Surfactant behavior in the mechanisms of ink removal from secondary fiber in flotation deinking.

To date, the majority of the research into ink removal from secondary fiber by the flotation deinking method has centered about empirical research, and the fundamental mechanisms have not been well understood. In this study, the underlying mechanisms of "collector chemistry" are elucidated and found to be complex combinations of the ink particle interactions stemming from the nature of the surfactant/calcium relationship. While previous investigators employed long chain fatty acid surfactants typically used in industrial applications, this study focuses on two medium chain-length fatty acids (sodium octanoate and sodium dodecanoate) and a comparable chain-length sulfate (sodium dodecyl sulfate) so as to be able to observe the system behavior below the K\rm\sb{sp} of the surfactant/calcium complex. By investigating the adsorption isotherms of the surfactants on both model inks and fibers, the associated zeta potentials, the aggregation characteristics of the model ink, and the flotation of the ink and fibers, the fundamental mechanisms were found to be adsorptive rather than precipitative. This mechanistic understanding could translate into more efficient surfactant formulations for the flotation deinking process. In addition to the aforementioned investigations, a new technique was developed to simultaneously measure paper brightness and dirt count using an image analyzer. Also, a new class of polymeric reverse phase high performance liquid chromatography (HPLC) packings was developed

Implementation of Deep-Learning-Based CSI Feedback Reporting on 5G NR-Compliant Link-Level Simulator

Advances in machine learning have widened the range of its applications in many fields. In particular, deep learning has attracted much interest for its ability to provide solutions where the derivation of a rigorous mathematical model of the problem is troublesome. Our interest was drawn to the application of deep learning for channel state information feedback reporting, a crucial problem in frequency division duplexing (FDD) 5G networks, where knowledge of the channel characteristics is fundamental to exploiting the full potential of multiple-input multiple-output (MIMO) systems. We designed a framework adopting a 5G New Radio convolutional neural network, called NR-CsiNet, with the aim of compressing the channel matrix experienced by the user at the receiver side and then reconstructing it at the transmitter side. In contrast to similar solutions, our framework is based on a 5G New Radio fully compliant simulator, thus implementing a channel generator based on the latest 3GPP 3-D channel model. Moreover, realistic 5G scenarios are considered by including multi-receiving antenna schemes and noisy downlink channel estimation. Simulations were carried out to analyze and compare the performance with current feedback reporting schemes, showing promising results for this approach from the point of view of the block error rate and throughput of the 5G data channel

Academic careers in global pulmonary and critical care medicine

The burden of respiratory and critical illness is high worldwide, yet specialist care is underrepresented in low- and middle-income countries (LMICs) [1]. For many areas of medicine, the past decade has witnessed tremendous growth in global health opportunities for trainees; however, these opportunities tend to be restricted to individual institutions and geographic regions and academic global pulmonary and critical care medicine (PCCM) remains a relatively novel concept [2]. Consequently, PCCM fellows and junior faculty at institutions with limited global health mentorship have little guidance in building successful global health careers

Academic careers in global pulmonary and critical care medicine: perspectives from experts in the field

Academic global pulmonary/critical care medicine (PCCM) remains a relatively novel concept not fully embraced by all training programs, so PCCM early-career professionals may have little guidance in building successful careers in this field. To highlight various approaches used by current PCCM faculty to incorporate global health into their academic careers, speakers from a global health careers mini symposia held at the 2017 and 2018 American Thoracic Society International Conferences were invited to submit perspectives reflecting on academic PCCM and global health. The collection of essays was collated into a single manuscript. Eight current global PCCM faculty from diverse geographic and professional backgrounds provide experiential guidance for early-career professionals interested in global academic PCCM. Trainees and junior faculty interested in academic global PCCM will find innumerable obstacles to developing this non-traditional career pathway, but there exist diverse pathways to success

Emergency and critical care services in Tanzania: a survey of ten hospitals.

While there is a need for good quality care for patients with serious reversible disease in all countries in the world, Emergency and Critical Care tends to be one of the weakest parts of health systems in low-income countries. We assessed the structure and availability of resources for Emergency and Critical Care in Tanzania in order to identify the priorities for improving care in this neglected specialty. Ten hospitals in four regions of Tanzania were assessed using a structured data collection tool. Quality was evaluated with standards developed from the literature and expert opinion. Important deficits were identified in infrastructure, routines and training. Only 30% of the hospitals had an emergency room for adult and paediatric patients. None of the seven district and regional hospitals had a triage area or intensive care unit for adults. Only 40% of the hospitals had formal systems for adult triage and in less than one third were critically ill patients seen by clinicians more than once daily. In 80% of the hospitals there were no staff trained in adult triage or critical care. In contrast, a majority of equipment and drugs necessary for emergency and critical care were available in the hospitals (median 90% and 100% respectively. The referral/private hospitals tended to have a greater overall availability of resources (median 89.7%) than district/regional hospitals (median 70.6). Many of the structures necessary for Emergency and Critical Care are lacking in hospitals in Tanzania. Particular weaknesses are infrastructure, routines and training, whereas the availability of drugs and equipment is generally good. Policies to improve hospital systems for the care of emergency and critically ill patients should be prioritised

Promises and challenges of personalized medicine to guide ARDS therapy

Identifying new effective treatments for the acute respiratory distress syndrome (ARDS), including COVID-19 ARDS, remains a challenge. The field of ARDS investigation is moving increasingly toward innovative approaches such as the personalization of therapy to biological and clinical sub-phenotypes. Additionally, there is growing recognition of the importance of the global context to identify effective ARDS treatments. This review highlights emerging opportunities and continued challenges for personalizing therapy for ARDS, from identifying treatable traits to innovative clinical trial design and recognition of patient-level factors as the field of critical care investigation moves forward into the twenty-first century

International consensus recommendations for management of new onset refractory status epilepticus including febrile infection-related epilepsy syndrome: Statements and supporting evidence

Objective: This study was undertaken to develop consensus-based recommendations for the management of adult and pediatric patients with new onset refractory status epilepticus (NORSE)/febrile infection-related epilepsy syndrome (FIRES) based on best evidence and experience. Methods: The Delphi methodology was followed. A facilitator group of nine experts was established, who defined the scope, users, and suggestions for recommendations. Following a review of the current literature, recommendation statements concerning diagnosis, treatment, and research directions were generated, which were then rated on a scale of 1 (strongly disagree) to 9 (strongly agree) by a panel of 48 experts in the field. Consensus that a statement was appropriate was reached if the median score was ≥7 and inappropriate if the median score was ≤3. The analysis of evidence was mapped to the results of each statement included in the Delphi survey. Results: Overall, 85 recommendation statements achieved consensus. The recommendations are divided into five sections: (1) disease characteristics; (2) diagnostic testing and sampling; (3) acute treatment; (4) treatment in the postacute phase; and (5) research, registries, and future directions in NORSE/FIRES. The detailed results and discussion of all 85 statements are outlined herein. A corresponding summary of findings and practical flowsheets are presented in a companion article. Significance: This detailed analysis offers insight into the supporting evidence and the current gaps in the literature that are associated with expert consensus statements related to NORSE/FIRES. The recommendations generated by this consensus can be used as a guide for the diagnosis, evaluation, and management of patients with NORSE/FIRES, and for planning of future research