Clinico-Pathological Measures and Management of Mucinous Ovarian Cancer: Single Institutional Study

Background: Mucinous ovarian cancer is less common and less aggressive epithelial ovarian cancer, which represents 3% of epithelial ovarian cancer. Patient and methods: A retrospective descriptive analysis involving all patients with mucinous ovarian cancer who underwent surgical management or referred to National Cancer Institute (NCI), Cairo University (CU), from January 2010 to January 2020. Of 46 cases reviewed. 16 cases were excluded (10 cases had metastatic and 6 cases had incomplete data). Results: forty-six cases reviewed with median age of 48.3±18.1 years. Half of patients were in premenopausal status. Patients presented with distention with or without pain were 70% of cases, 10% of patients with abdominal mass and 6.7% of patients with bleeding. Most of cases 63.30% were diagnosed at late stages (1C and beyond). Patients had unilateral disease were 70% of cases and had elevated tumor markers were 53.3 % of cases. The most commonly elevated tumor marker was CA 125 (26.7%). Patients had comorbidities were 30% of cases. Surgery was the main line of management. Total abdominal hysterectomy and bilateral salpingo-oophorectomy plus infracolic omentectomy were done in 73.3% of patients, 6.7% underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy, 3.3% underwent cytoreductive surgery and 3.3% underwent cytoreductive surgery and 13% of patients underwent fertility sparing surgery. The role of pelvic lymphadenectomy was limited (13.3% underwent pelvic lymphadenectomy and only one patient had positive lymph node metastasis). Conclusion: The most important prognostic factors were disease stage, laterality, tumor markers and performance status

Cattaneo–Christov heat flux impacts on MHD radiative natural convection of Al2O3-Cu-H2O hybrid nanofluid in wavy porous containers using LTNE

This paper aims to examine impacts of Cattaneo–Christov heat flux on the magnetohydrodynamic convective transport within irregular containers in the presence of the thermal radiation. Both of the magnetic field and flow domain are slant with the inclination angles Ω and γ, respectively. The worked fluid is consisting of water (H2O) and Al2O3-Cu hybrid nanoparticles. The enclosures are filled with a porous medium, and the local thermal nonequilibrium (LTNE) model between the hybrid nanofluids and the porous elements are considered. Influences of various types of the obstacles are examined, namely, horizontal cold elliptic, vertical elliptic and cross section ellipsis. The solution methodology is depending on the finite volume method with nonorthogonal grids. The major outcomes revealed that the location (0.75, 0.5) is better for the rate of the flow and temperature gradients. The higher values of H* causes that the solid phase temperature has a similar behavior of the fluid phase temperature indicating to the thermal equilibrium state. Also, the fluid-phase average Nusselt number is maximizing by increasing Cattaneo–Christov heat flux factor

Performance of Pressure Grouted Helical Piles Under Monotonic Axial and Lateral Loading

The pressure grouted helical pile (PGHP) is an innovative pile foundation system that allows a significant increase in the helical pile capacity with some additional cost. The pile is constructed by applying pressurized grout during the installation of a closed ended helical pile through two grout nozzles welded to the hollow pile shaft. Torquing PGHP into the ground allows the grout nozzles to create a cavity around the pile shaft. The cavity then expands under the effect of pressurized grout and helix rotation. This thesis presents a comprehensive laboratory study and three-dimensional finite element analysis to investigate the effects of the different testing conditions, including grout nozzle configurations, soil properties, and grouting pressure on the shape and performance of PGHPs under monotonic axial and lateral loading. The experimental program includes the installation of five un-grouted helical piles and seventeen PGHPs in loose, medium, and dense sand with two different grouting pressures; 480 kPa and 690 kPa. The piles were then tested under monotonic uplift, compression, and lateral loading. The results reveal a significant increase in the PGHP’s shaft resistance over the un-grouted helical pile due to the formation of a large diameter grout column, enhanced friction angle at the pile-soil interface, and increased lateral earth pressure around the pile shaft as a result of the cavity expansion (Δr) that occurred during installation. The shape and diameter of the created grout column depend on the nozzle configuration, the relative density of the surrounding sand (R.D), and the grouting pressure used during construction (Pg). An increase in the unit end-bearing resistance is also observed due to the densification of the supporting soil and the permeation of some grout into its voids during the pile construction. Moreover, PGHPs offer a significant increase in the lateral pile capacity due to the larger shaft diameter and the existence of a disturbed soil zone around the un-grouted pile shaft. A three-dimensional (3D) finite element model was developed using ABAQUS software. The model was calibrated and verified using the experimental data set. A strong relationship was observed between Δr, Pg, and R.D. Finally, two equations are proposed to calculate the placement method coefficient (kmo) for the design of PGHPs in order to account for the influence of the novel installation technique (i.e. cavity expansion) on the surrounding soil

