Improved understanding of self-sustained, sub-micrometric multi-composition surface Constantan wires interacting with H2 at high temperatures: experimental evidence of Anomalous Heat Effects

This article is an extension of what presented by our team at 17th International Conference on Cold Fusion, ICCF-17, in Daejon, Korea, in 2012 [1]. It documents the improvements on Constantan-related experiments, started in 2011, in order to study the feasibility of new Nickel based alloys that are able to absorb proper amounts of Hydrogen (H2) and/or Deuterium (D2) and that have, in principle, some possibility to generate anomalous thermal effects at temperatures >100°C. The interest in Ni comes in part because there is the possibility to use also H2 instead of expensive D2. Moreover, cross-comparison of results using H2 instead of D2 can be made and could help the understanding of the phenomena involved (atomic, nuclear, super-chemical origin?) due to the use of such isotopes. Keywords: calorimeter, LENR, Nickel based alloys, sub-micrometric surface

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

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