Tb Sites Research Articles

Soil pH enhancement and alterations in nutrient and Bacterial Community profiles following Pleioblastus amarus expansion in tea plantations

BackgroundThe expansion of bamboo forests increases environmental heterogeneity in tea plantation ecosystems, affecting soil properties and microbial communities. Understanding these impacts is essential for developing sustainable bamboo management and maintaining ecological balance in tea plantations.MethodsWe studied the effect of the continuous expansion of Pleioblastus amarus into tea plantations, by establishing five plot types: pure P. amarus forest area (BF), P. amarus forest interface area (BA), mixed forest interface area (MA), mixed forest center area (TB), and pure tea plantation area (TF). We conducted a comprehensive analysis of soil chemical properties and utilized Illumina sequencing to profile microbial community composition and diversity, emphasizing their responses to bamboo expansion.Results(1) Bamboo expansion significantly raised soil pH and enhanced levels of organic matter, nitrogen, and phosphorus, particularly noticeable in BA and MA sites. In the TB sites, improvements in soil nutrients were statistically indistinguishable from those in pure tea plantation areas. (2) Continuous bamboo expansion led to significant changes in soil bacterial diversity, especially noticeable between BA and TF sites, while fungal diversity was unaffected. (3) Bamboo expansion substantially altered the composition of less abundant bacterial and fungal communities, which proved more sensitive to changes in soil chemical properties.ConclusionThe expansion of bamboo forests causes significant alterations in soil pH and nutrient characteristics, impacting the diversity and composition of soil bacteria in tea plantations. However, as expansion progresses, its long-term beneficial impact on soil quality in tea plantations appears limited.

Magnetic symmetries of terbium tetraboride (TbB4) revealed by resonant x-ray Bragg diffraction

A recent experimental study of TbB4 at a low temperature using resonant x-ray Bragg diffraction implies a magnetic symmetry not found in any other rare-earth tetraboride. The evidence for this assertion is a change in the intensity of a TbB4 Bragg spot on reversing the handedness (chirality) of the primary x-ray beam [R. Misawa, K. Arakawa, T. Yoshioka, H. Ueda, F. Iga, K. Tamasaku, Y. Tanaka, and T. Kimura, ]. It reveals a magnetic chiral signature in TbB4 that is forbidden in phases of rare-earth tetraborides known to date, as the previous magnetic symmetries are parity-time (PT) symmetric with anti-inversion present in the magnetic crystal class. Misawa appeal to a PT-symmetric diffraction pattern to interpret their interesting diffraction patterns. In addition to the use of symmetry that does not permit a chiral signature, calculated patterns impose cylindrical symmetry on Tb sites with no justification. We review magnetic symmetries for TbB4 consistent with a published neutron powder diffraction pattern and susceptibility measurements. On the basis of this information, noncollinear antiferromagnetic order exists below a temperature ≈44 K with no ferromagnetic component. Our symmetry-informed patterns encapsulate Tb electronic degrees of freedom in terms of multipoles consistent with established sum rules for dichroic signals. The investigated symmetry templates are noncentrosymmetric, noncollinear antiferromagnetic constructions with propagation vector k=(0,0,0). An inferred chiral signature for a parity-even absorption event has an interesting composition. There is the anticipated product of Tb axial dipoles and chargelike quadrupoles (from Templeton-Templeton scattering). Beyond this contribution, though, symmetry allows a product of dipoles in the chiral signature. A predicted change in the intensity of a Bragg spot with rotation of the crystal about the reflection vector (an azimuthal angle scan) can be tested in future experiments. Likewise contributions to Bragg diffraction patterns from Tb anapoles and higher-order Dirac multipoles. Published by the American Physical Society 2024

Crystal Chemistry of Synthetic Mg(Si1−xGex)O3 Pyroxenes: A Single-Crystal X-ray Diffraction Study

