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Personal protective equipment (PPE) is a necessary item in the period of unknown and high-risk emerging infectious disease. It is not only the necessary requirement of strict isolation, but also the last line of defense to protect medical staff.
Compare the differences between contaminated frequency and sites under two types of PPE doffing.
Recruited 56 health care workers (HCWs) who worked in clinical to follow the different PPE removal guidelines issued by the Chinese Center for Disease Control (CDC) and the World Health Organization (WHO) final resolution for preventing Ebola virus. Eight batches of HCWs were divided to conduct simulations of contaminated PPE removal using fluorescent lotion (Glitter Bug Potion, On Solution Pty Lt). Then we recorded the frequency and sites of contamination of personnel after removal of contaminated PPE by the method of visual observation.
According to China’s CDC process, the parts that are easily contaminated during PPE removal are: left hand and wrist (7 times), left calf (7 times), front chest center and left and right chest (6 times each) and left abdomen (5 times). Contaminated parts of the PPE process in accordance with the WHO process from high to low were: right hand and wrist (13 times), left hand and wrist (12 times), middle of the abdomen (10 times), left chest (9 times), and left abdomen (6 Times). There was no statistical difference between the two kinds of PPE piercing and removal (Z=1.177, P > 0. 05).
Under the guidance of the two processes recommended by China CDC and WHO, there was no significant difference in the frequency of pollution after removing PPE. It is speculated that the PPE recommendation processes issued by WHO and China CDC are effective for personal protection against fulminating infectious diseases.
Proper use of personal protective equipment (PPE) is essential when facing emerging infectious diseases. Proper training methods can promote the use of the PPE correctly.
To explore the effect of the training method of sequential operation training on medical staff to master PPE penetration and removal skills, and to study the memory attenuation after training.
Fifteen medical staff with no experience of PPE operation in a hospital were trained to wear PPE in accordance with WHO standards by illustration and sequential operation method. The training included 30 minutes of theoretical teaching and 60 minutes of practical exercises. At the end of the training and 1 week after the training, the training objects were evaluated for PPE operation. A 2.5 x 2.5 cm fluorescent agent was applied on 6 parts, such as hands, chest, abdomen, and knees, to simulate contamination. After taking the PPE off, the parts of the whole body and the inner layer of clothing that were fluorescently contaminated were recorded. The whole operation process was recorded by video to evaluate whether the operation was correct. The error rates of two operations and the contamination position and frequency were compared.
The error rate of the operating PPE after training was 18.6%, rising to 31.9% after 1 week (Z=16.0, P<0.05). After the training, the average number of contaminated PPE removal was 1.96±1.56, which rose to 2.96±2.03 one month later. The difference was statistically significant (Z=8.92, P<0.05). The main vulnerable sites are the wrist, chest, abdomen, and left calf.
Illustrative sequential operation training is an important means to improve the way for medical staff to wear PPE, but it must be completed more than once to ensure that medical staff can firmly master the skills of wearing and removing PPE.
Personal protective equipment (PPE) is a necessary item in the period of unknown and high risk emerging infectious disease. It is not only the necessary requirement of strict isolation but also the last line of defense to protect medical staff.
To determine the frequency and sites of contamination of personnel during the process of using Chinese PPE.
Recruit 56 health care workers (HCWs) who worked in front-line clinical to test PPE issued by the Chinese Center for Disease Control for preventing Ebola virus. Eight batches of HCWs were divided to conduct simulations of contaminated PPE removal using fluorescent lotion. Then the frequency and sites of contamination of personnel were recorded after removal of contaminated PPE. The method of visual observation was used to determine contamination.
The frequency of easily contaminated parts included: left hand and wrist (7 times), left calf (7 times), front chest center, left and right chest (6 times each), and left abdomen (5 times). Mistakes in the process of wearing PPE included: clothing touching the ground (20.00%), N95 air mask tightness not checked (13.33%), glove air-tightness not checked (4.44%), protective clothing zipper not checked (4.44%). Mistakes in doffing PPE included: clothes touching the ground or the inner surface is polluted (20.00%), the wrong method of removing N95 mask (14.44%), touching the pollution goggles mirror with hands (12.22%), incomplete washing steps, insufficient time and frequency of hand hygiene (11.11%).
It is necessary to carry out training on PPE donning and doffing for Chinese medical workers.
In the theory of spontaneous combustion, identifying the critical value of the Frank-Kamenetskii parameter corresponds to solving a bifurcation point problem. There are two different numerical methods used to solve this problem—the direct and indirect numerical methods. The latter finds the bifurcation point by solving a partial differential equation (PDE) problem. This is a better method to find the bifurcation point for complex geometries. This paper improves the indirect numerical method by combining the grid-domain extension method with the matrix equation computation method. We calculate the critical parameters of the Frank-Kamenetskii equation for some complex geometries using the indirect numerical method. Our results show that both the curve of the outer boundary and the height of the geometries have an effect on the values of the critical Frank-Kamenetskii parameter, however, they have little effect on the critical dimensionless temperature.
