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Objective: Which educational method is best for 3-month retention of proper skills in removing personal protective equipment (PPE) in the setting of highly infectious diseases is unclear. We evaluated the effectiveness of a Web-based learning system after 3 months of use. Setting: One general hospital in Japan. Intervention: We conducted a randomized, nonblinded, parallel-group trial with 35 nurses using the substitution block method. At baseline, both groups received face-to-face training in putting on and removing PPE. The intervention group was given access to the Web-based learning system we developed using Modular Object-Oriented Dynamic Learning Environment (Moodle). After 3 months, we assessed both groups regarding knowledge and skills in removing PPE using a 34-point test, fluorescent markers, and video recordings. Results: Overall, 34 participants completed the trial: 16 in the intervention group and 18 in the control group. Postintervention knowledge test scores (1.3 vs −0.8; P = .013; effect size r = .42) and deviations from the required procedure (−5.4 vs 1.9; P = .001; effect size r = .55) were significantly better in the intervention group than in the control group. The number of contaminated sites (−0.5 vs 0.4; P = .128; effect size r = .26) and contaminated participants (−18.7% vs 11.1% decreased in the intervention group, and increased in the control group, although this was not significant (P = .242; effect size ϕ = .47). Conclusions: This learning system was an effective educational method in maintaining and improving knowledge of proper PPE removal skills. The number of deviations from the required procedure decreased, and this reduction continued after 3 months. Clinical trials identifier: Evaluation of the Web materials for learning PPE removal skills in the setting of highly infectious diseases. University Hospital Medical Information Network, UMIN000042725: https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000048767

Invited for the cover of this issue is the group of Biplab Manna at the University of Kumamoto. The image depicts various kinds of stacking between the metal-organic layers of MOFs. Read the full text of the article at 10.1002/chem.202201665.

Recently, we directly observed the out-of-plane Dresselhaus spin–orbit (SO) interaction field and extracted the SO coefficient β from InGaAs (110) quantum wells (QWs). However, the extracted β was much larger than that of the (001) QWs, which yielded an in-plane Dresselhaus SO field. In this study, we perform Monte-Carlo simulations and reproduce the results of time-resolved and spatiotemporally resolved Kerr rotation measurements in InGaAs (110) QWs. The results conclusively show that InGaAs (110) QWs have a strong out-of-plane Dresselhaus SO field as compared with (001) QWs.

We developed a web-based learning system for healthcare workers to learn the skills for removing personal protective equipment for highly infectious diseases. The system was implemented on a trial basis and healthcare workers evaluated its usability and their motivation to learn. Usability was similar to that of typical systems. Motivation scores were high, indicating confidence and satisfaction with the system.

Poly-γ-glutamic acid (PGA) is a promising polymer that comprises d- and l-glutamic acid (Glu) connected via an amide bond. PGA is biosynthesized by a transmembrane enzyme complex composed of PgsB, PgsC, and PgsA. However, the detailed reaction, especially the mechanism for introducing d-Glu residues into PGA, remains elusive. We herein report isotope tracer experiments with deuterated l- and d-Glu and demonstrate that epimerization of a growing peptide is involved in PGA biosynthesis.

Standard initial treatment for acute empyema involves antibiotic administration and chest tube drainage; however, pleural lavage with saline is another treatment that mitigates the need for surgical drainage. Although this treatment is recognised as non-invasive and safe, the complications of cerebral air embolism are less recognised.In this case, a man in his late 40s was diagnosed with acute empyema and treated with chest tube (28 Fr) drainage and antibiotics. Empyema remained on follow-up chest imaging; thus intrapleural fibrinolytic therapy (urokinase 120 000 units/day for a total of 3 days) and pleural lavage (0.9% saline 1000 mL/day daily) were administered. During the 10th pleural lavage, the patient suddenly became unconscious. Head imaging revealed a cerebral air embolism. Consequently, he received urgent hyperbaric oxygen therapy and improved without any neurological sequelae.Clinicians should be aware of the complications of sudden cerebral air embolism due to pleural lavage for empyema.

Room-temperature spin relaxation rates resulting from the D’yakonov–Perel (DP) and Elliot–Yafet (EY) mechanisms were determined by combining microscopic and macroscopic Kerr rotation measurements in narrow-gap (001) InGaAs/InAlAs quantum wells (QWs). Two samples with different DP relaxation rate were compared and we found that EY relaxation rate ( 3.80 GHz ) was approximately double the value of the average DP relaxation rate even in the asymmetric QWs with large spin–orbit parameters. We also found that the anisotropy of spin relaxation time owing to the DP mechanism is weakened significantly in the system in which the EY mechanism dominates the spin relaxation.

