1,615 research outputs found

    Revisiting the analytical solution approach to mixing-limited equilibrium multicomponent reactive transport using mixing ratios: identification of basis, fixing an error, and dealing with multiple minerals

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    Multicomponent reactive transport involves the solution of a system of nonlinear coupled partial differential equations. A number of methods have been developed to simplify the problem. In the case where all reactions are in instantaneous equilibrium and the mineral assemblage is constant in both space and time, de Simoni et al. (2007) provide an analytical solution that separates transport of aqueous components and minerals using scalar dissipation of Multicomponent reactive transport involves the solution of a system of nonlinear coupled partial differential equations. A number of methods have been developed to simplify the problem. In the case where all reactions are in instantaneous equilibrium and the mineral assemblage is constant in both space and time, de Simoni et al. (2007) provide an analytical solution that separates transport of aqueous components and minerals using scalar dissipation of "mixing ratios" between a number of boundary/initial solutions. In this approach, aqueous speciation is solved in conventional terms of primary and secondary species, and the mineral dissolution/precipitation rate is given in terms of the scalar dissipation and a chemical transformation term, both involving the secondary species associated with the mineral reaction. However, the identification of the secondary species is nonunique, and so it is not clear how to use the approach in general, a problem that is keenly manifest in the case of multiple minerals which may share aqueous ions. We address this problem by developing an approach to identify the secondary species required in the presence of one or multiple minerals. We also remedy a significant error in the de Simoni et al. (2007) approach. The result is a fixed and extended de Simoni et al. (2007) approach that allows construction of analytical solutions to multicomponent equilibrium reactive transport problems in which the mineral assemblage does not change in space or time and where the transport is described by closed-form solutions of the mixing ratios

    Trends in use of neonatal CPAP: a population-based study

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    <p>Abstract</p> <p>Background</p> <p>Continuous positive airway pressure (CPAP) is used widely to provide respiratory support for neonates, and is often the first treatment choice in tertiary centres. Recent trials have demonstrated that CPAP reduces need for intubation and ventilation for infants born at 25-28 weeks gestation, and at > 32weeks, in non-tertiary hospitals, CPAP reduces need for transfer to NICU. The aim of this study was to examine recent population trends in the use of neonatal continuous positive airway pressure.</p> <p>Methods</p> <p>We undertook a population-based cohort study of all 696,816 liveborn neonates ≥24 weeks gestation in New South Wales (NSW) Australia, 2001-2008. Data were obtained from linked birth and hospitalizations records, including neonatal transfers. The primary outcome was CPAP without mechanical ventilation (via endotracheal intubation) between birth and discharge from the hospital system. Analyses were stratified by age ≤32 and > 32 weeks gestation.</p> <p>Results</p> <p>Neonates receiving any ventilatory support increased from 1,480 (17.9/1000) in 2001 to 2,486 (26.9/1000) in 2008, including 461 (5.6/1000) to 1,465 (15.8/1000) neonates who received CPAP alone. There was a concurrent decrease in mechanical ventilation use from 12.3 to 11.0/1000. The increase in CPAP use was greater among neonates > 32 weeks (from 3.2 to 11.8/1000) compared with neonates ≤32 weeks (from 18.1 to 32.7/1000). The proportion of CPAP > 32 weeks initiated in non-tertiary hospitals increased from 6% to 30%.</p> <p>Conclusions</p> <p>The use of neonatal CPAP is increasing, especially > 32 weeks gestation and among non-tertiary hospitals. Recommendations are required regarding which infants should be considered for CPAP, resources necessary for a unit to offer CPAP and monitoring of longer term outcomes.</p

    Pressure control of magnetic order and excitations in the pyrochlore antiferromagnet MgCr2_{2}O4_{4}

