Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Comparative Building Energy Simulation Study of Static and Thermochromically Adaptive Energy-Efficient Glazing in Various Climate Regions

The building sector contributes approximately one third of the total energy consumption worldwide. A large part of this energy is used for the heating and cooling of buildings, which can be drastically reduced by use of energy-efficient glazing. In this study, we performed building energy simulations on a prototypical residential building, and compared commercially available static (low-e, solar IR blocking) to newly developed adaptive thermochromic glazing systems for various climate regions. The modeling results show that static energy-efficient glazing is mainly optimized for either hot climates, where low solar heat gain can reduce cooling demands drastically, or cold climates, where low-e properties have a huge influence on heating demands. For intermediate climates, we demonstrate that adaptive thermochromic glazing in combination with a low-e coating is perfectly suited. The newly developed thermochromic glazing can lead to annual energy consumption improvement of up to 22% in comparison to clear glass, which exceeds all other glazing systems. Furthermore, we demonstrate that in the Netherlands the use of this new glazing system can lead to annual cost savings of EU 638 per dwelling (172 m2, 25% window fa&ccedil;ade), and to annual nationwide CO2 savings of 4.5 Mt. Ergo, we show that further development of thermochromic smart windows into market-ready products can have a huge economic, ecological and societal impact on all intermediate climate region in the northern hemisphere

Phase separation of VO2 and SiO2 on SiO2-Coated float glass yields robust thermochromic coating with unrivalled optical properties

Vanadium dioxide displays thermochromic properties based on its structural phase transition from monoclinic VO2 (M) to rutile VO2 (R) and vice versa, and the accompanying reversible metal-insulator transition. We developed a single layer coating comprising VO2 (M) and SiO2. We applied the coating from an alcoholic solution comprising vanadium(IV) oxalate complex and pre-oligomerized tetra ethoxy silane to SiO2-coated float glass using dip coating, and thermally annealed the dried xerocoat in a two-step process. The addition of SiO2 as coating matrix resulted in non-scattering coatings with low surface roughness and random distribution of VO2 nanodomains (≤200 nm). Furthermore, the formation of the coating, comprising a phase separation yielding SiO2 and VO2 nanodomains during the thermal anneal, was studied in detail. The coating displays unrivalled optical properties, combining high visible light transmission Tvis > 60% and large solar modulation ΔTsol ≥ 10%. When applied in insulating glass units, the coating has a positive impact on energy savings for heating and cooling of buildings in intermediate climates, which we demonstrated through building energy simulations. For a typical house in the Netherlands, energy savings up to 24% were obtained. In addition, we demonstrate a coating stability comparable to current energy-efficient window coatings during processing into and in insulating glass units through (accelerated) life time tests

Collective photothermal effect of Al2O3‐supported spheroidal plasmonic Ru nanoparticle catalysts in the sunlight‐powered Sabatier reaction

Plasmon catalysis is an interesting technology concept for powering chemical processes with light. Here, we report the use of various Al2O3‐supported Ru spheroidal nanoparticles as catalyst for the low‐temperature conversion of CO2 and H2 to CH4 (Sabatier reaction), using sunlight as energy source. At high loadings of Ru spheroidal nanoparticles (5.9% w/w), we observe a sharp increase in the rate of the sunlight powered reaction when compared to the reaction in dark at the same catalyst bed temperature. Based on our results we exclude plasmon coupling as cause, and attribute the rate enhancement to collective photothermal heating of the Al2O3‐ supported Ru nanoparticles

Thermochromic glass laminates comprising W/VO2 nanoparticles obtained by wet bead milling: An in-depth study of the switching performance

