Impact of COVID-19 on Traffic Signal Systems: Survey of Agency Interventions and Observed Changes in Pedestrian Activity

The COVID-19 pandemic, the most significant public health crisis since the 1918–1919 influenza epidemic, is the first such event to occur since the development of modern transportation systems in the twentieth century. Many states across the U.S. imposed lockdowns in early spring 2020, which reduced demand for trips of various types and affected transportation systems. In urban areas, the shift resulted in a reduction in traffic volumes and an increase in bicycling and walking in certain land use contexts. This paper seeks to understand the changes occurring at signalized intersections as a result of the lockdown and the ongoing pandemic, as well as the actions taken in response to these impacts. The results of a survey of agency reactions to COVID-19 with respect to traffic signal operations and changes in pedestrian activity during the spring 2020 lockdown using two case study examples in Utah are presented. First, the effects of placing intersections on pedestrian recall (with signage) to stop pedestrians from pushing the pedestrian button are examined. Next, the changes in pedestrian activity at Utah signalized intersections between the first 6 months of both 2019 and 2020 are analyzed and the impact of land use characteristics is explored. Survey results reveal the importance of using technologies such as adaptive systems and automated traffic signal performance measures to drive decisions. While pedestrian pushbutton actuations decreased in response to the implementation of pedestrian recalls, many pedestrians continued to use the pushbutton. Pedestrian activity changes were also largely driven by surrounding land uses.

Impact of COVID-19 on Traffic Signal Systems: Survey of Agency Interventions and Observed Changes in Pedestrian Activity.

The COVID-19 pandemic, the most significant public health crisis since the 1918-1919 influenza epidemic, is the first such event to occur since the development of modern transportation systems in the twentieth century. Many states across the U.S. imposed lockdowns in early spring 2020, which reduced demand for trips of various types and affected transportation systems. In urban areas, the shift resulted in a reduction in traffic volumes and an increase in bicycling and walking in certain land use contexts. This paper seeks to understand the changes occurring at signalized intersections as a result of the lockdown and the ongoing pandemic, as well as the actions taken in response to these impacts. The results of a survey of agency reactions to COVID-19 with respect to traffic signal operations and changes in pedestrian activity during the spring 2020 lockdown using two case study examples in Utah are presented. First, the effects of placing intersections on pedestrian recall (with signage) to stop pedestrians from pushing the pedestrian button are examined. Next, the changes in pedestrian activity at Utah signalized intersections between the first 6 months of both 2019 and 2020 are analyzed and the impact of land use characteristics is explored. Survey results reveal the importance of using technologies such as adaptive systems and automated traffic signal performance measures to drive decisions. While pedestrian pushbutton actuations decreased in response to the implementation of pedestrian recalls, many pedestrians continued to use the pushbutton. Pedestrian activity changes were also largely driven by surrounding land uses.

COVID-19: Origin, epidemiology, virology, pathogenesis, and treatment

COVID-19 (or Coronavirus Disease) originated in China (Hubei provenance, Wuhan city). The first recorded illness occurred in December 2019. It has affected all parts of the world, and the WHO designated the COVID-19 disease, caused by the new Coronavirus SARS-CoV-2, a pandemic on March 11, 2020. Some debatable speculations indicate that it is a man-made virus, intentionally synthesized in the laboratory but was unintentionally emancipated from a laboratory of Wuhan, China. The primitive theory suggested the spread from the Hunan seafood market of China probably from an animal source. However, this theory is not fully supported. COVID-19 infection has a varying range of signs and symptoms from low fever, dry cough to lower respiratory tract infection, breathing difficulties, pulmonary edema, acute respiratory distress syndrome (ARDS), metabolic acidosis, sepsis, coagulation, lymphopenia, hypoxemia, multiorgan failure, and eventually, mortality. In patients with comorbidity such as diabetes, cardiovascular disease, high blood pressure, stroke, and kidney disease, fatality rate is higher. Young and elderly people are more likely to experience unfavorable outcomes due to poor immunity. There have been several treatment methods explored to tackle the COVID-19 pandemic, including medications, interferon, vaccines, oligonucleotides, peptides, and monoclonal and immunomodulatory antibodies, among other things. The World Health Organization has recommended preventive measures like washing hands, using face masks, sanitizers, and maintaining a safe distance to prevent the spread of the pandemic. One of the promising alternatives is the vaccine. One must take all preventive measures in the pandemic until it becomes feeble.

