Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

High-resolution CT phenotypes in pulmonary sarcoidosis: a multinational Delphi consensus study

One view of sarcoidosis is that the term covers many different diseases. However, no classification framework exists for the future exploration of pathogenetic pathways, genetic or trigger predilections, patterns of lung function impairment, or treatment separations, or for the development of diagnostic algorithms or relevant outcome measures. We aimed to establish agreement on high-resolution CT (HRCT) phenotypic separations in sarcoidosis to anchor future CT research through a multinational two-round Delphi consensus process. Delphi participants included members of the Fleischner Society and the World Association of Sarcoidosis and other Granulomatous Disorders, as well as members' nominees. 146 individuals (98 chest physicians, 48 thoracic radiologists) from 28 countries took part, 144 of whom completed both Delphi rounds. After rating of 35 Delphi statements on a five-point Likert scale, consensus was achieved for 22 (63%) statements. There was 97% agreement on the existence of distinct HRCT phenotypes, with seven HRCT phenotypes that were categorised by participants as non-fibrotic or likely to be fibrotic. The international consensus reached in this Delphi exercise justifies the formulation of a CT classification as a basis for the possible definition of separate diseases. Further refinement of phenotypes with rapidly achievable CT studies is now needed to underpin the development of a formal classification of sarcoidosis

Impact of pore flexibility in imine-linked covalent organic frameworks on benzene and cyclohexane adsorption

This work focuses on the impact of covalent organic frameworks' (COFs) pore flexibility in the adsorption and separation of benzene and cyclohexane. With this aim, we have selected the imine-linked 3D COFs COF-300 and LZU-111 as examples of flexible and rigid frameworks, respectively. Optimized syntheses at room temperature or in solvothermal conditions enabled us to selectively isolate the narrow-pore form of COF-300 (COF-300-rt) or a mixture of the narrow-pore and a larger-pore form (COF-300-st), respectively, with different textural properties (BET specific surface area = 39 or 1270 m2/g, respectively, from N2adsorption at 77 K). In the case of LZU-111, only the room temperature route was successful, leading to the known microporous framework. COF-300-rt, COF-300-st, and LZU-111 were studied for benzene and cyclohexane adsorption and separation in static and dynamic conditions. At 298 K and 1 bar, these COFs adsorb more benzene (251, 221, and 214 cm3/g STP, respectively) than cyclohexane (175, 133, and 164 cm3/g STP, respectively). Moreover, the benzene and cyclohexane isotherms of COF-300-rt and COF-300-st are characterized by steps, as expected with a flexible material. Indeed, in situ powder X-ray diffraction experiments on benzene- and cyclohexane-impregnated batches enabled us to trap, for the first time, a sequence of forms of COF-300 with different pore aperture, rationalizing the stepped hysteretic isotherms. Finally, benzene/cyclohexane separation was evaluated using a benzene/cyclohexane 50:50 v/v flow at different temperatures (T = 298, 323, and 348 K): LZU-111 does not selectively retain any of the two components, while COF-300 exhibits stronger benzene-COF interactions also in dynamic conditions

Impact of Pore Flexibility in Imine-Linked Covalent Organic Frameworks on Benzene and Cyclohexane Adsorption

This work focuses on the impact of covalent organic frameworks’ (COFs) pore flexibility in the adsorption and separation of benzene and cyclohexane. With this aim, we have selected the imine-linked 3D COFs COF-300 and LZU-111 as examples of flexible and rigid frameworks, respectively. Optimized syntheses at room temperature or in solvothermal conditions enabled us to selectively isolate the narrow-pore form of COF-300 (COF-300-rt) or a mixture of the narrow-pore and a larger-pore form (COF-300-st), respectively, with different textural properties (BET specific surface area = 39 or 1270 m2/g, respectively, from N2 adsorption at 77 K). In the case of LZU-111, only the room temperature route was successful, leading to the known microporous framework. COF-300-rt, COF-300-st, and LZU-111 were studied for benzene and cyclohexane adsorption and separation in static and dynamic conditions. At 298 K and 1 bar, these COFs adsorb more benzene (251, 221, and 214 cm3/g STP, respectively) than cyclohexane (175, 133, and 164 cm3/g STP, respectively). Moreover, the benzene and cyclohexane isotherms of COF-300-rt and COF-300-st are characterized by steps, as expected with a flexible material. Indeed, in situ powder X-ray diffraction experiments on benzene- and cyclohexane-impregnated batches enabled us to trap, for the first time, a sequence of forms of COF-300 with different pore aperture, rationalizing the stepped hysteretic isotherms. Finally, benzene/cyclohexane separation was evaluated using a benzene/cyclohexane 50:50 v/v flow at different temperatures (T = 298, 323, and 348 K): LZU-111 does not selectively retain any of the two components, while COF-300 exhibits stronger benzene–COF interactions also in dynamic conditions

Kinematic and Morphometric Assessment of Fresh Semen, before, during and after Mating Period in Brahman Bulls

