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Symptom management strategies: rhythm versus rate control in patients with atrial fib...
Monika Kozieł
Miroslav Mihajlovic

Monika Kozieł

and 11 more

October 28, 2020
Background Symptom-focused management is one of the cornerstones of optimal atrial fibrillation (AF) therapy. Objectives To evaluate the use of rhythm control and rate control strategy. Second, to identify predictors of the use of amiodarone in patients with rhythm control and of the use of rhythm control strategy in patients with paroxysmal AF in the Balkans. Methods Prospective enrolment of consecutive patients from 7 Balkan countries to the BALKAN-AF survey was performed. Results Of 2,712 enrolled patients, 2,522 (93.0%) with complete data were included: 1,622 (64.3%) patients were assigned to rate control strategy and 900 (35.7%) to rhythm control. Patients with rhythm control were younger, more often hospitalized for AF and with less comorbidities (all p <0.05) than those with rate control. Symptom score [European Heart Rhythm Association (EHRA)] was not an independent predictor of a rhythm control strategy [odds ratio (OR) 0.99, 95% confidence interval (CI) 0.90-1.10, p = 0.945]. The most commonly chosen antiarrhythmic agents were amiodarone (49.7%), followed by propafenone (24.3%). Conclusion More than one third of patients in BALKAN-AF survey received a rhythm control strategy, and these patients tended to be younger with less comorbidities than those managed with rate control. EHRA symptom score is not significantly associated with rhythm control strategy. The most commonly used antiarrhythmic agents were amiodarone, followed by propafenone.
FACTOR ANALYSIS OF DIABETES MELLITUS WITH CO-EXISTING HYPERTENSION: A POPULATION-BASE...
Amit Sharma
Ashish Baldi

Amit Sharma

and 2 more

October 28, 2020
A document by Amit Sharma. Click on the document to view its contents.
Modified subgradient extragradient algorithm for pseudomonotone equilibrium problems...
Lulu Yin
Hongwei Liu

Lulu Yin

and 1 more

October 28, 2020
In this paper, a new algorithm is considered to find a common element of the solution set of a pseudomonotone equilibrium problem and the fixed point set for a quasi-nonexpansive mapping in a real Hilbert space. The algorithm is based on the subgradient extragradient method, the inertial method and the viscosity method. The adaptive step size ensures that the algorithm does not need to know apriori the Lipschitz constants of the associated bifunction. Under standard assumptions, the strong convergence of the proposed algorithm was studied . Moreover, numerical experiments on several specific problems and comparison with other algorithms show the superiority of the algorithm.
CRISPR system-mediated gene therapy: how flexible it used in genetic diseases
zhixi liu
zhi liao

zhixi liu

and 5 more

October 28, 2020
Abstract:In the 1960 of the 20th century, scientists firstly advanced the concept of using gene therapy to cure the human genetic disease, which aimed to carry out precisely site-specific modification on the genome for obtain long-term therapeutic effect in patients. In the next 50 years, scientists have developed many new gene editing technologies including zinc-finger nucleases (ZFNs), transcription activator-like effector nucleases (TALENs), and clustered regularly interspaced short palindromic repeats (CRISPR), etc. These new technologies have brought milestone breakthroughs in gene therapy era. In this review, we focus on how flexible the CRISPR system used in human genetic disease-focused research, gene therapy strategies, clinical trials and discuss some of the major challenges and significant benefit for its future use in patients.
Primary Effusion Lymphoma in a patient with a Good Outcome Despite the Lack of Chemot...
drkorenofir
Ariel Aviv

Ofir Koren

and 5 more

October 28, 2020
Background Primary effusion lymphoma (PEL) is a rare disease occurs mostly in immunosuppressed young males. Treatment consists of chemotherapy and prognosis is poor. Case presentation Our case described immunocompetent elderly woman with PEL who survive 30 months without chemotherapy. Conclusion Physicians should be aware of all clinical scenarios of PEL
Deferring stent optimization in stent thrombosis: A novel approach for STEMI manageme...
Giacomo Cioffi
Mehdi Madanchi

