Small bowel perforation by a piece of china with a synchronous asymptomatic sigmoid carcinoma: A case report

A 75 year old gentleman who presented with an incarcerated paraumibilical hernia was found intraoperatively to have small bowel perforation due to a piece of china with a synchronous asymptomatic sigmoid carcinoma

Performance comparison analysis of SSHMIPv6 and HMIPv6 lost packets using network simulator NS-2

In today’s fast based technological growth the traditional networks are no longer capable of handling the increasing demands with the best Quality of Service (QoS) which depends on the type of service that network devices provide.The target of this study was to simulate different amount of transferred packets to show the performance of Smart Selection Hierarchical Mobile Internet Protocol version 6 (SSHMIPv6) with respect to lost packets. SSHMIPv6 environment has been simulated over NS-2 and used to evaluate the performance of SSHMIPv6 over HMIPv6 and to analyze the effect of adding multiple MAPs to serve each region.A decrease of 33% in lost packets was obtained by using three MAPs in SSHMIPv6 instead of one in HMIPv6.Therefore, the problem of scalability is resolved when the domain handles many MNs

Biochemical performance modelling of non-vegetated and vegetated vertical subsurface-flow constructed wetlands treating municipal wastewater in hot and dry climate

Wastewater treatment and subsequent effluent recycling for non-drinking purposes such as irrigation contributes to the mitigation of the pressure on freshwater resources. In this study, two vertical sub-surface flow constructed wetland (VSSF-CW) pilot plants were operated to treat municipal wastewater and their effluents were reused for irrigation purposes. One of the wetlands was vegetated with Phragmites australis (Cav.) Trin. ex Steud. (common reed) to compare its efficiency of pollutant removals with the non-vegetated system, which had the same design. COMSOL Multiphysics 3.5a was operated for the Activated Sludge Model 2 (ASM2) to predict the chemical oxygen demand (COD) and ammonia-nitrogen (NH4-N) concentrations. The effluent quality of both treatment systems was assessed for several parameters. Computer simulations show a good compliance between the measured and predicted values of COD and NH4-N for the vegetated system. The calibrated model could be effectively used to predict the behaviours of those parameters as a function of time. Moreover, the effluents of both vegetated (VFp) and non-vegetated (VF) VSSF-CW were significantly (p <  0.05) improved compared to influent. Significant (p <  0.05) effects due to the presence of P. australis were observed for removals of total suspended solids (TSS), 5-day biochemical oxygen demand (BOD5), COD, NH4-N and ortho-phosphate-phosphorus (PO4-P). However, significant increases (p <  0.05) were noted for electrical conductivity (EC), total dissolved solids (TDS), nitrate-nitrogen (NO3-N) and sulphate (SO4) of both effluents compared to the raw wastewater. Except for EC, NH4-N and SO4, all water quality parameters complied with irrigation water standards

Developed performance of rGO/p-Si Schottky junction solar cells

Graphene in combination with Si has been extensively used to prepare efficient and stable p-graphene/n-Si Schottky junction solar cells. In contrast, there is a difficulty in including graphene within the fabrication process of efficient and stable n-graphene/p-Si Schottky junction solar cells. The reason for this is that there is a challenge in achieving an effective and stable n-doping process for graphene or rGO due to the ambient environment. In this work, a novel approach is introduced for preparing more efficient, stable, larger and simpler n-rGO/p-Si Schottky junction solar cells. The n-rGO rather than graphene, which has been successfully developed using NH3 molecules, is included in the fabrication process of n-rGO/p-Si Schottky junction solar cells. Accordingly, the power conversion efficiency of 9.7 was obtained for prepared devices after applying ammonia treatment for 3 h. For the first time, the developed n-rGO layers are also excellently employed to prepare large n-rGO/p-Si Schottky junction solar cells with ideal J-V curves. The improved efficiency of 12.6 % is reached for n-rGO/p-Si Schottky junction solar cells prepared with an active area of 0.6 cm2. To improve the stability, devices are coated with PMMA as an encapsulated layer, leading to an improvement in the stability for 2 months in the ambient air. Additionally, a recorded efficiency of 13.8 % is achieved. We attribute this development to the chemisorption of ammonia molecules on rGO, which effectively develops the performance of devices

Thermal Analysis of Horizontal Earth-Air Heat Exchangers in A Subtropical Climate: An Experimental Study

Data availability statement: The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding author.Copyright © 2022 Lattieff, Atiya, Lateef, Dulaimi, Jweeg, Abed, Mahdi and Talebizadehsardari. The earth-air heat exchanger (EHX) has a promising potential to passively save the energy consumption of traditional air conditioning systems while maintaining a high degree of indoor comfort. The use of EHX systems for air conditioning in commercial and industrial settings offers several environmental benefits and is capable of operating in both standalone and hybrid modes. This study tests the performance and effectiveness of an EHX design in a sandy soil area in Baghdad, Iraq. The area has a climate of the subtropical semi-humid type. Ambient air temperatures and soil temperatures were recorded throughout the months of 2021. During the months of January and June, the temperatures of the inlet and outflow air at varying air velocities were monitored concurrently in 10-min increments at each location. Further numerical and thermodynamical analyses of the measurements were conducted to reveal the influencing performance parameters. The highest temperature rises of air between the input and exit sections were determined as 12.3°C (January) and 17.2°C (June). It is found that the maximum values of effectiveness are 0.80 and 0.81, while coefficients of performance are 1.6 and 1.8 for January and June, respectively. It is also found that the EHX shows good functionality and effectiveness, with potential energy savings for equipment for cooling and heating under different weather conditions

