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The imbalance between the prevalence of patients with acute respiratory failure (ARF) and acute-on-chronic respiratory failure and the number of intensive care unit (ICU) beds requires new solutions. The increasing use of non-invasive respiratory tools to support patients at earlier stages of ARF and the increased expertise of non-ICU clinicians in other types of supportive care have led to the development of adult pulmonary intensive care units (PICUs) and pulmonary intermediate care units (PIMCUs). As in other European countries, Italian PICUs and PIMCUs provide an intermediate level of care as the setting designed for managing ARF patients without severe non-pulmonary dysfunction. The PICUs and PIMCUs may also act as step-down units for weaning patients from prolonged mechanical ventilation and for discharging patients still requiring ventilatory support at home. These units may play an important role in the on-going coronavirus disease 2019 pandemic. This position paper promoted by the Italian Thoracic Society (ITS-AIPO) describes the models, facilities, staff, equipment, and operating methods of PICUs and PIMCUs.

PurposeThis position paper urges a drive towards clarity in the key definitions, terminologies and habits of speech associated with digital engineering and building information modelling (BIM). The ultimate goal of the paper is to facilitate the move towards arriving at an ideal definition for both concepts.Design/methodology/approachThis paper takes the “explanation building” review approach in providing prescriptive guidelines to researchers and industry practitioners. The aim of the review is to draw upon existing studies to identify, describe and find application of principles in a real-world context.FindingsThe paper highlights the definitional challenges surrounding digital engineering and BIM in Australia, to evoke a debate on BIM and digital engineering boundaries, how and why these two concepts may be linked, and how they relate to emerging concepts.Originality/valueThis is the first scholarly attempt to clarify the definition of digital engineering and address the confusion between the concepts of BIM and digital engineering.

Brain-machine interfaces (BMIs) decode neural activity in real-time, allowing control of sensors and actuators. However, real-time neural decoding requires high computational resources. Recently developed paper-based electronics (e.g., transistors) are likely to reduce the cost of computing devices. In this theoretical study, we propose a roadmap to develop BMIs that take advantage of cellulose based supercomputers. Major milestones will include: 1) an initial prototype with a small number of elements capable of forming a simple brain-controlled On/Off switch, and 2) scaling up the capabilities of the new computing device, such that paper-based electronics lined in the walls of people’s homes will form a supercomputer. The initial prototype will be used to control the lights in a room, but more advanced devices are expected to decode more complex brain commands. As paper-based electronics are very low cost, it is proposed here that paper-based supercomputing capabilities may significantly improve BMIs.

The handling of cultural heritage objects has become a highly debated topic in the last decade. The work and outcomes described in this paper are aimed to provide objective data to assist in making appropriate decisions as to whether or not wearing gloves is appropriate in a given situation. The forensic fingermark development techniques of 1,2-indandione and single metal deposition II were used to investigate the efficacy of handwashing and glove use to improve the information available when deciding whether to use gloves when handling paper objects. It was found that fingermarks did not permeate through polymer glove types but could through cotton gloves. It was also shown that the amounts of observable fingermark residues were greater 5 min after handwashing than if handwashing had not occurred, undermining previous arguments for not wearing gloves if hands could be washed before object handling., Graphical abstract Image 1, Highlights • Fingermarks can be transferred onto paper even after washing hand. • Developed fingermark residues initially increase after handwashing. • Handwashing is not sufficient to prevent fingermark contamination of artifacts. • Fingermark residues can be transferred from surfaces to gloves to paper. • Some antibacterial gels can increase the amount of fingermark residue deposited.

Objective This study collected randomized controlled trials (RCTs) published in the social sciences in China and assessed their risk of bias and reporting quality. Study Design and Setting Three databases were systematically searched for publications from January 2000 to June 2020 for RCTs in the social sciences published by Chinese researchers. The risk of bias was assessed using the Cochrane Collaboration Risk of Bias Tool (CCRBT), and reporting quality was assessed using the Consolidated Standards of Reporting Trials for Social and Psychological Interventions (CONSORT-SPI). Results A total of 316 RCTs were identified, including 204 articles in English and 112 articles in Chinese. The most frequently researched interventions focused on education (33.9%), and the most frequently studied population were students (32.9%). Eighty-seven percent of RCTs had intermediate reporting quality. Twenty-four of the 43 CONSORT-SPI sub-items had a compliance rate of less than 50%. Most RCTs had an unclear risk of bias for blinding outcome assessors (84.5%), blinding participants and personnel (82.9%), allocation concealment (73.1%), and random sequence generation (68.0%). A low proportion of CONSORT-SPI items were reported and, high proportion of the papers had unclear risk of bias. Conclusion The quality and reporting of RCTs in the social sciences needs improvement in China, especially for reporting methods and results. Most studies had an unclear risk of bias as they lacked important methodological information.

Contains fulltext : 237219.pdf (Publisher’s version ) (Open Access) Objective: To describe characteristics of randomised controlled trials (RCTs) conducted using electronic health records (EHRs), including completeness and transparency of reporting assessed against the 2021 CONSORT Extension for RCTs Conducted Using Cohorts and Routinely Collected Data (CONSORT-ROUTINE) criteria. Study design: MEDLINE and Cochrane Methodology Register were searched for a sample of RCTs published from 2011–2018. Completeness of reporting was assessed in a random sample using a pre-defined coding form. Results 183 RCT publications were identified; 122 (67%) used EHRs to identify eligible participants, 139 (76%) used the EHR as part of the intervention and 137 (75%) to ascertain outcomes. When 60 publications were evaluated against the CONSORT 2010 item and the corresponding extension for the 8 modified items, four items were 'adequately reported' for the majority of trials. Five new reporting items were identified for the CONSORT-ROUTINE extension; when evaluated, one was 'adequately reported', three were reported 'inadequately or not at all', the other 'partially'. There were, however, some encouraging signs with adequate and partial reporting of many important items, including descriptions of trial design, the consent process, outcome ascertainment and interpretation. Conclusion: Aspects of RCTs using EHRs are sub-optimally reported. Uptake of the CONSORT-ROUTINE Extension may improve reporting. 12 p.

