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At the end of 2019 a new Coronavirus appeared in China and, from there, it spread to the rest of the world On 24th May, 2020, the confirmed cases in the world were more than 5 million and the deaths almost 350 000 At the end of May, Italy reported more than 27 000 cases among healthcare professionals and 163 deaths among physicians The National Health Systems from almost all over the world, including Italy's, were unprepared for this pandemic, and this generated important consequences of organizational nature All elective and urgent specialized activities were completely reorganized, and many hospital units were partially or completely converted to the care of the COVID-19 patients A significant reduction in hospital admissions for acute heart disease were recorded during the SARS-CoV-2 pandemic and, in order to gradually resume hospital activities, the Italian National Phase 2 Plan for the partial recovery of activities, must necessarily be associated with a Phase 2 Health Plan In regards to the cardiac outpatient activities we need to identify short term goals, i e reschedule the suspended outpatient activities, revise the waiting lists, review the 'timings' of the bookings This will reduce the number of available examinations compared to the pre-Covid-19 era The GP's collaboration could represent an important resource, a structured telephone follow-up plan is advisable with the nursing staff's involvement It is equally important to set medium-long term goals, the pandemic could be an appropriate moment for making a virtue of necessity It is time to reason on prescriptive appropriateness, telemedicine implementation intended as integration to the traditional management It is time to restructure the cardiological units related to the issue of structural adjustment to the needs for functional isolation Moreover, the creation of 'grey zones' with multidisciplinary management according to the intensity of care levels seems to be necessary as well as the identification of Covid dedicated cardiologies Finally, the pandemic could represent the opportunity for a permanent renovation of the cardiological and territorial medicine activities © 2020 Oxford University Press All rights reserved

A group of senior doctors with vast clinical experience met on 19th July’20 under the aegis of Academy of Advanced Medical Education. The panel looked at Ivermectin, one of the old molecule and evaluated it's use in COVID 19 (Novel Coronavirus Disease 2019) management. After critical panel discussion, all the attending doctors came to a conclusion that Ivermectin can be a potential molecule for prophylaxis and treatment of people infected with Coronavirus, owing to its anti-viral properties coupled with effective cost, availability and good tolerability and safety., Highlights “Ivermectin in the dose of 12 mg BD alone or in combination with other therapy for 5–7 days may be considered as safe therapeutic option for mild moderate or severe cases of Covid-19 infection. It is cost effective especially when the other drugs are very costly & not easily available”.

The paper is about the evolution of paper mills in relation to the technological evolution of machines and mechanism for the production of paper. Industrial production techniques is a theme that involves the building and its development. The principles, technology, and even cultural aspects were analyzed in this paper to define the relationship between industrial building and paper making evolution. A Modern documentation needs identified the potential of Industrial Archeology researches in the recent years. Many architects, archaeologists, conservationists, engineers document and purpose possible solution to manage Industrial Archeology structures. The latest years, there are many developments in the Industrial Archeology field. In this review article, following a brief historic background for the papermaking, the analysis of the development factors in the territory of South Lazio focusing also on the cultural background, and of changes in the layout of industrial buildings due to the development of faster and more efficient machinery and methods to produce paper. The conclusion focuses on the future perspective to manage Industrial Archeology.

Chemical looping combustion (CLC) is a novel carbon capture and storage technology that can be used in the proper disposal of municipal solid waste when used as a solid fuel. In this study, the results of the CLC of paper, plastics, and paper/plastic blends were compared with CLC of South African coal using Chemcad software. The simulation was done for two different CLC processes, namely, chemical looping oxygen uncoupling (CLOU) and in situ gasification CLC (IG-CLC). The results demonstrated that coal at 66% had a lower CO2 yield than paper (86%) but a higher yield than all the plastic samples in CLOU (3356%) and an equal CO2 yield in paper and all plastic samples in IG-CLC. Furthermore, coal had a lower CO2 gas yield than all the optimum blends (72–85%) for CLOU and an equal yield with the entire paper/plastic blend in IG-CLC. On combustion efficiency, coal has a lower combustion efficiency at 80% than paper and polyvinyl chloride (PVC) at 90 and 96%, respectively, but a higher efficiency than other plastic samples that are between 30 and 70% in CLOU while in IG-CLC, it had a lower efficiency than paper, PVC, and polyethylene terephthalate and higher efficiency than high-density polyethylene, low-density polyethylene, polypropylene, and polystyrene. For paper/plastic blends, coal has higher combustion efficiency than all the paper/plastic blends in both CLOU and IG-CLC processes except for the paper/PVC where the combustion efficiency was higher than coal.

Paper, as a foldable, pollution-free, and low-cost material, has become a suitable support substrate for producing flexible thermoelectric (TE) generators to realize waste heat recycling and the application of human-powered electronic devices. We propose a facile fabrication method to modify cellulose paper with inorganic TE powders via vacuum filtration, making a modified paper that possesses good thermoelectric properties. By connecting the modified paper to copper foils, flexible paper-based TE generators (PTGs) are fabricated. The obtained PTG with three units of P–N modules can generate an output voltage of ∼41.2 mV at a temperature difference of 50 K. Based on this modified paper, a thermal sensor that responds to heat sources, such as fingers, is proposed with a rapid response time of 0.25 s. This work offers a promising strategy for the simple fabrication of PTGs, paving the way for achieving the commercial application of self-powered wearable electronics.

Objective: We propose a MATLAB-based tool to convert electrocardiography (ECG) waveforms from paper-based ECG records into digitized ECG signals that is vendor-agnostic. The tool is packaged as an open source standalone graphical user interface (GUI) based application. Methods and procedures: To reach this objective we: (1) preprocess the ECG records, which includes skew correction, background grid removal and linear filtering; (2) segment ECG signals using Connected Components Analysis (CCA); (3) implement Optical Character Recognition (OCR) for removal of overlapping ECG lead characters and for interfacing of patients’ demographic information with their research records or their electronic medical record (EMR). The ECG digitization results are validated through a reader study where clinically salient features, such as intervals of QRST complex, between the paper ECG records and the digitized ECG records are compared. Results: Comparison of clinically important features between the paper-based ECG records and the digitized ECG signals, reveals intra- and inter-observer correlations of 0.86–0.99 and 0.79–0.94, respectively. The kappa statistic was found to average at 0.86 and 0.72 for intra- and inter-observer correlations, respectively. Conclusion: The clinically salient features of the ECG waveforms such as the intervals of QRST complex, are preserved during the digitization procedure. Clinical and Healthcare Impact: This open-source digitization tool can be used as a research resource to digitize paper ECG records thereby enabling development of new prediction algorithms to risk stratify individuals with cardiovascular disease, and/or allow for development of ECG-based cardiovascular diagnoses relying upon automated digital algorithms.

