Characterization of the two intracellular lipases of Y. lipolytica encoded by TGL3 and TGL4 genes: new insights into the role of intracellular lipases and lipid body organisation

Eukaryotes store lipids in a specialised organelle, the lipid body (LB), mainly as triglycerides (TAGs). Both the rates of synthesis and degradation contribute to the control of the accumulation of TAGs. The synthesis of TAGs in yeasts has been well documented, especially in the model yeast Saccharomyces cerevisiae and in the oleaginous yeast Yarrowia lipolytica. However, descriptions of the processes involved in TAG degradation are more scarce and mostly for S. cerevisiae. Here, we report the characterisation of two Y. lipolytica genes, YlTGL3 and YlTGL4, encoding intracellular lipases involved in TAG degradation. The two proteins are localised in lipid bodies, and YlTgl4 was mainly found at the interface between LBs. Surprisingly, the spatial organisation of YlTgl3 and YlTgl4 depends on the culture medium and on the physiological phase of the cell. Inactivation of one or both genes doubles the lipid accumulation capacity of Y. lipolytica, increasing the cell's capacity to accumulate TAGs. The amino acid sequence of YlTgl4 contains the consensus sequence motif (G/A)XSXG, typical of serine hydrolases, whereas YlTgl3 does not. Single and double mutants are unable to degrade TAGs, and higher expression of YlTgl4 correlates with TAG degradation. Therefore, we propose that YlTgl4 is the main lipase responsible for TAG degradation and that YlTgl3 may act as a positive regulator of YlTgl4 rather than a functional lipase. Thus, contrary to S. cerevisiae, Y. lipolytica possesses two intracellular lipases with distinct roles and with distinct localisations in the LB.

Persistent Charge-Density-Wave Order in Single-Layer TaSe2

We present the electronic characterization of single-layer 1H-TaSe₂ grown by molecular beam epitaxy using a combined angle-resolved photoemission spectroscopy, scanning tunneling microscopy/spectroscopy, and density functional theory calculations. We demonstrate that 3 × 3 charge-density-wave (CDW) order persists despite distinct changes in the low energy electronic structure highlighted by the reduction in the number of bands crossing the Fermi energy and the corresponding modification of Fermi surface topology. Enhanced spin-orbit coupling and lattice distortion in the single-layer play a crucial role in the formation of CDW order. Our findings provide a deeper understanding of the nature of CDW order in the two-dimensional limit.

Developments in life cycle assessment applied to evaluate the environmental performance of construction and demolition wastes

This paper provides a review of the literature that applies the life cycle assessment (LCA) methodology to the assessment of the environmental performance of the life cycle of construction and demolition waste (CDW) management systems. This article is focused on generating a general mapping of the literature and on identifying the best practices in compliance with LCA framework and proposing directions for future LCA studies in this field. The temporal evolution of the research in this field and the aim of the studies have grown in parallel with the legal framework related to waste and energy efficiency of buildings. Most studies have been published in Europe, followed by USA. Asia and Australia, being at an incipient application stage to the rest of the world. Topics related to "LCA of buildings, including their EoL" and "LCA of general CDW management strategies" are the most frequently analysed, followed by "LCA of EoL of construction elements" and "LCA of natural material vs recycled material". Regarding the strategies, recycling off-site and incineration, both combined with landfill for the rejected fractions, are the most commonly applied. Re-use or recycling on-site is the strategy least applied. The key aspect when LCA is applied to evaluate CDW management systems is the need to normalise which processes to include in the system boundary and the functional unit, the use of inventory data adapted to the context of the case study and the definition of a common set of appropriate impact assessment categories. Also, it is important to obtain results disaggregated by unit processes. This will allow the comparison between case studies.

Managerial Areas of Construction and Demolition Waste: A Scientometric Review

In past decades, the massive generation of construction and demolition waste (CDW) was increasingly threatening the public environment and humanity health worldwide. A large amount of research has been devoted to the CDW from difference perspectives. However, few scholars have attempted to summarize and review the extant studies, especially in the managerial areas of CDW (MA-CDW). This paper fills this gap via a systematic and quantitative review in the CDW management field. Employing the scientometric analysis method, a total of 261 articles published from 2006 to 2018 were collected to construct the knowledge map and comprehensive framework for MA-CDW. Results show that the overall evolutionary trend of MA-CDW was from basic management concepts to internal and external challenges analysis, to organizational strategy and innovative management practices. The major MA-CDW knowledge domains were identified and summarized into four pillars, namely: (1) factor and challenge; (2) composition and quantification; (3) assessment and comparison; and (4) technology and method. Based on the trend, knowledge gaps and future research directions were found out and discussed. This study contributes to the existing MA-CDW knowledge by presenting a comprehensive knowledge framework. Furthermore, these findings can provide the researchers and practitioners with an in-depth understanding for the sustainable governance of CDW.

