Optimization of CO2 production rate for firefighting robot applications using response surface methodology

A carbon dioxide gas-powered pneumatic actuation has been proposed as a suitable power source for an autonomous firefighting robot (CAFFR), which is designed to operate in an indoor fire environment in our earlier study. Considering the consumption rate of the pneumatic motor, the gas-powered actuation that is based on the theory of phase change material requires optimal determination of not only the sublimation rate of carbon dioxide but also the sizing of dry ice granules. Previous studies that have used the same theory are limited to generating a high volume of carbon dioxide without reference to neither the production rate of the gas nor the size of the granules of the dry ice. However, such consideration remains a design requirement for efficient driving of a carbon dioxide-powered firefighting robot. This paper investigates the effects of influencing design parameters on the sublimation rate of dry ice for powering a pneumatic motor. The optimal settings of these parameters that maximize the sublimation rate at the minimal time and dry ice mass are presented. In the experimental design and analysis, we employed full-factorial design and response surface methodology to fit an acceptable model for the relationship between the design factors and the response variables. Predictive models of the sublimation rate were examined via ANOVA, and the suitability of the linear model is confirmed. Further, an optimal sublimation rate value of 0.1025 g/s is obtained at a temperature of 80°C, the mass of 16.1683 g, and sublimation time of 159.375 s

A Rare Case of a Gastro-Peritoneal Fistula Following Laparoscopic Sleeve Gastrectomy Successfully Treated with Endoscopic Stenting

Gastro-peritoneal fistula is a rare but serious complication of laparoscopic sleeve gastrectomy with significant morbidity and mortality. We present the case of a 42-year-old man who underwent laparoscopic sleeve gastrectomy for morbid obesity and presented later with a history of chronic epigastric pain and severe reflux. Upper gastrointestinal series showed the presence of a communicating fistula between the stomach and the left hemi-diaphragm and peri-splenic area

Evaluation of three medicinal plant extracts against Plasmodium falciparum and selected microganisms

Background: A great revival of scientific interests in drug discovery has been witnessed in recent years from medicinal plants for health  maintenance. The aim of this work was to investigate three Nigerian  medicinal plants collected in Nigeria for their in vitro antiplasmodial and antimicrobial activities.Materials and Methods: Extracts obtained from parts of Persea americana, Jatropha podagrica and Picralima nitida and their fractions wereevaluated for in vitro antiprotozoal and antimicrobial activity.Result: The methanol extract of P. nitida demonstrated activity against chloroquine-sensitive and chloroquine-resistant P. falciparum clones with IC50 values of 6.3 and 6.0 µg/mL, respectively. Methanol and chloroform extracts of P. americana seed showed antifungal activity against Cryptococcus neoformans IC50 less than 8 and 8.211 µg/mL respectively. Finally, the petroleum ether extract of P. americana had activity against methicillinresistant Staphylococcus aureus (MRSA) with an IC50 value of 8.7 µg/mL.Conclusion: The study revealed the antibacterial and antiplasmodial activities of the plants extracts at the tested concentrations.Keywords: Antifungal, Antibacterial, Persea americana, Picralima nitida, Jatropha podagrica, Plasmodium falciparu

Potentials of molecular based breeding to enhance drought tolerance in wheat (Triticum aestivum L.)

The ability of plant to sustain itself in limited water conditions is crucial in the world of agriculture. To breed for drought tolerance in wheat, it is essential to clearly understand drought tolerant mechanisms. Conventional breeding is time consuming and labor intensive being inefficient with low heritability traits like drought tolerance. Recent progress made in the field of genomics enabling us to access genes linked with drought tolerance has enhanced our understanding of this complex phenomenon. The purpose of this review paper was to briefly overview the accomplishments in molecular breeding for drought tolerance in wheat. Thus, by knowing the genetics of drought tolerance and identifying quantitative trait loci (QTLs) linked with DNA markers will help wheat breeders to develop high yielding drought tolerant cultivars.Key words: Triticum aestivum L, drought tolerance, QTLs, marker assisted selection (MAS)

Clinical and cost-effectiveness analysis of an open label, single-centre, randomised trial of spinal cord stimulation (SCS) versus percutaneous myocardial laser revascularisation (PMR) in patients with refractory angina pectoris: The SPiRiT trial.

RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are.BACKGROUND: Patients with refractory angina have significant morbidity. This study aimed to compare two of the treatment options, Spinal Cord Stimulation (SCS) and Percutaneous Myocardial Laser Revascularisation (PMR) in terms of clinical outcomes and cost-effectiveness. METHODS: Eligible patients were randomised to PMR or SCS and followed up for exercise tolerance time (ETT), Canadian Cardiovascular Society (CCS) classification and the quality of life measures SF-36, Seattle Angina Questionnaire and the EuroQoL at 3, 12 and 24 months. Utilities were calculated using the EQ-5D and these and costs were compared between groups. The incremental cost-effectiveness ratio (ICER) per QALY for SCS compared to PMR was also calculated. RESULTS: At 24 months post-randomisation, patients that had SCS and PMR had similar ETT (mean difference 0.05, 95% CI -2.08, 2.18, p = 0.96) and there was no difference in CCS classification or quality of life outcomes. The difference in overall mean costs when comparing SCS to PMR was GBP5,520 (95% CI GBP1,966 to GBP8,613; p < 0.01) and the ICER of using SCS was GBP46,000 per QALY. CONCLUSION: Outcomes after SCS did not differ appreciably from those after PMR, with the former procedure being less cost-effective as currently applied. Larger studies could clarify which patients would most benefit from SCS, potentially increasing cost-effectiveness. TRIAL REGISTRATION: Current Controlled Trials ISRCTN09648950.Published versio