Childhood Lead Exposure in the Palestinian Authority, Israel, and Jordan: Results from the Middle Eastern Regional Cooperation Project, 1996–2000

In the Middle East, the major sources of lead exposure have been leaded gasoline, lead-contaminated flour from traditional stone mills, focal exposures from small battery plants and smelters, and kohl (blue color) in cosmetics. In 1998–2000, we measured blood lead (PbB) levels in children 2–6 years of age in Israel, Jordan, and the Palestinian Authority (n = 1478), using a fingerstick method. Mean (peak; percentage > 10 μg/dL) PbB levels in Israel (n = 317), the West Bank (n = 344), Jordan (n = 382), and Gaza (n = 435) were 3.2 μg/dL (18.2; 2.2%), 4.2 μg/dL (25.7; 5.2%), 3.2 μg/dL (39.3; < 1%), and 8.6 μg/dL (> 80.0; 17.2%), respectively. High levels in Gaza were all among children living near a battery factory. The findings, taken together with data on time trends in lead emissions and in PbB in children in previous years, indicate the benefits from phasing out of leaded gasoline but state the case for further reductions and investigation of hot spots. The project demonstrated the benefits of regional cooperation in planning and carrying out a jointly designed project

Thermal analysis of horizontal earth-air heat exchangers in a subtropical climate: An experimental study

The earth-air heat exchanger (EHX) has a promising potential to passively save the energy consumption of traditional air conditioning systems while maintaining a high degree of indoor comfort. The use of EHX systems for air conditioning in commercial and industrial settings offers several environmental benefits and is capable of operating in both standalone and hybrid modes. This study tests the performance and effectiveness of an EHX design in a sandy soil area in Baghdad, Iraq. The area has a climate of the subtropical semi-humid type. Ambient air temperatures and soil temperatures were recorded throughout the months of 2021. During the months of January and June, the temperatures of the inlet and outflow air at varying air velocities were monitored concurrently in 10-min increments at each location. Further numerical and thermodynamical analyses of the measurements were conducted to reveal the influencing performance parameters. The highest temperature rises of air between the input and exit sections were determined as 12.3°C (January) and 17.2°C (June). It is found that the maximum values of effectiveness are 0.80 and 0.81, while coefficients of performance are 1.6 and 1.8 for January and June, respectively. It is also found that the EHX shows good functionality and effectiveness, with potential energy savings for equipment for cooling and heating under different weather conditions

Oseltamivir-Resistant Pandemic A/H1N1 Virus Is as Virulent as Its Wild-Type Counterpart in Mice and Ferrets

The neuraminidase inhibitor oseltamivir is currently used for treatment of patients infected with the pandemic A/H1N1 (pH1N1) influenza virus, although drug-resistant mutants can emerge rapidly and possibly be transmitted. We describe the characteristics of a pair of oseltamivir-resistant and oseltamivir-susceptible pH1N1 clinical isolates that differed by a single change (H274Y) in the neuraminidase protein. Viral fitness of pH1N1 isolates was assessed in vitro by determining replication kinetics in MDCK α2,6 cells and in vivo by performing experimental infections of BALB/c mice and ferrets. Despite slightly reduced propagation of the mutant isolate in vitro during the first 24 h, the wild-type (WT) and mutant resistant viruses induced similar maximum weight loss in mice and ferrets with an identical pyrexic response in ferrets (AUC of 233.9 and 233.2, P = 0.5156). Similarly, comparable titers were obtained for the WT and the mutant strains on days 1, 3, 6 and 9 post-infection in mouse lungs and on days 1–7 in ferret nasal washes. A more important perivascular (day 6) and pleural (days 6 and 12) inflammation was noted in the lungs of mice infected with the H274Y mutant, which correlated with increased pulmonary levels of IL-6 and KC. Such increased levels of IL-6 were also observed in lymph nodes of ferrets infected with the mutant strain. Furthermore, the H274Y mutant strain was transmitted to ferrets. In conclusion, viral fitness of the H274Y pH1N1 isolate is not substantially altered and has the potential to induce severe disease and to disseminate

The Evolution of a Capacity to Build Supra-Cellular Ropes Enabled Filamentous Cyanobacteria to Colonize Highly Erodible Substrates

Several motile, filamentous cyanobacteria display the ability to self-assemble into tightly woven or twisted groups of filaments that form macroscopic yarns or ropes, and that are often centimeters long and 50-200 microm in diameter. Traditionally, this trait has been the basis for taxonomic definition of several genera, notably Microcoleus and Hydrocoleum, but the trait has not been associated with any plausible function.Through the use of phylogenetic reconstruction, we demonstrate that pedigreed, rope-building cyanobacteria from various habitats do not form a monophyletic group. This is consistent with the hypothesis that rope-building ability was fixed independently in several discrete clades, likely through processes of convergent evolution or lateral transfer. Because rope-building cyanobacteria share the ability to colonize geologically unstable sedimentary substrates, such as subtidal and intertidal marine sediments and non-vegetated soils, it is also likely that this supracellular differentiation capacity imparts a particular fitness advantage in such habitats. The physics of sediment and soil erosion in fact predict that threads in the 50-200 microm size range will attain optimal characteristics to stabilize such substrates on contact.Rope building is a supracellular morphological adaptation in filamentous cyanobacteria that allows them to colonize physically unstable sedimentary environments, and to act as successful pioneers in the biostabilization process