Optimal allocation of a wind turbine and battery energy storage systems in distribution networks based on the modified BES-optimizer

Recently, incorporating renewable energy resources (RERs) like wind turbines (WTs) in a distribution network is rapidly increased to meet the load growth. However, distribution networks have been facing many challenges to withstand the intermittent output power of RERs. Battery energy storage (BES) is used with RERs to smoothly inject the output power to the grid by RERs. Therefore, this paper proposes an effective strategy for optimal allocation of WT and BES in RDS to decrease the total system losses. In addition, a modified bald eagle search (BES-optimizer) is proposed to obtain the preferable allocations of WT and BES simultaneously in the radial distribution system (RDS) considering the probabilistic distribution of the WT and load demand. IEEE 69-bus RDS is utilized as a test system. Based on the obtained results, installing WTs with BES gives better results than installing WTs alone in the RDS. However, the proposed algorithm proved its efficiency to obtain the best global results compared with other well-known techniques

Assessment and Management of Atopic Dermatitis in Primary Care Settings

An increasingly common chronic inflammatory skin condition is atopic dermatitis (AD). It exhibits severe itching as well as recurring eczematous lesions. New difficulties for treatment selection and approach occur with the expansion of available therapy alternatives for healthcare professionals and patients.  The article highlights recent developments in scientific research on atopic dermatitis diagnosis and assessment that have led to the identification of novel therapeutic targets and the development of targeted therapies, both of which have the potential to completely change the way AD is treated, particularly in a primary care setting

Association between rhesus and ABO blood group types and their impact on clinical outcomes in critically ill patients with COVID-19: A multi-center investigation

Background: There is increasing evidence suggesting that ABO blood type may play a role in the immunopathogenesis of COVID-19 infection. In addition to ABO blood type, the Rhesus (Rh) factor has also been implicated in various disease processes. Therefore, our study aimed to assess the association between both ABO and Rh blood types in critically ill patients with COVID-19 and their clinical outcomes. Methods: A multicenter retrospective cohort study conducted in Saudi Arabia between March 1, 2020, and July 31, 2021, involving adult COVID-19 patients admitted to Intensive Care Units, aimed to explore potential associations between rhesus blood group types (Positive versus Negative) and clinical outcomes. The primary endpoint assessed was the hospital length of stay (LOS). Other endpoints were considered secondary. Results: After propensity score matching (3:1 ratio), 212 patients were included in the final analysis. The hospital length of stay was longer in a negative Rh blood group compared with patients in the Rh-positive group (beta coefficient 0.26 (0.02, 0.51), p = 0.03). However, neither 30-day mortality (HR 0.28; 95% CI 0.47, 1.25, p = 0.28) nor in-hospital mortality (HR 0.74; 95% CI 0.48, 1.14, p = 0.17) reached statistical significance. Additionally, among the different ABO types, the A+ blood group exhibited a higher proportion of thrombosis/infarction and in-hospital mortality (28.1% and 31.2%, respectively). Conclusion: This study highlights the potential impact of blood group type on the prognosis of critically ill patients with COVID-19. It has been observed that patients with a negative Rh blood group type tend to have a longer hospital stay, while their mortality rates and complications during ICU stay are similar to the patients with a Rh-positive group

SARS-CoV-2 susceptibility and COVID-19 disease severity are associated with genetic variants affecting gene expression in a variety of tissues

Variability in SARS-CoV-2 susceptibility and COVID-19 disease severity between individuals is partly due to genetic factors. Here, we identify 4 genomic loci with suggestive associations for SARS-CoV-2 susceptibility and 19 for COVID-19 disease severity. Four of these 23 loci likely have an ethnicity-specific component. Genome-wide association study (GWAS) signals in 11 loci colocalize with expression quantitative trait loci (eQTLs) associated with the expression of 20 genes in 62 tissues/cell types (range: 1:43 tissues/gene), including lung, brain, heart, muscle, and skin as well as the digestive system and immune system. We perform genetic fine mapping to compute 99% credible SNP sets, which identify 10 GWAS loci that have eight or fewer SNPs in the credible set, including three loci with one single likely causal SNP. Our study suggests that the diverse symptoms and disease severity of COVID-19 observed between individuals is associated with variants across the genome, affecting gene expression levels in a wide variety of tissue types

A first update on mapping the human genetic architecture of COVID-19

peer reviewe

Abdominal aorta measurements by a handheld ultrasound device compared with a conventional cart-based ultrasound machine

