Immunotherapy: ALLOGENEIC UMBILICAL CORD BLOOD REGULATORY T CELLS DECREASE INFLAMMATION AND PRESERVE ANTI-TUMOR ACTIVITY OF CAR T CELLS

Background & Aim: With larger accessibility and increased number of patients being treated with CART cell therapy, real-world toxicity continues to remain a significant challenge to its widespread adoption. We have previously shown that allogeneic umbilical cord blood derived (UCB) regulatory T cells (Tregs) can resolve uncontrolled inflammation and can treat acute and immune mediated lung injury in a xenogenic model as well as in patients suffering from COVID-19 acute respiratory distress syndrome. The unique properties of UCB Tregs including: i) lack of plasticity when exposed to inflammatory micro-environments;ii) no requirement for HLA matching;iii) long shelf life of cryopreserved Tregs;and iv) immediate product availability for on demand treatment, makes them an attractive source for treating acute inflammatory syndromes. Therefore, we hypothesized that add-on therapy with UCB derived Tregs may resolve uncontrolled inflammation responsible for CART cell therapy associated toxicity. Methods, Results & Conclusion(s): UCB Tregs were added in 1:1 ratio to CART cells, where no interference in their ability to kill CD19+ Raji cells, was detected at different ratios : 8:1 (80.4% vs. 81.5%);4:1 (62.0% vs. 66.2%);2:1 (50.1% vs. 54.7%);1:1 (35.4% vs. 44.1%) (Fig 1A). In a xenogenic B cell lymphoma model, multiple injections of Tregs were administered after CART injection (Fig 1B), which did not impact distribution of CD8+ T effector cells (Fig 1C) or CART cells cells (Fig 1D) in different organs. No decline in the CAR T levels was observed in the Tregs recipients (Fig 1E). Specifically, no difference in tumor burden was detected between the two arms (Fig 2A). No tumor was detected in CART+Tregs in liver (Fig 2B) or bone marrow (Fig 2C). A corresponding decrease in multiple inflammatory cytokines in peripheral blood was observed in CART+Tregs when compared to CART alone (Fig 2D). Here we show "proof of concept" for add-on therapy with Tregs to mitigate hyper-inflammatory state induced by CART cells without interference in their on-target anti-tumor activity. The timing of Tregs administration after CART cells have had sufficient time for forming synapse with tumor cells allows for preservation of their anti-tumor cytotoxicity, such that the infused Tregs home to the areas of tissue damage to bind to the resident antigen presenting cells which in turn collaborate with Tregs to resolve inflammation. Such differential distribution of cells allow for a Treg "cooling blanket" and lays ground for clinical study. [Figure presented]Copyright © 2023 International Society for Cell & Gene Therapy

Thermo-Electro-Fluidic Simulation Study of Impact of Blower Motor Heat on Performance of Peltier Cooler for Protective Clothing

The necessity for portable cooling devices to prevent thermal-related diseases in workers wearing protective clothing in hot outdoor weather conditions, such as COVID-19 quarantine sites, is increasing. Coolers for such purposes require a compact design and low-power consumption characteristics to maximize wearability and operating time. Therefore, a thermoelectric device based on the Peltier effect has been widely used rather than a relatively bulky system based on a refrigeration cycle accompanying the phase change of a refrigerant. Despite a number of previous experimental and numerical studies on the Peltier cooling device, there remains much research to be conducted on the effect and removal of motor-related internal heat sources deteriorating the cooling performance. Specifically, this paper presents thermo-electro-fluidic simulations on the impact of heat from an air blower on the coefficient of performance of a Peltier cooler. In addition, a numerical study on the outcome of heat source removal is also evaluated and discussed to draw an improved design of the cooler in terms of cooling capacity and coefficient of performance. The simulation results predicted that the coefficient of performance could be raised by 10.6% due to the suppression of heat generation from a blower motor. Accordingly, the cooling capacity of the specific Peltier cooler investigated in this study was expected to be considerably improved by 80.6% from 4.68 W to 8.45 W through the design change.

