Safe Supply Research Articles

Operational recommendations for the implementation of home parenteral nutrition program of care according to the guidelines of the European society for clinical nutrition and metabolism

Home parenteral nutrition (HPN) is a complex therapy, which requires dedicated facilities and expertise. However, the management and provision of HPN differs significantly between countries and between HPN centers within countries. These differences lead to heterogeneity in the quality of care received by patients, with variable impact on the appropriateness, safety, and effectiveness of HPN, and resultant variability in the quality of life that a patient may expect.The European Society for Clinical Nutrition and Metabolism (ESPEN) have published guidelines on the appropriate and safe provision of HPN, with an associated practical version describing a short and precise way to implement the guidelines’ recommendations in clinical practice.This educational paper suggests means of implementation of evidence supported HPN guidelines, using “operational recommendations” applitngto healthcare professionals, administrators and stakeholders, with the ultimate aim of enhancing equity of patient access to an appropriate and safe HPN program of care.

Safe provision of nursing care as predicted by nursing students: A cross-sectional study

Background & Aim: Assessment of safety culture and nursing students’ competencies in patient safety is essential for readiness to provide quality and safe care. The objectives of the study are to examine how nursing students perceive patient safety culture and to evaluate factors that may influence their perceptions. Methods & Materials: A descriptive cross-sectional study was conducted using the Slovak version of the Hospital Survey on Patient Safety Culture for Nursing Students and the Questionnaire for Measuring Demographic Variables and Information on the Education Process. The study involved 242 nursing students from two faculties in Slovakia. Data were analyzed using descriptive and inferential statistics. Results: None of the dimensions of patient safety culture was rated by the nursing students above the necessary level of 75 %. Statistically significant correlations and differences were found between the nursing students’ perceptions of patient safety culture and some selected sociodemographic variables. Multiple regression analysis revealed significant associations between the nursing students’ perceptions of patient safety culture and overall patient safety grade, the number of reported events in the workplace, and the number of reported events by nursing students. Conclusion: Recognising nursing students’ perceptions of patient safety culture enables identification of weaknesses, and early implementation of targeted interventions and educational initiatives to increase overall patient safety in care provision. Future research should focus on recognizing relationships between perceived patient safety culture, teamwork, education, and indicators of safe and quality care during clinical training from nursing students’ perspective.

Understanding the Knowledge, Perceptions, and Attitudes of University Students Toward Blood Donation and the Turkish Red Crescent: A Cross-Sectional Study.

Background The need for blood arising from illness, surgery, and accidents is met through donations. With global population growth, both non-governmental organizations and public institutions are vital for blood supply and distribution. The Turkish Red Crescent, a leading non-governmental organization in blood donation and humanitarian aid, excels in both national and international contexts, ensuring a safe blood supply and reinforcing social solidarity during crises. This study aims to determine the knowledge, perceptions, and attitudes of students from different departments at a public university in Turkey regarding blood donation and the Turkish Red Crescent. Methodology This was a cross-sectional study. The study population included 34,442 Ege University students, with the sample consisting of 385 students who continued their education online due to the February 6, 2023, earthquake in Turkey and voluntarily participated in the study. Data were collected via an online survey. Results The study found that 56.9% (219) of the participants were female, 30.9% (119) were in the second year, and 16.6% (64) were from the Faculty of Science. Overall, 89.6% (345) of the students held positive views on blood donation. Further, 64.4% (248) showed a positive inclination toward donating blood, and 76.8% (296) viewed it as a social responsibility. However, 70.4% (271) of the students had doubts about whether the blood will reach those in need, and 61.6% (237) were concerned about this issue. Additionally, women donated blood more than men with significant differences in some attitudes based on gender. Conclusions The research revealed that students defined blood donation as a good deed and an indicator of human solidarity. On the other hand, students lacked knowledge about the Turkish Red Crescent and were undecided in some of their opinions about the Turkish Red Crescent.

Continuous Positive-Pressure Oxygen Supply Improves Fiberoptic Intubation Efficacy and Safety in Patients With Simulated Cervical Spinal Injury: A Prospective Double-Blind Randomized Controlled Study.

