The PROVENT-C19 registry: A study protocol for international multicenter SIAARTI registry on the use of prone positioning in mechanically ventilated patients with COVID-19 ARDS

Background The worldwide use of prone position (PP) for invasively ventilated patients with COVID-19 is progressively increasing from the first pandemic wave in everyday clinical practice. Among the suggested treatments for the management of ARDS patients, PP was recommended in the Surviving Sepsis Campaign COVID-19 guidelines as an adjuvant therapy for improving ventilation. In patients with severe classical ARDS, some authors reported that early application of prolonged PP sessions significantly decreases 28-day and 90-day mortality. Methods and analysis Since January 2021, the COVID19 Veneto ICU Network research group has developed and implemented nationally and internationally the "PROVENT-C19 Registry", endorsed by the Italian Society of Anesthesia Analgesia Resuscitation and Intensive Care. . .'(SIAARTI). The PROVENT-C19 Registry wishes to describe 1. The real clinical practice on the use of PP in COVID-19 patients during the pandemic at a National and International level; and 2. Potential baseline and clinical characteristics that identify subpopulations of invasively ventilated patients with COVID-19 that may improve daily from PP therapy. This web-based registry will provide relevant information on how the database research tools may improve our daily clinical practice. Conclusions This multicenter, prospective registry is the first to identify and characterize the role of PP on clinical outcome in COVID-19 patients. In recent years, data emerging from large registries have been increasingly used to provide real-world evidence on the effectiveness, quality, and safety of a clinical intervention. Indeed observation-based registries could be effective tools aimed at identifying specific clusters of patients within a large study population with widely heterogeneous clinical characteristics. Copyright

Palladium-alloy membrane reactors for fuel reforming and hydrogen production: Hydrogen Production Modeling

Endeavors have recently been concentrated on minimizing the dependency on fossil fuels in order to mitigate the ever-increasing problem of greenhouse gas (GHG) emissions. Hydrogen energy is regarded as an alternative to fossil fuels due to its cleaner emission attributes. Reforming of hydrocarbon fuels is amongst the most popular and widely used methods for hydrogen production. Hydrogen produced from reforming processes requires additional processes to separate from the reformed gases. In some cases, further purification of hydrogen has to be carried out to use the hydrogen in power generation applications. Metallic membranes, especially palladium (Pd)-based ones, have demonstrated sustainable hydrogen separation potential with around 99.99% hydrogen purity. Comprehensive and critical research investigations must be performed to optimize membrane-assisted reforming as well as to maximize the production of hydrogen. The computational fluid dynamic (CFD) can be an excellent tool to analyze and visualize the flow/reaction/permeation mechanisms at a lower cost in contrast with the experiments. In order to provide the necessary background knowledge on membrane reactor modeling, this study reviews, summarizes and analyses the kinetics of different fuel reforming processes, equations to determine hydrogen permeation, and lastly, various geometry and operating condition adopted in the literature associated with membrane-reactor modeling works. It is indicated that hydrogen permeation through Pd-membranes depends highly on the difference in hydrogen pressure. It is found that hydrogen permeation can be improved by employing different pressure configuration, introducing sweep flow on the permeate side of the membrane, reducing retentate side flow rate, and increasing the temperature