Plastic waste release caused by COVID-19 and its fate in the global ocean.

The COVID-19 pandemic has led to an increased demand for single-use plastics that intensifies pressure on an already out-of-control global plastic waste problem. While it is suspected to be large, the magnitude and fate of this pandemic-associated mismanaged plastic waste are unknown. Here, we use our MITgcm ocean plastic model to quantify the impact of the pandemic on plastic discharge. We show that 8.4 ± 1.4 million tons of pandemic-associated plastic waste have been generated from 193 countries as of August 23, 2021, with 25.9 ± 3.8 thousand tons released into the global ocean representing 1.5 ± 0.2% of the global total riverine plastic discharge. The model projects that the spatial distribution of the discharge changes rapidly in the global ocean within 3 y, with a significant portion of plastic debris landing on the beach and seabed later and a circumpolar plastic accumulation zone will be formed in the Arctic. We find hospital waste represents the bulk of the global discharge (73%), and most of the global discharge is from Asia (72%), which calls for better management of medical waste in developing countries.

Road Traffic Sign Detection Method Based on RTS R-CNN Instance Segmentation Network.

With the rapid development of the autonomous driving industry, there is increasing research on related perception tasks. However, research on road surface traffic sign detection tasks is still limited. There are two main challenges to this task. First, when the target object's pixel ratio is small, the detection accuracy often decreases. Second, the existing publicly available road surface traffic sign datasets have limited image data. To address these issues, this paper proposes a new instance segmentation network, RTS R-CNN, for road surface traffic sign detection tasks based on Mask R-CNN. The network can accurately perceive road surface traffic signs and provide important information for the autonomous driving decision-making system. Specifically, CSPDarkNet53_ECA is proposed in the feature extraction stage to enhance the performance of deep convolutional networks by increasing inter-channel interactions. Second, to improve the network's detection accuracy for small target objects, GR-PAFPN is proposed in the feature fusion part, which uses a residual feature enhancement module (RFA) and atrous spatial pyramid pooling (ASPP) to optimize PAFPN and introduces a balanced feature pyramid module (BFP) to handle the imbalanced feature information at different resolutions. Finally, data augmentation is used to generate more data and prevent overfitting in specific scenarios. The proposed method has been tested on the open-source dataset Ceymo, achieving a Macro F1-score of 87.56%, which is 2.3% higher than the baseline method, while the inference speed reaches 23.5 FPS.

Orbital angular momentum mode detection of the combined vortex beam generated by coherent combining technology.

Coherent beam combining (CBC) technology has distinct advantages in generating high power vortex beam. In this paper, a circularly arranged coherent beam array (CBA) with discrete vortex phases is constructed to generate vortex beams. We demonstrated that the combined vortex beam (CVB) generated by the CBA is a multiplexing vortices optical field, which sidelobe is the coaxial interference pattern of these spiral harmonic components. Using the designed Dammam vortex grating (DVG), the orbital angular momentum (OAM) spectrum of the CVB is detected. Moreover, taking the target OAM mode purity of the CVB as the evaluation function of active phase control system, we realized the closed-loop phase control of the CBA and obtained the phase-locked output of the CVB.

Computational design of high efficiency nonplanar tri-s-triazine-based ambipolar host materials for phosphorescent blue emitters.

A series of nonplanar tri-s-triazine-based molecules were designed, and their optical, electronic, and charge transport properties as ambipolar host materials for blue electrophosphorescence emitters were explored by density functional theory. The influence of the linkage between tri-s-triazine and carbazole, diphenylamine and triphenylamine, as well as the influence of a series of electron-donating and electron-withdrawing substituents on triplet energy, energy level matching and charge transport of the designed molecules was discussed in detail. Our results reveal that the molecules under investigation can serve as host materials for blue electrophosphorescence emitters. We also predicted the mobility of designed molecules with better performance in the P1[combining macron] space group. Based on the investigated results, we proposed a rational way for the design of host materials for OLEDs, and also expanded the application field of tri-s-triazine.

An evaluation of the clinical efficacy of the application of 28mm cryoballoon for linear ablation of left atrial apex combined with enlarged pulmonary vein vestibule ablation for persistent atrial fibrillation.