Germanate-pyroxenes often are used as model systems to study the stability and phase relationships of analog silicate systems. Based on such analyses, it is assumed that silicates and germanates behave ideally in terms of mixing. A systematic study was performed to monitor in detail the changes introduced by a Si4+ through Ge4+ replacement in the important rock-forming pyroxene enstatite MgSiO3. Well-shaped, idiomorphic singe crystals of a MgSi1−xGexO3 pyroxene solid solution were grown at ambient pressure from a high-temperature flux-assisted synthesis. Structural analysis using single-crystal X-ray diffraction methods revealed orthorhombic symmetry, Pbca, Z = 8, for the complete solid-solution series. Long-term storage over a period of 8 years at ambient conditions or annealing at 525 °C over a period of 10 weeks did not change the symmetry of the proposed thermodynamically stable monoclinic polymorph. Within the solid-solution series, lattice parameters increased almost linearly with increasing Si4+ by Ge4+ substitution. The main changes occurred on the tetrahedral sites, which showed an almost linear increase in individual and average bond lengths but also in distortion parameters. The refined site occupancy of Si4+ and Ge4+ showed a distinct preference of Ge4+ for the TB site. The altered topology and kinking state in the tetrahedral chains also imposed significant changes to the bonding topology and geometry of the neighboring M1 and M2 sites.

Entropy-stabilized materials as a platform to explore terbium-based pyrochlore frustrated magnets

Two decades of work have shown that the physics of Tb-based pyrochlores is controlled by a subtle equilibrium between quadrupole-quadrupole and dipolar-dipolar magnetic interactions, as exemplified by the ordered spin ice Tb2Sn2O7 and the quantum spin liquid candidate Tb2Ti2O7. The high-entropy approach is thus quite promising, as it offers the possibility of a delicate tuning of chemical disorder. In this work, we investigate the entropy-stabilized pyrochlore compound Tb2(TiZrHfGeSn)2O7. We report the lack of long range magnetic order, yet the observed magnetic diffuse scattering is characteristic of antiferromagnetic first-neighbor correlations. The crystal field excitation spectrum, with broaden levels, visibly reflects the smooth environmental disorder of the Tb environment. The low energy dynamics are characterized by a narrow mode at about 0.4 meV, consistent with specific heat. Remarkably, as illustrated by a model of random isotropic shifts of oxygen atoms around Tb ions, the spectral weight of this mode is a direct consequence of deviations from the D3d symmetry at Tb sites. In the light of these results, quadrupolar interactions are also discussed.

Epidemiological characteristics of tuberculosis in a mass gathering hosting governorate in Iraq, 2018 – 2022

BackgroundTuberculosis (TB) was the first cause of death among communicable diseases before the COVID-19 pandemic. Globally, in 2020, the World Health Organization (WHO) estimated the number of TB patients with negative human immunodeficiency virus (HIV) fatalities was 1.3 million, 80,000 were in the Eastern Mediterranean Region (EMR), and 821 were in Iraq. Karbala Governorate hosted one of the largest mass gatherings in the world. This study aimed to estimate the incidence of TB and identify the sociodemographic and epidemiological characteristics of TB in Karbala, Iraq. MethodsThe data in this cross-sectional study were retrieved from the TB patients' records. The patients were contacted by telephone to compile missing information WHO standard TB definitions were used. ResultsThe total number of confirmed TB cases during 2018–2022 was 1005, with an average annual incidence of 15.8/100,000, close to the national TB incidence (15/100,000). Around 48.6 % were aged 25–54 years, with an equal male-to-female ratio. Around 51 % were illiterate, 38.6 % were housewives, and 28.3 % were smokers. Among the four districts in the governorate, the incidence was highest in the city center district that hosted the mass gathering (18.5/100,000 population) (P = 0.000). There were 619 (61.6 %) patients with comorbidities; DM was the most common, 235 (23.4 %). Household contact was reported in 20.4 %, patients with a recent history of being in prison were 1 %, and those on chemotherapy were 10 %. No seasonal pattern in TB reporting was demonstrated. Pulmonary TB constituted 48 %, and the lymph node was the main site of extrapulmonary TB (35 %). The proportion of DR-TB was 2.8 %. ConclusionWhile the incidence of TB in Karbala governorate is similar to the national incidence, the incidence in the city center was higher. Most TB patients were in their productive age group. Studying the variation in the geographical distribution and the social consequences of the disease is warranted.

