Magnetorheology: a review

Magnetic Soft Matter is a rapidly evolving discipline with fundamental and practical interest. This is due to the fact that its physical properties can be easily controlled through external magnetic fields. In this review paper, we revisit the most recent progress in the field (since 2010) emphasizing the rheological properties of these fascinating materials. New formulations and flow kinematics are discussed. Also, new members are integrated into the long-lived magnetorheology family and suggestions are provided for future development.Spanish Government PID2019-104883GB-I00Junta de Andalucia P18-FR-2465European Union (EU) FPU14/0157

Fabrication of strong magnetic micron-sized supraparticles with anisotropic magnetic properties for magnetorheology

Dr Tavacoli is acknowledged for useful discussions. This work was supported by MICINN PID2019-104883GB-I00 project (Spain), Junta de Andalucı´a P18-FR-2465 project and European Regional Development Fund (ERDF). J. R. M. acknowledges FPU14/01576 fellowship. E. C.-G. acknowledges financial support by CONACYT (Ref. #232347).We propose three different techniques to synthesize anisotropic magnetic supraparticles for their incorporation in the formulation of magnetorheological fluids with novel potential applications. The techniques include microtransfer molding, electrodeposition and microfluidic flow-focusing devices. Although the yield of these methods is not large, with their use, it is possible to synthesize supraparticles with anisotropy in both their magnetic content and shape. The magnetorheological characteristics (yield stress) of the resulting field-induced structures were computed using finite element method simulations and demonstrated to be strongly dependent on the microstructural anisotropy of the supraparticles. In anisotropic particles, the simulated yield stress is always larger than that of the isotropic ones consisting of magnetically homogeneous spherical particles.MICINN PID2019-104883GB-I00 project (Spain)Junta de Andalucía P18-FR-2465 projectEuropean Regional Development Fund (ERDF)FPU14/01576CONACYT (Ref. #232347

System-level exploration of in-package wireless communication for multi-chiplet platforms

Multi-Chiplet architectures are being increasingly adopted to support the design of very large systems in a single package, facilitating the integration of heterogeneous components and improving manufacturing yield. However, chiplet-based solutions have to cope with limited inter-chiplet routing resources, which complicate the design of the data interconnect and the power delivery network. Emerging in-package wireless technology is a promising strategy to address these challenges, as it allows to implement flexible chiplet interconnects while freeing package resources for power supply connections. To assess the capabilities of such an approach and its impact from a full-system perspective, herein we present an exploration of the performance of in-package wireless communication, based on dedicated extensions to the gem5-X simulator. We consider different Medium Access Control (MAC) protocols, as well as applications with different runtime profiles, showcasing that current in-package wireless solutions are competitive with wired chiplet interconnects. Our results show how in-package wireless solutions can outperform wired alternatives when running artificial intelligence workloads, achieving up to a 2.64× speed-up when running deep neural networks (DNNs) on a chiplet-based system with 16 cores distributed in four clusters.This work has been partially supported by the EC H2020 WiPLASH project (GA No. 863337) and the EC H2020 FVLLMONTI project (GA No. 101016776)Peer ReviewedPostprint (author's final draft

Design of smart lubricants using the inverse ferrofluid approach

We acknowledge F. Vereda for his help in the laboratory during the synthesis of magnetite particles. This work was supported by Total Marketing Services. J. de Vicente and R. Hidalgo-Alvarez acknowledge MICINN PID2019-104883GB-I00 project, Junta de Andalucia P18-FR2465 project and European Regional Development Fund (ERDF). J. R. Morillas acknowledges FPU14/01576 fellowship. Funding for open access charge by Universidad de Granada/CBUA is acknowledged.A new formulation is proposed to lubricate tribopairs in extreme conditions where the amount of lubricant is small and the lubricating region highly confined. It is composed of non-magnetic solid lubricants dispersed in an oil-based ferrofluid. When this inverse ferrofluid (IFF) is magnetically activated, the lubricant particles are subjected to magnetophoretic forces. By using appropriate magnetic field gradients, they can be driven to the region of interest and thus control the friction locally. The rheological and tribological performances of three IFF formulations are evaluated in several conditions of applied magnetic field strength and shear flow rates.Total Marketing ServicesSpanish GovernmentEuropean Commission PID2019-104883GB-I00Junta de Andalucia P18-FR2465European CommissionUniversidad de Granada/CBUAFPU14/0157

Deep-sequencing reveals broad subtype-specific HCV resistance mutations associated with treatment failure.

