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To develop functional sandwich plates (FHPs) and identify new ways to use straw, straw-core paper honeycomb plates (SHPs) were prepared. The mechanisms of the influence of the spatial distribution of various filling systems on the heat transfer performance of SHPs were investigated, and the following results were obtained. 1) The equivalent thermal conductivity (λE) of the three FHPs were significantly lower than that of the honeycomb plate (HP), and the λE of all the FHPs met or approached the requirements of high-efficiency heat insulation materials for envelope structures. Moreover, the λE values of the three FHPs were closest to each other at the upper and lower limits of the tested thickness. 2) The spatial distribution characteristics of the spherical particle and slender filling systems under natural filling conditions, their corresponding simple heat transfer models and the concept of divisional local radiative (DLR) heat transfer were presented for the first time. 3) The fundamental factor determining the magnitudes of the λE of the HP and FHPs was the presence of DLR in the core layer structures, and the heat transfer characteristics of the FHPs were the result of the combined actions of the DLR and filling material properties.

In a circular economy, extended producer responsibility (EPR) is a regulatory approach that accounts for all environmental costs associated with a product throughout its life cycle. When considering the EPR, the regulator must (1) design an integrated framework for different stakeholders and (2) provide effective policies to create financial incentives to accelerate the circular system. Recycling funds and subsidies are the most prominent financial strategies that can either encourage or curtail the flows of recycled products. In Indonesia, a few companies provided recycling bonus s to their customers as incentives to increase the recycling rate. However, the recycling rate was not as effective as expected by the enterprise because recycling was practiced by a limited number of companies, rendering it economically unviable. The enterprises hope the government could develop a recycling fund system. In order to develop the recycling fund system, a system dynamic model was proposed and simulated to optimize the recycling funds and subsidies based on decentralized reverse supply chains. Although it is not a novelty model; however, the research show a very significant results for the government in Indonesia. This enabled a more precise, well-planned, and sustainable decision-making process for the EPR. In addition, by utilizing the system dynamic model with different scenarios in a real case study (aseptic paper packaging waste), we found that the capacity of the recycler could become the reference for the funds to be paid by the importer-producer group, wherein the recycling rate will increase with an increase in the recycling fund.

Machine learning methods are being successfully applied in various domains of human activity, including optics. Can they become a universal instrument capable of improving user aspect of photonic devices? Is their application a necessary element of such improvement? Answers to fundamental questions arising from application of machine learning methods in ultrashort-pulsed lasers are discussed. Future prospects and current fundamental limitations of such methods are analysed.

This review paper provides a key information, allowing readers to comprehensively understand the direct tensile behavior and test methods for textile reinforced cementitious composites (TRCCs). The tensile parameters of TRCCs corresponding to bilinear or trilinear tensile stress–strain behavior were summarized and the influencing factors on the tensile parameters were discussed. Various direct tensile test methods for TRCCs were evaluated according to the geometry of specimens, load transmitting mechanism, measurement and loading methods. Conclusive requirements for a standard test method for assessing the tensile stress–strain behavior of TRCCs were proposed.

Aim To explore a cohort of mental health nurses’ views and experiences in developing and applying critical appraisal of research skills to identify helping and hindering factors. Background In accordance with evidence-based practice principles, there is an expectation that student (mental health) nurses will become competent in understanding research to make judgements about its trustworthiness and applicability in the clinical setting. This process is termed the ‘critical appraisal of research’ and it is deemed important to healthcare professionals because it facilitates the use of evidence from research to underpin practice. Design The study incorporated qualitative secondary research using thematic analysis and a poststructural lens. Methods Following undertaking a module including tuition on the critical appraisal of research, a cohort of student mental health nurses’ submitted essay reflections focusing on critical appraisal experiences were thematically analysed. The thematic analysis included both deductive and inductive components in adjunct to a poststructuralist analysis to explore influencing factors of language, meaning and subjectivity. Results The study identified there are both pedagogical factors and wider societal considerations influencing the critical appraisal of research experiences. Psychological and emotional factors, incorporating anxiety components were identified as a key barrier to engagement and understanding which has not previously been identified in comparable research. Enablers to the understanding and application of critical appraisal skills were identified as peer learning, accessing academic supervision, gaining a satisfaction of personal learning and self-directed learning with library skills support. Conclusions The findings indicate that there are specific pedagogic considerations which can be applied when supporting mental health student nurses in developing and gaining skills in the critical appraisal of research. It is recommended that these are applied universally for nursing students and considered for other populations of healthcare students.