Enhancing the Lewis acidity of single atom Tb via introduction of boron to achieve efficient photothermal synergistic CO2 cycloaddition

Nowadays, it is becoming increasingly urgent to lower the escalating carbon dioxide (CO2) to reduce greenhouse effect. Fortunately, it is an ideal strategy by using the inexhaustible solar energy as the driving force to manipulate the cycloaddition reaction, the atomic efficiency of which is 100 %. This work represents the first attempt on utilization of rare-earth metal Tb with atomic dispersion, and the structure of Tb coordinated with 4 N-atoms and 2B-atoms was constructed on interconnected carbon hollow spheres. The introduction of electron-deficient B reduces the electron density of Tb, thereby boosting Lewis acidity and promoting the occurrence of ring-opening reaction. The mechanism exploration enunciates that TbN4B2/C is a photothermal synergistic catalyst, the combined action of photogenerated electrons and strong Lewis acidic site of Tb reduces the free energy of the rate-determining step, and then improving the yield of cyclic carbonate up to 739 mmol g-1h−1.

Comparison of short term and long term multidrug resistant tuberculosis treatment outcomes in tertiary care settings

IntroductionTuberculosis is a contagious and communicable disease while drug resistant tuberculosis is difficult to treat and requires long duration. Various strategies are focused to treat the drug resistant tuberculosis focusing lesser side effects and shorter duration of treatment. ObjectiveTo compare treatment outcomes between short-term and long-term regimens among patients registered at a tertiary care hospital's Programmatic Management of Drug-Resistant TB (PMDT) site in Pakistan. MethodsA comparative prospective cohort study was conducted at IMBB, The University of Lahore, in collaboration with the Health Research Institute (HRI) TB Research Centre at King Edward Medical University/Mayo Hospital, Lahore. The study included a sample size of 136 patients, with 68 patients in each treatment regimen (long-term and short-term). Adult pulmonary MDR TB patients seeking treatment from the facility were included based on predefined criteria. Data was collected using a pre-designed questionnaire after obtaining ethical approval and informed consent. The rates of patients' cure, treatment completed, treatment failure and death were calculated. ResultsA total of 131 patients were successfully followed up and included in the final analysis. Of these, 66 patients were in the long-term treatment group and 65 patients were in the short-term treatment group. The cure rate was 74.8 %, with 98 patients successfully cured, and 13.8 % of patients completed their treatment successfully. In the long-term treatment group, the cure rate was 75.6 %, with a treatment failure rate of 6.2 %. In the short-term treatment group, the cure rate was 73.8 %, with a treatment failure rate of 6.1 %. The death rate was 4.5 % in the short-term treatment group and 6.2 % in the long-term treatment group. However, these differences in treatment outcomes were statistically insignificant (p-values > 0.05). The newer drugs, bedaquiline and delamanid, did not show significant improvements in the treatment of multidrug-resistant TB patients. Side effects at completion of treatment remained to be significantly lesser (p < 0.05) among short term treatment group as compared to long term treatment group. ConclusionThe findings suggest that short-term treatment regimens are equally effective as long-term treatment regimens, with the added benefit of presenting fewer side effects.

Reanalysis and validation of the transcriptional pleural fluid signature in pleural tuberculosis.