Fiberoptic intubation is an important method for tracheal intubation in patients with cervical spine injury. How to effectively and safely complete fiberoptic intubation while maintaining the stability of the cervical spine is very important. This study compared the efficiency and safety of fiberoptic intubation after anesthesia induction under different types of air pressure in patients with simulated cervical spinal injury. In total, 59 adult patients who underwent fiberoptic intubation with a cervical collar for simulated cervical spinal injury were randomly allocated to continuous positive-pressure oxygen, normal-pressure, or intermittent negative-pressure suction groups. After the induction of anesthesia and adequate 100% oxygenation, which confirmed effective neuromuscular blockade, it was deemed appropriate to begin fiberoptic intubation. In the continuous positive-pressure oxygen group, the fiberoptic device was connected through the negative-pressure suction path with 5 L/min oxygen. In the intermittent negative-pressure suction group, the fiberoptic device was connected to the negative-pressure suction device. In the normal-pressure group, the flexible fiberoptic device was not connected to either the oxygen source or the negative-pressure suction device. The intubation time was recorded as the primary outcome measure. The intubation success rate, number of attempts, minimum SpO2, objective lens contamination rate, and incidence of complications were also compared among the groups. Compared with those in the other groups, the median (range) intubation time in the continuous positive-pressure group was 59 (36-181) seconds, which was significantly shorter than that in the normal-pressure group, 167 (46-181) seconds, and the intermittent negative-pressure suction group, 132.5 (38-181) seconds (P=0.04). The success rate of nasotracheal intubation was significantly greater in the continuous positive-pressure group (94.7%, 18/19) than in the normal-pressure group (50%, 10/20) and intermittent negative-pressure suction group (50%, 10/20) (P=0.004). There was a significant difference among the three groups (P=0.043). The median (range) minimum SpO2 during fiberoptic intubation was 100% (99-100%) in the continuous positive-pressure group, 100% (90-100%) in the normal-pressure group, and 99% (88-100%) in the intermittent negative-pressure suction group (P=0.029). However, no statistically significant difference was detected among the groups with complications. The continuous use of positive-pressure oxygen via the negative-pressure suction pathway can improve the efficiency and safety of fiberoptic intubation in patients with simulated cervical spinal injury after anesthesia induction.

Response Patterns and Behavior of Seropositive Blood Donors: A Comprehensive Analysis.

Background Blood transfusion services are vital in healthcare, ensuring a steady and safe supply of blood for patients in need. Identifying seropositive blood donors and understanding their response patterns and behaviors are critical for improving the safety and efficacy of blood transfusion practices. Aim Our study aims to determine the response rate and pattern of blood donors who test reactive for transfusion-transmitted infections (TTIs) and to understand the attitudes of reactive blood donors toward post-donation notification, follow-up, and counseling. Materials and methods Our study is retrospective audit analyzing the data record for a period of 24 months from October 2021 to October 2023 in the transfusion medicine department of a tertiary care hospital in southern India. All donations were screened for hepatitis B, hepatitis C, HIV, malaria, and syphilis. Results Of the total 8,276 donations during the study period, 117 (1.41%) were reactive for various TTIs. The highest prevalence was hepatitis B (0.61%), followed by hepatitis C (0.38%), then HIV (0.22%) and syphilis (0.14%). Of all the TTI reactive donors, 82 donors (70%) responded after communication, and the remaining 30% could not be contacted by any mode of communication. The most common reason for non-communication was the fabricated postal address given by the donors. Of the donors approached, 57 (48.7%) reinstated to our blood bank for further counseling and specific treatment. The donor's busy schedule and out-of-city residence were the main reasons for non-compliance with the follow-up protocol. Conclusion Informing donors of their serological status and providing post-donation counseling are crucial elements of blood transfusion protocol. Necessary knowledge about TTIs are to be instilled to the donors during the blood collection procedure. Moreover, its crucial for the donor to provide accurate demographic details aiding follow up and easy access during times of managing blood inventory.

