Prediction of competitive adsorption on coal by a lattice DFTmodel

Adsorption is one of the main mechanisms involved in the ECBM process, a technology where CO2(or flue gas, i.e. a CO2/N2mixture) is injected into a deep coal bed, with the aim of storing CO2by simultaneously recovering CH4. A detailed understanding of the microscopic adsorption process is therefore needed, as the latter controls the displacement process. A lattice DFT model, previously extended to mixtures, has been applied to predict the competitive adsorption behavior of CO2, CH4and N2and of their mixtures in slit-shaped pores of 1.2 and 8nm width. In particular, the effect of temperature, bulk composition and density on the resulting lattice pore profiles and on the lattice excess adsorption isotherms has been investigated. Important insights could be obtained; when approaching near critical conditions in the mesopores, a characteristic peak in the excess adsorption isotherm of CO2appears. The same effect could be observed neither for the other gases nor in the micropores. Moreover, in the case of mixtures, a depletion of the less adsorbed species close to the adsorbent surface is observed, which eventually results in negative lattice excess adsorption at high bulk densitie

Competitive adsorption equilibria of CO2 and CH4 on a dry coal

Gases like CO2 and CH4 are able to adsorb on the coal surface, but also to dissolve into its structure causing the coal to swell. In this work, the binary adsorption of CO2 and CH4 on a dry coal (Sulcis Coal Province, Italy) and its swelling behavior are investigated. The competitive adsorption measurements are performed at 45 °C and up to 190bar for pure CO2, CH4 and four mixtures of molar feed compositions of 20.0, 40.0, 60.0 and 80.0% CO2 using a gravimetric-chromatographic technique. The results show that carbon dioxide adsorbs more favorably than methane leading to an enrichment of the fluid phase in CH4. Coal swelling is determined using a high-pressure view cell, by exposing a coal disc to CO2, CH4 and He at 45 and 60 °C and up to 140bar. For CO2 and CH4 a maximum swelling of about 4 and 2% is found, whereas He shows negligible swelling. The presented adsorption and swelling data are then discussed in terms of fundamental, thermodynamic aspects of adsorption and properties which are crucial for an ECBM operation, i.e. the CO2 storage capacity and the dynamics of the replacement of CH4 by CO

Reliable measurement of near-critical adsorption by gravimetric method

A gravimetric apparatus is used to measure the excess adsorption at high pressure. The equipment consists of a Rubotherm magnetic suspension balance, which allows to measure also the density of the fluid. In order to obtain the excess adsorbed amount, the measured weight has to be corrected with a buoyancy term, for which the density of the adsorbing fluid has to be known at each experimental conditions. Therefore the homogeneity of density in the high-pressure cell plays a fundamental role in determining the accuracy of the measured excess adsorbed amounts. This paper is intended to show the impact of the actual approach to thermostating the unit on the density distribution of the adsorbing fluid inside the high-pressure cell. Namely, by changing the inlet position of the heating fluid, large differences in the measured excess adsorption are produced. The closer to the critical point of the fluid, the stronger are these differences. An optimum configuration for our measuring device has been found and it has been used to study the adsorption of carbon dioxide (CO2) on Filtrasorb 400 activated carbon at supercritical and near-critical condition

Near-critical adsorption of CO2 on 13X zeolite and N2O onsilicagel: lack of evidence of critical phenomena

The excess adsorption of CO2 on 13X zeolite and of N2O on silica gel has been studied at high pressure using a magnetic suspension balance, i.e. a gravimetric method. Recently, a detailed study on the density distribution in the measuring cell of the magnetic suspension balance showed that a proper approach to thermostatting the unit should be used in order to obtain reliable and accurate excess adsorption measurements. This is particularly important in the vicinity of the critical point of the fluid, where the density is strongly dependent on pressure and temperature. In the past, several effects were observed in our laboratory when measuring near-critical adsorption on 13X zeolite and on silica gel, namely critical adsorption and critical depletion. In the present study, these effects have been checked using the balance in the new thermostatting configuration, and the conclusion can be drawn that the accuracy of the measurement is not sufficient to prove that they indeed occur. More accurate adsorption data for the two systems have been measured and reporte

Can I Discharge My Stroke Patient Home After Inpatient Neurorehabilitation? LIMOS Cut-Off Scores for Stroke Patients “Living Alone” and “Living With Family”

