Mid-channel braid bar induced turbulent bursts: analysis using octant events approach

YesIn a laboratory, a model of a mid-channel bar is built to study the turbulent flow structures in its vicinity. The present study on the turbulent flow structure around a mid-channel bar is based on unravelling the fluvial fluxes triggered by the bar’s 3D turbulent burst phenomenon. To this end, the three-dimensional velocity components are measured with the help of acoustic doppler velocimetry (ADV). The results indicate that the transverse component of turbulent kinetic energy cannot be neglected when analyzing turbulent burst processes, since the dominant flow is three-dimensional around the mid-channel bar. Due to the three-dimensionality of flow, the octant events approach is used for analyzing the flow in the vicinity of the mid-channel bar. The aim is to develop functional relationships between the stable movements that are modelled in the present study. To find the best Markov chain order to present experimental datasets, the zero-, first-, and second-order Markov chains are analyzed using the Akaike information criterion (AIC) and the Bayesian information criterion (BIC). The parameter transition ratio has evolved in this research to reflect the linkage of streambed elevation changes with stable transitional movements. For a better understanding of the temporal behaviors of stable transitional movements, the residence time vs. frequency graphs are also plotted for scouring as well as for depositional regions. The study outcome herein underlines the usefulness of the octant events approach for characterizing turbulent bursts around mid-channel bar formation, which is a precursor to the initiation of braiding configuration.This research and APC was funded by King Saud University, Riyadh, Saudi Arabia through Researchers Supporting Project number (RSP-2021/297)

Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery

Background: Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery. Methods: A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a centre-specific survey of compliance to enhanced recovery principles. Secondary safety outcomes included anastomotic leak rate and acute kidney injury. Results: A total of 4164 patients were included, with a median age of 68 (i.q.r. 57\u201375) years (54\ub79 per cent men). Some 1153 (27\ub77 per cent) received NSAIDs on postoperative days 1\u20133, of whom 1061 (92\ub70 per cent) received non-selective cyclo-oxygenase inhibitors. After adjustment for baseline differences, the mean time to gastrointestinal recovery did not differ significantly between patients who received NSAIDs and those who did not (4\ub76 versus 4\ub78 days; hazard ratio 1\ub704, 95 per cent c.i. 0\ub796 to 1\ub712; P = 0\ub7360). There were no significant differences in anastomotic leak rate (5\ub74 versus 4\ub76 per cent; P = 0\ub7349) or acute kidney injury (14\ub73 versus 13\ub78 per cent; P = 0\ub7666) between the groups. Significantly fewer patients receiving NSAIDs required strong opioid analgesia (35\ub73 versus 56\ub77 per cent; P < 0\ub7001). Conclusion: NSAIDs did not reduce the time for gastrointestinal recovery after colorectal surgery, but they were safe and associated with reduced postoperative opioid requirement