154 research outputs found

    Numerical Investigation on Serpentine Flow Field and Rhombus Electrolyte Compartment of Vanadium Redox Flow Battery (V-RFB)

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    Selection of suitable material, fitting for prototype design and pumping rates are three affecting element for cost effectiveness and improve performance of vanadium cell prototype investigation. Therefore, three-dimensional numerical model isothermal computational fluid dynamics (CFD) model of vanadium redox flow battery (V-RFB) is studied. In this work, V-RFB with different electrolyte compartments is proposed and the effect of serpentine flow field is investigated. The performance of two V-RFBs with diamond and square electrolyte compartment is numerically tested. This work has been performed to optimize flow rate, electrolyte compartment design, avoid stagnant fluid and flow field application in VRFB. For the simulation, the flow was assumed to be incompressible, isothermal, steady state flow, laminar and Newtonian flow. Results show that the application of flow field and Rhombus type electrolyte compartment can facilitate the distribution of electrolyte in the unit cell uniformity and avoid stagnant in the tank. Simulation results indicate the diamond shape and serpentine flow field at optimal flow rate show the most suitable for V-RFBs than square shape

    Pre-treatment of laundry greywater by steel slag for safe disposal

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    Direct discharge of laundry greywater without any water pre-treatment in the drainage system has become a common practice in Malaysia. The study aimed to utilise steel slag as an adsorbent material for commercial laundry shop runoff (CLSR) to reduce chemical oxygen demand (COD) and total phosphorus (TP). Optimisation of the pollutants removal efficiency in CSLR by steel slag used Response Surface Methodology (RSM) using independent variables; different percentages of CLSR with tap water and contact time. The highest removal efficiency obtained for COD was 54.49% at 100% CLSR with tap water and 60 minutes of contact time. TP removal efficiency was 45.45% at 10% CLSR with tap water and 90 minutes of contact time. Thus, steel slag can increase the pH value, reducing the COD and TP values from CLSR in a short period. Hence, steel slag has the potential to be included in the “pre-treatment” system for CLSR based on its performance at COD and TP removal efficiency. From RSM, the model F�value and P-value for COD and TP were 5.89 and 10.62, 0.0166 and 0.0036, respectively. These values validated that the model was significant. Therefore, the study can contribute to the safe disposal of untreated laundry greywater to minimise environmental degradation

    Various Factors Affecting Students Performances In A Saudi Medical School

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    Objective: There are various demographic and educational factors that affect the academic performance of undergraduate medical students. The objective of this study is to identify these factors and correlate them to the GPA of the students. Methods: A cross-sectional study design utilizing grade point averages (GPAs) of two cohorts of students in both levels of the pre-clinical phase. In addition, self-administered questionnaire was used to evaluate the effect of these factors on students with poor and good cumulative GPA. Results: Among the various factors studied, gender, marital status, and the transportation used to reach the faculty significantly affected academic performance of students. Students with a cumulative GPA of 3.0 or greater significantly differed than those with a GPA of less than 3.0 being higher in female students, in married students, and type of transportation used to reach the college. Factors including age, educational factors, and type of transportation used have shown to create a significant difference in GPA between male and females. Conclusion: Factors such as age, gender, marital status, learning resources, study time, and the transportation used have been shown to significantly affect medical student GPA as a whole batch as well as when they are tested for gender

    The effects of dietary supplementation of methanolic extracts of herbal medicine on haematological variable of red hybrid tilapia (Oreochromis sp.)

