Summerskaufman0684

024%) in a 1 M sodium acetate system. The Na0.44MnO2/Zn full cells also show excellent cycling stability and rate capability in a wide temperature range. The gained understanding of the hydrogen-bonding interactions in the hybridized electrolyte can provide new battery chemistry guidelines in designing promising candidates for developing low-cost and long-lifespan batteries based on other (Li+, K+, Zn2+, Mg2+, and Al3+) systems.In this work, bipolar electrochemistry is used to perform wireless indirect electrodeposition of two different polymer coatings on both sides of carbon nanotube arrays. Using a thermoresponsive hydrogel on one side and an inert insoluble polymer on the other side, it is possible to generate, in a single step, a nanoporous reservoir with Janus character closed on one side by a thermoresponsive membrane. The thermoresponsive polymer, poly(N-isopropylacrylamide) (pNIPAM), is generated by the local reduction of persulfate ions, which initiates radical polymerization of NIPAM. Electrophoretic paint (EP) is chosen as an inert polymer. It is deposited by precipitation because of a local decrease in pH during water oxidation. Both polymers can be deposited simultaneously on opposite sides of the bipolar electrode during the application of the electric field, yielding a double-modified Janus object. Moreover, the length and thickness of the polymer layers can be controlled by varying the electric field and the deposition time. This concept is applied to vertically aligned carbon nanotube arrays (VACNTs), trapped inside an anodic aluminum oxide membrane, which can further be used as a smart reservoir for chemical storage and release. A fluorescent dye is loaded in the VACNTs and its release is studied as a function of temperature. Low temperature, when the hydrogel layer is in the swollen state, allows diffusion of the molecule. Dye release occurs on the hydrogel-modified side of the VACNTs. At high temperatures, when the hydrogel layer is in the collapsed state, dye release is blocked because of the impermeability of the pNIPAM layer. This concept paves the way toward the design of advanced devices in the fields of drug storage and directed delivery.The ex-solution process, in which metal nanoparticles are grown on a host oxide, can be used to synthesize nanocatalysts with excellent thermal and chemical durability via spontaneous heterogeneous nucleation. However, this technique lacks a means to control the particle size and density because the amounts of ex-solved metal elements vary with the reduction conditions. Here, we devise a strategy to achieve small particle sizes and high particle densities concurrently by controlling the temperature (T), oxygen partial pressure (pO2) and ramping rate of the temperature. Quantitative analyses of Co particles ex-solved on Sr0.98Ti0.95Co0.05O3-d thin films using ex situ SEM and in situ TEM reveal that the increasing T and decreasing the pO2 lead to smaller particle sizes with higher density levels and vice versa, contrary to common ex-solution examples. We find that nucleation thermodynamics dictates such counterintuitive behaviors of particle characteristics, which are attributed to our specific ex-solution conditions in which particle interactions are minimized and all the Co atoms are ex-solved under highly reducible conditions. We also demonstrated the feasibility of our strategy via CO oxidation with typical powder-based catalysts, suggesting that this method can be extended to various chemical/electrochemical applications.Ordered mesoporous carbon (OMC) is considered to be a prospective carbon-based material for microwave absorption because of its abundant well-ordered mesoporous structures, high specific surface area, numerous active sites, and facile preparation process. However, its development has been seriously hindered by its poor impedance-matching characteristic. Herein, silica-modified OMC composites with a designable impedance-matching transition layer are successfully fabricated via a self-assembly method and succeeding calcination treatment. 1-Methylnicotinamide clinical trial In addition, the silica in OMC@SiO2 composites can maintain the mesoporous structure, which facilitates the scattering and reflection of microwaves in the tunnel structure. The as-prepared sample OMC-5@SiO2 exhibits a minimum reflection loss (RL) value of -40.7 dB at 10.8 GHz with 2 mm and an effective absorption bandwidth (RL ≤ -10 dB) of 4.8 GHz with a thinner absorber thickness of 1.5 mm. We believe that the as-prepared OMC@SiO2 composites can be prospective candidates as high-efficiency and lightweight microwave absorbers.The geometrical similarity of helicoidal fiber arrangement in many biological fibrous extracellular matrices, such as bone, plant cell wall or arthropod cuticle, to that of cholesteric liquid mesophases has led to the hypothesis that they may form passively through a mesophase precursor rather than by direct cellular control. In search of direct evidence to support or refute this hypothesis, here, we studied the process of cuticle formation in the tibia of the migratory locust, Locusta migratoria, where daily growth layers arise by the deposition of fiber arrangements alternating between unidirectional and helicoidal structures. Using FIB/SEM volume imaging and scanning X-ray scattering, we show that the epidermal cells determine an initial fiber orientation from which the final architecture emerges by the self-organized co-assembly of chitin and proteins. Fiber orientation in the locust cuticle is therefore determined by both active and passive processes.BACKGROUND Geenius HIV 1/2 Supplemental Assay (Geenius; Bio-Rad Laboratories) is the only Food and Drug Administration-approved HIV-1/HIV-2 antibody differentiation test for the second step in the HIV laboratory testing