Simulation of High Performance Quantum Well GaN-based LED

The performance of quantum well GaN/A1GaN light emitting diode (LED) is reviewed for three different barrier compositions; symmetric barrier composition with low A1 content, asymmetric barrier composition with higher A1 content on p-type cladding layer and lower A1 content on n-type clading layer, and symmetric barrier composition with higher A1 content. The study was conducted using ATLAS/BLAZE & LUMINOUS software developed by Silvaco International Inc. Integrated radiative recombination rate was studied on applied voltages up to 5V. Results showed three phases of LED performance with different applied voltages and these were explained using badgap theory. I-V characteristic for each design agrees with the total additional voltage drop equation for a quantum well structure. The dominant radiative recombination rate regions in LED at low and high supplied voltages are also presented for the best performance LED design

Predation on Multiple Prey Types Across a Disturbance Gradient in Tropical Montane Forests of Peninsular Malaysia

Predation plays a critical role in animal and plant survivorship, and can be highly sensitive to habitat loss and disturbance. Tropical montane forests in Southeast Asia are being modified rapidly by land-use change, and the consequences of this on predation likelihood are poorly understood. In Peninsular Malaysia, we conducted predation experiments at eight tropical montane forest sites along a disturbance gradient. We investigated whether (1) predation pressure in primary forests differs between different mountains; (2) predation probability is linked to habitat degradation; and (3) vegetation variables explain predation occurrence. At each forest site, we placed artificial nests with real and model quail eggs, dishes with real and artificial seeds of the cempedak (Artocarpus champeden), models resembling four-lined tree frogs (Polypedetes leucomystax) and models of the late instar caterpillar of the common Mormon (Papilio polytes) at points 100 m apart for three nights. Using Bayesian binomial simulations, we showed that predation likelihood in primary forests from different mountains can vary (e.g., probability of the difference in predation rate of artificial caterpillars between two primary forests was estimated at 82–100%). We also found that higher predation was not linked to habitat degradation for all artificial prey and seeds (e.g., comparing forests of varying degrees of disturbance from the same mountain, the probability that predation of an artificial caterpillar is lower at the primary forest was estimated at 2–20% only). Model selection and hierarchical partitioning showed that vegetation variables can explain predation occurrence, suggesting microhabitat characteristics may be influential. Conducting predation experiments by using artificial prey and seeds is useful for comparing predation likelihood at different sites, making ecological comparisons, and for informing conservation decisions. This novel approach of using multiple prey items also showed that predation for each can vary and thus caution against deploying a single prey type to draw broad inferences of predation in degraded systems

Transportation of different therapeutic classes of pharmaceuticals to the surface water, sewage treatment plant, and hospital samples, Malaysia

All pharmaceuticals are separated chromatographically using the liquid chromatographytime of flight/mass spectrometry (LC-ToF/MS) on a 5 μm, 2.1 mm × 250 mm, C18 column at 0.3 mL/min. The recovery is investigated at two spiking levels, 10 and 1 ng/mL; the mean recovery is higher than 77, 84, and 93% in sewage treatment plants (STP) influent, STP effluent, and surface water, respectively. The limit of quantification (LOQ) averages 29, 16, 7, and 2 ng/L in STP influent, STP effluent, surface water, and drinking water, respectively. The matrix effect is also evaluated in STP influent and effluent. It is observed that sulfamethoxazole, prednisolone, ketoprofen, and glibenclamide are highly impacted compared to other compounds, -99, -110, 77, and 91%, respectively. The results show that six out of nine pharmaceuticals, namely atenolol, acetaminophen, theophylline, caffeine, metoprolol, and sulfamethoxazole are detected in STP influent, STP effluent, and surface water. However, the means of concentration are 561, 3305, 1805, 3900, 78, and 308 ng/L for atenolol, acetaminophen, theophylline, caffeine, metoprolol, and sulfamethoxazole, respectively, in STP influent. Caffeine and acetaminophen are detected with the highest concentration, reaching up to 8700 and 4919 ng/L, respectively, in STP influent

Flexural Strength and Ductility of a Concrete Filled Steel Tube Beam with Different Layouts

Concrete-filled steel tube (CFST) is a composite member consisting of a steel tube filled with concrete, resulting in an enhanced structural element used in various types of construction. This research investigates the flexural strength of CFST members with varying steel tube thicknesses of 1.5 mm and 2.0 mm and different shapes: square, rectangular, and circular. The study aims to determine the flexural strength of each shape. Fifteen beams with different cross-sections and plate thicknesses were tested experimentally in the lab. The results indicated that 2.0 mm thick CFSTs, regardless of shape, exhibited superior strength and deformation resistance compared to thinner and hollow beams. This underscores the significance of using thicker plates and concrete to enhance structural integrity and durability. Notably, rectangular CFSTs demonstrated a 91.84% increase in strength, while circular beams showed greater deflection resistance, highlighting the importance of careful material selection and design choices in structural engineering to optimize performance and resilience under stress

