Development of the RIOT Web Service and Information Technologies to enable mechanism reduction for HCCI simulations.

Abstract. New approaches are being explored to facilitate multidisciplinary collaborative research of Homogenous Charge Compression Ignition (HCCI) combustion processes. In this paper, collaborative sharing of the Range Identification and Optimization Toolkit (RIOT) and related data and models is discussed. RIOT is a developmental approach to reduce the computational of detailed chemical kinetic mechanisms, enabling their use in modeling kinetically controlled combustion applications such as HCCI. These approaches are being developed and piloted as a part of the Collaboratory for Multiscale Chemical Sciences (CMCS) project. The capabilities of the RIOT code are shared through a portlet in the CMCS portal that allows easy specification and processing of RIOT inputs, remote execution of RIOT, tracking of data pedigree, and translation of RIOT outputs to a table view and to a commonly-used mechanism format. Introduction The urgent need for high-efficiency, low-emission energy utilization technologies for transportation, power generation, and manufacturing processes presents difficult challenges to the combustion research community. The needed predictive understanding requires systematic knowledge across the full range of physical scales involved in combustion processes -from the properties and interactions of individual molecules to the dynamics and products of turbulent multi-phase reacting flows. Innovative experimental techniques and computational approaches are revolutionizing the rate at which chemical science research can produce the new information necessary to advance our combustion knowledge. But the increased volume and complexity of this information often makes it even more difficult to derive the systems-level knowledge we need. Combustion researchers have responded by forming interdisciplinary communities intent on sharing information and coordinating research priorities. Such efforts face many barriers, however, including lack of data accessibility and interoperability, missing metadata and pedigree information, efficient approaches for sharing data and analysis tools, and the challenges of working together across geography, disciplines, and a very diverse spectrum of applications and funding. This challenge is especially difficult for those developing, sharing and/or using detailed chemical models of combustion to treat the oxidation of practical fuels. This is a very complex problem, and the development of new chemistry models requires a series of steps that involve acquiring and keeping track of a large amount of data and its pedigree. Also, this data is developed using a diverse range of codes and experiments spanning ab initio chemistry codes, laboratory kinetics and flame experiments, all the way to reacting flow simulations on massively parallel computers. Each of these processes typically requires different data formats, and often the data and/or analysis codes are only accessible by personally contacting the creator. Chemical models are usually shared in a legacy file format, such as Chemki

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

Abstract 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

Caesarean delivery of first prediagnosed COVID-19 pregnancy in Nigeria

The COVID-19 pandemic is currently causing widespread infection and deaths around the world. Since the identification of the first case in Nigeria in February 2020, the number of confirmed cases has risen to over 9,800. Although pregnant women are not necessarily more susceptible to infection by the virus, changes to their immune system in pregnancy may be associated with more severe symptoms. Adverse maternal and perinatal outcomes have been reported among pregnant women with COVID-19 infection. However, literature is scarce on the peripartum management and pregnancy outcome of a pregnant woman with COVID-19 in sub-Saharan Africa. We report the first successful and uncomplicated caesarean delivery of a pregnant woman with COVID-19 infection in Nigeria