Pleural tuberculosis (PlTB), the most common site of extrapulmonary TB, is characterized by a paucibacillary nature and a compartmentalized inflammatory response in the pleural cavity, both of which make diagnosis and management extremely challenging. Although transcriptional signatures for pulmonary TB have already been described, data obtained by using this approach for extrapulmonary tuberculosis and, specifically, for pleural tuberculosis are scarce and heterogeneous. In the present study, a set of candidate genes previously described in pulmonary TB was evaluated to identify and validate a transcriptional signature in clinical samples from a Brazilian cohort of PlTB patients and those with other exudative causes of pleural effusion. As a first step, target genes were selected by a random forest algorithm with recursive feature elimination (RFE) from public microarray datasets. Then, peripheral blood (PB) and pleural fluid (PF) samples from recruited patients presenting exudative pleural effusion were collected during the thoracentesis procedure. Transcriptional analysis of the selected top 10 genes was performed by quantitative RT-PCR (RT-qPCR). Reanalysis of the public datasets identified a set of candidate genes (CARD17, BHLHE40, FCGR1A, BATF2, STAT1, BTN3A1, ANKRD22, C1QB, GBP2, and SEPTIN4) that demonstrated a global accuracy of 89.5% in discriminating pulmonary TB cases from other respiratory diseases. Our validation cohort consisted of PlTB (n = 35) patients and non-TB (n = 34) ones. The gene expressions of CARD17, GBP2, and C1QB in PF at diagnosis were significantly different between the two (PlTB and non-TB) groups (p < 0.0001). It was observed that the gene expressions of CARD17 and GBP2 were higher in PlTB PF than in non-TB patients. C1QB showed the opposite behavior, being higher in the non-TB PF. After anti-TB therapy, however, GBP2 gene expression was significantly reduced in PlTB patients (p < 0.001). Finally, the accuracy of the three above-cited highlighted genes in the PF was analyzed, showing AUCs of 91%, 90%, and 85%, respectively. GBP2 was above 80% (sensitivity = 0.89/specificity = 0.81), and CARD17 showed significant specificity (Se = 0.69/Sp = 0.95) in its capacity to discriminate the groups. CARD17, GBP2, and C1QB showed promise in discriminating PlTB from other causes of exudative pleural effusion by providing accurate diagnoses, thus accelerating the initiation of anti-TB therapy.

Comparison of soil quality assessment methods for different vegetation eco-restoration techniques at engineering disturbed areas.

Scientific assessment of soil quality is the foundation of sustainable vegetation eco-restoration in engineering disturbed areas. This study aimed to find a qualitative and comprehensive method for assessing soil quality after vegetation eco-restoration in engineering disturbed areas. Sixteen soil indicators were used at six vegetation eco-restoration sites as the potential soil indicators. A minimum data set (MDS) and revised minimum data set (RMDS) were determined by principal component analysis. Six soil quality indices (SQIs) of varying scoring functions based on different data sets were employed in this study. Significant positive correlations were observed among all six SQIs, indicating that the effects of different vegetation eco-restoration measures on soil quality could be quantified by all six SQIs. The SQI values of the vegetation concrete eco-restoration slope (VC), frame beam filling soil slope (FB), thick layer base material spraying slope (TB), and external-soil spray seeding slope (SS) were all significantly higher than the SQI value of the abandoned slag slope (AS). It is noteworthy that the SQIs of the VC and TB sites were also significantly higher than the SQI of the natural forest (NF) site. These results indicate that the application of artificial remediation measures can significantly improve the soil quality of the disturbed area at the Xiangjiaba hydropower station. The results of this study also indicate that the SQI-NLRM method is a practical and accurate quantitative tool for soil quality assessment and is recommended for evaluating soil quality under various vegetation eco-restoration techniques in disturbance areas at the Xiangjiaba hydropower station and in other areas with similar habitat characteristics.

