227 research outputs found

    Opto-thermal dynamics of thin-film optical limiters based on the VO2 phase transition

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    Protection of human eyes or sensitive detectors from high-intensity laser radiation is an important challenge in modern light technologies. Metasurfaces have proved to be valuable tools for such light control, but the actual possibility of merging multiple materials in the nanofabrication process hinders their application. Here we propose and numerically investigate the opto-thermal properties of plane multilayered structures with phase-change materials for optical limiters. Our structure relies on thin-film VO2 phase change material on top of a gold film and a sapphire substrate. We show how such a multi-layer structure can act as a self-activating device that exploits light-to-heat conversion to induce a phase change in the VO2 layer. We implement a numerical model to describe the temporal evolution of the temperature and transmittivity across the device under both a continuous wave and pulsed illumination. Our results open new opportunities for multi-layer self-activating optical limiters and may be extended to devices based on other phase change materials or different spectral regions

    Microbiome preterm birth DREAM challenge: Crowdsourcing machine learning approaches to advance preterm birth research

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    Every year, 11% of infants are born preterm with significant health consequences, with the vaginal microbiome a risk factor for preterm birth. We crowdsource models to predict (1) preterm birth (PTB; \u3c37 \u3eweeks) or (2) early preterm birth (ePTB; \u3c32 \u3eweeks) from 9 vaginal microbiome studies representing 3,578 samples from 1,268 pregnant individuals, aggregated from public raw data via phylogenetic harmonization. The predictive models are validated on two independent unpublished datasets representing 331 samples from 148 pregnant individuals. The top-performing models (among 148 and 121 submissions from 318 teams) achieve area under the receiver operator characteristic (AUROC) curve scores of 0.69 and 0.87 predicting PTB and ePTB, respectively. Alpha diversity, VALENCIA community state types, and composition are important features in the top-performing models, most of which are tree-based methods. This work is a model for translation of microbiome data into clinically relevant predictive models and to better understand preterm birth

    The LIFE TRIAD of emergency general surgery

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    Emergency General Surgery (EGS) was identified as multidisciplinary surgery performed for traumatic and non-traumatic acute conditions during the same admission in the hospital by general emergency surgeons and other specialists. It is the most diffused surgical discipline in the world. To live and grow strong EGS necessitates three fundamental parts: emergency and elective continuous surgical practice, evidence generation through clinical registries and data accrual, and indications and guidelines production: the LIFE TRIAD.Peer reviewe

    Splenic trauma : WSES classification and guidelines for adult and pediatric patients

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    Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the management of adults and children must be different, children should always be treated in dedicated pediatric trauma centers. In fact, the vast majority of pediatric patients with blunt splenic trauma can be managed non-operatively. This paper presents the World Society of Emergency Surgery (WSES) classification of splenic trauma and the management guidelines.Peer reviewe

    MAGIC and H.E.S.S. detect VHE gamma rays from the blazar OT081 for the first time: a deep multiwavelength study

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    https://pos.sissa.it/395/815/pdfPublished versio

    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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    Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

    LHCb - Probing nucleon structure with fixed-target collisions at LHCb

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    Thanks to the injection of noble gases in the LHC beam-pipe while proton or ion beams are circulating, the LHCb spectrometer has the unique capability to function as the highest-energy fixed-target experiment ever built. The resulting beam+gas collisions cover an unexplored energy range that is above previous fixed-target experiments, but below the top RHIC energy for AA collisions. In this contribution, we present new results on charm production from ppHe, ppAr, ppNe, and PbNe fixed-target collisions at LHCb, which provide unique constraints to shed light on the nucleon structure. Comparisons with various theoretical models of particle production and transport through the nucleus will be discussed. Also, prospects with the upgraded fixed-target system will be illustrated
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