Introduction/Objective. Essential Science Indicators (ESI) Highly Cited Papers (HCPs) refer to the most influential scientific articles and breakthrough research within a research field in the past decade. This study aimed to identify the characteristics of ESI HCPs in the subject category Dentistry, Oral Surgery and Medicine, to recognize authors, institutions and countries of origin, and determine research trends that attracted the most scientific interest in dentistry. Methods. A descriptive analysis of bibliographic data, network extraction and visualization were completed. Furthermore, analyzed ESI HCPs were classified according to a field of interest, main research domain, type of study, and level of evidence. Results. The set of 185 dental HCPs was published in 42 journals from 2010 to 2020, with an average number of 211.7 citations per paper. Nearly half of HCPs were issued by the Journal of Dental Research, Dental Materials, and Journal of Clinical Periodontology. There were 765 authors affiliated with 351 institutions from 42 countries. The most productive institutions were the University of Hong Kong, the University of Michigan, and the University of Bern. The United States of America contributed with the highest number of publications, followed by China, and the United Kingdom. Dental materials, dental implantology, periodontology, and oral and maxillofacial surgery represented areas of significant interest within this subject category. The highest proportion of HCPs were narrative and systematic reviews, expert opinions, consensus reports, and in vitro ?r lab studies. Conclusion. Results obtained from this study can provide valuable information for researchers to better identify present and future hotspots in dental research.

This good clinical practice paper provides an overview of the current evidence around second stage care, highlighting the challenges and the importance of maintaining high‐quality, safe, and respectful care in all settings. It includes a series of recommendations based on best available evidence regarding length of second stage, judicious use of episiotomy, and the importance of competent attendants and adequate resource to facilitate all aspects of second stage management, from physiological birth to assisted vaginal delivery and cesarean at full dilatation. The second stage of labor is potentially the most dangerous time for the baby and can have significant consequences for the mother, including death or severe perineal trauma or fistula, especially where there are failures to recognize and repair. This paper sets out principles of care, including the vital role of skilled birth attendants and birth companions, and the importance of obstetricians and midwives working together effectively and speaking with one voice, whether to women or to policy makers. The optimization of high‐quality, safe, and personalized care in the second stage of labor for all women globally can only be achieved by appropriate attention to the training of birth attendants, midwives, and obstetricians. FIGO is committed to this aim alongside the WHO, ICM, and all FIGO’s 132 member societies., This paper provides an overview of the current evidence in best practice for second stage care, highlighting the challenges of maintaining high‐quality, safe, and respectful care in all settings.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infects host cells following binding with the cell surface ACE2 receptors, thereby leading to coronavirus disease 2019 (COVID-19). SARS-CoV-2 causes viral pneumonia with additional extrapulmonary manifestations and major complications, including acute myocardial injury, arrhythmia, and shock mainly in elderly patients. Furthermore, patients with existing cardiovascular comorbidities, such as hypertension and coronary heart disease, have a worse clinical outcome following contraction of the viral illness. A striking feature of COVID-19 pandemics is the high incidence of fatalities in advanced aged patients: this might be due to the prevalence of frailty and cardiovascular disease increase with age due to endothelial dysfunction and loss of endogenous cardioprotective mechanisms. Although experimental evidence on this topic is still at its infancy, the aim of this position paper is to hypothesize and discuss more suggestive cellular and molecular mechanisms whereby SARS-CoV-2 may lead to detrimental consequences to the cardiovascular system. We will focus on aging, cytokine storm, NLRP3/inflammasome, hypoxemia, and air pollution, which is an emerging cardiovascular risk factor associated with rapid urbanization and globalization. We will finally discuss the impact of clinically available CV drugs on the clinical course of COVID-19 patients. Understanding the role played by SARS-CoV2 on the CV system is indeed mandatory to get further insights into COVID-19 pathogenesis and to design a therapeutic strategy of cardio-protection for frail patients.

Summary The management of patients with chronic intestinal failure requiring home parenteral nutrition has been and will continue to be impaired during the SARS-CoV-2 pandemic. Multidisciplinary intestinal failure teams may have to adapt their clinical approaches to home care, outpatient care as well as hospital admission and discharge in order to keep this vulnerable group of patients as safe and well as possible during the unprecedented challenges that countries are facing during the pandemic. Equally, it is important that expert advice from intestinal failure teams is available when home parenteral nutrition (HPN)-dependent patients require admission with SARS-CoV-2 infection. The Home Artificial Nutrition & Chronic Intestinal Failure Special Interest Group of the European Society for Clinical Nutrition and Metabolism (ESPEN) has developed a position paper to outline areas for intestinal failure teams to consider when managing patients with chronic intestinal failure during the SARS-CoV-2 pandemic.

Summary Background The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of a worldwide rapidly spreading illness, Coronavirus Disease 2019 (COVID-19). Patients fed enterally and parenterally at home are exposed to the same risk of infection as the general population, but more prone to complications than others. Therefore the guidance for care-givers and care-takers of these patients is needed. Methods The literature search identified no relevant systematic reviews or studies on the subject. Therefore a panel of 21 experts from 13 home medical nutrition (HMN) centres in Poland was formed. Twenty-three key issues relevant to the management of SARS-CoV-2 infection or COVID-19 in the HMN settings were identified and discussed. Some statements diverge from the available nutrition, surgical or ICU guidelines, some are based on the best available experience. Each topic was discussed and assessed during two Delphi rounds subsequently. Statements were graded strong or weak based on the balance between benefit and harm, resource and cost implications, equity, and feasibility. Results the panel issued 23 statements, all of them were graded strong. Two scored 85.71% agreement, eleven 95.23%, and ten 100%. The topics were: infection control, enrolment to HMN, logistics and patient information. Conclusions the position paper present pragmatic statements for HMN to be implemented in places without existing protocols for SARS-CoV-2 pandemic. They represent the state of knowledge available at the moment and may change should new evidence occurs.

More than 10,000 preterm infants have participated in randomised controlled trials on probiotics worldwide, suggesting that probiotics in general could reduce rates of necrotising enterocolitis (NEC), sepsis, and mortality. Answers to relevant clinical questions as to which strain to use, at what dosage, and how long to supplement are, however, not available. On the other hand, an increasing number of commercial products containing probiotics are available from sometimes suboptimal quality. Also, a large number of units around the world are routinely offering probiotic supplementation as the standard of care despite lacking solid evidence. Our recent network meta-analysis identified probiotic strains with greatest efficacy regarding relevant clinical outcomes for preterm neonates. Efficacy in reducing mortality and morbidity was found for only a minority of the studied strains or combinations. In the present position paper, we aim to provide advice, which specific strains might potentially be used and which strains should not be used. In addition, we aim to address safety issues of probiotic supplementation to preterm infants, who have reduced immunological capacities and occasional indwelling catheters. For example, quality reassurance of the probiotic product is essential, probiotic strains should be devoid of transferable antibiotic resistance genes, and local microbiologists should be able to routinely detect probiotic sepsis. Provided all safety issues are met, there is currently a conditional recommendation (with low certainty of evidence) to provide either Lactobacillus rhamnosus GG ATCC53103 or the combination of Bifidobacterium infantis Bb-02, Bifidobacterium lactis Bb-12, and Streptococcus thermophilus TH-4 in order to reduce NEC rates.