BACKGROUND: Ultraportable or pocket handheld ultrasound devices (HUD) may be useful for large-scale abdominal aortic aneurysm screening. However, the reproducibility of measurements has not been compared with conventional cart-based ultrasound machines. OBJECTIVES: Investigate the intra- and inter-operator reproducibility of a HUD compared with a conventional ultrasound machine for aortic screening. DESIGN: Analytical, cross-sectional. SETTING: Ultrasound department at a large tertiary care hospital in Riyadh. PATIENTS AND METHODS: Eligible male participants aged ≥60 years were invited to participate upon arriving for a non-vascular ultrasound appointment. Three repeated anteroposterior measurements of the transverse aorta were made at the proximal and distal locations for each machine before repeating the measurements on a subset of participants by a second blinded operator. Intraclass correlation coefficients (ICC) and the Bland-Altman method were used to analyze reproducibility. MAIN OUTCOME MEASURE: Inter-system and intra- and inter-operator ICCs. SAMPLE SIZE: 114 males with repeated measurements by second operator on a subset of 35 participants. RESULTS: The median age (interquartile range) of participants was 68 years (62–74 years). The intra- and inter-operator ICCs were all &gt;0.800 showing almost perfect agreement except for the inter-operator reproducibility at the proximal location using a conventional machine (ICC= 0.583, P =.007) and the Butterfly device (ICC=0.467, P =.037). The inter-system ICCs (95% CI) were 0.818 (0.736–0.874) and 0.879 (0.799–0.924) at the proximal and distal locations, respectively. The mean difference in aortic measurement between the ultrasound systems was 0.3 mm (1.7%) in the proximal location and 0.6 mm (3.6%) in the distal location. In total, &gt;91% of the difference in measurements between the machines was &lt;3 mm. The mean scanning time was 4:16 minutes for the conventional system and 3:53 minutes for the HUD ( P =.34). CONCLUSIONS: Abdominal aortic screening using a HUD was feasible and reliable compared with a conventional ultrasound machine. A pocket HUD should be considered for large-scale screening. LIMITATIONS: No cases of abdominal aortic aneurysm in the sample and lack of blinding. CONFLICT OF INTEREST: None. </jats:sec

Improving the Control Strategy of the DVR Compensator Based on an Adaptive Notch Filter with an Optimized PD Controller Using the IGWO Algorithm

One of the objectives of electrical distribution networks is to provide customers with access to high-quality electricity. Because any disruptions in these systems result in voltage disorders, different devices are employed to offset these disruptions on consumers who are more susceptible. One of the most important and contemporary pieces of equipment that is connected in series with the network is dynamic voltage restoration (DVR), which shields delicate loads from network voltage issues by injecting the proper voltage. This article presents a DVR control scheme optimized with improved grey wolf optimization (IGWO) that uses a proportional derivative (PD) controller and adaptive notch filter (ANF). The output LC filter’s resistance has been removed, and the control system has actively engaged in oscillation damping in order to accelerate dynamic responsiveness and lower system losses. The major component of the voltage, which comprises its frequency, amplitude, and phase, is extracted using ANF. The capacitor current of the output filter in this structure is fed back to the control system and from the current mode control in the inner loop to boost stability. Owing to the occasionally complex dynamic behavior in distribution networks, particularly during a fault, the system’s frequency response has been altered and response speed has been accelerated using the PD controller. This kind of controller is distinguished by its accurate functioning in the presence of frequency deviations and its swifter dynamic reaction in the face of voltage swell and sag. In order to improve the THD and voltage sag indicators of the sensitive load, the PD coefficients were adjusted using the IGWO algorithm. As a consequence, the simulation results demonstrated that the suggested controller performed better than traditional controllers

Optimal allocation of a wind turbine and battery energy storage systems in distribution networks based on the modified BES-optimizer

Recently, incorporating renewable energy resources (RERs) like wind turbines (WTs) in a distribution network is rapidly increased to meet the load growth. However, distribution networks have been facing many challenges to withstand the intermittent output power of RERs. Battery energy storage (BES) is used with RERs to smoothly inject the output power to the grid by RERs. Therefore, this paper proposes an effective strategy for optimal allocation of WT and BES in RDS to decrease the total system losses. In addition, a modified bald eagle search (BES-optimizer) is proposed to obtain the preferable allocations of WT and BES simultaneously in the radial distribution system (RDS) considering the probabilistic distribution of the WT and load demand. IEEE 69-bus RDS is utilized as a test system. Based on the obtained results, installing WTs with BES gives better results than installing WTs alone in the RDS. However, the proposed algorithm proved its efficiency to obtain the best global results compared with other well-known techniques.</jats:p

Free versus pedicled flaps for hand reconstruction: A systematic review and meta-analysis

Background: Hand reconstruction is a critical component of plastic surgery, addressing congenital, traumatic, and degenerative conditions. Free and pedicled flaps are commonly used for hand defect repair. Aim: This systematic review was to compare the outcomes of free versus pedicled flaps in hand reconstruction. Methods: a search was conducted in October 2024 across PubMed, Web of Science, and Ovid MEDLINE using keywords such as “free tissue flaps,” “pedicled flaps,” and “hand reconstruction.” Eligible studies included randomized controlled trials, cohort studies, and clinical trials. Data on flap survival, complications, and patient satisfaction were extracted independently. Results: Nine studies involving 839 hands were included. Free flaps had a lower revision surgery rate (24 % vs. 61 %), while pedicled flaps showed fewer infections (8 % vs. 13 %) and less flap necrosis (8 % vs. 9 %). Conclusion: Free flaps offer lower revision rates, while pedicled flaps present fewer complications. This systematic review represents level III evidence