Giacomo Cioffi

and 3 more

October 28, 2020
Treatment of ST represents a challenge. The presence of large amounts of thrombus combined with stent optimization increase the risk of distal embolization. A two-step strategy of stent implantation and deferred stent optimization might be appropriated. We hereby present three clinical cases of ST successfully treated with a two-step approach.
Genetic differentiation and signatures of local adaptation revealed by RADseq for a h...
Michael John  Mendiola
Rachel Ravago-Gotanco

Michael John Mendiola

and 1 more

October 28, 2020
Connectivity of marine populations is shaped by complex interactions of biological and physical processes across the seascape. The influence of environmental features on the genetic structure of populations has key implications to the dynamics and persistence of populations, and an understanding of spatial scales and patterns of connectivity is crucial for management and conservation. This study employed a seascape genetics approach combining larval dispersal modeling and population genomic analysis based on RADseq to examine environmental factors influencing patterns of genetic structure and connectivity for a highly-dispersive mud crab, Scylla olivacea (Herbst, 1796) in the Sulu Sea. Dispersal simulations reveal widespread but asymmetric larval dispersal influenced by persistent southward and westward surface circulation features in the Sulu Sea. Despite potential for widespread dispersal, significant genetic differentiation was detected among eight Sulu Sea populations based on 1,655 single-nucleotide polymorphism (SNP) markers (FST = 0.0057, p = 0.001) and a subset of 1,643 putatively neutral SNP markers (FST = 0.0042, p = 0.001). Oceanography influences genetic structure, as redundancy analysis (RDA) revealed significant contribution of asymmetric ocean currents to neutral genetic variation (R2adj = 0.133; p = 0.035). Genetic structure may also reflect demographic factors, with divergent populations characterized by low effective population sizes (Ne < 50). Pronounced latitudinal genetic structure was recovered for loci putatively under selection (FST = 0.2390, p = 0.001), significantly correlated with variability in mean sea surface temperatures during peak spawning months of S. olivacea (R2adj = 0.763; p = 0.041), suggesting putative signatures of selection and local adaptation of early life history stages to thermal clines. This study contributes to the growing body of literature documenting population genetic structure and local adaptation for highly-dispersive marine species, and provides information useful for spatial management of the fishery resource.
The impact of radiofrequency wide circumferential pulmonary vein isolation on left at...
Konstantinos Iliodromitis
Etelvino Silva

Konstantinos Iliodromitis

and 5 more

October 28, 2020
Introduction: We sought to investigate the net effect of wide area circumferential radiofrequency catheter ablation (WACA) on the atrial (LA) geometry. Methods and results: Seventy-one patients, who underwent a second PVI procedure, after index procedure of point-by-point WACA, for recurrent paroxysmal (n=31) or persistent (n=40) atrial fibrillation (AF) in our center were included. A three-dimension rotational angiography of the left atrium (3D-RA) under rapid ventricular pacing was performed immediately before ablation, at index and repeat ablation in all patients. LA geometry in terms of volume, sphericity and surface were assessed in all patients between first and second PVI. There was a statistical significant reduction of the LA volume (65,6 ± 14 ml/m2 vs 62,2 ± 15 ml/m2, p<0,001) and of the surface of the LA (74,4 ± 11,2 vs 70,4 ± 11,2 cm2/m2, p<0,001), whereas the sphericity of the LA increased significantly (82 ± 2% vs. 83 ± 2%, p=0,004) in all 71 patients. Patients with paroxysmal AF showed significant decrease of the LA volume (121,8 ± 25,7 vs 116 ± 32 ml, p=0,008) and increase of the LA sphericity (82,3 ± 2,1 vs 83,1 ± 2%, p=0,009). Patients with persistent AF showed significant decrease of the LA volume (133,5 ± 32 vs 126 ± 32 ml, p=0,005), but only a trend towards increased sphericity (82,4 ± 2,8 vs 83 ± 2,4%, p=ns). Conlusions: WACA results into significant reduction of the LA volume, LA surface area and into significant increase of the LA sphericity in treated patients with recurrent AF.
An unusual long RP tachycardia: What is the mechanism?
Yasuyuki Egami
Kohei Ukita