The publisher regrets we have been made aware of the below errors: 1) In Table 15, row NOVEOS chemiluminescent assay is written “utilizes 40 μL (0.04 ml) of sample per result”. The correct value would be “4 μL (0.004 ml)" of sample per result.2) In Table 16, is written “NOVEOS menu has 79 available allergens, consisting of 69 extracts and 10 molecular allergens”. It should say “NOVEOS menu continues to increase and it has 152 total allergens with 108 extracts and 44 components".3) In Table 15, row “Euroimmun”, column “Patient's serum”, is written “1000 ml”. The correct value would be “0.1 ml (-0.4 ml)”.The publisher would like to apologise for any inconvenience caused.

Highlights • Evidence synthesis (including systematic reviews, scoping reviews, and more) involves many complementary areas of expertise: methods, information retrieval, statistics, and clinical knowledge. • Few individual peer reviewers have all the requisite knowledge to evaluate all aspects of evidence synthesis manuscripts. • Segmented peer review as proposed by Dinakaran et al offers a good solution to the challenges of rigorously peer reviewing evidence synthesis manuscripts.

Straw is an abundant natural bioresource, especially in developing and agricultural countries. Bio-hydrogen production from this renewable biomass through biological methods is an active research area. Because of its distinctive characteristic of being rich in cellulose, straw has been extensively considered as a promising raw material for clean energy production. In this paper, the recent progress of bio-hydrogen production from straw was reviewed with the emphasis on the advances in pretreatment and hydrolysis technologies. The future development of straw-based biohydrogen production was also analyzed. Based on the physicochemical properties of straw biomass and mechanisms of bio-hydrogen fermentation, various pretreatment procedures have been developed to make the straw substrate more available for hydrogen-producing bacteria to realize large-scale bio-hydrogen production from straw. This review summarized the recent technologies of straw pretreatment and hydrolysis as well as elaborated on the bottlenecks in the field of straw biotransformation in great detail. Furthermore, based on the current technology status and potential, the challenges, prospects and future directions of the production methods were further proposed.

This paper examines the relation between debt structure and investment, by exploiting differences in secured and unsecured debt holdings. In order to address endogeneity concerns, I exploit two sources of exogenous variation for identification. From the firms' side, the Jobs and Growth Tax Relief Reconciliation Act of 2003 represents a negative shock to firms' creditworthiness. From the credit market's perspective, the asset-backed commercial paper market collapse of 2007 caused a temporary shortage of unsecured commercial paper. Each of these shocks to debt structure is analyzed combining a difference-in-differences approach with an instrumental variable estimation (Waldinger (2010)), which allows studying i) substitution patterns among debt types and ii) the impact on investment. Results show that greater access to unsecured debt leads to larger investment. When firms face more restricted access to the unsecured debt market, they substitute toward secured debt, and reduce investment. The reason behind this result is that unsecured debt is more cost-effective in terms of spreads and covenants. These findings suggest that collateral is not key to finance investment, as instead has often been claimed in the literature. Creditworthiness rather than collateral is key to access unsecured debt. Additionally, I shed light on how access to the unsecured debt market relates to the balance sheet and credit channels of monetary policy.

