Malnutrition in medical and surgical inpatients is an on-going problem. More-2-Eat (M2E) Phase 1 demonstrated that improved detection and treatment of hospital malnutrition could be embedded into routine practice using an intensive researcher-facilitated implementation process. Yet, spreading and sustaining new practices in diverse hospital cultures with minimal researcher support is unknown. To demonstrate that a scalable model of implementation can increase three key nutrition practices (admission screening; Subjective Global Assessment (SGA); and medication pass (MedPass) of oral nutritional supplement) in diverse acute care hospitals to detect and treat malnutrition in medical and surgical patients. Ten hospitals participated in this pretest post-test time series implementation study from across Canada, including 21 medical or surgical units (Phase 1 original units (n=4), Phase 1 hospital new units (n=9), Phase 2 new hospitals and units (n=8)). The scalable implementation model included training cha periods (7%-13% of all patients p<0.007). Other care practices significantly increased (e.g. volunteer mealtime assistance). Nutrition-care activities significantly increased in diverse hospital units with this scalable model. This heralds the transition from implementation research to sustained changes in routine practice. Screening, SGA, and MedPass can all be implemented, improve nutrition care for all patients, spread within an organization, and for the most part, sustained (and in the case of original Phase 1 units, for over 3 years) with champion leadership. Nutrition-care activities significantly increased in diverse hospital units with this scalable model. This heralds the transition from implementation research to sustained changes in routine practice. Screening, SGA, and MedPass can all be implemented, improve nutrition care for all patients, spread within an organization, and for the most part, sustained (and in the case of original Phase 1 units, for over 3 years) with champion leadership.Clay sand casting generates a large amount of foundry dust (FD), and the presence of coal powder in the FD makes it difficult to recycle and utilize. The landfill of the FD creates a serious environmental pollution and wastes a valuable resource. To improve the above situation, the FD was analyzed and characterized by X-ray fluorescence spectrometer (XRF), X-ray diffraction (XRD) and electron probe microanalyzer (EPMA). An ultrasonic-assisted flotation process was developed for the comprehensive utilization of the FD, and the effects of ultrasonic time on the flotation performance and flotation kinetics were investigated. In addition, the two-stage flotation of the FD was conducted. Obtained results showed that the FD mainly consisted of coal powder and clay minerals, and the coal powder was covered by clay minerals. The separation efficiency of the coal powder and clay minerals can be significantly enhanced by ultrasonic pretreatment, and the optimal ultrasonic time was 30 min. The flotation kinetics analysis results indicated that the first-order model with rectangular distribution was more reasonable for the data fitting of the ultrasonic-assisted flotation. Furthermore, the concentrate and tailings obtained by the two-stage flotation had achieved an acceptable result, favoring the comprehensive utilization of the FD.Little information is available regarding the kinetics, products, and pathways of simultaneous SMX degradation and Cd(II) immobilization from wastewater. In this study, a novel bacterium (Achromobacter sp. L3) with SMX degradation and Cd(II) immobilization capabilities was isolated. The boundary conditions of SMX degradation were as follows initial pH 6-8, temperature 25-30 °C, and SMX concentration 10-40 mg/L-1. The boundary conditions of Cd(II) immobilization were as follows initial pH 7-9, temperature 25-35 °C, and SMX concentration 10-30 mg/L-1. The maximum SMX degradation and Cd(II) removal were 91.98% and 100%, respectively. The SMX degradation and Cd(II) immobilization data fitted well with the pseudo-first-order kinetic model, indicating that the two pollutants conform to the same degradation rule. Moreover, the microbial degradation, sediment adsorption, and intermediates identified in the experiments were used to explore the mechanisms of SMX and Cd(II) removal. These results indicate that microbial removal and sediment adsorption play equally important roles in Cd(II) immobilization; however, microbial degradation plays a decisive role in SMX degradation. Furthermore, the relationship between aerobic denitrification, SMX degradation, and Cd(II) immobilization was proposed. These results may provide valuable insights for treatment of wastewater polluted by antibiotics and heavy metals. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has spread worldwide from epicenter of Wuhan, China since December 2019. The aim of our study was to describe the clinical characteristics and outcome of hospitalized patients with SARS-CoV-2 pneumonia at the Toulouse university hospital, France. We selected the patients included from March 7, 2020 to April 20, 2020 in the retrolective Covid-clinic-Toul cohort that follows all hospitalized patients with SARS-CoV-2 infection at the Toulouse Hospital. Cases were confirmed by real-time reverse transcriptase polymerase chain reaction. We report demographics, clinical, biological and radiological features, as well as unfavorable outcome at Day 14 after admission (admission in an intensive care unit, mechanical ventilation, death). Among 263 hospitalized patients, the median age was 65 years and 155 (58.9%) were males. Two hundred and twenty-seven patients (86.3%) had at least one comorbidity. The median time from first symptom to hospital admission was 7.0 days (interquartile range 4-10). On day 14 after admission, 111 patients (42.2%) had been transferred to intensive care unit (ICU), including 50 (19.0%) on Day 1; 61 (23.1%) needed mechanical ventilation and 19 patients (7.2%) had died. https://www.selleckchem.com/products/ipilimumab.html Patients admitted to ICU at Day 1 of admission (n=50) were more frequently men (66.0% vs 57.3%), smokers (25.0% vs 7.1%), with obesity (42.0% vs 24.7%) and had a higher mean level of C-reactive protein (median 110.9mg/L vs 46.2mg/L). This cohort provides epidemiological data on SARS-CoV-2 in hospitalized patients in a University hospital in the South of France. This cohort provides epidemiological data on SARS-CoV-2 in hospitalized patients in a University hospital in the South of France.