The objective of the present study was to determine the effects that the reproductive season has on the motility, kinematics, morphology, and sperm morphometry of Brahman bulls evaluated with a commercial CASA system. The experiment was carried out at the Costa Rica Institute of Technology from March to August 2021. A total of eight Brahman bulls were used. A total of 28 ejaculates were collected in the pre-mating period (PMP), during it (DMP), and after it (AMP) using an electroejaculator. The sperm concentration was measured with the Accuread photometer. The motility was measured using a Spermtrack® counting chamber. The analyses were performed with the CASA-Mot ISAS®v1 system. The morphology was analyzed using a microscope with a negative phase contrast objective. Morphometry was evaluated with the CASA-Morph. The sperm concentration did not present differences between the PMP and AMP; however, it was significantly higher than DMP (p > 0.05). Regarding the progressiveness variables, linearity on forward progression (LIN), straightness (STR), and wobble (WOB) were higher (p < 0.05) DMP. A kinematic principal component analysis grouped all the variables into three factors and an effect on the reproductive period was found (p < 0.05) in the parameters of the head and middle part of the sperm, such as width and perimeter, which were greater in the PMP. The length of the sperm head in the PMP and DMP did not show differences; however, both were larger (p < 0.05) than AMP. The insertion distance of the middle piece of the sperm was significantly greater than DMP. Finally, the PMP contained cells with a larger insertion angle (p < 0.05) than AMP. These findings are important to understand the implications of reproductive status on sperm quality and to consider them in andrological evaluations

Magnon polarons induced by a magnetic field gradient

In this paper, we report the theoretical possibility of generating magnon-polaron excitations through a space-varying magnetic field. The spatial dependence of the magnetic field in the Zeeman interaction gives rise to a magnon-phonon coupling when a magnetic field gradient is applied, and such a coupling depends directly on the strength of the gradient. It is also predicted that the direction of the magnetic field gradient allows control over which phonon polarization couples to the magnons in the material. Here, we develop the calculations of the magnon-phonon coupling for an arbitrary (anti)ferromagnet, which are later used to numerically study its consequences. These results are compared to the ones obtained with the phenomenological magnetoelastic coupling in yttrium iron garnet (YIG) where we show that the magnon-polaron band gap seen in YIG can be also obtained with a magnetic field gradient of ∼ 0.1 T / m which can be achieved with the current experimental techniques. Our results propose a different way of controlling the magnetoelastic coupling in an arbitrary material and open a route to exploit the magnon-phonon interaction in magnonic and spintronic devices

Emission and propagation of 1D and 2D spin waves with nanoscale wavelengths in anisotropic spin textures

Spin waves offer intriguing novel perspectives for computing and signal processing, since their damping can be lower than the Ohmic losses in conventional CMOS circuits. For controlling the spatial extent and propagation of spin waves on the actual chip, magnetic domain walls show considerable potential as magnonic waveguides. However, low-loss guidance of spin waves with nanoscale wavelengths, in particular around angled tracks, remains to be shown. Here we experimentally demonstrate that such advanced control of propagating spin waves can be obtained using natural features of magnetic order in an interlayer exchange-coupled, anisotropic ferromagnetic bilayer. Using Scanning Transmission X-Ray Microscopy, we image generation of spin waves and their propagation across distances exceeding multiple times the wavelength, in extended planar geometries as well as along one-dimensional domain walls, which can be straight and curved. The observed range of wavelengths is between 1 {\mu}m and 150 nm, at corresponding excitation frequencies from 250 MHz to 3 GHz. Our results show routes towards practical implementation of magnonic waveguides employing domain walls in future spin wave logic and computational circuits

Tuning the properties of Ge-quantum dots superlattices in amorphous silica matrix through deposition conditions

In this work, we investigate the structural properties of Ge quantum dot lattices in amorphous silica matrix, prepared by low-temperature magnetron sputtering deposition of (GeþSiO2)/SiO2 multilayers. The dependence of quantum dot shape, size, separation, and arrangement type on the Ge-rich (GeþSiO2) layer thickness is studied. We show that the quantum dots are elongated along the growth direction, perpendicular to the multilayer surface. The size of the quantum dots and their separation along the growth direction can be tuned by changing the Ge-rich layer thickness. The average value of the quantum dots size along the lateral (in-plane) direction along with their lateral separation is not affected by the thickness of the Ge-rich layer. However, the thickness of the Ge-rich layer significantly affects the quantum dot ordering. In addition, we investigate the dependence of the multilayer average atomic composition and also the quantum dot crystalline quality on the deposition parameters.This study has been partially funded through the projects FEDER funds through the COMPETE program “Programa Operacional Factores de Competitividade” and by Portu- guese funds through the Portuguese foundation for Science and Technology (FCT) in the frame of the project PTDC/ FIS/70194/2006, and the ELETTRA Synchrotron Radiation Center through the European Community´s Seventh Frame-work Programme (FP7/2007-2013) under grant agreement no. 226716. S.R.C.P is grateful for financial support through the FCT grant SFRH/BPD/73548/2010. M.B. acknowledges support from the Croatian Ministry of Science, Higher Education and Sport, (project number 098-0982886-2866). S. I. M. acknowledges support by the Spanish MICINN/MEC (projects TEC2011-29120-C05-03 and CONSOLIDER INGENIO CSD2009-00013) and the Junta de Andalucı´a (PAI research group TEP-946; project P08-TEP-03516). Co-financing from UE-FEDER is also acknowledged. Work at ORNL supported by the Office of Basic Energy Sciences, Division of Materials Sciences and Engineering, U. S. Department of Energy (S. J. P., M. V.)