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BackgroundSince the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the number of cases of coronavirus disease (COVID-19) in the United States has exponentially increased. Identifying and monitoring individuals with COVID-19 and individuals who have been exposed to the disease is critical to prevent transmission. Traditional contact tracing mechanisms are not structured on the scale needed to address this pandemic. As businesses reopen, institutions and agencies not traditionally engaged in disease prevention are being tasked with ensuring public safety. Systems to support organizations facing these new challenges are critically needed. Most currently available symptom trackers use a direct-to-consumer approach and use personal identifiers, which raises privacy concerns. ObjectiveOur aim was to develop a monitoring and reporting system for COVID-19 to support institutions conducting monitoring activities without compromising privacy. MethodsOur multidisciplinary team designed a symptom tracking system after consultation with experts. The system was designed in the Georgetown University AvesTerra knowledge management environment, which supports data integration and synthesis to identify actionable events and maintain privacy. We conducted a beta test for functionality among consenting Georgetown University medical students. ResultsThe symptom tracker system was designed based on guiding principles developed during peer consultations. Institutions are provided access to the system through an efficient onboarding process that uses clickwrap technology to document agreement to limited terms of use to rapidly enable free access. Institutions provide their constituents with a unique identifier to enter data through a web-based user interface to collect vetted symptoms as well as clinical and epidemiologic data. The website also provides individuals with educational information through links to the COVID-19 prevention recommendations from the US Centers for Disease Control and Prevention. Safety features include instructions for people with new or worsening symptoms to seek care. No personal identifiers are collected in the system. The reporter mechanism safeguards data access so that institutions can only access their own data, and it provides institutions with on-demand access to the data entered by their constituents, organized in summary reports that highlight actionable data. Development of the system began on March 15, 2020, and it was launched on March 20, 2020. In the beta test, 48 Georgetown University School of Medicine students or their social contacts entered data into the system from March 31 to April 5, 2020. One of the 48 users (2%) reported active COVID-19 infection and had no symptoms by the end of the monitoring period. No other participants reported symptoms. Only data with the unique entity identifier for our beta test were generated in our summary reports. ConclusionsThis system harnesses insights into privacy and data sharing to avoid regulatory and legal hurdles to rapid adaption by entities tasked with maintaining public safety. Our pilot study demonstrated feasibility and ease of use. Refinements based on feedback from early adapters included release of a Spanish language version. These systems provide technological advances to complement the traditional contact tracing and digital tracing applications being implemented to limit SARS-CoV-2 transmission during reopening.

Agricultural by-products have long hinder farmers, and subsequently, the food supply chain. Making use of their natural by-products will both reduce waste and increase industrial production. In particular, pineapple leaf fibers (PALF) can be extensively studied. Here, the curing kinetics of chemically modified PALF/epoxy resin crosslinked by an anhydride hardener was investigated by non-isothermal and isothermal methods with the differential scanning calorimetry technique. In this study, the Kissinger-Akahira-Sunose and Flynn-Wall-Ozawa methods, as well as Kamal's model, were employed to analyze the curing behavior of epoxy in non-isothermal and isothermal processes, respectively. The highest activation energies for pure epoxy and PALF/epoxy composite calculated differ when using the methods. Additionally, a decreasing trend in the activation energy values during the late stages of epoxy curing was observed. The results from Kamal's model indicate that the k1 values of the PALF/epoxy composite are only greater than those of pure epoxy at 100°C and 110°C. However, all the k2 values of PALF/epoxy are greater than those of pure epoxy. Additionally, the m value of the PALF/epoxy composite is lower than that of pure epoxy only at 100°C, while the n and m+n values of the PALF/epoxy composite are all greater than those of pure epoxy. Moreover, the results reveal that the Cure Index of the PALF/epoxy composite was larger than ΔH* and smaller than ΔT*. With PALF, it was found that the epoxy resin's curing rate was increased and the activation energy was reduced. Meanwhile, the degree of crosslinks was less than that of the virgin resin. It is speculated that the hydroxyl groups on the plant fibers and the amine groups on the coupling agent-modified fibers can promote the cross-linking reaction. However, the curing reaction of the composite is affected by steric obstacles and high viscosity resulting from the addition of PALFs. [ABSTRACT FROM AUTHOR]