Crystals of charge-transfer (CT) complexes were synthesized using the polar molecule tetrachlorophthalonitrile (TCPN) as the electron acceptor and nonpolar aromatic hydrocarbons, such as perylene, coronene, chrysene, and pyrene, as the electron donors. Variable-temperature X-ray crystal structure analyses revealed that the TCPN molecules in all the CT crystals exhibit orientational disorder at room temperature. Some of the CT crystals undergo an order–disorder-type phase transition upon cooling, where the orientation of the TCPN molecules becomes ordered at low temperature. The CT crystals show large dielectric constants at room temperature arising from in-plane reorientation of the polar TCPN molecules. The order–disorder phase transition results in a drastic reduction of the dielectric constant of the CT crystals upon cooling. This study demonstrates that the formation of CT crystals from polar molecules represents a promising method for the development of dielectric crystalline materials, whose propert...

Soccer kicks are characterized by segmental and joint rotations in multiple planes, where large discrepancies between two- and three-dimensional analyses for angular measurements of soccer kicks exist. The aim of this study was to clarify the differences in motions of the lower limbs and the pelvis required to achieve a shot without rotations as compared with an instep kick. Kinematic parameters obtained from non-rotational shots and instep kicks were analyzed using principal component analysis (PCA). The results clearly demonstrated that the PCA identified the differences in the instep kick and the non-rotational shot relative to the kinematic motions of the lower limbs and the pelvis. These findings suggest that the key issue for executing the NR shot is achieving a straight-line foot trajectory in the impact phase.

α-1,6-Glucosidase (isomaltase) belongs to glycoside hydrolase (GH) families 13 and 31. Genes encoding 3 isomaltases belonging to GH family 13 were cloned from filamentous fungi, Aspergillus oryzae (agl1), A. niger (agdC),and Fusarium oxysporum (foagl1), and expressed in Escherichia coli. The enzymes hydrolyzed isomaltose and α-glucosides preferentially at a neutral pH, but did not recognize maltose, trehalose, and dextran. The activity of AgdC and Agl1 was inhibited in the presence of 1 % glucose, while Foagl1 was more tolerant to glucose than the other two enzymes were. The three fungal isomaltases did not show transglycosylation when isomaltose was used as the substrate and a similar result was observed for AgdC and Agl1 when p-nitrophenyl-α-glucoside was used as the substrate.

Xyloglucan is a major hemicellulosic component in plant cell walls. Phytopathogenic fungi secrete cell wall-degrading enzymes on their infection to hosts, while the nature of the cell wall-lytic enzymes of such fungi are yet to be fully understood. Verticillium dahliae is a soil-borne fungus that causes vascular wilt diseases in a variety of commercially important crops worldwide. We purified two types of xyloglucanases, XEG12A and XEG74B, from the culture of naturally isolated Verticillium dahliae strain 2148. XEG12A showed a molecular size of 23 kDa with its maximal activity at pH 7.5. XEG12A specifically hydrolyzed xyloglucan with no activity on other β-glucans. XEG74B had a molecular size of 110 kDa with its optimum pH at 6.0. XEG74B primarily hydrolyzed xyloglucan, with a slight activity on β-1,3-1,4-glucan. Analysis of hydrolytic products of xyloglucanooligasaccharide (XXXGXXXG) by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) revealed that the both enzymes cleaved β-1,4-glucosidic linkage at the position of unbranched chain, while XEG74B showed a little fluctuation with the cleavage site. Both enzymes did not hydrolyzed xyloglucanoheptasaccharide (XXXG) at all. N-Terminal and internal amino acid sequencing of the enzymes revealed that XEG12A and XEG74B belonged to Glycoside Hydrolase (GH) Families 12 and 74, respectively. Based on these results we concluded that V. dahliae XEG12A and XEG74B were xyloglucan-specific endo-β-1,4-glucanases (EC 3.2.1.151).

A third generation mist chemical vapor deposition (3rd G mist CVD) system was used to grow six single-layer and two heterostructure α-(AlxGa1−x)2O3 buffers on c-plane sapphire substrates for the subsequent deposition of conductive Sn-doped α-Ga2O3 (Sn:α-Ga2O3) thin films. In the six single-layer buffers, the Al contents x increased from 0 to 0.66. The two heterostructure buffers consisted of six ∼20-nm- and ∼100-nm-thick layers laying on top of each other. The 3rd G mist CVD system enabled the growth of these complicated multi-layer heterostructures in a single run, while mono-crystallinity was still maintained in all grown layers. Strain was observed in the 20-nm heterostructure, while the layers in the 100-nm heterostructure almost fully relaxed and the Vegard’s law was followed even when the α-(AlxGa1−x)2O3 layers were stacked on each other. Transmission electron microscopy analyses show that the dislocation densities remained high in the order of 1010 cm−2 despite the employment of the buffers. PtOx and AgOx Schottky diodes (SDs) were fabricated on the Sn:α-Ga2O3 films. The barrier height vs ideality factor plots could be fitted by linear dependences, indicating that the large ideality factors observed in α-Ga2O3 SDs could be explained by the inhomogeneity of the SDs. The extrapolation of the dependences for the PtOx and AgOx SDs yielded homogeneous Schottky barrier heights of ∼1.60 eV and 1.62 eV, respectively, suggesting that the Fermi level was pinned at the Ec − 1.6 eV level. The Sn:α-Ga2O3 film grown on the strained 20-nm heterostructure buffer showed best characteristics overall.