Acute respiratory distress syndrome (ARDS) is a heterogeneous clinical syndrome. Understanding of the complex pathways involved in lung injury pathogenesis, resolution, and repair has grown considerably in recent decades. Nevertheless, to date, only therapies targeting ventilation-induced lung injury have consistently proven beneficial, and despite these gains, ARDS morbidity and mortality remain high. Many candidate therapies with promise in preclinical studies have been ineffective in human trials, probably at least in part due to clinical and biological heterogeneity that modifies treatment responsiveness in human ARDS. A precision medicine approach to ARDS seeks to better account for this heterogeneity by matching therapies to subgroups of patients that are anticipated to be most likely to benefit, which initially might be identified in part by assessing for heterogeneity of treatment effect in clinical trials. In October 2019, the US National Heart, Lung, and Blood Institute convened a workshop of multidisciplinary experts to explore research opportunities and challenges for accelerating precision medicine in ARDS. Topics of discussion included the rationale and challenges for a precision medicine approach in ARDS, the roles of preclinical ARDS models in precision medicine, essential features of cohort studies to advance precision medicine, and novel approaches to clinical trials to support development and validation of a precision medicine strategy. In this Position Paper, we summarise workshop discussions, recommendations, and unresolved questions for advancing precision medicine in ARDS. Although the workshop took place before the COVID-19 pandemic began, the pandemic has highlighted the urgent need for precision therapies for ARDS as the global scientific community grapples with many of the key concepts, innovations, and challenges discussed at this workshop.

Gas diffusion layer (GDL), as an important transmission component of gas, electricity and liquid, is usually composed of carbon paper, which needs hydrophobic treatment before it is applied in fuel cell. In the paper, ultrasonic dispersion technique is added to the traditional method of preparing hydrophobic carbon paper, and the effect of ultrasonic dispersion on the PTFE load in hydrophobic carbon paper is studied. The theoretical study shows that the ultrasonic dispersion increases the movement of the liquid, thus improving the diffusion performance of the liquid molecules. The experimental results show that compared with the hydrophobic performance of the original carbon paper, the hydrophobic carbon paper prepared by ultrasonic method improves the hydrophobic performance by 13.24%. However, there is no obvious relationship between the PTFE content of the carbon paper treated by ultrasonic dispersion and the hydrophobicity of the carbon paper surface. In addition, ultrasonic dispersion also has a great influence on the gas permeability of hydrophobic treated carbon paper, but the effect on the surface conductivity of carbon paper is not obvious. The results can provide a guidance for the preparation of hydrophobic carbon paper for fuel cells.

Torrefaction is a pretreatment method that converts biomass to a fuel-like substance that can replace coal for sustainable power generation. In this work, a thermodynamic-based process simulation model was developed to simulate the gasification of empty fruit bunch (EFB), with torrefaction as pretreatment, to determine the optimum conditions; equivalence ratio, reactor temperature, torrefaction medium concentration, steam-to-biomass (S/B) ratio and system configuration were studied to determine their influence on hydrogen concentration, higher heating value (HHV), syngas ratio and cold gas efficiency (CGE). The highest hydrogen yield was obtained at an S/B ratio of 1.3 at 800 °C, with a syngas ratio of 2.5 and a CGE of 84%. Concentration of torrefaction medium showed no effect on hydrogen concentration due to the simplicity of the model used, but work is in progress in this direction. Therefore, steam gasification is more suitable than air gasification in hydrogen production.

This research aims to evaluate the hydrogen production and removal ability of impurity (e.g. tar and NH3) generated from sewage and textile sludge co-gasification using lab-scale fluidized-bed gasifier with an integrated hot-gas cleaning system. The gasification temperature and equivalence ratio (ER) were controlled at 850 °C and 0.2, as well as the hot gas cleaning system operated at 250 °C with the combination of zeolite, calcined dolomite, and activated carbon. Experimental results indicated that the H2 and CO yield in co-gasification of the tested sludge ranged from 2.12 to 2.45 mol/kg and from 2.83 to 3.98 mol/kg, respectively. The overall energy content of produced gas ranged between 2.40 and 2.63 MJ/kg, and cold gas efficiency (CGE) was nearly 15%. The impurities of produced gas were effectively mitigated by the hot-gas cleaning system, which could remove approximately 90% of the heavy fraction tar, up to 77% of total tar, and about 35% of ammonia. In summary, the combination of the fluidized-bed gasifier and the hot-gas cleaning system had been well developed for purifying the syngas produced from the tested sludge, and it could be applied to other organic wastes in the future.