Newton's law of cooling with a low-cost thermoscope: physics in the time of covid-19

The necessity to teach experimental physics in the pandemic period motivated the development of practices in which students may take measurements with instruments constructed by themselves. In this article, we present an experimental practice to approach Newton's law of cooling with a thermoscope (the earliest device for detecting changes in temperature, forerunner of the thermometer) constructed with household materials. Although the use of a non-calibrated thermoscope, the instrument presented several advantages, visual appeal, ease of handling, ease of data acquisition and good reproducibility. The students can take data, plot graphs, and verify if the Newton's law of cooling holds on the tested circumstances.

Characteristics and prospect of geothermal industry in China under the "dual carbon” target

Geothermal energy utilization in China had been promoted actively during the 13th Five-Year Plan period (2016–2020), with resultant achievements showing unique Chinese characteristics. Buildings (measured by areas) heated/cooled by intermediate to deep geothermal energy increased more rapidly than those by shallow geothermal energy. Geothermal power generation was restricted by the distribution of the resource and the sufficiency of local power supply. With the proposition of "dual carbon goal” by the central government of China and the coming era of great development of renewable energy, geothermal energy will be provided more development opportunities in room heating/cooling and power generation in the country ever than before. However, tackling technology bottlenecks and introduction of appropriate policy support are still urgently needed for nurturing a healthy environment for geothermal industry. Analysis suggests that a near-to medium-term development of geothermal energy shall be focused on a comprehensive and efficient utilization both through heating/cooling and power generation. Room heating/cooling by intermediate-to-deep and shallow geothermal energy shall be promoted nationwide according to local resource endowment and economic conditions. Geothermal power generation in Yunnan and Tibet shall be pushed forward in an orderly way. For medium- and long-term development, focus shall be put on power generation by using low to medium temperature geothermal energy and hot dry rocks. The "hot spring +" model shall be adapted in steps on a regular basis. To achieve these, measures including attaching importance to tackling key technologies, promoting standards for geothermal energy development and utilization, strengthening geothermal energy exploration and evaluation, and seeking for necessary policy support shall be taken.

Sizing Horizontal Geothermal Heat Exchangers for Community Greenhouses in Montreal

Community greenhouses are important for the production of local food and reduction of food supply insecurities within cities. As we've seen with Covid-19, pandemics highlight the criticality of local food access to underprivileged urban districts. Since almost 60 % of the energy used in greenhouses is spent in heating and cooling, ground heat exchangers (GHEs) can play a significant role in supplying temperature regulation, but geothermal heat pump systems tend to be expensive for community organizations. An efficient way to reduce GHEs installation costs is to dig trenches to install the system horizontally and cover a part of heating and cooling loads only. In order to ensure cost effectiveness and optimize operations, this type of system was studied for urban greenhouses where ground space can be limited. Sizing calculations were performed for GHEs of a 7.62 m x 15.24 m greenhouse located on the Island of Montreal where the annual, monthly, and hourly energy consumption were estimated from previous building simulations. Three scenarios were used to specify sizing of the system in terms of excavation dimensions and percentage of the greenhouse peak loads covered;(1) number and length of trenches required for a horizontal GHE (HGHE) covering 100% of cooling and heating loads;(2) number and length of trenches required for an HGHE to cover 100% of peak heating loads and 60% of peak cooling loads and;(3) the percentage of heating and cooling peak loads that can be covered by an HGHE located under the greenhouse with similar dimensions (around 116 m2). Estimated excavation dimensions for cases 1 and 2 are 51.8 m x 8 m (414.4 m2) and 40.8 m x 8 m (326.4 m2). Estimated percentage of peak loads covered for case 3 is 40% of heating peak loads and 30% of cooling peak loads. © 2022 Geothermal Resources Council. All rights reserved.

