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In response to the rapid spread of novel coronavirus disease 2019 (COVID-19), health-care systems should establish procedures for early recognition and management of suspected or confirmed cases. We describe the various steps taken for the development, implementation, and dissemination of the interdisciplinary COVID-19 protocol at Jackson Health System (JHS), a complex tertiary academic health system in Miami, Florida. Recognizing the dynamic nature of COVID-19, the protocol addresses the potential investigational treatment options and considerations for special populations. The protocol also includes infection prevention and control measures and routine care for suspected or proven COVID-19 patients.
The Institute of Translational Health Sciences (ITHS), a Clinical and Translational Science Award (CTSA)-funded program at the University of Washington (UW), established the Drug and Device Advisory Committee (DDAC) to provide product-specific scientific and regulatory mentoring to investigators seeking to translate their discoveries into medical products. An 8-year retrospective analysis was undertaken to evaluate the impact of the DDAC programs on commercialization metrics.
Tracked metrics included the number of teams who consulted with the DDAC, initiated a clinical trial, formed a startup, or were successful obtaining federal small business innovation awards or venture capital. The review includes historical comparisons of the startup rates for the UW School of Medicine and the Fred Hutchinson Cancer Research Center, two ITHS-affiliated institutions that have had different DDAC utilization rates.
Between 2008 and 2016, the DDAC supported 161 unique project teams, 28% of which went on to form a startup. The commercialization rates for the UW School of Medicine increased significantly following integration of the DDAC into the commercialization programs offered by the UW technology transfer office.
A formalized partnership between preclinical consulting and the technology transfer programs provides an efficient use of limited development funds and a more in-depth vetting of the business opportunity and regulatory path to development.
A girl aged 6 presented with haematuria and her sister (aged 5) presented with haematuria and proteinuria. Family history showed multiple individuals suffering from end stage renal failure from the paternal side of the pedigree. Following kidney biopsy in the father and paternal grandmother, the pathological diagnosis was of focal segmental glomerulosclerosis (FSGS). Exome sequencing was undertaken in the proband's sister and grandmother. Genetic variants shared by both affected individuals were interrogated to identify the genetic cause of disease. Candidate variants were then sequenced in all the family members to determine segregation with the disease. A mutation of COL4A5 known to cause Alport syndrome segregated with disease from the paternal side of the pedigree and a variant in NPHS1 was present in both paediatric cases and inherited from their mother. This study highlights the advantages of exome sequencing over single gene testing; disease presentation can be heterogeneous with several genes representing plausible candidates; candidate gene(s) may be unavailable as a diagnostic test; consecutive, single gene testing typically concludes once a single causal mutation is identified. In this family, we were able to confirm a diagnosis of Alport syndrome, which will facilitate testing in other family members.
A simple ashing procedure for a mixture containing kaolinite and chrysotile is described that converts kaolinite to amorphous metakaolinite while retaining the diffraction intensity of chrysotile. This ashing procedure removes the X-ray diffraction (XRD) pattern overlap between kaolinite and chrysotile that can interfere with the analysis of even high concentrations of chrysotile. Samples are ashed at 460 °C in a muffle furnace for 40 h to completely convert kaolinite to metakaolinite. The complete conversion of 1 g of kaolinite under these conditions was determined for two standard kaolinite samples from Georgia, KGa-1 and KGa-2. Two of the most common types of commercial chrysotile, long-fiber Canadian and short-fiber Californian chrysotile, are demonstrated to retain diffraction intensity after ashing at 460 °C. Both chrysotile samples have the same integrated intensity for the (002) reflection prior to ashing, although the peak breadths for the two samples are quite different. Ashing at 480 and 500 °C reduces the diffraction intensities of both chrysotile samples by 15%, and broadens the peaks by approximately 3%. Using the prescribed ashing procedure and x-ray diffraction with an internal corundum standard, two kaolinite-bearing building materials containing chrysotile near 0.01 mass fraction were analyzed. The ashing procedure has additional advantages in reducing some samples to powders and removing volatile components, thereby eliminating some sample preparation procedures and concentrating any chrysotile present in the sample. The removal of volatile components improves the sensitivity of XRD analysis to concentrations below 0.01 mass fraction chrysotile.
We study comparative statics results for the steady-state monetary equilibria of a simple random matching model of money with endogenous prices and no extrinsic uncertainty. Some of the results appear counterintuitive (both when take-it-or-leave-it offer or when Nash–Rubinstein bargaining is used in the model). Consistency of the equilibrium expectations causes the partial equilibrium intuitions to be reversed. We then proceed to apply the new insights to the analysis of sunspot equilibria in these type of models of bilateral trade with money.
Titanium aluminide alloys based on the intermetallic γ (TiAl) and α2 (Ti3Al) phases are being considered as light-weight materials for high-temperature applications in advanced energy conversion systems. However, for such applications the material suffers from insufficient creep resistance at the intended service temperature of 700°C. The paper reports an electron microscope study of diffusion controlled mechanisms which apparently cause the degradation of the strength properties. The processes lead to significant structural changes involving the formation of extended ledges and recrystallization. The driving forces of these mechanisms probably arise from non-equilibrium phase compositions and significant coherency stresses occurring at the interfaces.
In this paper, we present some results of the newly developed on-wafer photothermal measurement. To study thermal anisotropy, the out-of-plane thermal diffusivity measured from this technique is compared with the in-plane thermal diffusivity by measured by ISTS . In addition to the thermal properties, the agreement with mechanical  and optical properties are also shown. The significance of different thermal performance between low K dielectric medium materials and SiO2 suggests that greater attention should be paid to thermal properties for integrated devices with low K materials.
Long-term tension creep tests were performed on a Ti-48 at.% Al-2 at.% Cr alloy in order to assess the material behaviour under the intended service conditions for structural parts in turbine engines. Deformation processes and microstructural changes were investigated by TEM on a specimen loaded to 140 MPa for 5988 h at 700 °C. At lamellar boundaries the emission of interfacial dislocations was observed and is thought to contribute significantly to the high primary creep rate of the material. Under the creep conditions gliding dislocations apparently become locked by the heterogeneous formation of precipitates along their cores. Lamellar interfaces revealed ledges which indicates that they migrate during creep.
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