Over one hundred clinical trials since 2005 have failed to significantly improve the prognosis of glioblastoma. Since 2005, the standard of care has been maximal resection followed by 60Gy irradiation over six weeks with daily temozolomide. With this, a median survival of 2 years can be expected. This short paper reviewed how the pharmacodynamic attributes of an EMA/FDA approved, cheap, generic drug to treat pain, celecoxib, intersect with pathophysiological elements driving glioblastoma growth, such that growth drive inhibition can be expected from celecoxib. The two main attributes of celecoxib are carbonic anhydrase inhibition and cyclooxygenase-2 inhibition. Both attributes individually have been in active study as adjuncts during current cancer treatment, including that of glioblastoma. That research is briefly reviewed here. This paper concludes from the collected data, that starting celecoxib, 600 to 800mg twice daily before surgery and continuing it through the chemoirradiation phase of treatment would be a low-risk intervention with sound rationale.

Hydrogen is a renewable gas, efficient to produce energy that makes it a suitable alternative and effective solution for a carbon-free environment. Unlike other fossil fuels, combustion of hydrogen does not produce toxic compounds, such as greenhouse gases, carbon monoxide, hydrocarbons, etc., resulting in less environmental pollution. Agro-industrial residues contain several lignocelluloses that favor the growth of microorganisms to produce valuable products such as hydrogen. Of the diverse techniques in hydrogen production, bioconversion proves to be an efficient method in permuting agro-industrial residues into hydrogen. This review provides detailed information on the bioconversion processes and factors involved in hydrogen production from agro-industrial residues including different fermentation processes such as dark fermentation and photo-fermentation, and fuel cell systems such as microbial electrolysis cell and microbial fuel cell. Different pretreatment techniques to enhance the availability of lignocellulose for hydrogen production have been elaborated in this review. Various factors including pH, temperature and nutrient composition of feed, affecting the production efficiency and purity of the products during fermentation have been discussed.

There are significant incentives/pressures on decreasing the use of plastics and their related products in the packaging industry, correspondingly, strong demands are emerging for clean, renewable, recyclable/ biodegradable packaging products. In this context, molded fiber/pulp products have attracted increasing attention, due to their green/sustainable advantages, simply because the raw materials used are plant-based and/or recycled fibers. Many companies have switched their packing practices from plastics to more environmentally friendly products, such as molded fiber products, which already have had and will continue to have obvious effect on packaging industries. This paper initially provides an overview on the general concept of molded pulp products, and further summarizes the different types of molded fiber products in terms of natural fiber sources, manufacturing processes, current and emerging applications as well as the environmental sustainability of molded products.

Water is vital for the human existence. It has a fundamental role for the economic development and that of the human civilization due to its usage in various sectors namely industry and agriculture. This vital resource is known for its high fragility. Therefore, we have to find effective tools to protect it from pollution. Colorings are used in many industrial sections such as textile dye, paper, silk, and in many nutritional and beauty industries. Colorings are known to be toxic substances that are persistent in the environment; they need physico-chemical techniques for their degradation. Therefore, this study aims at valorizing the Algerian Clay in order to increase its retention capacities of the coloring Bemacid Yellow (BY) through the modification of the Clay character (sodic). Our materials have been characterized with FTIR, BET, and DRX. The BY absorption study on our bentonite has been verified by the study of certain parameters such as: contact time, pH solution, and the absorbent mass. These experiences showed that the Sodic Clay (SC) has a maximal capacity of adsorption at 160 mg/g. The study of the absorption kinetics showed that BY elimination follows the second order model with an intraparticular diffusion. In conclusion, the Algerian Clay presents very significant absorbent properties and may be used in the depollution of textile industries waste water.

Biomass is considered to be one of the most easily available and high-potential renewable power sources. Pyrolysis and combustion are the most common ways of utilizing biomass. A complex multiple-criteria analysis to identify the most promising technology of using various types of biomass has never been previously performed. The study is focused on comparing two typical techniques of utilizing agricultural and forestry biomass for bioenergy and valorization. In this paper, the direct combustion and pyrolysis of biomass were experimentally studied. The environmental and energy performance parameter of the investigated processes were determined for separate biomass components (leaves, straw, sawdust) and a group of mixtures from them. It was established that the biomass mixtures combustion has better environmental characteristics. Thus, the main anthropogenic emissions decreased by 8–66%. In addition to that, the pyrolysis of a biomass mixture from a group of components has a 30% higher yield of combustible gases. The analysis of relative efficiency indicators of two processes where biomass was used as an energy resource showed that a biomass-derived composite fuel is more efficient than its individual components.

