Predicting the Breach Hydrograph Resulting Due to Hypothetical Failure of Haditha Dam

A hydrologic model is developed to compute the reservoir outflow hydrograph resulting from a hypothetical failure of Haditha dam located across the Euphrates river in Iraq due to enemy attack. In this program, the reservoir routing is analyzed by the level pool method in which storage is a nonlinear function of discharge. The results indicate that the maximum reservoir outflow is (202547 m3/s) which occurred about three and half hours after dam failure, and the reservoir will be depleted after about 65 hours. The results of the hydrologic model are compared with available results reported by Macdonald and Monopolis (1984), and it is found that the hydrologic results situate within the limits of their study

A randomized, controlled, double-blind crossover study on the effects of isoeffective and isovolumetric intravenous crystalloid and gelatin on blood volume, and renal and cardiac hemodynamics

Background & aimsBlood volume expanding properties of colloids are superior to crystalloids. In addition to oncotic/osmotic properties, the electrolyte composition of infusions may have important effects on visceral perfusion, with infusions containing supraphysiological chloride causing hyperchloremic acidosis and decreased renal blood flow. In this non-inferiority study, a validated healthy human subject model was used to compare effects of colloid (4% succinylated gelatin) and crystalloid fluid regimens on blood volume, renal function, and cardiac output.MethodsHealthy male participants were given infusions over 60 min > 7 days apart in a randomized, crossover manner. Reference arm (A): 1.5 L of Sterofundin ISO, isoeffective arm (B): 0.5 L of 4% Gelaspan®, isovolumetric arm (C): 0.5 L of 4% Gelaspan® and 1 L of Sterofundin ISO (all B. Braun, Melsungen, Germany). Participants were studied over 240 min. Changes in blood volume were calculated from changes in weight and hematocrit. Renal volume, renal artery blood flow (RABF), renal cortex perfusion and diffusion, and cardiac index were measured with magnetic resonance imaging.ResultsTen of 12 males [mean (SE) age 23.9 (0.8) years] recruited, completed the study. Increase in body weight and extracellular fluid volume were significantly less after infusion B than infusions A and C, but changes in blood volume did not significantly differ between infusions. All infusions increased renal volume, with no significant differences between infusions. There was no significant difference in RABF across the infusion time course or between infusion types. Renal cortex perfusion decreased during the infusion (mean 18% decrease from baseline), with no significant difference between infusions. There was a trend for increased renal cortex diffusion (4.2% increase from baseline) for the crystalloid infusion. All infusions led to significant increases in cardiac index.ConclusionsA smaller volume of colloid (4% succinylated gelatin) was as effective as a larger volume of crystalloid at expanding blood volume, increasing cardiac output and changing renal function. Significantly less interstitial space expansion occurred with the colloid

A roadmap to estimating agricultural ammonia volatilization over Europe using satellite observations and simulation data

Ammonia (NH3) is one of the most important gases emitted from agricultural practices. It affects air quality and the overall climate and is in turn influenced by long-term climate trends as well as by short-term fluctuations in local and regional meteorology. Previous studies have established the capability of the Infrared Atmospheric Sounding Interferometer (IASI) series of instruments, aboard the Metop satellites, to measure ammonia from space since 2007. In this study, we explore the interactions between atmospheric ammonia, land and meteorological variability, and long-term climate trends in Europe. We investigate the emission potential (Γsoil) of ammonia from the soil, which describes the soil–atmosphere ammonia exchange. Γsoil is generally calculated in-field or in laboratory experiments; here, and for the first time, we investigate a method which assesses it remotely using satellite data, reanalysis data products, and model simulations. We focus on ammonia emission potential in March 2011, which marks the start of growing season in Europe. Our results show that Γsoil ranges from 2 × 103 to 9.5 × 104 (dimensionless) in fertilized cropland, such as in the North European Plain, and is of the order of 10–102 in a non-fertilized soil (e.g., forest and grassland). These results agree with in-field measurements from the literature, suggesting that our method can be used in other seasons and regions in the world. However, some improvements are needed in the determination of mass transfer coefficient k (m s−1), which is a crucial parameter to derive Γsoil. Using a climate model, we estimate the expected increase in ammonia columns by the end of the century based on the increase in skin temperature (Tskin), under two different climate scenarios. Ammonia columns are projected to increase by up to 50 %, particularly in eastern Europe, under the SSP2-4.5 scenario and might even double (increase of 100 %) under the SSP5-8.5 scenario. The increase in skin temperature is responsible for a formation of new hotspots of ammonia in Belarus, Ukraine, Hungary, Moldova, parts of Romania, and Switzerland.</p