Passive immunotherapy with plasma derived from convalescent patients recovering from SARS-CoV-2 infection can be a promising approach in the treatment of COVID-19 patients. It is important that blood establishments are ready to satisfy requests for immune plasma by defining the requirements applicable to plasma donors and the standards for preparation, qualification, storage, distribution, and control of product use. This Position paper aims to give recommendations on the biological characteristics of a plasma preparation from convalescent donors and to support the evaluation of this therapeutic approach in more rigorous investigations.

Nearly 7% of the world’s population lives with a hemoglobin variant. Hemoglobins S, C, and E are the most common and significant hemoglobin variants worldwide. Sickle cell disease, caused by hemoglobin S, is highly prevalent in sub-Saharan Africa and in tribal populations of Central India. Hemoglobin C is common in West Africa, and hemoglobin E is common in Southeast Asia. Screening for significant hemoglobin disorders is not currently feasible in many low-income countries with the high disease burden. Lack of early diagnosis leads to preventable high morbidity and mortality in children born with hemoglobin variants in low-resource settings. Here, we describe HemeChip, the first miniaturized, paper-based, microchip electrophoresis platform for identifying the most common hemoglobin variants easily and affordably at the point-of-care in low-resource settings. HemeChip test works with a drop of blood. HemeChip system guides the user step-by-step through the test procedure with animated on-screen instructions. Hemoglobin identification and quantification is automatically performed, and hemoglobin types and percentages are displayed in an easily understandable, objective way. We show the feasibility and high accuracy of HemeChip via testing 768 subjects by clinical sites in the United States, Central India, sub-Saharan Africa, and Southeast Asia. Validation studies include hemoglobin E testing in Bangkok, Thailand, and hemoglobin S testing in Chhattisgarh, India, and in Kano, Nigeria, where the sickle cell disease burden is the highest in the world. Tests were performed by local users, including healthcare workers and clinical laboratory personnel. Study design, methods, and results are presented according to the Standards for Reporting Diagnostic Accuracy (STARD). HemeChip correctly identified all subjects with hemoglobin S, C, and E variants with 100% sensitivity, and displayed an overall diagnostic accuracy of 98.4% in comparison to reference standard methods. HemeChip is a versatile, mass-producible microchip electrophoresis platform that addresses a major unmet need of decentralized hemoglobin analysis in resource-limited settings.

Since Internal Medicine (IM) is the most frequent setting of hospitalization for both patients with advanced liver disease and those with comorbidities and risk factors for infection, through this position paper FADOI aims to promote and disseminates its vision regarding the current and potential role of IM in managing hepatitis C virus (HCV) infection (screening, diagnosis, linkage-to-care, treatment). The Internist plays an important role in identifying new cases, in selecting the appropriate diagnostic work-up for liver disease staging and prognosis, and in initiating antiviral therapy, coordinating care and communication with other specialists, the Hepatology outpatient clinic and General Practitioners. Since the Internist is naturally accustomed to the management of multiple comorbidities, he has a fundamental role in the identification of extrahepatic diseases associated with HCV infection and in the diagnosis of comorbidities, some of which are potential factors of liver disease progression. Moreover, in the prescription of the antiviral therapy, it is important to consider the possible drug interactions, and this ideally fits the role of the Internist who can weigh the risk/benefit ratio of possible alternatives, by considering the patient’s clinical situation, especially in case of multiple comorbidities. Moreover, it seems appropriate that the ability to prescribe antiviral therapy is guaranteed to all IM hepatology clinics, favoring a spread of awareness as well as an increase in national coverage and therefore patient access to therapies. The network of IM can also contribute to homogenizing the management policies of HCV treatment, which sometimes differ between Italian Regions.

Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR) On February 2020, Italy, especially the northern regions, was hit by an epidemic of the new SARS-Cov-2 coronavirus that spread from China between December 2019 and January 2020. The entire healthcare system had to respond promptly in a very short time to an exponential growth of the number of subjects affected by COVID-19 (Coronavirus disease 2019) with the need of semi-intensive and intensive care units.

Summary Coronavirus disease (COVID‐19) has spread all across the world. Low‐ and medium‐income countries are more affected economically and socially compared to developed countries due to the lack of a rapid, robust, and affordable testing infrastructure. Furthermore, the high cost of real‐time polymerase chain reaction (PCR) system, sophisticated user‐handling procedure, and high expense of the conventional clinical tests are the root causes of the less accessibility of the testing systems to the users. In this study, a COVID‐19 Point‐of‐Care (POC) ecosystem model is proposed for the low‐ and medium‐income countries (or energy deprived countries) that will facilitate the technological development with locally available fabrication components. In addition, the nontechnological development phases have also been discussed, which encompasses the collaboration among academia, local as well as government bodies, and entrepreneurial ventures. In addition, a hypothetical design of a microfluidic paper‐based analytical (μPADs) POC platform is proposed to detect COVID‐19 analyte using unprocessed patient‐derived saliva, which is a miniaturized form‐factor of conventional real‐time polymerase chain reaction (PCR) technique. The device contains four major reaction zones, which are sample zone, buffer zone, loop‐mediated isothermal amplification (LAMP) Master Mix zone, Ethylenediamine tetraacetic acid (EDTA) zone, and sensor zone. To obtain quicker test results and easier operation, a handheld image acquisition technique is introduced in this study. It is hypothesized that in a remote setting, the proposed design could be used as an initial guideline to develop a POC COVID‐19 testing system, which may be simple, easy‐to‐use, and cost‐effective., A COVID‐19 Point‐of‐Care (POC) model is proposed that will facilitate the technological development with locally available fabrication components. To obtain quicker test results and easier operation, a handheld image acquisition technique is introduced. The proposed design could be used as an initial guideline to develop a POC COVID‐19 system, which may be simple, easy‐to‐use, and cost‐effective.