The use of membranes in integrated water systems has garnered increasing attention in paper mills operating with virgin fibres, with documented closed water loops in industry. However, limited research exists on the performance of ultrafiltration (UF) in mills operating with 100% recycled fibres (RCF) and closed water systems, as these result in the introduction and accumulation of insoluble contaminants in the effluent. This study investigated the effect of transmembrane pressure (TMP) and feed organic load on the flux, types of fouling, and organic separation with UF membranes in a recycled paper mill using 100% RCF. The high feed organic load caused inevitable fouling, limiting the highest achievable flux. However, the TMP could be manipulated to improve on or exacerbate the process performance, within the range that was set as a result of the feed's characteristics. Low TMP (1.35 bar) generated the highest permeability and chemical oxygen demand removal, while higher TMPs produced higher fluxes and recoveries. The process was characterised by high initial fluxes, followed by cake formation, which dominated, and pore blockage. The excess cake formation induced cake filtration. This study shows the potential of UF membranes to be used as pre-treatment in filtering the process water in a recycled paper mill operating with 100% RCF, a critical step forward in implementing an integrated water system, and eventually closing the water loop.

BACKGROUND: Ultrafiltration (UF) technology is efficient in treating wastewater. However, membrane fouling during filtration process affects the performance of UF to a large extent. Pretreatment prior to UF is important for enhancing membrane performance, reducing membrane fouling and extending the membrane lifetime. RESULTS: In this study, two pretreatment technologies, including coagulation and Fenton, were applied individually before UF for treating secondary effluent (SE) from recycled paper mill. Results exhibited that direct membrane filtration got the highest flux loss and worst membrane fouling compared with performances of those conducting pretreatments. Compared to coagulation + UF, Fenton + UF had superior performance in reducing dissolved organics with a COD rejection of 91.81%, and mitigating membrane fouling with a stable flux of 133 J m⁻² h⁻¹. GPC results further showed that Fenton pretreatment degraded macromolecules into smaller organic compounds. In addition, the classical blocking filtration laws were employed to scrutinize the fouling alleviation mechanism of pretreatments. CONCLUSION: Pretreatments prolonged the transition from pore blocking to cake filtration, thereby reducing fouling. Among them, Fenton was a promising pretreatment method prior to UF for treating recycled paper SE. © 2018 Society of Chemical Industry

Civil Construction Industry impacts significantly the environment, being one of the most critic factors related to elevated production of Civil Construction Residue (CCR). Among CCR produced, the Kraft paper package acquires notoriety, due their large use on material packaging, such as Portland cement and lime, then, present a high production rate and offer contamination potential, lack of collection logistics and nearly any reuse. In this scenario, the study and development of alternative constructive materials which applies the sustainability concept and CCR recycling have acquired great relevance in the sector. It is highlighted the residue incorporation on masonry soil-cement blocks, due its block are not submitted to the sintering process. Then, the present research intend to study adobe blocks mechanical properties based on soil-cement reinforced with cellulose fibers obtained from Kraft paper recycling. The bricks were confectioned with 7% Portland cement content and with 0%, 8%, 10% e 12% Kraft paper fiber addition, being submitted to compressive strength test, water absorption test, durability test with wetting and drying and retraction analysis. It was verified the confectioned composites presented as a viable and interesting alternative on technical and environment range. All studied researches presented null retraction and compressive strength increase on cracked state, toughness increase and good performance about durability.

L -dopa is a chiral drug that has been extensively used for the treatment of Parkinson’s disease. The concentration of L -dopa plays a vital role in the treatment, and this work emphasizes on designing a versatile platform for the quantitative and selective detection of L -dopa using reduced graphene quantum dot (rGQD). The platform is efficient in three different sensing methods, viz. fluorescence turn-on, filter paper-based sensing, and electronic measurements. The rGQD undergoes a dramatic fluorescence turn-on in the presence of L -dopa in aqueous media and artificial urine with a detection limit as low as 1.307 µM and 1.217 µM respectively. Experimental evidence revealed that the fluorescence enhancement is attributed to aggregation-induced emission mechanism. The system is also applicable for visual detection of L -dopa using filter paper strips treated with rGQD and develops bright fluorescence under ultra-violet irradiation. Apart from this, electrical sensors for L -dopa were also developed by preparing rGQD treated poly-vinyl alcohol films, and the increase in the current conduction with varying concentrations of L -dopa was observed. The films produce 2.5 order higher current conduction at 300 μM of L -dopa with a detection limit of about 13.136 µM. At the final stage, we have designed flexible electronic devices using these materials that develop 1.3 order higher current for L -dopa. The devices exhibit excellent air stability under varied relative humidity conditions as well as high bending stability for potential practical applications.