The Preparation of a Polyamidoxime-Phosphorylated Cellulose Nanofibrils Composite Aerogel for the Selective Extraction of Uranium from Seawater.

Uranium is the most important fuel for nuclear power operations, and the safe supply of its resources is the key to the development of nuclear power in China. Because of the complex seawater environment and extremely low uranium concentration, extracting uranium from natural seawater poses a significant challenge. In this study, a polyamidoxime-phosphorylated cellulose nanofibril composite aerogel was prepared as an adsorbent for uranium extraction from seawater. An adsorption kinetics test, equilibrium adsorption isotherm model fitting, an adsorption-desorption cycle test, and a selectivity test were carried out to evaluate the adsorption performance of the composite aerogel for uranium extraction. The adsorption capacities for the initial concentrations of 4 and 8 ppm in uranium-spiked pure water were 96.9 and 204.3 mg-U/g-Ads, respectively. The equilibrium uranium adsorption capacities of uranium-spiked simulated seawater were 38.9 and 51.7 mg-U/g-Ads, respectively. The distribution coefficient KD of uranium was calculated to be 2.5 × 107 mL/g. The results show that the polyamidoxime-phosphorylated cellulose nanofiber composite aerogels prepared in this study have the advantages of low cost and high uranium selectivity for uranium extraction from seawater.

Global evaluation and outcomes of cholecystectomy: protocol for a multicentre, international, prospective cohort study (GlobalSurg 4)

IntroductionCholecystectomy is one of the most common operations performed worldwide. Although laparoscopic surgery has been the ‘gold-standard’ approach for this operation, there is a paucity of global evidence around the...

Study on carbon emission characteristics and its influencing factors of energy consumption in Sichuan Province, China

Clarifying the key sectors and influencing factors of carbon emissions from energy consumption is an important prerequisite for achieving the “carbon peaking and carbon neutrality” goals. This study calculated the carbon emissions of fuel combustion in 7 major departments and regional electricity trading of Sichuan Province from 2000 to 2021, and empirically analyzed the impact of energy structure effect, energy intensity effect, industrial structure effect, economic development level effect, and population size effect on the carbon emissions of energy consumption based on the LMDI model. The main research conclusions are as follows: (1) LMDI model has the advantages of no residual and high interpretation. By refining the multi-departments of energy consumption and different types of fuel, it is helpful to improve the accuracy of empirical analysis results. (2) The carbon emissions of energy consumption mainly come from the fuel combustion process. Specifically, the industry sector composed of steel, building materials, chemicals and machinery is the key emission sector, and transportation and residential life are also vital. Regional electricity trading can indirectly reduce the intensity of carbon emissions while ensuring the safety of energy supply. (3) From 2000 to 2021, the energy intensity effect and the economic development level effect were key factors in slowing down and promoting the carbon emission growth of energy consumption in Sichuan Province, respectively. The population scale effect mainly played a positive role in driving carbon emissions, but the impact is small and almost negligible. Before 2012, the energy structure effect and the industrial structure effect were mainly positive driving effects, and after 2012, they all turned into negative inhibitory effects. This was mainly due to the low-carbon transformation of energy structure and the optimization of industrial structure.

Determining the strength of evidence for an association between sexual indicators and risk of acquiring HIV and sexulaly transmitted infections: Providing evidence for blood donation policy change.

In 2019 the For The Assessment Of Individualised Risk (FAIR) project began a review of UK blood donor selection policy to determine if a more individualised approach to donor selection could be safely implemented. An evidence base was required to inform selection policy to move from a population to a more individual based policy, specifically what sexual behaviours/indicators should be considered as screening questions to maintain the safety of the blood supply. Eight sexual behaviours/indicators were reviewed: history of bacterial sexually transmitted infections (STIs), chemsex, number of recent partners, condom use, type of sex, sexual health service (SHS) attendance, new sexual partner and exclusivity. We conducted searches in multiple databases to identify literature looking at the association between these behaviours/indicators and HIV/STI acquisition risk. A scoring system to determine strength of evidence was devised and applied to papers that passed screening. Key studies were identified which achieved the maximum score and more in-depth reviews were conducted for these. We identified 58 studies, including 17 key studies. Strong evidence was found linking a previous bacterial STI, chemsex and increasing numbers of sexual partners to acquisition risk. Condom use, type of sex and new partners were found to have some strength of evidence for this link. SHS attendance and exclusivity had minimal evidence. We recommended that the behaviours/indicators viewed as having strong or some strength of evidence should be considered as screening questions in a more individualised approach to donor selection criteria.

