Sustainable Urban Revitalization within a Historical Urban Neighborhood-A useful Approach to Complete

The historically important urban neighborhoods are practically a significant entity, a rich reservoir of social and economical milieu and cultural inheritance. Though, it faces many problems due to the rapid growth of population and the steady increases in the new requirements with concern of decompose this historical urban neighborhood. Presently sustainable urban revitalization is a theory to integrate inclusive concept of sustainability into urban revitalization process. Therefore to fix up such theory into true practices, a useful approach of urban revitalization planning should be worked out at the start. To work out how urban design would affect inclusive sustainable theory i.e. economy, environment, social equity and cultural values of urban revitalization schemes within Boro Bazaar Area (Khulna city, Bangladesh), a study investigating this issue is initiated. The paper highlights different approaches and strategies taken by different interview, questionnaire and field survey towards the methodologies of assessing, refurbishing and adding new value to the study areas, in view of increasing not only the quality of economical and social significance but also the quality of public spaces and services, for a better excellence of life of the society and neighbourhood.It is also believed that the research findings of this paper can strengthen the understanding of local developers, urban designers and government officials on how to plan a sustainable urban revitalization scheme afterwards

Quiet in the Operating Room! Team STEPPS and OR Distractions

Background and Objective: From the moment that a patient enters the operating room to the time that they are brought to the post anesthesia care unit, a distraction has the potential to lead to an adverse outcome for the patient. During the critical portions of the surgery, it is even more important for all members of the operating staff to be focused and engaging in safe practices. Distractions in the operating room can hinder safe communication and potentially endanger patient safety. Team training has been shown to both improve team communication and reduce distractions. The objective of this project was using Team STEPPS training to reduce distractions during the critical portions of surgery, defined as the time of anesthesia induction, the time out, and the time of emergence from anesthesiahttps://jdc.jefferson.edu/patientsafetyposters/1060/thumbnail.jp

First record of the North American cryptic invader Ferrissia fragilis (Tryon, 1863) (Mollusca: Gastropoda: Planorbidae) in the Middle East

Some gastropod specimens belonging to the planorbid genus Ferrissia were recently collected in Lebanon and in Iraq, where the autochthonous species Ferrissia clessiniana (Jickeli, 1882) is supposed to occur. The molecular identification of collected specimens proved that they belong to the allochthonous species Ferrissia fragilis (Tryon, 1863), the protagonist of a dramatic cryptic invasion which is of interest to the whole of Eurasia. These findings cast further doubts on the actual existence of autochthonous Ferrissia species in the Palaearctic. The need for a molecular characterisation of the topotypical population of F. clessiniana, and for a revision of the Palaearctic Ferrissia species, is stressed

Evaluating the Surgeons' Perception of Difficulties of Two Techniques to Perform STARR for Obstructed Defecation Syndrome: A Multicenter Randomized Trial.

BACKGROUND After initial enthusiasm in the use of a dedicated curved stapler (CCS-30 Contour Transtar) to perform stapled transanal rectal resection (STARR) for obstructed defecation syndrome (ODS), difficulties have emerged in this surgical technique. OBJECTIVE First, to compare surgeons' perception of difficulties of STARR performed with only Transtar versus STARR performed with the combined use of linear staplers and Transtar to cure ODS associated with large internal prolapse and rectocele; second, to compare the postoperative incidence of the urge to defecate between the 2 STARR procedures. DESIGN AND SETTING An Italian multicenter randomized trial involving 25 centers of colorectal surgery. PATIENTS Patients with obstructed defecation syndrome and rectocele or rectal intussusception, treated between January and December 2012. INTERVENTIONS Participants were randomly assigned to undergo STARR with a curved alone stapler (CAS group) or with the combined use of linear and curved staplers (LCS group). MAIN OUTCOME MEASURES Primary end-points were the evaluation of surgeons' perception of difficulties score and the incidence of the "urge to defecate" at 3-month follow up. Secondary end-points included duration of hospital stay, rates of early and late complications, incidence of "urge to defecate" at 6 and 12 months, success of the procedures at 12 months of follow-up. RESULTS Of 771 patients evaluated, 270 patients (35%) satisfied the criteria. Follow-up data were available for 254 patients: 128 patients (114 women) in the CAS group (mean age, 52.1; range, 39-70 years) and 126 (116 women) in LCS group (mean age, 50.7 years; range, 41-75 years). The mean surgeons' perception score, was 15.36 (SD, 3.93) in the CAS group and 12.26 (SD, 4.22) in the LCS group (P < .0001; 2-sample t test). At 3-month follow-up, urge to defecate was observed in 18 (14.6%) CAS group patients and in 13 (10.7%) LCS group patients (P = .34; Fisher's exact test). These values drastically decrease at 6 months until no urge to defecate in all patients at 12 months was observed. At 12-month follow-up, a successful outcome was achieved in 100 (78.1%) CAS group patients and in 105 (83.3%) LCS group patients (P = .34; Fisher's exact test). No significant differences between groups were observed in the hospital stay and rates of early or late complications occurring after STARR. CONCLUSIONS STARR with Transtar associated with prior decomposition of prolapse, using linear staplers, seems to be less difficult than that without decomposition. Both procedures appear to be safe and effective in the treatment of obstructed defecation syndrome resulting in similar success rates and complications