A percentage of hepatitis C virus (HCV)-infected patients fail direct acting antiviral (DAA)-based treatment regimens, often because of drug resistance-associated substitutions (RAS). The aim of this study was to characterize the resistance profile of a large cohort of patients failing DAA-based treatments, and investigate the relationship between HCV subtype and failure, as an aid to optimizing management of these patients. A new, standardized HCV-RAS testing protocol based on deep sequencing was designed and applied to 220 previously subtyped samples from patients failing DAA treatment, collected in 39 Spanish hospitals. The majority had received DAA-based interferon (IFN) α-free regimens; 79% had failed sofosbuvir-containing therapy. Genomic regions encoding the nonstructural protein (NS) 3, NS5A, and NS5B (DAA target regions) were analyzed using subtype-specific primers. Viral subtype distribution was as follows: genotype (G) 1, 62.7%; G3a, 21.4%; G4d, 12.3%; G2, 1.8%; and mixed infections 1.8%. Overall, 88.6% of patients carried at least 1 RAS, and 19% carried RAS at frequencies below 20% in the mutant spectrum. There were no differences in RAS selection between treatments with and without ribavirin. Regardless of the treatment received, each HCV subtype showed specific types of RAS. Of note, no RAS were detected in the target proteins of 18.6% of patients failing treatment, and 30.4% of patients had RAS in proteins that were not targets of the inhibitors they received. HCV patients failing DAA therapy showed a high diversity of RAS. Ribavirin use did not influence the type or number of RAS at failure. The subtype-specific pattern of RAS emergence underscores the importance of accurate HCV subtyping. The frequency of "extra-target" RAS suggests the need for RAS screening in all three DAA target regions

Surgical site infection after gastrointestinal surgery in children : an international, multicentre, prospective cohort study

Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings. Methods A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI). Results Of 1159 children across 181 hospitals in 51 countries, 523 (45 center dot 1%) children were from high HDI, 397 (34 center dot 2%) from middle HDI and 239 (20 center dot 6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12 center dot 8% (51/397) in middle HDI and 24 center dot 7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI. Conclusion The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.Peer reviewe

Use of Telemedicine for Post-discharge Assessment of the Surgical Wound: International Cohort Study, and Systematic Review with Meta-analysis

Objective: This study aimed to determine whether remote wound reviews using telemedicine can be safely upscaled, and if standardised assessment tools are needed. Summary background data: Surgical site infection is the most common complication of surgery worldwide, and frequently occurs after hospital discharge. Evidence to support implementation of telemedicine during postoperative recovery will be an essential component of pandemic recovery. Methods: The primary outcome of this study was surgical site infection reported up to 30-days after surgery (SSI), comparing rates reported using telemedicine (telephone and/or video assessment) to those with in-person review. The first part of this study analysed primary data from an international cohort study of adult patients undergoing abdominal surgery who were discharged from hospital before 30-days after surgery. The second part combined this data with the results of a systematic review to perform a meta-analysis of all available data conducted in accordance with PRIMSA guidelines (PROSPERO:192596). Results: The cohort study included 15,358 patients from 66 countries (8069 high, 4448 middle, 1744 low income). Of these, 6907 (45.0%) were followed up using telemedicine. The SSI rate reported using telemedicine was slightly lower than with in-person follow-up (13.4% vs. 11.1%, P<0.001), which persisted after risk adjustment in a mixed-effects model (adjusted odds ratio: 0.73, 95% confidence interval 0.63-0.84, P<0.001). This association was consistent across sensitivity and subgroup analyses, including a propensity-score matched model. In nine eligible non-randomised studies identified, a pooled mean of 64% of patients underwent telemedicine follow-up. Upon meta-analysis, the SSI rate reported was lower with telemedicine (odds ratio: 0.67, 0.47-0.94) than in-person (reference) follow-up (I2=0.45, P=0.12), although there a high risk of bias in included studies. Conclusions: Use of telemedicine to assess the surgical wound post-discharge is feasible, but risks underreporting of SSI. Standardised tools for remote assessment of SSI must be evaluated and adopted as telemedicine is upscaled globally

Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries

Background: This study assessed the potential cost-effectiveness of high (80–100%) vs low (21–35%) fraction of inspired oxygen (FiO2) at preventing surgical site infections (SSIs) after abdominal surgery in Nigeria, India, and South Africa. Methods: Decision-analytic models were constructed using best available evidence sourced from unbundled data of an ongoing pilot trial assessing the effectiveness of high FiO2, published literature, and a cost survey in Nigeria, India, and South Africa. Effectiveness was measured as percentage of SSIs at 30 days after surgery, a healthcare perspective was adopted, and costs were reported in US dollars ($). Results: High FiO2 may be cost-effective (cheaper and effective). In Nigeria, the average cost for high FiO2 was$216 compared with $222 for low FiO2 leading to a −$6 (95% confidence interval [CI]: −$13 to −$1) difference in costs. In India, the average cost for high FiO2 was $184 compared with$195 for low FiO2 leading to a −$11 (95$15 to −$6) difference in costs. In South Africa, the average cost for high FiO2 was$1164 compared with $1257 for low FiO2 leading to a −$93 (95% CI: −$132 to −$65) difference in costs. The high FiO2 arm had few SSIs, 7.33% compared with 8.38% for low FiO2, leading to a −1.05 (95% CI: −1.14 to −0.90) percentage point reduction in SSIs. Conclusion: High FiO2 could be cost-effective at preventing SSIs in the three countries but further data from large clinical trials are required to confirm this