Seroprevalence of infectious markers HCV, HBV, HIV and the agent of syphilis among blood donors from the blood transfusion center (BTC of Constantine) in a hospital in eastern Algeria

Microbial agents transmitted by blood transfusion, HBV, HCV, HIV and syphilis remain a major problem for transfusion safety. The objective of this study is to determine the seroprevalence of infectious markers in order to contribute to the improvement of the safe and sufficient supply of blood. This is a retrospective cross-sectional study carried out at the BTC SMK laboratory in Constantine covering the period from January 2019 to December 2021. Our sample is mainly composed of voluntary, adult, young and male donors. 9155 donors who underwent a screening examination during the period (2019-2021). The seroprevalence of HBV, HCV, HIV and syphilis was respectively 0.40%, 0.12%, 0%, 0.14%, with a male predominance whose age group [36-45 [ presents the highest frequency of HCV, HBV and syphilis. Our results justify donor selection and screening tests.

Impacts of the Middle Route of the South-to-North Water Diversion Project on Land Surface Temperature and Fractional Vegetation Coverage in the Danjiang River Basin

The Middle Route of the South-to-North Water Diversion Project is a critical infrastructure that ensures optimal water resource distribution across river basins and safeguards the livelihood of people in China. This study investigated its effects on the land surface temperature (LST) and fractional vegetation coverage (FVC) in the Danjiang River Basin. Moreover, it examined the spatial and temporal patterns of this project, providing a scientific basis for the safe supply of water and ecological preservation. We used the improved interpolation of mean anomaly (IMA) method based on the digital elevation model (DEM) to reconstruct LST while FVC was estimated using the image element dichotomous model. Our findings indicated a general increase in the average LST in the Danjiang River Basin post-project implementation. During both wet and dry seasons, the cooling effect was primarily observed in the south-central region during the daytime, with extreme values of 6.1 °C and 5.9 °C. Conversely, during the nighttime, the cooling effect was more prevalent in the northern region, with extreme values of 3.0 °C and 2.3 °C. In contrast, the warming effect during both seasons was predominantly located in the northern region during the daytime, with extreme values of 5.3 °C and 5.5 °C. At night, the warming effect was chiefly observed in the south-central region, with extreme values of 5.8 °C and 5.9 °C. FVC displayed a seasonal trend, with higher values in the wet season and overall improvement over time. Statistical analysis revealed a negative correlation between vegetation change and daytime temperature variations in both periods (r = −0.184, r = −0.195). Furthermore, a significant positive correlation existed between vegetation change and nighttime temperature changes (r = 0.315, r = 0.328). Overall, the project contributed to regulating LST, fostering FVC development, and enhancing ecological stability in the Danjiang River Basin.

Epidemiological analysis of blood donors from college students in Hefei city.