Graphene-Based Plasmonic Sensor at THz Frequency with Photonic Spin Hall Effect Assisted by Magneto-optic Phenomenon.

Graphene monolayer of sub-nanometer thickness shows strong metallic and plasmonic behavior in terahertz (THz) frequency range. This plasmonic effect varies considerably when graphene layer is placed under a magnetic field of appropriate strength. The strong adsorption characteristic of graphene layer is another advantage. In this work, a photonic spin Hall effect (PSHE)-based plasmonic sensor consisting of germanium prism, organic dielectric layer, and graphene monolayer is simulated and analyzed in THz aiming at highly sensitive and reliable sensing under variable magnetic field. Modified Otto configuration and magneto-optic effect in graphene are considered. The sensor's performance is examined in terms of sensitivity, limit of detection (LOD), and figure of merit (FOM). The analysis indicates that LOD of the order of 10-5 RIU for gas sensing is achievable, which is finer than recently reported gas sensors based on different techniques. Further, the FOM improves when a larger magnitude of magnetic field is applied. The FOM is even greater for rarer gaseous media, which can make the sensor extremely useful in early detection of airborne viruses such as SARS-Cov-2 (while using appropriate specificity method) and to measure the concentration of a particular gas in a given gaseous mixture. The results further indicate that the same sensor design can be used for magnetic field detection while the FOM of magnetic field detection is significantly greater for rarer gaseous medium (e.g., air), which may enable the probe to be used in early detection of radiation leakage in nuclear reactors. For larger magnitudes of magnetic field, the corresponding LOD becomes finer.

I won't touch money because it is dirty: examining customer's loyalty toward M-payment

Purpose>Several industries including banking are booming because of COVID-19. However, it is still unknown whether this growth is momentary or permanent in nature. Hence, this study aims to identify the role of health-related concerns and trust as stimuli on M-payment loyalty.Design/methodology/approach>Data were collected through Google Forms from 431 participants. Subjects were M-payment users. The hypothesized model was tested using structural equational modeling.Findings>Results of the study indicate that perceived severity and trust act as stimuli for M-payment loyalty. Further, trust not only influences loyalty directly but also through intimacy. Additionally, no linear relationship was found between perceived usefulness and M-payment loyalty.Originality/value>This work is an early attempt to consider health-related concerns and trust as stimuli to predict M-payment loyalty. Further, this study focused on three new constructs, namely perceived severity, perceived susceptibility and intimacy, that are underexplored in digital banking literature.

Plasmonics-based gas sensor with photonic spin hall effect in broad terahertz frequency range under variable chemical potential of graphene.

Graphene monolayer of sub-nanometer thickness possesses strong metallic and plasmonic behavior in a broad terahertz (THz) frequency range. This plasmonic effect can be considerably manipulated when graphene layer is subjected to a variable chemical potential (Ef) via chemical doping or electrical gating. The strong adsorption characteristics of graphene layer is another important advantage. In this work, a photonic spin Hall effect (PSHE) based plasmonic sensor consisting of germanium prism, organic dielectric layer, and graphene monolayer is simulated and analyzed in THz range aiming at highly sensitive and reliable gas sensing. Modified Otto configuration and Kubo formulation for graphene at room temperature are considered. The sensor's performance is examined in terms of figure of merit (FOM). The analysis indicates that under angular interrogation scheme of sensor operation, the FOM improves for smaller chemical potential (moderate doping) and higher THz frequency. Moreover, the influence of temperature on gas sensor's performance (FOM) is negligible, which suggests that the sensor is capable of providing stable sensing performance against temperature variation. The sensor design is highly flexible in terms of selection of THz frequency as an alternative interrogation scheme (i.e., measuring the variation in spin-dependent shift peak value of PSHE spectrum upon change in gas medium refractive index) can also be implemented. It is found that there is no need to change the moderate doping of graphene monolayer (i.e., Ef remains around its normal value ~ 0.1 eV) as the sensitivity achievable with this alternative method has considerably greater magnitude at smaller THz frequency (e.g., 2 THz). The magnitudes of FOM (with angular interrogation method) and sensitivity (with alternative method) are found to be significantly greater for rarer gaseous media, which might possibly assist in early detection of airborne viruses such as SARS-Cov-2 (while using appropriate specificity method) and to measure the concentration of a particular gas in a given gaseous mixture. Supplementary Information: The online version contains supplementary material available at 10.1007/s11082-022-03626-7.