Background The COVID-19 pandemic has caused unprecedented global demand for personal protective equipment (PPE). A paucity of data on PPE burn rate (PPE consumption over time) in pandemic situations exacerbated these issues as there was little historic research to indicate volumes of PPE required to care for surges in infective patients and thus plan procurement requirements. Methods To better understand PPE requirements for care of suspected or confirmed COVID-19 patients in our Australian quaternary referral hospital, the number of staff-to-patient interactions in a 24-h period for three patient groups (ward-based COVID suspect, ward-based COVID confirmed, intensive care COVID confirmed) was audited prospectively from 1st to 30th April 2020. Results The average number of staff-to-patient interactions in a 24-h period was: 13.1 ± 5.0 (mean ± SD) for stable ward-managed COVID-19 suspect patients; 11.9 ± 3.8 for stable ward-managed confirmed COVID-19 patients; and 30.0 ± 5.3 for stable, mechanically ventilated, ICU-managed COVID-19 patients. This data can be used in PPE demand simulation modelling for COVID-19 and potentially other respiratory illnesses. Conclusion Data on the average number of staff-to-patient interactions needed for the care of COVID-19 patients is presented. This data can be used for PPE demand simulation modelling.

Traction transformers are one of the most important equipment in the traction power supply system. Thermal aging of transformer insulation system determines its reliable life. To achieve an estimation of the insulation life of traction power transformers operated under real load condition, the effects of traction loads on the thermal aging of oil-paper insulation in traction transformers were investigated. First, the design principles for the accelerated thermal aging experiment were studied and proposed by considering magnitude (i.e., load rate) and frequency (i.e. spare time and lasting time) of the traction load. Then, an experimental system was established in the laboratory to conduct extensive accelerated thermal aging experiments, in which the traction loads were mimicked by using positive temperature coefficient (PTC) heating plates and a programmable logic controller (PLC). Finally, the experimental results were analyzed and discussed to reveal the effects of traction load on the thermal aging of oil-paper insulation in traction transformers.

This paper utilizes a hybrid Debye model to accurately simulate the relaxation response process of the oil‐paper insulation of a transformer to explore the application of frequency domain dielectric spectroscopy (FDS) in nondestructive diagnosis of the aging condition of oil‐paper insulation. Via FDS test data, the model parameters can be identified, and the influence laws of FDS can be obtained through the variation of model parameters. To explore the effects of insulating paper moisture content, insulating paper layers, and test temperature on FDS characteristics, an FDS experimental platform is established. The results show that the hybrid Debye model can effectively reflect the relaxation response process of oil‐paper insulation under different conditions, as well as that a physical relationship between the model parameters and oil‐paper dielectric polarization exists. In addition, the parameters of the hybrid Debye model can be used as the characteristic quantities for the non‐destructive evaluation of the oil‐paper insulation state, providing new ideas for the non‐destructive evaluation of the oil‐paper insulation state.

Background We use inkjet printing and film adhesion methods to economically develop paper-based electrowetting-on-dielectric (EWOD) mixing device. Because the periodic shrinking and stretching of droplet contact line induces surface capillary wave, the coalesced droplet on EWOD device vibrates to accelerate solute mixing on the merged spot. Methods An office inkjet printer fabricates pads of conducting silver nanoparticles to compose EWOD activation electrodes on a piece of glossy label paper, covered with one oil-coated dielectric film. Using the triggering relays of each pad, two droplets of thirty microliter individually loaded on the electrode ends are driven to coalesce. Alloy nanorod-catalyzed chemiluminescence assay can be performed on this mixing device. Findings When ac voltage of 100 Hz is applied on the electrode flakes, compared with solute transport efficiency in static condition, solute diffusivity is enhanced by 4 times using this mixing device. Linear relation (R2 = 0.99) between luminescence intensity acquired with smartphone camera and luminol concentration of aforementioned chemiluminescence assay is obtained, demonstrating reproducibility improvement for accurate determination.

Activating flux is made up of inorganic material mixed with a volatile medium. The objective of this study is to identify and review the literature in activating flux, and different type of welding techniques. For that purpose, a structured review method is adopted and the Scopus database is used as a primary source for the selection of papers. The papers were identified using the string term of “Activating flux” OR “Activated flux” in the title of papers. And a total of 238 papers were identified for the study. Besides the above few other papers were also reviewed and the materials used, the type of flux used, and the findings of different combinations were highlighted in the form of tables. The findings of the study provide a comprehensive understanding of the different type of welding techniques focusing on TIG welding, and the different combination of flux used and their impact was summarized.

Currently, recycling and re-use of materials is extremely important due to the diminishing of natural resources. The objective of the European Union’s circular economy strategy is to increase recycling and the use of industrial waste materials and side streams as secondary raw materials. In this study, a chemical precipitation method to simultaneously remove ammonium nitrogen and phosphate from the liquid phase of anaerobic digestate using calcined paper mill sludge was studied. Papermill sludge is a waste material that forms in the paper-making process. In addition, commercial calcium oxide (CaO) was used as a reference precipitant. The suitability of the formed precipitate’s composition for recycled fertilizer use was also considered. The study results indicated that calcined paper mill sludge was as effective precipitant as commercial CaO in the removal of ammonium nitrogen and phosphate from the synthetic wastewater. In addition, the results indicated that calcined paper mill sludge removed efficiently phosphate from the liquid phase of anaerobic digestate, which led to the formation of hydroxyapatite, Ca5(PO4)3(OH). In this research we have shown, that calcined paper mill sludge can be used to produce recycled, slow-release, solid fertilizer. Another possible reaction, such as adsorption was also considered. peerReviewed