Polycystic ovary syndrome

The document attached has been archived with permission from the editor of the Medical Journal of Australia. An external link to the publisher’s copy is included.Polycystic ovary syndrome (PCOS) affects 5-20% of women of reproductive age worldwide. The condition is characterized by hyperandrogenism, ovulatory dysfunction and polycystic ovarian morphology (PCOM) - with excessive androgen production by the ovaries being a key feature of PCOS. Metabolic dysfunction characterized by insulin resistance and compensatory hyperinsulinaemia is evident in the vast majority of affected individuals. PCOS increases the risk for type 2 diabetes mellitus, gestational diabetes and other pregnancy-related complications, venous thromboembolism, cerebrovascular and cardiovascular events and endometrial cancer. PCOS is a diagnosis of exclusion, based primarily on the presence of hyperandrogenism, ovulatory dysfunction and PCOM. Treatment should be tailored to the complaints and needs of the patient and involves targeting metabolic abnormalities through lifestyle changes, medication and potentially surgery for the prevention and management of excess weight, androgen suppression and/or blockade, endometrial protection, reproductive therapy and the detection and treatment of psychological features. This Primer summarizes the current state of knowledge regarding the epidemiology, mechanisms and pathophysiology, diagnosis, screening and prevention, management and future investigational directions of the disorder.Robert J Norman, Ruijin Wu and Marcin T Stankiewic

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Adsorption of fluoride on a green adsorbent derived from wastepaper: Kinetic, isotherm and characterisation study

The excessive concentration of fluoride (F−) in water represents a grave problem for several countries, especially those that depend on groundwater as a main source of drinking water. Therefore, many treatment methods, such as chemical precipitation and membrane, were practised to remove F− from water. However, the traditional methods suffer from many limitations, such as the high cost and the slowness. Hence, many studies have been directed towards developing novel and effective water defluoridation methods. In this context, the current study investigates the development of an eco-friendly adsorbent by extracting Ca, Al, and Fe from industrial by-products, precipitating them on sand particles, and using this new adsorbent to remove F− from water. The removal experiments were commenced under different pH levels (3-10), contact times (0–240 minutes) and concentrations of F− (7.5–37.5 mg/L). X-ray fluorescence (XRF), X-ray diffraction Investigator (XRD), Fourier Transform Infrared Spectroscopy (FTIR), Scanning Electron Microscopy (SEM) and Energy Dispersive X-ray Spectroscopy (EDX) methods were used to characterise the green adsorbent. Adsorption isotherm and kinetic studies were also conducted to define the adsorption type. The results confirmed that the new adsorbent could remove as high as 86% of F− at pH, contact time, agitation speed and adsorbent dose of 10, 180 minutes, 200 rpm and 15 mg/L, respectively. The characterisation studies prove the occurrence of the sorption process and the suitability of the morphology of the adsorbent for F− removal. Adsorption kinetics follow better with a pseudo-first-order model that indicates the predominance of physisorption, which agrees with the FTIR results. The isotherm study indicated that Langmuir isotherm is more suitable for representing data with an R2 value of 0.992, which means the adsorption of F− occurs as monolayer adsorption on homogeneous sites on the surface of the new adsorbent. In summary, it can be concluded that the developed adsorbent in this study could be a promising alternative to the traditional F− removal methods

The enhanced naturally occurring radioactivity of negative ion clothing and attendant risk

The study investigates commercially available negative ion clothing, and evaluations are made using gamma-ray spectroscopy and Geant4 Monte Carlo simulations. Observed to contain naturally occurring radioactive material (NORM), evaluations are made of the radiological risk arising from the use of these as items of everyday wear, undergarments in particular. Organ doses from these were simulated using the MIRD5 mathematical female phantom, with the incorporation of dose conversion factors (DCFs). At 175 ± 26, 1732 ± 247, and 207 ± 38 Bq, for238U,232Th, and40K respectively, item code S05 was found to possess the greatest activity, while item code S07 was shown to have the least activity, at 2 ± 0.5 and 15 ± 2 Bq, and again for238U and232Th, respectively. Sample code S11 recorded least activity, at 29 ± 5 Bq, for40K. Among the clothing items, sample item code S05 offered the greatest concentrations of Th, U and Zr, with percentage means of 1.23 ± 0.1, 0.045 ± 0.001, and 1.29 ± 0.1, respectively, giving rise to an annual effective dose of 1.57 mSv/y assuming a nominal wearing period of 24 h per day. Accordingly, the annual public dose limit of 1 mSv can be exceeded by their use

Influenza vaccination for immunocompromised patients: systematic review and meta-analysis from a public health policy perspective.

Immunocompromised patients are vulnerable to severe or complicated influenza infection. Vaccination is widely recommended for this group. This systematic review and meta-analysis assesses influenza vaccination for immunocompromised patients in terms of preventing influenza-like illness and laboratory confirmed influenza, serological response and adverse events