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The risk of environmental contamination by severe acute respiratory coronavirus virus 2 (SARS-CoV-2) in the intensive care unit (ICU) is unclear. We evaluated the extent of environmental contamination in the ICU and correlated this with patient and disease factors, including the impact of different ventilatory modalities.
Methods:
In this observational study, surface environmental samples collected from ICU patient rooms and common areas were tested for SARS-CoV-2 by polymerase chain reaction (PCR). Select samples from the common area were tested by cell culture. Clinical data were collected and correlated to the presence of environmental contamination. Results were compared to historical data from a previous study in general wards.
Results:
In total, 200 samples from 20 patient rooms and 75 samples from common areas and the staff pantry were tested. The results showed that 14 rooms had at least 1 site contaminated, with an overall contamination rate of 14% (28 of 200 samples). Environmental contamination was not associated with day of illness, ventilatory mode, aerosol-generating procedures, or viral load. The frequency of environmental contamination was lower in the ICU than in general ward rooms. Eight samples from the common area were positive, though all were negative on cell culture.
Conclusion:
Environmental contamination in the ICU was lower than in the general wards. The use of mechanical ventilation or high-flow nasal oxygen was not associated with greater surface contamination, supporting their use and safety from an infection control perspective. Transmission risk via environmental surfaces in the ICUs is likely to be low. Nonetheless, infection control practices should be strictly reinforced, and transmission risk via droplet or airborne spread remains.
Based on an accurate numerical solution of the kinetic equation using well-resolved spatial and velocity grids, the separation of rarefied gas flow in a microchannel with double rectangular bends is investigated over a wide range of Knudsen and Reynolds numbers. Rarefaction effects are found to play different roles in flow separation (vortex formation) at the concave and convex corners. Flow separations near the concave and convex corners are only observed for a Knudsen number up to
$0.04$
and
$0.01$
, respectively. With further increase of the Knudsen number, flow separation disappears. Due to the velocity slip at the solid walls, the concave (convex) vortex is suppressed (enhanced), which leads to the late (early) onset of separation of rarefied gas flows with respect to the Reynolds number. The critical Reynolds numbers for the emergence of concave and convex vortices are found to be as low as
$0.32\times 10^{-3}$
and
$30.8$
, respectively. The slip velocity near the concave (convex) corner is found to increase (decrease) when the Knudsen number increases. An adverse pressure gradient appears near the concave corner for all the examined Knudsen numbers, while for the convex corner it only occurs when the Knudsen number is less than
$0.1$
. Due to the secondary flow and adverse pressure gradient near the rectangular bends, the mass flow rate ratio between the bent and straight channels of the same length is a non-monotonic function of the Knudsen number. Our results clarify the diversified and often contradictory observations reported in the literature about flow rate enhancement and vortex formation in bent microchannels.
In situ nanomechanical testing in (scanning) transmission electron microscopy provides unique opportunities for studying fundamental deformation processes in materials. New insights have been gained by combining advanced imaging techniques with novel preparation methods and controlled loading scenarios. For instance, by applying in situ high-resolution imaging during tensile deformation of metallic nanostructures, the interplay of dislocation slip and surface diffusion has been identified as the key enabler of superplasticity. Evidence for dislocation pinning by hydrogen defect complexes has been provided by in situ imaging under cyclic pillar compression in a tunable gas environment. And, for the very first time, individual dislocations have been moved around in situ in two-dimensional materials by combining micromanipulation and imaging in a scanning electron microscope.
In this article, we present an analytical approach that focuses on how transnational and translingual learners mobilize their multilingual, multimodal, and multisemiotic repertoires, as well as their learning and work experiences, as resources in language learning. The approach is that of translanguaging, which seeks to push the boundaries not only between different named languages but also between different modalities and across language scripts and writing systems. We base our arguments on a study of self-directed learning of Chinese via online platforms in the context of mobility and aim to demonstrate the transformative capacity of translanguaging. In doing so, we highlight the need for a transdisciplinary approach to language learning that transcends the boundaries between linguistics, psychology, and education, and in particular, the need to go beyond the artificial divides of the different modalities of language learning to strengthen the connections between research on bilingualism and multilingualism and research on language teaching and learning.