Background: Discharge planning of stroke patients during inpatient neurorehabilitation is often difficult since it depends both on the patient's ability to perform activities of daily living (ADL) and the social context. The aim of this study was to define ADL cut-off scores using the Lucerne ICF-based multidisciplinary observation scale (LIMOS) that allow the clinicians to decide whether stroke patients who “live alone” and “live with a family” can be discharged home or must enter a nursing home. Additionally, we investigated whether age and gender factors influence these cut-off scores. Methods: A single-center retrospective cohort study was conducted to establish cut-off discharge scores for the LIMOS. Receiver-operating-characteristics curves were calculated for both patient groups “living alone” and “living with family” to illustrate the prognostic potential of the LIMOS total score with respect to their discharge goals (home alone or nursing home; home with family or nursing home). A logistic regression model was used to determine the (age- and gender-adjusted) odds ratios of being released home if the LIMOS total score was above the cut-off. A single-center prospective cohort study was then conducted to verify the adequacy of the cut-off values for the LIMOS total score. Results: A total of 687 stroke inpatients were included in both studies. For the group “living alone” a LIMOS total score above 158 indicated good diagnostic accuracy in predicting discharge home (sensitivity 93.6%; specificity 95.4%). A LIMOS total cut-off score above 130 points was found for the group “living with family” (sensitivity 92.0%; specificity 88.6%). The LIMOS total score odds ratios, adjusted for age and gender, were 292.5 [95% CI: (52.0–1645.5)] for the group “living alone” and were 89.4 [95% CI: (32.3–247.7)] for the group “living with family.” Conclusion: Stroke survivors living alone needed a higher ADL level to return home than those living with a family. A LIMOS total score above 158 points allows a clinician to discharge a patient that lives alone, whereas a lower LIMOS score above 130 points can be sufficient in a patient that lives with a family. Neither age nor gender played a significant role

Development and Validation of the Short-LIMOS for the Acute Stroke Unit-A Short Version of the Lucerne ICF-Based Multidisciplinary Observation Scale.

Introduction At hospital stroke units, the time available to assess the patient's limitations in activities and participation is limited, although being essential for discharge planning. Till date, there is no quick-to-perform instrument available that captures the patient's actual performance during daily activities from a motor, cognitive, and communication perspective within the International Classification of Functioning, Disability and Health (ICF) framework. Therefore, the aim was to develop and validate a shortened version of the Lucerne ICF-Based Multidisciplinary Observation Scale (Short-LIMOS) that observes the patient's performance across ICF-domains and is applicable in the context of an acute stroke unit. Methods The Short-LIMOS was developed by reducing the original 45-item LIMOS to the ten most important items using a multivariable linear regression ANOVA with data of 836 stroke patients collected during inpatient neurorehabilitation. The Short-LIMOS's reliability, validity, and responsiveness were evaluated with data of 416 stroke patients in the acute stroke unit. Results A significant equation [F (10,825) = 232.083] with R 2 of 0.738 was found for the following ten items for the Short-LIMOS: maintaining a body position (d415), changing basic body position (d410), climbing stairs (d4551), eating (d550), dressing (d540), communicating with-receiving-written messages (reading) (d325), applying knowledge, remembering facts (d179), solving complex problems (d1751), making simple decisions (d177), and undertaking a simple task (d2100). Principal component analysis revealed a Short-LIMOS motor and a Short-LIMOS cognition/communication component. The Short-LIMOS had a high internal consistency and good test-retest reliability. A moderate construct validity was shown by the significant correlation with the Barthel Index. The Short-LIMOS had neither floor nor ceiling effects. Discussion and Conclusion The developed Short-LIMOS was found to be reliable and valid within a population of (hyper)acute and subacute stroke patients. The added value of this multidisciplinary assessment is its comprehensiveness by capturing the patient's actual performance on the motor, cognitive, and communication domain embedded in an ICF-framework in <10 mins

Speed up discharge planning at the acute stroke unit: A development and external validation study for the early prediction of discharge home.