OBJECTIVE: to retrospectively investigate the efficacy and safety of the application of 28 mm cryoballoon for pulmonary vein electrical isolation (PVI) combined with top left atrial linear ablation and pulmonary vein vestibular expansion ablation for persistent atrial fibrillation. METHODS: From July 2016 to December 2020, 413 patients diagnosed with persistent atrial fibrillation were evaluated, including 230 (55.7%) in the PVI group (PVI only) and 183 (44.3%) in the PVIPLUS group (PVI plus ablation of the left atrial apex and pulmonary vein vestibule). The safety and efficacy of the two groups were retrospectively analyzed. RESULTS: The AF/AT/AFL-free survival rates at 6, 12, 18, 24 and 30 months after procedure was 86.6%, 72.6%, 70.0%, 61.1% and 56.3% in the PVI group and 94.5%, 87.0%, 84.1%, 75.0% and 67.9% in the PVIPLUS group, respectively. At 30 months after procedure, the AF/AT/AFL-free survival rate was significantly higher in the PVIPLUS group than in the PVI group (P = 0.036; HR:0.63; 95% CI:0.42 to 0.95). CONCLUSION: The application of 28-mm cryoballoon for pulmonary vein electrical isolation combined with linear ablation of the left atrial apex and expanded ablation of the pulmonary vein vestibule improves the outcome of persistent atrial fibrillation.

The activities and mechanisms of intestinal microbiota metabolites of TCM herbal ingredients could be illustrated by a strategy integrating spectrum-effects, network pharmacology, metabolomics and molecular docking analysis: Platycodin D as an example.

BACKGROUND: The intestinal microbiota plays a key role in understanding the mechanism of traditional Chinese medicine (TCM), as it could transform the herbal ingredients to metabolites with higher bioavailability and activity comparing to their prototypes. Nevertheless, the study of the activity and mechanism of microbiota metabolites reported by the published literature still lacks viable ways. Hence a new strategy is proposed to solve this issue. PURPOSE: A new strategy to study the activity and mechanism of intestinal microbiota metabolites of TCM herbal ingredients by integrating spectrum-effect relationship, network pharmacology, metabolomics analysis and molecular docking together was developed and proposed. METHOD: Platycodin D (PD) and its microbiota metabolites with antitussive and expectorant effect were selected as an example for demonstration. First, the PD and its microbiota metabolites with important contribution to antitussive and/or expectorant effects were screened through spectrum-effect relationship analysis. Second, network pharmacology and metabolomics analysis were integrated to identify the upstream key targets of PD and its microbiota metabolites as well as the downstream endogenous metabolites. Finally, the active forms of PD were further confirmed by molecular docking. RESULTS: Results showed that PD was an active ingredient with antitussive and/or expectorant effects, and the active forms of PD were its microbiota metabolites: 3-O-ß-d-glucopyranosyl platycodigenin, 3-O-ß-d-glucopyranosyl isoplatycodigenin, 7­hydroxyl-3-O-ß-d-glucopyranosyl platycodigenin, platycodigenin and isoplatycodigenin. In addition, those microbiota metabolites could bind the key targets of PAH, PLA2G2A, ALOX5, CYP2C9 and CYP2D6 to exert antitussive effects by regulating four metabolic pathways of phenylalanine, tyrosine and tryptophan biosynthesis, phenylalanine metabolism, glycerophospholipid metabolism and linoleic acid metabolism. Similarly, they could also bind the key targets of PLA2G1B, ALOX5, CYP2C9 and CYP2D6 to exert expectorant effect by regulating two pathways of glycerophospholipid metabolism and linoleic acid metabolism. CONCLUSION: The proposed strategy paves a new way for the illustration of the activities and mechanisms of TCM herbal ingredients, which is very important to reconcile the conundrums of TCM herbal ingredients with low oral bioavailability but high activity.

Plastic waste discharge to the global ocean constrained by seawater observations.

Marine plastic pollution poses a potential threat to the ecosystem, but the sources and their magnitudes remain largely unclear. Existing bottom-up emission inventories vary among studies for two to three orders of magnitudes (OMs). Here, we adopt a top-down approach that uses observed dataset of sea surface plastic concentrations and an ensemble of ocean transport models to reduce the uncertainty of global plastic discharge. The optimal estimation of plastic emissions in this study varies about 1.5 OMs: 0.70 (0.13-3.8 as a 95% confidence interval) million metric tons yr-1 at the present day. We find that the variability of surface plastic abundance caused by different emission inventories is higher than that caused by model parameters. We suggest that more accurate emission inventories, more data for the abundance in the seawater and other compartments, and more accurate model parameters are required to further reduce the uncertainty of our estimate.

