2D materials for Magnetic and Optoelectronic Sensing Applications

In the last decade, the emerging classes of two-dimensional (2D) materials have been studied as potential candidates for various sensing technologies, including magnetic and optoelectronic detectors. Within the quickly growing portfolio of 2D materials, graphene and semiconducting transition metal dichalcogenides (TMDs) have emerged as attractive candidates for various sensor applications because of their unique properties such as extreme thickness, excellent electrical and optical properties. In this thesis, I have exploited the unique properties of graphene and TMDs materials to develop 2D detectors based on field effect transistors for sensing magnetic field and light. In the first part of this thesis I have shown how the sensitivity of the properties of 2D materials to their surrounding environment can be turned into a feature useful to create new types of magnetic field sensors. The first experimental demonstration of this concept involved the use of graphene deposited on hexagonal Boron Nitride (h-BN), where the inevitable contaminations occurring at the interface of the two materials was used to generate a large magnetoresistance (MR) for a magnetic field sensor. Specifically, I have demonstrated that the contaminations generate an inhomogeneity in the carrier mobility throughout the channel, which is a required ingredient for magnetic field sensing based on linear magnetoresistance (LMR). Another approach I used to make a LMR sensor was by exploiting the large dependence of the mobility in graphene on the Fermi level position. This concept was used to generate two parallel electron gases with different mobility by tuning the Fermi level with an electrical field employing a field effect transistor. The second part of the thesis is focussed on strategies to reduce the impact of the surrounding environment on the properties of 2D materials in order to improve their performance. In particular, I used a 2D heterostructure encapsulated in an ionic polymer to makeii a highly responsive graphene-TMD photodetector. In this device, the ionic polymer covering the heterostructure was employed to screen the long-lived charge traps that limit the speed of such detectors, resulting in a drastic improvement of the detector responsivity properties. Finally, some of the 2D materials properties are very sensitive to the configuration of the electronics measurement setup. For example, effects behind spintronic and valleytronic concepts require non-local electrical transport measurement. We built a novel circuit that enables the detection of such effects without concern about the spurious contributions.The Higher Committee For Education Development in Iraq (HCED

Strategy for the management of diabetic macular edema: the European Vitreo-Retinal Society macular edema study

Objective. To compare the efficacy of different therapies in the treatment of diabetic macular edema (DME). Design. Nonrandomized, multicenter clinical study. Participants. 86 retina specialists from 29 countries provided clinical information on 2,603 patients with macular edema including 870 patients with DME. Methods. Reported data included the type and number of treatment(s) performed, the pre-and posttreatment visual acuities, and other clinical findings.The results were analyzed by the French INSEE (National Institute of Statistics and Economic Studies). Main Outcome Measures. Mean change of visual acuity and mean number of treatments performed. Results.The change in visual acuity over time in response to each treatment was plotted in second order polynomial regression trend lines. Intravitreal triamcinolone monotherapy resulted in some improvement in vision. Treatmentwith threshold or subthreshold grid laser also resulted in minimal vision gain. Anti-VEGF therapy resulted in more significant visual improvement. Treatment with pars plana vitrectomy and internal limiting membrane (ILM) peeling alone resulted in an improvement in vision greater than that observed with anti-VEGF injection alone. In our DME study, treatment with vitrectomy and ILM peeling alone resulted in the better visual improvement compared to other therapies

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Ruptured Globe due to a Bird Attack

Introduction: Bird attacks are in general an uncommon event. To our knowledge, this is the first reported case in Bahrain. There have been very few cases reported worldwide. Mainly, birds attack humans as retaliation to threats surrounding their environment. At certain occasions, bird attack frequency increases especially during mating season or in the presence of a threat toward their young. Methods: A 31-year-old male presented with a history of left-eye trauma, loss of vision, pain and tearing for 2 hours. A left corneal penetrating laceration and traumatic cataract were diagnosed. The corneal laceration was closed surgically, the lens was aspirated and anterior vitrectomy performed. Results: After 4 months of follow-up, penetrating keratoplasty and posterior chamber intraocular lens implantation were performed elsewhere. The patient's vision improved from hand motion in his left eye to 20/200 without correction. Conclusion: Corneal perforation secondary to a bird injury can be treated successfully with surgical closure and broad intravenous antibiotic coverage. This rare type of ocular trauma does not require any specific additional measures

Aerodynamic Performance Analysis of Trailing Edge Serrations on a Wells Turbine

The primary objective of this investigation was to explore the aerodynamic impact of adding trailing edge serrations to a Wells turbine. The baseline turbine consists of eight NACA 0015 blades. The blade chord length was 0.125 m and the span was 0.100 m. Two modified serrated blade configurations were studied: (1) full-span, and (2) partial-span covering 0.288c of the trailing edge. The numerical simulations were carried out by solving the three-dimensional, incompressible steady-state Reynolds Averaged Navier-Stokes (RANS) equations using the k-ω SST turbulence model in ANSYS™ (CFX). The aerodynamic performance of the modified Wells turbine was compared to the baseline by calculating non-dimensional parameters (i.e., torque coefficient, pressure drop coefficient, and turbine efficiency). A comparison of the streamlines was performed to analyze the flow topology around the turbine blades for a flow coefficient range of 0.075 ≤ ϕ ≤ 0.275, representing an angle of attack range of 4.29° ≤ α ≤ 15.3°. The trailing edge serrations generated a substantial change in surface pressure and effectively reduced the separated flow region, thus improving efficiency in most cases. As a result, there was a modest peak efficiency increase of 1.51% and 1.22%, for the partial- and full-span trailing edge serrations, respectively

Adjuvant Use of Melatonin with Fluoxetine for Management of Fibromyalgia

Fibromyalgia (FMS) is a chronic musculoskeletal disorder characterized by generalized muscular pain and tenderness at specific anatomical sites. Although melatonin was effective in treating the pain associated with this syndrome, no defined clinical evidence supports this claim. The present study was designed to evaluate the clinical significance of using melatonin, alone or in combination with fluoxetine in FMS. A double-blind clinical study was conducted on 45 patients with FMS randomized into 4 groups; group A, treated with fluoxetine 20mg/day alone; group B, treated with melatonin 5mg alone; group C, treated with combination of fluoxetine 20 mg+3 mg melatonin; group D treated with combination of fluoxetine 20 mg+5 mg melatonin. Both fluoxetine and melatonin were given once daily in the morning and night time respectively for 8 weeks. Each patient clinically evaluated using Fibromyalgia Impact Questionnaire (FIQ). Serum levels of serotonin, malondialehyde and nitric oxide were also evaluated. Using melatonin (3 and 5mg/day) in combination with 20mg/day fluoxetine significantly decreased total FIQ score values; the combination therapy significantly decreased serum serotonin level associated with reduction in the oxidative stress parameters (MDA and NO). In conclusion, adjuvant use of melatonin with fluoxetine improves the biochemical and clinical parameters of FMS patients. [Med-Science 2013; 2(1.000): 423-35