Yasuyuki Egami

and 13 more

October 28, 2020
EP Rounds
The optimal Ablation Index Values for Electrical Isolation of the Superior Vena Cava
Daisuke Kawano
Hitoshi Mori

Daisuke Kawano

and 11 more

October 28, 2020
Background The ablation index (AI) has been reported to be useful for a durable pulmonary vein isolation (PVI) to treat atrial fibrillation (AF). No study has reported the optimal AI value for the SVC isolation (SVCI). In this study, we aimed to investigate the optimal AI for the SVCI. Methods Thirty-six AF patients who underwent an initial SVCI were enrolled. Ablation was performed at a total of 549 points. The sites where dormant conduction was induced or additional ablation was needed were defined as touch-up sites (n=36). We compared the energy deliver time, power, CF, Force-Time Integral (FTI), and AI between the touch up sites and control sites (n=513). Results The median RF delivery time, power, CF, and FTI were all significantly lower at the touch up sites (touch up sites vs. control sites; energy delivery time, sec, 20.3[12.3-21.7] vs. 21.6[19.8-25.2], p=0.0003; power, W, 23.5[15-24] vs. 24[20-25], p<0.0001; CF, g, 7[6-10.8] vs. 11[9-15], p<0.0001; FTI, 126.5[99.3-208.8] vs. 244[183.5-340.5], p<0.0001). The AI also was significantly lower at the Touch up sites (touch up sites vs. control sites; AI, 350.1±43.6 vs. 277.2±21.8, p<0.0001). The median value of the AI at the control sites was 350 and no reconnections were seen where the minimum AI value was more than 308. Conclusion The AI value at the touch up sites was significantly lower than that at the control sites. The optimal AI value for the SVCI should be 350, and at least 308 would be needed.
Hydrochemical Characteristics and Ion Sources of River in the upstream of the Shiyang...
Zhiyuan Zhang
Wenxiong Jia

Zhiyuan Zhang

and 7 more

October 28, 2020
As the largest tributary of the Shiyang River, with the average annual inflow of total runoff accounting for 23%, the Xiying River has representative of mountain runoff of inland rivers in the Northwest of China. Using samples collected in the Xiying River basin from September 2016 to October 2017, the water chemical composition and ion source characteristics of river was studied. The results show that the river is weakly alkaline, the average values of pH is 8.01 and the TDS is 179.29 mg·L-1. With the elevation decreasing along the river, the values of TDS of main stream tend to increase firstly and then decrease, but those of TDS of each tributary decrease, and latter is lower than the former. Affected significantly by the flow, the lowest value of ion concentration in river occurs in summer, and the highest value of it occurs in autumn and winter. The hydrochemical type of river is CaMg-HCO3. In the river, the order of cation mass concentration is NH4+
Physical Growth among Rongmei Naga Adolescents of Manipur
Anurag Chaurasia