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    The most common strategy to treat in aquaculture disease is the use of antibiotics, however, such utilization has been accounted to have antagonistic impacts like accumulation of drugs in tissues, development of drug resistance and immunosuppression. One of the most promising methods of controlling diseases in aquaculture is strengthening the defence mechanisms through therapeutic administration. Vitex trifolia, Strobilanthes crispus, and Aloe vera have been reported to have better antimicrobial activity in vitro against Streptococcus agalactiae. However, there is no report on the application of the extracts on the treatment of Oreochromis sp. The objective of the study was to assess the effectiveness of diet supplementation of selected plant extract for 14 days as disease treatment. In red blood cell (RBC), haemoglobin (Hb), mean corpuscular volume (MCV), white blood cell (WBC), alanine transaminase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase (ALP) showed significant differences between treatment and control. RBC, Hb and WBC levels of the infected group were significantly higher (P<0.05) than those of the control group indicating improve defence system in the fish fed with V. trifolia, S. crispus, and A. vera. These results suggested that of methanolic mixed herbal to applying S. agalactiae infected Oreochromis sp had a synergistic restorative effect on the haematological variables

    Detection and Classification of Conflict Flows in SDN Using Machine Learning Algorithms

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    Software-Defined Networking (SDN) is a new type of technology that embraces high flexibility and adaptability. The applications in SDN have the ability to manage and control networks while ensuring load balancing, access control, and routing. These are considered the most significant benefits of SDN. However, SDN can be influenced by several types of conflicting flows which may lead to deterioration in network performance in terms of efficiency and optimisation. Besides, SDN conflicts occur due to the impact and adjustment of certain features such as priority and action. Moreover, applying machine learning algorithms in the identification and classification of conflicting flows has limitations. As a result, this paper presents several machine learning algorithms that include Decision Tree (DT), Support Vector Machine (SVM), Extremely Fast Decision Tree (EFDT) and Hybrid (DT-SVM) for detecting and classifying conflicting flows in SDNs. The EFDT and hybrid DT-SVM algorithms were designed and deployed based on DT and SVM algorithms to achieve improved performance. Using a range flows from 1000 to 100000 with an increment of 10000 flows per step in two network topologies namely, Fat Tree and Simple Tree Topologies, that were created using the Mininet simulator and connected to the Ryu controller, the performance of the proposed algorithms was evaluated for efficiency and effectiveness across a variety of evaluation metrics. The experimental results of the detection of conflict flows show that the DT and SVM algorithms achieve accuracies of 99.27% and 98.53% respectively while the EFDT and hybrid DT-SVM algorithms achieve respective accuracies of 99.49% and 99.27%. In addition, the proposed EFDT algorithm achieves 95.73% accuracy on the task of classification between conflict flow types. The proposed EFDT and hybrid DT-SVM algorithms show a high capability of SDN applications to offer fast detection and classification of conflict flows

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

    Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy

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    Background A reliable system for grading operative difficulty of laparoscopic cholecystectomy would standardise description of findings and reporting of outcomes. The aim of this study was to validate a difficulty grading system (Nassar scale), testing its applicability and consistency in two large prospective datasets. Methods Patient and disease-related variables and 30-day outcomes were identified in two prospective cholecystectomy databases: the multi-centre prospective cohort of 8820 patients from the recent CholeS Study and the single-surgeon series containing 4089 patients. Operative data and patient outcomes were correlated with Nassar operative difficultly scale, using Kendall’s tau for dichotomous variables, or Jonckheere–Terpstra tests for continuous variables. A ROC curve analysis was performed, to quantify the predictive accuracy of the scale for each outcome, with continuous outcomes dichotomised, prior to analysis. Results A higher operative difficulty grade was consistently associated with worse outcomes for the patients in both the reference and CholeS cohorts. The median length of stay increased from 0 to 4 days, and the 30-day complication rate from 7.6 to 24.4% as the difficulty grade increased from 1 to 4/5 (both p < 0.001). In the CholeS cohort, a higher difficulty grade was found to be most strongly associated with conversion to open and 30-day mortality (AUROC = 0.903, 0.822, respectively). On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and 30-day reintervention (all p < 0.001). Conclusion We have shown that an operative difficulty scale can standardise the description of operative findings by multiple grades of surgeons to facilitate audit, training assessment and research. It provides a tool for reporting operative findings, disease severity and technical difficulty and can be utilised in future research to reliably compare outcomes according to case mix and intra-operative difficulty

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

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    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
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