Comparative NO2 Sensing Characteristics of SnO2:WO3 Thin Film Against Bulk and Investigation of Optical Properties of the Thin Film

A comparative investigation of gas sensing properties of SnO2 doped with WO3 based on thin film and bulk forms was achieved. Thin films were deposited by thermal evaporation technique on glass substrates. Bulk sensors in the shape of pellets were prepared by pressing SnO2:WO3 powder. The polycrystalline nature of the obtained films with tetragonal structure was confirmed by X-ray diffraction. The calculated crystalline size was 52.43 nm. Thickness of the prepared films was found 134 nm. The optical characteristics of the thin films were studied by using UV-VIS Spectrophotometer in the wavelength range 200 nm to 1100 nm, the energy band gap, extinction coefficient and refractive index of the thin film were 2.5 eV , 0.024 and 2.51, respectively. Hall measurements confirmed that the films are n-type. The NO2 sensing characteristics of the SnO2:WO3 sensors were studied with various temperatures and NO2 gas concentrations. Both thin film and bulk sensors showed maximum sensitivity at temperature of 250 oC. Thin film sensors showed enhanced response in comparison to that of pellets

Natural Regeneration of Severely Degraded Terrestrial Arid Ecosystems Needs More Than Just Removing the Cause of the Degradation

Rangelands cover over 75% of Kuwait’s total land area. Most of these rangelands are severely degraded because of overgrazing, poor anthropic utilization, and mismanagement. Restoring natural rangelands is a way to increase forage productivity, enhance biodiversity, and achieve sustainable development. When degradation has not reached the point of irreversibility, natural restoration through resting is one of the best low-cost restoration techniques. This study evaluated the effect of natural restoration on vegetation cover and species richness in the desert rangelands of Kuwait. The studied rangeland was a completely fenced area of 1 km2. The percent of vegetation was measured using the line- intercept method. The cover of perennial species was the same in fenced and unfenced areas (0%), but annual species cover was 19.67% in fenced areas and 6% in unfenced areas. There was no significant difference in the contribution to the total cover of the dominant invasive species Stipa capensis between fenced (90%) and unfenced areas (83%). All recorded species are therophytes, which raises the disturbance index to 100%. This therophytization demonstrates an imbalance in the rangeland ecosystem and desertification due to the high anthropozoogene pressure. Under such a severely degraded ecosystem, natural restoration cannot restore vegetation. Reintroducing native species including Helianthemum lipii, Haloxylon salicornicum, Rhanterium epapposum, and Calligonum comosum, is required to restore the ecosystem, facilitate the growth of annual palatable species, and enhance the flora diversity

Development of a novel definitive scoring system for an enteral feed-only model of necrotizing enterocolitis in piglets

IntroductionNecrotizing enterocolitis (NEC) is a complex inflammatory disorder of the human intestine that most often occurs in premature newborns. Animal models of NEC typically use mice or rats; however, pigs have emerged as a viable alternative given their similar size, intestinal development, and physiology compared to humans. While most piglet NEC models initially administer total parenteral nutrition prior to enteral feeds, here we describe an enteral-feed only piglet model of NEC that recapitulates the microbiome abnormalities present in neonates that develop NEC and introduce a novel multifactorial definitive NEC (D-NEC) scoring system to assess disease severity.MethodsPremature piglets were delivered via Caesarean section. Piglets in the colostrum-fed group received bovine colostrum feeds only throughout the experiment. Piglets in the formula-fed group received colostrum for the first 24 h of life, followed by Neocate Junior to induce intestinal injury. The presence of at least 3 of the following 4 criteria were required to diagnose D-NEC: (1) gross injury score ≥4 of 6; (2) histologic injury score ≥3 of 5; (3) a newly developed clinical sickness score ≥5 of 8 within the last 12 h of life; and (4) bacterial translocation to ≥2 internal organs. Quantitative reverse transcription polymerase chain reaction was performed to confirm intestinal inflammation in the small intestine and colon. 16S rRNA sequencing was performed to evaluate the intestinal microbiome.ResultsCompared to the colostrum-fed group, the formula-fed group had lower survival, higher clinical sickness scores, and more severe gross and histologic intestinal injury. There was significantly increased bacterial translocation, D-NEC, and expression of IL-1α and IL-10 in the colon of formula-fed compared to colostrum-fed piglets. Intestinal microbiome analysis of piglets with D-NEC demonstrated lower microbial diversity and increased Gammaproteobacteria and Enterobacteriaceae.ConclusionsWe have developed a clinical sickness score and a new multifactorial D-NEC scoring system to accurately evaluate an enteral feed-only piglet model of NEC. Piglets with D-NEC had microbiome changes consistent with those seen in preterm infants with NEC. This model can be used to test future novel therapies to treat and prevent this devastating disease

Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic

BACKGROUND: During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study\u27s objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines. METHODS: We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients with the diagnosis of SAH, aneurysmal SAH, ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases, 10th Revision, codes. The 3-month cumulative volume, monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before (1 year and immediately before) and during the pandemic, defined as 1 March-31 May 2020. The prior 1-year control period (1 March-31 May 2019) was obtained to account for seasonal variation. FINDINGS: There was a significant decline in SAH hospitalisations, with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic, representing a relative decline of 22.5% (95% CI -24.3% to -20.7%, p\u3c0.0001). Embolisation of ruptured aneurysms declined with 1170-1035 procedures, respectively, representing an 11.5% (95%CI -13.5% to -9.8%, p=0.002) relative drop. Subgroup analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations, a 24.9% relative decline (95% CI -28.0% to -22.1%, p\u3c0.0001). A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1% (95% CI 32.3% to 50.6%, p=0.008) despite a decrease in SAH admissions in this tertile. INTERPRETATION: There was a relative decrease in the volume of SAH hospitalisations, aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 pandemic. These findings in SAH are consistent with a decrease in other emergencies, such as stroke and myocardial infarction

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase 1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age  6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score  652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc = 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N = 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in Asia and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701

Dye Sensitized Solar Cells with Low Cost Carbon Nanotubes Electrodes

Dye sensitized solar cells (DSSCs) are very sensitive to electrodes, due to either high cost or easy corrosion problems. To minimize these factors, we present DSSCs with cheap carbon nanotubes as counter electrodes. In addition, we suggest replacing the electrolyte (in typical DSSCs) with a solid film of powdered CsSnI3. The electrical behavior (I-V characteristics) of the proposed device has been measured for different shading conditions. In the light of a theoretical model based on the presence of two diodes, the experimental data have been explained, taking into account a new equivalent circuit for the DSSC. These DSSCs may receive different levels of sun radiation, which stimulates the study of partial shading; so, we have studied the effect of different shadow rates on the solar conversion efficiency of a unit of 4-W-connected DSSCs. The validity of the present model has been examined by fitting it into I-V characteristics at different shading rates

THERMAL CHARACTERISTICS OF PHASE CHANGE MATERIAL USED AS THERMAL STORAGE SYSTEM BY USING SOLAR ENERGY

In this paper, the melting processes of phase change material in a shell and tube heat exchanger by using solar thermal energy have been investigated numerically and experimentally. All experimental were outdoor tested at AL-Mussaib city-Babylon-Iraq (Lat 32.5 º North, and long 44.3 º East) with N-S collector direction at tilt angle of 32.5 º with the horizontal. The phase change material used in this work is black color Iraqi origin pure Paraffin with amount of 12 kg. In the experimental setup evacuted tube solar collector is employed for melting phase change material in shell regime. Different volume flow rates for the water flow inside the inner tube of heat exchanger namely (200, 300, and 500 LPH) for Reynolds number namely (15000, 23000, 38000) respectively were used for each season from August 2016 to January 2017. The numerical investigation involves a three dimension numerical solution of model by a commercial package ANSYS FLUENT 15.0. The boundary conditions of the model that solved by the numerical solution have been taken from the experimental tests. The experimental results indicated that the inner tube inlet and ambient temperatures has a significant effects on the melting process compared with the volume flow rates. Studying phase change material temperature distribution, it is exposed that a melting temperature of the phase change material in summer season needed time of (3-4) hours only, while it needed more time; (14-16) hours in winter season. Increasing solar radiation and ambient temperature reduces the melting time of phase change material. Increasing water temperature difference of inner tube increased the heat gained for phase change material. The results obtained from numerical solution presented the static temperature contours and showed that the temperature distribution of phase change material give good validations with experimental results with percentage deviation of 2.7%. The present experimental results have been compared with the previous studies and give a good agreement with increasing for present work of 25.9 %

Dye Sensitized Solar Cells with Low Cost Carbon Nanotubes Electrodes

Dye sensitized solar cells (DSSCs) are very sensitive to electrodes, due to either high cost or easy corrosion problems. To minimize these factors, we present DSSCs with cheap carbon nanotubes as counter electrodes. In addition, we suggest replacing the electrolyte (in typical DSSCs) with a solid film of powdered CsSnI 3 . The electrical behavior (I-V characteristics) of the proposed device has been measured for different shading conditions. In the light of a theoretical model based on the presence of two diodes, the experimental data have been explained, taking into account a new equivalent circuit for the DSSC. These DSSCs may receive different levels of sun radiation, which stimulates the study of partial shading; so, we have studied the effect of different shadow rates on the solar conversion efficiency of a unit of 4-W-connected DSSCs. The validity of the present model has been examined by fitting it into I-V characteristics at different shading rates