Topical review: recent progress of charge density waves in 2D transition metal dichalcogenide-based heterojunctions and their applications

Charge density wave (CDW) is an intriguing physical phenomenon especially found in two-dimensional (2D) layered systems such as transition-metal dichalcogenides (TMDs). The study of CDW is vital for understanding lattice modification, strongly correlated electronic behaviors, and other related physical properties. This paper gives a review of the recent studies on CDW emerging in 2D TMDs. First, a brief introduction and the main mechanisms of CDW are given. Second, the interplay between CDW patterns and the related unique electronic phenomena (superconductivity, spin, and Mottness) is elucidated. Then various manipulation methods such as doping, applying strain, local voltage pulse to induce the CDW change are discussed. Finally, examples of the potential application of devices based on CDW materials are given. We also discuss the current challenge and opportunities at the frontier in this research field.

Sustainability assessment of Construction and Demolition Waste management applied to an Italian case

Construction and Demolition Waste represents a priority stream for the European Union and has a large potential for closing the material circulation loop in line with the Circular Economy principles. The present study focuses on the socio-economic and environmental implications of the management of such waste in the Campania Region (Italy), with the aim of documenting the benefits of recycling actions and landfill avoidance. By using local primary data, and complementing them with data from literature and datasets, three scenarios have been investigated: i) Status Quo, i.e., a baseline scenario presenting the current management of Construction and Demolition Waste in the Region; ii) a Linear Economy scenario, considering the total flow disposed of in landfill and iii) a Best Practice scenario based on the implementation of selective demolition practices and increased recycling for the production of high-quality recycled aggregates. Special attention has been paid to the land use and socio-economic implications linked to the management of this flow, which are rarely considered. We quantify that, with the implementation of best practices, ca. 18 Mkg CO2 -eq. can be saved annually relative to the Status Quo alongside creating additional 1,000 jobs-eq. and incurring important benefits on land use. The results stress that the potential environmental and social benefits of selective demolition and best practices are significant, but the incurred economic costs may hinder their application and the resulting development of more circular economy actions in the construction sector, highlighting the need for incentives and tools to facilitate this transition.

Ethanol production from glucose and xylose by immobilized Thermoanaerobacter pentosaceus at 70 °C in an up-flow anaerobic sludge blanket (UASB) reactor

The newly isolated extreme thermophilic ethanologen Thermoanaerobacter pentosaceus was immobilized in different support materials in order to improve its ethanol production ability. In batch fermentation, a maximum ethanol yield of 1.36 mol mol(-1) consumed sugars was obtained by T. pentosaceus immobilized on rapeseed straw. Additionally, immobilized T. pentosaceus' ethanol production was improved by 11% in comparison to free cells. In continuous mode, it was shown that hydraulic retention time (HRT) affected ethanol yield, and a dramatic shift from ethanol to acetate and lactate production occurred at an HRT of 6 h. The maximum ethanol yield and concentration, 1.50 mol mol(-1) consumed sugars and 12.4 g l(-1), were obtained with an HRT of 12 h. The latter represented an improvement of 60% in relation to previously obtained results. This indicates that immobilization of T. pentosaceus is an effective strategy to improve its ethanol production ability.

Concrete-Based and Mixed Waste Aggregates in Rendering Mortars

This paper presents a study of incorporation of two types of construction and demolition waste (CDW) in rendering mortars, as aggregates at 0%, 20%, 50% and 100% (by volume). Recycled concrete aggregate (RCA) and mixed recycled aggregate (MRA) were used. The former is mainly composed of cementitious waste and the latter consists of a mixture of non-segregated wastes. The performance of the cement mortars with recycled aggregates was evaluated through an extensive experimental programme. The analysis comprised workability, mechanical strength, water absorption, shrinkage, open porosity and the evaluation of durability by permeability to water under pressure after an artificial accelerated ageing test. The results are considered positive, although as the incorporation of recycled aggregates (both MRA and RCA) increased the mechanical strength, the modulus of elasticity and bulk density decreased, which leads to the production of lighter mortars that are less susceptible to cracking. The modified mortar with 20% of MRA presented the best performance, in terms of mechanical behaviour.