The special interest group on sensitive skin of the International Forum for the Study of Itch previously defined sensitive skin as a syndrome defined by the occurrence of unpleasant sensations (stinging, burning, pain, pruritus and tingling sensations) in response to stimuli that normally should not provoke such sensations. This additional paper focuses on the pathophysiology and the management of sensitive skin. Sensitive skin is not an immunological disorder but is related to alterations of the skin nervous system. Skin barrier abnormalities are frequently associated, but there is no cause and direct relationship. Further studies are needed to better understand the pathophysiology of sensitive skin - as well as the inducing factors. Avoidance of possible triggering factors and the use of well-tolerated cosmetics, especially those containing inhibitors of unpleasant sensations, might be suggested for patients with sensitive skin. The role of psychosocial factors, such as stress or negative expectations, might be relevant for subgroups of patients. To date, there is no clinical trial supporting the use of topical or systemic drugs in sensitive skin. The published data are not sufficient to reach a consensus on sensitive skin management. In general, patients with sensitive skin require a personalized approach, taking into account various biomedical, neural and psychosocial factors affecting sensitive skin.

The short-term mortality and rehospitalization rates after admission for acute heart failure (AHF) remain high, despite the high level of adherence to contemporary practice guidelines. Observational data from non-randomized studies in AHF strongly support the in-hospital administration of oral evidence-based modifying chronic heart failure (HF) medications (i.e., b-blockers, ACE inhibitors, mineralocorticoid receptor antagonists) to reduce morbidity and mortality. Interestingly, a well-designed prospective randomized multicenter study (PIONEER-HF) showed an improved clinical outcome and stress/injury biomarker profile after in-hospital administration of sacubitril/valsartan (sac/val) as compared to enalapril, in hemodynamically stable patients with AHF. However, sac/val implementation during hospitalization remains suboptimal due to the lack of an integrated individualized plan or well-defined appropriateness criteria for transition to oral therapies, an absence of specific guidelines regarding dose selection and the up-titration process, and uncertainty regarding patient eligibility. In the present expert consensus position paper, clinical practical recommendations are proposed, together with an action plan algorithm, to encourage and facilitate sac/val administration during hospitalization after an AHF episode with the aim of improving efficiencies of care and resource utilization.

Introduction MyChild Solution is an innovative Electronic Immunisation Register (EIR) reliant on Smart Paper Technology, thereby eliminating the need for electronic devices and internet connectivity at the point-of-care. The goal of this study is to characterise the quality of routine immunisation data generated using MyChild Solution compared to data obtained through the conventional health management information system (HMIS) used in The Gambia. Method We used the World Health Organization’s (WHO) Data Quality Review (DQR) Toolkit to evaluate MyChild Solution’s data quality in the 19 health facilities across two regions implementing MyChild Solution in The Gambia at the time of the evaluation. We evaluated all applicable data quality metrics as well as additional metrics of interest, including the incidence of recording errors, the incidence of incomplete indicator level data, and implausible dates. Where possible, we compared results to those of the conventional HMIS. Results Both MyChild Solution and the conventional HMIS produced 100% complete and timely data in their reference years. Both systems had no moderate or extreme outliers and showed the expected Penta 1 to Penta 3 dropout direction. However, the proportion of verification factors that are not acceptable was higher in the conventional HMIS. MyChild Solution was found to near perfectly (99.98%) digitise scanned documents. These and other data quality indicators evaluated demonstrate that MyChild Solution produces high quality data with high completeness, timeliness, and consistency compared to the conventional HMIS system. Conclusion MyChild Solution produces high quality data as per the DQR Toolkit metrics and other metrics of interest of interest. The more internally consitent data produced through MyChild Solution compared to the conventional HMIS demonstrates its potential for supporting data-driven decision-making in immunisation.

Since the publication of the Italian League Against Epilepsy guidelines for the treatment of status epilepticus in 2006, advances in the field have ushered in improvements in the therapeutic arsenal. The present position paper provides neurologists, epileptologists, neurointensive care specialists, and emergency physicians with updated recommendations for the treatment of adult patients with status epilepticus. The aim is to standardize treatment recommendations in the care of this patient population.

Heart failure (HF) is a complex clinical syndrome that represents a major cause of morbidity and mortality in Western countries. Several nutraceuticals have shown interesting clinical results in HF prevention as well as in the treatment of the early stages of the disease, alone or in combination with pharmacological therapy. The aim of the present expert opinion position paper is to summarise the available clinical evidence on the role of phytochemicals in HF prevention and/or treatment that might be considered in those patients not treated optimally as well as in those with low therapy adherence. The level of evidence and the strength of recommendation of particular HF treatment options were weighed up and graded according to predefined scales. A systematic search strategy was developed to identify trials in PubMed (January 1970 to June 2019). The terms ‘nutraceuticals’, ‘dietary supplements’, ‘herbal drug’ and ‘heart failure’ or ‘left verntricular dysfunction’ were used in the literature search. The experts discussed and agreed on the recommendation levels. Available clinical trials reported that the intake of some nutraceuticals (hawthorn, coenzyme Q10,l-carnitine,d-ribose, carnosine, vitamin D, probiotics,n-3 PUFA and beet nitrates) might be associated with improvements in self-perceived quality of life and/or functional parameters such as left ventricular ejection fraction, stroke volume and cardiac output in HF patients, with minimal or no side effects. Those benefits tended to be greater in earlier HF stages. Available clinical evidence supports the usefulness of supplementation with some nutraceuticals to improve HF management in addition to evidence-based pharmacological therapy.