Guidelines for the treatment of eating disorders are not yet available in Italy, however some documents of clinical appropriateness and consensus have recently been published by the Italian Ministry of Health and the National Institute of Health. These documents recommend with strong emphasis a multidisciplinary treatment for eating disorders and discourage a mono-professional treatment. These recommendations, although they are the result of a broad clinical consensus, do not take in consideration that some evidence-based psychological treatment for eating disorders (e.g., enhanced cognitive behavior therapy (CBT-E) and interpersonal psychotherapy (IPT)) are delivered by a single therapist and not by multidisciplinary teams. On the contrary, the recommended multidisciplinary eclectic intervention has no evidence of efficacy, having never been tested in randomized controlled trials. In this position paper, the Associazione Italiana Disturbi dell’Alimentazione e del Peso (AIDAP) recommends to the Italian eating disorder clinical services to deliver, as first-line intervention, and according to the age and the eating disorder diagnosis of the patient, the following evidence-based psychological treatment: CBT-E (for all the eating disorder diagnostic categories and age), IPT (for adults with bulimia nervosa), family-based treatment (FBT) (for adolescents with anorexia nervosa or bulimia nervosa), and Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA) (for adults with anorexia nervosa). The position paper also recommends multidisciplinary treatments should be only implemented and evaluated in some high specialized clinical centers delivering intensive treatments, such as intensive outpatient treatment, day hospital and inpatients, when the patients do not respond to well delivered outpatient evidence-based psychological treatments.

Transformer insulation paper is a key indicator for transformer remaining operational life. Paper decomposition is evaluated using the degree of polymerization (DP) which calls for samples of insulation paper from operating transformers. Since collecting such paper samples is extremely difficult, other indicators have been used to indirectly reveal the DP value of insulation paper. This includes dissolved gases in transformer oil such as carbon oxides and hydrocarbon gases, furan compounds, methanol, ethanol, and moisture along with some oil characteristics such as interfacial tension. However, for the same oil sample, these individual parameters lead to different DP values. This is attributed to the lack of accuracy of the established mathematical and artificial intelligence models correlating DP with each of the above mentioned individual parameters. This paper presents a self-learning method to estimate the DP value of transformer insulation paper based on multiple transformer oil aging parameters. The proposed method comprises data processing, fuzzy c-means and linear regression. Results reveal that estimating the DP value based on multiple aging parameters is more accurate than estimating it using one single parameter as per the current practice. The proposed method not only helps to understand the correlation between multiple oil aging parameters and the DP value of paper insulation, but also promotes the establishment of more accurate life assessment models for power transformers based on these oil aging parameters.

INTRODUCTION: The objective of this study was to evaluate the performance of filter paper (FP) for lesion scraping collection in a polymerase chain reaction (PCR) for cutaneous leishmaniasis (CL) diagnosis. METHODS: Lesion scrapings from 48 patients were collected and analyzed for PCR. RESULTS: PCR with FP detected up to three Leishmania braziliensis promastigotes. Considering the direct search by microscopy or PCR of samples collected in STE buffer as standards, the sensitivity of PCR with FP was 100%. CONCLUSIONS: FP can be useful for CL diagnosis in remote regions, allowing high sensitivity in the detection of the parasite by PCR.

We propose a paper solar cell based on carbon nanotube (CNT)-composite papers. To fabricate this cell, we use dye-sensitized solar cells (DSCs) for generating power through the redox reaction of dyes in conjunction with CNT-composite papers, which are composite materials containing CNTs and pulp (raw paper material) that can be fabricated easily by using a method based on the Japanese washi papermaking technique. The demand for CNT applications is expected to increase due to their high conductivity and metallic or semiconducting characteristics. This CNT-composite paper can also have metallic or semiconducting characteristics based on the contained CNTs in the composite paper. We previously fabricated a DSC that generates electricity by using CNT-composite papers stacked in a typical DSC structure. However, the conversion efficiency of this DSC was just 0.188%, which is not practical. To overcome this low power generation issue, we tried improving the DSC structure by applying electrodes to the CNT-composite papers in grid patterns for efficient current collection and applying an optimally mixed dye for efficient electron excitation. Results showed that the conversion efficiency improved to 0.58%. Moreover, we demonstrated that using a mixed dye can improve the conversion efficiency of the paper DSC. We expect these types of CNT-composite papers to be used as material for new DSCs.

Electronic paper is now closer than ever to changing the way we read, write, and study. This was hailed as a revolution so profound that some see it as second only to the invention of the printing press in the 15th century. In this study, four analytical methods, which included statistical analysis, technology decomposition, multistage technological evolution and growth potential analysis were used. Results showed that technological research on business has great potential for development and vast market, and it would be another 16 years before the limit could be reached for patents. A great deal of technology breakthrough has been achieved during 1992 and 2012. The four major countries for printed electronic paper development are Japan, USA, South Korea and China. However, China has a gap compared with other countries, as the key technology was held by large enterprises. The apparatus for printed electronic paper has been the major focus in China. The key point for research on printed electronic paper was focused on devices for presentation and light emission, and related semiconductor devices.

The construction of a photoelectrochemical (PEC) strategy for multi-component detection represents a great challenge in the field of sensing. To address these challenges, herein we presented a hollow-channel paper-based PEC analytical platform based on chemiluminescence (CL) addressable strategies excited PEC strategy for multiplexed sensing application. Sandwich-structured CdS quantum dots (QDs)/reduced graphene oxide (RGO)/ZnO nanorods arrays (NRAs) heterostructure where CdS serves as visible light sensitizers, RGO acts as an electron relay between ZnO NRAs and CdS QDs, were simply assembled on the gold nanoparticles modified paper working photoelectrode (Au-PWE). The PEC performance of the CdS/RGO/ZnO can be greatly improved benefiting from the formation of type II band alignment between CdS QDs and ZnO NR as well as the super charge collection and shuttling property of RGO. Multiplexed CL emission could be achieved through controlling the CL co-reagents transport. By the virtue of CL addressable technique and the excellent PEC activity of CdS/RGO/ZnO, a highly sensitive, and selective multiple microRNAs (miRNAs) quantification method was achieved. Such a tailored strategy would break the bottleneck of the current PEC detection techniques in multiplex tracing, as well as serve as a novel concept for designing multi-channel PEC sensing method.