Assessing the performance of insulating fluids via point of statistical inference view

In this paper, the statistical inference is used in order to study the performance or aging of the insulating fluids. Transformer oil is used as an example of insulating fluids. The insulation property of insulating oil or transformer oil is lost by consumption. Breakdown tests are performed to check oil’s efficiency, but the cost of these tests is not inexpensive. Hence this statistical study aims to reduce the cost of these tests by applying statistical inference approaches to censored data. The Type-II Gumbel distribution fits well real-life data which contains failure times to breakdown of an insulating fluid between electrodes. The Type-II hybrid censored scheme is proposed to assess the study and also to reduce the cost of breakdown tests in practical tests.Publisher's Versio

Effect of drip irrigation circuits design and lateral line length on: II-flow velocity and velocity head

The objectives of the work were to study the effect of drip irrigation circuits (DIC) and lateral lines lengths (LLL) on: Flow velocity (FV) and velocity head (VH). Laboratory tests were con- ducted at Irrigation Devices and Equipments Tests Laboratory, Agricultural Engineering Research Institute, Agriculture Research Center, Giza, Egypt. The experimental design of laboratory experiments was split in randomized complete block design with three replicates. Laboratory tests carried out on three irrigation lateral lines 40, 60, 80 m (LLL1, LLL2; LLL3) under the following three drip irrigation circuits (DIC): a) one manifold for lateral lines or closed circuits with one manifold of drip irrigation system (CM1DIS); b) closed circuits with two manifolds for lateral lines (CM2DIS), and c) traditional drip irrigation system (TDIS) as a control. Concerning FV values, DIC and LLL treatments could state in the following ascending orders: TDIS \u3c CM1DIS \u3c CM2DIS and LLL1 \u3c LLL2 \u3c LLL3, respectively. FV varied from 0.593 m·sec–1 to 1.376 m·sec–1. i.e. FV \u3c 5 ft·sec–1 and this is necessary to avoid the effect of water hammer in the main and sub-main lines, but in lateral line, it can cause silt and clay precipitation problems. The differences in FV among DIC and LLL were significant at the 1% level. The effect of interaction: DIC X LLL on FV values, were significant at the 1% level. The maximum and minimum values of FV were noticed in these interactions: CM2DIS X LLL3 and TDIS X LLL1, respectively. The following ascending orders TDIS \u3c CM1DIS \u3c CM2DIS and LLL1 \u3c LLL2 \u3c LLL3 expressed their effects on VH respectively. Differences in VH among DIC and/or LLL were significant at the 1% with few exceptions. The effects of interactions: DIC X LLL on VH were significant at the 1% level in some cases. The maximum and minimum values of VH were found in the interactions: CM2DIS X LLL3 and TDIS X LLL1, respectively

Effects of drip irrigation circuit design and lateral line lengths: I—On pressure and friction loss

Laboratory tests were conducted at the Irrigation Devices and Equipment’s Test Laboratory, Agricultural Engineering Research Institute, Agriculture Research Center, Giza, Egypt. The experimental design of laboratory experiments was split in randomized complete block design with three replicates. Laboratory tests carried out on three irrigation lateral lines of 40, 60, 80 m under the following three drip irrigation circuit (DIC) designs; 1) one manifold for lateral lines or closed circuits with one manifold of drip irrigation system (CM1DIS); 2) closed circuits with two manifolds for lateral lines (CM2DIS), and 3) traditional drip irrigation system (TDIS) as a control. The aims of the work were to study the effect of drip irrigation circuits (DIC) and lateral lines lengths (LLL; where): (LLL1 = 40 m, LLL2 = 60 m, and LLL3 = 80 m) on pressure head (PH) and friction loss (FL). Regarding to LLL and according to PH values, DIC designs could be ranked in the following ascending order: TDIS \u3c CM1DIS \u3c CM2DIS. The differences in PH among DIC de-signs were significant at the 1% level. The de-pressive effects of LLL on PH could be ranked in the following ascending order: LLL1 \u3c LLL2 ≤ LLL3. Differences in PH among LLL treatments were significant at the 1% level except that be-tween LLL2 and LLL3. The effects of interactions among: DIC × LLL on PH were significant at the 1% level with some exceptions. The highest value of PH (9.5 m) and the lowest one (6.05 m) were achieved in the interactions of CM2DIS × LLL1 and TDIS × LLL3, respectively. The shapes of the energy gradient lines were affected by DIC and LLL treatments used through their effect on ΔH/H ratio. However, they followed similar trends. According to the FL values, DIC and LLL treatments could be ranked in the following descending orders TDIS \u3e CM1DIS \u3e CM2DIS and LLL1 \u3e LLL2 \u3e LLL3. The differences in FL among DIC and LLL were significant and the effects of interactions among DIC × LLL on FL were significant at the 1% level. The maximum and mi- nimum values of FL were obtained in the inter-actions: TDIS × LLL3 and CM2DIS × LLL1, respectively. Therefore, the CM2DIS system is recommended for use where technically feasible

