High-temperature catalyst supports and ceramic membranes: Metastability and particle packing

Parameters and/or processes responsible for the stability of catalyst supports and ceramic membranes are discussed. Two major parameters/processes were identified which are responsible for the stability of sol-gel derived nanostructured oxides at elevated temperatures. They are metastable-to-stable phase transformation and structure and packing of primary particles within the aggregate. Based on these observations, strategies to develop thermostable nanostructured oxides for high-temperature membrane and catalyst applications are discussed by taking titania and titania-alumina nanocomposites as examples

Reactive Nitrogen in Coastal and Marine Waters of India and Its Relationship With Marine Aquaculture

India is bordered in the soutii, south-west, and south-east with Indian Ocean, Arabian Sea (AS), and the Bay of Bengal (BOB), respectively. Indian coast is 7517 km long comprising 5423 km in the peninsular India and 2094 km in Andaman and Nicobar, and Lakshadweep Islands. The Indian exclusive economic zone (EEZ) is spread in 2.02 million sq km (0.86 million sq km in west coast, 0.56 m illion sq km in east coast and 0.6 million sq km in Andaman and Nicobar Islands). The Indian marine environmentconsisting of adjoining coastal areas and EEZ directly sustains useful habitats and suppons the livelihood of 3.9 million fishers. Nearly 25% of the country’s population resides in these areas and about 340 communities are primarily occupied in marine and coastal fisheries (MoEF, 2009; SACEP, 2014). Nitrogen (N) exists in various chemical forms, produced by marine biota through several chemical transformations during their growth and metabolism in the marine environment. Nitrogen as N2 is generally unavailable in marine conditions and thereby, the equilibrium of the processes of N2 fixation (conversion of atmospheric N2 to organic nitrogen) and denitrification (conversion of nitrate to N2) decides the bioavailable nitrogen supply and productivity (Gruber, 2008)

LHC Magnet Tests: Operational Techniques and Empowerment for Successful Completion

The LHC magnet tests operation team developed various innovative techniques, particularly since early 2004, to complete the superconductor magnet tests by Feb. 2007. Overall and cryogenic priority handling, rapid on-bench thermal cycling, rule-based goodness evaluation on round-the-clock basis, multiple, mashed web systems are some of these techniques applied with rigour for successful tests completion in time. This paper highlights these operation empowerment tools which had a pivotal role for success. A priority handling method was put in place to enable maximum throughput from twelve test benches, having many different constraints. For the cryogenics infrastructure, it implied judicious allocation of limited resources to the benches. Rapid On-Bench Thermal Cycle was a key strategy to accelerate magnets tests throughput, saving time and simplifying logistics. First level magnet appraisal was developed for 24 hr decision making so as to prepare a magnet further for LHC or keep it on standby. Web based systems (Tests Management and E-Traveller) were other essential ideas to track & coordinate various stages of tests handled by different teams

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

On-Year Study on Pattern of Acute Pharmaceutical and Chemical Poisoning Cases Admitted to a Tertiary Care Hospital in Thrissur, India

Background: Identification of regional pattern of poisoning is essential for health care authorities for proper planning on prevention programs and optimized management of antidote stockpiles. This study was designed to evaluate one-year epidemiologic pattern of acute poisoning cases treated at a tertiary care hospital in Thrissur, India. Methods: In this retrospective cross sectional study, medical records of patients with the diagnosis of acute pharmaceutical and chemical poisoning admitted to Jubilee Mission Hospital (JMH), during 1st October 2012 to 30th September 2013 were reviewed. Results: During the study period, 168 poisoned patients (59.5% women) were treated at emergency department of JMH. Married patients outnumbered unmarried ones (55.4% vs. 44.6%). The highest number of patients aged 21 to 30 years (31.5%) followed by patients with 11-20 years of age (17.3%). Most of the poisonings occurred following suicidal ideation (72.6%). Familial disharmony (14.3%) was the most common reason behind suicidal ingestions, followed by mental disorders (11.3%). Drug poisoning made up the largest proportion of poisoning-related admissions (43.5%) followed by pesticide poisoning (37.5%). Among poisoning with pharmaceutical agents, most cases were due to paracetamol (13.7%) followed by anti-psychotics and sedatives (5.4%). In pesticide poisonings, the most common classes ingested by the patients were rodenticides and organophosphates. The most common household items ingested by the patients were petroleum products. The average length of hospital stay was 5.5 days. Seven patients (4.2%) died, of which 4 were due to organophosphates followed by 2 due to carbamates and one due to rodenticide ingestion. Conclusion: Pharmaceutical and pesticide products were identified as the main cause of poisoning. This finding warrants educational programs for adequate safety measures on storage and use of these substances

What if we shifted the basis of consulting from knowledge to knowing?

In this article, we argue that a focus on the debunking of consulting knowledge has led to a disconnect between the research and the practice of management consulting. A renewed focus on consulting practice, that is, the doing of consultancy itself, affords an opportunity for bringing clients, practitioners and researchers of consulting closer together. We sketch an outline of an alternative approach to consulting practice, based not on knowledge, but on knowing, the socially situated activity whereby knowledge is applied and created. Borrowing from the practice-based theories of organizational knowledge and knowing, we explore how key aspects of consulting practice—problem solving, participation and knowledge transfer—might be handled differently when we give primacy to practice. We discuss the viability of this alternative approach, and argue that despite established relations of power and politics, the dynamic and indeterminate nature of practice environments does afford some space for this and other alternative forms of consulting practice to take hold