Cool Your Jets Bro

History: Twenty-two year old male basic trainee was brought to the ED after collapsing during a routine ruck march. At mile 8/12, soldier was noted to develop an unsteady gate and had witnessed loss of consciousness. A rectal core temperature was obtained and noted to be >107degreeF. Cooling initiated with ice sheets and EMS was activated. On arrival to the ED, patient demonstrated confusion and persistently elevated core temperatures despite ice sheeting, chilled saline and cold water bladder lavage. Cooling measures were discontinued after patient achieved euthermia in the ED;however, his temperatures subsequently spiked>103degreeF. Given rebound hyperthermia, an endovascular cooling (EVC) device was placed in the right femoral vein and patient was transferred to the ICU. Multiple attempts to place EVC device on standby were unsuccessful with subsequent rebound hyperthermia. Prolonged cooling was required. Physical Exam: VS: HR 121, BP 85/68, RR 22 SpO2 100% RA, Temp 102.4degreeF Gen: young adult male, NAD, shivering, A&Ox2 (person and place only) HEENT: Scleral anicteric, conjunctiva non-injected, moist mucus membranes Neck: Supple, no LAD Chest: CTAB, no wheezes/rales/rhonchi CV: tachycardia, regular rhythm, normal S1, S2 without murmurs, rubs, gallops ABD: NABS, soft/non-distended, no guarding or rebound EXT: No LE edema, tenderness SKIN: blisters with broad erythematous bases on bilateral heels Neuro: CN II-XII grossly intact, 5/5 strength in all extremities. Differential Diagnosis: 216. Septic Shock 217. Hypothalamic Stroke 218. Exertional Heat Stroke (EHS) 219. Neuroleptic Malignant Syndrome 220. Thyroid Storm Test Results: CBC: 18.2>14.5/40.6<167 CMP: 128/3.5 88/1831/2.7<104, AST 264, ALT 80, Ca 8.8 Lactate: 7.1 CK: 11 460 Myoglobin: 18 017 TSH: 3.16 CXR: No acute cardiopulmonary process Blood Cx: negative x2 CSF Cx: Negative COVID/Influenza/EBV: Negative Brain MRI: wnl. Final Diagnosis: Exertional Heat Stroke. Discussion(s): No EVC protocols exist for the management of EHS or rebound/refractory hyperthermia. As a result, the protocol used for this patient was adapted from post-cardiac arrest cooling protocols. It is unclear if this adapted protocol contributed to his delayed cooling and rebound hyperthermia as it was not intended for this patient demographic/ pathophysiology. Furthermore, despite initiating empiric antibiotics upon admission, delayed recognition and tailored therapy for his bilateral ankle cellulitis may have contributed to the difficulty in achieving euthermia. In summary, more research needs to be done to evaluate and develop an EVC protocol for EHS. Outcome(s): Euthermia was achieved and maintained after 36 hours of continuous EVC, at which point it was discontinued. His CK, AST/ALT, creatinine and sodium down-trended after discontinuation of EVC. Patient's antibiotics were transitioned to an oral formulation for treatment of ankle cellulitis and he was prepared for discharge. He was discharged with regular follow-up with the Fort Benning Heat Clinic. Follow-Up: After discharge, patient had regularly scheduled visits with the Fort Benning Heat Clinic. His typical lab markers for exertional heat stroke were regularly monitored. He had continued resolution of his Rhabdomyolysis, acute kidney injury and hyponatremia with typical treatment. Soldier returned to duty after 10 weeks of close monitoring and rehabilitation.

Preliminary Investigation on Wrist Temperature Control by Wearable Peltier Armband

Due to COVID-19 pandemic, body temperature measurement in commercial facilities is performed using a non-contact method. However, if the human body can be controlled in some way to disguise body temperature, a thermometer would have difficulty detecting an entrant with a fever. In this study, we propose a method to control body temperature measured at the wrist in order to demonstrate the vulnerability of temperature measurement at the wrist. Our device lowers body temperature by cooling the upper arm, thereby cooling blood flow and reducing the intensity of infrared radiation detected by a thermometer. The implemented device was used to cool the upper arm under three different conditions. The results showed that cooling the blood flow in the upper arm can lower the body temperature at the wrist. The cooled body temperature was difficult to maintain after the end of cooling, irrespective of the cooling intensity and cooling time. © 2022 ACM.

