Design and Economic Analysis of a Grid-connected Rooftop Solar PV System for Typical Home Applications in Oman

This paper presents a techno-economic investigation of an integrated rooftop solar PV system for typical home applications in Oman that can reduce the power consumption from the grid and export excess PV generated power back to the gird. Since renewable energy systems design echnically depends on the site, this study selects a typical two-story villa (Home), in a site Al-Hamra, Oman. Temperature is one of the critical parameters in this design as it varies widely over the day and from one season to another in Oman. With the effect of temperature variation, the PV system has designed using system models for the required load of the home. The design process has included two main design constraints, such as the available rooftop space and the grid-connection availability for the selected home.This research also evaluates the economic feasibility of the design system considering the energy export tariff as per the Bulk Supply Tariff (BST) scheme in Oman. The design outcome reveals that the designed PV system can supply the load energy requirement in a year. In addition, the rooftop solar PV system can sell surplus energy back to the grid that generates additional revenue for the owner of the system. The economic performance indices such as payback period, internal rate of return, net present value,and profitability index ensure the financial feasibility of the designed rooftop solar PV system for the selected home.

Diabetic ketoacidosis in an adolescent and young adult population in the UK in 2014: a national survey comparison of management in paediatric and adult settings:Special Issue on Diabetes and Childhood

Aims: To assess the management of diabetic ketoacidosis in young people, which differs in the UK between paediatric and adult services, and to evaluate outcomes and extent to which national guidelines are used. Methods: A standardized questionnaire was sent to all paediatric and adult diabetes services in England, requesting details of all diabetic ketoacidosis admissions in young people aged > 14 years in paediatric services (‘paediatric’ patients), and in young adults up to the age of 22 years in adult services (‘adult’ patients). Results: A total of 64 adult patients aged ≤ 22 years (mean age 19.2 years) were reported, of whom seven were aged between 10 and 16 years. A total of 71 paediatric patients were reported [mean (range) age 14.9 (11–18) years]. We found that 85% of paediatric and 69% of adult patients were treated according to national guidelines, 99% of paediatric and 89% of adult patients were treated with 0.9% saline and fixed-rate insulin infusions and 16% of adult patients received an insulin bolus. Insulin treatment was initiated later in paediatric patients than in adult patients (100 vs 39 min; P < 0.001). In 23% of adult patients and 8.8% of paediatric patients, potassium levels were < 3.5 mmol/l (P < 0.005). The lowest mean potassium levels were 3.8 mmol/l in paediatric and 3.5 mmol/l in adult patients (P < 0.005). Hypoglycaemia occurred in 42.3% of paediatric and 36% of adult patients. Time to resolution was similar in paediatric and adult patients (16.0 vs 18.2 h), as was duration of hospital stay (2.35 vs 2.53 days). Conclusions: Young people were treated according to national guidelines, but the quality of monitoring was variable in both paediatric and adult settings. The incidence of hypoglycaemia and hypokalaemia was unacceptably high

Managing strategic resources in petroleum industry projects

This paper seeks to explore how strategic resources in petroleum industry projects are to be best managed and exploited in order to deliver enhanced project performance and sustained business competitiveness. Framed upon the Resource-Based View (‘RBV’) theory, these resources should be ‘Valuable’, ‘Inimitable’, ‘Rare’ and be able to draw on ‘Organisational support’ (‘VIRO’). Qualitative data were collected from petroleum industry organizations operating in the United Arab Emirates and the Sultanate of Oman between 2017 and 2019. The analysis shows that at the project level, ‘Value’ and ‘Organisational support’ attributes of resources were positively related to competitive advantage and both impacted by dynamic capabilities and innovative environment. However, the ‘Rareness’ and ‘Inimitability’ attributes showed less evolution. We also find that at the project level, the main characteristics of organizational resources were that they are ‘Valuable’, ‘Organizationally supported’, and that they could be ‘Uniquely exploited’ while being ‘Readily available’. The results suggest a desire by project-oriented organizations to replace the ‘Rareness’ and ‘Inimitability’ attributes within VIRO with two alternative attributes, namely ‘Unique exploitation’ and ‘Timely availability’ of resources

Diabetic ketoacidosis

Diabetic ketoacidosis (DKA) is the most common acute hyperglycaemic emergency in people with diabetes mellitus. A diagnosis of DKA is confirmed when all of the three criteria are present — ‘D’, either elevated blood glucose levels or a family history of diabetes mellitus; ‘K’, the presence of high urinary or blood ketoacids; and ‘A’, a high anion gap metabolic acidosis. Early diagnosis and management are paramount to improve patient outcomes. The mainstays of treatment include restoration of circulating volume, insulin therapy, electrolyte replacement and treatment of any underlying precipitating event. Without optimal treatment, DKA remains a condition with appreciable, although largely preventable, morbidity and mortality. In this Primer, we discuss the epidemiology, pathogenesis, risk factors and diagnosis of DKA and provide practical recommendations for the management of DKA in adults and children