This study aimed to investigate the effects of dietary live yeast (LY) supplementation on growth, intestinal permeability and immunological parameters of piglets challenged with enterotoxigenic Escherichia coli K88 (ETEC). Piglets weaned at 21 d were allocated into three treatments with six pens and six piglets per pen, receiving the control diet (CON), diets supplemented with antibiotics plus zinc oxide (ANT–ZnO) and LY (Saccharomyces cerevisiae strain CNCM I-4407), respectively, for a period of 2 weeks. On day 8, thirty-six piglets were selected as control without ETEC (CON), CON–ETEC, ANT–ZnO–ETEC and LY–ETEC groups challenged with ETEC until day 10 for sample collections. Piglets fed ANT–ZnO diet had the highest average daily gain and average daily feed intake (P<0·05) during the 1st week, but ADG of piglets fed the ANT–ZnO diet was similar as piglets fed LY diet during the second week. Piglets with LY–ETEC or ANT–ZnO–ETEC had markedly lower diarrhoea score (P<0·05) than piglets with CON–ETEC during the 24 h after ETEC challenge. Relative to piglets with CON, the counts of E. coli, urinary ratio of lactulose to mannitol, plasma IL-6 concentration, mRNA abundances of innate immunity-related genes in ileum and mesenteric lymph node tissues were increased (P<0·05), whereas the villous height of jejunum and relative protein expression of ileum claudin-1 were decreased (P<0·05) in piglets with CON–ETEC; however, these parameters did not markedly change in piglets with LY–ETEC or ANT–ZnO–ETEC. In summary, dietary LY supplementation could alleviate the severity of diarrhoea in piglets with ETEC, which may be associated with the improved permeability, innate immunity and bacterial profile.
With the improvement of the bias instability of Micro-Electromechanical Systems (MEMS) gyroscopes, the g-sensitivity error is gradually becoming one of the more important factors that affects the dynamic accuracy of a MEMS gyroscope. Hence there is a need for correcting the g-sensitivity error. However, the traditional calibration of g-sensitivity error uses a centrifuge. The calibration conditions are harsh, the process is complex and the cost is relatively high. In this paper, a fast and simple method of g-sensitivity error calibration for MEMS gyroscopes is proposed. With respect to the bias and random noise of a MEMS gyroscope, the g-sensitivity error magnitude is relatively small and it is simultaneously coupled with the Earth's rotation rate. Therefore, in order to correct the g-sensitivity error, this work models the calibration for g-sensitivity error coefficients, designs an (8+N)-position calibration scheme, and then proposes a fitting method for g-sensitivity error coefficients based on the Newton iteration and least squares methods. Multi-group calibration experiments designed on a MEMS Inertial Measurement Unit (MEMS IMU) product demonstrate that the proposed method can calibrate g-sensitivity error coefficients and correct the g-sensitivity error effectively and simply.
A parallel, high-order direct Discontinuous Galerkin (DDG) method has been developed for solving the three dimensional compressible Navier-Stokes equations on 3D hybrid grids. The most distinguishing and attractive feature of DDG method lies in its simplicity in formulation and efficiency in computational cost. The formulation of the DDG discretization for 3D Navier-Stokes equations is detailed studied and the definition of characteristic length is also carefully examined and evaluated based on 3D hybrid grids. Accuracy studies are performed to numerically verify the order of accuracy using flow problems with analytical solutions. The capability in handling curved boundary geometry is also demonstrated. Furthermore, an SPMD (single program, multiple data) programming paradigm based on MPI is proposed to achieve parallelism. The numerical results obtained indicate that the DDG method can achieve the designed order of accuracy and is able to deliver comparable results as the widely used BR2 scheme, clearly demonstrating that the DDG method provides an attractive alternative for solving the 3D compressible Navier-Stokes equations.
We use semi-analytic models of galaxy formation L-Galaxies based on ΛCDM cosmology to study the HI gas component in galaxy outskirts. We adopt the radially-resolved version of the models by Fu et al. (2013), which includes both atomic and molecular gas component in interstellar medium. This model has been recently updated by Luo et al. (2016) to include cold gas stripping in the outer disk regions of the satellite galaxies by ram pressure. In our models, we can perfectly reproduce the HI size-mass relation, which is discovered by Broeils & Rhee (1997) and confirmed by many subsequent observations. In our model, the reason for such tight correlation between HI size and mass is atomic-molecular phase conversion in high gas surface density regions while HI ionization in low gas surface density region, which leads to very narrow distribution of HI mean surface density. The models also reproduce the universal exponential HI radial profiles in galaxy outskirts found by Bluedisk (Wang et al. 2013), which arises from cold gas accretion onto the galaxy disks in exponentially profiles.