Cocoa flavanols reduce N-terminal pro-B-type natriuretic peptide in patients with chronic heart failure

This work was supported by a grant (to R.C.) from BarryCallebaut Belgium NV. Assay of CT-proET-1 was supported by a grant from the Medical Research Council, UK (grant numberG0801509)

Acetone-Gasoline Blend as an Alternative Fuel in SI Engines: A Novel Comparison of Performance, Emission, and Lube Oil Degradation

The disproportionate use of petroleum products and stringent exhaust emissions has emphasized the need for alternative green fuels. Although several studies have been conducted to ascertain the performance of acetone-gasoline blends in spark-ignition (SI) engines, limited work has been done to determine the influence of fuel on lubricant oil deterioration. The current study fills the gap through lubricant oil testing by running the engine for 120 h on pure gasoline (G) and gasoline with 10% by volume acetone (A10). Compared to gasoline, A10 produced better results in 11.74 and 12.05% higher brake power (BP) and brake thermal efficiency (BTE), respectively, at a 6.72% lower brake-specific fuel consumption (BSFC). The blended fuel A10 produced 56.54, 33.67, and 50% lower CO, CO2, and HC emissions. However, gasoline remained competitive due to lower oil deterioration than A10. The flash-point and kinematic viscosity, compared to fresh oil, decreased by 19.63 and 27.43% for G and 15.73 and 20.57% for A10, respectively. Similarly, G and A10 showed a decrease in total base number (TBN) by 17.98 and 31.46%, respectively. However, A10 is more detrimental to lubricating oil due to a 12, 5, 15, and 30% increase in metallic particles like aluminum, chromium, copper, and iron, respectively, compared to fresh oil. Performance additives like calcium and phosphorous in lubricant oil for A10 decreased by 10.04 and 4.04% in comparison to gasoline, respectively. The concentration of zinc was found to be 18.78% higher in A10 when compared with gasoline. A higher proportion of water molecules and metal particles were found in lubricant oil for A10

Diabetes conversation map - A novel tool for diabetes management self-efficacy among type 2 diabetes patients in Pakistan: A randomized controlled trial

Background: This study aimed to measure the effect of diabetes education using the novel method of "diabetes conversation map (DCM)"as compared to routine counselling (RC) on diabetes management self-efficacy (DMSE) among patients living with type 2 diabetes in Karachi, Pakistan. Methods: A parallel arm randomized controlled trial among patients with type 2 diabetes aged 30-60 years, with HbA1c > 7%, diagnosed for at least 5 yrs., was conducted at the national institute of diabetes and endocrinology in Karachi, Pakistan. A total 123 type 2 diabetes patients were randomized into DCM (n = 62) or RC (n = 61). Four weekly diabetes control sessions of 40 min each using the DCM or RC was provided. DMSE was measured using a validated Urdu language DMSE tool at baseline and after three months of the randomization. Change in DMSE and HbA1c levels within groups (pre-post) and between the groups after 3 months of enrollment was compared. Results: Baseline characteristics except HbA1c were similar between the two arms. After 3 months of enrollment, there was no change in the DMSE score in the RC arm however, significant increase in DMSE score was noted in the DCM arm (P = < 0.001). The average difference (95% confidence interval) in DMSE score between the DCM and RC arm was 33.7(27.3, 40.0; p = < 0.001) after 3 months of the enrollment. Difference in HbA1c within groups was not significant. Conclusions: DCM significantly improved DMSE among type 2 diabetes patients in a developing country setting like Pakistan. Healthcare workers caring for type 2 diabetes patients need to be trained on DCM to effectively utilize this novel tool for educating diabetes patients. Trial registration: This trial was prospectively registered. ClinicalTrials.gov Identifier: NCT03747471. Date of registration: Nov 20. 2018

Monoclonal antibody levels and protection from COVID-19

Multiple monoclonal antibodies have been shown to be effective for both prophylaxis and therapy for SARS-CoV-2 infection. Here we aggregate data from randomized controlled trials assessing the use of monoclonal antibodies (mAb) in preventing symptomatic SARS-CoV-2 infection. We use data on the in vivo concentration of mAb and the associated protection from COVID-19 over time to model the dose-response relationship of mAb for prophylaxis. We estimate that 50% protection from COVID-19 is achieved with a mAb concentration of 96-fold of the in vitro IC50 (95% CI: 32—285). This relationship provides a tool for predicting the prophylactic efficacy of new mAb and against SARS-CoV-2 variants. Finally, we compare the relationship between neutralization titer and protection from COVID-19 after either mAb treatment or vaccination. We find no significant difference between the 50% protective titer for mAb and vaccination, although sample sizes limited the power to detect a difference