A simple, scalable approach is developed to fabricate a flexible hybrid paper electrode composed of the polyaniline/graphene and the carbon fiber (CF)-reinforced bacterial cellulose. The prepared hybrid paper presents high areal capacitance of 4.145 F cm−2 at 5 mA cm−2 and an extremely low sheet resistance of 29.7 Ω sq.−1. The CF endows the paper electrode remarkable foldability with no mechanical destruction. Even after being repeatedly bent 180° up to 1000 times, the initial capacitance can be retained up to 98%. A fabricated all-solid-state supercapacitor based on the resulting paper electrode has an excellent areal capacitance of 630 mF cm−2 and energy density of 2.8 mWh cm−3. The results confirm that this approach can fabricate the highly foldable and shape-tailorable energy storage devices and may have wide potential applications.

Flexible and lightweight shielding materials recently have attracted increasing attention for terahertz wave due to the deteriorated performance of electronic equipment interferenced by electromagnetic yielding. Herein, flexible reduced graphene oxide (rGO) papers were prepared by solution evaporation method to attenuate the electromagnetic wave in terahertz field. They exhibited excellent electrical conductivity and remarkable electromagnetic interference shielding effectiveness. The electrical conductivity of the rGO papers was improved from 54.07 to 78.67 S/cm after annealing at 400 °C. The rGO paper annealed at 400 °C was only ~ 370 µm in thickness and particularly exhibited an outstanding absorption performance of 17.6 dB at 0.7 THz. It has been found that the maximum absorption performance of rGO papers was basically equivalent to that of the metamaterials. Moreover, electromagnetic interference shielding effectiveness of 72.1 dB of the rGO papers was obtained at 0.6 THz, which indicated that ~ 99.99% of the power was shielded. Thus, the flexible rGO papers maybe a promising candidate for optimized electromagnetic shielding materials in the terahertz band.

Coronavirus disease-2019 (COVID-19) has very high rates of hospital-related transmission among healthcare workers (HCWs), mandating the need for careful intensive care unit (ICU) designing, optimization of staff resources, implementation of vigorous infection control practices, environmental disinfection, meticulous sample collection, and criteria for staff quarantine. Most of the ICUs are not designed to deal with airborne viral infections and require redesigning for the safety of HCWs and patients. Infection control practices related to the prevention of spread of COVD-19 are unique and are well described. The training of staff on infection control practices reduces the infection rate among HCWs significantly. Adequate staffing not only helps in infection control but also prevents burnout of the staff. In case of infection to HCW, the staff must be assessed systematically, and institute's infection control committee should guide for isolation period as well as return to work based upon standard recommendations. This article focuses on infection control and prevention measures required in ICU during the COVID-19 pandemic. How to cite this article: Sharma J, Nasa P, Reddy KS, Kuragayala SD, Sahi S, Gopal P, et al. Infection Prevention and Control for ICU during COVID-19 Pandemic: Position Paper of the Indian Society of Critical Care Medicine. Indian J Crit Care Med 2020;24(Suppl 5):S280–S289.

The world is passing through a global pandemic of COVID 19. The number of positive cases has crossed over twenty thousand as of April 2020. Like everyone else, it is indeed a very challenging situation for family physicians and primary care providers as most of the guidelines presently have focused on screening, quarantine, isolation, and hospital-based management. Limited information or clarity is available on running small private clinics during pandemic times. The key concern is professional obligation versus risks of community transmission. Family physicians see routine flu-like illnesses throughout the year with seasonal variation within their practices. This document is intended to develop consensus and standard practices for the family physicians and other primary care providers during the pandemic, ensuring optimal continuity of care. This document was reviewed by the national executive of the Academy of Family Physicians of India and approved for dissemination among members. However, due to the dynamic status of the pandemic, all practitioners are advised to closely follow the instructions, guidelines, and advisories of national, state and local health authorities as well.

Background Mobile health (mHealth) tools may be useful platforms for dietary monitoring and assessment. Objective This study aims to evaluate the effectiveness of a mobile dietary self-monitoring app for weight loss versus a paper-based diary among adults with a BMI of 23 kg/m2 or above. Methods A total of 33 men and 17 women aged 18-39 years participated in a 6-week randomized controlled trial. We randomly assigned participants to one of two groups: (1) a smartphone app group (n=25) or (2) a paper-based diary group (n=25). The smartphone app group recorded foods and dietary supplements that they consumed and received immediate dietary feedback using Well-D, a dietary self-monitoring app developed by our team. The paper-based diary group was instructed to record foods or supplements that they consumed using a self-recorded diary. The primary outcomes were weight, BMI, waist circumference, body fat mass, and skeletal muscle mass. We also examined changes in nutrient intake, including energy, carbohydrate, protein, fat, dietary fiber, vitamins, and minerals, using 3-day 24-hour recalls. Differences in changes between the two groups were analyzed using independent t tests or Wilcoxon Mann-Whitney tests. All of the data were analyzed using intent-to-treat analysis. Results The mean number of days recorded was 18.5 (SD 14.1) for the app group and 15.5 (SD 10.1) for the paper-based diary group. The differences in changes in weight, BMI, and waist circumference were not significantly different between the app group and paper-based diary group (P=.33, .34, and .70, respectively). Similarly, changes in body fat mass or skeletal muscle mass did not differ between the two groups (P=.71 and .054, respectively). Although energy intake was reduced in both groups, there was no significant difference in changes in energy intake between the two groups (P=.98). Conclusions There were no differences in changes in anthropometric measures and nutrient intake between the app group and the paper-based diary group. Both mobile dietary self-monitoring app and paper-based diary may be useful for improving anthropometric measures. Trial Registration Clinical Research Information Service KCT0003170; https://cris.nih.go.kr/cris/search/search_result_st01_en.jsp?seq=11642&ltype=&rtype=

