Using Artificial Intelligence for Optimizing Natural Frequency of Recycled Concrete for Mechanical Machine Foundation

This paper investigates the mechanical properties of two different types of recycled concrete, which use wood and rubber, relative to those characteristics of pure concrete, in terms of maximum load and natural frequencies. This paper contributes to the state of the art in this area in a number of ways. Firstly, the paper provides furtherance to the progressively growing literature in the field of recycled concrete and mechanical properties of materials. Secondly, the paper investigates the mechanical properties of two different types of recycled concrete by means of investigating the natural frequency of the samples, which is a new contribution. Lastly, the results from predicting the natural frequencies of concrete using fuzzy logic have been effectively assessed and compared with the analytical results. Results from the study show that the pure concrete samples produced maximum natural frequency, then concrete samples with wood, and lastly, concrete samples with rubber. The tolerance between the lab test results and fuzzy logic is approximately 5%. These results could have significant implications for furthering recycled concrete research and for designing machine foundations. Evidence of the applicability of fuzzy logic as a predictive and analysis tool for the mechanical properties of recycled concrete are discussed

A thermally-driven seawater desalination system: Proof of concept and vision for future sustainability

Since the 1970s, commercial-scale thermally-driven seawater desalination plants have been powered by low-grade energy sources, drawn either with low-pressure bled-steam from steam turbines or the solar renewable energy harvested that are supplied at relatively low temperatures. Despite the increasing trend of seawater reverse osmosis plants, the role of thermal desalination methods (such as multi-stage flashing and multi-effect distillation) in GCC countries is still relevant in the Arabian Gulf, arising from higher salinity, the frequent algae blooms of seawater and their ability to utilize low temperature heat sources. Given the urgent need for lowering both the capital and operating costs of all processes within the desalination industry and better ther- modynamic adaptation of low-grade heat input from renewable sources, the present paper ad- dresses the abovementioned issues by investigating the direct contact spray evaporation and condensation (DCSEC) method. A DCSEC system comprises only hollow chambers (devoid of membranes or tubes, minimal use of chemical and maintenance) where vapor generation (flashing) utilizes the enthalpy difference between the sprayed feed seawater and the saturated vapor enthalpy of the vessels. Concomitantly, vapor is condensed with spray droplets of cooler water (potable) in adjacent condenser vessels, employing a simple design concept. We present detailed design and real seawater experiments data of a DCSEC system for the first time. The water production cost is calculated as $0.52/m3, which is one of the lowest figures reported compared to commercial processes presented by Global Water Intelligence

A thermally-driven seawater desalination system: Proof of concept and vision for future sustainability

Since the 1970s, commercial-scale thermally-driven seawater desalination plants have been powered by low-grade energy sources, drawn either with low-pressure bled-steam from steam turbines or the solar renewable energy harvested that are supplied at relatively low temperatures. Despite the increasing trend of seawater reverse osmosis plants, the role of thermal desalination methods (such as multi-stage flashing and multi-effect distillation) in GCC countries is still relevant in the Arabian Gulf, arising from higher salinity, the frequent algae blooms of seawater and their ability to utilize low temperature heat sources. Given the urgent need for lowering both the capital and operating costs of all processes within the desalination industry and better thermodynamic adaptation of low-grade heat input from renewable sources, the present paper addresses the abovementioned issues by investigating the direct contact spray evaporation and condensation (DCSEC) method. A DCSEC system comprises only hollow chambers (devoid of membranes or tubes, minimal use of chemical and maintenance) where vapor generation (flashing) utilizes the enthalpy difference between the sprayed feed seawater and the saturated vapor enthalpy of the vessels. Concomitantly, vapor is condensed with spray droplets of cooler water (potable) in adjacent condenser vessels, employing a simple design concept. We present detailed design and real seawater experiments data of a DCSEC system for the first time. The water production cost is calculated as 0.52/m3, which is one of the lowest figures reported compared to commercial processes presented by Global Water Intelligence

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Mortality of emergency abdominal surgery in high-, middle- and low-income countries

Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low- or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI). Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression. Results: Data were obtained for 10 745 patients from 357 centres in 58 countries; 6538 were from high-, 2889 from middle- and 1318 from low-HDI settings. The overall mortality rate was 1⋅6 per cent at 24 h (high 1⋅1 per cent, middle 1⋅9 per cent, low 3⋅4 per cent; P < 0⋅001), increasing to 5⋅4 per cent by 30 days (high 4⋅5 per cent, middle 6⋅0 per cent, low 8⋅6 per cent; P < 0⋅001). Of the 578 patients who died, 404 (69⋅9 per cent) did so between 24 h and 30 days following surgery (high 74⋅2 per cent, middle 68⋅8 per cent, low 60⋅5 per cent). After adjustment, 30-day mortality remained higher in middle-income (odds ratio (OR) 2⋅78, 95 per cent c.i. 1⋅84 to 4⋅20) and low-income (OR 2⋅97, 1⋅84 to 4⋅81) countries. Surgical safety checklist use was less frequent in low- and middle-income countries, but when used was associated with reduced mortality at 30 days. Conclusion: Mortality is three times higher in low- compared with high-HDI countries even when adjusted for prognostic factors. Patient safety factors may have an important role. Registration number: NCT02179112 (http://www.clinicaltrials.gov)

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

A Dual Soft-Computing Based on Genetic Algorithm and Fuzzy Logic Defect Recognition for Gearbox and Motors: Attempts Toward Optimal Performance

Motor and gearbox are considered the main components in various machines related to its supplying power and transmitting motion role. Operating machines acquire vibration signal that are continuously monitoring by sensors placing close to vibration source. This for processing and identify the machine&#x2019; components status. Breakdown of the rotating machine causes significant losses and costs, so the analysis of its vibration signals proved literately avoiding these drawbacks with effective faults diagnosis. This paper proposing two models for gearbox and motor faults identification as an attempt towards finding the optimal performance: The first developed model is a fuzzy logic (FL) based model and the other is genetic algorithm (GA) based model. The intended output of both models reduce time and cost of maintenance. It also indirectly increases the machine component&#x2019;s life. Additionally, the computational analysis proved that, concerning execution time and accuracy; and with the powerful straight forward representation for uncertainties offered by the Fuzzy Logic; it is indeed reliable, however it presented lower classification accuracy (96&#x0025; for gear box faults and 93&#x0025; for motor faults) and lower generalization schema. Yet, the proposed strategy which integrates GA and SVM recorded high performances in optimization and higher classification capabilities (97&#x0025; for both gear box and motors faults). These factors illustrate the effectiveness and optimal performance of the genetic based model

Groundwater Quality Assessment for Drinking and Irrigation Purposes at Al-Jouf Area in KSA Using Artificial Neural Network, GIS, and Multivariate Statistical Techniques

Groundwater is an essential resource for drinking and agricultural purposes in the Al-Jouf region, Saudi Arabia. The main objective of this study is to assess groundwater quality for drinking and irrigation purposes in the Al-Jouf region. Physicochemical characteristics of groundwater were determined, including total dissolved solids (TDS), pH, electric conductivity (EC), hardness, and various anions and cations. The groundwater quality index (WQI) was calculated to determine the suitability of groundwater for drinking purposes. The EC, sodium percentage (Na+ %), magnesium hazard (MH), sodium adsorption ratio (SAR), potential salinity (PS), and Kelley’s ratio (KR) were assessed to evaluate the suitability of groundwater for irrigation. Effective statistical tests and Feed-forward neural network (FFNN) modeling were applied to reveal the correlation between parameters and predict WQI. The results indicated that approximately all samples are appropriate for drinking and irrigation uses except samples of the Al Qaryat region. The ionic abundance ranking was Na+ > Ca2+ > Mg2+ > K+ for cations, and Cl− > SO42− > NO3− for anions. Moreover, the groundwater is dominated by alkali metals (K+ and Na+) and controlled by the rock–water interaction process. The indicators of groundwater quality for irrigation and drinking according to the following criteria (Na+ %, SAR, KR, MH, PS, WQI (WHO), and WQI (BIS)) can be predicted by the FFNN with root mean square errors (RMSE) of 0.136, 0.070, 0.022, 0.073, 2.45 × 10−3, 1.45 × 10−2, and 1.18 × 10−2, respectively, and R2 of 0.99, 1.00, 0.99, 0.99, 1.00, 1.00, and 1.00, respectively