OBJECTIVES/SPECIFIC AIMS: Characterize the expression kinetics of HIV-1 Envelope and their relationship to virus production at the cellular level. METHODS/STUDY POPULATION: In vitro and ex vivo laboratory analyses. RESULTS/ANTICIPATED RESULTS: Initial studies addressing the kinetics of cell surface. Envelope (Env) expression reveal that Env expression to peaks on day 2 post infection. Next steps include a series of experiments to compare the kinetics of Env cell surface expression with broadly neutralizing antibody (bNAb)-mediated ADCC and the characterization of virus production kinetics in this same context. To be maximally effective, ADCC elimination of infected cells should occur before peak Env expression. DISCUSSION/SIGNIFICANCE OF IMPACT: Potent bNAbs to HIV-1 recognize vulnerable sites on the HIV-1 Envelope (Env) protein and are of great clinical interest due to their potential use in the prevention and treatment of HIV-1 infection. Their effectiveness depends not only on the neutralization of viral infectivity, but also on the elimination of productively infected cells via antibody-dependent cellular cytotoxicity (ADCC). On a cellular level, ADCC dynamics are determined by the timing and level of Env expression on the surface of HIV-infected cells. This study aims to delineate the expression kinetics of HIV-1 Envelope and their relationship to virus production. We expect that it will provide new insights into the utility of bNAb-mediated ADCC in treating and possibly curing HIV-1 infection; therefore results might have substantial impact on future HIV treatment strategies.
Resistance switching random-access memory (ReRAM), with the ability to repeatedly modulate electrical resistance, has been highlighted as a feasible high-density memory with the potential to replace negative-AND flash memory. Such resistance modulation usually involves ion migration and filament formation, which usually lead to relatively low device reliability and yield. Resistance switching can also come from an entirely electronic origin, as in nanometallic memory, by electron trapping and detrapping. Recent research has revealed additional merits of its mechanism, which entails smart, atomic-sized floating gates that can be easily engineered in amorphous Si, oxides, and nitrides. This article addresses the basic ideas of nanometallic ReRAM, which may also be a contender for analogue computing and non-von Neumann-type computation.
SiO2-MgF2/TiO2 double-layer films with antireflective, self-cleaning and adherent properties were prepared by spin-coating SiO2-MgF2 and TiO2 sol on glass substrate successively and subsequently being calcined at 250°C. The optical and structural properties of films have been investigated by visible spectrophotometer and field emission scanning electron microscope, respectively. At the same time, self-cleaning property generated from superhydrophilicity and photocatalysis was obtained. The results indicated that the as-prepared SiO2-MgF2/TiO2 double-layer films show a maximum increase in transmittance near 520 nm wavelength of 2.8% and photocatalytic property with the R value of 4.7(JIS R 1703–2).It has been demonstrated that high transmittance, self-cleaning and adherent composite has been obtained by a simple sol–gel route presenting good potential to be applied on photovoltaics systems.
Most systematic tables of data associated to ranks of elliptic curves order the curves by conductor. Recent developments, led by work of Bhargava and Shankar studying the average sizes of
$n$
-Selmer groups, have given new upper bounds on the average algebraic rank in families of elliptic curves over
$\mathbb{Q}$
, ordered by height. We describe databases of elliptic curves over
$\mathbb{Q}$
, ordered by height, in which we compute ranks and
$2$
-Selmer group sizes, the distributions of which may also be compared to these theoretical results. A striking new phenomenon that we observe in our database is that the average rank eventually decreases as height increases.
We study moduli spaces of lattice-polarized K3 surfaces in terms of orbits of representations of algebraic groups. In particular, over an algebraically closed field of characteristic 0, we show that in many cases, the nondegenerate orbits of a representation are in bijection with K3 surfaces (up to suitable equivalence) whose Néron–Severi lattice contains a given lattice. An immediate consequence is that the corresponding moduli spaces of these lattice-polarized K3 surfaces are all unirational. Our constructions also produce many fixed-point-free automorphisms of positive entropy on K3 surfaces in various families associated to these representations, giving a natural extension of recent work of Oguiso.