The progress in the fabrication of carbon-nanotube-based structures has made it possible to use Raman spectroscopy to measure the deformation states of carbon nanotubes and abutting materials. In this work, we investigate the effects of laser power and surrounding materials on the Raman shift of carbon-nanotube (CNT) papers for the laser intensity in a range of 0.071 to 1.415 kW/mm2 without action of mechanical loading. Two different configurations of the CNT papers are used in the Raman measurement; one uses a suspended CNT paper, and the other places a CNT paper on a glass or aluminum substrate. The experimental results reveal that there exist combinational effects of the laser power and abutting materials on the changes of the wavenumbers of the D, G and G′ bands of the CNT papers. We derive an analytical relation between the strain components, temperature and the change of the wavenumber of the Raman peak, which yields a proportional relationship between the change of the wavenumber of the Raman peak and the laser power. Such a relationship is supported by the experimental results.

This article presents the use of flexible carbon substrates for the growth of III-nitride nanowire light emitters. A dense packing of gallium nitride nanowires were grown on a carbon paper substrate. The nanowires grew predominantly along the a-plane direction, normal to the local surface of the carbon paper. Strong photo- and electro-luminescence was observed from InGaN quantum well light emitting diode nanowires.

Halide perovskite quantum dots (PQDs) are promising materials for diverse applications including displays, light‐emitting diodes, and solar cells due to their intriguing properties such as tunable bandgap, high photoluminescence quantum yield, high absorbance, and narrow emission peaks. Despite the prosperous achievements over the past several years, PQDs face severe challenges in terms of stability under different circumstances. Currently, researchers have overcome part of the stability problem, making PQDs sustainable in water, oxygen, and polar solvents for long‐term use. However, halide PQDs are easily degraded under continuous irradiation, which significantly limits their potential for conventional applications. In this study, an oleic acid/oleylamine (traditional surface ligands)‐free method to fabricate perovskite quantum dot papers (PQDP) is developed by adding cellulose nanocrystals as long‐chain binding ligands that stabilize the PQD structure. As a result, the relative photoluminescence intensity of PQDP remains over ≈90% under continuous ultraviolet (UV, 16 W) irradiation for 2 months, showing negligible photodegradation. This proposed method paves the way for the fabrication of ultrastable PQDs and the future development of related applications., Solid‐state perovskite quantum dot papers are fabricated using a unique vacuum filtration growth method without a purification process. The bonding between cellulose nanocrystals and perovskite quantum dots makes the hybrid structure stable, and record high UV stability and thermal stability are achieved for perovskite quantum dot papers.

In this study, the effects of the mixing conditions of waste paper sludge ash (WPSA) on the strength and bearing capacity of controlled low-strength material (CLSM) were evaluated, and the optimal mixing conditions were used to evaluate the strength characteristics of CLSM with recyclable WPSA. The strength and bearing capacity of CLSM with WPSA were evaluated using unconfined compressive strength tests and plate bearing tests, respectively. The unconfined compressive strength test results show that the optimal mixing conditions for securing 0.8&ndash, 1.2 MPa of target strength under 5% of cement content conditions can be obtained when both WPSA and fly ash are used. This is because WPSA and fly ash, which act as binders, have a significant impact on overall strength when the cement content is low. The bearing capacity of weathered soil increased from 550 to 575 kPa over time, and CLSM with WPSA increased significantly, from 560 to 730 kPa. This means that the bearing capacity of CLSM with WPSA was 2.0% higher than that of weathered soil immediately after construction, furthermore, it was 27% higher at 60 days of age. In addition, the allowable bearing capacity of CLSM corresponding to the optimal mixing conditions was evaluated, and it was found that this value increased by 30.4% until 60 days of age. This increase rate was 6.7 times larger than that of weathered soil (4.5%). Therefore, based on the allowable bearing capacity calculation results, CLSM with WPSA was applied as a sewage pipe backfill material. It was found that CLSM with WPSA performed better as backfill and was more stable than soil immediately after construction. The results of this study confirm that CLSM with WPSA can be utilized as sewage pipe backfill material.

Thermal papers, commonly used for printed receipts or lottery tickets, are omnipresent in our everyday life. They are regarded as semi-porous substrates, and yet can be critical to analyze when looking for latent fingermarks due to their thermosensibility. The aim of this study was to investigate a development sequence that would better combine the adequate detection techniques in order to maximize the chances to develop latent fingermarks left on these substrates. Different methods of development have been compared on test substrates: black magnetic powder, Lumicyano™, thermal development, ninhydrin and 1,2-indanedione/ZnCl2. Whitening stages and thermal development have been focused on, tested and optimized. The results of these preliminary tests enabled the study of three development sequences. They have subsequently been compared to the one currently used in the Gendarmerie's laboratories and the best results have been provided during pseudo-operational comparative trials by one of these sequences, consisting in 6 stages.

As the 2019 Online Harms White Paper (OHWP) notes, the Internet is an increasingly integral part of our lives, and can offer ‘significant benefits’.1 In order to ensure these benefits are not under...

