 5, 2020, a multidisciplinary teleconference comprising Chinese physicians and researchers was held and medical management strategies of COVID-19 infection in pregnancy were discussed. Results:Ten key recommendations were provided for the management of COVID-19 infections in pregnancy. Conclusion:Currently, there is no clear evidence regarding optimal delivery timing, the safety of vaginal delivery, or whether cesarean delivery prevents vertical transmission at the time of delivery; therefore, route of delivery and delivery timing should be individualized based on obstetrical indications and maternal-fetal status.

OBJECTIVETo evaluate the value of fasting plasma glucose (FPG) value in the first prenatal visit to diagnose gestational diabetes mellitus (GDM).RESEARCH DESIGN AND METHODSMedical records of 17,186 pregnant women attending prenatal clinics in 13 hospitals in China, including the Peking University First Hospital (PUFH), were examined. Patients with pre-GDM were excluded; data for FPG at the first prenatal visit and one-step GDM screening with 75-g oral glucose tolerance test (OGTT) performed between 24 and 28 weeks of gestation were collected and analyzed.RESULTSThe median ± SD FPG value was 4.58 ± 0.437. FPG decreased with increasing gestational age. FPG level at the first prenatal visit was strongly correlated with GDM diagnosed at 24–28 gestational weeks (χ2 = 959.3, P < 0.001). The incidences of GDM were 37.0, 52.7, and 66.2%, respectively, for women with FPG at the first prenatal visit between 5.10 and 5.59, 5.60 and 6.09, and 6.10–6.99 mmol/L. The data of PUFH were not statistically different from other hospitals.CONCLUSIONSPregnant women (6.10 ≤ FPG < 7.00 mmol/L) should be considered and treated as GDM to improve outcomes; for women with FPG between 5.10 and 6.09 mmol/L, nutrition and exercise advice should be provided. An OGTT should be performed at 24–28 weeks to confirm or rule out GDM. Based on our data, we cannot support an FPG value ≥5.10 mmol/L at the first prenatal visit as the criterion for diagnosis of GDM.