As electronic devices are indispensable in many aspects of our lives today, their integration with unconventional surfaces is increasingly essential. Electronic devices which maintain their electrical properties upon stretching are desirable for various wearable applications. Stretchable devices demonstrated are conventionally fabricated using semiconductor processing techniques. In this study, we demonstrate stretchable electrodes, which are basic components of electrical circuits, using screen printing, a large area printing method. It provides a low cost and scalable method to fabricate large area stretchable devices. Despite the larger width and thickness of the electrodes which increases the stiffness of the material, stretchability beyond 40% is demonstrated, which is suitable for certain wearable applications. The stretchable electrodes are integrated with light emitting diodes (LEDs) to demonstrate a stretchable LED matrix. The large area LED matrices exhibit variable stretchability, depending on the LED areal coverage. This technique is expected to be applicable in the fabrication of other stretchable, large area, and more complex electronic systems.
Obesity and hyperlipidaemia increase the risk of CVD. Some strains of probiotics have been suggested to have potential applications in cardiovascular health by lowering serum LDL-cholesterol. In this work, high-fat diet-induced hyperlipidaemia in hamsters was treated with different doses (5×108 and 2·5×109 cells/kg per d) of heat-killed Lactobacillus reuteri GMNL-263 (Lr263) by oral gavage for 8 weeks. The serum lipid profile analysis showed that LDL-cholesterol and plasma malondialdehyde (P-MDA) were reduced in the GMNL-263 5×108 cells/kg per d treatment group. Total cholesterol and P-MDA were reduced in the GMNL-263 2·5×109 cells/kg per d treatment group. In terms of heart function, the GMNL-263 2·5×109 cells/kg per d treatments improved the ejection fraction from 85·71 to 91·81 % and fractional shortening from 46·93 to 57·92 % in the high-fat diet-fed hamster hearts. Moreover, the GMNL-263-treated, high-fat diet-fed hamster hearts exhibited reduced Fas-induced myocardial apoptosis and a reactivated IGF1R/PI3K/Akt cell survival pathway. Interestingly, the GMNL-263 treatments also enhanced the heat-shock protein 27 expression in a dose-dependent manner, but the mechanism for this increase remains unclear. In conclusion, supplementary heat-killed L. reuteri GMNL-263 can slightly reduce serum cholesterol. The anti-hyperlipidaemia effects of GMNL-263 may reactivate the IGF1R/PI3K/Akt cell survival pathway and reduce Fas-induced myocardial apoptosis in high-fat diet-fed hamster hearts.
The present study investigates the relationship between BMI and all-cause mortality among middle-aged and older adults with or without pre-existing diseases.
Design
A population-based cohort study.
Setting
The Taiwan Longitudinal Study on Aging is a nationwide prospective cohort study comprising a representative random sample of middle-aged and older adults. The study period was 1996–2007.
Subjects
We followed 4145 middle-aged and older adults, totalling 42 353 person-years.
Results
Overweight and mildly obese participants showed a 16 % and 30 % decrease in the risk of death, respectively, compared with those of normal weight after adjusting for potential covariates (e.g. demographic characteristics, health behaviour, co-morbidities and physical function). Underweight adults showed a 1·36-fold increased adjusted hazard ratio of death compared with normal-weight adults. Adults with a BMI of 27·0–28·0 kg/m2 showed a significantly lower adjusted hazard ratio of all-cause mortality rate compared with adults who had normal BMI values when they had coexisting hypertension or diabetes (adjusted hazard ratio=0·50; 95 % CI 0·30, 0·81 for hypertension and adjusted hazard ratio=0·41; 95 % CI 0·18, 0·89 for diabetes).
Conclusions
The study demonstrates that underweight people have a higher risk of death, and overweight and mildly obese people have a lower risk of death, compared with people of normal weight among middle-aged and older adults. An optimal BMI may be based on the individual, who exhibits pre-existing diseases or not.
Stretchable transparent conductors are required for flexible and wearable electronics. This study demonstrates biaxially stretchable transparent conductors that use silver nanowire networks. The use of buckled nanowire networks has previously been reported to lend stretchability to the transparent conductor in a single axis. However, a nanowire network that is prestrained and then buckled out-of-plane biaxially shows a deterioration of the electrical conductivity after a single cycle of stretching and releasing the strain uniaxially. This has been attributed to the loss of good electrical contact between the nanowires. By hot pressing the out-of-plane buckled nanowires to obtain an in-plane wavy nanowire network with good wire-to-wire junctions, a biaxially stretchable transparent conductor that maintains good electrical conductivity with stretching up to 10% is demonstrated. The methods of prestraining the nanowire network to achieve out-of-plane buckled nanowires and hot pressing the out-of-plane buckled nanowires to obtain an in-plane wavy nanowire network with fused junctions are expected to be practical for other classes of percolative networks based on one-dimensional (1D) materials used in flexible and stretchable applications.