Background To reduce healthcare costs, it has become increasingly important to shorten the length of stay in acute stroke units. The goal of this study was to develop and externally validate a decision tree model applicable < 48 h poststroke for discharge home from an acute stroke unit with a short length of stay, and to assess the inappropriate home discharge rate. Methods A prospective study including two samples of stroke patients admitted to an acute stroke unit. The outcome was discharge home (yes/no). A classification and regression tree analysis was performed in Sample 1. The model's performance was tested in Sample 2. Results In total, 953 patients were included. The final decision tree included the patients' activities of daily living (ADL) performance <48 h poststroke, including motor function, cognition, and communication, and had an area under the curve (AUC) of 0.84 (95% confidence interval 0.76, 0.91). External validation resulted in an AUC of 0.74 (95% confidence interval 0.72, 0.77). None of the patients discharged home were re-admitted < 2 months after discharge to a hospital or admitted to a rehabilitation center for symptoms that had needed inpatient neurorehabilitation. Conclusions The developed decision tree shows acceptable external validity in predicting discharge home in a heterogeneous sample of stroke patients, only based on the patient's actual ADL performance <48 h poststroke. Importantly, discharge was safe, i.e., no re-hospitalization was registered. The tree's application to speed up discharge planning should now be further evaluated

Rapid determination of general cell status, cell viability, and optimal harvest time in eukaryotic cell cultures by impedance flow cytometry

The determination of cell viability is essential to many areas of life sciences and biotechnology. Typically, cell viability measurements are based on the optical analysis of stained cells, which requires additional labeling steps and is hard to implement online. Frequency-dependent impedance flow cytometry (IFC) provides a label-free, fast, and reliable alternative to determine cell viability at the single cell level based on the Coulter principle. Here, we describe the application of IFC to eukaryotic cell cultures and compare the results to commonly used staining methods. Yeast cell parameters were assessed in normal and heat-inactivated cells as well as in alcoholic fermentation and long-term batch cultures providing a precise and fast determination of the cell viability and further quantitative measures of the cell culture status. As an important new application, we have investigated recombinant protein production in the widely used baculovirus insect cell expression system. The IFC analysis revealed the presence of a subpopulation of cells, which correlates with the protein expression yield, but it is not detectable with conventional optical cell counters. We tentatively identify this subpopulation as cells in the late phase of infection. Their detection can serve as a predictor for the optimal time point of harvest. The IFC technique should be generally applicable to many eukaryotic cell cultures in suspension, possibly also implemented online

Rasch validation of a new scale to measure dependency in arm use in daily life: the Upper Limb Lucerne ICF-based Multidisciplinary Observation Scale.

INTRODUCTION About 77% of adults with stroke have upper limb impairments. Many scales are available to measure the impairment and activity level of the affected limb. However, an observational scale to assess dependency on others in upper limb performance during daily life activities instead of laboratory settings is lacking. Therefore, we developed a new 5-item Upper Limb Lucerne ICF-based Multidisciplinary Observation Scale (UL-LIMOS). As next step in the psychometric analysis, we evaluated the unidimensionality and structural validity of the UL-LIMOS with Rasch Measurement Theory and we calculated a cut-off score for independent arm use in daily life activities at discharge. METHODS This is a single-center cross-sectional study in adults with (sub) acute stroke. We applied Rasch Measurement Theory (RMT) to analyze the structural validation and unidimensionality of the UL-LIMOS. The outputs provide evidence of unidimensionality, item and person fit, overall fit, differential item functioning (DIF), principal component analysis of residuals (PCAR), person separation reliability (PSR), and residual item correlations (to identify local item dependence). Person mean location, floor and ceiling effects identify proper targeting. RESULTS We recruited 407 adults with (sub) acute stroke (median age 63 years, 157 women). All items and persons fit the Rasch model. The PSR of 0.90 indicates that clinicians and researchers can reliably use the scale for individual decision-making. There were small floor (2.70%) and ceiling (13.00%) effects. The average person mean location was 1.32 ± 2.99 logits. There was no DIF. PCAR eigenvalue was 2.46 with 49.23% explained variance. Paired t-tests revealed that 0.89% of person locations were significantly different, confirming unidimensionality. One pair of items (arm and hand use and fine hand use) showed residual item correlations. The ROC's AUC was 0.90, CI95% = [0.85-0.96] with cut-off score of ≥14/20, and high sensitivity (87%, CI95% = [81%-91%]), specificity (83%, CI95% = [77%-87%]) for independent arm use in daily living at discharge. DISCUSSION The new Rasch-based UL-LIMOS is a valid ICF-based observation performance scale at the ICF-activity level, to evaluate dependency during upper limb use in daily life in adults with stroke. Additional psychometric analyses are warranted. The UL-LIMOS would be a valuable addition to the core assessments of adults with (sub) acute stroke