An area-optimized N-bit multiplication technique using N/2-bit multiplication algorithm

A unique design for an optimized N-bit multiplier is proposed and implemented which utilizes a modified divide-and-conquer technique. The conventional technique requires four N/2-bit multipliers to perform N-bit multiplication, whereas the proposed design uses only one multiplier module in hardware to perform the functionality of four modules. It uses Dadda algorithm in its multiplier module. It has been implemented using Verilog HDL, and a good accuracy of results was observed in simulations which effectively verify its functionality. Design was also synthesized on various FPGAs including Spartan 3E, Virtex-5 and Virtex-7. Performance summary, after place and route, showed that the proposed approach significantly reduces hardware utilization. Furthermore, the proposed design is almost 75% more efficient in terms of resources utilization and operating frequency as compared to the conventional design

PANC Study (Pancreatitis: A National Cohort Study): national cohort study examining the first 30 days from presentation of acute pancreatitis in the UK

Abstract Background Acute pancreatitis is a common, yet complex, emergency surgical presentation. Multiple guidelines exist and management can vary significantly. The aim of this first UK, multicentre, prospective cohort study was to assess the variation in management of acute pancreatitis to guide resource planning and optimize treatment. Methods All patients aged greater than or equal to 18 years presenting with acute pancreatitis, as per the Atlanta criteria, from March to April 2021 were eligible for inclusion and followed up for 30 days. Anonymized data were uploaded to a secure electronic database in line with local governance approvals. Results A total of 113 hospitals contributed data on 2580 patients, with an equal sex distribution and a mean age of 57 years. The aetiology was gallstones in 50.6 per cent, with idiopathic the next most common (22.4 per cent). In addition to the 7.6 per cent with a diagnosis of chronic pancreatitis, 20.1 per cent of patients had a previous episode of acute pancreatitis. One in 20 patients were classed as having severe pancreatitis, as per the Atlanta criteria. The overall mortality rate was 2.3 per cent at 30 days, but rose to one in three in the severe group. Predictors of death included male sex, increased age, and frailty; previous acute pancreatitis and gallstones as aetiologies were protective. Smoking status and body mass index did not affect death. Conclusion Most patients presenting with acute pancreatitis have a mild, self-limiting disease. Rates of patients with idiopathic pancreatitis are high. Recurrent attacks of pancreatitis are common, but are likely to have reduced risk of death on subsequent admissions. </jats:sec

Risk factors identification of COVID‐19 patients with chronic obstructive pulmonary disease: A retrospective study in Punjab‐Pakistan

Abstract Background Accessibility to the immense collection of studies on noncommunicable diseases related to coronavirus disease of 2019 (COVID‐19) and severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) is an immediate focus of researchers. However, there is a scarcity of information about chronic obstructed pulmonary disease (COPD), which is associated with a high rate of infection in COVID‐19 patients. Moreover, by combining the effects of the SARS‐CoV‐2 on COPD patients, we may be able to overcome formidable obstacles factors, and diagnosis influencers. Materials and Methods A retrospective study of 280 patients was conducted at DHQ Hospital Muzaffargarh in Punjab, Pakistan. Negative binomial regression describes the risk of fixed successive variables. The association is described by the Cox proportional hazard model and the model coefficient is determined through log‐likelihood observation. Patients with COPD had their survival and mortality plotted on Kaplan–Meier curves. Results The increased risk of death in COPD patients was due to the effects of variables such as cough, lower respiratory tract infection (LRTI), tuberculosis (TB), and body‐aches being 1.369, 0.693, 0.170, and 0.217 times higher at (95% confidence interval [CI]: 0.747–1.992), (95% CI: 0.231–1.156), (95% CI: 0.008–0.332), and (95% CI: −0.07 to 0.440) while it decreased 0.396 in normal condition. Conclusion We found that the symptoms of COPD (cough, LRTI, TB, and bodyaches) are statistically significant in patients who were most infected by SARS‐CoV‐2

A group acceptance sampling plan truncated life test for alpha power transformation inverted perks distribution based on quality control reliability

AbstractIn the present study, a group-acceptance sampling plan was presented when the lifetime of an item followed an alpha power transformation-inverted perks distribution. The median is used as a quality index to attain design parameters, such as the acceptance number and minimum group size, which are determined when the test termination and consumer risk are specified. The operating characteristic values are presented both graphically and in the form of tables. Two real-life datasets are used as examples to illustrate the tables

Additions of Tropospheric Ozone (O3) in Regional Climates (A case study: Saudi Arabia)

Anthropogenic activities are responsible for enhancing the concentration of various toxic gases that produces bad Ozone in the troposphere which is harmful to human health. The specific objective of this research was to analyze the spatiotemporal variations in a vertical column of Ozone (O3) over Saudi Arabia during 2006-2016 using Atmospheric Infrared Sounder (AIRS) onboard AQUA platform and AErosol RObotic NETwork (AERONET) data. The results show that the optical depth of Ozone column varied from 252 Dobson Units (DU) to 264 DU. The main reason of this variation corresponds to the increase in O3 precursors including Carbon Dioxide (CO2), Nitrogen Dioxide (NO2) and Sulfur Dioxide (SO2). The concentration of CO2 varied between (379-401) Parts Per Million (PPM), SO2 varied (3.5x10-6 - 4x10-6kg m-2) kg m-2 and NO2 varies (2.25x1015 - 2.5x1015)1/cm2 during the investigated timeframe. The results confirm that NO2 and SO2 have contributed directly in O3 formation while CO2 just increased regional temperatures that enhanced the optical depth of O3. Full Tex

Construction of operational data-driven power curve of a generator by industry 4.0 data analytics

10.3390/en14051227Energies145122

Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery

Background: Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery. Methods: A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a centre-specific survey of compliance to enhanced recovery principles. Secondary safety outcomes included anastomotic leak rate and acute kidney injury. Results: A total of 4164 patients were included, with a median age of 68 (i.q.r. 57\u201375) years (54\ub79 per cent men). Some 1153 (27\ub77 per cent) received NSAIDs on postoperative days 1\u20133, of whom 1061 (92\ub70 per cent) received non-selective cyclo-oxygenase inhibitors. After adjustment for baseline differences, the mean time to gastrointestinal recovery did not differ significantly between patients who received NSAIDs and those who did not (4\ub76 versus 4\ub78 days; hazard ratio 1\ub704, 95 per cent c.i. 0\ub796 to 1\ub712; P = 0\ub7360). There were no significant differences in anastomotic leak rate (5\ub74 versus 4\ub76 per cent; P = 0\ub7349) or acute kidney injury (14\ub73 versus 13\ub78 per cent; P = 0\ub7666) between the groups. Significantly fewer patients receiving NSAIDs required strong opioid analgesia (35\ub73 versus 56\ub77 per cent; P &lt; 0\ub7001). Conclusion: NSAIDs did not reduce the time for gastrointestinal recovery after colorectal surgery, but they were safe and associated with reduced postoperative opioid requirement

Safety of hospital discharge before return of bowel function after elective colorectal surgery

Background: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien-Dindo classification system.Results: A total of 3288 patients were included in the analysis, of whom 301 (9.2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4-7) and 7 (6-8) days respectively (P &lt; 0.001). There were no significant differences in rates of readmission between these groups (6.6 versus 8.0 per cent; P = 0.499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0.90, 95 per cent c.i. 0.55 to 1.46; P = 0.659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34.7 versus 39.5 per cent; major 3.3 versus 3.4 per cent; P = 0.110).Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients