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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.

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.

The author certifies that he, or any member of his immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research ® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writers, and do not reflect the opinion or policy of CORR ® or the Association of Bone and Joint Surgeons®.

The pulp and paper industry is one of the major consumers of water. Pulp and paper industrial wastewaters usually contain halogenated organic materials, because general use is made of chlorine-containing compounds as bleaching agents during pulp and paper manufacture. Kraft pulping is the most common commercial chemical delignification procedure. Chlorination is generally the first stage in kraft pulping and during this treatment phase, chlorinated organic compounds are produced. The chlorinated substances are extracted with dilute alkali from the pulp in the subsequent extraction phase. Chloro-organic compounds tend to persist in nature because of their inherent recalcitrance; they are often toxic to aquatic live; many are genotoxic and have the potential to migrate widely throughout the ecosystem, ultimately accumulating in the fatty tissues of organisms. Legislation has been introduced to limit the levels of these toxic compounds in effluents. Additionally, during bleaching treatments chromophoric, highly oxidized, polymeric lignin/chlorolignin derivatives are formed that give rise to a dark color in the effluent. The color poses an aesthetic problem and contributes to the biological oxygen demand. Several methods have been attempted for decolorization and detoxification of bleached kraft effluents. These include physicochemical and biotechnological methods. The problems underlying the physicochemical treatments are those associated with cost and reliability. Biotechnological methods have the potential to eliminate/ reduce the problems associated with physicochemical methods. This article reviews the research on the use of Biotechnological methods for treatment of pulp and paper mill effluents. The progress made and the further scope are also discussed.

PURPOSE: The purpose of the study is to review all peer-reviewed published reports of women receiving ovarian tissue transplantation (OTT) with frozen/thawed tissue (OTC) with respect to age, diagnosis, transplantation site, fertility outcome, and potential side effects, including data from all women in the Danish program. METHODS: A systematic review of the literature was performed in PubMed combined with results from all patients who had received OTT in Denmark up to December 2017. RESULTS: OTT has been reported from 21 different countries comprising a total of 360 OTT procedures in 318 women. In nine women, malignancy was diagnosed after OTT; none were considered to be directly caused by the OTT. Despite a potential under reporting of cancer recurrence, there is currently no evidence to suggest that OTT causes reseeding of the original cancer. Renewed ovarian endocrine function was reported in 95% of the women. Half of all children born following OTT resulted from natural conception, and newborns were reported to be healthy except for one neonate with a chromosome anomaly with a family disposition. Women who conceived after OTT were significantly younger than those who failed. CONCLUSION: This study found no indications of sufficient numbers of malignant cells present in the ovarian tissue to cause recurrence of cancer after OTT. Further, it is unlikely that OTC affects the well-being of children born. OTC is now an established method of fertility preservation in Denmark with public reimbursement. The current data encourage that women who require gonadotoxic treatment should be offered an individual evaluation considering fertility preservation. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10815-018-1144-2) contains supplementary material, which is available to authorized users.

In July 2007, IBM and Cambridge University’s Institute for Manufacturing (IfM ), in conjunction with BAE Systems, convened a group of leading academics and senior industrialists in a two-day symposium to address the critical questions facing the emerging field of Service Science , Management and Engineering (SSME ). The meeting, together with a consultation process involving over a hundred international respondents, created a white paper for universities, businesses and governments globally (IfM and IBM 2008). The report called for (1) the advancement of SSME as a distinct subject of research and education through intensive collaboration across disciplines, and (2) the creation of national Service Innovation Roadmaps (SIR) to double investment in service research and education worldwide by 2015. Since the white paper was released, exciting progress has taken place; many universities have started SSME courses while various governments released SIR reports (see Appendices I and II for lists of such initiatives). In the remainder of this chapter, we provide an updated summary of the white paper and revisit its original recommendations for SSME stakeholders.

This chapter examines the short term production, transportation and inventory planning problems encountered in the fine-paper industry. After positioning the problems in the context of a general supply chain planning system for the pulp and paper industry, a comprehensive synchronized production-distribution model is gradually developed. First, a model for the dynamic lot-sizing of intermediate products on a single paper machine with a predetermined production cycle is proposed. The model also plans the production and inventory of finished products. Then, we consider the lot-sizing of intermediate products on multiple parallel paper machines with a predetermined production sequence. Finally, simultaneous production and distribution planning for a single mill multiple distribution centers network is studied by considering different transportation modes between the mill and its Distribution Centers (DCs).

In the context of sustainable development, the assessment of the role the paper industry is of paramount importance. In the last years, the efforts of the paper industry towards ecologically sustainable paper recycling have faced growing problems of waste management since recovered paper processing leads to the production of considerable amount of waste (sludge) requiring disposal. The work outlines the current state of the utilisation of paper sludge for energy conversion. Focus of the paper is the assessment of the environmental feasibility of energy recovery from paper sludge associated with toxic emissions (like NOx, SO2, N2O, chlorinated organic compounds); the fate of some toxic metals (like Hg, Pb, Cd, Zn, Mn) deriving from dyes, fillers, and toxic pigments is discussed based on new research combustion data. The environmental impact of burning paper sludge is discussed showing the interdependence between sludge properties and combustion conditions. Recent data concerning co-combustion of paper sludge, particularly in conjunction with different biomass fuels (like wood and straw), are reported. Differences related to usage of paper sludge as a fuel in paper mill boilers and industrial power plants and their economic implications are presented. Future possible scenarios for paper sludge utilisation in energy recovery are also discussed.

The pulp and paper industry is currently faced with the challenge of substantially reducing the discharge of contaminants to the receiving environment. Water is of primary importance in the paper making process. The pulp and paper industry has been a large user of fresh water in comparison to several other manufacturing industries. Continuous progress has been made by the pulp and paper industry in reducing the fresh water use because of growing environmental concerns and stricter government regulations. Water use reduction in a paper mill has been accomplished primarily by closing up the water system. Water system closure, however, results in an increased concentration of suspended, dissolved and colloidal materials in the system, which in turn could result in a poor quality of paper and operational problems. Because of the solid buildup problems, paper mills are looking for alternative processes for internal treatment of water. Among the alternative processes, membrane separation process is getting an ever-increasing acceptance.