Development of an automatic window opening system to control the ventilation rate

Under the influence of COVID-19, it is recommended to ventilate to reduce the risk of infection in the room. In an air-conditioned room, window open can increased the ventilation rate that caused by indoor and outdoor temperature difference. However, there is a concern that opening window in the air-conditioned room will increase the heating and cooling load due to air leakage. In addition, it is difficult to maintain the appropriate ventilation rate because the outdoor air temperature changes time to time. To solve this problem, we have developed an automatic window opening system to control the natural ventilation rate. In this study, actual measurements were conducted to understand the operating performance of the system, and its effect on the indoor thermal environment. As a result, it was confirmed that the ventilation rate could be controlled by this system. © 2022 17th International Conference on Indoor Air Quality and Climate, INDOOR AIR 2022. All rights reserved.

Ablation for hepatocellular carcinoma (HCC)

Ablation includes ethanol injection, radiofrequency ablation (RFA), microwave ablation (MWA), etc. Ablation can be potentially curative, minimally invasive and easily repeatable for recurrence. RFA has been the most widely used ablation technique for liver tumors. The new-generation MWA system incorporating antenna cooling and high-power generation has attracted attention. It can create a more predictable ablation zone and a larger ablation volume in a shorter procedure time. Many high-volume centers have introduced new-generation MWA in Japan. However, many studies failed to show that new-generation MWA is superior to RFA in terms of local control and overall survival. In MWA, clinical data have been insufficient compared with those of RFA. There has been keen competition between surgical resection and ablation for almost 40 years since the era of ethanol injection. In 2021, SURF trial revealed that overall survival and recurrence-free survival were not significantly different between surgical resection and RFA. SURF trial was a multicenter randomized controlled trial in which 49 major centers in Japan enrolled patients with good hepatic function (Child-Pugh scores <= 7) and primary HCC of largest diameter <= 3 cm, and <= 3 nodules during the 6-year period of 2009-2015. The registered patients were followed for at least 5 years. As the result of SURF trial and other comparative studies, the revised Japanese clinical practice guidelines in 2021 treats hepatic resection and ablation equally for patients with <= 3 lesions, <= 3 cm in diameter. Recently, the combination of systemic and locoregional therapies has been attracting much attention. Systemic therapy using molecular targeted agents or immune checkpoint inhibitors is used for advanced HCC which cannot be treated by surgery or ablation. On the other hand, some locoregional therapies, such as hepatectomy and ablation, are potentially curative, but they cannot be indicated for advanced HCC. Combination of both therapies is an approach to improve the prognosis of advanced HCC, which is not indicated for curative treatment. Systemic therapy is used to shrink the tumor, and then locoregional therapies are performed to eradicate it. The combination may build a new strategy for advanced HCC. Ablation is highly operator-dependent. The skills and outcomes are very different from operator to operator. Before the pandemic of COVID-19, we held domestic and international training programs for intermediate and advanced doctors and hands-on seminars for young doctors. These were activities to exchange knowledge and experience and standardize the procedure. During the pandemic, we cannot get together. Since August 2020, we have conducted Japan Ablation Webinar 8 times with a total of 1,566 participants. We have also conducted International Ablation Webinar 4 times with a total of 1,272 participated doctors. Education is important to acquire skills and knowledge for successful ablation. We have established Japan Academy of Tumor Ablation (JATA) this year. There are two triggers. One is that SURF trial revealed that there is no difference between hepatectomy and ablation. The other is that ablation for lung, bone and soft tissue and kidney cancers has become reimbursed with health insurance since this September.

Heat vs. Health: Home Office under a Changing Climate

Stressors are especially widespread in urban agglomerations. Common themes of built environment interventions that support health and well-being are blue and green infrastructure, indoor and outdoor air quality, thermal comfort, access to natural lighting, and acoustics. Given the current megatrends of increasing summer temperatures and the high popularity of home offices, we aimed at modeling thermal comfort changes of people working at home in three Austrian cities (Vienna, Innsbruck, and Graz) during the next decades until 2090. We present findings based on (I) an inter-disciplinary literature search and (II) indoor and outdoor climate simulations for actual and future climate scenarios. Based on the results, we discuss the potential impacts for work and human health and well-being, and we suggest a framework for the home office in "post-COVID-19 Austria” that integrates social, ecological, and economic aspects. The results of our study indicate that, in future climate scenarios, overheating of the interior can no longer be prevented without active cooling measures and nature-based solutions. Recommendations on the adjustment of behavior under climate change, including greening, adequate ventilation, and cooling techniques, are thus urgently needed for employees who are working from home in order to maintain physical and mental health and wellbeing.