Background Clinical guidelines on infection control strategies in healthcare workers (HCWs) play an important role in protecting them during the severe acute respiratory syndrome coronavirus 2 pandemic. Poorly constructed guidelines that are incomprehensive and/or ambiguous may compromise HCWs’ safety. Objective The objective of this study was to develop and validate a tool to appraise guidelines on infection control strategies in HCWs based on the guidelines published early in the coronavirus disease 2019 pandemic. Design, setting, and outcomes A three-stage, web-based, Delphi consensus-building process among a panel of diverse HCWs and healthcare managers was performed. The tool was validated by appraising 40 international, specialty-specific, and procedure-specific guidelines along with national guidelines from countries with a wide range of gross national income. Results Overall consensus (≥75%) was reached at the end of three rounds for all six domains included in the tool. The Delphi panel recommended an ideal infection control guideline should encompass six domains: general characteristics (domain 1), engineering recommendations (domain 2), personal protective equipment (PPE) use (domain 3), and administrative aspects (domain 4-6) of infection control. The appraisal tool performed well across the six domains, and the inter-rater agreement was excellent for the 40 guidelines. All included guidelines performed relatively better in domains 1–3 than in domains 4–6, and this was more evident in guidelines originating from lower income countries. Conclusion The guideline appraisal tool was robust and easy to use. Engineering recommendations aspects of infection control, administrative measures that promote optimal PPE use, and HCW wellbeing were generally lacking in assessed guidelines. This tool may enable health systems to adopt high-quality HCW infection control guidelines during the severe acute respiratory syndrome coronavirus 2 pandemic and may also provide a framework for future guideline development.

Biorefinery is pivotal to the sustainability of modern chemical industry. However, since biomass is oxygen-enriched, new and green chemical strategies are required for expanding the biomass derived chemical space. In this work, synthesis of natural products dihydrocapsaicin and dihydrocapsiate was achieved exclusively from lignocellulosic platform chemicals. Natural products dihydrocapsaicin and dihydrocapsiate were synthesized exclusively from lignocellulosic platform chemicals, using furfural (from hemicellulose) and methyl isopropyl ketone (from cellulose) through aldol condensation-hydrolysis-hydrodeoxygenation to synthesize 8-methylnonanoic acid and then combined with vanillin derivates (from lignin). This synthesis demonstrates the feasibility of constructing natural products entirely from renewable biomass platform through green processes. The utilization of inherent functional groups of biomass demonstrates their potential to open up chemical space.

Background Patients presenting to Emergency Department (ED) with non-specific low back pain can receive more unnecessary, intensive and costly care than is recommended. The COVID-19 pandemic has provided an unprecedented opportunity to examine how health systems prioritise necessary care that provides clear benefits to patients. The purpose of this study was to examine the impact of COVID-19 on care of low back pain in the ED. Methods We performed a retrospective analysis of electronic medical record data on care for low back pain from three public hospitals in Sydney. We included patients diagnosed with spinal conditions who presented between March and May in 2019 and in 2020. Outcomes were the total number of patients presenting with spinal conditions to ED, the proportion diagnosed with non-specific low back pain, and the proportion receiving potentially unnecessary aspects of care (ambulance use, imaging, opioids, hospital admissions). We calculated relative risk with 95% CIs and examined plots with locally weighted smoothed curves. Results Presentations for spinal conditions over a three-month period to three EDs reduced from 694 in 2019 to 475 in 2020 (31% reduction, 95% CI = 26%–37%). The proportion of patients diagnosed with non-specific low back pain (83% in 2019 vs 86% in 2020), or receiving potentially unnecessary care were similar in 2019 and 2020 (Imaging = 25% vs 25%; Opioids = 54% vs 56%; Admitted = 18% vs 20%; pathology test = 24% vs 23%). The proportion of patients arriving by ambulance was higher during the pandemic; 29% in 2019 vs 41% in 2020 (RR = 1.39, 95% CI = 1.19–1.63). Conclusions ED presentations for low back pain associated with spinal conditions decreased substantially during the COVID-19 pandemic. Use of potentially unnecessary aspects of care did not change or increased during the pandemic.

Flexible thermoelectric materials are presented with potential applications in electronic devices and energy conversion due to their convenient preparation, good flexibility, and various forms. However, as ductility is rarely observed in inorganic semiconductors and ceramic insulators, reports on applications of inorganic oxide materials in flexible thermoelectric materials are sparse. Here, we report a new method for the synthesis of a flexible Na1.4Co2O4 thermoelectric material based on Na1.4Co2O4 bulk materials, which are prepared by a self-flux method and painted on print paper. Seebeck coefficient and power factor of the obtained thermoelectric material are 78–102 μVK-1 and 159–223 μWm-1K-2, respectively, in a temperature range of 303–522 K, which are superior to those values of other conductive polymers and their compounds. More interestingly, the n-type Na1.4Co2O4 flexible material is obtained in the painting process at higher pressure with Seebeck coefficients of –109 to –183 μVK-1 in a temperature range of 303–522 K. The convenient preparation method of these novel flexible thermoelectric materials may be expanded to the synthesis of other flexible thermoelectric materials, which will be the focus of future work.

Background Greater consumption and utilization of chicken eggs worldwide prompts an expanded amount disposed of egg waste, mainly eggshell and eggshell membrane. The significant challenge with the generation of these massive waste products is the environmental impact. From an industrial point of view, when the production of chicken eggs tempts to rise, the quantity of eggshell residue is also increased. Being rich in organic and inorganic compounds, the eggshell wastes, which are primarily considered waste and of no value, could be utilized in various forms. Scope and approach In this review, information about the potential of eggshell waste to be converted into a bioavailable source of calcium for food fortification is reviewed. Its potential applications in other fields such as pharmaceuticals and agriculture were discussed. In addition to this, several eggshell calcium-based novel fortified products were also reviewed. Key findings and conclusions: Bioavailable salts can be used to fortify food products like cakes, yogurt, sausages, biscuits, and coffee. Besides, eggshells can be used as soil enhancers and also as animal feed. Based on this literature review, cheaply available and easier to extract eggshell calcium can provide an ideal alternative source of natural calcium in an environmentally safe way. All the products and processes suggested in this paper present high economic, health, and environmental benefits.

An analysis of corporate marketing-related articles is undertaken to identify trends in the literature. It scrutinizes past, present, and future directions of corporate marketing as an organization-wide philosophy and culture. Also revisits corporate marketing rationales and components. The premises of corporate marketing are enumerated. The challenges and opportunities inherent for corporate marketing in moving to the centre ground are considered. This short paper concludes by providing summaries of the articles contained in this special section.

Background During shortages of filtering face pieces (FFP) in a pandemic, it is necessary to implement a method for safe reuse or extended use. Our aim was to develop a simple, inexpensive and ecological method for decontamination of disposable FFPs that preserves filtration efficiency and material integrity. Material and methods Contamination of FFPs (3M Aura 9320+) with SARS-CoV-2 (1.15 × 104 PFUs), Enterococcus faecium (>106 CFUs), and physiological nasopharyngeal flora was performed prior to decontamination by submersion in a solution of 6 % acetic acid and 6 % hydrogen peroxide (6%AA/6%HP solution) over 30 minutes. Material integrity was assessed by testing the filtering efficiency, loss of fit and employing electron microscopy. Results and Discussion Decontamination with the 6%AA/6%HP solution resulted in the complete elimination of SARS-CoV-2, E. faecium and physiological nasopharyngeal flora. Material characterization post-treatment showed neither critical material degradation, loss of fit or reduction of filtration efficiency. Electron microscopy revealed no damage to the fibers, and the rubber bands’ elasticity was not affected by the decontamination procedure. No concerning residuals of the decontamination procedure were found. Conclusion The simple application and widespread availability of 6%AA/6%HP solution for decontaminating disposable FFPs make this solution globally viable, including developing and third world countries.

