Global maximum power tracking of PV system under partial shading

The increased usage of electrical energy in the recent times leads to a greater demand. It invites large development in the production of electrical energy from renewable energy sources. It involves more evolving technologies. Out of all energy extraction from solar would be abundant. Photovoltaic (PV) are one such components helps in deriving large amounts of energy, this has become more easiest method due to its economic liabilities and the world has aimed its interest in developing the PV technology, which gives clean energy. This paper objective is to implement various Maximum Power Point Tracking (MPPT) algorithms, mainly Cuckoo Search Algorithm, fuzzy logic control (FLC) and conventional perturb and observe (P&O), incremental conductance (INC) on solar PV systems. These controlled MPPT algorithms helps in driving DC-DC boost converter, which helps to obtain maximum output from the PV Panels/cells/modules/Arrays. The obtained results are compared with each other under several operating conditions. The operating conditions include change in irradiance, change in temperature dynamically, and partial shading on PV panels. The implemented MPPT algorithms require only the PV array voltage and current to control DC-DC converter, which makes them economically feasible and attractive. From the results, it can be observed that Cuckoo search algorithm gives better results under partial shading situations

Massive Gastric Distension from Chronic Intestinal Pseudo-Obstruction

[West J Emerg Med. 2012;13(1):106–107.

Spontaneous Rectus Sheath Hematoma

Abdominal wall pathology is a frequently overlooked cause of acute abdomen. Increasing use of antiplatelet and anticoagulant therapies has led to an increase in the incidence of spontaneous rectus sheath hematoma (RSH). A high index of suspicion is needed for diagnosis as it can closely mimic other causes of acute abdomen. Herein, we report a case of RSH presenting with abdominal pain in which there was a significant delay in diagnosis. We wish to highlight the need to increase awareness among primary and emergency physicians about considering RSH in the initial differential diagnoses of abdominal pain

Electrocardiographic Abnormalities of Takotsubo Cardiomyopathy in a Patient with Paced Ventricular Rhythm

Takotsubo cardiomyopathy (TCM) is a unique cardiomyopathy characterized by chest pain, ECG, and regional wall motion abnormalities closely mimicking acute myocardial infarction, in the absence of significant coronary artery disease. Classic ECG changes of TCM include ST elevation or T wave inversion. However, ECG abnormalities of TCM in patients with paced ventricular rhythms have not been well characterized. Herein, we report the case of an 85-year-old pacemaker dependant female who was diagnosed with TCM four weeks following the demise of her husband. Abnormal negative T wave concordance in precordial leads and QT interval prolongation were the only new ECG findings and these reverted back to baseline on followup

Delayed Lead Perforation: Can We Ever Let the Guard Down?

Lead perforation is a major complication of cardiac rhythm management devices (CRMD), occurring in about 1%. While most lead perforations occur early, numerous instances of delayed lead perforation (occurring >30 days after implantation) have been reported in the last few years. Only about 40 such cases have been published, with the majority occurring <1 year after implantation. Herein, we describe the case of an 84-year-old female who presented with recurrent syncope and was diagnosed to have delayed pacemaker lead perforation 4.8 years after implantation. Through this report, we intend to highlight the increasing use of CRMD in elderly patients, and the lifelong risk of complications with these devices. Presentation can be atypical and a high index of suspicion is necessary for diagnosis

Paget-Schroetter Syndrome: Review of Pathogenesis and Treatment of Effort Thrombosis

Effort thrombosis, or Paget-Schroetter Syndrome, refers to axillary-subclavian vein thrombosis associated with strenuous and repetitive activity of the upper extremities. Anatomical abnormalities at the thoracic outlet and repetitive trauma to the endothelium of the subclavian vein are key factors in its initiation and progression. The role of hereditary and acquired thrombophilias is unclear. The pathogenesis of effort thrombosis is thus distinct from other venous thromboembolic disorders. Doppler ultrasonography is the preferred initial test, while contrast venography remains the gold standard for diagnosis. Computed tomographic venography and magnetic resonance venography are comparable to conventional venography and are being increasingly used. Conservative management with anticoagulation alone is inadequate and leads to significant residual disability. An aggressive multimodal treatment strategy consisting of catheter-directed thrombolysis, with or without early thoracic outlet decompression, is essential for optimizing outcomes. Despite excellent insights into its pathogenesis and advances in treatment, a significant number of patients with effort thrombosis continue to be treated suboptimally. Hence, there is an urgent need for increasing physician awareness about risk factors, etiology and the management of this unique and relatively infrequent disorder

Mycobacterium phlei, a previously unreported cause of pacemaker infection: Thinking outside the box in cardiac device infections

The increased use of cardiac rhythm management devices has led to an increase in cardiac device-related infections (CDI). Staphylococcus aureus and epidermidis account for the vast majority of CDI. CDI due to rapidly growing non-tuberculous mycobacteria is very rare, with only about ten cases having been reported. We report a case of pacemaker pocket infection with Mycobacterium phlei. There are only three published reports of human infection involving this typically non-pathogenic organism. To the best of our knowledge, this is the first report of CDI with Mycobacterium phlei. (Cardiol J 2011; 18, 6: 687&#8211;690

A bibliometric analysis of the 100 most-cited articles in dental materials journals

Background: Bibliometric studies are important as they provide an overview of research and scientific activity in a specific field. But studies of this type to determine the characteristics of the most cited articles in dental materials journals are completely lacking. Aim: To analyze the characteristics of 100 most-cited articles in dental materials journals since its inception through April 2019. Material and methods: Google scholar database was used to retrieve the list of journals titled with the term ‘‘dental materials”. A search was then conducted under "Publication Name" for each of the selected journals, and the articles were grouped by the category "Times Cited". The 100 highly cited papers published in five journals were contemplated in the eventual inquiry. The final collection was subjected to further scrutiny to determine the nature and characteristics of the documented revelations regard to journal name, year of publication, authors and their country, type of article, and area of research. Results: The 100 most-cited articles were published between 1985 and 2016 with maximum publications during 2001-05. The number of citations was ranging from 1926to 304. Only Dental Materials (97), Dental Materials Journal (3), shared the list.  The United States tops the list with 25 articles followed by Germany (12) and Belgium (11). Dental composites and adhesives were the most commonly addressed topics in dental materials journals. Conclusions: This bibliometric analysis connoted the evolving and interesting research trends in dental material science