Efficacy of extended antrum ablation based on substrate mapping plus pulmonary vein isolation in the treatment of atrial fibrillation.

INTRODUCTION AND OBJECTIVES: Pulmonary vein isolation (PVI) technique has become the cornerstone of atrial fibrillation (AF) catheter ablation. The objective of this study was to assess the efficacy and safety of extended antrum ablation based on electrophysiological substrate mapping plus PVI in AF patients who underwent cryoballoon ablation. METHODS: In this observational study, a total of 121 paroxysmal AF patients and 80 persistent AF patients who did not achieve the procedure endpoint after cryoballoon ablation received extra extended antrum ablation (EAA) based on electrophysiological substrate mapping via radiofrequency ablation (EAA group). As a control group (PVI group), among paroxysmal AF and persistent AF patients, we conducted a propensity score-matched cohort, in whom only PVI was completed. RESULTS: The average follow-up time was 15.27±7.34 months. Compared with PVI group, paroxysmal AF patients in the EAA group had a significantly higher rate of AF-free survival (90.1% vs. 80.2%, p=0.027) and AF, atrial flutter, or atrial tachycardia (AFLAT) -free rate survival (89.3% vs. 79.3%, p=0.031). Persistent AF patients in the EAA group also had a significantly higher rate of AF-free survival (90.0% vs. 75.0%, p=0.016) and AFLAT-free survival (88.8% vs. 75.0%, p=0.029) than PVI group. Complication rates did not significantly differ between both groups, in either paroxysmal AF or persistent AF patients. CONCLUSION: Our findings demonstrate that extra extended antrum ablation based on electrophysiological substrate mapping is effective and safe. Moreover, the strategy can improve the outcome of AF cryoablation.

Diagnosis and treatment of eosinophilic myocarditis.

Eosinophilic myocarditis is a type of inflammatory cardiomyopathy characterized by eosinophilic infiltration into myocardial tissue. The accurate myocarditis incidence rate is difficult to determine because of the clinical limitations of an endomyocardial biopsy. The primary pathogenesis of eosinophilic myocarditis is the release of related substances by eosinophils, leading to cell membrane damage and cell destruction. However, evidence suggests that specific genes play a role in myocarditis development.As CMR imaging availability increases, the diagnosis rate of eosinophilic myocarditis will increase. The diagnosis of myocarditis mainly depends on an endocardial biopsy. Glucocorticoids can relieve patients' symptoms, but the early use of steroids may prevent intermediate disease stage development (i.e., thrombonecrosis and fibrosis with wall thrombosis). Anticoagulant therapy may also affect disease development. In addition to routine follow-up, a regular myocardial biopsy should be considered for discharged patients, if possible.

Global health effects of future atmospheric mercury emissions.

Mercury is a potent neurotoxin that poses health risks to the global population. Anthropogenic mercury emissions to the atmosphere are projected to decrease in the future due to enhanced policy efforts such as the Minamata Convention, a legally-binding international treaty entered into force in 2017. Here, we report the development of a comprehensive climate-atmosphere-land-ocean-ecosystem and exposure-risk model framework for mercury and its application to project the health effects of future atmospheric emissions. Our results show that the accumulated health effects associated with mercury exposure during 2010-2050 are $19 (95% confidence interval: 4.7-54) trillion (2020 USD) realized to 2050 (3% discount rate) for the current policy scenario. Our results suggest a substantial increase in global human health cost if emission reduction actions are delayed. This comprehensive modeling approach provides a much-needed tool to help parties to evaluate the effectiveness of Hg emission controls as required by the Minamata Convention.

Measurement of Equilibration Time of Dry Goods Loads in Autoclaves.

