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A simple modification to an existing powder diffraction specimen holder is given to allow for the presentation of filter papers for analysis. A mild steel annulus holds the filter paper in place using magnets added to the rear of the specimen holder.

BACKGROUND: Chronic rhinosinusitis is regarded as a chronic airway disease. According to WHO recommendations, it may be a risk factor for COVID-19 patients. In most CRSwNP cases, the inflammatory changes affecting the nasal and paranasal mucous membranes are type-2 (T2) inflammation endotypes. METHODS: The current knowledge on COVID-19 and on treatment options for CRS was analyzed by a literature search in Medline, Pubmed, international guidelines, the Cochrane Library and the Internet. RESULTS: Based on international literature, on current recommendations by WHO and other international organizations as well as on previous experience, a panel of experts from EAACI and ARIA provided recommendations for the treatment of CRS during the COVID-19 pandemic. CONCLUSION: Intranasal corticosteroids remain the standard treatment for CRS in patients with SARS-CoV-2 infection. Surgical treatments should be reduced to a minimum and surgery preserved for patients with local complications and for those with no other treatment options. Systemic corticosteroids should be avoided. Treatment with biologics can be continued with careful monitoring in noninfected patients and should be temporarily interrupted during the course of the COVID-19 infection.

Abstract Closed-loop electronic medication management systems (EMMS) are recognised as an effective intervention to improve medication safety, yet evidence of their effectiveness in hospitals is limited. Few studies have compared medication turnaround time for a closed-loop electronic versus paper-based medication management environment. Objective To compare medication turnaround times in a paper-based hospital environment with a digital hospital equipped with a closed-loop EMMS, consisting of computerised physician order entry, profiled automated dispensing cabinets packaged with unit dose medications and barcode medication administration. Method Data were collected during 2 weeks at three private hospital sites (one with closed-loop EMMS) within the same organisation network in Queensland, Australia. Time between scheduled and actual administration times was analysed for first dose of time-critical and non-critical medications located on the ward or sourced via pharmacy. Key findings Medication turnaround times at the EMMS site were less compared to the paper-based sites (median, IQR: 35 min, 8–57 min versus 120 min, 30–180 min, P < 0.001). For time-critical medications, 77% were administered within 60 min of scheduled time at the EMMS site versus 38% for the paper-based sites. Similar difference was observed for non-critical medications, 80% were administered within 60 min of their scheduled time at the EMMS site versus 41% at the paper-based facilities. Conclusion The study indicates medication turnaround times utilising a closed-loop EMMS are less compared to paper-based systems. This improvement may be attributable to increased accessibility of medications using automated dispensing cabinets and electronic medication administration records flagging tasks to nurses in real time.

As heart failure with preserved ejection fraction (HFpEF) rises to epidemic proportions, major steps in patient management and therapeutic development are badly needed. With the current position paper we seek to update our view on HFpEF as a highly complex systemic syndrome, from risk factors and mechanisms to long-term clinical manifestations. We will revise recent advances in animal model development, experimental set-ups and basic and translational science approaches to HFpEF research, highlighting their drawbacks and advantages. Directions are provided for proper model selection as well as for integrative functional evaluation from the in vivo setting to in vitro cell function testing. Additionally, we address new research challenges that require integration of higher-order inter-organ and inter-cell communication to achieve a full systems biology perspective of HFpEF.

High-impact review papers describe and synthesize the current state of the art, the open questions and controversies, and provide ideas for future investigations. They are written not only for a specific scientific discipline but also for the broader Earth and space science community. They not only summarize the literature, but they also create a framework from which to understand the progress, problems, and connections between different communities, observations, models, and approaches. Here we describe how to write a high-impact review paper, and why you should consider writing one for Reviews of Geophysics.

The aim of this document was to provide a critical review of the current knowledge on hypersensitivity pneumonitis caused by the occupational environment and to propose practical guidance for the diagnosis and management of this condition. Occupational hypersensitivity pneumonitis (OHP) is an immunologic lung disease resulting from lymphocytic and frequently granulomatous inflammation of the peripheral airways, alveoli, and surrounding interstitial tissue which develops as the result of a non-IgE-mediated allergic reaction to a variety of organic materials or low molecular weight agents that are present in the workplace. The offending agents can be classified into six broad categories that include bacteria, fungi, animal proteins, plant proteins, low molecular weight chemicals, and metals. The diagnosis of OHP requires a multidisciplinary approach and relies on a combination of diagnostic tests to ascertain the work relatedness of the disease. Both the clinical and the occupational history are keys to the diagnosis and often will lead to the initial suspicion. Diagnostic criteria adapted to OHP are proposed. The cornerstone of treatment is early removal from exposure to the eliciting antigen, although the disease may show an adverse outcome even after avoidance of exposure to the causal agent.

In this paper, we investigate the accuracy and efficiency of discontinuous Galerkin spectral method simulations of under-resolved transitional and turbulent flows at moderate Reynolds numbers, where the accurate prediction of closely coupled laminar regions, transition and developed turbulence presents a great challenge to large eddy simulation modelling. We take full advantage of the low numerical errors and associated superior scale resolving capabilities of high-order spectral methods by using high-order ansatz functions up to 12th order. We employ polynomial de-aliasing techniques to prevent instabilities arising from inexact quadrature of nonlinearities. Without the need for any additional filtering, explicit or implicit modelling, or artificial dissipation, our high-order schemes capture the turbulent flow at the considered Reynolds number range very well. Three classical large eddy simulation benchmark problems are considered: a circular cylinder flow at Re-D=3900, a confined periodic hill flow at Re-h=2800 and the transitional flow over a SD7003 airfoil at Re-c=60,000. For all computations, the total number of degrees of freedom used for the discontinuous Galerkin spectral method simulations is chosen to be equal or considerably less than the reported data in literature. In all three cases, we achieve an equal or better match to direct numerical simulation results, compared with other schemes of lower order with explicitly or implicitly added subgrid scale models. Copyright (c) 2014 John Wiley & Sons, Ltd.

In this paper, we investigate the accuracy and efficiency of discontinuous Galerkin spectral method simulations of under-resolved transitional and turbulent flows at moderate Reynolds numbers, where the accurate prediction of closely coupled laminar regions, transition and developed turbulence presents a great challenge to large eddy simulation modelling. We take full advantage of the low numerical errors and associated superior scale resolving capabilities of high-order spectral methods by using high-order ansatz functions up to 12th order. We employ polynomial de-aliasing techniques to prevent instabilities arising from inexact quadrature of nonlinearities. Without the need for any additional filtering, explicit or implicit modelling, or artificial dissipation, our high-order schemes capture the turbulent flow at the considered Reynolds number range very well. Three classical large eddy simulation benchmark problems are considered: a circular cylinder flow at Re-D=3900, a confined periodic hill flow at Re-h=2800 and the transitional flow over a SD7003 airfoil at Re-c=60,000. For all computations, the total number of degrees of freedom used for the discontinuous Galerkin spectral method simulations is chosen to be equal or considerably less than the reported data in literature. In all three cases, we achieve an equal or better match to direct numerical simulation results, compared with other schemes of lower order with explicitly or implicitly added subgrid scale models. Copyright (c) 2014 John Wiley & Sons, Ltd.