Overview regarding construction and demolition waste in Spain

The construction sector comprises a number of activities that may result in environmental impacts of considerable magnitude, waste generation being one of the major negative effects of this industry due to the large streams generated. Proper knowledge of the environmental problem caused by the sector is of great importance in order to achieve an effective waste management. Thus, this paper analyse the Spanish situation regarding construction and demolition waste (CDW) compared with other European Union countries; which sets out the current figures of the CDW scenario (legislation, generation, composition, treatment and market) as well as the difficulties encountered when handling this residue.

Post-failure behavior analysis of the Shenzhen "12.20" CDW landfill landslide

Since the 1990s, with rapid economic development and urbanization occurring in many countries, the amount of construction and demolition waste (CDW) has also increased. Landfills have become the most commonly used method of disposing of CDW. The safety of landfill slopes is very important. On December 20, 2015, a catastrophic landslide occurred in Shenzhen, Guangdong, Southeastern China. Seventy-seven people were killed, and 33 buildings were buried or damaged. In this paper, the Shenzhen 12.20 landslide is used as an example, and the characteristics of the landfill landslide's post-failure behavior are studied. The following conclusions are made: (1) According to our field investigations, the landslide's motion can be divided into the source area, the propagation area, and the accumulation area. During post-failure motion, loose saturated spoil, which experiences motion similar to that of a slurry flow, and water are the critical factors that cause slope failure and result in a long runout slide. (2) The DAN3D analysis method can satisfactorily reproduce the motion of the Shenzhen "12.20" landslide. (3) A Frictional model can be used for the simulation analysis of the source area. In addition, the Bingham model can be used for the fluidization simulation analysis of the propagation and accumulation areas of a CDW landslide. These conclusions can be used for scientific analysis of CDW landfill landslide hazard zoning and early monitoring and warnings.

A Three-Point Hyperbolic Combination Model for the Settlement Prediction of Subgrade Filled with Construction and Demolition Waste

Using construction and demolition waste (CDW) as road subgrade filling materials is an excellent way to solve the disparity between increased demand and road construction aggregate shortages. However, a key quality control problem is predicting the subgrade settlement, primarily because the CDW subgrade settlement prediction methods are not yet mature. To go some way in overcoming this problem, in this paper we developed a three-point hyperbolic combination model to predict CDW subgrade settlement, in which three appropriate points for the measured settlement curve were selected in the prediction samples to improve the hyperbolic model. Then, common prediction models—namely, the hyperbolic model, the three-point model, and the Hushino model—were compared with the proposed combination model to assess its viability. Finally, the three-point hyperbolic combination prediction accuracy was analyzed for different start points t₀ and time intervals Δt. The analyses found that the proposed model was in good agreement with the measured data, had a high correlation coefficient, and had only small errors. However, the time interval Δt needed to be greater than 80 days and the start point t₀ needed to be selected at the beginning of the stable post-filling period, that is, t₀ = 90–100 days. The application parameters were also determined to provide a reference for the large-scale application and settlement predictions of CDW subgrade.

Charge Density Wave Vortex Lattice Observed in Graphene-Passivated 1T-TaS2 by Ambient Scanning Tunneling Microscopy

The nearly commensurate charge density wave (CDW) excitations native to the transition-metal dichalcogenide crystal, 1T-TaS₂, under ambient conditions are revealed by scanning tunneling microscopy (STM) and spectroscopy (STS) measurements of a graphene/TaS₂ heterostructure. Surface potential measurements show that the graphene passivation layer prevents oxidation of the air-sensitive 1T-TaS₂ surface. The graphene protective layer does not however interfere with probing the native electronic properties of 1T-TaS₂ by STM/STS, which revealed that nearly commensurate CDW hosts an array of vortex-like topological defects. We find that these topological defects organize themselves to form a lattice with quasi-long-range order, analogous to the vortex Bragg glass in type-II superconductors but accessible in ambient conditions.