Objective The purpose of this study was to elucidate the reciprocal changes in the upper cervical profile and the risk factors for increasing cervical sagittal vertical axis (cSVA) after laminoplasty for ossification of the posterior longitudinal ligament (OPLL) of the cervical spine. Patients and methods This retrospective study included thirty-nine consecutive patients (30 men and 9 women) with cervical OPLL who underwent cervical laminoplasty. We recorded the operative time, blood loss, Japanese Orthopaedic Association (JOA) score recovery rate. Radiological measurements were performed to analyze the following parameters: pre and 1- year postoperative chin-brow vertical angle (CBVA), McGregor’s slope (McGS), occiput to C2 Cobb angle (O-C2 angle), C2–C7 Cobb angle (C2–C7 angle), T1-slope (T1S), C2–C7 sagittal vertical axis (cSVA) and calculated the change (Δ). Patients were divided into two groups according to ΔcSVA: positive (ΔcSVA ≥ 0) and negative (ΔcSVA Results Postoperative O-C2 angle (P = 0.028), ΔO-C2 angle (P = 0.019), ΔC2-C7 angle (P = 0.030) and T1S (P = 0.009) diff ;ered between the two groups. ΔcSVA showed a positive correlation with ΔO-C2 (R = 0.365, P = 0.022) and T1S (R = 0.472, P = 0.002). ΔO-C2 showed a positive correlation with T1S (R = 0.478, P = 0.002) and a negative correlation with ΔC2-C7 (R=-0.443, P = 0.005). ΔC2-C7 showed a negative correlation with T1S (R=-0.415, P = 0.009). Stepwise multiple linear regression analysis showed that ΔcSVA increased by 0.757 mm for each T1 slope and increased by 0.905 mm for each ΔMcGS. Conclusion Increasing the lordosis in the O-C2 segment compensates for the loss of lordosis in the C2-C7 segment after cervical laminoplasty. Higher T1S is a risk factor for increasing cSVA after laminoplasty for OPLL of the cervical spine.

In automotive drive systems, differential gear backlash degrades the control performance. Specifically, a shock torque, which is generated when the gear runs freely and collides with the backlash, increases the vibration amplitude. Consequently, it is important to develop a vibration control method to suppress the adverse effect of nonlinearity due to backlash. Furthermore, considering implementations on actual vehicles, design at the development site, and mass production, a simple and practical control method is necessary. This paper describes the configuration of a basic experimental device, which abstracts an actual vehicle to focus on the influence due to backlash while reflecting the basic structure of an automotive drive system. Next, a basic controller is designed using a mixed H2/H∞ control theory, and a servo system is constructed to track the target value. A simple control mode switching algorithm is proposed for backlash compensation. This algorithm is suited to practical applications because it uses only an output without a state estimation and it compensates for performance deteriorations due to the nonlinearity by operating a single linear controller. Finally, simulations and experiments verify the effectiveness of the proposed control system.

In equilibrium reaction processes, the precise control of composition ratios in multi-component thin films is problematic due to the changes in the state of precursor materials, which are caused by differences in metal ion stabilities. We have identified a strategy to resolve this problem by first developing a theory and then constructing a fine-channel type mist chemical vapor deposition (mist-CVD) system with two solution chambers and a mist-mixing chamber. Zn1-x Mg x O thin films were fabricated using the conventional and the developed mist-CVD systems to verify the theory. The properties of the Zn1-x Mg x O thin films produced using the two systems were significantly different. The Mg composition ratio in the film was clearly influenced by the Mg ion stability and all the measurement results support the theory.

Transparent conducing antimony doped tin oxide (SnO x :Sb) thin films were fabricated by solution-processed atmospheric-pressure 3rd generation mist chemical vapor deposition (3rd G mist CVD) system with two solution chambers and one mixing chamber to control the atmosphere in reaction area. To study how to reduce the resistivity, the effects of each additive component in dopant solution were investigated; this was followed by identification of components contributing to the fabrication of SnO x :Sb films. Experimentally, the HNO3 clearly affected the resistivity and the formation of SnO2 thin films through a change in the valence state of N derived from HNO3 promoting the transformation of Sn (II) and Sb (III) to Sn (IV) and Sb (V). Moreover, the values of electron and hole effective mass were defined using the specified referred parameters to confirm the band diagram of SnO x :Sb thin films fabricated by 3rd G mist CVD system.