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Among the technologies for the recovery of energy from waste, in particular residual municipal solid waste (rMSW), combustion is the most widely used thermo-chemical treatment process associated with thermal and electric power production by a steam cycle, named, shortly, Waste to Energy (WtE). Today, more than 500 WtE plants in the EU, about 400 in China and 76 in the USA are in operation, based on efficient technologies and advanced air pollution control systems. Energy recovery can be accomplished also by means of gasification; however, the presence of impurities together with the atmospheric pressure, at which syngas is normally produced, impose the feeding of syngas to a conventional steam cycle, leading to generally lower performances than WtE. The energy recovered by WtE offsets traditional energy sources such as fossil fuels and related emissions, providing savings in term of climate change. However, the savings obtainable by replacing electricity and/or heat will diminish as the energy systems will hopefully become increasingly renewable. Over this medium–long-term horizon, one possibility is to capture the CO2 from WtE flue gases and to store/use it. From the life cycle assessment perspective, it has been calculated that the introduction of CO2 capture and storage in WtE, despite energy penalties, is able to reduce the impact on climate change. The alternative approach, proposed to contain the emissions of greenhouse gases in the thermal treatment of waste, is using the carbon contained in it to produce commonly used chemical compounds (waste to chemicals). The benefits, in terms of reductions of greenhouse gases, are expected from the possibility of obtaining chemicals that can replace their analogue normally produced from fossil sources. To date, only one WtC demonstration plant is operating by being fed by rMSW-derived waste, and some similar initiatives are planned, but still adequate assurances in terms of robust knowledge of the involved complex processes, above all, if applied to highly inhomogeneous feed streams such as those obtained from rMSW, are not available. Once the several initiatives come to completion, it will enable waste management professionals to assess performance and to begin to consider such a facility in their planning. [ABSTRACT FROM AUTHOR]

The Belt and Road Initiative (BRI) is among the largest transnational development initiatives globally. In this article, we review the research on the BRI in Myanmar, a developing country that is of considerable geopolitical importance. To date, the BRI literature has made three central contributions: it has captured much of the complexity of BRI projects, filled a notable research gap in BRI studies, and raised awareness of local voices. In addition, two analytically meaningful topics are worth exploring, namely the contested relations (1) between China's Ministry of Foreign Affairs and prospective Chinese BRI investors and (2) between the Myanmar government and local anti-BRI groups. Responding to the current focus of the literature and to advance future research, we recommend that scholars consider the analytical framework of state transformation to disaggregate statehood, account for diverse actors, and explain their contested relations. Because it challenges state-centric frameworks (e.g., realism and Westphalian national sovereignty), the state-transformation model can yield theoretically and empirically stimulating findings. [ABSTRACT FROM AUTHOR]

Summary After three decades of mobile phone diffusion, thousands of mobile-phone-based health projects worldwide (“mHealth”), and hundreds of thousands of smartphone health applications, fundamental questions about the effect of phone diffusion on people’s healthcare behavior continue to remain unanswered. This study investigated whether, in the absence of specific mHealth interventions, people make different healthcare decisions if they use mobile phones during an illness. Following mainstream narratives, we hypothesized that phone use during an illness (a) increases and (b) accelerates healthcare access. Our study was based on original survey data from 800 respondents in rural Rajasthan (India) and Gansu (China), sampled from the general adult population in 2014 in a three-stage stratified cluster random sampling design. We analyzed single- and multi-level logistic, Poisson, and negative binomial regression models with cluster-robust standard errors. Contrary to other research at the intersection of mobile phones and healthcare, we captured actual health-related mobile phone use during people’s illnesses irrespective of whether they own a phone. Our analysis produced the first quantitative micro-evidence that patients’ personal mobile phone use is correlated with their healthcare decisions. Despite a positive association between phone use and healthcare access, health-related phone use was also linked to delayed access to public doctors and nurses. We considered theoretical explanations for the observed patterns by augmenting transaction cost and information deficit arguments with the prevailing health system configuration and with notions of heuristic decision-making during the healthcare-seeking process. Our study was a first step toward understanding the implications of mobile technology diffusion on health behavior in low- and middle-income countries in the absence of specific mHealth interventions. Future research will have to explore the causal relationships underlying these statistical associations. Such a link could potentially mean that development interventions aimed at improving access to healthcare continue to require conventional solutions to sustain healthcare equity. [ABSTRACT FROM AUTHOR]

The new coronavirus SARS-CoV-2, first identified in Wuhan, China in December, 2019, can cause Severe Acute Respiratory Syndrome (SARS) with massive alveolar damage and progressive respiratory failure. We present the relevant autopsy findings of the first patient known to have died from COVID19 pneumonia in Spain, carried out on the 14 th of February, 2020, in our hospital (Hospital Arnau de Vilanova-Lliria, Valencia). Histological examination revealed typical changes of diffuse alveolar damage (DAD) in both the exudative and proliferative phase of acute lung injury. Intra-alveolar multinucleated giant cells, smudge cells and vascular thrombosis were present. The diagnosis was confirmed by reverse real-time PCR assay on a throat swab sample taken during the patient's admission. The positive result was reported fifteen days subsequent to autopsy., (Copyright © 2020 Sociedad Española de Anatomía Patológica. Publicado por Elsevier España, S.L.U. All rights reserved.)

Sediments from Tibetan lakes in NW China are potentially sensitive recorders of climate change and its impact on ecosystem function. However, the important plankton members in many Tibetan Lakes do not make and leave microscopically diagnostic features in the sedimentary record. Here we established a taxon-specific molecular approach to specifically identify and quantify sedimentary ancient DNA (sedaDNA) of non-fossilized planktonic organisms preserved in a 5-m sediment core from Kusai Lake spanning the last 3100 years. The reliability of the approach was validated with multiple independent genetic markers. Parallel analyses of the geochemistry of the core and paleo-climate proxies revealed that Monsoon strength-driven changes in nutrient availability, temperature, and salinity as well as orbitally-driven changes in light intensity were all responsible for the observed temporal changes in the abundance of two dominant phytoplankton groups in the lake, Synechococcus (cyanobacteria) and Isochrysis (haptophyte algae). Collectively our data show that global and regional climatic events exhibited a strong influence on the paleoecology of phototrophic plankton in Kusai Lake.