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    MgCr2_{2}O4_{4} is one of the best-known realizations of the pyrochlore-lattice Heisenberg antiferromagnet. The strong antiferromagnetic exchange interactions are perturbed by small further-neighbor exchanges such that this compound may in principle realize a spiral spin liquid (SSL) phase in the zero-temperature limit. However, a spin Jahn-Teller transition below TN≈13T_{\rm N} \approx 13 K yields a complicated long-range magnetic order with multiple coexisting propagation vectors. We present neutron scattering and thermo-magnetic measurements of MgCr2_{2}O4_{4} samples under applied hydrostatic pressure up to P=1.7P=1.7 GPa demonstrating the existence of multiple close-lying nearly degenerate magnetic ground states. We show that the application of hydrostatic pressure increases the ordering temperature by around 0.8 K per GPa and increases the bandwidth of the magnetic excitations by around 0.5 meV per GPa. We also evidence a strong tendency for the preferential occupation of a subset of magnetic domains under pressure. In particular, we show that the k=(0,0,1)\boldsymbol{k}=(0,0,1) magnetic phase, which is almost negligible at ambient pressure, dramatically increases in spectral weight under pressure. This modifies the spectrum of magnetic excitations, which we interpret unambiguously as spin waves from multiple magnetic domains. Moreover, we report that the application of pressure reveals a feature in the magnetic susceptibility above the magnetostructural transition. We interpret this as the onset of a short-range ordered phase associated with k=(0,0,1)\boldsymbol{k}=(0,0,1), previously not observed in magnetometry measurements.Comment: 19 pages including supplementary information, 10 main figures 6 supplementary figure

    Mobile phones as fomites for pathogenic microbes: A cross-sectional survey of perceptions and sanitization habits of health care workers in Dubai, United Arab Emirates

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    Backgrounds In 2022, smartphone use continues to expand with the number of smartphone subscriptions surpassing 6 billion and forecasted to grow to 7.5 billion by 2026. The necessity of these ‘high touch’ devices as essential tools in professional healthcare settings carries great risks of cross-contamination between mobile phones and hands. Current research emphasises mobile phones as fomites enhancing the risk of nosocomial disease dissemination as phone sanitisation is often overlooked. To assess and report via a large-scale E-survey the handling practices and the use of phones by healthcare workers. Methods A total of 377 healthcare workers (HCWs) participated in this study to fill in an E-survey online consisting of 14 questions (including categorical, ordinal, and numerical data). Analysis of categorical data used non-parametric techniques such as Pearson's chi-squared test. Results During an 8-h shift, 92.8% (n/N = 350/377) use their phone at work with 84.6% (n/N = 319/377) considering mobile phones as an essential tool for their job. Almost all HCWs who participated in this survey believe their mobile phones could potentially harbour microorganisms (97.1%; n/N = 366/377). Fifty-seven respondents (15.1%) indicated that they use their phones while wearing gloves and 10.3% (n/N = 39/377) have never cleaned their phones. The majority of respondents (89.3%; n/N = 337/377) agreed that contaminated mobile phones could contribute to dissemination of SARS-CoV-2. Conclusion Mobile phone use is now almost universal and indispensable in healthcare. Medical staff believe mobile phones can act as fomites with a potential risk for dissemination of microbes including SARS-COV-2. There is an urgent call for the incorporation of mobile phone sanitisation in infection prevention protocol. Studies on the use of ultraviolet-C based phone sanitation devices in health care settings are needed

    Hospitalisations from one to six years of age: Effects of Gestational Age and Severe Neonatal Morbidity

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    Background: To investigate whether the adverse infant health outcomes associated with early birth and severe neonatal morbidity (SNM) persist beyond the first year of life and impact on paediatric hospitalisations for children up to six years of age. Methods: The study population included all singleton live births, >32 weeks gestation in New South Wales, Australia in 2001-2005, with follow-up to six years of age. Birth data were probabilistically linked to hospitalisation data (n=392,964). The odds of hospitalisation, mean hospital length of stay (LOS) and costs, and cumulative LOS were evaluated by gestational age and SNM using multivariable analyses. Results: A total of 74,341 (18.9%) and 41,404 (10.5%) infants were hospitalized once and more than once, respectively. SNM was associated with increased odds of hospitalisation once (adjusted odds ratio (aOR) 1.16 [95% CI 1.10, 1.22]), and more than once (aOR 1.51 [1.42, 1.60]). Decreasing gestational age was associated with increasing odds of hospitalisation more than once from aOR 1.19 at 37-38 weeks to 1.49 at 33-34 weeks. Average LOS and costs per hospital admission were increased with SNM but not with decreasing gestational age. Cumulative LOS was significantly increased with SNM and decreasing gestational age. Conclusions: Adverse effects of SNM and early birth persist between one and six years of age. Strategies to prevent early birth and reduce SNM, and to increase health monitoring of vulnerable infants throughout childhood may help reduce paediatric hospitalisations.NHMRC, NSW Health Population Health and Health Services Gran