The switching performance of W/VO2 nanoparticles in thermochromic glass laminates was investigated. W/VO2 powder was prepared, and displayed a phase transition temperature and switching enthalpy of 20.9 ◦C and 37.5 ± 0.2 J g 1, respectively. Using wet bead milling, the particle size was reduced from 24 ± 2 μm to 120 ± 10 nm. In the same process, the switching enthalpy decreased to 18.2 ± 0.6 J g 1 due to partial loss of crystallinity. The kinetics of the structural phase transition were studied using Friedman’s differential isoconversional method. This demonstrated that the activation energy |Eα| was inversely proportional to the square of the difference between the material’s temperature and the critical switching temperature T0, pointing out that nucleation kinetics were determining the rate. Furthermore, |Eα| decreased upon milling, and kinetic asymmetry was induced. The milled nanoparticles were compounded with PVB to produce thermochromic films, which were applied for laminating glass plates. The impact of nanoparticle size and concentration on the resulting optical properties of the laminate, viz. solar transmission and solar modulation, was studied in detail. The highest solar modulation obtained was 9.4%. The results obtained in this study are of direct importance for the application in smart windows, showing that (i) the W/VO2 particle size needs to be ≤ 100 nm to avoid excessive haze, (ii) both powder production and bead milling require further process optimization to minimize functional performance losses, and (iii) T0 should be set about 3 ◦C lower to ensure a sufficiently fast switch at the temperature of choice

Using Fiber Bragg Grating Sensors to Quantify Temperature Non-Uniformities in Plasmonic Catalyst Beds under Illumination

Distinguishing between photothermal and non-thermal contributions is essential in plasmon catalysis. Use of a tailored optical temperature sensor based on fiber Bragg gratings enabled us to obtain an accurate temperature map of an illuminated plasmonic catalyst bed with high spatiotemporal resolution. Its importance for quantification of the photothermal and non-thermal contributions to plasmon catalysis is demonstrated using a Ru/Al2O3 catalyst. Upon illumination with LEDs, we measured temperature differences exceeding 50 °C in the top 0.5 mm of the catalyst bed. Furthermore, we discovered differences between the surface temperature and the temperature obtained via conventional thermocouple measurements underneath the catalyst bed exceeding 200 °C at 2.6 W cm−2 light intensity. This demonstrates that accurate multi-point temperature measurements are a prerequisite for a correct interpretation of catalysis results of light-powered chemical reactions obtained with plasmonic catalysts.ImPhys/Optic

Collective photothermal effect of Al 2

Plasmon catalysis is an interesting technology concept for powering chemical processes with light. Here, we report the use of various Al2O3‐supported Ru spheroidal nanoparticles as catalyst for the low‐temperature conversion of CO2 and H2 to CH4 (Sabatier reaction), using sunlight as energy source. At high loadings of Ru spheroidal nanoparticles (5.9% w/w), we observe a sharp increase in the rate of the sunlight powered reaction when compared to the reaction in dark at the same catalyst bed temperature. Based on our results we exclude plasmon coupling as cause, and attribute the rate enhancement to collective photothermal heating of the Al2O3‐ supported Ru nanoparticles

Focal adhesion kinase is a load-dependent governor of the slow contractile and oxidative muscle phenotype

Striated muscle exhibits a pronounced structural–functional plasticity in response to chronic alterations in loading. We assessed the implication of focal adhesion kinase (FAK) signalling in mechano-regulated differentiation of slow-oxidative muscle. Load-dependent consequences of FAK signal modulation were identified using a multi-level approach after electrotransfer of rat soleus muscle with FAK-expression plasmid vs. empty plasmid-transfected contralateral controls. Muscle fibre-targeted over-expression of FAK in anti-gravitational muscle for 9 days up-regulated transcript levels of gene ontologies underpinning mitochondrial metabolism and contraction in the transfected belly portion. Concomitantly, mRNA expression of the major fast-type myosin heavy chain (MHC) isoform, MHC2A, was reduced. The promotion of the slow-oxidative expression programme by FAK was abolished after co-expression of the FAK inhibitor FAK-related non-kinase (FRNK). Elevated protein content of MHC1 (+9%) and proteins of mitochondrial respiration (+165–610%) with FAK overexpression demonstrated the translation of transcript differentiation in targeted muscle fibres towards a slow-oxidative muscle phenotype. Coincidentally MHC2A protein was reduced by 50% due to protection of muscle from de-differentiation with electrotransfer. Fibre cross section in FAK-transfected muscle was elevated by 6%. The FAK-modulated muscle transcriptome was load-dependent and regulated in correspondence to tyrosine 397 phosphorylation of FAK. In the context of overload, the FAK-induced gene expression became manifest at the level of contraction by a slow transformation and the re-establishment of normal muscle force from the lowered levels with transfection. These results highlight the analytic power of a systematic somatic transgene approach by mapping a role of FAK in the dominant mechano-regulation of muscular motor performance via control of gene expression