Foodborne pathogens are responsible for hundreds of thousands of deaths around the world each year. Rapid screening of agricultural products for these pathogens is essential to reduce and/or prevent outbreaks and pinpoint contamination sources. Unfortunately, current detection methods are laborious, expensive, time-consuming and require a central laboratory. Therefore, a rapid, sensitive, and field-deployable pathogen-detection assay is needed. We previously developed a colorimetric sandwich immunoassay utilizing immuno-magnetic separation (IMS) and chlorophenol red-β-D-galactopyranoside for Salmonella detection on a paper-based analytical device (μPAD); however, the assay required many sample preparation steps prior to the μPAD as well as laboratory equipment, which decreased user-friendliness for future end-users. As a step towards overcoming these limitations in resource-limited settings, we demonstrate a reusable 3D-printed rotational manifold that couples with disposable μPAD layers for semi-automated reagent delivery, washing, and detection in 65 minutes. After IMS to clean the sample, the manifold performs pipette-free reagent delivery and washing steps in a sequential order with controlled volumes, followed by enzymatic amplification and colorimetric detection using automated image processing to quantify color change. Salmonella was used as the target pathogen in this project and was detected with the manifold in growth media and milk with detection limits of 4.4 × 102 and 6.4 × 102 CFU mL−1 respectively. The manifold increases user friendliness and simplifies immunoassays resulting in a practical product for in-field use and commercialization.

Scope Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has become pandemic, reaching almost one million death worldwide. At present standard treatment for coronavirus disease 2019 (COVID-19) is not well defined because the evidence, either from randomized or observational studies, with conflicting results, has led to rapid changes in treatment guidelines. Our aim was to narratively summarize the available literature on the management of COVID-19 in order to combine current evidence and interpretation of the data by experts who are treating patients in the frontline setting. Methods The panel conducted a detailed review of the literature and eventual press releases from randomized clinical trials for each possible available treatment. Inductive PubMed search waws performed for publications relevant to the topic, including all clinical trials conducted. The result was a flowchart with treatment indications for patients with COVID-19. Implications After 6 months of a pandemic situation and before a possible second coronavirus wave descends on Europe, it is important to evaluate which drugs proved to be effective while also considering that results from many randomized clinical trials are still awaited. Indeed, among treatments for COVID-19, only glucocorticoids have resulted in an association with a significant decrease in mortality in published randomized controlled trials. New therapeutic strategies are urgently needed.

This Editorial introduces a Special Issue of papers from the SEE International Conference RADAR 2019, which took place in Toulon, France, 23–27 September 2019. The papers are expanded versions of ones that were judged in the reviewing process to be of the highest quality and relevance. Benefitting from the unique location of the conference centre on the French Riviera, the conference was given the theme ‘Sensing from sea to space’, attracting nearly 400 attendees from 26 countries from all over the world (Figure 1). Engineers and researchers coming from private or public sector (universities and laboratories) shared their knowledge and experience on radar topics of common interests from physics to signal processing, from sensor validation to system design, and also on emerging technologies based on artificial intelligence; all topics being supported by 200 papers presented either in oral (150 papers in 36 sessions), or poster sessions (50 papers). Figure 2 shows the range of topics of the papers. 1 FIGURE Conference attendees by country 2 FIGURE Conference paper topics

The printing effect of paper packaging has an impact on the circulation effect of products. Only when the printing effect is good can it attract consumers’ purchasing desire. In this study, based on color management technology, the printing of the designed Bazhong specialty paper packaging was studied. Firstly, the content and process of color management were analyzed, and equipment correction and characterization were introduced. Then, the printing process of Bazhong specialty paper packaging was explored, and the printing equipment and the establishment of the profile file were analyzed. The application of color management achieves a high-quality printing effect, which provides a theoretical reference for its further application in the printing industry.

Energy used to provide heating, cooling and ventilation in buildings supplied using fossil fuels produces about 25% of total European (EU) greenhouse gas (GHG) emissions. To reduce this requires lower energy use in both existing and future buildings with the remaining energy supplied from very-low-carbon sources. This briefing paper discusses how to reduce the GHG emissions from buildings in Europe to nearly zero. Coordinated updating of existing policies together with well-targeted and innovative EU, national and local initiatives are required to deliver the required reductions. It will be important to (a) ensure that measures to reduce energy and GHG reductions also enhance the health and well-being of building occupants, (b) integrate decarbonisation of electricity and heat supplies for buildings with decarbonisation of industry and transport, (c) reuse and recycle to reduce embodied GHG emissions in building materials, components and processes used in both the construction of new buildings and in building renovations. Decarbonising buildings is an opportunity to develop and produce new products and services that create new high-quality jobs.

The United States (U.S.) has 99 operating Nuclear Power Plants (NPPs). The majority of these were designed and commissioned in the 1970s and 1980s. Plants are modernizing their control systems and main control rooms to be able to continue operating past their original 40-year license agreements. U.S. NPP main control rooms are migrating towards hybrid controls with both digital and analog systems. Digital upgrades, while costly, provide improved reliability, reduced maintenance cost, and the potential for fewer unplanned outages and fewer human errors. U.S. utilities have been slow to embrace computerized procedure system (CBP) research, even though CBPs demonstrate clear operational and human factors benefits. Most of the CBP research has been oriented to new reactor designs or full digital control rooms and is not applicable to the piecemeal modernization approach favored by U.S. plants. Research is needed to examine how CBPs impact operations in hybrid control rooms, and how current paper based procedures can be efficiently migrated to computerized platforms. Work is underway to develop tools and perform the obligatory research needed to design and validate CBPs for modernized U.S. nuclear control rooms.