Outcome and determinants of Directly Observed Short-course treatment for tuberculosis patients

Background: The Directly Observed Treatment Short Course (DOTS) is a well-established and cost-effective strategy for treating Tuberculosis. It efficiently transforms infectious cases into non infectious ones, effectively interrupting the transmission cycle of the disease. Objectives: Measure the treatment outcomes in TB patients during 2016-2020, describe the socio-demographic and clinical profile of TB patients and evaluate the performance of the National TB program in Babil governorate based on WHO indicators. Methods: A descriptive cross-sectional study was done. All TB patients in the NTP Center of Babil governorate under the DOTS program from 2016 to 2020 were included. A form was developed to compile socio-demographic data, clinical presentation, and treatment outcomes. Results: A total number of cases was 1723. The mean age was 40.0 (± 21.0) years. The female constituted 53.8% of cases. The patients aged ≥ 65 years had the highest percentage of total cases 279 (16.2%). Pulmonary tuberculosis (PTB) constituted 56.1% of the cases 50.5% of them had smear-positive. The most common site for extrapulmonary tuberculosis (EPTB) was lymph nodes 41.1%. Treatment success was attained in 93.7%, while 3.3% of patients dead. The patients aged ≥ 65 years have the lowest success rate and highest treatment unsuccess rate opposite to young age groups (p 0.002). Conclusion: The treatment outcome target planned by WHO was achieved. The case detection rate of all form was low. The age and the site of TB significantly affected the outcome of treatment.

Survival status and risk factors for mortality among multidrug-resistant tuberculosis patients in Addis Ababa, Ethiopia: A retrospective follow-up study

BackgroundTuberculosis continues to be a major health concern around the world. It kills an estimated 1.6 million people each year. The World Health Organization (WHO) removed Ethiopia from its list of thirty countries having a high prevalence of MDR/RR-TB in 2021. As a result, the aim of this study was to assess the current context of survival status and risk factors of multidrug-resistant tuberculosis patients in Addis Ababa, Ethiopia, in 2022. MethodsAn institutional-based retrospective cohort study with 245 patients was undertaken using multidrug-resistant tuberculosis patients who were recruited from January 1st, 2018 to December 30th, 2021, in St. Peter's specialized hospital. To find independent predictors of survival status, Cox regression analysis was used. An adjusted hazard ratio with a 95% confidence interval and a p-value of < 0.05 was used to establish association and statistical significance. ResultsThe result of the study revealed that the incidence of mortality in this study was 13.1% (95% CI: 10.3–16.5). Moreover, being male (AOR = 3.7: 95% CI = 1.2, 11.4), old age (AOR = 14: 95% CI = 3.0, 60.4), site of TB (AOR = 0.2: 95% CI = 0.03, 0.6), and presence of comorbidity (AOR = 9.2: 95% CI = 2.4, 35.3), were independent predictors of time to death. ConclusionGenerally, the death rate among research participants was high. Moreover, male gender, old age, site of tuberculosis, and presence of other comorbidity were predictors of mortality among MDR-TB patients.

Perilesional Targeted Biopsy Combined with MRI-TRUS Image Fusion-Guided Targeted Prostate Biopsy: An Analysis According to PI-RADS Scores.

A prostate-targeted biopsy (TB) core is usually collected from a site where magnetic resonance imaging (MRI) indicates possible cancer. However, the extent of the lesion is difficult to accurately predict using MRI or TB alone. Therefore, we performed several biopsies around the TB site (perilesional [p] TB) and analyzed the association between the positive cores obtained using TB and pTB and the Prostate Imaging Reporting and Data System (PI-RADS) scores. This retrospective study included patients who underwent prostate biopsies. The extent of pTB was defined as the area within 10 mm of a TB site. A total of 162 eligible patients were enrolled. Prostate cancer (PCa) was diagnosed in 75.2% of patients undergoing TB, with a positivity rate of 50.7% for a PI-RADS score of 3, 95.8% for a PI-RADS score of 4, and 100% for a PI-RADS score of 5. Patients diagnosed with PCa according to both TB and pTB had significantly higher positivity rates for PI-RADS scores of 4 and 5 than for a PI-RADS score of 3 (p < 0.0001 and p = 0.0009, respectively). Additional pTB may be performed in patients with PI-RADS ≥ 4 regions of interest for assessing PCa malignancy.