With the rapid development of modern industry, high-grade paving asphalt is massively required to meet the demands for modern transportation. As one of additives, natural asphalt is indispensable since it can improve the performance of paving asphalt in all aspects. However, the application of non-renewable natural asphalt is increasingly restricted by its limited reserves. It is imperative to find alternative approaches to produce high-grade paving asphalt. Fluid catalytic cracking (FCC) slurry oil is an ideal soft component for producing paving asphalt due to its high content of aromatics and resins. However, its bad ageing resistance limits its application to only low-grade paving asphalt. In the present work, a novel approach for producing high-grade paving asphalt was investigated using chemically modified FCC slurry oil and deoiled asphalt (DOA). The FT-IR and NMR results showed that dehydrogenation and condensation reaction occurred during the ageing process. From a series of aliphatic alcohols and aldehydes, propanal was selected as a proper modifier to improve the ageing resistance of FCC slurry oil. The propanal-modified slurry oil possessed more substituted aromatic units and less aromatic hydrogen atoms than other modified slurry oils, thus showing better ageing resistance. With the increase of length of aliphatic chains in modifier, the modified slurry oil contained more and longer alkyl substituent group on aromatics. Compared with the cross-linked oil (slurry oil modified by cross-linking agent), modified slurry oil possessed similar ageing resistance but higher flowing ability. Also, the effect of operation conditions on the kinematic viscosity of modified slurry oil were investigated. Blended with modified slurry oil, the penetration ratio of asphalt product increased from 53.7 to 66.2, which met the standard of 70# paving asphalt. Both the microscopic observations and FT-IR results indicated that modification process effectively reduced the oxidation degree of asphalt product, thus increasing the ageing resistance. Consequently, with aid of this process, high-grade paving asphalt was readily produced from low value oil from downstream products of refinery, instead of the depleting natural asphalt.

Despite constant medical evolution, the reimbursement policy of Portuguese National Health Service (NHS) for the study and risk stratification of coronary heart disease has remained unchanged for several decades. Lack of adjustment to contemporary clinical practice has long been evident. However, the recent publication of the European Guidelines for diagnosis and treatment of chronic coronary syndromes further highlighted this gap and the urgent need for a change. Prompted by these Guidelines, the Working Group on Nuclear Cardiology, Cardiac Magnetic Resonance and Cardiac CT, the Working Group on Echocardiography and the Working Group on Stress Pathophysiology and Cardiac Rehabilitation of the Portuguese Society of Cardiology, began a process of joint reflection on the current limitations and how these recommendations could be applied in Portugal. To this end, the authors suggest that the new imaging methods (stress echocardiogram, cardiac computed tomography and cardiac magnetic resonance), should be added to exercise treadmill stress test and myocardial perfusion scintigraphy in the available exam portfolio within the Portuguese NHS. This change would allow full adoption of European guidelines and a better use of tests, according to clinical context, availability and local specificities. The adoption of clinical guidance standards, based on these assumptions, would translate into a qualitative improvement in the management of these patients and would promote an effective use of the available resources, with potential health and financial gains.

Microalgae as source of renewable energy are very potential due to high biomass productivity and lipid content. The nutritious culture for microalgae cultivation, however, should be concerned to be affordable and feasible. Here, the utilization of peat swamp culture for microalgal cultivation was studied in comparison to the nutritious pure water. The effects of photoperiod and nitrogen sources on biomass were conducted as well. Compared to the commercial microalgae, the microalgae isolated from peat swamp showed excellent performance with the faster growth time of 10 days as well as higher biomass and its productivity of 1.72 g L−1 and 0.16 g L−1 d−1, respectively. Even for the commercial microalgae, the cultivation process using the peat swamp water led to increase in biomass by 17.2% and its productivity by 10% compared to that using the nutritious pure water. The proposed kinetic model with a modification to the modified Gompertz model showed an excellent prediction with the experimental data as R2 of 0.985 was obtained. The model could well envisage the initial biomass and lag phase compared to the original model. Hence, the model is deemed beneficial for the research development for implementation in high scale of microalgal cultivation.