One Way to Design a Valence-Skip Compound

Valence-skip compound is a good candidate with high T _c and low anisotropy because it has a large attractive interaction at the site of valence-skip atom. However, it is not easy to synthesize such compound because of (i) the instability of the skipping valence state, (ii) the competing charge order, and (iii) that formal valence may not be true in some compounds. In the present study, we show several examples of the valence-skip compounds and discuss how we can design them by first principles calculations. Furthermore, we calculated the electronic structure of a promising candidate of valence skipping compound RbTlCl₃ from first principles. We confirmed that the charge-density wave (CDW) is formed in this compound, and the Tl atoms in two crystallographic different sites take the valence Tl¹⁺ and Tl³⁺. Structure optimization study reveals that this CDW is stable at the ambient pressure, while this CDW gap can be collapsed when we apply pressure with several gigapascals. In this metallic phase, we can expect a large charge fluctuation and a large electron-phonon interaction.

Optimal site selection for construction and demolition waste disposal using GIS-FAHP: a case study from Kafr El Sheikh City, Egypt

The increasing number of building and demolition projects results in huge amounts of construction and demolition wastes (CDWs) that are illegally dumped. However, these wastes must be disposed of in appropriate legal sites to protect the environment and human health. After reviewing the literature, no prior research examined optimal site selection for dumping or recycling CDW in an Egyptian city. Furthermore, the absence of field surveys did not offer a holistic understanding of the specific criteria used in the model for this region, nor did it permit an assessment of the suitability of existing dumpsites, thereby revealing certain limitations in the final results. In this regard, this research aims to apply a multi-criteria geographic information system (GIS)-based framework to identify an optimal site for CDW disposal in Kafr El Sheikh City. The criteria affecting the site selection are identified and categorized from prior literature, which are further refined using field surveys and focus group to evaluate their applicability in the context of an Egyptian city. After conducting questionnaire surveys, the trapezoidal interval type II fuzzy analytic hierarchy process is applied to compute the weights of the identified criteria from the perspective of each group of experts. The entropy-based aggregation approach is employed to identify the compromise weights taking into account the preferences of different groups. GIS is a powerful tool for geoprocessing and analyzing spatial big data. The result is a scenario map for the optimal site locations with varying suitability scales (i.e., excellent, very good, good, average, poor, and very poor). The proposed methodology provides what-if scenarios based on a selected set of criteria. According to the results of the multi-criteria decision analysis models, the suitability varies based on the weights of the criteria. For the equal-weighted criteria model, the excellent category covers 5.96% of the study area, increasing to 6.48% for the weighted criteria model. These areas primarily lie in the northeast direction. Conversely, the majority of the study area, 41.80% under equal-weighted criteria and 32.39% under weighted criteria, falls within the average and poor suitability categories, respectively. In general, the most suitable areas are located on the outskirts of the city, and the suitability decreases near the central business district. To bridge the gap between research findings and practical applications, a land use analysis employing satellite imagery is conducted to pinpoint suitable locations for CDW disposal. Existing CDW dumpsites predominantly fall within the range of poor to very good for the equal-weighted criteria model, while the weighted criteria model categorizes them into the poor (16.66%) and average (83.33%) categories. The findings demonstrated the applicability of the proposed framework for CDW disposal management and planning.

Organophosphate esters in inert landfill soil: A case study

Organophosphate esters (OPEs) used as flame retardants and plasticizers are additives in building and construction materials, decorations, furniture, electronic equipment, among other applications. The presence of materials containing these substances in construction and demolition waste (CDW) from weak waste management practices can result in environmental contamination. In this study, OPEs' presence in soil samples collected from a CDW landfill in Brazil was evaluated. Soil samples were collected in areas adjacent to CDW from an inert landfill, and the samples were analysed by gas chromatography coupled to mass spectrometry. The OPEs were detected in all soil samples at quantifiable concentrations ranging from 21 to 251 ng g-1, and detected compounds were tris(phenyl) phosphate, tris(2-butoxyethyl) phosphate, tris(1,3-dichloroisopropyl) phosphate, tris(2-chloroisopropyl) phosphate and 2-ethylhexyl diphenyl phosphate. The presence of these compounds in a CDW landfill is probably due to the lack of control of the materials sent to and deposited in the landfill, which, results in part from the lack of sampling and screening systems that can help identify the presence of contaminants in the CDW waste stream. This is partially due to OPEs not being considered controlled compounds under current regulations, thus screening or separation for handling of OPEs at construction and demolition work sites is rare to non-existent. The data generated in this study reveals the need for improving CDW management to minimize, if not eliminate, environmental contamination by OPEs.