Bipolar disorder is a highly heritable polygenic disorder. Recent
enrichment analyses suggest that there may be true risk variants for
bipolar disorder in the expression quantitative trait loci (eQTL) in the
We sought to assess the impact of eQTL variants on bipolar disorder risk
by combining data from both bipolar disorder genome-wide association
studies (GWAS) and brain eQTL.
To detect single nucleotide polymorphisms (SNPs) that influence
expression levels of genes associated with bipolar disorder, we jointly
analysed data from a bipolar disorder GWAS (7481 cases and 9250 controls)
and a genome-wide brain (cortical) eQTL (193 healthy controls) using a
Bayesian statistical method, with independent follow-up replications. The
identified risk SNP was then further tested for association with
hippocampal volume (n = 5775) and cognitive performance
(n = 342) among healthy individuals.
Integrative analysis revealed a significant association between a brain
eQTL rs6088662 on chromosome 20q11.22 and bipolar disorder (log Bayes
factor = 5.48; bipolar disorder P =
5.85×10–5). Follow-up studies across multiple independent
samples confirmed the association of the risk SNP (rs6088662) with gene
expression and bipolar disorder susceptibility (P =
3.54×10–8). Further exploratory analysis revealed that
rs6088662 is also associated with hippocampal volume and cognitive
performance in healthy individuals.
Our findings suggest that 20q11.22 is likely a risk region for bipolar
disorder; they also highlight the informative value of integrating
functional annotation of genetic variants for gene expression in
advancing our understanding of the biological basis underlying complex
disorders, such as bipolar disorder.
The NASA Kepler satellite has provided unprecedented high duty-cycle, high-precision light curves for a large number of stars by continuously monitoring a field of view in Cygnus-Lyra region, leading to great progress in both discovering exoplanets and characterizing planet-hosting stars by means of asteroseismic methods. The asteroseismic survey allows the investigation of stars covering the whole H-R diagram. However, the low precision of effective temperatures and surface gravities in the KIC catalogue and the lack of information on chemical composition, metallicity and rotation rate prevent asteroseismic modeling, requiring spectroscopic observations for thousands of asteroseismic targets in the Kepler field in a homogeneous way.
We construct the radially-resolved semi-analytic models of galaxy formation based on the L-Galaxies model framework, which include both atomic and molecular gas phase in ISM. The models run on the halo outputs of ΛCDM cosmology N-body simulation. Our models can reproduce varies observations of HI gas in nearby galaxies, e.g. the HI mass function, the HI-to-star ratio vs stellar mass and stellar surface density, universal HI radial surface density profile in outer disks etc. We also give the physical origin of HI size-mass relation. Based on our model results for local dwarf galaxies, we show that the “missing satellite problem” also exists in the HI component, i.e., the models over-predict dwarf galaxies with low HI mass around the Milky Way. That is a shortcoming of current ΛCDM cosmology framework. Future survey for HI gas in local dwarf galaxies (e.g. MeerKAT, SKA & FAST) can help to verify the nature of dark matter (cold or warm).
In molecular dynamics simulations, the local stress state in the shear band is examined in six different model metallic glasses and one amorphous Si system (also has been perceived as a metallic glass analog) under different loading conditions. For all but the FeP and the amorphous Si systems, the running shear band (RSB) exhibits a liquid-like hydrostatic plus shear stress state. Our results suggest that the liquid feature of a RSB is not due to temperature rise or plastic confinement but due to the disorder driven by flow, which can be offset by strong directionality in bonding, phase segregation, or aging. The knowledge of the liquid-like stress state can be conveniently utilized in experiments to infer the local stress state of the RSB from the global tensile stress for metallic glasses.
The aim of this review was to systematically search and critique relevant literature on the potential psychological impact of earthquakes on peripartum women to synthesize existing knowledge for further action.
A search through 5 databases was conducted for relevant publications in English, and the results were screened through a set of inclusion and exclusion processes.
Eight articles were included. Depression and posttraumatic stress disorder were the most often reported mental disorders. Some factors (eg, family relationships and social support) were associated with mental disorders suffered by peripartum women after earthquakes. An assessment of the quality of the studies showed that most did not have high levels of evidence because of their cross-sectional design and limitations.
Among the factors that influenced the mental health of pregnant and postpartum women after earthquakes, family function appears to be one of the most important and deserves further exploration. Other mental health conditions such as minor psychiatric disorders should also be studied for their relationship with disasters and pregnancy. Well-designed studies are needed to enable a better understanding of the relationship between earthquakes and the mental disorders of peripartum women so that the most appropriate interventions can be proposed. (Disaster Med Public Health Preparedness. 2014;0:1–11)
xPb(Yb1/2Nb1/2)O3-(1 − x)Pb(Zr0.36Ti0.64)O3 (xPYN-(1 − x)PZT) piezoelectric ceramics were prepared by the conventional ceramic processing via a B-site oxide mixing route. The synthesized xPYN-(1 − x)PZT ceramics exhibit majority of perovskite structure with slight content of impurity, which exhibit typical tetragonal structure with slight orthorhombic distortion depending on compositions. All the xPYN-(1 − x)PZT ceramics exhibit high Curie temperature (TC/Tm), higher than 380 °C, and their dielectric behavior above TC/Tm can be fitted well by the Curie-Weiss law. The xPYN-(1 − x)PZT ceramics exhibit large resistivity, and excellent ferroelectric and piezoelectric properties, which provide promising for the high-power and high-temperature piezoelectric applications. However, electric energy density of the xPYN-(1 − x)PZT ceramics is small due to their nearly rectangular shape of polarization-electric field (P-E) hysteresis loop and early electric displacement saturation, which is not suitable for high energy and power storage applications.
The distribution of the endemic threatened plant Camellia changii Ye (Family Theaceae) is restricted to a small area in southern China, and little else is known about its status in the wild. To provide information for the conservation of C. changii we investigated its distribution, population size and structure, and habitat, and assessed its conservation status. Surveys confirmed that the species grows in a narrow band along both sides of a 4 km long segment of a stream in Ehuangzhang Nature Reserve, under the discontinuous canopy of a secondary evergreen broadleaved forest on well-drained, acidic sandy loam soil. We found a total of 1,039 individuals of C. changii. The population has a high flowering rate but a low seed-setting rate. The population appears to be in decline because no seedlings and few young plants were evident. Our findings indicate that C. changii should be categorized as Critically Endangered on the IUCN Red List. We have recommended an integrated species-conservation plan for the species that includes patrolling the Ehuangzhang Nature Reserve to prevent plant removal, establishing an ex situ living collection that contains the entire wild genetic diversity (accomplished by grafting of short cuttings from all wild individuals), facilitating propagation for commercial use, and implementing reintroduction to augment the wild population.
Flexible electronics and microsystems are an emerging technology with a tremedous impact to the future electronics and information technology and widespread applications. Various devices and microsystems have been developed. Surface acoustic wave (SAW) devices are a type of essential device for electronics, microsensors and microsystems; however there is no activity on the development of flexible SAW devices yet. This paper reports the development of flexible SAW devices on cheap, bendable and disposable plastic films. Flexible SAW devices with resonant frequency of 198.1 MHz and 447 MHz for the Rayleigh and Lamb waves respectively have been obtained with a large transmission signal up to 18dB. The flexible SAW devices have also demonstrated their ability for acoustic streaming with a velocity up to 3.4 cm/s and for particle concentration. The results have clearly demonstrated that the flexible SAW devices have great potential for applications in electronics and microsystems.
Recent progress on rare-earth doped polycrystalline YAG transparent ceramics has made them an alternative novel solid-state laser gain material. In this paper we present results of our research on polycrystalline RE:YAG transparent ceramics. High optical quality YAG ceramics doped with various rare-earth (RE) ions such as
have been successfully fabricated using the solid-state reactive sintering method. Highly efficient laser oscillations of the fabricated ceramics are demonstrated.
Two sets of reciprocal introgression lines (ILs) and a population of recombinant inbred lines (RILs) derived from the cross between japonica cultivar Xiushui09 and indica breeding line IR2061-520-6-9 (abbreviated as IR2061) were used to identify QTL for heading date (HD). Phenotyping was conducted in Hainan Island for two winter seasons (2007 and 2009). Nine QTLs were detected in the ILs with Xiushui09 background (XS-ILs), and four of which were repeatedly mapped across 2 years. Five QTLs were identified in the ILs with IR2061 background (IR-ILs), and three of which were commonly detected in 2 years. All commonly detected QTL had the same direction of gene effect. Seven QTL for HD were identified in the RILs in 2009. Only three (25%) QTLs were commonly detected using all the three populations (XS-ILs, IR-ILs and RILs). The number of commonly identified QTLs among populations was related to degree of similarity of their genetic backgrounds, suggesting that the genetic background effect is important for detecting HD QTL. QHd7 and QHd10b stably expressed in different populations and across years thus would be exploited in rice breeding programme. Moreover, lines with both of QHd7 and QHd10b resulted in at least 3 days earlier than lines with only one of them QTL, showing evident pyramiding effect.