Control of the Magnetic Interaction between Single-Molecule Magnet TbPc2 and Superconductor NbSe2 Surface by an Intercalated Co Atom.

We demonstrate that an intercalated Co atom in superconductor NbSe2 could control the magnetic interaction between the adsorbed magnetic molecule of TbPc2 and the NbSe2 substrate. An intercalated Co atom enhances the magnetic interaction between the NbSe2 and the TbPc2 spin to cause Kondo resonance at the TbPc2 position, a spin-singlet state formed by the itinerary electron. By applying a surface-normal magnetic field, we change the molecule's spin direction from the initial one directed to the Co atom to the surface normal. The change appears as a split Kondo resonance at the TbPc2, one of which is enhanced at the Tb site, which disappears when the outer magnetic field normal to the surface is applied and never appears, even if we return B to 0 T. The phenomenon suggests that the intercalated magnetic atoms can control the magnetic interaction between a magnetic molecule and the superconductor NbSe2.

Genomic characteristics of Mycobacterium tuberculosis isolates of cutaneous tuberculosis.

Cutaneous tuberculosis with various manifestations can be divided into several clinical types according to the host's immune status and infective route. However, the etiological factors of this disease remain unclear. The objective of this study is to investigate the pathogens associated with the occurrence and different types of cutaneous tuberculosis. 58 Mycobacterium tuberculosis strains isolated from cutaneous tuberculosis over the last 20 years were sequenced and analyzed for genomic characteristics including lineage distribution, drug-resistance mutations, and mutations potentially associated with different sites of infection. The M. tuberculosis strains from four major types of cutaneous tuberculosis and pulmonary tuberculosis shared similar genotypes and genomic composition. The strains isolated from cutaneous tuberculosis had a lower rate of drug resistance. Phylogenic analysis showed cutaneous tuberculosis and pulmonary tuberculosis isolates scattered on the three. Several SNPs in metabolism related genes exhibited a strong correlation with different infection sites. The different infection sites of TB may barely be affected by large genomic changes in M. tuberculosis isolates, but the significant difference in SNPs of drug resistance gene and metabolism-related genes still deserves more attention.

Prevalence of pre-extensively drug-resistant tuberculosis (Pre XDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) among extra pulmonary (EP) multidrug resistant tuberculosis (MDR-TB) at a tertiary care center in Mumbai in pre Bedaquiline (BDQ) era.

Drug-resistant tuberculosis (DR-TB) is the most exigent and calamitous challenge encountered in treatment of TB. Extra pulmonary (EP) DR-TB poses a complex diagnostic and therapeutic challenge owing to myriad of presentations and paucibacillary nature. Data available on this subset is limited. We studied the prevalence of EPDR-TB cases among the total DR-TB cases visiting our Programmatic management of Drug-Resistant TB (PMDT) site. We also studied the demographic and microbiological profile of these cases and analyzed the prevalence of pre-extensively drug-resistant TB (pre XDR-TB) and extensively drug-resistant TB (XDR-TB) among patients of EPDR-TB in pre Bdq era. Of the 1086 DR-TB patients, 64 (5.89%) were cases of EPDR-TB. Seven out of 64 (10.93%) were primary EPDR-TB. The site wise distribution of cases was 34 (53.125%) lymph node DR-TB, 18 (28.125%) pleural DR-TB, 9 (14.0625%) spinal DR-TB/paraspinal abscess/psoas abscess, 1 case (1.5625%) each of abdominal DR-TB, sternal and gluteal abscess. On the basis of the second-line drug susceptibility testing (DST), patients were grouped into: (1) multidrug-resistant TB (MDR-TB), (2) MDR-TB with fluoroquinolone (FQ) resistance {pre XDR XDR-TB (FQ)}, (3) MDR-TB with second-line injectable (SLI) resistance {pre XDR XDR-TB (SLI)}, (4) XDR-TB. Of the 64 patients, 43 (67.185%) had MDR-TB, 19 (29.687%) had preXDR-TB (FQ), none had preXDR-TB (SLI) and 2 (3.125%) had XDR-TB. Gastro esophageal reflux disease (GERD) was the most common comorbidity seen in 26 (40.6%) patients, followed by anemia in 5 (7.8%), psychiatry problems 5 (7.8%), hypertension in 3 (4.6%), renal disorders in 2 (3.1%) while thyroid disorder, HIV and thalassemia in 1 each (1.5%). EPDR-TB forms a small but significant proportion of total DR-TB. Lymph node DR-TB is its most common subclass. Our study emphasises the momentousness and essentiality of baseline DST to FQ and SLI in patients of DR-TB. This enables an appropriate modification of therapy at baseline itself to better the treatment outcomes. We observed a strikingly high proportion of preXDR-TB (FQ) in our study group.

