Challenges of Establishing a de novo Consultation-Liaison Psychiatry Service in a Tertiary Hospital: Practical considerations and challenges

Consultation-liaison psychiatry (CLP), also known as psychosomatic medicine, is a subspecialty of psychiatry that focuses on the care of patients with mental health disorders and general medical/surgical conditions. Integrating CLP services facilitates diagnosis and management of patients with complex comorbidities. This article aimed to report the practical considerations and challenges associated with establishing a de novo CLP service in a tertiary hospital in the Gulf region. This includes discussing the rationale and clinical and educational benefits as well as the resources required for establishing a CLP service.Keywords: Psychiatry; Medical Education

A review on the vibration analysis for a damage occurrence of a cantilever beam

Identification of defects in structures and its components is a crucial aspect in decision making about their repair and total replacement. Failure to detect the faults has various consequences, and sometimes may lead to a catastrophic failure. The conducted research work reported analytical and experimental investigations on the effects of a crack on the cantilever steel beam with circular cross section. The objective of this review is to quantify and to determine the extent of the damage magnitude and the location of the cantilever beams. In analytical study, finite element method (FEA) software was used in developing the model. The results showed that, by monitoring the change of the natural frequency it is a feasible and viable tool to indicate the damage occurrence and magnitude. Unlike for small crack depth, the natural frequencies are not a good damage detector. Mode shapes indicated good sensitivity to detect the damage magnitude for all crack parameters. Frequency Reduction Index (FRI) and Modal Assurance Criteria (MAC) were found to be in order a feasible tool to find the magnitude of the damage in beam structures. While, Coordinate Modal Assurance Criteria (COMAC) and Curvature Change Index (CCI) were used to predict the location of the crack tested beams and proved to be feasible

Material characterization of Guadua bamboo and the environmental feasibility of structural bamboo products

Thesis (S.B.)--Massachusetts Institute of Technology, Dept. of Materials Science and Engineering, 2013.This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.Cataloged from student-submitted PDF version of thesis.Includes bibliographical references (p. 52-55).Bamboo has long been used in vernacular construction because of its high strength, rapid growth rate, and global abundance. Bamboo is increasingly being used in contemporary architecture as a sustainable alternative to wood and other building materials. Forming bamboo into a structural composite can improve mechanical performance, durability, and joining, which can open up new structural applications and design possibilities as well as remove the stigma that bamboo is the "poor man's timber". This study aims to characterize the radial and longitudinal variation in the microstructure and mechanical properties of Guadua bamboo (Guadua angustifolia kunth) in order to inform efficient material use in a composite. The study found a linear relationship between the MOE, MOR, and compression strength with density. Through analysis of micrographs, the density was correlated to the area fraction of sclerenchyma fiber sheaths. Results from nanoindentation confirmed that the fiber properties did not vary with position. Further the environmental impact in the form of exhaustion of energy found that processed bamboo had a mechanical advantage over raw bamboo culm and lower energy input in manufacturing but superior performance in comparison to wood composites.by Arfa N. Aijazi.S.B

Structural and Stratigraphic 3D Seismic Study of NahrUmr and Zubair Formations in Kifl oil field _ center of Iraq

This research is a reflection seismic study (structural and stratigraphic) of a 268.7 km2 area located in the central Iraq within the Karbala province (Kifl area). The study area was interpreted by using 3-D seismic data from Oil Exploration Company. Synthetic traces are prepared by using available data of the four wells (Kf-1), (Kf-2), (Kf-3) and (Kf-4), in order to define and piking the reflector on seismic section, These reflector are: (NahrUmr, Shuaiba, Zubair and Ratawi Formations) which are deposited during the lower cretaceous age. Faults were picked using instantaneous phase attribute of seismic section across 3D seismic volume of the studied reflectors. The study area affected by a major fault and minor normal faults, Two faults system has been observed in the study area; the major normal fault of (NW-SE) trending and minor normal faults of (NE-SW) trending, with a small displacement are influenced the studied reflectors. The time slices were studied across 3D seismic volume of the studied reflector, they proved the presence the structural anticline at lower cretaceous reflection level. Time, velocity and depth maps are prepared depending on the structural interpretation of the picked reflectors, the structural interpretation of these reflectors shows a structural anticline extending in NW-SE trend and plunges to the south east, and the general dip towards the east. Using seismic attribute techniques including (instantaneous frequency, RMS amplitude maps and reflection strength section), these attributes showed decreasing in frequency, amplitude and strength values. These reflect rocks of low velocity and indicate the presence of hydrocarbon accumulation area. The study of seismic facies of the picked reflectors distinction parallel seismic configuration. The results shows the Zubair and NahrUmrfacies are clastic depositional system deposited on delta platform, Zubair represents delta platform facies consisting of shallow- water, high-energy marine (delta sandstone, channel-fill sandstones).Pinch out are picked and interpreted by using cosine instantaneous phase attributes, these phenomena can be regarded as Pinch out stratigraphical traps. It's the main factor to explain the difference in thickness of the oil column between well Kf-4 and well Kf-1. Mound and Flat spot phenomenon has been observed within Zubair reflector by using the seismic composite attributes (Band bass filter on an instantaneousphase attributes, as mound stratigraphic traps and flat spot which is represent of Direct Hydrocarbon Indicators (DHI) that refers to the presence of hydrocarbons. Where the use of this techniques has helped to identify the (DHI) for hydrocarbon accumulation and have not been previously identified.Finally 3D seismic model for Kifl field show the extension of structural anticline and its plunge and the distribution of hydrocarbons accumulations in the Kifl field