Graphene-Based Plasmonic Sensor at THz Frequency with Photonic Spin Hall Effect Assisted by Magneto-optic Phenomenon

Graphene monolayer of sub-nanometer thickness shows strong metallic and plasmonic behavior in terahertz (THz) frequency range. This plasmonic effect varies considerably when graphene layer is placed under a magnetic field of appropriate strength. The strong adsorption characteristic of graphene layer is another advantage. In this work, a photonic spin Hall effect (PSHE)-based plasmonic sensor consisting of germanium prism, organic dielectric layer, and graphene monolayer is simulated and analyzed in THz aiming at highly sensitive and reliable sensing under variable magnetic field. Modified Otto configuration and magneto-optic effect in graphene are considered. The sensor’s performance is examined in terms of sensitivity, limit of detection (LOD), and figure of merit (FOM). The analysis indicates that LOD of the order of 10−5 RIU for gas sensing is achievable, which is finer than recently reported gas sensors based on different techniques. Further, the FOM improves when a larger magnitude of magnetic field is applied. The FOM is even greater for rarer gaseous media, which can make the sensor extremely useful in early detection of airborne viruses such as SARS-Cov-2 (while using appropriate specificity method) and to measure the concentration of a particular gas in a given gaseous mixture. The results further indicate that the same sensor design can be used for magnetic field detection while the FOM of magnetic field detection is significantly greater for rarer gaseous medium (e.g., air), which may enable the probe to be used in early detection of radiation leakage in nuclear reactors. For larger magnitudes of magnetic field, the corresponding LOD becomes finer.

Dorsolateral inner preputial graft urethroplasty for anterior urethral strictures: long-term outcomes from a single tertiary care centre.

PURPOSE: Buccal mucosa graft (BMG) is long used as favoured substitute by most reconstructive surgeons for substitution urethroplasty (SU). Though inner preputial skin graft (IPG) was described even earlier than BMG, its usage lately has fallen out of favour. The aim of the study was to evaluate the outcome of a SU with IPG from a tertiary care centre. METHODS: A retrospective analysis of prospectively maintained clinical data was conducted at our tertiary care centre enrolling 80 patients with anterior urethral stricture from January 2015 to January 2018. Patients were evaluated for the aetiology, length and site of the urethral stricture. All patients underwent dorsolateral SU with IPG. Post-operative assessment including uroflowmetry and sexual outcomes using IIEF and MSHQ-EJD questionnaires was done at 3 weeks, 3 months, 12 months and half-yearly thereafter. Success was defined by the stable maximum urinary flow value > 14 ml/s or urethral calibration with 16 French Foley catheter. RESULTS: Mean age of patients was 40 years (18-69). The most common aetiology was post-instrumentation (65%) and 60% had stricture at penobulbar site. Mean stricture length was 65 mm. At a mean follow-up of 48 months (range 30-66 months), successful outcomes were seen in 69/80 (87%). Patients with failure were managed with optical internal urethrotomy (OIU). Uroflowmetry and obstructive symptoms significantly improved and sexual function remained unaffected using IPG for SU. CONCLUSIONS: Preputial graft is a tissue familiar to the urologist, located very close to the surgical field, easily harvested and operated under regional anaesthesia. Overall success outcomes are acceptable to BMG urethroplasty.

A road-map for addressing antimicrobial resistance in low- and middle-income countries: lessons learnt from the public private participation and co-designed antimicrobial stewardship programme in the State of Kerala, India.