The equilibration time of an autoclave is defined as the period of time that elapses between the attainment of the sterilization temperature at the reference measurement point of the autoclave chamber and the attainment of the sterilization temperature at all measurement probes within the dry goods load placed within the autoclave during a sterilization cycle.The equilibration time is an indicator of the ability of the autoclave to remove air from and to subsequently sterilize the dry goods load placed within the autoclave chamber. Therefore, the equilibration time is an indicator of the performance of an autoclave. Periodic measurements of the equilibration time and evaluation of the equilibration time data can assure continued performance of the autoclave.For autoclaves that support biopharmaceutical manufacturing plants, the equilibration time is generally measured by placing heat penetration probes within the dry goods load items placed within the autoclave during a sterilization cycle. However, measurement of the equilibration time in this fashion yields results that are highly variable and difficult to replicate.This paper presents a study that attempts to understand the impact of the following autoclave variables on the consistent measurement of the equilibration time and on the reduction of the equilibration time: type of dry goods load item placed inside the autoclave, location of the heat penetration probe placed within the dry goods load item, location of the dry goods load item inside the autoclave chamber, orientation of the dry goods load item inside the autoclave chamber, number of coils of the tubing elements of a dry goods load item, total thermal mass of the dry goods load items placed inside the autoclave, temperature of the dry goods load items at the start of the sterilization cycle, presence of residual moisture in the dry goods load items at the start of the sterilization cycle, number of steam and vacuum pulses used for preconditioning in the autoclave recipe, depth of the steam and vacuum pulses used for preconditioning in the autoclave recipe, and hold time of the steam and vacuum pulses used for preconditioning in the autoclave recipe.The focus of this paper is on tests performed to evaluate these variables followed by analysis and interpretation of the test data to identify key variables that have the highest impact on the measurement of the equilibration time. The conclusion of this paper presents a process to achieve shorter equilibration times in autoclaves through control of the key variables identified.LAY ABSTRACT: The equilibration time is an indicator of the performance of an autoclave. Periodic measurements of the equilibration time and evaluation of the equilibration time data of an autoclave can assure continued performance of said autoclave.This paper presents a study performed to develop a general guideline for consistent measurement of the equilibration time of an autoclave through identification and control of key sources of variability that impact the measurement. The focus of this paper is the testing and data analysis performed to identify these key sources of variability observed in a typical autoclave load sterilized through a typical autoclave cycle in a biopharmaceutical manufacturing plant. The conclusion of this paper presents a process to achieve shorter equilibration times in autoclaves through control of the key variables identified.

Influence of Nano-SiO2, Nano-CaCO3 and Nano-Al2O3 on Rheological Properties of Cement-Fly Ash Paste.

Rheological curves of cement-fly ash (C-FA) paste incorporating nanomaterials including nano-SiO2 (NS), nano-CaCO3 (NC) and nano-Al2O3 (NA) at different resting times (hydration time of 5 min, 60 min, and 120 min) were tested with a rheometer. The rheological behaviors were described by the Herschel-Bulkley (H-B) model, and the influences of these nanomaterials on rheological properties of C-FA paste were compared. Results show that the types, content of nanomaterials and resting time have great influences on the rheological properties of C-FA paste. Incorporating NS and NA increases yield stress and plastic viscosity, and decreases the rheological index of C-FA paste. When the content of NS and NA were 2 wt%, the rheological index of C-FA paste was less than 1, indicating rheological behavior changes from shear thickening to shear thinning. Meanwhile, with rising resting time, yield stress and plastic viscosity increased significantly, but the rheological index decreased evidently, showing paste takes on shear thinning due to the rise of resting time. However, incorporating 3 wt% NC and the rising of resting time did not change the rheological properties of C-FA paste. These differences are mainly that the specific surface area (SSA) of NS (150 m2/g) and NA (120 m2/g) are much larger than that of NC (40 m2/g). The huge SSA of NS and NA consume lots of free water and these tiny particles accelerate the hydration process during resting time.

A Risk Index and Data Display for Process Performance in the Pharmaceutical Industry.

We propose a new index and graphical display for quantifying and visualizing process performance in the pharmaceutical industry. These tools can provide management a comprehensive, high level overview of the process performance of a global manufacturing network suitable for risk ranking, by which is meant: identifying those processes at greatest risk of failing to meet specifications, and prioritizing resources to drive continuous process improvement. Our index, like others currently in use, compares the observed variation of CQAs-critical quality attributes-to their specifications. However, instead of relying on traditional data summaries such as means and standard deviations to characterize process results, the proposed index uses sample quantiles. Quantiles are more accurate and reliable when data are skewed or short-tailed as is often observed for pharmaceutical processes. Perhaps just as important, we communicate the results with a new visual display that accurately compares processes and sites. The display identifies instances when the summaries may mislead and the subject matter expert needs to "drill down" into manufacturing data to assure correct understanding.LAY ABSTRACT: The proposed risk index and graphical display enables high-risk processes to be identified, process improvements to be prioritized, resources to be efficiently allocated, and strategic planning for continuous process improvement to be evidence-based.