LEAD AND CADMIUM DETOXIFICATION BY HALOPHILIC BACTERIA ISOLATED FROM SOLAR SALTERNS IN LEBANON

Water contamination by heavy metals has gained considerable attention globally. These inorganic pollutants can enter the aquatic environments via different routes thereby threatening biodiversity and human health. Lead and cadmium are hazardous pollutants where their removal by traditional techniques is identified to be costly and ineffective. However, bioremediation by extremophilic microorganisms is considered to be a promising technique as they have considerable potentials to grow in harsh environmental conditions. The present study deals with the isolation of halophilic bacterial isolates from solar salterns in North Lebanon. The isolate H1S9 was identified as Halomonas venusta H9 after showing tolerance to 500 mg L-1 of lead and cadmium. Conductivity and Fourier Transform Infrared spectroscopy showed that Pb2+ and Cd2+ were removed by Halomonas venusta H9. Transmission Electron Microscopy demonstrated the ability of Halomonas venusta H9 biomass to bioaccumulate Pb2+ and Cd2+ from aqueous solution into the cells. The factors affecting the bioaccumulation process were investigated

Stunting and Combined Overweight with Stunting Among Schoolchildren in Kuwait: Trends Over a 13-Year Period

Objectives: This study aimed to investigate the sex- and age-specific trends of stunting and combined overweight with stunting among schoolchildren over a 13-year period in Kuwait. Subjects and Methods: The Kuwait Nutrition Surveillance System objectively measured the height of 172,573 schoolchildren (5–19 years) over a 13-year period (2007–2019). Data on gender and date of birth were extracted from school records. Stunting was defined as height 2 standard deviations (SD) below the World Health Organization growth reference median. Logistic regression models were used to examine the trends of stunting over the study period while stratifying by gender. Results: In males, the prevalence of stunting increased from 2.46% in 2007 to 4.18% in 2019 (p for trend p = 0.009, but not females, AOR 0.89 (95% CI: 0.73–1.07); p = 0.176. Although not statistically significant, there was a tendency for the odds of combined overweight with stunting to increase in males, AOR 1.65 (95% CI: 0.90–3.04); p = 0.087, but not females, AOR 1.13 (95% CI: 0.88–1.45); p = 0.248. Conclusion: Although the prevalence of stunting and combined stunting with overweight is low, there is an emerging upward trend in schoolboys that warrants further investigation and monitoring. This highlights the need for gender-specific interventions to reduce nutritional abnormalities in high-income countries in the Middle East countries like Kuwait

Pathogenicity of Helminthosporium rostrata on rice varieties widely grown in Morocco

The plants of rice varieties (Arco, Thaibonnet and Elio) were inoculated with three isolates of Helminthosporium rostrata (HR1 HR2 and HR3), isolated for the first time in Morocco from the rice seed of Taibonnet variety at the end of the growing season. The results obtained showed that all the isolates are able to induce the disease on rice plants and sporulate on the foliar lesions. HR1, HR2 and HR3 was respectively the most pathogenic on Elio (I.C = 113), Arco (I.C = 212.5), and Taibonnet (130.48). The symptoms induced by the isolates are similar to those induced by Helminthosporium sativum on rice