Environmental geology study: parts of west Wiltshire and south-east Avon

The objective of this study has been to collect and interpret the available environmental geology data and to use it to compile a set of thematic maps and this report. The maps and report are intended for use by those not trained in geology as well as specialists, and to help assess the land-use planning implications of surface and subsurface development

S-ICD oversensing detected by remote monitoring using a new atrial fibrillation diagnostic algorithm

A 64-year-old male with a high body mass index, and subcutaneous implantable cardioverter defibrillator, (S-ICD) presented with a remote transmission of inappropriately diagnosed AF episodes, due to oversensing of P and T waves. The AF monitor can be an early warning for inappropriate sensing. Oversensing, due to small amplitude signals, can be caused by the lead position not being adequately opposed to the sternum

Redeployment and training of healthcare professionals to Intensive Care during COVID-19: a systematic review

Background: A rapid influx of patients to intensive care and infection control measures during the COVID-19 pandemic required the rapid development of innovative redeployment and training strategies. / Methods: We conducted a systematic search of 9 databases including key terms related to intensive care AND training AND redeployment AND healthcare workers. Analysis consisted of a narrative synthesis of quantitative study outputs, and a framework-based thematic analysis of qualitative study outputs and grey literature. These results were then combined applying an interpretative synthesis. / Results: Twenty papers were analysed. These took place primarily in the UK (N=8, 40%) and USA (N=5, 25%). Themes included in the results are Redeployment: Implementation strategies and learnings; Redeployed staff experience and strategies to address their needs; Redeployed staff learning needs; Training formats offered and training evaluations; and Future redeployment and training concerns. Some of the redeployment implementation and training strategies documented in this review are: Skills-based redeployment, buddy support systems, and agreeing on locally-specific principles, rather than strict procedures. / Conclusion: The COVID-19 pandemic presented unique challenges to deliver training promptly while following infection control recommendations and develop flexible redeployment strategies. This study synthesises original approaches to tackle these challenges which are relevant to inform the development of targeted and adaptative training and redeployment plans

DI Diesel Engine Combustion Visualized by Combined Laser Techniques

In this work we demonstrate that the progress of the combustionccycle in a four-cylinder (in-line) 1.9 1 direct injection Diesel engine can be studied effectively using different laser visualization techniques. Direct optical access to the piston bowl was facilitated by inserting quartz windows in one of the pistons. The flow field at the time of injection was characterized by seeding the flow and illuminating the piston bowl with a laser light sheet. Fuel spray development, auto-ignition and flame propagation in a Diesel cycle were followed by laser shadowgraphy and high speed cinematography while simultaneous laser induced fluorescence (LIF) and Mie scattering images were taken to distinguish the fuel distribution in the liquid and vapor phase. In addition, two dimensional distributions of OH and NO, formed during n-heptane/air combustion in the same engine, were recorded in the pressure range 5 to 50 bar by LIF following narrowband excitation using tunable excimer lasers. Finally, further work, designed to obtain quantitative images and hence data for comparison with model calculations, is outlined.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/86790/1/Sick50.pd

Diagnostic Impact of Repeated Expert Review & Long‐Term Follow‐Up in Determining Etiology of Idiopathic Cardiac Arrest

Background: Recognizing the etiology of sudden cardiac arrest (SCA) has an enormous impact on the management of victims and their immediate families. A significant proportion of SCA survivors with a structurally normal heart are not offered a diagnosis and there is no clear consensus on the type and duration of follow‐up. We aimed to assess the utility of a multidisciplinary approach in optimizing diagnosis of cardiac arrest etiology during follow‐up. Methods and Results: We retrospectively assessed 327 consecutive SCA survivors (mean age 61.9±16.2 years, 80% men) who underwent secondary prevention implantable cardioverter defibrillators between May 2015 and November 2018. The initial diagnosis was recorded at the time of admission and follow‐up diagnosis was deduced from subsequent clinic records, investigations, and outcomes of multidisciplinary team meetings. Structural heart disease accounted for 282 (86%) of SCAs. Forty‐five (14%) patients had a structurally normal heart and underwent comprehensive testing and follow‐up (mean duration 93±52 weeks). On initial evaluation, 14/45 (31%) of these received a diagnosis, rising to 29/45 (64%) with serial reviews during follow‐up. Discussion in multidisciplinary team meetings and imaging reassessment accounted for 47% of new diagnoses. No additional diagnoses were made beyond 96 weeks. Nineteen (5.8%) fatalities occurred in the entire cohort, exclusively in patients with structural heart disease. Conclusions: Systematic comprehensive testing combined with multidisciplinary expert team review of SCA survivors without structural heart disease improves the yield and time to diagnosis compared with previously published studies. This approach has positive implications in the management of SCA survivors and their families

Temperature and Pressure Dependences of the Laser-Induced Fluorescence of Gas-Phase Acetone and 3-Pentanone

Laser-Induced Fluorescence (LIF) from the S1 state of acetone and 3-pentanone was studied as a function of temperature and pressure using excitation at 248 nm. Additionally, LIF of 3-pentanone was investigated using 277 and 312 nm excitation. Added gases were synthetic air, O2, and N2 respectively, in the range 0–50 bar. At 383 K and for excitation at 248 nm, all the chosen collision partners gave an initial enhancement in fluorescence intensity with added gas pressure. Thereafter, the signal intensity remained constant for N2 but decreased markedly for O2. For synthetic air, only a small decrease occurred beyond 25 bar. At longer excitation wavelengths (277 and 312 nm), the corresponding initial rise in signal with synthetic air pressure was less than that for 248 nm. The temperature dependence of the fluorescence intensity was determined in the range 383–640 K at a constant pressure of 1 bar synthetic air. For 248 nm excitation, a marked fall in the fluorescence signal was observed, whereas for 277 nm excitation the corresponding decrease was only half as strong. By contrast, exciting 3-pentanone at 312 nm, the signal intensity increased markedly in the same temperature range. These results are consistent with the observation of a red shift of the absorption spectra (9 nm) over this temperature range. Essentially, the same temperature dependence was obtained at 10 and 20 bar pressure of synthetic air. It is demonstrated that temperatures can be determined from the relative fluorescence intensities following excitation of 3-pentanone at 248 and 312 nm, respectively. This new approach could be of interest as a non-intrusive thermometry method, e.g., for the compression phase in combustion engines.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/86780/1/Sick44.pd

Laser-In-Situ Monitoring of Combustion Processes

Several examples of laser in situ monitoring of combustion processes are presented. Using a frequency modulated 13CO2 waveguide laser, in situ concentrations of NH3 down to 1 ppm were measured at temperatures up to 600°C in waste incinerators and power or chemical plants. Following ignition of CH3OH-O2 mixtures by a TEA CO2 laser, gas temperature profiles were measured using rapid scanning tunable diode laser spectroscopy of CO molecules. In laminar CH4-air counterflow diffusion flames at atmospheric pressure absolute concentrations, temperatures, and collisional lifetimes of OH radicals were determined by 2-D and picosecond LIF and absorption spectroscopy. Two-dimensional LIF and Mie scattering were used to observe fuel injection and combustion in a diesel engine.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/86767/1/Sick52.pd