Anurag Chaurasia

and 3 more

October 28, 2020
Background: Growth study of children is proxy to health of any population. Growth status of a child is a reflection of the overall health of the society, hence growth assessment is considered as the best way to evaluate the health and nutritional of the children. The growth and development of a child is influenced by both-genetic and environmental factors. Aims and Objectives: This paper tries to assess the growth of stature, sitting height, body weight, head length and breadth in terms of annual increment among children aged 11-19 years of Rongmei Naga tribe of Manipur state of Indian Union Material and Methods: Data was collected by door to door survey methods during Dec 2016 to Jan 2017 using anthropometer rod, weighing machine and spreading caliper. The data was collected in a semi-structured scheduled. The samples were from Tarung Village of District West Imphal of Manipur State. A total 61 boys and 53 girls were measured to achieve the goal. Results: There were differences in growth between boys and girls of Rongmei Naga, but boys were observed to be less growth than girls in most cases. Discussion: Analysis of growth data based on anthropometric measurements shows that mean values of height were observed to be lower than the standard mean values of height of the same age groups of WHO.. The present study indicates that there is no sexual dimorphism among Rongmei Naga adolescents in height vertex, body weight, sitting height, head length and head breadth (barring a few exceptions). This is a very unique finding as it is in contradiction to the worldwide studies which show majority of the populations has sexual dimorphism in these measurements. Conclusion: It can be concluded that the mean values of anthropometric measurements (Body weight, height, sitting height, maximum head length and head breadth,) increase with the age, but at different rate at the different age levels. The difference in pattern of growth among male and females was found to be non-significant.
High power short duration ablation of atrial fibrillation: A contemporary review
Aditi Naniwadekar
Srinivas Dukkipati

Aditi Naniwadekar

and 1 more

October 28, 2020
Catheter ablation using radiofrequency (RF) energy has been widely used to treat patients with atrial fibrillation (AF). The optimal levels of power and duration to increase the success rate while minimizing complications have not been fully established. Different centers continue to use various power protocols for catheter ablation of AF. Herein, we present a comprehensive review of the impact of power output on efficacy and safety of RF ablation for AF. High power short duration (HPSD) ablation can be performed safely with similar procedural efficacy as low power long duration (LPLD) ablation strategy. HPSD ablation has the potential to shorten procedural and RF times and create more durable and localized lesions.
Radiofrequency ablation for right-free-wall manifest accessory pathway in a child wit...
Ao Liu
Guo Liu

Ao Liu

and 2 more

October 28, 2020
Abstract: A 5-year-old male child with asymptomatic Wolff-Parkinson-White syndrome, cardiac dysfunction and dilated cardiomyopathy was reported. Electrophysiological study revealed a manifest accessory pathway on the right free wall. Heart failure and ventricular remodeling recovered after a successful radiofrequency ablation in the 10-11 o’clock of the tricuspid annulus. Conclusion: The dyssynchronous movement of the ventricular septum and left ventricular caused by right accessary pathway may be the main electrophysiological mechanism and the prognosis is good after blocking the conduction of accessary pathway.
Catheter Ablation of Ganglionated Plexi in Patients with Adenosine Triphosphate Induc...
Taku Nishida
Akihiro Takitsume

Taku Nishida

and 14 more

October 28, 2020
Aims: Intravenous ATP may induce atrial fibrillation (AF). ATP shares similar receptor-effector coupling systems with acetylcholine. However, the association between an ATP injection and the hyperactivity of the intrinsic cardiac autonomic nervous system, known as ganglionated plexi (GPs), are not well-understood. We described a series of patients with non-pulmonary vein (PV) trigger sites provoked by an ATP injection, and assessed the feasibility of a ganglionated plexus (GP) ablation. Methods: Five hundred and ninety-nine consecutive patients (69% men; mean age, 68 ± years, 60% paroxysmal AF) were retrospectively examined. A total of 7 patients (1.2%) that had ATP-induced AF following a PV isolation were enrolled in this analysis. Results: The distribution of the foci overlapped the GP location; the coronary sinus (CS) in six patients, right atrial posterior wall (RAPW) adjacent to the interatrial groove in 2, mitral annulus in 2, ligament of Marshall in 1, right septum below the foramen ovale in 1 and left atrial posterior wall in 1, respectively. Among those trigger foci, we confirmed a vagal response by high frequency stimulation in the CS and RAPW in six and two patients, respectively. After a median RF time of 2.9 minutes (range 2.5 to 11.3) targeting those foci, six patients who received a repeat ATP injection became non-inducible. Conclusion: ATP-induced AF after a PV/Box isolation was associated with hyperactivity of atrial GP. The GP ablation was effective in this rare, but challenging situation.
Underrecognized consequence of three-dimensional mapping tool selection for atrial fi...
Thomas Rostock
Torsten Konrad