Exploring how waste management is being approached in green building rating systems: A case study

Green building rating systems (GBRS) propose sets of indicators to measure the level of sustainability of buildings, and include waste as one of the categories to be assessed. Yet, both the number of indicators and their aim, as well as the waste fraction they refer to, vary greatly from one system to another. This study identifies the waste-related indicators included in 10 global GBRS. They are classified on the basis of different criteria (waste fraction assessed, stages of the life cycle of the building, waste hierarchy and stages that make up the waste management system) so as to make it possible to subsequently analyse the importance given to each indicator through the specific weightings of each GBRS. Finally, the indicators are implemented in the case study of a building located in Colombia, in order to quantify the current level of sustainability achieved in the waste category of each system and to propose improvement actions that allow this score to be improved. In this way, it is shown that proper waste management can increase the level of sustainability of a building.

Atomic-Scale Observation of Topological Vortices in the Incommensurate Charge Density Wave of 2H-TaSe2

It has been only recently realized that topological vortices associated with structural distortions or ordered spins are rather common in numerous materials where long-range interactions are not dominant. Incommensurate modulations that frequently occur in charge density wave (CDW) materials are often understood in terms of discommensurations with a periodic phase shift. The accumulation of a one-dimensional (1D) phase shift can result in, for example, CDW dislocations in 2H-TaSe₂ with incommensurate CDW (I-CDW). Since any atomic-scale experimental investigation of CDW dislocations in 2H-TaSe₂ has been lacking, we have performed the atomic-scale observation of 2H-TaSe₂ with I-CDW, stabilized with Pd intercalation or strain, with scanning probe microscopy, and unveiled the existence of topological Z₆ or Z₄ vortices with topologically protected 2D winding movements of atomic displacement vectors. The discovery opens the ubiquitous nature of topological vortex domains and a new avenue to explore new facets of various incommensurate modulations or discommensurations.

Monitoring Variability of Laboratory Results in a Clinical Data Warehouse Using Automatic Dashboard

Hospital laboratory results are a significant data source in Clinical Data Ware-houses (CDW). To ensure comparability across healthcare organizations and for use in research studies, the results need to be interoperable. The LOINC (Logical Observation Identifiers, Names, and Codes) terminology provides a unique identifier for local codes for lab tests, enabling interoperability. However, in real-world, events occur over time and can disrupt the distribution of lab result values. For example, new equipment may be added to the analysis pipeline, a machine may be replaced, formulas may evolve due to new scientific knowledge, and legacy terminologies may be adopted. This article proposes a pipeline for creating an automated dashboard to monitor these events and data quality. We used automatic change point detection methods such as PELT for event detection in lab results. For a given LOINC code, we create a dashboard that summarizes the number of local codes mapped, and the number of patients (by sex, age, and hospital service) associated with the code. Finally, the dashboard enables the visualization of time events that disrupt the signal distribution. The biologists were able to explain to us the changes for several biological assays.

Real-World Data from a Refractory Triple-Negative Breast Cancer Cohort Selected Using a Clinical Data Warehouse Approach

Simple Summary

Patients with metastatic triple-negative breast cancer (mTNBC) have a very poor prognosis. We assume that some mTNBC patients have worse treatment outcomes and defined them as cases of refractory TNBC. We tried to investigate the characteristics and treatment outcomes of our refractory mTNBC cohort selected using a clinical data warehouse (CDW) approach. Between January 1997 and December 2019, TNBC patients were searched for in the breast cancer registry and, among them, pathologically confirmed mTNBC patients were selected as the study cohort (n = 451). Refractory TNBC was defined as cases of TNBC with confirmed distant metastasis within one year after adjuvant treatment. The refractory mTNBC group was younger and had a higher proportion of Ki-67 ≥ 3+ than the nonrefractory group. In addition, a much poorer prognosis existed among mTNBC patients, with an overall survival (OS) of 14.3 months and progression-free survival (PFS) of 4.2 months after first-line palliative chemotherapy compared to an OS of 24.8 months and PFS of 6.2 months in the nonrefractory TNBC group (p < 0.001).