The COVID-19 pandemic has changed life in Europe and globally. The pandemic affects both individuals and the broader society across many domains, including physical and psychological health, the economy and general welfare. The measures taken to counteract the pandemic have significantly altered daily life and, along with the threat of contracting the coronavirus and uncertainties surrounding future developments, created a complex system of stressors with a negative impact on public mental health. This paper aims to outline the ESTSS strategy to address mental health issues related to COVID-19 and focuses on (1) trauma-informed policies, (2) capacity building, (3) collaborative research and (4) knowledge-exchange. To facilitate implementation of a trauma-informed approach and appropriate measures, ESTSS has developed a toolkit of recommendations on mental health and psychosocial assistance to be provided during the different phases of crisis and its aftermath. To promote capacity building, ESTSS offers a certification programme based on a curriculum in psychotraumatology and corresponding on-line training to the European community of mental health professionals. To assure evidence-based approaches and methods tailored to current circumstances, ESTSS has initiated a pan-European research project with international cooperation aimed at studying the mental health consequences of the pandemic, with a focus on psychological trauma and other stress-related reactions. To foster knowledge-exchange, the European Journal of Psychotraumatology (EJPT), the official journal of ESTSS, is publishing a special issue on COVID-19.La pandemia de COVID-19 ha cambiado la vida en Europa y en todo el mundo. La pandemia afecta tanto a los individuos como a la sociedad en general en muchos ámbitos, incluida la salud física y psicológica, la economía y el bienestar general. Las medidas tomadas para contrarrestar la pandemia han alterado significativamente la vida diaria y, junto con la amenaza de contraer el coronavirus y las incertidumbres que rodean los desarrollos futuros, crearon un complejo sistema de estresores con un impacto negativo en la salud mental pública. En este artículo se pretende esbozar la estrategia de la ESTSS para abordar los problemas de salud mental relacionados con COVID-19 y se centra en: 1. Políticas informadas en trauma, 2. capacitación, 3. investigación colaborativa, 4. e intercambio de conocimientos. Para facilitar la implementación de un enfoque basado en el trauma y las medidas apropiadas, la ESTSS ha desarrollado un conjunto de herramientas de recomendaciones sobre salud mental y asistencia psicosocial que se proporcionará durante las diferentes fases de la crisis y sus consecuencias. Para fomentar la capacitación, la ESTSS ofrece un programa de certificación basado en un plan de estudios en psicotraumatología y la formación on-line correspondiente a la comunidad europea de profesionales de la salud mental. Para asegurar enfoques y métodos basados en la evidencia adaptados a las circunstancias actuales, la ESTSS ha iniciado un proyecto de investigación paneuropeo con cooperación internacional, destinado a estudiar las consecuencias de la pandemia en la salud mental, con enfoque en el trauma psicológico y otras reacciones relacionadas con el estrés. Para fomentar intercambio de conocimiento, la European Journal of Psychotraumatology (EJPT), la revista oficial de ESTSS, publica un número especial sobre COVID-19.COVID-19疫情改变了欧洲乃至全球的生活。疫情影响着个人和整个社会, 涉及众多领域, 包括身心健康, 经济和一般福利。为应对疫情采取的措施已大大改变了人们的日常生活, 并且随着冠状病毒感染的威胁及未来发展的不确定性, 造成了一个复杂的应激源系统, 对公共心理健康产生了负面影响。本文旨在概述ESTSS解决COVID-19相关心理健康问题的策略, 并重点关注:1.创伤知情政策, 2.能力建设, 3.合作研究以及 4.知识交流。为了促进创伤知情方法和适当措施的实行, ESTSS开发了一套工具包, 包含可在危机不同阶段及之后提供的关心理健康和社会心理援助的建议。为了促进能力建设, ESTSS提供了基于精神创伤学课程的认证计划, 并向欧洲精神卫生专业人员社区提供了相应的在线培训。为了确保采取针对当前情况定制的循证方法, ESTSS与国际合作启动了一项泛欧研究项目, 旨在研究疫情的心理健康后果, 重点关注心理创伤和其他应激相关反应。为了促进知识交流, ESTSS的官方杂志《欧洲精神创伤学杂志》 (EJPT) 正在出版COVID-19相关特刊。.

Although fabrication of colorimetric paper-based analytical devices (PADs) has drawn increasing attention recently, the signal readout method is still a crucial challenge on the way to practical exploitations. We herein introduce an integration of digital image processing with a model PAD for easing and improving the signal readout procedure. The colorimetric detection mechanism of PAD relies on in-situ induced yellowish silver nanoparticles via the interaction of silver ions, poly(vinyl alcohol), and ammonia with isoniazid. The observed color value is related with the concentration of isoniazid. The proposed algorithm is based on mathematical morphology recognition, and minimizes the errors arising from manual area selection. Besides, it allows the recognition of both circle and square shapes in 96-well plate and A4 size array designs. Since this algorithm automatically provides the blank-corrected numerical matrixes and image profiles of red, green and blue channels, further investigations such as outlier classification, construction of regression/prediction models and calculation of detection limit can be easily performed. Comparison of signal readout results of the developed algorithm with ImageJ software demonstrates significant improvements in analysis speed, reproducibility, accuracy and color values. Therefore, application of the proposed algorithm is promising as a robust technique for practical applications.

This paper provides an update on the European Society of Cardiology task force report on the management of chest pain. Its main purpose is to provide an update on the decision algorithms and diagnostic pathways to be used in the emergency department for the assessment and triage of patients with chest pain symptoms suggestive of acute coronary syndromes.

Assessment of vitamin and trace element status (VTE) is important in the clinical management of the sick child. In this position paper, we present the various assessment methods available to the clinical practitioner, and critically discuss pitfalls with interpretation of their results. There are 4 main approaches to assess the VTE body status of an individual patient including clinical examination, dietary assessment, and measurement of direct and indirect biomarkers of VTE in biological samples. Clinical signs of VTE deficiencies usually present only when body stores are substantially depleted and are often difficult to detect or differentiate from other nonnutrient-related causes. In isolation, dietary assessment of micronutrients can be inaccurate and imprecise, in disease and in individual patient assessment but may be useful to complement findings from other VTE assessment methods. Use of biomarkers is the most common approach to assess VTE status in routine practice but in the presence of systemic inflammatory response and in the absence of appropriate paediatric reference intervals, interpretation of biomarker results might be challenging and potentially mislead clinical practice. The use of a multimodal approach, including clinical examination, dietary assessment, and laboratory biomarkers is proposed as the optimal way to ascertain the VTE status of individual patients. In the presence of acute inflammatory conditions, VTE measurements in plasma should be replaced by biomarkers not affected by systemic inflammatory response or delayed until inflammatory state is resolved.

Students are increasingly connected to an online world. As such, they expect their university learning experience to emulate their everyday online experiences. Until recently, however, traditional university teaching has tended to focus on 'knowledge transfer'. In order to reengage with students, many universities are providing online tools and courses. But, not all topics are suitable for online learning. Some topics still require hands-on experience - especially where the outcome is targeted to the manufacturing industry. The 3D printer is a teaching tool that benefits from both hands-on and online support. Moreover, it can be used to help reengage students disaffected by traditional teaching methods and as a tool for transitioning to more online teaching methods. This paper outlines how the 3D printer is being used in university classrooms to supplement online teaching which is career focussed.

Herein, we present the first paper-based device for facing one of the worldwide concerns of the Modern age: the corrosion-induced deterioration of reinforced concrete. Indeed, the monitoring of cor ...

As the treatment landscape continues to evolve towards the application of precision medicine in multiple myeloma (MM), there is a clear need to identify those patients who are at risk of not achieving the maximum benefit whilst exposed to the highest level of toxicity. This group of patients, defined as frail, is an unmet clinical need. However, how we define such a vulnerable group of patients with MM remains to be clarified. An integral aspect of this is to define the physiological age and capacity of patients with MM to deal with the burden of their disease and it’s treatment. Such assessments may include not only functional and clinical assessments but also laboratory-based biomarkers of frailty, aging and senescent cellular burden. A need to develop, test and validate clinical screening scores before their adoption into clinical practice is mandated. This position paper from the European Myeloma Network aims to review what is known about defining frailty in MM, and how we can advance this knowledge for the design of clinical trials and ultimately how we deliver treatment in the clinic.

