Post-COVID-19 Effects on Female Fertility: An In-Depth Scientific Investigation

This study aimed to comprehensively investigate the post-COVID-19 effects on female fertility in patients with a history of severe COVID-19 infection. Data were collected from 340 patients who had previously experienced severe COVID-19 symptoms and sought medical assistance at private clinics and fertility centers in various provinces of Iraq. A comparative control group of 280 patients, who had not contracted COVID-19 or had mild cases, was included. The study assessed ovarian reserve, hormonal imbalances, and endometrial health in the post-recovery phase. The findings revealed a significant decrease in ovarian reserve, hormonal disturbances, and endometrial abnormalities among patients with a history of severe COVID-19 infection compared to the control group. This in-depth investigation sheds light on the potential long-term impacts of severe COVID-19 on female fertility. The results emphasize the need for further research and targeted interventions to support women affected by post-COVID-19 fertility issues. Understanding these effects is crucial for providing appropriate medical care and support to women on their reproductive journey after recovering from severe COVID-19

A new approach for modelling mild and severe wear in wheel-rail contacts

This paper presents a new approach for modelling the wear in wheel-rail contacts for a wide range of test and contact conditions (material pairing, load, creep, lubrication etc.) in the mild and severe wear regimes with one set of model coefficients. The approach is based on a detailed analysis of 56 Twin-Disc experiments in combination with existing knowledge from the literature. The model considers the thickness of the damaged layer caused by severe plastic shear deformations in the near-surface layer of wheel or rail and the maximum shear stress in the contact as the main influencing factors responsible for the observed wear behaviour. In this way, a much better prediction quality can be reached for varying test and contact conditions compared to the state of the art energy dissipation or sliding based approaches. The model includes a low number of model coefficients which are independent of test and contact conditions

A theory of L1L^1-dissipative solvers for scalar conservation laws with discontinuous flux

We propose a general framework for the study of $L^1$ contractive semigroups of solutions to conservation laws with discontinuous flux. Developing the ideas of a number of preceding works we claim that the whole admissibility issue is reduced to the selection of a family of "elementary solutions", which are certain piecewise constant stationary weak solutions. We refer to such a family as a "germ". It is well known that (CL) admits many different $L^1$ contractive semigroups, some of which reflects different physical applications. We revisit a number of the existing admissibility (or entropy) conditions and identify the germs that underly these conditions. We devote specific attention to the anishing viscosity" germ, which is a way to express the "$\Gamma$-condition" of Diehl. For any given germ, we formulate "germ-based" admissibility conditions in the form of a trace condition on the flux discontinuity line $x=0$ (in the spirit of Vol'pert) and in the form of a family of global entropy inequalities (following Kruzhkov and Carrillo). We characterize those germs that lead to the $L^1$-contraction property for the associated admissible solutions. Our approach offers a streamlined and unifying perspective on many of the known entropy conditions, making it possible to recover earlier uniqueness results under weaker conditions than before, and to provide new results for other less studied problems. Several strategies for proving the existence of admissible solutions are discussed, and existence results are given for fluxes satisfying some additional conditions. These are based on convergence results either for the vanishing viscosity method (with standard viscosity or with specific viscosities "adapted" to the choice of a germ), or for specific germ-adapted finite volume schemes

A Comparison Study on the Improved Operation Strategy for a Parabolic trough Solar Power Plant in Spain

The present work focuses on the development of a detailed dynamic model of an existing parabolic trough solar power plant (PTSPP) in Spain. This work is the first attempt to analyse the dynamic interaction of all parts, including solar field (SF), thermal storage system (TSS) and power block (PB), and describes the heat transfer fluid (HTF) and steam/water paths in detail. Advanced control circuits, including drum level, economiser water bypass, attemperator and steam bypass controllers, are also included. The parabolic trough power plant is modelled using Advanced Process Simulation Software (APROS). An accurate description of control structures and operation strategy is necessary in order to achieve a reasonable dynamic response. This model would help to identify the best operation strategy due to DNI (direct normal irradiation) variations during the daytime. The operation strategy used in this model has also been shown to be effective compared to decisions made by operators on cloudy periods by improving power plant performance and increasing operating hours

The Global Burden of Alveolar Echinococcosis

Human alveolar echinococcosis (AE), caused by the larval stage of the fox tapeworm Echinococcus multilocularis, is amongst the world's most dangerous zoonoses. Transmission to humans is by consumption of parasite eggs which are excreted in the faeces of the definitive hosts: foxes and, increasingly, dogs. Transmission can be through contact with the definitive host or indirectly through contamination of food or possibly water with parasite eggs. We made an intensive search of English, Russian, Chinese and other language databases. We targeted data which could give country specific incidence or prevalence of disease and searched for data from every country we believed to be endemic for AE. We also used data from other sources (often unpublished). From this information we were able to make an estimate of the annual global incidence of disease and disease burden using standard techniques for calculation of DALYs. Our studies suggest that AE results in a median of 18,235 cases globally with a burden of 666,433 DALYs per annum. This is the first estimate of the global burden of AE both in terms of global incidence and DALYs and demonstrates the burden of AE is comparable to several diseases in the neglected tropical disease cluster

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020