Bi-Directional DC-DC Converter

This project was developed with the purpose of creating an efficient energy management system for the DC House project, with a centralized 12V battery system fed by a 48V Multiple Input Single Output Source (MISO). The energy management system will consist of a bidirectional DC-DC converter. During the day when the renewable sources produce enough energy to fulfill the load’s energy demand, the converter will make use of the excess energy by taking a 48V DC input and stepping it down to a 12V DC output in order to charge a 12V 100 Ah battery. When renewable sources can no longer supply the energy required by the load the necessary energy will be pulled from the 12V battery. The converter at this time will take the 12V DC input from the battery and step it up to a 48V output connected to DC House load. The proposed design was tested using LTSpice simulation whose results showed that the converter can indeed provide the bi-directional power flow as desired. Due to COVID-19 pandemic, the originally planned hardware construction must be abandoned following campus shut-down and our inability to get access to lab equipment necessary to conduct the hardware development and testing. Simulation results also showed that the proposed design was able to meet the less than 2% line and load regulation requirements. Furthermore, the efficiency of the proposed converter was measured to be around 85% at full load

Effect of molybdenum content on the morphology and electronic characteristics of Pd–MoOx nanomaterials and activity evaluation for ethylene glycol electro–oxidation

In this work, Pd–MoOx nanomaterials were developed changing the Mo/Pd precursor ratio and tested for ethylene glycol electro–oxidation reaction (EGOR) in alkaline medium. Mo atomic % compositions of 0, 15, 35, 45 and 75 at. % were evaluated. The increase of Mo at. % resulted in morphology changes due to the directing effect of hexadecyltrimethylammonium bromide (CTAB) on molybdenum passing from hemispheres to nanobelts + hemispheres (15 at. % Mo denoted as Pd85Mo15), then only nanobelts (35 at. % Mo, Pd65Mo35), and nanosheets (45 at. % Mo, Pd55Mo45), and hemispheres were newly obtained at the higher Mo concentration (75 at. % Mo, Pd25Mo75). The activity evaluation of EGOR at 60 °C indicated that Pd25Mo75 supported on Vulcan carbon (Pd25Mo75/C) displayed the highest current density (63.80 mA cm−2), and according with X–ray photoelectron spectroscopy (XPS) the highest activity of Pd25Mo75/C can be related to the abundance of Mo5+ species, which have oxygen vacancies with a single positive charge. Additionally, the analysis of O 1s core–level corroborated the abundance of oxygen with high number of defects sites. Thereby, it was found that Pd loading can be decreased without comprising the activity by increasing oxygen vacancies of MoOx as co–catalyst

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

High Voltage DC-DC Converter Design for Submarine Application

In this work a proof of concept for a step-down DC-DC converter used in a high voltage submarine application is presented. The purpose of the converter is to step down a 5000V-6000V input to a 24V output which can serve as an input to a submarine sensor. The completed system consists of two stages where the first stage is an unregulated switched capacitor converter to step down the initial input to a voltage range more appropriate for the selected second stage. The second stage is a regulated flyback converter topology which regulates the final output to the desired 24V. Performance evaluation of the proposed system are carried out using LTspice simulation software. Results of the simulation demonstrate that the proposed converter operates as anticipated with the first stage being able to reduce the initial input by a factor of 16 and the second stage producing a regulated 24V output. Additionally, the proposed converter reaches an efficiency of approximately 74.95% when tested under nominal input and full load conditions. With the same conditions, the converter yields an output voltage ripple of 1.525%, and line and load regulations of 0.0457% and 0.183% respectively

Elaboración del sistema para impresión de cheques con estándar Micr E-13B

EXPERIENCIA PROF. C3.38