Facile fabrication of cool yellow pigment with enhanced NIR reflectance by tailoring oxygen defects and its application in energy-saving building

Intensity of absorption tail at long wavelength side of absorption edge is affected by concentration of oxygen vacancy (Ov), which determines chromaticity, near-infrared (NIR) reflectance and application value of cool pigments. In this work, a feasible strategy is proposed to restrain the generation of Ov by lattice distortion to enhance color and NIR reflectance. Compression lattice is formed by introducing smaller ions of Ti4+ or Zr4+ into Tb site in SrTbO3 host. This results in significant reduction of concentration of Ov. Compared to SrTbO3, color component L* of SrTb0.6Zr0.4O3 increases from 69.09 to 87.30. Moreover, NIR and solar reflectance are remarkably enhanced, reaching 18.3% and 19.3%, respectively. In addition, 11.6 °C and 5.6 °C decreases in temperature were observed for inner surface of roof and indoor room of simulation house. The strategy proposed in this work will contribute to developing color-cool pigments with suitable properties and high solar regulation ability.

Association of Underlying Comorbidities and Sites of tuberculosis: an analysis using surveillance data

BackgroundTuberculosis (TB) is a highly heterogeneous disease that can affect any organ. Extrapulmonary TB (EPTB) is more difficult to diagnose due to various clinical presentations. Depending on the characteristics of the patient, the involved site of TB may vary. However, data on clinical characteristics of EPTB are inconsistent and insufficient. This study aimed to identify the characteristics of patients with pulmonary TB (PTB) and EPTB and describe characteristic differences for each involved site.MethodsWe systemically collected data of TB patients included in the national surveillance system in South Korea from July 2018 to June 2019 and compared the characteristics of patients with EPTB with that of PTB.ResultsA total of 7674 patients with a mean age of 60.9 years were included. Among them, 6038 (78.7%) patients were diagnosed with PTB and 1636 (21.3%) with EPTB. In PTB group, the mean age (61.7 ± 18.7 vs. 57.8 ± 19.9) and proportion of male sex (63.3% vs. 50.1%) were higher, but the body mass index was lower (21.2 ± 3.4 vs. 22.7 ± 3.5) than that of the EPTB group. Prevalence of diabetes (20.5% vs. 16.9%) and chronic lung disease (5.1% vs. 2.9%) were higher in PTB group, meanwhile, those of chronic kidney disease (CKD) (2.7% vs. 5.4%) and long-term steroid use (0.4% vs. 1.0%) were higher in EPTB group. Abdominal TB was more prevalent in patients with chronic liver disease (odds ratio [OR]: 2.69, 95% CI: 1.52–4.74), and urogenital TB was more prevalent in patients with CKD (OR: 2.75, 95% CI: 1.08–6.99).ConclusionsWe found that underlying comorbidities were closely associated with the location of TB development, and therefore, the possibility of EPTB should be carefully evaluated while monitoring for underlying disease in TB-endemic areas.

Contribution of PEPFAR-Supported HIV and TB Molecular Diagnostic Networks to COVID-19 Testing Preparedness in 16 Countries.