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Biosynthesis of Poly (3-hydroxybutyrate)(PHB) by Cupriavidus Necator H16 from Jatropha Oil as carbon source

Poly(3-hydroxybutyrate) (PHB) is a biodegradable polymer that can be synthesized through bacterial fermentation. In this study, Cupriavidus necator H16 is used to synthesize PHB by using Jatropha oil as its sole carbon source. Different variables mainly jatropha oil and urea concentrations, and agitation rate were investigated to determine the optimum condition for microbial fermentation in batch culture. Based on the results, the highest cell dry weight and PHB concentrations of 20.1 and 15.5 g/L, respectively, were obtained when 20 g/L of jatropha oil was used. Ethanol was used as external stress factor and the addition of 1.5 % ethanol at 38 h had a positive effect with a high PHB yield of 0.987 g PHB/g jatropha oil. The kinetic studies for cell growth rate and PHB production were conducted and the data were fitted with Logistic and Leudeking–Piret models. The rate constants were evaluated and the theoretical values were in accordance with the experimental data obtained

Kinetic Analysis on Cell Growth and Biosynthesis of Poly (3-Hydroxybutyrate) (PHB) in Cupriavidus Necator H16

Poly (3-hydroxybutyrate) (PHB) is a biodegradable polymer that can be synthesized through bacterial fermentation. In this study, Cupriavidus necator H16 was used to synthesize PHB by using jatropha oil as its sole carbon source. Experiments using 12.5 g/L of jatropha oil with the highest PHB accumulation of 8.6 g/L at 61.5hr was used to assess its kinetic pattern. Logistic and Leudeking-Piret model was used to evaluate the cell growth and PHB accumulation respectively and the theoretical values obtained corresponded well with the experimental data with slight deviation in cell growth and PHB accumulation at the end of stationary phase

Buprenorphine Initiation in the Emergency Department: a Thematic Content Analysis of a #firesidetox Tweetchat

Introduction: The height of the opioid epidemic in the USA has led to an increasing call for access to medication assisted treatment for opioid use disorder, including buprenorphine initiation from the emergency department (ED). However, only a small percentage of emergency physicians feel prepared or have the necessary training to prescribe buprenorphine. Twitter has increasingly been used as a tool for medical education, and there is growing interest in using this forum to actively engage medical providers and the public. This study examined the views regarding ED initiation of buprenorphine treatment among contributors to the quarterly American College of Medical Toxicology (ACMT) tweetchat, #firesidetox, and the demographics of the participants. Methods: A mixed methods descriptive study was conducted to analyze individual responses and self-identified demographics among Twitter users participating in the #firesidetox tweetchat regarding the ACMT position statement about ED initiation of buprenorphine treatment. Results: This tweetchat included 86 participants, the majority of whom were clinicians in the USA. Physicians accounted for 46% of participants primarily emergency medicine physician toxicologists and authored 75% of the tweets. It consisted of 317 tweets which most frequently described clinical vignettes or experience (46%) or medical education (25%) related to buprenorphine and had themes related to treatment initiation location (ED vs outpatient vs home) (8.6%) and challenges and solutions to buprenorphine administration (8.6%). Conclusions: A tweetchat can be used to disseminate and discuss the adoption of buprenorphine in the ED. Importantly, the tweetchat provides a forum for experts to share narratives and expertise on implementation and barriers and successes in operationalizing buprenorphine administration in emergency departments.NIH (Grants K23DA044874, R01DA047236