Thomas Rostock

and 2 more

October 28, 2020
Underrecognized consequence of three-dimensional mapping tool selection for atrial fibrillation ablation: when the operators’ decision determines the amount of silent micro-embolic burden Thomas Rostock MD, Torsten Konrad MD, Raphael Spittler MDFrom the University Hospital Mainz, Center for Cardiology,Cardiology II / Electrophysiology, Mainz, GermanyWord count: 1460Funding: (None)Disclosures: (None)
Soil physicochemical property and arbuscular mycorrhizal fungi resilience to degradat...
Fisseha Asmelash
Tamrat Bekele

Fisseha Asmelash

and 3 more

October 28, 2020
We investigated the soil physicochemical property and arbuscular mycorrhizal fungi (AMF) resilience to degradation and deforestation of the Chilimo dry evergreen Afromontane forest. Topsoil (1-10cm) physicochemical property was determined across four land uses, viz. natural forest (NF), shrubland (ShL), cropland (CrL), and grazing land (GrL). AMF spore abundance (SA) and AMF infectivity of these land uses were also determined. One-way ANOVA results indicated that most soil physicochemical variables were significantly affected by land-use change. According to the nonmetric multidiamentiaonal scaling ordination result, soil physicochemical property was found to be resilient to degradation (NF-ShL conversation) but not deforestation (NF-CrL or NF-GrL conversions) of Chilimo forest. Whereas SA was found to be resilient to both the degradation and deforestation, infectivity was resilient only to NF-CrL conversion. Although our results did not show a similar pattern in soil property, SA and AMF infectivity resilience due to Chilimo forest degradation and deforestation, both the soil physicochemical property and AMF infectivity were found to be not resilient to NF conversion to GrL. Hence, based on our results, it can be concluded that AMF inoculation could be more beneficial to NF restoration if the planting sites are in GrL. However, in the future, the AMF community composition of these four land uses should be determined morphologically and molecularly from field soil and trap culture so that AMF resilience to DAF deforestation and degradation is better understood.
Is a handful of genes responsible for the common starling invasion success?
Soraia Barbosa