algorithm. We characterized the occurrence of true HIV-1 and HIV-2 infections as well as false results in 6 US clinical laboratories using Geenius. METHODS We examined routine HIV testing outcome data from the time the laboratories began using the algorithm with Geenius until September 30, 2017. We calculated the positive predictive value for Geenius HIV-1 and HIV-2 reactivity separately. RESULTS Of 5,046,684 specimens tested, 41,791 had reactive antigen/antibody test results. Most specimens with reactive antigen/antibody results were HIV-1 antibody-positive established infections (n = 32,421), 1,865 of which also had indeterminate HIV-2 bands present. Ninety-three specimens were HIV-2 antibody positive or untypable for HIV-1/HIV-2 antibody. Acute HIV-1 infections were found in 528 specimens; 881 specimens lacked the nucleic acid test to determine the possibility of acute HIV-1 infection. False-positive antigen/antibody test results were present in 7505 specimens. Few specimens (n = 363) had false-positive antigen/antibody results with indeterminate Geenius and negative HIV-1 nucleic acid test results. The positive predictive values of Geenius reactivity were 99.4% for HIV-1 and 4.3% for HIV-2. CONCLUSIONS Routine testing using the laboratory testing algorithm with Geenius resulted in most specimens resolving as HIV negative or HIV-1 positive. The occurrence of indeterminate HIV-2 bands with a Geenius final assay interpretation of HIV-1 positive was more common than true HIV-2 infections. Reporting indeterminate HIV-2 results in this situation may cause confusion with interpreting HIV infection status.OBJECTIVE To evaluate the effect of gaze angle on vertical vestibulo-ocular reflex (VOR) gain using two different video head impulse (vHIT) devices in healthy adults and subjects with bilateral vestibular loss (BVL). STUDY DESIGN Prospective study. SETTING Hospital research laboratory. SUBJECTS Twenty-four healthy adults (mean [standard deviation SD] age = 32 [4.8]; 23-42; 8 men) and four subjects with previously diagnosed BVL (mean age [SD] = 32 [8.2]; 21-40; 3 men) participated. INTERVENTION Vertical canal vHIT was administered with two different devices using three gaze angles (-45 degrees, 0 degree, +45 degrees). These devices have different gain calculation algorithms and different head and gaze angle protocols. MAIN OUTCOME MEASURES Vertical canal gain and presence or absence of reset saccades. RESULTS A significant stepwise reduction in vHIT gain was noted as gaze moved away from the plane of the canals stimulated (from -45 degrees to 0 degree, to +45 degrees) for both healthy adults and subjects with BVL. vHIT gain was able to separate the two groups using gaze angles -45 degrees and 0 degree. CONCLUSIONS In spite of their differences in gain algorithm and recommended head position and gaze angle, each device was able to appropriately separate healthy adults from subjects with BVL with high sensitivity/specificity.OBJECTIVES Gastrointestinal neuroendocrine carcinoma (NEC) is a lethal, uncommon, and understudied neoplasm. We present the efficacy and safety of first-line capecitabine (CP), oxaliplatin, irinotecan, and bevacizumab (CAPOXIRI-BEV) combination followed by pazopanib plus CP maintenance therapy in patients with advanced high-grade poorly differentiated gastrointestinal NEC. METHODS This was a two-stage phase II study conducted at multiple institutions. Patients were consecutively enrolled and had advanced NEC of the colon or small bowel. Patients received irinotecan 125 mg/m, oxaliplatin 80 mg/m on day 1, CP 1000 mg/m twice daily on days 1 to 14, plus bevacizumab 8 mg/kg on day 1 for six 21-day cycles. Maintenance therapy was given to those who responded (complete response/partial response) or had stable disease after 6 cycles with CAPOXIRI-BEV with pazopanib 800 mg daily plus CP 1600 mg/m daily on days 1 to 14 every 3 weeks until disease progression or unacceptable toxicity. Patients who progressed on CAPOXIRher investigation is warranted.PURPOSE Healthcare worker (HCW) safety is of pivotal importance during a pandemic such as Coronavirus Disease 2019 (COVID-19), and employee health and well-being ensures functionality of healthcare institutions. This is particularly true for an intensive care unit (ICU) where highly specialized staff cannot be readily replaced. In the light of lacking evidence for optimal staffing models in a pandemic, we hypothesized that staff shortage can be reduced when staff scheduling takes the epidemiology of a disease epidemic into account. METHODS Various staffing models were constructed and comprehensive statistical modeling performed. A typical, routine staffing model was defined that assumed full-time employment (40 hours/week) in a 40 bed ICU with a 21 ratio of patients to staff. The pandemic model assumed staff worked 12-hour shifts for 7 days every other week. Potential in-hospital staff infections were constructed for a total period of 120 days with a probability of 10%, 25%, and 40% being infected per week when at work. Simulations included the probability of infection at work for a given week, of fatality once infected, and the quarantine time, if infected. RESULTS Pandemic-adjusted staffing significantly reduced workforce shortage and the effect progressively increased as the probability of infection increased. Maximum effects were observed at week 4 for each infection probability with a 17%, 32%, and 38% staffing reduction for an infection probability of 0.10, 0.25, and 0.40, respectively. CONCLUSIONS Staffing along epidemiologic considerations may reduce HCW shortage by leveling the nadir from affected workforce. Although this requires considerable efforts and commitment of staff, it may be essential in an effort to best maintain staff health and operational functionality of healthcare facilities and systems.