Cu-catalyzed Si-NWS grown on “carbon paper” as anodes for Li-ion cells

The very high theoretical capacity of the silicon (4200mAh/g more than 10 times larger than graphite), environmental-friendly, abundant and low-cost, makes it a potential candidate to replace graphite in high energy density Li-ion batteries. As a drawback, silicon suffers from huge volume changes (300%) on alloying and dealloying with Li, leading a structural deformation that induces disruption. The use of nanostructured silicon materials has been shown to be an effective way to avoid this mechanical degradation of the active material. In this paper the synthesis of silicon nanowires, grown on a highly porous 3D-like carbon paper substrate by CVD using Cu as the catalyst, is presented. The use of carbon paper allows to achieve remarkable loadings of active material (2-5 mg/cm2) and, consequently, high capacity densities. The silicon electrode was investigated both morphologically and electrochemically. To improve the electrochemical performance various strategies have been carried out. It was observed that a very slow first cycle (C/40), which helps the formation of a stable solid electrolyte interphase on the silicon surface, improves the performance of the cells; nevertheless, their cycle life has been found not fully satisfactory. Morphological analysis of the Si-NWs electrodes before and after cycling showed the presence of a dense silicon layer below the nanowires which could reduce the electrical contact between the active material and the substrate

Reluctance of general practice staff to register patients without documentation: a qualitative study in North East London.

BACKGROUND: Lack of access to documentation is a key barrier to GP registration, despite NHS England guidance stating that documents are not required. Staff attitudes and practice regarding registration of those without documentation are under- researched. AIM: To understand the processes through which registration might be refused for those without documents, and the factors operating to influence this. DESIGN AND SETTING: Qualitative study conducted in general practice across three clinical commissioning groups in North East London. METHOD: In total, 33 participants (GP staff involved in registering new patients) were recruited through email invitation. Semi-structured interviews and focus groups were conducted. Data were analysed using Braun and Clarke's reflexive thematic analysis. Two social theories informed this analysis: Lipsky's street-level bureaucracy and Bourdieu's theory of practice. RESULTS: Despite good knowledge of guidance, most participants expressed reluctance to register those without documentation, often introducing additional hurdles or requirements in their everyday practice. Two explanatory themes were generated: that those without documents were perceived as burdensome, and/or that moral judgements were made about their deservedness to finite resources. Participants described a context of high workload and insufficient funding. Some felt that GP services should be restricted by immigration status, as is widespread in secondary care. CONCLUSION: Improving inclusive registration practice requires addressing staff concerns, supporting navigation of high workloads, tackling financial disincentives to registering transient groups, and challenging narratives that undocumented migrants represent a 'threat' to NHS resources. Furthermore, it is imperative to acknowledge and address upstream drivers, in this instance the Hostile Environment

Bell's palsy: Symptoms preceding and accompanying the facial paresis

This individual prospective cohort study aims to report and analyze the symptoms preceding and accompanying the facial paresis in Bell's palsy (BP). Two hundred sixty-nine patients affected by BP with a maximum delay of 48 hours from the onset were enrolled in the study. The evolution of the facial paresis expressed as House-Brackmann grade in the first 10 days and its correlation with symptoms were analyzed. At the onset, 136 patients presented postauricular pain, 114 were affected by dry eye, and 94 reported dysgeusia. Dry mouth was present in 54 patients (19.7%), facial pain, hyperlacrimation, aural fullness, and hyperacusis represented a smaller percentage of the reported symptoms. After 10 days, 39.9% of the group had a severe paresis while 10.2% reached a complete recovery. Dry mouth at the onset was correlated with severe grade of palsy and was prognostic for poor recovery in the early period. These outcomes lead to the deduction that the nervus intermedius plays an important role in the presentation of the BP and it might be responsible for most of the accompanying symptomatology of the paresis. Our findings could be of important interest to early address a BP patient to further examinations and subsequent therapy

Manfaat Ekonomi dan Non Ekonomi Koperasi Gunung Madu (Kgm) di PT Gunung Madu Plantations (PT GMP) Kabupaten Lampung Tengah