Energy and water saving by using modified closed circuits of drip irrigation system

The aim of this research was determine the energy and water use efficiencies under the modification of closed circuit drip irrigation systems designs. Field experiments carried out on transgenic maize (GDH, LL3), (Zea Mays crop) under two types of closed circuits: a) One manifold for lateral lines or Closed circuits with One Manifold of Drip Irrigation System (CM1DIS); b) Closed circuits with Two Manifolds of Drip Irrigation System (CM2DIS), and c) Traditional Drip Irrigation System (TDIS) as a control. Three lengths of lateral lines were used, 40, 60, and 80 meters. PE tubes lateral lines: 16 mm diameter; 30 cm emitters distance, and GR built-in emitters 4 lph when operating pressure 1 bar under Two levels slope conditions 0% and 2%. Experiments were conducted at the Agric. Res. Fields., Soil and Plant & Agric. System Dept., Agric. Faculty, Southern Illinois University, Carbondale (SIUC), Illinois, USA. Under 0% level slope when using CM2DIS the increase percent of Energy Use Efficiency (EUE) were 32.27, 33.21, and 34.37% whereas with CM1DIS were 30.84, 28.96, and 27.45% On the other hand when level slope 2% were with CM2DIS 31.57, 33.14, and 34.25 while CM1DIS were 30.15, 28.98, and 27.53 under lateral lengths 40, 60 and 80 m respectively relative to TDIS. Water Use Efficiency (WUE) when level slope 0% under CM2DIS were 1.67, 1.18, and 0.87 kg/m3 compared to 1.65, 1.16, and 0.86 kg/m3 with CM1DIS and 1.35, 1.04, and 0.75 kg/m3 with TDIS whereas with level slope 2% when using CM2DIS were 1.76, 1.29, and 0.84 kg/m3 compared to 1.77, 1.30, and 0.87 kg/m3 with CM1DIS and 1.41, 1.12, and 0.76 kg/m3 (for lateral lengths 40, 60, and 80 meters respectively). Water saving percent varied widely within individual lateral lengths and between circuit types relative to TDIS. Under slope 0% level CM2DIS water saving percent values were 19.26, 12.48, and 14.03%; with CM1DIS they were 18.51, 10.50, and 12.78%; and under slope level 2% with CM2DIS they were 19.93, 13.26, and 10.38% and CM1DIS were 20.49, 13.96, and 13.23% (for lateral lengths 40, 60, 80 meters respectively). The energy use efficiency and water saving were observed under CM2DIS and CM1DIS when using the shortest lateral length 40 meters, then lateral length 60 meters, while the lowest value was observed when using lateral length 80 meters this result depends on the physical and hydraulic characteristics of the emitters, lateral line uniformity, and friction losses. CM2DIS was more energy use efficiency, EUE, water saving, and WUE than either CM1DIS or TDIS

Analysis of RC Continuous Beams Strengthened with FRP Plates: A Finite Element Model