Soraia Barbosa

October 28, 2020
Is a handful of genes responsible for the common starling invasion success?Invasive species have the ability to colonize new habitats across distinct areas of the globe, rapidly adjusting to new biotic and abiotic conditions, and often experiencing little impact from the decrease in effective population size and genetic diversity. Still, as each invading population represents a subsample of the original native distribution, it is frequent to see variability in terms of the genetic makeup of invading populations and consequently differences in invasion success rates across their non-native range (Blackburn et al. 2017). Invasion success results largely from a combination of the genetic diversity in the native populations, the number of founders and founder events that are effectively get established at the introduction sites, the presence of particularly important genes or new interactions between genes, and genotype x environment associations (GEAs) (Lee 2002; Blackburn et al. 2017). From the genetic side of the process, invasive populations undergo dramatic changes compared to their native range due to a combination of genetic bottlenecks from the source population with genetic drift at both the introduction site and at the expansion front as the species invades new habitat (Dlugosch & Parker 2008). Most differences are observed at the neutral level, as quick range expansions lead to an increase in frequency of random neutral variants at the range expansion front, termed allele surfing (Excoffieret al. 2009). But allele surfing might also lead to an increase in frequency of maladapted alleles, which might limit the expansion success of invading populations (Peischl & Excoffier 2017).The common starling (Sturnus vulgaris ) is an example of a worldwide invasive species that has been introduced most successfully from its Palearctic range into three other continents including North America, Africa and Australia. Still, the success of the introductions seems to vary between introduction sites. The biggest difference in introduction success might be that found between North America and Australia. Starling invasion of North America started with an introduction of ~160 birds in the east coast in 1890s that rapidly expanded across all of North America, establishing populations in the west coast within 50 years (Bodt et al. 2020). In Australia, while starlings were introduced at five locations about sixteen times since the 19th century, only two resulted in established populations (Bodt et al. 2020), suggesting the existence of stronger barriers to expansion than in North America. In a From the Cover article in this issue of Molecular Ecology, Stuart and Cardilini et al. (2020) used Genotyping-by-Sequencing to explore how landscape and environmental heterogeneity shaped the genetic population structure and adaptation of the common starling multiple invasions of Australia, and compare it to the patterns observed in North America, examined in Hofmeister et al. (2019). Stuart and Cardilini et al. (2020) determined that starlings in Australia are distributed across three distinct environmental groups characterized by temperature and precipitation in ‘arid’, ‘semi-arid’ and ‘non-arid’. However, neutral and adaptive population structure was incongruent with the defined environmental subdivision, rather showing a pattern of isolation-by-distance (IBD). This pattern was further supported by the levels of genetic diversity and divergence across populations. Genetic diversity decreased with distance from the introduction sites in SE Australia, and genetic differentiation between populations increased with geographic distance (Figure 1A and 1B). These patterns contrast with those observed at other regions of the world where starlings have been introduced (Hofmeister et al. 2019; Bodt et al. 2020). The starling invasion of North America showed a genetic pattern not consistent with IBD, but rather with isolation-by-environment. In accordance to the rapid continent wide expansion, Hofmeister et al. (2019) also found very low differentiation between sampling localities, indicating not only high dispersal ability but also a panmictic population across the entire North America. Studies on invasion genetics clearly indicate that multiple introductions lead to increased genetic diversity, which in turn provide increased chances to expand into more diverse areas (more genomic targets of selection) (Dlugosch & Parker 2008; Blackburnet al. 2017). However, despite multiple successful introductions in Australia vs. a single introduction in North America, the extent of the invasion is smaller in Australia and the levels of population differentiation were found to be higher. The authors propose that despite the higher genetic diversity, there could also be greater constraints for gene flow, potentially attributed to environmental (dis)similarities of the different introduction sites in Australia with the native range. The North American climate is more similar to that of the native range of the starling in the Palearctic, and thus it would be expected that population structure would be more evident in Australia where individuals would have to adapt to more extreme conditions than they were adapted in the native range (Colautti & Lau 2017). To understand the role of environmental variability on expansion, both studies performed outlier-scans and GEAs to identify loci under selection. Contrarily to initial expectations, outlier scans failed at providing strong evidence of selection in association with population structure or environmental variability. In the case of North American starling, this could result from a low genetic diversity across populations, approaching what would be expected in panmixia. In the case in Australian starlings, even in the presence of population structure, outlier detection might simply reflect stochastic patterns as a result of allele surfing. Using redundancy analyses to detect GEAs, both studies found evidence of adaptation to temperature and precipitation. Stuart and Cardilini et al. (2020) found associations of the populations found in ‘arid’ regions with environmental variables that relate to higher and less variable temperatures, and with increased variability in precipitation (Figure 1C and 1D). Associations with the other environmental regimes (‘semi-arid’ and ‘non-arid’) were not as clear, although subdivision of populations in the GEA analysis space appeared to match neutral population structure for these populations. Similarly, Hofmeister et al. (2019) also detected associations between population structure and environmental variables, particularly mean annual temperature.One of the most interesting results that emerges from the combined analysis of both studies is the identification of similar loci under selection in both Australia and North America. Two genes were reported as candidates for selection in both studies, and both are related to cell structure regulation, suggesting a potential association with cell viability in variable and extreme environments. As noted by many other studies, successful invasions might only need to encompass a few genes that then become important for adaptation to novel conditions (Lee 2002; Nadeau & Urban 2019). Selection in just a few key loci can be easily spread in species with high mobility, also benefiting from allele surfing, leading to a rapid increase in frequency at the range expansion front and potentially across the entire invasive range. This might explain how such distinct invasion histories as those found across the starling populations around the world led to contradicting expectations in terms of invasiveness (Bodt et al. 2020). Still, the role of other mechanisms such as plasticity, genomic rearrangements, epigenetic variation, among others, still needs to be further examined to fully explain the differences in starling invasion dynamics (Bock et al. 2017). The results provided by Stuart and Cardilini et al.(2020) evidenced that particularly advantageous loci can be positively selected multiple times, across multiple introduction events and through very distinct geographic contexts, despite low effective population sizes and various demographic scenarios. This manuscript suggests that the common starling invasion success around the world has been greatly impacted by a hand full of genes that allow adaptation to extreme environmental conditions. But additional research in other less successful introduction sites should provide further evidence into the mechanisms involved in the invasion success and allow to build a more comprehensive picture of the mechanisms involved.
Ion Desolvation in Microporous Electrodes with Liquid Electrolytes
Leying Qing
Ting Long