We would like to comment on the review article entitled “Manage- ment of status epilepticus in adults. Position paper of the Italian League against Epilepsy” [1]. This article updates the previous article published by the same Italian League against Epilepsy in 2006. In particular, the updating regards some drugs (levetiracetam, lacosamide, midazolam, etc.) that were not available at that time, even if some of these have not yet obtained the specific indication to treat status epilepticus (SE) and their use is considered off-label.

Emergence of clones carrying point mutations in the BCR‐ABL1 kinase domain (KD) is a common mechanism of resistance to tyrosine kinase inhibitor (TKI)‐based therapies in Philadelphia chromosome‐positive (Ph+) acute lymphoblastic leukemia (ALL). Sanger sequencing (SS) is the most frequently used method for diagnostic BCR‐ABL1 KD mutation screening, but it has some limitations—it is poorly sensitive and cannot robustly identify compound mutations. Next‐generation sequencing (NGS) may overcome these problems. NSG is increasingly available and has the potential to become the method of choice for diagnostic BCR‐ABL1 KD mutation screening. A group discussion within an ad hoc constituted Panel of Experts has produced a series of consensus‐based statements on the potential value of NGS testing before and during first‐line TKI‐based treatment, in relapsed/refractory cases, before and after allo‐stem cell transplantation, and on how NGS results may impact on therapeutic decisions. A set of minimal technical and methodological requirements for the analysis and the reporting of results has also been defined. The proposals herein reported may be used to guide the practical use of NGS for BCR‐ABL1 KD mutation testing in Ph+ ALL., This consensus paper presents the results of an initiative by an expert panel to define a set of indications for the practical use of next‐generation sequencing for BCR‐ABL1 kinase domain mutation screening in Philadelphia‐positive acute lymphoblastic leukemia patients receiving tyrosine kinase inhibitor‐based therapies. Minimal technical and methodological requirements for the analysis and the reporting of results have also been proposed.

In 2021, the International Council on Large Electric Systems (CIGRE) will celebrate its centenary. CIGRE Sessions are traditionally held face-to-face in Paris once every even-numbered year. However, in 2020, in response to the coronavirus pandemic, the organizers of the 48th CIGRE Session decided to hold a virtual meeting for experts, specialists, engineers, and researchers from all over the world. The result was an e-session that included engaging seminars, tutorials, and discussions. At the virtual meeting, participants discussed various problems and challenges currently affecting all areas of the energy sector. Current pressing issues include the development of informative diagnostic techniques for oil-filled equipment, as well as the potential applicability of environmentally friendly biodegradable synthetic and natural esters for use as liquid insulation in high-voltage equipment. This review presents the latest research, practical solutions and reports on the experience of applying new techniques and novel liquid insulating materials. Valuable and up-to-date information in these fields is provided by experts and specialists from all over the world.

We studied the feasibility of image-based quantitative analysis of foxing stains on collections of old (16th&ndash, 20th century) European books stored in the Rare Book Library of the Seoul National University in Korea. We were able to quantitatively determine the foxing affected areas on books from their photographs using a newly developed image processing software (PicMan) including cultural property characterization applications, specifically. Dimensional and color analysis of photographs were successfully done quantitatively. Histograms of RGB (red, green, blue) pixels of photographs clearly showed the change in color distribution of foxing stains compared to the other areas of the photographs. Several sample images of quantitative measurement of foxing stains and virtually restored images were generated to provide easy visual inspection and comparison between restored images and the original photographs. Image quality, resolution, and digital file format requirements for quantitative analysis are described. Image-based quantitative analysis of foxing stains on paper documents are found to be very promising towards automation for objective characterization of photographs of cultural properties. This technique can be used to create a cultural property digital database. Quantitative and statistical analysis techniques can be introduced to monitor the effect of storage and conservation environment on the cultural properties.

Swarms of autonomous aircraft systems (SAAS) are used to accomplish missions that deal with sensitive and critical data. As such, these systems are subject to attacks among which clone attacks. Several clone attacks detection approaches either in stationary or mobile wireless sensor networks have been proposed. Unfortunately, the existing approaches are not suitable for swarms of autonomous aircraft systems because either they do not guarantee a fast enough detection (while most SAAS missions are real time missions, e.g. surveillance), or they depend on strong assumptions that are hard to achieve in practice (e.g. absence of nodes collusion, impossibility for an attacker to track a genuine node). In this paper, we present a novel clone attack detection approach specific to SAAS that solves several unaddressed issues and that makes it possible to improve the security and the privacy of the assets of the SAAS.

International audience; Atopic dermatitis (AD) is a common inflammatory skin disease that affects both children and adults, including a large number of adults of reproductive age. Several guidelines for the treatment of AD exist, yet specific recommendations for the treatment of pregnant or lactating women and for adults planning to have a child are often lacking. This position paper from the European Task force on Atopic Dermatitis (ETFAD) is based on up-to-date scientific literature on treating pregnant and lactating women as wells as adults with AD planning to have a child. It is based on the expert opinions of members of the ETFAD and on existing safety data on the proposed treatments, many of which are derived from patients with other inflammatory diseases or from transplantation medicine. For treating future parents, as well as pregnant and lactating women with AD, the use of topical treatments including moisturizers, topical corticosteroids, tacrolimus, antiseptics such as chlorhexidine, octenidine, potassium permanganate and sodium hypochlorite (bleach) is deemed to be safe. Ultraviolet (UV) therapy may also be used. Systemic treatment should be prescribed only after careful consideration. According to the opinion of the ETFAD, treatment should be restricted to systemic corticosteroids and cyclosporine A, and, in selected cases, azathioprine.