Contact isolation is a risk factor for venous thromboembolism in trauma patients.

BACKGROUND: Contact isolation (CI) is a series of precautions used to prevent the transmission of medically significant infectious pathogens in the health care setting. Our institution's implementation of CI includes limiting patient movement to the assigned room. Our objective was to define the association between CI and venous thromboembolism (VTE) at our Level I trauma center. METHODS: Our institution's prospective trauma database was retrospectively queried for all patients admitted to the trauma service between January 1, 2011, and December 31, 2012. Data including demographics, Injury Severity Score (ISS), preexisting medical conditions, injury type, and VTE development were collected. CI status data were obtained from our institution's infection control database. χ2 was used to examine the unadjusted relationship between CI status and VTE. As the groups were not equivalent, logistic regression was then used to examine the relationship between CI and VTE while adjusting for relevant covariates including sex, age, ISS, and comorbidities. RESULTS: Of the 4,423 trauma patients admitted during the study period, 4,318 (97.6%) had complete records and were included in subsequent analyses. A total of 249 (5.8%) of the patients were on CI. VTE occurred in 44 patients (17.7%) on CI versus 141 patients (3.5%) who were not isolated (p < 0.0001; odds ratio, 6.0; 95% confidence interval, 4.1-8.6). With the use of lasso [least absolute shrinkage and selection operator] regression to adjust for patient risk factors, this relationship remained highly significant (p < 0.0001; odds ratio, 2.61; 95% confidence interval, 1.7-4.0). CONCLUSION: CI, ISS, hospital length of stay, and cardiac comorbidity were associated with VTE. After adjustment for other risk factors, CI remained most strongly associated with VTE. Although any medical intervention may come with unintended consequences, the risks and benefits of CI in this population need to be reevaluated. Further study is planned to identify opportunities to mitigate this increased VTE risk. LEVEL OF EVIDENCE: Prognostic/epidemiologic study, level III; therapeutic study, level IV.

A systematic literature review and meta-analysis: The Theory of Planned Behavior's application to understand and predict nutrition-related behaviors in youth.

BACKGROUND: Efforts to reduce unhealthy dietary intake behaviors in youth are urgently needed. Theory-based interventions can be effective in promoting behavior change; one promising model is the Theory of Planned Behavior (TPB). PURPOSE: The aim of this study was to determine, using a systematic literature review, how the TPB has been applied to investigate dietary behaviors, and to evaluate which constructs are associated with dietary behavioral intentions and behaviors in youth. METHODS: Publications were identified by searching electronic databases, contacting experts in the field, and examining an evolving Internet-based TPB-specific bibliography. Studies including participants aged 2-18years, all TPB constructs discernible and measured with a description of how the variables were assessed and analyzed, were published in English and peer-reviewed journals, and focused on nutrition-related behaviors in youth were identified. Accompanying a descriptive statistical analysis was the calculation of effect sizes where possible, a two-stage meta-analysis, and a quality assessment using tenants from the Consolidated Standards of Reporting Trials (CONSORT) and Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statements. RESULTS: Thirty-four articles, including three intervention studies, were reviewed. The TPB was most often used to evaluate healthy eating and sugary snack and beverage consumption. Attitude had the strongest relationship with dietary behavioral intention (mean r=0.52), while intention was the most common predictor of behavior performance (mean r=0.38; both p<0.001). All three interventions revealed beneficial outcomes when using the TPB (e.g. η(2)=0.51 and ds=0.91, 0.89, and 0.79); extending the Theory with implementation intentions may enhance its effectiveness (e.g. η(2)=0.76). CONCLUSIONS: Overall, the TPB may be an effective framework to identify and understand child and adolescent nutrition-related behaviors, allowing for the development of tailored initiatives targeting poor dietary practices in youth. However, support from the literature is primarily from observational studies and a greater effort towards examining these relationships within intervention studies is needed.