Leying Qing

and 6 more

October 28, 2020
A deep understanding of ion desolvation in microporous electrodes is helpful for achieving efficient energy storage. Herein, we evaluate the contribution of ion desolvation to electrochemical performance of microporous electrodes with a proposed multiscale approach. By integrating the molecular version with the simple version of classical density functional theory, we first determine the solvation diameters of ions in confined molecular solvent, and then predict the capacitances of microporous electrodes through a solvation-diameter-dependent coarse-grained model. We find that the solvation diameter displays an oscillatory decline as decreasing the pore size of nanoslit, and upon this relation in combination with the pore size distribution of microporous electrode we give satisfactory predictions of the capacitances of practical electrodes compared with experimental measurements. This work not only provides a feasible multiscale tool for predicting the capacitances of microporous electrodes involving liquid electrolytes, but also casts insights for the design and preparation of high-performance supercapacitors.
Biophysical Basis of Thermometry Limitations to Control COVID-19 are Overcome at Tran...

M Marc Abreu

and 7 more

October 27, 2020
Essential to management of pandemics, noninvasive thermometry has been hampered by inaccuracies and inconsistencies, due to measurements on low thermal conductivity (k) surfaces we show here, which have precluded effective assessment of febrile states for centuries. Discovery of brain-eyelid thermal tunnels (BTT) identified undisturbed thermal transmission from brain. We here report a series of integrated anatomic, histologic, thermal emissive, thermal physiologic and thermometric studies designed to identify, characterize and overcome the biophysical limitations of surface thermometry as currently used worldwide to control COVID-19, which primarily relies on non-contact forehead thermometry. However, the forehead has thick and variable dermis (~2000 µm to ~2500 µm) and fat layers (~1100 µm to ~2800 µm) resulting in low-k insulation equivalent to wood. During thermal emission, the highest skin temperature at forehead, present in only ~3.1% of forehead, averaged 1.07±0.49°C (mean±SD) less than over BTT (p=0.008, two-tailed paired t-test). Thermometric studies (without correction factor) revealed 1.97°C higher temperature at BTT site (BTT°) than forehead. Facial fanning caused 3.5°C reduction in forehead temperature, which do not compromise BTT site, attributable to impact on non-BTT surface sites by highly variable surface vasculature. Cerebral hemisphere dominance studies uncovered higher BTT° in the dominant side (P<0.001 for 0.14°C difference). Like BTT, superior palpebral vein region has thin dermis (~900 µm) and is fat-free, however, BTT has higher intensity light emission due to heat transfer from underlying brain tunnel. Findings bring a new dimension for combating COVID-19 that is aligned with physics and biology, and without any cost whatsoever and undue burden, current worldwide suboptimal low-k thermometry can be immediately and conveniently enhanced by brain-enabled thermo-physical based high-k signal conversion, which can be easily implemented by any country, community or individual in the world. 
Empowering her guardians to nurture our oceans future
Mibu Fischer