Electrospun film composed of pearl-string-like microfibers exhibiting excellent radiative cooling performance, moisture permeability and self-cleaning function

The double threat of extremely hot summer and the pandemic of Covid-19 makes it important to develop protective clothing with remarkable advantage of personal thermal management. Meanwhile, radiative coolers with strong solar reflection and atmospheric window (8–13 μm) emission can cool objects without the requirement of extra energy input. Passive daytime radiative cooling has attracted extensive attention in the field of personal thermal management. However, radiative cooling textile for protective clothing remains to be explored. In this work, electrospinning technique was applied to prepare radiative cooling flexible film for protective clothing. The prepared film is composed of microfibers with pearl-string-like structures that result in high average solar reflectance (98.1%) and high average atmospheric window emittance (94.9%). The film delivers an average temperature drop of 6.1 °C and an average radiative cooling power of 79 W m−2. The radiative cooling film has good moisture permeability and self-cleaning function. This study has opened up a promising way for the design and fabrication of protective clothing that has excellent passive daytime radiative cooling performance.

Role of mouthwash in prevention of Covid-19: A review

The corona virus disease 2019 (COVID-19) caused by severe acute respiratory syndrome corona virus 2 (SARSCoV-2), first detected in Wuhan, Hubei province of China, has emerged rapidly as a health crisis that has challenged health systems and health professionals all over the world. Transmission occurs primarily through droplet spread or contact routes. Due to these characteristics dental staff and dental practitioners are considered to be at the highest risk of acquiring SARS-CoV-2 infection because of their prolonged face to face exposure to patients and exposure to respiratory secretions and aerosols produced during procedures like ultrasonic scaling and cavity/access preparation using a high-speed air rotor with water jet cooling systems. Antiseptic mouthwashes have been widely used as a standard measure before routine dental treatment, especially preoperatively. They have an essential role in reducing the number of microorganisms in the oral cavity. Hence, present review of literature provides details on role of mouthwash in prevention of Covid-19 transmission.Copyright © 2020 Ubiquity Press. All rights reserved.

Novel heterozygous PLCG2 variant presenting with very early-onset perianal abscess

Case report Background: Mutations in the PLCG2 gene can cause PLCG2-associated antibody deficiency and immune dysregulation (PLAID) or auto-inflammation with PLCG2-associated antibody deficiency and immune dysregulation (APLAID). PLAID is characterized by urticarial eruptions triggered by evaporative cooling along with cutaneous granulomas. APLAID may present with early-onset skin inflammation and non-infectious granulomas, uveitis, and colitis. Method(s): Case report and literature review. We performed in silico analysis for variants of uncertain significance (VUS). Result(s): A 29-day-old boy presented to emergency department for failure to thrive. He was found to be SARS-CoV2 positive, had an E. coli UTI in the setting of bilateral perinephric masses which subsequently resolved. He also had a perianal soft tissue abscess measuring 4cm in diameter. Mom reported a similar infection when she was age 2. She also reported intermittent diffuse urticaria triggered following perspiration evaporation.Abscess wall histology showed diffuse neutrophil and lymphocytic infiltration, with cultures growing polymicrobial enteric flora. His serum immunoglobulins G, A, M, and E were within reference range. Naive and memory CD4, CD8, CD19 lymphocyte subsets (including NK cells) were also within age-appropriate reference range. He had a normal neutrophil oxidative burst measured using dihydrorhodamine (DHR) flow cytometry following PMA stimulation, which ruled out a diagnosis of chronic granulomatous disease. On evaporative cooling, the patient had a 2mm wheal with surrounding erythema which resolved rapidly with warming. A targeted primary immunodeficiency panel showed a heterozygous VUS in PLCG2, c.688C > G (p.Leu230Val). The variant was absent from major databases and had a calculated CADD score of 17.77. He had symptomatic resolution after completing 3 weeks of ceftriaxone and metronidazole antimicrobials. Given the concern for PLCG2-associated very early-onset inflammatory bowel disease (VEO-IBD), a fecal calprotectin was obtained at 3 months and found to be elevated (157 mcg/g [ < = 49 mcg/g]). However, he had no symptomatic or macroscopic evidence for VEO-IBD. Conclusion(s): Presence of very early onset abscesses has not been previously described in patients with heterozygous PLCG2 deficiency. This case adds to the expanding variable phenotype of PLCG-2-associated immune dysregulation.

