Physical activity monitoring to assess disability progression in multiple sclerosis

Background: Clinical outcome measurement in multiple sclerosis (MS) usually requires a physical visit. Remote activity monitoring (RAM) using wearable technology provides a rational alternative, especially desirable when distance is involved or in a pandemic setting. Objective: To validate RAM in progressive MS using (1) traditional psychometric methods (2) brain atrophy. Methods: 56 people with progressive MS participated in a longitudinal study over 2.5 years. An arm-worn RAM device measured activity over six days, every six months, and incorporated triaxial accelerometry and transcutaneous physiological variable measurement. Five RAM variables were assessed: physical activity duration, step count, active energy expenditure, metabolic equivalents and a composite RAM score incorporating all four variables. Other assessments every six months included EDSS, MSFC, MSIS-29, Chalder Fatigue Scale and Beck’s Depression Inventory. Annualized brain atrophy was measured using SIENA. Results: RAM was tolerated well by people with MS; the device was worn 99.4% of the time. RAM had good convergent and divergent validity and was responsive, especially with respect to step count. Measurement of physical activity over one day was as responsive as six days. The composite RAM score positively correlated with brain volume loss. Conclusion: Remote activity monitoring is a valid and acceptable outcome measure in MS

Modeling and Temperature Analysis of the Nexa 1.2 kW Fuel Cell System

International audienceThe United Arab Emirates (UAE) has been exploring several renewable and green technologies to help reduce the increasing pollution rates. However, its coarse climate might impose some limitations toward the types of green technologies that can be effectively deployed in the region. In the first part of this work, an improved dynamic model of the Nexa 1.2 kW PEM fuel cell is developed using particle swarm optimization (PSO), and validated using experimental data. The developed model is then used to analyze the effect of the severe climate conditions of the UAE on the performance of the system to evaluate its operational compatibility with the region

Modeling and Temperature Analysis of the Nexa 1.2 kW Fuel Cell System

International audienceThe United Arab Emirates (UAE) has been exploring several renewable and green technologies to help reduce the increasing pollution rates. However, its coarse climate might impose some limitations toward the types of green technologies that can be effectively deployed in the region. In the first part of this work, an improved dynamic model of the Nexa 1.2 kW PEM fuel cell is developed using particle swarm optimization (PSO), and validated using experimental data. The developed model is then used to analyze the effect of the severe climate conditions of the UAE on the performance of the system to evaluate its operational compatibility with the region

Removal of Hexavalent Chromium from Aqueous Solution by the Pod of Acacia gerrardii

This study aims at investigating the potential of Acacia gerrardii pod for the removal of Cr(VI) in batch system. Effect of solution pH, biosorbent dosage, initial concentration of Cr(VI), contact time on the removal process was examined. Complete removal of hexavalent chromium was achieved at pH values 1.0 and 2.0 whereas maximum removal of total chromium was obtained at pH of 3.0. The study showed that the biosorption and bioreduction mechanisms were involved in the removal process. The time required for complete removal of Cr(VI) using the pod of Acacia gerrardii was shortened with an increase in biomaterial dosage and decrease in Cr(VI) concentration. Kinetic data was well described using Park kinetic model. Freundlich isotherm model adequately fitted the equilibrium data indication multilayer adsorption of total chromium on the surface of biomaterial. The pod of Acacia gerrardii could be used efficiently for the removal of hexavalent chromium from aqueous solutions

Removal of Hexavalent Chromium from Aqueous Solution by the Pod of Acacia gerrardii

This study aims at investigating the potential of Acacia gerrardii pod for the removal of Cr(VI) in batch system. Effect of solution pH, biosorbent dosage, initial concentration of Cr(VI), contact time on the removal process was examined. Complete removal of hexavalent chromium was achieved at pH values 1.0 and 2.0 whereas maximum removal of total chromium was obtained at pH of 3.0. The study showed that the biosorption and bioreduction mechanisms were involved in the removal process. The time required for complete removal of Cr(VI) using the pod of Acacia gerrardii was shortened with an increase in biomaterial dosage and decrease in Cr(VI) concentration. Kinetic data was well described using Park kinetic model. Freundlich isotherm model adequately fitted the equilibrium data indication multilayer adsorption of total chromium on the surface of biomaterial. The pod of Acacia gerrardii could be used efficiently for the removal of hexavalent chromium from aqueous solutions

Removal of Hexavalent Chromium from Aqueous Solution by the Pod of Acacia gerrardii

This study aims at investigating the potential of Acacia gerrardii pod for the removal of Cr(VI) in batch system. Effect of solution pH, biosorbent dosage, initial concentration of Cr(VI), contact time on the removal process was examined. Complete removal of hexavalent chromium was achieved at pH values 1.0 and 2.0 whereas maximum removal of total chromium was obtained at pH of 3.0. The study showed that the biosorption and bioreduction mechanisms were involved in the removal process. The time required for complete removal of Cr(VI) using the pod of Acacia gerrardii was shortened with an increase in biomaterial dosage and decrease in Cr(VI) concentration. Kinetic data was well described using Park kinetic model. Freundlich isotherm model adequately fitted the equilibrium data indication multilayer adsorption of total chromium on the surface of biomaterial. The pod of Acacia gerrardii could be used efficiently for the removal of hexavalent chromium from aqueous solutions

Frequency and management of maternal infection in health facilities in 52 countries (GLOSS): a 1-week inception cohort study

Background Maternal infections are an important cause of maternal mortality and severe maternal morbidity. We report the main findings of the WHO Global Maternal Sepsis Study, which aimed to assess the frequency of maternal infections in health facilities, according to maternal characteristics and outcomes, and coverage of core practices for early identification and management. Methods We did a facility-based, prospective, 1-week inception cohort study in 713 health facilities providing obstetric, midwifery, or abortion care, or where women could be admitted because of complications of pregnancy, childbirth, post-partum, or post-abortion, in 52 low-income and middle-income countries (LMICs) and high-income countries (HICs). We obtained data from hospital records for all pregnant or recently pregnant women hospitalised with suspected or confirmed infection. We calculated ratios of infection and infection-related severe maternal outcomes (ie, death or near-miss) per 1000 livebirths and the proportion of intrahospital fatalities across country income groups, as well as the distribution of demographic, obstetric, clinical characteristics and outcomes, and coverage of a set of core practices for identification and management across infection severity groups. Findings Between Nov 28, 2017, and Dec 4, 2017, of 2965 women assessed for eligibility, 2850 pregnant or recently pregnant women with suspected or confirmed infection were included. 70·4 (95% CI 67·7–73·1) hospitalised women per 1000 livebirths had a maternal infection, and 10·9 (9·8–12·0) women per 1000 livebirths presented with infection-related (underlying or contributing cause) severe maternal outcomes. Highest ratios were observed in LMICs and the lowest in HICs. The proportion of intrahospital fatalities was 6·8% among women with severe maternal outcomes, with the highest proportion in low-income countries. Infection-related maternal deaths represented more than half of the intrahospital deaths. Around two-thirds (63·9%, n=1821) of the women had a complete set of vital signs recorded, or received antimicrobials the day of suspicion or diagnosis of the infection (70·2%, n=1875), without marked differences across severity groups. Interpretation The frequency of maternal infections requiring management in health facilities is high. Our results suggest that contribution of direct (obstetric) and indirect (non-obstetric) infections to overall maternal deaths is greater than previously thought. Improvement of early identification is urgently needed, as well as prompt management of women with infections in health facilities by implementing effective evidence-based practices