This study aims to analyze the economic benefits received by members of KGM, the contribution of cooperation economic benefits on household income of KGM members, and non-economic benefits (level of satisfaction) of the KGM members. This research was conducted in KGM, PT GMP, Central Lampung Regency. The total samples are 75 members of KGM. Data analysis method that used is the economic benefits of cooperative analysis, analysis of household income cooperative members, and analysis of the level of satisfaction of member cooperatives using the Customer Satisfaction Index (CSI) analysis. The results showed that the direct economic benefits derived by KGM members each year, was on average of Rp1,689,921.00, while the indirect economic benefits by KGM Members, each year, was on average of Rp9,565,067.00. Total economic benefits of KGM, contributing to income amounted to14.28% of members. Level of satisfaction of the members of KGM to KGM is 70.8 %, which means that members of the KGM feel satisfied with the performance of the services provided by the employee of KGM

3D curved multiplanar cone beam CT reconstruction for intracochlear position assessment of straight electrodes array. A temporal bones and patients study

A retrospective review of post-op cone beam CT (CBCT) of 8 adult patients and 14 fresh temporal bones that underwent cochlear implantation with straight flexible electrodes array was performed to determine if the position of a long and flexible electrodes array within the cochlear scalae could be reliably assessed with CBCT. An oto-radiologist and two otologists examined the images and assessed the electrodes position. The temporal bone specimens underwent histological analysis for confirm the exact position. The position of the electrodes was rated as scala tympani, scala vestibule, or intermediate position for the electrodes at 180°, 360° and for the apical electrode. In the patient group, for the electrodes at 180° all observers agreed for scala tympani position except for 1 evaluation, while a discrepancy in 3 patients both for the 360° and for the apical electrode assessment were found. In five temporal bones the evaluations were in discrepancy for the 180° electrode, while at 360° a disagreement between raters on the scalar positioning was seen in six temporal bones. A higher discrepancy between was found in assessment of the scalar position of the apical electrode (average pairwise agreement 45.4%, Fleiss k = 0.13). A good concordance was found between the histological results and the consensus between raters for the electrodes in the basal turn, while low agreement (Cohen’s k 0.31, pairwise agreement 50%) was found in the identification of the apical electrode position confirming the difficulty to correct identify the electrode position in the second cochlear turn in temporal bones. In conclusion, CBCT is a reliable radiologic exam to correctly evaluate the position of a lateral wall flexible array in implanted patients using the proposed imaging reconstruction method, while some artefacts impede exact evaluation of the position of the apical electrode in temporal bone and other radiological techniques should be preferred in ex vivo studies

Dendrochronological and geomorphological investigations to assess water erosion and mass wasting processes in the Apennines of Southern Tuscany (Italy)

The Tyrrhenian side of the Central Apennines is located in a lively geological context, in which uplift/denudation dynamics played a key role in landscape evolution. Intense water erosion and gravitational processes led to the development of spectacular badlands on the widespread clayey hillslopes. The Crete d'Arbia badlands (as part of the Crete Senesi of Southern Tuscany) represent one of the most beautiful examples of these landforms developed on Pliocene clays. On the other hand, these rapidly evolving landforms endanger the artistic heritage of the area, as with the Monte Oliveto Maggiore Abbey that was constructed on the top of a badland hillslope and confers additional value to the landscape.In the perspective of monitoring and reconstructing some significant phases of the relief evolution of this area an integrated approach has been used, which is based on dendrogeomorphology and geomorphological monitoring techniques. In particular, the correspondence between the data from dendrogeomorphological indicators and the measured denudation rates on badland hillslopes was tested. The sampling for dendrogeomorphological analysis has been performed in two stages on 45 trees of the Pinus pinea L. species, on hillslopes affected by soil creep and shallow landslides, in order to identify annual ring growth anomalies, compression wood and roots exposure. Trees' local behaviour is not homogeneous but some common trends have been detected on the basis of the anomaly index and compression wood. Since 1993 several monitoring stations at badland denudation "hot spots" have been equipped with erosion pins; quantitative data from monitoring stations, compared to pluviometric series, indicated critical phases of denudation that were supported by dendrochronological data. The integrated approach between dendrogeomorphology and geomorphological monitoring techniques allowed calibration of both tools in order to extend the analysis in the period preceding the field measurements. This kind of approach, capable of implementation in many contexts, could be particularly helpful in order to forecast the relief evolutionary trend

Utjecaj različitih površinski aktivnih tvari i njihovih koncentracija na kontrolirano oslobađanje kaptoprila iz polimernih matriksa