COVID-19 triggered residential behavioral changes and electricity consumption of detached houses in Japan.

Many studies conducted previously have reported that due to lockdowns or stay-at-home orders associated with the COVID-19 pandemic in April 2020 residential power consumption has increased in countries, particularly in cities worldwide. This study compared the power consumption of 1,339 detached houses in Japan over the past three years as well as a year after the pandemic and analyzed living behavioral changes in the 12 months after the pandemic using a questionnaire survey of occupants. As of March 2021, which is after 12 months of the beginning of the pandemic, it was confirmed that the way of life had returned to almost normal, and as a factor in increasing consumption, working from home would remain the only behavioral change that may take root in Japanese society.

Experimental study on the heating/cooling and temperature uniformity performance of the microchannel temperature control device for nucleic acid PCR amplification reaction of COVID-19

The nucleic acid detection is an effective way for the prevention and control of COVID-19. PCR amplification is an important process in the nucleic acid detection. At present, PCR amplification has the problem of low heating/cooling rates, and poor temperature uniformity. This paper proposes a microchannel temperature control device for the nucleic acid detection. Five groups of parallel serpentine channels are used to increase the cooling rate of the PCR amplification. A gradual thermal conductivity design is applied to the reaction module to increase the temperature uniformity. The experimental results show that the best temperature uniformity is obtained when the materials of the inner and outer layers of the reaction module are copper and aluminum alloys, respectively. The limit and average heating/cooling rate are 7.2, 6.12, 5.52 and 5.28 °C/s, respectively, when the input power of the thermoelectric cooler is 11.07 W/cm2, the temperature and flow rate of the cooling water are 15℃ and 700 ml/min, and the thermal conductivity of the thermal grease is 6 W/(m·K). Compared with the commercial fan-fin cooling method, the limit and average heating/cooling rates are increased by 38.02%, 80.82%, 86.49% and 208.77%, respectively, with the help of microchannel cooling method. © 2023 Elsevier Ltd

Thermotemporalities, thermomasculinities: Uptime, downtime, and server heat in the digital Anthropocene

Amid a warming planet and a surge in digital activity precipitated by COVID-19 lockdowns, the ecological impacts of cloud infrastructures are of increasing interest to scholars and publics. Deemed "essential workers," data center operators maintain server uptime by keeping equipment cool (via air conditioning). Failure results in overheating and a state of service interruption called downtime. Drawing on ethnographic research in data centers, this article introduces the concept of thermotemporalities to illustrate how time, temperature, and expertise converge in novel formations. By attending to the embodied practices and discursive pronouncements of data center operators, I reveal how uptime (cold) and downtime (hot), a binary opposition, are performative genres rather than discrete referents. Emerging out of this dyadic interplay, I locate a species of aspirational identity I call thermomasculinities. [ FROM AUTHOR] Copyright of New Media & Society is the property of Sage Publications, Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Czochralski (CZ) process modification with cooling tube in the response to market Global silicon shortage

Recently, the silicon wafer producers, affected by Covid-19 and USA-China competition, looks for new production processes to increase the production. On the other hand, the common parts of CZ puller such as heater, crucible and thermal shield are optimized over time and now the common CZ process is reached to limitation for further improvement. Here, we propose a modified CZ method by adding a cooling tube into the growth zone. The new proposed Cz method is applied to the 8″ crystal growth process. A fully 3D transition model including energy equation, Navier–Stokes equation, surface-to-surface radiation heat transfer, moving mesh and thermal stress equations is implemented. The simulation is performed for both original and new CZ method. It was proved that the new CZ method increases the pulling speed up to 25 %. To ensure about the crystal quality, the thermal stress is compared between original and new proposed CZ method. Although it was found that the thermal stress increases about twice but still the maximum von Mises stress never exceeds the critical value 25 MPa. Additionally, the power consumption is also found to enhance maximum 2 kW under new conditions. To evaluate the model the interface and heater power for the original CZ puller is compared with industrial CZ process and it shows acceptable accuracy. © 2023 Elsevier B.V.