The paper considers testing parametric assumptions on the conditional mean and variance functions for nonlinear autoregressive models. To this end, we compare the kernel density estimate of the marginal density of the process with a convolution-type density estimate. It is shown that, interestingly, the latter estimate has a parametric
$\left( {\sqrt n } \right)$
rate of convergence, thus substantially improving the classical kernel density estimates whose rates of convergence are much inferior. Our results are confirmed by a simulation study for threshold autoregressive processes and autoregressive conditional heteroskedastic processes.
Understanding solvent transport in polymers is of practical importance for the applications of polymers in the fields of food packaging, biomedical bandages, materials engineering, etc. We studied one-side desorption in poly(methyl methacrylate) (PMMA). Experimental results showed that methanol desorption in PMMA depended on temperature and the initial distribution of concentration. The diffusion coefficient in PMMA and the evaporation rate of methanol across the PMMA surface followed the Arrhenius relation. The activation energies for the diffusion and the evaporation of methanol are 18.3, 42.6 and 8.6, 18.3 kJ/mol for the specimens with the ratio of initial mass to the equilibrium saturated absorbed mass, Mi/M∞, being 14.6% and 35.3%, respectively. The partial molal volume increased with the increase of the desorption temperature for Mi/M∞ = 14.6%, while it had an opposite trend for Mi/M∞ = 35.5%. The chemical stresses developed in PMMA during the desorption were also studied.
We have developed a low cost and convenient approach to fabricate ITO-comparable transparent electrodes by using solution process of silver nanowires mixed with poly peroxotitanic acid (PPT) gel. The PPT gel is applied to connect the dispersed silver nanowires to preserve its high conductivity while remaining transparency and reducing surface roughness of the transparent electrode. The silver nanowires were synthesized via a modified polyol method, and the PPT gels were prepared by sol-gel method in appropriate concentrations. After applying the PPT gels, the sheet resistance of the transparent electrodes was improved from 192 Ω/□ to 44.7 Ω/□ with a transmittance of 81 %. And the roughness (RMS) was decreased from 106.3 nm to 48.1 nm. The PPT gel also improved the reliability of the proposed electrodes, which the conductivity was remained after general atmospheric storage of 6 months. We also demonstrate an Alq3 based OLED with the proposed transparent electrodes.
A photoactivated ZnO nanomesh with precisely controlled dimensions and geometries is fabricated by using nanosphere lithography process. The nanomesh structures effectively increase the surface-to-volume ratio to improve the sensing response under the same testing gas. And the periodical nanostructures also increase the effective light path and lead to more efficient light activation for gas sensing. With the increase of the photoinduced oxygen ions by UV illumination, a distinguished sensing response is observed at room temperature. In the optimized case, the sensing response (△R/R0) of the ZnO nanomesh at the butanol concentration of 500 ppm is 97.5%, which is 4.54 times higher than the unpatterned one.
We study the moduli space of a product of stable varieties over the field of complex numbers, as defined via the minimal model program. Our main results are: (a) taking products gives a well-defined morphism from the product of moduli spaces of stable varieties to the moduli space of a product of stable varieties; (b) this map is always finite étale; and (c) this map very often is an isomorphism. Our results generalize and complete the work of Van Opstall in dimension
$1$
. The local results rely on a study of the cotangent complex using some derived algebro-geometric methods, while the global ones use some differential-geometric input.
There have been efforts to develop alternative transparent conductors to replace indium tin oxide (ITO). A hybrid transparent conductor that integrates a metallic Cu grid and graphene film promises to be a suitable candidate. Flexibility, sheet resistance, and transmittance comparable to ITO have been demonstrated. Here, we show that the optical and electrical properties of the hybrid transparent conductor can be easily tuned by clever design of the metal grid. The outcome of our study provides unprecedented guidelines for future design of metal grids integrated in transparent conductors. We also find that the graphene film forms an effective barrier to retard the degradation of the copper grid when the hybrid transparent conductor is heated in air up to high temperatures for an extended period of time. Hence, a superior hybrid transparent conductor, which can be carefully engineered to display desirable properties, has been demonstrated.