College students represent a unique demographic group as they are adults no longer under direct parental care, yet often lack the institutional health support available to more established members of society, which can lead to their health needs being neglected, despite their substantial contributions to blood donation. The objective of this study is to shed light on the health status of college students in Hefei, with a specific focus on transfusion-transmitted diseases. Based on the detailed data analysis, the implementation of some constructive strategies will play a good warning role in improving clinical blood safety and promoting better health monitoring of this population in the future. The study aims to achieve two main objectives: On the one hand, to deepen our understanding of college students' participation in blood donation activities. On the other hand, to propose effective strategies for increasing youth involvement. Additionally, such research aims to afford recommendations for ensuring the safety of clinical blood supplies. Although the strategies and suggestions presented are speculative, they are grounded in the logical analysis of data and relevant theoretical frameworks. Therefore, these recommendations serve as a basis for potential future testing and implementation. The evaluation process for blood samples at the Hefei Blood Bank involves thorough serological testing for hepatitis B and C, HIV, and Treponema pallidum using both Enzyme-Linked Immunosorbent Assay (ELISA) and Nucleic Acid Testing (NAT). HIV reactive samples were further confirmed using Western Blot techniques at an external specialized laboratory. To ensure accuracy, each sample was tested with reagents from two different manufacturers. Moreover, any initially reactive sample was retested with the same reagent to eliminate potential false positives. In cases of conflicting results, alternative reagent kits are utilized for further confirmatory tests. Only samples that consistently show reactive results in consecutive tests are considered positive confirmation samples. Upon analysis of the data set, it was found that out of the total 663,105 donors, 177,089 (26.7%) were identified as college students, with the remaining 486,016 categorized as noncollege students. Our study demonstrated a notably lower prevalence of blood-transmitted infections among college students (0.48%) in contrast to the wider donor population (1.23%), underscoring their potential as safe blood donors. To uphold this level of safety and protect public health, it is crucial to increase disease prevention awareness and advocate for responsible donation practices within this specific demographic. Strengthening confidentiality protocols and expanding education on safe sexual behaviors in university settings are vital actions to cultivate an environment that promotes informed and secure blood donation. The overall group had prevalence rates of 0.44% for hepatitis B, 0.15% for hepatitis C, 0.02% for HIV, and 0.42% for Treponema pallidum. When focusing on the student cohort, the prevalence rates were 0.17% for hepatitis B, 0.04% for hepatitis C, 0.02% for HIV, and 0.23% for Treponema pallidum. Transmissibility through blood transfusion All donors (%) Students (%) Non-students (%) Any infection 1.23 0.48 1.51 HbsAg 0.44 0.17 0.54 Anti-HCV 0.15 0.04 0.19 HIV Ag/Ab 0.02 0.02 0.02 Anti-TP 0.42 0.23 0.49 Individuals with two or more infectious agents occur more than once in all categories. While it leads to numerical over-representation, such overlap is minimal and statistically insignificant.

The Water Hammer Characteristics of Long-Distance Water Pipelines under Different Water Supply Modes

The pressure characteristics of long-distance water pipelines during hydraulic transient processes are crucial for ensuring the safe, stable, and long-term operation of water transfer projects. This paper establishes a one-dimensional mathematical model based on sections of the Yinjiangjihuai long-distance water diversion project in China. The water supply requirements of the pipelines are categorized into two replenishment modes as follows: gravity supply and pump-pressurized water supply. The opening and closing strategies of the water pipelines under different flow conditions are simulated and analyzed to explore the hydraulic transient processes under various water supply modes. The transient variations of key hydraulic parameters during valve closure are clarified. Simulation results indicate that the water pipeline design is reasonable, meeting the water supply demands at relatively low Manning values and that it has the capability for long-term supply. Due to the excessive head provided by the pumps, pump-pressurized water supply and gravity supply modes cannot operate simultaneously. Under gravity supply mode, the minimum pressure in the downstream pipeline is relatively higher overall, while the maximum pressure in the upstream pipeline is relatively lower overall. In the pump-pressurized water supply mode, the safety and stability of the water supply can be ensured by adjusting the closing time of individual pumps and the interval time between adjacent pumps. The research findings provide technical guidance and scientific basis for the construction of national water networks and water transfer projects.