Made available in DSpace on 2019-10-04T12:39:06Z (GMT). No. of bitstreams: 0 Previous issue date: 2019-07-15 Japan Society for the Promotion of Science, Japan JSPS KAKENHI Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) This article presents results of a pulsed UV laser method for the simultaneous reduction of graphite oxide (GO) and patterning of reduced graphene oxide (rGO). This direct laser writing method was applied to the fabrication of graphene-based, in-plane interdigitated micro-supercapacitors (mu-SCs), prepared on free-standing GO paper (10 mu m thick). The electrochemical performance of mu-SCs was studied using two different electrolytes (KOH and NaCl). The results from cyclic voltammetry measurements exhibited typical electrical double layer behavior, with specific capacitances of 9.3 mu F/cm(2) and 13.8 mu F/cm(2) (at a scan rate of 10 mV/s) for KOH and NaCl electrolytes, respectively. The mu-SCs exhibited good performance, with retention of 95% of the original capacitance values after 3400 charge-discharge cycles. When compared to devices obtained by conventional lithographic techniques, the laser fabrication of planar mu-SCs is faster, cost-effective and scalable. We believe this one-step and environmentally friendly laser-assisted method to be a good alternative for the fabrication of flexible energy storage devices. (C) 2019 Elsevier Ltd. All rights reserved. Toyohashi Univ Technol, Dept Elect & Elect Informat Engn, 1-1 Hibarigaoka,Tempaku Cho, Toyohashi, Aichi 4418580, Japan Ctr Informat Technol Renato Archer CTI, BR-13069901 Campinas, SP, Brazil Univ Campinas UNICAMP, Ctr Semicond Components & Nanotechnol CCS Nano, BR-13083870 Campinas, SP, Brazil Sao Paulo State Univ, Dept Phys, Fac Sci & Technol, BR-19060900 Presidente Prudente, SP, Brazil CUHP, Sch Phys & Mat Sci, Dharamshala 176215, HP, India Univ Campinas UNICAMP, Inst Chem, Dept Analyt Chem, POB 6154, BR-13084974 Campinas, SP, Brazil Sao Paulo State Univ, Dept Phys, Fac Sci & Technol, BR-19060900 Presidente Prudente, SP, Brazil Japan Society for the Promotion of Science, Japan: P18063 JSPS KAKENHI: 18H03841 JSPS KAKENHI: 18F18063 FAPESP: 2017/22186-0 FAPESP: 2013/14262-7

Understanding the effects of water absorption on the geometry of a paper sheet is important for inkjet printing applications, since internal moisture content differences may cause unacceptable out-of-plane deformations. The present work focuses on moisture-induced deformations due to a moisture content that is uniform over the thickness of the sheet. Large enough in-plane differences will cause the sheet to buckle, leading to a wavy pattern at the edges of the sheet. Two approaches are utilized to study this for levels of moisture content up to and including the threshold for buckling. An analytical approach, based on geometrically nonlinear plate theory (von Karman theory), and a numerical one, using commercially available finite element software, are presented. As a first reference problem an isotropic circular plate, wetted uniformly at its center, is solved both analytically and numerically for the in-plane stress distribution, the buckling threshold, and the resulting buckling mode. Secondly, the same is done for an orthotropic rectangular plate, wetted at its edges. Here, in the analytical approach a Rayleigh–Ritz analysis is employed to approximate the buckling threshold. The latter is also calculated by numerical means. The results show that the methods provide results consistent with each other.

Paper Spray (PS) is an ambient ionisation technique that is conceptually simple, economical, direct and versatile. In its simplest form, the procedure for operation relies on the application of an electric potential to a triangular-shaped paper substrate with the addition of an extraction/spray solvent to generate charge droplets, without requiring any pneumatic assistance. Despite its promise and rapidly growing popularity, there are some practical challenges associated with PS implementation with scope to enhance its performance further. One such challenge relates to only a small fraction of the Taylor cone expansion being sampled at the MS inlet. In this work we propose a new arrangement for PS, which retains the inherent advantages of this popular technique without introducing additional variables, by using an ambient ion focusing lens that is held at the same potential as the paper substrate. A thorough investigation, consisting of visual spray inspection, electric field simulations and analytical evaluation, including analysis of paracetamol from saliva, shows that ambient ion focusing can provide up to a 50% improvement in spray stability, 60% increase in signal intensity and a 30% improvement in detection limits for routine paper spray mass spectrometry analysis.

Objective The aim of the study was to determine the response rate to a mixed-mode survey using email compared with that to a paper survey in survivors of critical illness. Design This is a prospective randomised controlled trial. Setting The study was conducted at a single-centre quaternary intensive care unit (ICU) in Adelaide, Australia. Participants Study participants were patients admitted to the ICU for ≥48 h and discharged from the hospital. Interventions The participants were randomised to receive a survey by paper (via mail) or via online (via email, or if a non-email user, via a letter with a website address). Patients who did not respond to the initial survey received a reminder paper survey after 14 days. The survey included quality of life (EuroQol-5D-5L), anxiety and depression (Hospital Anxiety and Depression Scale), and post-traumatic symptom (Impact of Event Scale-Revised) assessment. Main outcome measures Survey response rate, extent of survey completion, clinical outcomes at different time points after discharge, and survey cost analysis were the main outcome measures. Outcomes were stratified based on follow-up time after ICU discharge (3, 6, and 12 months). Results A total of 239 patients were randomised. The response rate was similar between the groups (mixed-mode: 78% [92/118 patients] vs. paper: 80% [97/121 patients], p = 0.751) and did not differ between time points of follow-up. Incomplete surveys were more prevalent in the paper group (10% vs 18%). The median EuroQol-5D-5L index value was 0.83 [0.71–0.92]. Depressive symptoms were reported by 25% of patients (46/187), anxiety symptoms were reported by 27% (50/187), and probable post-traumatic stress disorder was reported by 14% (25/184). Patient outcomes did not differ between the groups or time points of follow-up. The cost per reply was AU$ 16.60 (mixed-mode) vs AU$ 19.78 (paper). Conclusion The response rate of a mixed-mode survey is similar to that of a paper survey and may provide modest cost savings.

Early warning systems detect new psychoactive substances (NPS), while dedicated monitoring programs and routine drug and toxicology testing identify fluctuations in prevalence. We report the increasing prevalence of the synthetic cannabinoid receptor agonist (SCRA) ADB-BUTINACA (N-[1-amino-3,3-dimethyl-1-oxobutan-2-yl]-1-butyl-1H-indazole-3-carbox-amide). ADB-BUTINACA was first detected in a seizure in Sweden in 2019, and we report its detection in 13 routine Swedish forensic toxicology cases soon after. In January 2021, ADB-BUTINACA was detected in SCRA-infused papers seized in Scottish prisons and has rapidly increased in prevalence, being detected in 60.4% of the SCRA-infused papers tested between January and July 2021. In this work, ADB-BUTINACA was incubated with human hepatocytes (HHeps), and 21 metabolites were identified in vitro, 14 being detected in authentic case samples. The parent drug and metabolites B9 (mono-hydroxylation on the n-butyl tail) and B16 (mono-hydroxylation on the indazole ring) are recommended biomarkers in blood, while metabolites B4 (dihydrodiol formation on the indazole core), B9, and B16 are suitable biomarkers in urine. ADB-4en-PINACA (N-[1-amino-3,3-dimethyl-1-oxobutan-2-yl]-1-[pent-4-en-1-yl]-1H-indazole-3-carboxamide) was detected in Scottish prisons in December 2020, but, unlike ADB-BUTINACA, prevalence has remained low. ADB-4en-PINACA was incubated with HHeps, and 11 metabolites were identified. Metabolites E3 (dihydrodiol formed in the tail moiety) and E7 (hydroxylation on the linked/head group) are the most abundant metabolites in vitro and are suggested as urinary biomarkers. The in vitro potencies of ADB-BUTINACA (EC50, 11.5 nM and ADB-4en-PINACA (EC50, 11.6 nM) are similar to that of MDMB-4en-PINACA (EC50, 4.3 nM). A third tert-leucinamide SCRA, ADB-HEXINACA was also detected in prison samples and warrants further investigation. Funding Agencies|Linkopings Universitet; Dubai Police Force [2427681]; Leverhulme TrustLeverhulme Trust [RC-2015-01]; Scottish Prison Service [01865]; Linkoping University; VINNOVAVinnova [2019-03566]; European CommissionEuropean CommissionEuropean Commission Joint Research Centre [E! 113377]