Maternal health and wellbeing is crucial to ensure the best outcomes for babies and children. Pregnancy and the perinatal period are particularly vulnerable times for mothers and children. Almost 1 in 5 mothers will experience some form of depression or anxiety during the perinatal period and other presentations, such as postpartum psychosis are specific to this period. Healthcare professionals, including paediatricians, whose clinical practice is devoted to the care of children often feel inadequately prepared to deal with these issues. Perinatal mental illnesses can feel daunting with anxiety about treatment impacting on the developing fetus, neonate or the breastfeeding infant. This short paper covers some common perinatal psychiatric presentations and aspects of treatment relevant for paediatricians.

Increasing atmospheric pollution with greenhouse gases, a large proportion of which are transport pollutants, is forcing the search for new fuels from renewable sources. Biodiesel is currently produced by transesterification of plant oils over heterogeneous catalysts under gentle conditions. The other recent technology dealing with the transesterification with alcohols under supercritical conditions, i.e., at high temperature and pressure, can be more efficient, the cost of the resulting biodiesel having been lower, and lower quality feedstocks having been used. Supercritical transesterification can be performed catalytically or catalyst-free. This paper provides an overview of the catalytic lipid transesterification under supercritical conditions. The influence of raw material, alcohol and catalyst, as well as process parameters on biodiesel yield is analyzed.

Background Italy was one of the first countries to be heavily hit by the spread of the new Coronavirus. Longitudinal studies are needed to investigate the real effect of COVID-19 on adult mental health. The Italian Twin Registry carried out a study to investigate, over time, the course of depressive symptoms in the general population. Methods The study relies on data collected just before the beginning (February 2020) and the end (June 2020) of the first lockdown. Symptoms of depression were assessed using the Patient Health Questionnaire, and total scores or categorized depression scores were considered in the analyzes. Results A total of 1690 adult twins were recruited. The study showed a mean depression score of 1.11 immediately before lockdown and 1.20 immediately after, with an overall prevalence of depressive symptoms increasing from 33.6 to 38.9%. Depressive symptoms immediately after the restriction period were associated with Covid-19 symptoms affecting households, financial problems due to the pandemic and poor social support. Independently of the baseline risk of depressive symptoms, we observed an increased risk among younger and less educated people. Compared to the pre-lockdown period, women and middle-aged people also were found to be at greater risk of developing depressive symptoms. Limitations Possible participation bias and residual selection bias. Conclusions The study shows that the COVID-19 pandemic was associated with an increased depressive symptomatology and that, in such health emergency times, the most vulnerable persons are young adults, women, and those living in a socially, culturally, or economically disadvantaged environment.

Background Large-scale quarantine facilities staffed with non-healthcare workers (NHCW) were instrumental in preventing community spread of COVID-19 (coronavirus disease of 2019). The objective of this study was to determine the effectiveness of a newly developed procedural skills training framework in ensuring personal protective equipment (PPE) compliance of PPE-naïve NHCWs. Materials and methods We developed a PPE procedural skills training framework for NHCWs using the Learn, See, Practice, Prove, Do, and Maintain (LSPPDM) framework and international guidelines on PPE for healthcare workers. The NHCWs underwent PPE training using this framework, conducted by a team of Infection Prevention nurses, prior to being stationed within the CCF. Effectiveness of the LSPPDM PPE training framework was assessed using: 1) competency assessment scores for NHCWs, 2) PPE compliance rates from daily audit findings, and, 3) healthcare-associated COVID-19 infection rates of NHCWs. Results A total of 883 NHCWs had completed the PPE training and demonstrated competency in PPE compliance, fulfilling 100% of the checklist requirements. Mean PPE compliance of all NHCWs during the 11-week study period was noted to be >96%. The post-implementation improvement was statistically significant when the compliance was expressed in 3-days blocks) and in bed management staff (P = < 0.05). None of the 883 NHCWs who underwent PPE training via the LSPPDM framework were diagnosed with healthcare-associated COVID-19 infection. Conclusions An evidence-based skills training framework is effective in PPE training of large numbers of NHCWs, resulting in high compliance of appropriate PPE use and prevention of healthcare-associated COVID-19 infection.