Abstract: Flow visualization and particle image velocimetry are applied to capture the flow fields generated by all three states of a falling plate in two dimensional passive flight—fluttering, chaotic, and tumbling. The vortical structures are recorded in considerable clarity. Classic vortex shedding from different flight states are observed. The causes of more energetic tumbling mixing and localized fluttering disturbances are discussed. Strong, but small trailing processions of Karman vortex pairs or Kelvin-Helmholtz instabilities are found. It is also found that their formations are dependent on the trajectory, distinguishing the unique flow structures that different flight paths leave behind. The falling plate also induces a significant downwards convective motion. Further investigation shows that the wake trail and the convection contribute to the complex formation and dissipation of large vortical structures.Graphical Abstract: [ABSTRACT FROM AUTHOR]

OECD members have embarked on an 'e-government revolution', using new technologies to provide more convenient access to public information, improve the quality of public services and make it easier for [...]

A preface for the June 2009 issue of the journal "Administration" is presented.

Program restructuring techniques have proven successful in two-level automatically managed memory hierarchies. The possibility of extending them to multilevel environments is investigated. The performance of strategy-oriented restructuring algorithms in a three-level linear hierarchy managed by sampled working set policies or by a combination of sampled working set and local LRU policies is studied both analytically (assuming an independent reference model of program behavior) and by trace-driven simulation. The results of the study show that strategy-oriented restructuring may be as beneficial in a virtual memory with three levels as it is in one with two levels. [ABSTRACT FROM AUTHOR]

Examines the effects of dapsone-pyrimethamine an antimalarial prophylaxis to the health status of military recruits. Risks of upper respiratory tract infection; Impact of the training to the health condition of the recruits; Susceptibility of persons taking antimalarial prophylaxis to infections.

Background: Multiple myeloma, a malignancy of the antibody-secreting plasma cells, remains incurable by current therapy. However, the proteasome inhibitor bortezomib and other new drugs are revolutionizing its treatment. It remains unclear why myelomas are peculiarly sensitive to bortezomib, or what causes primary or acquired resistance. The 'unfolded protein response' is necessary for folding and assembly of immunoglobulin chains in both normal and malignant plasma cells, as well as for the disposal of incorrectly folded or unpaired chains via the ubiquitin-proteasome pathway. We tested the hypothesis that levels of transcription factor XBP-1, a major regulator of the unfolded protein response, predict response to bortezomib., Design and Methods: Expression of XBP-1 and other regulators of the unfolded protein response were measured in myeloma and other cancer cell lines and two cohorts of patients with refractory myeloma and correlated with sensitivity/response to bortezomib. Bortezomib-resistant myeloma cell lines were derived and the effects on expression of unfolded protein response regulators, immunoglobulin secretion, proteasome activity and cross-resistance to cytotoxic drugs and tunicamycin determined. The consequences of manipulation of XBP-1 levels for sensitivity to bortezomib were tested., Results: Low XBP-1 levels predicted poor response to bortezomib, both in vitro and in myeloma patients. Moreover, myeloma cell lines selected for resistance to bortezomib had down-regulated XBP-1 and immunoglobulin secretion. Expression of ATF6, another regulator of the unfolded protein response, also correlated with bortezomib sensitivity. Direct manipulation of XBP-1 levels had only modest effects on sensitivity to bortezomib, suggesting it is a surrogate marker of response to bortezomib rather than a target itself., Conclusions: The unfolded protein response may be a relevant target pathway for proteasome inhibitors in the treatment of myeloma and its regulator XBP-1 is a potential response marker. (The BIR study was registered with Australian Clinical Trial Registry Number 12605000770662).