Formulaic expressions, such as 'in this paper we propose', are helpful for authors of scholarly papers because they convey communicative functions; in the above, it is showing the aim of this paper'. Thus, resources of formulaic expressions, such as a dictionary, that could be looked up easily would be useful. However, forms of formulaic expressions can often vary to a great extent. For example, 'in this paper we propose', 'in this study we propose' and 'in this paper we propose a new method to' are all regarded as formulaic expressions. Such a diversity of spans and forms causes problems in both extraction and evaluation of formulaic expressions. In this paper, we propose a new approach that is robust to variation of spans and forms of formulaic expressions. Our approach regards a sentence as consisting of a formulaic part and non-formulaic part. Then, instead of trying to extract formulaic expressions from a whole corpus, by extracting them from each sentence, different forms can be dealt with at once. Based on this formulation, to avoid the diversity problem, we propose evaluating extraction methods by how much they convey specific communicative functions rather than by comparing extracted expressions to an existing lexicon. We also propose a new extraction method that utilises named entities and dependency structures to remove the non-formulaic part from a sentence. Experimental results show that the proposed extraction method achieved the best performance compared to other existing methods., 21 pages, 11 figures

This paper presents a critical review of laser pyrolysis. Although this technology is almost 60 years old, in literature many researchers, both from academia and industry, are still developing and improving it. On the contrary industrial applications are struggling to take off, if not in very restricted areas, although the technology has undoubted advantages that justify future development. The aim of this work consists in analysing a representative pool of scientific papers (230) and patents (121), from the last 20 years, to have an overview about the evolution of the method and try to understand the efforts spent to improve this technology effectively in academia and in industry. This study is important to provide a complete review about the argument, still missing in the literature. The objective is to provide an overview sufficiently broad and representative in the sources and to capture all the main ways in which laser pyrolysis has been used and with what distribution. The main focuses of the study are the analyses of the functions carried out by laser technologies, the application fields, and the types of used laser (i.e. models, power and fluence). Among the main results, the study showed that the main use of laser pyrolysis is to produce nanoparticles and coatings, the main materials worked by laser pyrolysis are silicon and carbon dioxide and the main searched properties in the products of laser pyrolysis are catalysts activity and electrical conductivity. CO2 lasers are the most used and the have high versatility compared to others. In conclusion, the study showed that laser pyrolysis is a consolidated technology within its main application fields (nanoparticles and coatings) for several years. Within this context, the technology has been developed on very different sizes and processes, obtaining a very wide range of results. Finally, these results may also have stimulated new areas of experimentation that emerged mainly in recent years and which concern biomedical applications, additive manufacturing, and waste disposal. Graphical abstract

A stylised fact in bibliometric research is that in the field of management studies, half or more of the papers published are never cited. If true, this implies that efforts and resources are considerably wasted because half of the academic work is not considered worthy by the same community that developed them. We studied a sample of 2777 papers published in 20 journals and representing different levels of quality. Of these, only 191 papers, representing 6.5% of the sample, were never cited, suggesting that the aforementioned stylised fact is a myth. We identified the factors that contribute to the level of citations, including the ranking of the journal in the quality list, time since last citation, and number of authors. The implications discussed suggest a need for reflection regarding the relevance of the factors that predict future citations.

The 2019 novel coronavirus acute respiratory epidemic is creating a stressed situation in all the health systems of the affected countries. Emergency medical systems and specifically the emergency departments as the front line of the health systems are suffering from overload and severe working conditions, the risk of contagion and transmission of the health professionals adds a substantial burden to their daily work. Under the perspective of European Society For Emergency Medicine, the recommendations provided by the health authorities are reviewed focus on the emergency department's activity. ispartof: EUROPEAN JOURNAL OF EMERGENCY MEDICINE vol:27 issue:3 pages:174-177 ispartof: location:England status: published

Introduction: Translational science has gained prominence in medicine, but there is still much work to be done before scientific results are used optimally and incorporated into everyday health practice. As the main focus is still on generating new scientific data with financial resources primarily available for that purpose, other activities that are necessary in the transition from research to community benefit are considered less needy. The European Statistical Office of the European Commission has recently reported that 1.7 million people under 75 years of age died in Europe in 2016, with around 1.2 million of those deaths being avoidable through effective primary prevention and public health intervention. Therefore, Academia Europaea, one of the five Pan-European networks that form SAPEA (Science Advice for Policy by European Academies), a key element of the European Commission&rsquo, s Scientific Advice Mechanism (SAM), has launched a project to develop a model to facilitate and accelerate the utilisation of scientific knowledge for public and community benefit. Methods: During the process, leaders in the field, including prominent basic and clinical researchers, editors-in-chief of high-impact journals publishing translational research articles, translational medicine (TM) centre leaders, media representatives, academics and university leaders, developed the TM cycle, a new model that we believe could significantly advance the development of TM. Results: This model focuses equally on the acquisition of new scientific results healthcare, understandable and digestible summation of results, and their communication to all participants. We have also renewed the definition in TM, identified challenges and recommended solutions. Conclusion: The authors, including senior officers of Academia Europaea, produced this document to serve as a basis for revising thinking on TM with the end result of enabling more efficient and cost-effective healthcare.

The current health crisis caused by COVID-19 is a challenge for oncology treatment, especially when it comes to radiotherapy. Cancer patients are already known to be very fragile and COVID-19 brings about the risk of severe respiratory complications. In order to treat patients safely while protecting medical teams, the entire health care system must optimize the way it approaches prevention and treatment at a time when social distancing is key to stemming this pandemic. All indications and treatment modalities must be re-discussed. This is particularly the case for radiotherapy of bone metastases for which it is possible to reduce the number of sessions, the frequency of transport and the complexity of treatments. These changes will have to be discussed according to the organization of each radiotherapy department and the health situation, while medical teams must remain vigilant about the risks of complications of bone metastases, particularly spinal metastases. In this short piece, the members of the GEMO (the European Study Group of Bone Metastases) offer a number of recommendations to achieve the above objectives, both in general and in relation to five of the most common situations on radiation therapy for bone metastases., SCOPUS: ar.j, info:eu-repo/semantics/published