BACKGROUND: The global concern over antimicrobial resistance (AMR) is gathering pace. Low- and middle-income countries (LMICs) are at the epicentre of this growing public health threat and governmental and healthcare organizations are at different stages of implementing action plans to tackle AMR. The South Indian state of Kerala was one of the first in India to implement strategies and prioritize activities to address this public health threat. STRATEGIES: Through a committed and collaborative effort from all healthcare related disciplines and its professional societies from both public and private sector, the Kerala Public Private Partnership (PPP) has been able to deliver a state-wide strategy to tackle AMR A multilevel strategic leadership model and a multilevel implementation approach that included developing state-wide antibiotic clinical guidelines, a revision of post-graduate and undergraduate medical curriculum, and a training program covering all general practitioners within the state the PPP proved to be a successful model for ensuring state-wide implementation of an AMR action plan. Collaborative work of multi-professional groups ensured co-design and development of disease based clinical treatment guidelines and state-wide infection prevention policy. Knowledge exchange though international and national platforms in the form of workshops for sharing of best practices is critical to success. Capacity building at both public and private institutions included addressing practical and local solutions to the barriers e.g. good antibiotic prescription practices from primary to tertiary care facility and infection prevention at all levels. CONCLUSION: Through 7 years of stakeholder engagement, lobbying with government, and driving change through co-development and implementation, the PPP successfully delivered an antimicrobial stewardship plan across the state. The roadmap for the implementation of the Kerala PPP strategic AMR plan can provide learning for other states and countries aiming to implement action plans for AMR.

Transaminitis is an indicator of mortality in patients with COVID-19: A retrospective cohort study.

BACKGROUND: Since its discovery in Wuhan, China in December of 2019, the novel coronavirus has progressed to become one of the worst pandemics seen in the last 100 years. Recently, there has been an increased interest in the hepatic manifestations of coronavirus disease 19 (COVID-19). AIM: To describe the demographic and clinical characteristics of COVID-19 positive patients and study the association between transaminitis and all-cause mortality. METHODS: This is a descriptive retrospective cohort study of 130 consecutive patients with a positive COVID PCR test admitted between March 16, 2020 to May 14, 2020 at a tertiary care University-based medical center. The Wilcoxon-rank sum test and paired t-test were used for comparing non-parametric and parametric continuous variables respectively and a multivariable logistic regression models to study the association between transaminitis and mortality using SAS version 9.4 (SAS Institute, Cary, NC, United States). RESULTS: Out of the 130 patients, 73 (56%) patients were found to have transaminitis and 57 (44%) did not. When compared to patients without transaminitis, the transaminitis group was found to have a higher median body mass index (30.2 kg/m2 vs 27.3 kg/m2, P = 0.04). In the multivariate analysis those with transaminitis were found to have 3.4 times higher odds of dying as compared to those without transaminitis adjusting for gender, the Age-adjusted Charlson Comorbidity Index and admission to the intensive care unit (P = 0.03). CONCLUSION: Our study showed that transaminitis on admission was associated with severe clinical outcomes such as admission to the intensive care unit, need for mechanical ventilation, and mortality.

Chloroquine paradox may cause more damage than help fight COVID-19.

Novel coronavirus disease 2019 (COVID-19) pandemic is the most recent health care crisis without specific prophylactic or therapeutic drugs. Antimalarial drug chloroquine (CHL) and its safer derivative hydroxychloroquine (HCHL) have been proposed to be repurposed to treat SARS coronavirus-2 (SARS-CoV-2), the causative agent of COVID-19. CHL/HCHL have anti-inflammatory activity and are used to treat rheumatoid arthritis, osteoarthritis and lupus. Although, CHL/HCHL have an anti-viral activity against several viruses in cell-cultures, the anti-viral activity in-vivo is questionable. Repurposing of CHL/HCHL to treat SARS-CoV-2 infection is appealing. However, there is empirical evidence from animal studies with other viruses suggesting that CHL/HCHL may have an untoward paradoxical effect. One thus cannot exclude the possibility that CHL may increase the severity of the disease and prove deleterious both for the patients and public health efforts to contain the highly contagious and explosive spread of SARS-CoV-2.