An insight into the microbiology, epidemiology, and host cell biology of Legionella pneumophila: a review of literature

Legionnaires' disease (LD) is a type of severe pneumonia that mainly caused by bacteria of the genus Legionella. LD bacteria reside in the water systems of facilities where lack of water exchange or flow plays a crucial role in enhancing bacterial growth. The under-recognition of the dangers of Legionella along with easing of Coronavirus disease 2019 (COVID-19) lockdown restrictions and global reopening, pose a potential increased risk of developing LD. Various Legionella species can lead to legionellosis infections, including LD and Pontiac fever. Legionellosis cases is generally found in natural or artificial aquatic environments such as cooling towers, hot water tanks, or air conditioning. The bacteria elude the host's immune responses by various strategies, including releasing effector proteins. Thus, this review provides insight into the microbiology, epidemiology, and host cell biology of L. pneumophila, as well as an emphasis on the bacterial novel survival strategies of L. pneumophila. Also, suggests taking intensive actions towards closed buildings as a potential source of bacterial infection.

Performance and economic efficiency analysis of an integrated, outdoor fan-ventilated cooling device.

Recently, the importance of mechanical facilities in charge of the safety and comfort of occupants in buildings has once again been highlighted in accordance with global social issues such as the spread of COVID-19. In response, various ventilation systems are being developed to improve indoor air quality, and efforts are being made to satisfy the indoor comfort of the occupants. Such advanced facilities allow occupants to secure indoor air quality, while frequent ventilation systems can affect the cooling and heating load in the building, and there is also a problem that it can occupy a relatively large amount of space in the building. This study proposes an integrated, outdoor fan-ventilated cooling device and analyzes its performance and economic efficiency. The EnergyPlus simulation program was used to model two types of systems for comparison: an existing (base) model with a condenser located in the outdoor unit, and a developed model with the condenser integrated within the cooling system. The state of the air passing through the condenser was analyzed prior to comparing the efficiency of the integrated, outdoor fan-ventilated cooling device, followed by an in-depth analysis of the performance and economic efficiency based on total energy consumption. In Case 1, the air passing through the cooling system was approximately 5  °C lower than the base model and showed 11% peak load reduction in comparison to the maximum energy consumption. Additionally, a comparison between regions with different outdoor air temperatures showed an average cost reduction of 16% in Daejeon and Busan City.

Foetal Intrapartum Compromise at Term: Could COVID-19 Infection Be Involved? A Case Report.

The impact of the SARS-CoV-2 infection on pregnancy has been studied and many reports have been published, mainly focussing on complications and in utero transmission with neonatal consequences. Although the effects of other viruses on foetuses are well known, the impact of maternal COVID-19 during pregnancy is not completely understood. We report a case of acute foetal intrapartum hypoxia without other risk factors than maternal COVID-19 disease 2 weeks previous to birth at term. Placental histological changes suggested that the viral infection could have been the culprit for the unfavourable outcome during labour. The neonate was promptly delivered by Caesarean section. Neonatal intensive care was started, including therapeutic hypothermia. The procedure was successful, the evolution of the neonate was favourable, and she was discharged after 10 days. Follow-up at 2 months of life indicated a normal neurological development but a drop in head growth. The case raises the idea that pregnancies with even mild COVID-19 symptoms may represent the cause of neonate compromise in a low-risk pregnancy. An important follow-up in the neonatal period and infancy is required to identify and treat any subsequent conditions. Further long-term studies are necessary to identify a cause-effect relationship between COVID-19 pregnancies and the whole spectrum of neonatal and infant consequences.