Abstract

Purpose: Triple-negative breast cancer (TNBC) is well known for its aggressive course and poor prognosis. In this study, we sought to investigate clinical, demographic, and pathologic characteristics and treatment outcomes of patients with refractory, metastatic TNBC selected by a clinical data warehouse (CDW) approach. Patients and methods: Data were extracted from the real-time breast cancer registry integrated into the Data Analytics and Research Window for Integrated Knowledge C (DARWIN-C), the CDW of Samsung Medical Center. Between January 1997 and December 2019, a TNBC cohort was searched for in the breast cancer registry, which includes records from more than 40,000 patients. Among them, cases of pathologically confirmed metastatic TNBC (mTNBC) were selected as the cohort group (n = 451). The extracted data from the registry via the CDW platform included clinical, pathological, laboratory, and chemotherapy information. Refractory TNBC was defined as confirmed distant metastasis within one year after adjuvant treatment. Results: This study comprised a total of 451 patients with mTNBC, including 69 patients with de novo mTNBC, 131 patients in the nonrefractory TNBC group with confirmed stage IV disease after one year of adjuvant treatment, and 251 patients with refractory mTNBC, whose disease recurred as stage IV within one year after completing adjuvant treatment. The refractory mTNBC cohort was composed of patients with disease that recurred at stage IV after surgery (refractory mTNBC after surgery) (n = 207) and patients in whom metastasis was confirmed during neoadjuvant chemotherapy (unresectable TNBC due to progression during neoadjuvant chemotherapy) (n = 44). Patients in the refractory mTNBC group were younger than those in the nonrefractory group (median age 46 vs. 51 years; p < 0.001). Considering the pathological findings, the refractory group had a greater proportion of cases with Ki-67 ≥ 3+ than did the nonrefractory group (71% vs. 47%; p = 0.004). During a median 8.4 years of follow-up, the overall survival was 24.8 months in the nonrefractory mTNBC group and 14.3 months in the refractory mTNBC group (p < 0.001), and the median progression-free survival periods were 6.2 months and 4.2 months, respectively (p < 0.001). The median disease-free survival period was 30.1 months in the nonrefractory mTNBC group and only 7.6 months in the refractory mTNBC group. Factors related to metastatic sites affecting overall survival were liver metastasis at diagnosis (p < 0.001) and leptomeningeal involvement (p = 0.001). Conclusions: We revealed that patients with refractory mTNBC had a much poorer prognosis among all mTNBC cases and described the characteristics of this patient group.

Physico-Mechanical Performances of Mortars Prepared with Sorted Earthquake Rubble: The Role of CDW Type and Contained Crystalline Phases

Construction and demolition waste (CDW) from earthquake rubbles was used here as recycled aggregates (RA) in cementitious binders. The materials were sorted in six groups: concrete (CO), natural stone (NS), tile (TI), brick (BR), perforated brick (PF) and roof tile (RT). The abundance (wt.%) of crystalline phases in each RA type was determined by X-ray Powder Diffraction (XRPD). Each group of RAs was used alone (100 wt.% of RA) and mixed with quartz-rich virgin aggregates (VA) to prepare 13 types of mortars (12 specimens per type): one reference mortar (RM) with only VA, six recycled aggregate mortars (RAM) and six recycled-plus-virgin aggregate mortars (RVAM). The physical and mechanical properties of aggregates and mortars reflect the type and abundance of crystalline phases in each CDW group. Recycled mortars rich in concrete, natural stones and tiles have better mechanical performance than mortars prepared with recycled bricks, perforated bricks and roof tiles. For each RA, RVAMs have superior mechanical characteristics than the corresponding RAM. Since the type and amount of phases contained in recycled aggregates strongly control the mechanical performance of new construction materials, they should be routinely quantified as reported here, in addition to other physical features (water absorption, density, etc.). The separation of heterogeneous CDW into homogeneous RA groups is necessary for the production of new construction materials with stable and predictable performances to ensure CDW recycling, especially in areas hit by major adverse events, where large amounts of still valuable materials could be used for reconstruction processes.

Rapid implementation of a modular clinical trial informatics solution for COVID-19 research

Veterans Health Administration (VHA) services are most frequently used by patients 65 years and older, an age group that is disproportionally affected by COVID-19. Here we describe a modular Clinical Trial Informatics Solution (CTIS) that was rapidly developed and deployed to support a multi-hospital embedded pragmatic clinical trial in COVID-19 patients within the VHA. Our CTIS includes tools for patient eligibility screening, informed consent tracking, treatment randomization, EHR data transformation for reporting and interfaces for patient outcome and adverse event tracking. We hope our CTIS component descriptions and practical lessons learned will serve as a useful building block for others creating their own clinical trial tools and have made application and database code publicly available.