Nutrition is integral to the care of individuals with cystic fibrosis (CF). Better nutritional status is associated with improved pulmonary function. In some individuals with CF, enteral tube feeding can be useful in achieving optimal nutritional status. Current nutrition guidelines do not include detailed recommendations for enteral tube feeding. The Cystic Fibrosis Foundation convened an expert panel to develop enteral tube feeding recommendations based on a systematic review of the evidence and expert opinion. These guidelines address when to consider enteral tube feeding, assessment of confounding causes of poor nutrition in CF, preparation of the patient for placement of the enteral feeding tube, management of the tube after placement and education about enteral feeding. These recommendations are intended to guide the CF care team, individuals with CF, and their families through the enteral tube feeding process.
This work identifies the critical factors when developing a polymer brush vapor phase infiltration process, while also demonstrating the use of novel pyridines for area selective purposes.
Due to its low cost and suitable band gap, silicon has been studied as a photoanode material for some time. However, as a result of poor stability during the oxygen evolution reaction (OER), Si still remains unsuitable for any extended use. Ultra-thin titanium dioxide (TiO2) films have been used as protective coatings and are shown to enhance Si photoanode lifetime with added solar to hydrogen performance improvements through distancing the oxidation reaction away from the Si photoanode surface and improved charge transport through the anode. This study details the nucleation, growth chemistry, and performance of TiO2 thin films prepared via thermal and plasma enhanced atomic layer deposition (ALD) using both titanium isopropoxide and tetrakis(dimethylamido)titanium as the precursor material. The effect of post ALD treatments of plasma and air annealing was also studied. Films were investigated using photoelectrochemical cell testing to evaluate photoelectrochemical performance, and in-vacuum cycle-by-cycle x-ray photoelectron spectroscopy was used as the primary characterisation technique to study nucleation mechanisms and film properties contributing to improvements in cell performance. TiO2 grown by plasma enhanced ALD results in cleaner films with reduced carbon incorporation. However, despite increased carbon incorporation, thermally grown films showed improved photocurrent as a result of oxygen vacancies in these films. Post deposition annealing in a H2 ambient is shown to further improve photocurrent in all cases, while annealing in atmosphere leads to uniform film chemistry and enhanced photocurrent stability in all cases.
Oxygen plasma treatments for conversion of metal salt infiltrated polymer films to metal oxide films using an asymmetrical capacitively coupled plasma system were investigated. Hydroxylated Poly-2-Vinylpyridine (P2VP-OH) thin films grafted to silicon were exposed to metal salt-solvent solutions which swell the polymer enabling metal ion infiltration. Exposing the resulting film to oxygen plasma resulted in formation of polymer-free metal oxide films. Atomic oxygen and positive ions present in plasma can both influence the process outcome. A design of experiment approach was used to investigate the impact of RF power, gas pressure and process time on plasma composition and the resulting metal oxide films. A combination of Langmuir probe, retarding field energy analyser and optical emission spectroscopy measurements were used to monitor the plasma. The samples surfaces were examined using X-ray photoelectron spectroscopy, ellipsometry, transmission electron microscopy and energy dispersive X-ray analysis. Gas pressure and RF power were found to strongly influence both ion energy, and atomic oxygen to molecular ion ratios [O]/[O2
+] in the plasma which impacted the resulting surface layer. For the plasma conditions investigated conversion to a metal oxide was achieved in minutes. Sputter contamination was found to be significant in some cases.
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