Assessment of knowledge gaps and perceptions about COVID-19 among health care workers and general public-national cross-sectional study.

BACKGROUND AND AIMS: COVID-19 has impacted everyone's life and livelihood in one way or the other. Individual response to measures taken to control the rapid spread of this disease depend on their knowledge and perceptions. Hence, we proposed to evaluate responses about COVID-19 among the health care workers (HCWs) as well as general public participants (GPPs). MATERIAL AND METHODS: This was a cross-sectional, observational survey conducted during the peak of the pandemic. The 35-items questionnaire was prepared using Google forms and distributed through e-mails and social media. RESULTS: The 1,026 responses comprised of 558 HCWs (54.4%) and 468 GPPs (45.6%). The most reliable source of information was TV news for 43% GPPs, whereas it was HCWs/Local health authorities for 36.8% HCWs. HCWs had sufficient knowledge regarding COVID-19, while it was relatively low among GPPs (average correct response 65% and 53%, respectively). Intra-group analysis with respect to age, sex, qualification, and socioeconomic status showed that knowledge about mode of transmission by airborne aerosols was significantly low with respect to qualification among GPPs while younger age group (<40 years) HCWs had significantly more knowledge about mode of transmission and asymptomatic carriers. Paranoia of contracting the infection was significantly higher in GPPs with upper and middle socioeconomic status and younger HCWs. CONCLUSION: HCWs had moderate level of knowledge, whereas GPPs had low to moderate knowledge, with large scope of improvement in both groups. Continued education, both at professional and community level will not only be helpful but also necessary to improve knowledge, avert negative attitudes and control the devastating pandemic.

WITHDRAWN: Relocation of blood gas laboratory to the emergency department helps decrease lactic acid values.

The Publisher regrets that this article is an accidental duplication of an article that has already been published, http://dx.doi.org/10.1016/j.ajem.2018.03.017. The duplicate article has therefore been withdrawn. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.

Relocation of blood gas laboratory to the emergency department helps decrease lactic acid values.

IMPORTANCE: Emergency Physicians often rely on Lactic Acid (LA) values to make important clinical decisions. Accuracy of LA values improve when blood gas analysis is performed in the emergency department (ED) as opposed to a satellite laboratory (SL). OBJECTIVE: To investigate an association between blood gas laboratory location and accuracy of ED lactic acid samples. METHODS: The study team evaluated lactic acid values from venous and arterial blood gas samples drawn between June 1, 2015 and September 30, 2016. The study was exempt from institutional review board approval. Samples were separated into two groups: those which were drawn prior to and after relocation of the blood gas laboratory to the ED. The data, including patient demographic characteristics, acute illness severity indices, and blood gas results were compared within and between each group using t-test for continuous variables and chi-square test for categorical variables. The primary outcome was the mean lactate value measured in the SL group in 2015 compared to the ED group in 2016. Potassium and creatinine values were measured between the two groups as secondary outcomes. RESULTS: Of the 21,595 consecutive samples drawn, 10,363 samples were from the SL group and 11,232 from the ED group. The SL group included 5458 (52.7%) women; mean (SD) age was 61.8 (21.0). The ED group contained 5860 (52.2%) women; mean (SD) age was 61.7 (20.5). Mean Emergency Severity Index (ESI) were the same in each group at 2.31 and rates of Systemic Inflammatory Response Syndrome (SIRS) were also equivalent in each group at 22.2%. Significant differences were found between LA values in the SL group (mean 2.21mmol/L) and in the ED group (mean 1.99mmol/L) with a p value of <0.0001. There was a small statistical significance between the difference in potassium values in the SL group (mean 3.98meq/L) compared to the ED Group (mean 3.96meq/L) with a p value of 0.022. No significant difference was found between the creatinine values. CONCLUSIONS AND RELEVANCE: These results suggest that mean lactate values decreased when measured in an ED blood gas laboratory and may provide more accurate LA results than blood gas samples analyzed at an SL blood gas laboratory within the same institution. Hospitals may consider moving blood gas laboratories to the ED to improve accuracy of one of the most important early blood markers used in the definition of sepsis and in the identification of the critically ill.

High-performance flexible supercapacitors based on electrochemically tailored three-dimensional reduced graphene oxide networks.

A simple approach for growing porous electrochemically reduced graphene oxide (pErGO) networks on copper wire, modified with galvanostatically deposited copper foam is demonstrated. The as-prepared pErGO networks on the copper wire are directly used to fabricate solid-state supercapacitor. The pErGO-based supercapacitor can deliver a specific capacitance (Csp) as high as 81±3 F g-1 at 0.5 A g-1 with polyvinyl alcohol/H3PO4 gel electrolyte. The Csp per unit length and area are calculated as 40.5 mF cm-1 and 283.5 mF cm-2, respectively. The shape of the voltammogram retained up to high scan rate of 100 V s-1. The pErGO-based supercapacitor device exhibits noticeably high charge-discharge cycling stability, with 94.5% Csp retained even after 5000 cycles at 5 A g-1. Nominal change in the specific capacitance, as well as the shape of the voltammogram, is observed at different bending angles of the device even after 5000 cycles. The highest energy density of 11.25 W h kg-1 and the highest power density of 5 kW kg-1 are also achieved with this device. The wire-based supercapacitor is scalable and highly flexible, which can be assembled with/without a flexible substrate in different geometries and bending angles for illustrating promising use in smart textile and wearable device.

Large area few-layer graphene with scalable preparation from waste biomass for high-performance supercapacitor.

Carbonaceous materials with high surface area and a sheet-like structure promote fast ion-transport kinetics, making them an ideal choice to be used in supercapacitors. Few-layer graphene (FLG)-like nanosheets with abundance of micro as well as mesopores are achieved via mechanical exfoliation method from an agricultural waste biomass: peanut shell (PS). A well-known elementary method of probe-sonication, for the achievement of FLG sheets from renewable sources, is introduced in this study for the very first time. The Peanut shell-derived FLG (PS-FLG) possesses remarkably high specific surface area (2070 m2 g-1) with a sufficiently large pore volume of 1.33 cm3 g-1. For the fabrication of a binder-free supercapacitor, the PS-FLG-based electrodes exhibited a high specific capacity of 186 F g-1 without the use of any binder in 1 M H2SO4 as supporting electrolyte. The highest energy density of 58.125 W h Kg-1 and highest power density of 37.5 W Kg-1 was achieved by the material. Surprisingly, the working potential increased to 2.5 V in an organic electrolyte leading to an obvious increase in the energy density to 68 W h Kg-1. Solid-state-supercapacitor was fabricated with this material for the possible use of low-cost, high energy promising energy storage device.