Surgical Apgar Score (SAS) Predicts Perioperative Morbidity and Length of Stay in Patients Undergoing Esophagectomy at a High-Volume Center

Background: Esophagectomy is a procedure that carries considerable morbidity. Many studies have evaluated factors to predict patients at risk and improve clinical outcomes. The aim of this study was to determine whether the SAS predicts complications, length of stay, and anastomotic leak for patients undergoing esophagectomy at a high-volume institution.https://jdc.jefferson.edu/surgeryposters/1002/thumbnail.jp

Coordination of Mobile Mules via Facility Location Strategies

In this paper, we study the problem of wireless sensor network (WSN) maintenance using mobile entities called mules. The mules are deployed in the area of the WSN in such a way that would minimize the time it takes them to reach a failed sensor and fix it. The mules must constantly optimize their collective deployment to account for occupied mules. The objective is to define the optimal deployment and task allocation strategy for the mules, so that the sensors' downtime and the mules' traveling distance are minimized. Our solutions are inspired by research in the field of computational geometry and the design of our algorithms is based on state of the art approximation algorithms for the classical problem of facility location. Our empirical results demonstrate how cooperation enhances the team's performance, and indicate that a combination of k-Median based deployment with closest-available task allocation provides the best results in terms of minimizing the sensors' downtime but is inefficient in terms of the mules' travel distance. A k-Centroid based deployment produces good results in both criteria.Comment: 12 pages, 6 figures, conferenc

Detection of the pairwise kinematic Sunyaev-Zel'dovich effect with BOSS DR11 and the Atacama Cosmology Telescope

We present a new measurement of the kinematic Sunyaev-Zeldovich effect using data from the Atacama Cosmology Telescope (ACT) and the Baryon Oscillation Spectroscopic Survey (BOSS). Using 600 square degrees of overlapping sky area, we evaluate the mean pairwise baryon momentum associated with the positions of 50,000 bright galaxies in the BOSS DR11 Large Scale Structure catalog. A non-zero signal arises from the large-scale motions of halos containing the sample galaxies. The data fits an analytical signal model well, with the optical depth to microwave photon scattering as a free parameter determining the overall signal amplitude. We estimate the covariance matrix of the mean pairwise momentum as a function of galaxy separation, using microwave sky simulations, jackknife evaluation, and bootstrap estimates. The most conservative simulation-based errors give signal-to-noise estimates between 3.6 and 4.1 for varying galaxy luminosity cuts. We discuss how the other error determinations can lead to higher signal-to-noise values, and consider the impact of several possible systematic errors. Estimates of the optical depth from the average thermal Sunyaev-Zeldovich signal at the sample galaxy positions are broadly consistent with those obtained from the mean pairwise momentum signal.Comment: 15 pages, 8 figures, 2 table

International Respiratory Infections Society COVID Research Conversations: Podcast 1 with Dr. Francesco Blasi

Section(s) Topics 1–2 Introductions 3 Foundations of best practice 4 COVID-19 as stimulus for innovation 5 Adapting and evolving therapeutic approach 6 Age and comorbidities as risk factors 7 Over-capacity ICU 8 Adapting the ER for COVID-19 9 Training personnel for COVID-19 10 Psychological support, healthcare heroes, and COVID fatigue 11 Increased oxygen requirement 12–13 Milan’s multi-disciplinary unit 14 Standardizing respiratory support measures 15 Nutrition, sedation, and life support 16 CPAP successes and failures 17 Prone and lateral positioning of patients on CPAP 18 Different COVID-19 phenotypes? 19 Thromboembolism risk score, age, and comorbidities 20 Cardiorespiratory considerations: hypertension, echocardiography 21 Thrombosis and thromboembolism 22 Hypertension and anti-hyperintensive drugs 23 Inflammation and steroid therapies 24 Lung transplantation 25 Possible genetic risk factors 26 Dr. Blasi’s summary 27–28 Hypertension and COVID-19 pneumonia 29–30 Smoking, COPD, bronchiectasis, and cystic fibrosis 31–35 Pathophysiology of COVID-19; treatment with steroids 36–39 Lung transplantation in the Time of COVID 40–41 “COVID fatigue” 42–43 Vaccination 44–45 Thanks and sign-of

Two-Loop Soft Corrections and Resummation of the Thrust Distribution in the Dijet Region

The thrust distribution in electron-positron annihilation is a classical precision QCD observable. Using renormalization group (RG) evolution in Laplace space, we perform the resummation of logarithmically enhanced corrections in the dijet limit, $T\to 1$ to next-to-next-to-leading logarithmic (NNLL) accuracy. We independently derive the two-loop soft function for the thrust distribution and extract an analytical expression for the NNLL resummation coefficient $g_3$. To combine the resummed expressions with the fixed-order results, we derive the $\log(R)$-matching and $R$-matching of the NNLL approximation to the fixed-order NNLO distribution.Comment: 50 pages, 12 figures, 1 table. Few minor changes. Version accepted for publication in JHE