Mibu Fischer

and 10 more

October 28, 2020
Empowering her guardians to nurture our oceans future
Effect of Alccofine on the Mechanical and Durability Performance of Concrete
Panga Narasimha Reddy
Bode Venkata Kavyateja

Panga Narasimha Reddy

and 2 more

October 28, 2020
This paper presents the study on the mechanical and durability properties of concrete at two different grades containing alccofine at different percentages of replacement. Investigation on the performance of alccofine concrete was performed for M25 and M40 grade at 0%, 5%, 10% and 15% replacement levels at 7, 14, 28 and 90 days. The influence of alccofine on the autogenous shrinkage properties of the alccofine added concrete was tested for both the grades of concrete in the sealed and unsealed conditions. The workability property of alccofine added concrete was examined at various levels of replacement by the slump cone test. The mechanical properties of the alccofine added concrete were investigated through estimation of compressive strength and elastic modulus at 7, 14, 28 and 90 days respectively. Acid attack was conducted at 28 days and autogenous shrinkage of the alccofine added concrete was investigated using length comparator at 28 day in the sealed and unsealed conditions. Results indicate that upon increase in the percentage of alccofine, the mechanical properties of the concrete increases at higher ages. Furthermore, the autogenous shrinkage of concrete tends to increase upon increase in the percentage of the alccofine at both the grades of concrete.
Performance and mechanism of the separation of C8 α-olefin from F-T synthesis product...
Hu Li
Zisheng Zhang

Hu Li

and 7 more

October 27, 2020
As an attractive alternative technology for the separation of long chain olefin and paraffin, a novel silver-based deep eutectic solvent (Ag-DES) was prepared and utilized for 1-octene/n-octane separation. Comprehensive reactive extraction separation experiments were performed to highlight the Ag-DES concentration and operating temperature discriminations using compounds with different ratio of 1-octene/n-octane. The novel Ag-DES showed optimal separation performance regarding 1-octene/n-octane and possessed the highest levels separation selectivity in the range 3.75-16.74 with excellent circulation stability in our best knowledge. Furthermore, FT-Raman measurements and quantum chemistry calculation were conducted to elucidate the interaction mechanism of Ag-DES in the separation of 1-octene and n-octane, which revealed that both chemical complexation and strong physical attraction existed in the complex of Ag-DES with 1-octene rather than n-octane. This study lends important insight for the development of Ag-DES reactive extraction separation process for the energy-efficient long chain α-olefin purification from F-T synthesis products.
Modeling Char Surface Area Evolution during Coal Pyrolysis: Evolving Characteristics...
He Yang
Yahui Yang

He Yang

and 5 more

October 27, 2020
Crosslinked metaplast influences char N2 adsorption specific surface area (SN2), and the influence changes with coal rank significantly. When crosslinked metaplast is adequate, planar polycyclic aromatic structures overlap tightly and SN2 is small. When crosslinked metaplast content is small, SN2 in crosslinked metaplast is larger than that in the coal matrix and takes a considerable proportion of total char surface area. Two exponents, kmat order and kcrlmet order, representing order degrees of planar polycyclic aromatic structure arrangement in coal matrix and crosslinked metaplast, respectively, were introduced in the previous model for calculating the change of char surface area during coal pyrolysis. The previous model was extended to include predicting SN2 of subbituminous and high-volatile bituminous coals, and was validated with 5 subbituminous coals, and 2 bituminous coals. The change of SN2 with coal ranks and the transition characteristics between coal ranks can be predicted.
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