Water quality ensemble prediction model for the urban water reservoir based on the hybrid long short-term memory (LSTM) network analysis

ABSTRACT The water quality of drinking water reservoirs directly impacts the water supply safety for urban residents. This study focuses on the Da Jing Shan Reservoir, a crucial drinking water source for Zhuhai City and the Macau Special Administrative Region. The aim is to establish a prediction model for the water quality of drinking water reservoirs, which can serve as a vital reference for water plants when formulating their water supply plans. In this research, after smoothing the data using the Hodrick-Prescott filter, we utilized the long short-term memory (LSTM) network model to create a water quality prediction model for the Da Jing Shan Reservoir. Simulation calculations reveal that the model's fitting degree is consistently above 60%. Specifically, the prediction accuracy for pH, dissolved oxygen (DO), and biochemical oxygen demand (BOD) in the water quality prediction model aligns with actual results by more than 70%, effectively simulating the reservoir's water quality changes. Moreover, for parameters like pH, DO, BOD, and total phosphorus, the relative forecasting error of the LSTM model is less than 10%, confirming the model's validity. The results of this study offer an essential model reference for predicting water quality for the Da Jing Shan Reservoir.

M140 - Trends in Use of Prescribed “Safer Supply” Opioids Among People Living with HIV and Opioid Use Disorder in Vancouver, Canada

M140 - Trends in Use of Prescribed “Safer Supply” Opioids Among People Living with HIV and Opioid Use Disorder in Vancouver, Canada

Photochemical transformation altered coagulation behavior and treatability of dissolved organic matters in water

The photo-transformation of dissolved organic matter (DOM), which is ubiquitous in aquatic environments, significantly alters its molecular composition and interactions in surface water environment, affecting its fate in water treatment processes. However, the effect of photo-transformation on the coagulation behavior of DOM remains poorly understood. Herein, the photo-transformation pathways of DOM during simulated sunlight irradiation and its effect on coagulation behavior of DOM were investigated. Reactomics analysis demonstrated the polyphenols in DOM underwent dealkylation reactions, reactions of carboxylic acid, and oxygen addition reactions upon sunlight irradiation, generating molecules with low aromaticity and molecular weight, and low-oxygen-content fragments. Such alterations resulted in a reduction in the relative abundance of the dominant component being C&O-rich lignin-like compounds enriched in –CH2CO2, –2COOH, and –2OH groups, leading to the decrease of DOM removal efficiency. These alterations caused a variation in coagulation mechanisms for DOM removal, shifting from charge neutralization to adsorption bridging after 36 h of simulated sunlight irradiation. This study offers novel insights into the effects of photo-oxidation on the coagulation behaviour of DOM, contributing to the optimization of drinking water treatment and the safe supply of drinking water.

Marsh decrease was much faster than the water increase among the Yellow River Source wetlands during 1986–2022

Wetlands are valuable and sensitive ecosystems that make them imperative to tracking the dynamics in their extent for sustainable management under global warming. Here we focused on the Yellow River Source (YRS) wetlands, which is renowned for hosting one of the world's largest plateau peat bog, unfortunately, it had experienced sharp degradation, threatening the safety of water supply for approximately 110 million people of the lower Yellow River basin. However, the lack of long-term, dense time-series data makes it challenging to assess its evolution trends and driving factors. Therefore, we developed a decision tree sample migration method based on Euclidean distance and Land Surface Water Index, and successfully generated annual wetland mapping of YRS from 1986 to 2022 by utilizing the Landsat 5/7/8 datasets and Random Forest method. The average sample migration rate was 89.21 %, with an average overall accuracy of 95.49 %. We observed that the marsh area decreased by 2031 km2, marking a decline of 12.98 %, while the water area increased by 710 km2 (31.24 %) compared to 1986. Spatially, 10.96 % of marsh composition presents significant (P < 0.05) decline trend, which are mainly converted to grass (86 %), followed by impervious (10 %). There were 6.69 % of water composition showing significant (P < 0.05) increase trend, which are mainly sourced from impervious (82 %) and marsh (12 %). Grazing activities were more important driving forces than climate change for marsh degradation, while the water expansion was associated with recent rising temperature in YRS. The sample migration method is proved to be feasible, robust, and effective for long-term wetland mapping. We suggest that wetland decision-makers need to focus on marsh degradation and reduce grazing intensity, so that fostering the sustainable and healthy wetlands in the Qinghai-Tibetan Plateau.