The US President's Emergency Plan for AIDS Relief (PEPFAR) supports molecular HIV and tuberculosis diagnostic networks and information management systems in low- and middle-income countries. We describe how national programs leveraged these PEPFAR-supported laboratory resources for SARS-CoV-2 testing during the COVID-19 pandemic. We sent a spreadsheet template consisting of 46 indicators for assessing the use of PEPFAR-supported diagnostic networks for COVID-19 pandemic response activities during April 1, 2020, to March 31, 2021, to 27 PEPFAR-supported countries or regions. A total of 109 PEPFAR-supported centralized HIV viral load and early infant diagnosis laboratories and 138 decentralized HIV and TB sites reported performing SARS-CoV-2 testing in 16 countries. Together, these sites contributed to >3.4 million SARS-CoV-2 tests during the 1-year period. Our findings illustrate that PEPFAR-supported diagnostic networks provided a wide range of resources to respond to emergency COVID-19 diagnostic testing in 16 low- and middle-income countries.

Factors Influencing False-Negative Results of QuantiFERON-TB Gold In-Tube (QFT-GIT) in Active Tuberculosis and the Desirability of Resetting Cutoffs for Different Populations: A Retrospective Study.

Objectives The value of QuantiFERON-TB Gold In-Tube (QFT-GIT) in the diagnosis of TB varies by population, comorbidities, and other factors. In this study, we aimed to investigate factors that influence false-negative results of QFT-GIT test in the diagnosis of TB as well as the impact of different cutoffs on the diagnostic value. Methods A total of 3562 patients who underwent QFT-GIT tests at Shanghai Pulmonary Hospital were enrolled retrospectively between May 2016 and May 2017. False-negative and false-positive results were analyzed using different clinical stratifications. The optimal cutoff values were established under different clinical conditions. Results Positive QFT-GIT results greatly shortened the time taken to diagnose smear-negative TB. The factors of age, smear and culture results, site of TB, comorbidity with tumors, white blood cell count, neutrophil count, and CD4/CD8 ratio were significantly correlated with false-negative QFT-GIT results (p < 0.05). Personalized cutoff values were established according to different influencing factors. The results showed high consistency between the smear-negative and total populations. Conclusion QFT-GIT can facilitate the early diagnosis of smear-negative TB. The diagnostic performance of the QFT-GIT test in the diagnosis of active TB was shown to be affected by many clinical factors. Personalized cutoff values may have superior value in the identification of active tuberculosis under different conditions.

Tröger's Base Network Polymers of Intrinsic Microporosity (TB-PIMs) with Tunable Pore Size for Heterogeneous Catalysis.

Heterogeneous catalysis plays a pivotal role in the preparation of value-added chemicals, and it works more efficiently when combined with porous materials and supports. Because of that, a detailed assessment of porosity and pore size is essential when evaluating the performance of new heterogeneous catalysts. Herein, we report the synthesis and characterization of a series of novel microporous Tröger’s base polymers and copolymers (TB-PIMs) with tunable pore size. The basicity of TB sites is exploited to catalyze the Knoevenagel condensation of benzaldehydes and malononitrile, and the dimension of the pores can be systematically adjusted with an appropriate selection of monomers and comonomers. The tunability of the pore size provides the enhanced accessibility of the catalytic sites for substrates, which leads to a great improvement in conversions, with the best results achieving completion in only 20 min. In addition, it enables the use of large benzaldehydes, which is prevented when using polymers with very small pores, typical of conventional PIMs. The catalytic reaction is more efficient than the corresponding homogeneous counterpart and is ultimately optimized with the addition of a small amount of a solvent, which facilitates the swelling of the pores and leads to a further improvement in the performance and to a better carbon economy. Molecular dynamic modeling of the copolymers’ structures is employed to describe the swellability of flexible chains, helping the understanding of the improved performance and demonstrating the great potential of these novel materials.