Triboelectric nanogenerators (TENGs) have been introduced as a rational and effective way of powering the low consuming electronic devices and sensors. Mostly these nanogenerators are manufactured using costly materials and complex fabrication processes that restrict their usage especially in developing countries. In this paper, we have presented an inexpensive and facile TENG for powering the environmental sensor. Readily available and cost-effective materials were used for manufacturing TENG like paper, thread sealant PTFE tape, and pencil. The manufactured paper based TENG produced short circuit current and open circuit voltage of $110\ \mu \mathrm{A}$ and 234 V respectively. The maximum power density of $96.22\ \mu \mathrm{W} /$ cm2 was achieved at 5 M $\Omega$. The rectified signal from TENG was used to charge a capacitor array of $300\ \mu \mathrm{F}$ which was successively used to power the environmental sensor. Temperature and humidity can be measured by powering the environmental sensor with the help of the proposed TENG. This facile and cost-effective TENG can be easily manufactured and deployed in resource limited environment for self-powered sensing systems.

The graphene paper microsieves can be applied in the filtration of biological fluids or separation of solid particles from exploitation fluids. To produce graphene paper microsieves for specific applications, good control over fabrication should be achieved. In this study, a laser ablation method using a picosecond laser was applied to fabricate graphene paper microsieves. Holes in the microsieves were drilled using pulsed laser radiation with a pulse energy from 5 to 100 &micro, J, a duration of 60 ps, a wavelength of 355 nm, and a repetition rate of 1 kHz. The impact method was applied using 10 to 100 pulses to drill one hole. To produce holes of a proper diameter which could separate biological particles of a certain size (&ge, 10 &micro, m), optimum parameters of graphene paper laser ablation were defined using the MATLAB software taking into account laser pulse energy, repetition rate, and a desired hole diameter. A series of structural tests were carried out to determine the quality of an edge and a hole shape. Experimental results and Laguerre&ndash, Gauss calculations in MATLAB were then compared to perform the analysis of the distribution of diffraction fringes. Optimum experimental parameters were determined for which good susceptibility of the graphene paper to laser processing was observed.

Made available in DSpace on 2022-04-29T08:36:18Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-12-01 Paper electronics has emerged as an ecofriendly, light, low-cost, and recyclable material for the fabrication of flexible and printed transistors. In this study, we present fully printed organic electrochemical transistors using an active layer of PEDOT:PSS, carbon electrodes, cellulose-based electrolyte, and three different papers as substrates: bond, vegetal, and Lumi Silk, relating the electrical properties to the different morphologies of the paper surfaces. Each paper presents different regularity, diffusion capabilities, and roughness, with significant influence on the transistor performance. The more organized and smooth the surface, the better the electrical characteristics, the best of these being the Lumi Silk, with higher I on/I off ratio of 46, on-current of 8.3 10-5 A, V on of 1.3 V, and power gain of 43.5 dB associated with ultra-low hysteresis of 0.1 V, high transconductance of -57.3 μS, and suitablity for flexible electronics and sensors applications. S o Paulo State University - UNESP Faculty of Science and Technology (FCT) Physics Department, SP Universidade NOVA de Lisboa and CEMOP-UNINOVA Faculty of Science and Technology (FCT) CENIMAT/I3N Department of Materials Science S o Paulo State University - UNESP Faculty of Science and Technology (FCT) Physics Department, SP

Light-reflecting characteristics play a crucial role in optically rewritable liquid crystal display (electronic paper). By using a special optimizer software, light-reflecting characteristics of the twisted nematic cell were calculated. The achieved values of the normalized reflection coefficients range within ∼ 0.03 - 0.43, which is comparable or better than other commercial technologies. The calculated contrast ratio of the device is 10 : 1. A 2D image, which can be displayed on the electronic paper was obtained. Comparison of the simulated background color and contrast ratio is very similar with the results, which were obtained in experimental cells of other studies. Our calculations indicate that angular dependence of the reflectance coefficient is almost uniform within a wide range of viewing angles.

Graphene-based papers have recently triggered considerable interests in developing the application as thermal interface materials (TIMs) for addressing the interfacial heat transfer issue, but their low through-plane thermal conductivity (κ⊥), resulting from the layer-by-layer stacked architecture, limits the direct use as TIMs. Although various hybrid graphene papers prepared by combining the graphene sheets and the thermally conductive insertions have been proposed to solve this problem, achieving a satisfactory κ⊥ higher than that of commercial TIMs (>5 W m−1 K−1) remains challenging. Here, a strategy aimed at the construction of heat pathways along the through-plane direction inside the graphene paper for achieving a high κ⊥ was demonstrated through the simultaneous filtration of graphene sheets with two different lateral sizes. The as-prepared graphene paper presented a hierarchical structure composed of loosely stacked horizontal layers formed by large graphene sheets, intercalated by a random arrangement of small graphene sheets. Due to the heat pathways formed by small graphene sheets along the through-plane direction, the hierarchically structured graphene paper exhibited an improved κ⊥ as high as 12.6 W m−1 K−1 after a common graphitization post-treatment. In the practical test, our proposed paper as an all-graphene TIM achieved an enhancement in cooling efficiency of ≈ 2.2 times compared to that of the state-of-the-art TIM, demonstrating its superior performance to meet the ever-increasing heat dissipation requirement.

Thermal switches control thermal circuits and are widely used in electronics and engineering. Shape-memory alloys can be deformed by heating, which is widely used as a driving part for ther...