Toward a science-based classification of processed foods to support meaningful research and effective health policies.

Processed foods have been part of the American diet for decades, with key roles in providing a safe, available, affordable, and nutritious food supply. The USDA Food Guides beginning in 1916 and the US Dietary Guidelines for Americans (DGA) since 1980 have included various types of commonly consumed processed foods (e.g., heated, fermented, dried) as part of their recommendations. However, there are multiple classification systems based on "level" of food processing, and additional evidence is needed to establish the specific properties of foods classified as "highly" or "ultra"-processed (HPF/UPFs). Importantly, many foods are captured under HPF/UPF definitions, ranging from ready-to-eat fortified whole grain breakfast cereals to sugar-sweetened beverages and baked goods. The consequences of implementing dietary guidance to limit all intake of foods currently classified as HPF/UPF may require additional scrutiny to evaluate the impact on consumers' ability to meet daily nutrient recommendations and to access affordable food, and ultimately, on health outcomes. Based on a meeting held by the Institute for the Advancement of Food and Nutrition Sciences in May 2023, this paper provides perspectives on the broad array of foods classified as HPF/UPFs based on processing and formulation, including contributions to nutrient intake and dietary patterns, food acceptability, and cost. Characteristics of foods classified as UPF/HPFs are considered, including the roles and safety approval of food additives and the effect of food processing on the food matrix. Finally, this paper identifies information gaps and research needs to better understand how the processing of food affects nutrition and health outcomes.

Seroprevalence of transfusion -transmitted infections among blood donors in a tertiary care hospital in and around Koodapakkam, Puducherry, India

Introduction: Even though blood transfusion safety has come a long way, Transfusion-Transmitted Infections (TTI), which include bacterial, viral, parasitic, and prions, can still spread with each transfusion. The main goal of this study was to determine the seroprevalence of the five TTIs that are required to be tested in India among blood donors at our facility. Accurate estimates of the risk of TTIs are essential for monitoring the safety of the blood supply. Methodology: This was a retrospective descriptive study conducted in the blood centre of a tertiary care teaching hospital in Puducherry, from 2017 to 2023. Records from blood banks were reviewed to collect data on all donors who underwent appropriate testing for HIV, hepatitis C, Hepatitis B, syphilis, and malaria. Enzyme-linked immunosorbent assay was done for HIV, HCV, HBsAg/hepatitis B surface antigen, and rapid card testing was done for syphilis and malaria. Results: There was a total of 2570 donors during the study period. In the present study, the overall seroprevalence of TTIs was 1.40%. The individual seropositivity rates were 0.03% for HIV, 0.93 % for HBsAg, and 0.43 % for syphilis. There were no cases of malaria and HCV detected in the study period. The highest percentage of prevalence was observed for HBV, followed by Syphilis and HIV. Conclusion: The overall seroprevalence of TTI in Puducherry was smaller than those reported elsewhere in the country. It was comparatively lesser than the national average for HIV, HCV, and HBV and much higher for syphilis.

Strain clamp condition monitoring for transmission lines based on acoustic emission signals

Abstract To ensure the reliability and safety of the power supply in the electric system, it is significant to realize the strain clamp condition monitoring for transmission lines. A strain clamp vibration test rig was designed and built to collect acoustic emission (AE) signals generated by strain clamps with an excitation frequency of 30, 50, 70, 90, and 110 Hz, respectively. The characteristics of the collected AE signals are then analyzed in the time domain and time-frequency domain. The results of the signal analysis in the time domain show that, the increasing excitation frequency leads to a higher amplitude of the AE signal, and the signal period is consistent with that of the excitation. Meanwhile, both the root-mean-square (RMS) and the average signal level (ASL) of the AE signal increase continuously with the excitation frequency, of which the growth trends are different. Additionally, the results of the signal analysis in the time-frequency domain also show that the signal spectrum is mainly concentrated in the range of 30 kHz to 200 kHz at different excitation frequencies and the increasing excitation frequency significantly leads to more high-frequency components in the AE signal.