Two Cases of Pneumatoceles in Mechanically Ventilated Infants

Pulmonary pneumatocele is a thin-walled, gas-filled space within the lung that usually occurs in association with bacterial pneumonia and is usually transient. The majority of pneumatoceles resolve spontaneously without active intervention, but in some cases they might lead to pneumothorax with subsequent hemodynamic instability. We report two cases presented to the pediatric intensive care unit at the Royal Hospital, Oman with pneumatoceles. The first was a 14-day-old baby who underwent surgical repair of total anomalous pulmonary venous connection (TAPVC) requiring extracorporeal membrane oxygenation (ECMO) support following surgery. He was initially on conventional mechanical ventilation. Seven days after the surgery, he started to develop bilateral pneumatoceles. The pneumatoceles were not regressing and they did not respond to three weeks of conservative management with high-frequency oscillation ventilation (HFOV). He failed four attempts of weaning from HFOV to conventional ventilation. Each time he was developing tachypnea and carbon dioxide retention. Percutaneous intercostal chest drain (ICD) insertion was needed to evacuate one large pneumatocele. Subsequently, he improved and we were able to wean and extubate him. The second case was a two-month-old male admitted with severe respiratory distress secondary to respiratory syncytial virus (RSV) pneumonitis. After intubation, he required a high conventional ventilation setting and within 24 hours he was on HFOV. Conservative management with HFOV was sufficient to treat the pneumatoceles and no further intervention was needed. Our cases demonstrate two different approaches in the management of pneumatoceles in mechanically ventilated children. Each approach was case dependent and could not be used interchangeably

Managing strategic resources in petroleum industry projects

This paper seeks to explore how strategic resources in petroleum industry projects are to be best managed and exploited in order to deliver enhanced project performance and sustained business competitiveness. Framed upon the Resource-Based View (‘RBV’) theory, these resources should be ‘Valuable’, ‘Inimitable’, ‘Rare’ and be able to draw on ‘Organisational support’ (‘VIRO’). Qualitative data were collected from petroleum industry organizations operating in the United Arab Emirates and the Sultanate of Oman between 2017 and 2019. The analysis shows that at the project level, ‘Value’ and ‘Organisational support’ attributes of resources were positively related to competitive advantage and both impacted by dynamic capabilities and innovative environment. However, the ‘Rareness’ and ‘Inimitability’ attributes showed less evolution. We also find that at the project level, the main characteristics of organizational resources were that they are ‘Valuable’, ‘Organizationally supported’, and that they could be ‘Uniquely exploited’ while being ‘Readily available’. The results suggest a desire by project-oriented organizations to replace the ‘Rareness’ and ‘Inimitability’ attributes within VIRO with two alternative attributes, namely ‘Unique exploitation’ and ‘Timely availability’ of resources

Late Onset Central Hypoventilation Syndrome due to a Heterozygous Polyalanine Repeat Expansion Mutation in the PHOX2B Gene

This report describes a 6 year old girl with late onset central hypoventilation syndrome due to a heterozygous polyalanine repeat expansion mutation in the PHOX2B gene. This report aims to increase the awareness of this condition among physicians to allow earlier clinical and genetic diagnosis and management of cases of unexplained hypoventilation

Bilateral Diaphragmatic Paralysis Following Paediatric Cardiac Surgery : Experience of four cases at the Royal Hospital, Muscat, Oman

Bilateral diaphragmatic paralysis (BDP) is a rare complication of paediatric cardiac surgery. We report four children who developed BDP following cardiac surgery who were managed at the Royal Hospital, Muscat, Oman, between 2009 and 2014. All four children suffered severe respiratory distress soon after extubation and required re-intubation within two hours. In addition, all of the children underwent a tracheostomy as an interim method for ventilation. The four children were successfully weaned from positive pressure ventilation following the functional recovery of at least one side of the diaphragm

Enchancing QoS protection in MPLS networks

MPLS recovery mechanisms are increasing in popularity because they can guarantee fast restoration and high QoS assurance. In fact, QoS is important for interactive voice and video application and for specific clients. However, link failure always incurs delay and packet losses of the traffic passing through the failed link. Therefore, network has to restore the traffic by switching the affected traffic to alternative path. In this paper, QoS objectives are concerned in this study to redirect the protected traffic with acceptable levels of quality before failure take place. The proposed scheme setup more than one alternative path in advance in order to introduce fast rerouting and the selecting criteria is based on the required bandwidth and end-to-end delay. In this work, we proposed the traffic splitter to split the protected traffic after failure, in case the available bandwidth in the alternative path is not enough to deliver the traffic. Finally, alternative path selection is updated based on current network resource availability. To verify the efficiency of the proposed algorithm, the MPLS network simulator MNS-2 has been used as the test platform

Mechanical cause for acute left lung atelectasis after neonatal aortic arch repair with arterial switch operation: Conservative management

Respiratory complications due to mechanical obstruction of the airways can occur following pediatric cardiac surgery. Clinically significant intrathoracic vascular compression of the airway can occur when extensive dissection and mobilization of arch and neck vessels is involved as in repair of interrupted aortic arch. This case report describes a neonate who underwent interrupted aortic arch repair along with an arterial switch operation and developed a left lung collapse immediately after tracheal extubation. Fiber-optic bronchoscopy revealed vascular compression as the real culprit. The child was successfully managed conservatively