Modeling of Groundwater Recharge by Rainwater Harvesting-Wadi Bayer (Case Study)

Wadi Bayer is one of Jordan's desertic areas with very low precipitation and limited water resources. It is a typical example of the Jordanian water scarcity chronic condition. Groundwater recharging strategy is one of the long-term solutions of such water scarcity problem due to harsh climatic conditions and high evaporation rate. The groundwater resources in the area are utilized by the Bedoins for their domestic and cattles' uses. The groundwater is abstracted through three shallow wells drilled in the course of Wadi Bayer. The limited amount of the groundwater in the area is attributed to the limited natural recharge through the wadi bed during the occurrence of floods. In this study, a location of recharging dike was proposed at a distance of 150-200 m to the south-west of the existing wells, its reservoir area was estimated by 0.0285% of the catchment area of Wadi Bayer, which reflects the rare runoff occurrence. A home-made spread sheet model and an HEC-HMS model were used in order to estimate the surface runoff. The alluvium deposits and Rijam formation are the only rock unit groupings in the study area. The permeability of the topmost 2 meters, which form the floor of the reservoir, is 11.82*10-2 cm/sec. The top soil column was tested for permeability in the lab through test pit excavation. Seven boreholes were drilled in the site with different depths ranging from 5 to15m, the permeability test was conducted for different depths, ranging between 7.331* 10-6 and 1.805*10-3. A groundwater model was run using Processing Mode Flow software to indicate the natural recharge in the area due to the filling of the reservoir from flood water, for 30 day- and 15 day- retention periods. It was found that the groundwater table will rise in the range of 0.33 to 1.5 m and 0.11 to 0.90 m for both retention periods, respectively

Economic Determinants of Capital Flight in Jordan: An Empirical Study

The aim of this study is to estimate the constraints of Capital Flight during the period from 2000 to 2013. The statistical analysis showed a positive statistical significant relationship between the external public debt, taxes, economic openness, previous capital flight, and Capital flight in Jordan. However, it also showed a negative statistical significant relationship between the growth rate of the economy and capital flight. This was together with the most important recommendations of the need to monitor the flight of capital through creating a Department in the central bank to control money flight. Therefore, this was aimed in reducing the external public debts that increase the phenomenon of Capital flight and cooperate with international institutions and the United Nations to locate the place of money flight

Transportation of small modular reactor modules: What do the experts say?

One of the key characteristics of small modular reactors (SMRs), as their name emphasised, is the modularization. Modularization implies factory production, which in turn implies transportation of large, heavy, complex and fragile modules from the factory to the site. Various vendors and organisations are developing several SMR concepts and designs, but there are extremely limited information about the crucial element of modules transportation. Conversely, in other industries (e.g. Oil & Gas), the experience on modules transportation is much greater. This paper provides a structured analysis for the knowledge transfer from the general literature (i.e. other major infrastructure) to the SMR world. Firstly, the paper provides a summary of the literature about transporting large modules. In the second part, the paper presents and discusses the results of a series of interviews with transport industry experts about large modules transportation. The third part provides a summary of the findings and the key takeaways

Contact values for disparate-size hard-sphere mixtures

A universality ansatz for the contact values of a multicomponent mixture of additive hard spheres is used to propose new formulae for the case of disparate-size binary mixtures. A comparison with simulation data and with a recent proposal by Alawneh and Henderson for binary mixtures shows reasonably good agreement with the predictions for the contact values of the large-large radial distribution functions. A discussion on the usefulness and limitations of the new proposals is also presented.Comment: 12 pages, 10 figures; v2: typo in Eq. (28) correcte

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AIM: The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. METHODS: This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. RESULTS: Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90-1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69-1.27, P = 0.672). Longer delays were not associated with poorer outcomes. CONCLUSION: One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries