Background Case fatality ratio (CFR) among all age groups during the 2016–2018 measles outbreak in Romania was increased compared with previous outbreaks. To identify risk factors for measles death, we conducted a case-control study among infants and children hospitalized for measles. Methods National surveillance data were used to identify hospitalized cases of laboratory-confirmed or epidemiologically linked measles in infants and children aged < 59 months with rash onset from January 2016 to July 2018. We abstracted medical records of 50 fatal cases (“cases”) and 250 non-fatal cases (“controls”) matched by age, sex, district of residence, and urban/rural place of residence. We calculated univariable and multivariable matched odds ratios (OR) and 95% confidence intervals (CIs) for risk factors. Results Ninety-three percent of case-patients and controls had not received a valid dose of a measles-containing vaccine; only 5 % received Vitamin A supplementation once diagnosed with measles. In the univariable analysis, cases were more likely than controls to have had a healthcare-related exposure to measles manifesting as inpatient admission for pneumonia during the 7 to 21 day measles incubation period (OR: 3.0; 95% CI [1.2, 7.2]), to have had a history of malnutrition (OR: 3.4; 95% CI [1.1, 9.9]), and to have had pneumonia as a complication of measles (OR:7.1; 95% CI [2.0–24.8]). In the multivariable analysis, pneumonia as a measles complication remained a risk for death (OR: 7.1; 95% CI [1.4–35.3]). Conclusions Implementing infection prevention and control practices, ensuring immunization of healthcare workers, and hospitalizing only severe measles cases may minimize the risk of nosocomial measles transmission. Implementing World Health Organization (WHO) recommendations for Vitamin A supplementation, improving immunization of children to prevent influenza, pneumococcal, and other bacterial respiratory diseases may decrease complications and deaths due to measles in Romania.

<p>Experimental results obtained in the process of manufacturing dense glass foam using the microwave energy are presented in the work. The glass foam is produced from bottle glass waste, calcium carbonate as foaming agent and borax as fluxing agent. The high compressive strength (2.5 - 6.2 MPa) is the main mechanical feature of this product, which together with other physical and morphological features (apparent density 0.60 – 0.90 g/cm³, porosity 59.1 – 72.7%, thermal conductivity 0.081 – 0.105 W m K, water absorption 0.5 – 1.0%, pore size 0.5 – 3 mm), are appropriate for using as a substitute for similar building materials existing on the market.</p>

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Abstract                                                         According to the research objective that was the basis of the paper, an ultra-light glass foam with an apparent density of 0.14 g/cm3 was experimentally made from 98.9% post-consumer glass bottle and 1% CaCO3 as a foaming agent by sintering/foaming at 823 ºC in microwave field with a very low specific energy consumption (0.70 kWh/kg). A very advanced mechanical processing of glass waste (below 32 μm) and a very fine granulation (below 6.3 μm) of CaCO3 were the solutions adopted to obtain this high-performance product. The originality of the work is the use of the unconventional technique of predominantly direct microwave heating with a very high energy efficiency, applied by authors in recent years and presented in several previous papers.

Abstract                                                         An innovation cold manufacturing method of glass foams is presented in the paper. Traditional foaming agents used in conventional expansion processes of glass waste at high temperature were substituted with aluminium powder in aqueous solution of calcium hydroxide, which releases hydrogen forming gas bubbles in the viscous sludge and then, by solidification, a porous structure typical for the glass foam. The manufactured foam is adequate for using as a thermal insulation material for inner wall of buildings, having the apparent density of 0.31 g·cm-3, the thermal conductivity of 0.070 W/m·K and the compressive strength of 1.32 MPa. The process originality is the use of recycled aluminum waste, melted by an own microwave heating technique and sprayed with nitrogen jets. The process effectiveness is remarkable in economical and energy terms.