    Revisiting the analytical solution approach to mixing-limited equilibrium multicomponent reactive transport using mixing ratios: identification of basis, fixing an error, and dealing with multiple minerals

    Get PDF
    Multicomponent reactive transport involves the solution of a system of nonlinear coupled partial differential equations. A number of methods have been developed to simplify the problem. In the case where all reactions are in instantaneous equilibrium and the mineral assemblage is constant in both space and time, de Simoni et al. (2007) provide an analytical solution that separates transport of aqueous components and minerals using scalar dissipation ofPeer ReviewedPostprint (published version

    Metagenomic sequencing and reverse transcriptase PCR reveal that mobile phones and environmental surfaces are reservoirs of Multidrug-Resistant superbugs and SARS-CoV-2

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    Background: Mobile phones of healthcare workers (HCWs) can act as fomites in the dissemination of microbes. This study was carried out to investigate microbial contamination of mobile phones of HCWs and environmental samples from the hospital unit using a combination of phenotypic and molecular methods. Methods: This point prevalence survey was carried out at the Emergency unit of a tertiary care facility. The emergency unit has two zones, a general zone for non-COVID-19 patients and a dedicated COVID-19 zone for confirmed or suspected COVID-19 patients. Swabs were obtained from the mobile phones of HCWs in both zones for bacterial culture and shotgun metagenomic analysis. Metagenomic sequencing of pooled environmental swabs was conducted. RT-PCR for SARS-CoV-2 detection was carried out. Results: Bacteria contamination on culture was detected from 33 (94.2%) mobile phones with a preponderance of Staphylococcus epidermidis (n/N = 18/35), Staphylococcus hominis (n/N = 13/35), and Staphylococcus haemolyticus (n/N = 7/35). Two methicillin-sensitive and three methicillin-resistant Staphylococcus aureus, and one pan-drug-resistant carbapenemase producer Acinetobacter baumannii were detected. Shotgun metagenomic analysis showed high signature of Pseudomonas aeruginosa in mobile phone and environmental samples with preponderance of P. aeruginosa bacteriophages. Malassezia and Aspergillus spp. were the predominant fungi detected. Fourteen mobile phones and one environmental sample harbored protists. P. aeruginosa antimicrobial resistance genes mostly encoding for efflux pump systems were detected. The P. aeruginosa virulent factor genes detected were related to motility, adherence, aggregation, and biofilms. One mobile phone from the COVID-19 zone (n/N = 1/5; 20%) had positive SARS-CoV-2 detection while all other phone and environmental samples were negative. Conclusion: The findings demonstrate that mobile phones of HCWs are fomites for potentially pathogenic and highly drug-resistant microbes. The presence of these microbes on the mobile phones and hospital environmental surfaces is a concern as it poses a risk of pathogen transfer to patients and dissemination into the community

    A one-dimensional spot welding model

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    A one-dimensional model is proposed for the simulations of resistance spot welding, which is a common industrial method used to join metallic plates by electrical heating. The model consists of the Stefan problem, in enthalpy form, coupled with the equation of charge conservation for the electrical potential. The temperature dependence of the density, thermal conductivity, specific heat, and electrical conductivity are taken into account, since the process generally involves a large temperature range, on the order of 1000 K. The model is general enough to allow for the welding of plates of different thicknesses or dissimilar materials and to account for variations in the Joule heating through the material thickness due to the dependence of electrical resistivity on the temperature. A novel feature in the model is the inclusion of the effects of interface resistance between the plates which is also assumed to be temperature dependent. In addition to constructing the model, a finite difference scheme for its numerical approximations is described, and representative computer simulations are depicted. These describe welding processes involving different interface resistances, different thicknesses, different materials, and different voltage forms. The differences in the process due to AC or DC currents are depicted as well
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