Strengthening of reinforced concrete (RC) beams with externally bonded fibre reinforced polymer (FRP) plates/sheets technique has become widespread in the last two decades. Although a great deal of research has been conducted on simply supported RC beams, a few studies have been carried out on continuous beams strengthened with FRP composites.  This paper presents a simple uniaxial nonlinear finite-element model (UNFEM) that is able to accurately estimate the load-carrying capacity and the behaviour of RC continuous beams flexurally strengthened with externally bonded FRP plates on both of the upper and lower fibres. A 21-degree of freedom element is proposed with layer-discretization of the cross-sections for finite element (FE) modelling. Realistic nonlinear constitutive relations are employed to describe the stress-strain behaviour of each component of the strengthened beam. The FE model is based on nonlinear fracture mechanics. The interfacial shear and normal stresses in the adhesive layer are presented using an analytical uncoupled cohesive zone model with a mixed-mode fracture criterion. The results of the proposed FE model are verified by comparison with various selected experimental measurements available in the literature. The numerical results of the plated beams (beams strengthened with FRP plates) agreed very well with the experimental results. The use of FRP increased the ultimate load capacity up to 100 % compared with the non-strengthened beams as occurred in series (S). The major objective of the current model is to help engineers’ model FRP-strengthened RC continuous beams in a simple manner

Modification of water application uniformity among closed circuit trickle irrigation systems

The aim of this research was determine the ma- ximum application uniformity of closed circuit trickle irrigation systems designs. Laboratory tests carried out for Two types of closed circuits: a) One manifold for lateral lines or Closed cir-cuits with One Manifold of Trikle Irrigation Sys-tem (COMTIS); b) Closed circuits with Two Manifolds of Trikle Irrigation System (CTMTIS), and c) Traditional Trikle Irrigation System (TTIS) as a control. Three lengths of lateral lines were used, 40, 60, and 80 meters. PE tubes lateral lines: 16 mm diameter; 30 cm emitters distance, and GR built-in emitters 4 lph when operating pressure 1 bar. Experiments were conducted at the Agric. Eng. Res. Inst., ARC, MALR, Egypt. With COMTIS the emitter flow rate was 4.07, 3.51, and 3.59 lph compared to 4.18, 3.72, and 3.71 lph with CTMTIS and 3.21, 2.6, and 2.16 lph with TTIS (lateral lengths 40, 60, and 80 meters respec-tively). Uniformity varied widely within individual lateral lengths and between circuit types. Under CTMTIS uniformity values were 97.74, 95.14, and 92.03 %; with COMTIS they were 95.73, 89.45, and 83.25 %; and with TTIS they were 88.27, 84.73, and 80.53 % (for lateral lengths 40, 60, 80 meters respectively). The greatest uniformity was observed under CTMTIS and COMTIS when using the shortest lateral length 40 meters, then lateral length 60 meters, while the lowest value was observed when using lateral length 80 me-ters this result depends on the physical and hy-draulic characteristics of the emitter and lateral line. CTMTIS was more uniform than either COMTIS or TTIS. Friction losses were decreased with CTMTIS in the emitter laterals at lengths 40 meters compared to TTIS and COMTIS. There-fore, differences may be related to increased friction losses when using TDIS and COMDIS

Ureterorectostomy as a continent urinary diversion for complicated bladder exstrophy in children by using a modified Duhamel procedure: A case series

AbstractIntroductionWhatever the method and timing of surgery, a high proportion of children with bladder exstrophy will continue to suffer from urinary incontinence. They face the options of urinary diversion to an external stoma or construction of a neobladder from bowel. This study describes a modified Duhamel's rectal pouch with a ureterorectostomy was carried out on 11 children who had a failed repair of bladder exstrophy.Materials and methodsTen boys and one girl, aged from 4 to 7years (mean 5.5), had several unsuccessful operations for bladder exstrophy. All selected to have good renal function and no other anomalies, but were incontinent of urine and had a small contracted or prolapsed bladder. They underwent urinary diversion to the rectum using the Duhamel pullthrough technique, where the sigmoid colon was opened into the back of the anal canal above the dentate line, creating a rectal bladder and making use of the anal sphincter to control urine and stool. All were followed up for 24months (18–27months).ResultsIn this selected group of patients there were no major operative or postoperative complications. Follow-up for 2years revealed no deterioration in renal function, or electrolytes disturbance. They can hold up to 300ml of urine and all patients are continent during the daytime with an emptying frequency of 3–5 times. Nocturnal wetting occur some 4–8 times per month with significant decrease with time. Two cases developed pyelonephritis but this was controlled with medical treatment.ConclusionEleven children achieved effective urinary continence by ureteric diversion to the rectum using a modified Duhamel pullthrough technique. Two years follow up showed no complications, except bed wetting, but long term assessment is warranted