Phenome-wide association study and precision medicine of cardiovascular diseases in the post-COVID-19 era

SARS-CoV-2 infection causes injuries of not only the lungs but also the heart and endothelial cells in vasculature of multiple organs, and induces systemic inflammation and immune over-reactions, which makes COVID-19 a disease phenome that simultaneously affects multiple systems. Cardiovascular diseases (CVD) are intrinsic risk and causative factors for severe COVID-19 comorbidities and death. The wide-spread infection and reinfection of SARS-CoV-2 variants and the long-COVID may become a new common threat to human health and propose unprecedented impact on the risk factors, pathophysiology, and pharmacology of many diseases including CVD for a long time. COVID-19 has highlighted the urgent demand for precision medicine which needs new knowledge network to innovate disease taxonomy for more precise diagnosis, therapy, and prevention of disease. A deeper understanding of CVD in the setting of COVID-19 phenome requires a paradigm shift from the current phenotypic study that focuses on the virus or individual symptoms to phenomics of COVID-19 that addresses the inter-connectedness of clinical phenotypes, i.e., clinical phenome. Here, we summarize the CVD manifestations in the full clinical spectrum of COVID-19, and the phenome-wide association study of CVD interrelated to COVID-19. We discuss the underlying biology for CVD in the COVID-19 phenome and the concept of precision medicine with new phenomic taxonomy that addresses the overall pathophysiological responses of the body to the SARS-CoV-2 infection. We also briefly discuss the unique taxonomy of disease as Zheng-hou patterns in traditional Chinese medicine, and their potential implications in precision medicine of CVD in the post-COVID-19 era.

Assessing the drinking water quality in the Inner Mongolia Autonomous Region from 2014 to 2018

The objective of this study was to understand the drinking water quality state in the Inner Mongolia Autonomous Region from 2014 to 2018 and to derive information that will provide a basis for improving the drinking water quality in the region. Monitoring data for drinking water from the Inner Mongolia Autonomous Region for 2014 to 2018 were analyzed and the results were compared with GB 5749-2006, the Standard Test Method for Drinking Water, and GB 5749-2006, the Drinking Water Quality Standards. Data for a total of 30,613 water samples were assessed. Of the data for the microbiological index, sensory trait and general chemical index, and toxicological index, 89, 80, and 69% were qualified, respectively. For the toxicological index, the fluoride and nitrate nitrogen data were the least compliant. The water quality in all the cities was generally very suitable for drinking. However, there were marked differences in the qualified rates of drinking water in different areas and the qualified rates of the data for the three indexes were lower in rural areas than in urban areas. Given the varied issues with the drinking water quality, the relevant departments of League cities should implement appropriate and effective treatment measures to improve the drinking water quality and ensure it is safe for residents.

Study of hole-injecting properties in efficient, stable, and simplified phosphorescent organic light-emitting diodes by impedance spectroscopy

Simplified phosphorescent organic light-emitting diodes (OLEDs) using only two kinds of hosts and comprising either a neat MoO(x) hole-injecting layer (HIL) or a MoO(x)-doped 4,4'-bis(carbazol-9-yl)biphenyl (CBP) HIL were studied. The devices having the MoO(x)-doped CBP HIL are superior to the device having the neat MoO(x) HIL in terms of power efficiency and operational lifetime. Impedance spectroscopy studies revealed that both the reduced hole-injecting barrier height at the anode/doped HIL interface and the reduced bulk resistivity in the doped CBP HIL contribute to the improvement in electroluminescence characteristics. When increasing the MoO(x) volume percentage from 5 to 10% and then to 20%, the hole-injecting barrier height is decreased from 0.63 eV to 0.36 eV and then to 0.18 eV. The power efficiency of the device with a 20 vol % of MoO(x)-doped CBP HIL is more than two times that of the device with a neat MoO(x) HIL measured at a driven current of 5 mA/cm(2). Moreover, the lifetime of the device with a 20 vol % of MoO(x)-doped CBP HIL is more than three times that of the device with a neat MoO(x) HIL estimated at an initial luminance of 1000 cd/m(2). The MoO(x)-doped HIL further ensures the feasibility of the simplified phosphorescent OLEDs for potential applications.