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Remdesivir is being studied and used for treatment of coronavirus disease 2019 (COVID-19).

To update a previous review of remdesivir for adults with COVID-19, including new meta-analyses of patients with COVID-19 of any severity compared with control.

Several sources from 1 January 2020 through 7 December 2020.

English-language, randomized controlled trials (RCTs) of remdesivir for COVID-19. New evidence is incorporated by using living review methods.

1 reviewer abstracted data; a second reviewer verified the data. The Cochrane Risk of Bias Tool and GRADE (Grading of Recommendations Assessment, Development and Evaluation) method were used.

The update includes 5 RCTs, incorporating data from a new large RCT and the final results of a previous RCT. Compared with control, a 10-day course of remdesivir probably results in little to no reduction in mortality (risk ratio [RR], 0.93 [95% CI, 0.82 to 1.06]; 4 RCTs) but may result in a small reduction in the proportion of patients receiving mechanical vent fewer harms with lower drug costs than a 10-day course.

U.S. Department of Veterans Affairs.

U.S. Department of Veterans Affairs.Temperature-dependent optical properties are of paramount importance for fundamentally understanding the electron-phonon interactions and phonon modes in atomically precise nanocluster materials. In this work, low-temperature optical absorption spectra of the icosahedral [Au25(SR)18]- nanocluster are measured from room temperature down to liquid helium temperature by adopting a thin-film-based technique. The thin-film measurement is further compared with results from the previous solution-based method. Interestingly, the previously missing core phonon is revealed by a quantitative analysis of the film data through peak deconvolution and fitting of the temperature trend with a theoretical model. The two lowest-energy absorption peaks (at 1.6 and 1.8 eV) of Au25 are determined to couple with the staple-shell phonon (average energy ∼350 cm-1) in the solution state, but in the solid state these electronic transitions couple with the core phonon (average energy ∼180 cm-1). The suppression of the staple-shell phonon in the solid state is attributed to the intracluster and cluster-matrix interactions.The central OCCO dihedral of the ethylene glycol (EG) molecule exists in both trans and gauche geometries in the liquid. The presence of the trans conformer had been inferred from the Raman spectra by interpreting the occurrence of bands in the Raman spectra that were absent in the infrared as evidence for inversion symmetry and hence the trans conformation. The validity of this interpretation is questionable as not all conformations of the EG molecule, where the OCCO dihedral is trans, possess inversion symmetry. CC-90001 JNK inhibitor We show here that the resolution of the apparent paradox is intimately related to the conformation and dynamics of not just the central OCCO but also the two terminal dihedrals of the EG molecule. Using ab initio molecular dynamics simulations, we show that changes in conformation associated with the three dihedral angles are not infrequent; a number of events are observed during the course of the simulations allowing for a straightforward estimate of the kinetic parameters. More importantly, these parameters allow us to address and resolve the problems in interpreting the Raman spectra and consequently relate molecular conformation to the Raman spectrum of the EG molecule in the liquid state.With the aid of the confined conversion of layered silicate RUB-15, homogeneously dispersed Au and SnO2 nanoparticles (NPs) were generated in the confined layer space of RUB-15. The Au-SnO2/SiO2 composite was obtained with the structure that ultrafine Au and SnO2 NPs were supported on SiO2 lamellas. Benefited by the Sn(II)-assisted in situ reduction strategy, Au NPs were highly uniformed and evenly distributed in/on the RUB-15. This Au-SnO2/SiO2 composite was employed as a catalyst to the reduction of 4-nitrophenol showing excellent catalytic activity. The catalytic rate constant at room temperature was calculated to be 6.64 min-1, which was dramatically higher than that of Au/SiO2 composite produced by reduction with hydrazine hydrate on the same support of layered silicate RUB-15. The interaction between Au and SnO2 NPs increased the electron density around Au NPs, which was demonstrated to be an essential factor to the excellent catalytic activity of the Au-SnO2/SiO2 composite. The simple and universal synthesis method afforded precise control over the size/spatial arrangement of Au and SnO2 NPs on SiO2 lamellas. The high activity of the Au-SnO2/SiO2 composite demonstrated that the strategy used in this study has good potential application prospect. Furthermore, this work provided new perspective on the catalysis mechanism to the metal/semiconductor synergistic catalyst system.Water-in-salt electrolytes are a fascinating new class of highly concentrated aqueous solutions with wide electrochemical stability windows that make them viable as aqueous battery electrolytes. However, the high ion concentration of water-in-salt electrolytes means that these systems are poorly understood when compared to more dilute electrolyte solutions. Here, we present direct surface force measurements across thin films of a water-in-salt electrolyte at several concentrations. We find that the electrolyte adopts a layered structure at charged interfaces composed of a nanostructure of a hydrated cation and nonaqueous anion-rich domains. These observations will aid in the interpretation of capacitance and double-layer behavior of water-in-salt electrolytes with consequences for their use in energy storage devices.With 28 potential N-glycosylation sites, human carcinoembryonic antigen (CEA) bears an extreme amount of N-linked glycosylation, and approximately 60% of its molecular mass can be attributed to its carbohydrates. CEA is often overexpressed and released by many solid tumors, including colorectal carcinomas. CEA displays an impressive heterogeneity and variability in sugar content; however, site-specific distribution of carbohydrate structures has not been reported so far. The present study investigated CEA samples purified from human colon carcinoma and human liver metastases and enabled the characterization of 21 out of 28 potential N-glycosylation sites with respect to their occupancy. The coverage was achieved by a multienzymatic digestion approach with specific enzymes, such as trypsin, endoproteinase Glu-C, and the nonspecific enzyme, Pronase, followed by analysis using sheathless CE-MS/MS. In total, 893 different N-glycopeptides and 128 unique N-glycan compositions were identified. Overall, a great heterogeneity was found both within (micro) and in between (macro) individual N-glycosylation sites.