Various methods are available to formulate water soluble drugs into sustained release dosage forms by retarding the dissolution rate. One of the methods used to control drug release and thereby prolong therapeutic activity is to use hydrophilic and lipophilic polymers. In this study, the effects of various polymers such as hydroxypropyl methylcellulose (HPMC), ethylcellulose (EC) and sodium carboxymethylcellulose (CMC) and surfactants (sodium lauryl sulphate, cetyltrimethylammonium bromide and Arlacel 60) on the release rate of captopril were investigated. The results showed that an increase in the amount of HPMC K15M resulted in reduction of the release rate of captopril from these matrices. When HPMC was partly replaced by NaCMC (the ratio of HPMC/NaCMC was 5:1), the release rate of the drug significantly decreased. However, there was no significant difference in release rate of captopril from matrices produced with ratios of 5:1 and 2:1 of HPMC/NaCMC. The presence of lactose in matrices containing HPMC and NaCMC increased the release rate of captopril. It was interesting to note that although partial replacement of HPMC by EC reduced the release rate of the drug (ratio of HPMC/EC 2:1), the release rate was increased when the ratio of HPMC/EC was reduced to 1:1. The effects of various surfactants on the release rate of captopril from HPMC/EC 1:1 matrices were also investigated. The results showed that the surfactants did not significantly change the release rate of the drug. Release data were examined kinetically and the ideal kinetic models were estimated for the drug release. The kinetic analysis of drug release data from various formulations showed that incorporation of surfactants in HPMC/EC matrices did not produce a zero-order release pattern.Postoje različite metode formuliranja vodotopljivih lijekova u dozirane ljekovite oblike s polaganim oslobađanjem. Jedan od načina postizanja kontroliranog otpuštanja, a prema tome i produljenog učinka je upotreba hidrofilnih i lipofilnih polimera. U ovom radu proučavan je utjecaj različitih polimera poput hidroksipropil metilceluloze (HPMC), etilceluloze (EC) i natrijeve soli karboksimetilceluloze (NaCMC) i površinski aktivnih tvari (natrijevog lauril-sulfata, cetiltrimetilamonijevog bromida i Arlacela 60) na oslobađanje kaptoprila. Rezultati pokazuju da povećanje količine HPMC K15M ima za posljedicu smanjenje oslobađanja kaptoprila iz matriksa. Ako se HPMC djelomično zamijeni s NaCMC (omjer HPMC/NaCMC 5:1), oslobađanje ljekovite tvari značajno se smanjuje. Međutim, nema značajne razlike u oslobađanju kaptoprila iz matriksa s omjerom HPMC/NaCMC 5:1 i 2:1. Prisutnost laktoze u matriksu koji sadrži HPMC i NaCMC povećalo je oslobađanje kaptoprila. Iako djelomična zamjena HPMC s EC smanjuje oslobađanje ljekovite tvari (omjer HPMC/EC 2:1), oslobađanje se povećava uz omjer HPMC/EC 1:1. Nadalje, ispitivan je utjecaj površinski aktivnih tvari na oslobađanje kaptoprila iz matriksa u kojima je omjer HPMC/EC (1:1). Može se zaključiti da površinski aktivne tvari ne utječu značajno na oslobađanje ljekovite tvari. U sklopu istraživanja određen je i kinetički model oslobađanja kaptoprila. Analiza kinetičkih podataka ukazuje da dodatak površinski aktivnih tvari u HPMC/EC matrikse ne slijedi kinetiku nultog reda

Low density molecular gas in the galaxy

The distributions and physical conditions in molecular gas in the interstellar medium have been investigated in both the Galaxy and towards external galaxies. For example, Galactic plane surveys in the CO J =1-0 line with the Columbia 1.2-m telescope and with the Five College Radio Astronomy Observatory (FCRAO) 14-m telescopes have been able to trace spiral arms more clearly than HI surveys have been able to reveal, and indicate that most of molecular mass is contained in Giant Molecular Clouds (GMCs). Extensive maps of the whole Milky Way showed two prominent features, the 4-kpc molecular ring and the Galactic center. The physical conditions in the Galaxy have been studied by comparing the intensity of CO J =1-0 line with those of other lines, e.g., 13CO J =1-0, higher J transitions of CO, and dense gas tracers such as HCO+, CS, and HCN. Previous studies were however strongly biased towards regions where CO emission was known to be intense. The radial distribution of molecular hydrogen shows that most of the H2 gas which is indirectly traced by observations of its associated CO emission, originates from the inner Galaxy (Dame 1993). Extending outwards from a galacto-centric distance of ~7 kpc, the H2 mass surface density decreases dramatically, and HI dominates over H2 in the outer Galaxy. What are physical conditions of molecular gas where the CO emission is relatively weak, and can we really trace all of the molecular gas through obervations of CO? These kinds of problems have not been solved yet, but are addressed in our study