Pattern-distortion technique: using liquid-lens magnification to extract volumes of individual droplets or bubbles within evaporating two-dimensional arrays

We present an experimental "Pattern Distortion" technique which connects the shape of a liquid lens to its magnification. We demonstrate how to optimise the technique for arbitrary droplet sizes and optical configurations, and demonstrate its widespread utility in three distinct situations. Firstly we consider multiple sessile droplets. Although ubiquitous in nature, understanding of their complex interactions is limited, partly due to experimental limitations in determining individual droplet volumes for arbitrary configurations. We use the Pattern Distortion technique to overcome these limitations and find excellent agreement between our experimental data and three recent theoretical models. Secondly, we show how our technique can be used to inform the design of liquid lenses and thirdly we extend the method to composite droplets systems, using it to extract the size of an air bubble trapped inside a liquid droplet

Drying dynamics of sessile-droplet arrays

We analyze the diffusion-controlled evaporation of multiple droplets placed near each other on a planar substrate. Specifically, we calculate the change in the volume of sessile droplets with various initial contact angles that are arranged in different configurations. The calculations are supplemented by experimental measurements using a technique that interprets the variable magnification of a pattern placed beneath the droplet array, which is applied to the case of initially hemispherical droplets deposited in four distinct arrangements. We find excellent agreement between the predictions based on the theory of Masoud et al. [Evaporation of multiple droplets, J. Fluid Mech. 927, R4 (2021)] and the data gathered experimentally. Perhaps unexpectedly, we also find that when comparing different arrays, the droplets with the same order of disappearance within their respective array, i.e., fastest evaporating, second-fastest evaporating, etc., follow similar drying dynamics. Our study provides not only experimental validation of the theoretical framework introduced by Masoud et al., but also offers additional insights into the evolution of the volume of individual droplets when evaporating within closely-spaced arrays

Interferometric measurement of co-operative evaporation in 2D droplet arrays

The evaporation dynamics of multiple droplet arrays is important in inkjet printing and spray coating, where co-operative “shielding” effects increase the overall evaporation time. However, current measurement methods provide limited information on how individual droplets contribute to the overall dynamics. In this work, we present a simple interferometric technique for precise measurements of droplet evaporation rates, which is not possible via traditional approaches. We validate the technique on a single droplet. We then extend our analysis to ordered and random 2D arrays of droplets. We demonstrate that the evaporation rate is highly dependent on the position of the droplet within the array and its confinement. The more confined droplets exhibit lower evaporation rates. Our results of ten different configurations and well over 100 droplets are in good quantitative agreement with a recent analytical model of co-operative evaporation rates. Our approach opens up possibilities for studies of collective evaporation effects, including in areas of current importance such as sneezes and exhaled breath

Core components for effective infection prevention and control programmes: new WHO evidence-based recommendations

Abstract Health care-associated infections (HAI) are a major public health problem with a significant impact on morbidity, mortality and quality of life. They represent also an important economic burden to health systems worldwide. However, a large proportion of HAI are preventable through effective infection prevention and control (IPC) measures. Improvements in IPC at the national and facility level are critical for the successful containment of antimicrobial resistance and the prevention of HAI, including outbreaks of highly transmissible diseases through high quality care within the context of universal health coverage. Given the limited availability of IPC evidence-based guidance and standards, the World Health Organization (WHO) decided to prioritize the development of global recommendations on the core components of effective IPC programmes both at the national and acute health care facility level, based on systematic literature reviews and expert consensus. The aim of the guideline development process was to identify the evidence and evaluate its quality, consider patient values and preferences, resource implications, and the feasibility and acceptability of the recommendations. As a result, 11 recommendations and three good practice statements are presented here, including a summary of the supporting evidence, and form the substance of a new WHO IPC guideline

Synthesising practice guidelines for the development of community-based exercise programmes after stroke

This is a freely-available open access publication. Please cite the published version which is available via the DOI link in this record.Multiple guidelines are often available to inform practice in complex interventions. Guidance implementation may be facilitated if it is tailored to particular clinical issues and contexts. It should also aim to specify all elements of interventions that may mediate and modify effectiveness, including both their content and delivery. We conducted a focused synthesis of recommendations from stroke practice guidelines to produce a structured and comprehensive account to facilitate the development of community-based exercise programmes after stroke.National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for the South West Peninsul

How collaborative are quality improvement collaboratives:A qualitative study in stroke care

BACKGROUND: Quality improvement collaboratives (QICs) continue to be widely used, yet evidence for their effectiveness is equivocal. We sought to explain what happened in Stroke 90:10, a QIC designed to improve stroke care in 24 hospitals in the North West of England. Our study drew in part on the literature on collective action and inter-organizational collaboration. This literature has been relatively neglected in evaluations of QICs, even though they are founded on principles of co-operation and sharing. METHODS: We interviewed 32 professionals in hospitals that participated in Stroke 90:10, conducted a focus group with the QIC faculty team, and reviewed purposively sampled documents including reports and newsletters. Analysis was based on a modified form of Framework Analysis, combining sensitizing constructs derived from the literature and new, empirically derived thematic categories. RESULTS: Improvements in stroke care were attributed to QIC participation by many professionals. They described how the QIC fostered a sense of community and increased attention to stroke care within their organizations. However, participants’ experiences of the QIC varied. Starting positions were different; some organizations were achieving higher levels of performance than others before the QIC began, and some had more pre-existing experience of quality improvement methods. Some participants had more to learn, others more to teach. Some evidence of free-riding was found. Benchmarking improvement was variously experienced as friendly rivalry or as time-consuming and stressful. Participants’ competitive desire to demonstrate success sometimes conflicted with collaborative aims; some experienced competing organizational pressures or saw the QIC as duplication of effort. Experiences of inter-organizational collaboration were influenced by variations in intra-organizational support. CONCLUSIONS: Collaboration is not the only mode of behavior likely to occur within a QIC. Our study revealed a mixed picture of collaboration, free-riding and competition. QICs should learn from work on the challenges of collective action; set realistic goals; account for context; ensure sufficient time and resources are made available; and carefully manage the collaborative to mitigate the risks of collaborative inertia and unhelpful competitive or anti-cooperative behaviors. Individual organizations should assess the costs and benefits of collaboration as a means of attaining quality improvement

Developmental outcome in children with intrauterine exposure to substances

The developmental outcome of children born to Swiss substance-dependent mothers in a residential treatment program was studied in a sample of 61 children ranging from infancy to preadolescence (mean age = 5.10, SD = 3.10 years) by use of age-appropriate tests of intelligence. A large list of biological and psychosocial risk factors was tested for associations with outcome in the children. The mean profile of test findings across all age ranges was significantly lower than population norms and there was an excess of children with subnormal intellectual functioning. Performance IQ was associated negatively only with intrauterine substance exposure, but with none of the other risk factors. Among the various substances, predominantly heroin or methadone were responsible for this association when controls for nicotine or cannabis consumption were made. The study provides further evidence that intrauterine exposure to heroin and methadone negatively affects the developmental outcome in the offspring of substance-dependent mothers