Few-mode optical fiber surface plasmon resonance sensor with controllable range of measured refractive index

A few-mode optical fiber surface plasmon resonance sensor with graphene layer is investigated, firstly, with the aim of studying the behavior of the guided modes and, secondly, with the aim of determining the range of the measured refractive index for some selected few-mode fibers. The results show that as the number of modes propagated in the fiber increases, the maximum sensitivity of a particular mode decreases while the range of the measured refractive index of that mode increases. Also, it is shown that the range can be easily tuned with sensitivity consideration by only adjusting the operating wavelength without any modification of the sensor, which is desirable from practical point of view. In addition, it is shown that the core diameter of the fiber should be chosen according to sensitivity and range needing, where a compromise between them must be found. The study presented in this paper can significantly help in developing new sensing techniques, such as multi-parameter sensing, by monitoring the various responses of the modes. Also, it can be used to customize the sensor for specific sensing applications in various fields, especially to measure refractive indices in subranges of 1.38 to 1.46

Solar Chimney Power Plants: A Mini Review

The main investigations of a novel solar thermal application known as SCPP are summarized in this paper. It is a method of producing electricity from solar energy that relies on the fact that air rises when it is heated. An adequate position within a tall chimney can be utilized to position a turbine to turn it, creating an updraft that can be used to generate power. This system\u27s specifications, design, construction, and use are all covered in the paper along with experimental and analytical research related to it. It also emphasizes the development and execution of SCPP programs

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Few-mode optical fiber surface plasmon resonance sensor with controllable range of measured refractive index

A few-mode optical fiber surface plasmon resonance sensor with graphene layer is investigated, firstly, with the aim of studying the behavior of the guided modes and, secondly, with the aim of determining the range of the measured refractive index for some selected few-mode fibers. The results show that as the number of modes propagated in the fiber increases, the maximum sensitivity of a particular mode decreases while the range of the measured refractive index of that mode increases. Also, it is shown that the range can be easily tuned with sensitivity consideration by only adjusting the operating wavelength without any modification of the sensor, which is desirable from practical point of view. In addition, it is shown that the core diameter of the fiber should be chosen according to sensitivity and range needing, where a compromise between them must be found. The study presented in this paper can significantly help in developing new sensing techniques, such as multi-parameter sensing, by monitoring the various responses of the modes. Also, it can be used to customize the sensor for specific sensing applications in various fields, especially to measure refractive indices in subranges of 1.38 to 1.46

Some risk factors of chronic gastroenteritis among preschool children in a rural area in Basyun District, Gharbia governorate

Background: Gastroenteritis, also known as infectious diarrhea, is inflammation of the gastrointestinal tract the stomach and small intestine. Symptoms may include diarrhea, vomiting and abdominal pain. The aim of this work was to reduce morbidity and mortality from chronic gastroenteritis among preschool children. Methods: This case control study was carried out on 100 study children < five years having chronic gastroenteritis and 100 control children were healthy children chosen randomly from children attending nurseries and from the same family health care unit, they were matched by age and sex with cases. Results: Age of child, residence, fathers education and job and mothers age and education were not found to significantly affect occurrence of chronic diarrhea among studied children. Crowding index and family size had high odds ratio whereas the odds of exposure to a high crowding index (more than or equal to 2) among cases were double that among the control. Odds of exposure to a large family size (more than or equal to 5) among cases were double that among the control (p>0.05). Fathers age >40 years in cases was 25% which was higher than 13% of control (OR=2.231).&nbsp

Predictors of shunt-dependent hydrocephalus following aneurysmal subarachnoid hemorrhage: a pilot study in a single Egyptian institute

Abstract Background Acute hydrocephalus can cause neurological deterioration after aneurysmal subarachnoid hemorrhage (aSAH). Predicting which patient would require shunting is challenging. Methods This prospective study was conducted upon twenty patients who suffered acute hydrocephalus due to subarachnoid hemorrhage of ruptured aneurysms. Surgical or non-surgical management of hydrocephalus was conducted. Glasgow Coma scale (GCS) was assessed, and hydrocephalus was graded by bicaudate index. Fisher grade was determined from CT scan. Aneurysm site was determined by conventional or CT angiography. Either surgical clipping or endovascular coiling of aneurysms was performed. Results Initially, 3 (15%) patients had emergency CSF diversion on admission due to poor GCS on arrival. Initially, the remaining 17 patients were managed conservatively. Five patients did not require any intervention. Twelve patients had external ventricular drainage placement, 4 were weaned, and 8 failed weaning. High bicaudate index (> 0.2) correlated with shunting. Aneurysm site correlated well with shunting (ACoA or PCoA). Conclusions Patients with fair GCS can be managed conservatively. Any deterioration warrants shifting to CSF diversion. Higher bicaudate index will usually need CSF diversion. The value of Fisher carries no significant value. Aneurysm location (ACoA or PCoA) correlates with an increased incidence of ventriculoperitoneal shunt placement

Knowledge sharing behaviour among head nurses in online health communities: The moderating role of knowledge self-efficacy

Background Head nurses are vital in understanding and encouraging knowledge sharing among their followers. However, few empirical studies have highlighted their contribution to knowledge-sharing behaviour in Online Health Communities (OHCs). In addition, scant literature has examined the moderating role of knowledge self-efficacy in this regard. Purposes This study examines the moderating role of self-efficacy between the association of four selected individual factors of head nurses (i.e., Trust, Reciprocity, Reputation, and Ability to Share) and their knowledge-sharing behaviour in OHCs in Jordan. Method The data were obtained by using a self-reported survey from 283 head nurses in 22 private hospitals in Jordan. A moderation regression analysis using a structural equation modelling approach (i.e. Smart PLS-SEM, Version 3) was utilised to evaluate the study’s measurement and structural model. Results Knowledge self-efficacy moderates the relationship between the three individual factors (i.e., Trust, Reciprocity, and Reputation) and knowledge-sharing behaviours. However, self-efficacy did not moderate the relationship between the ability to share and knowledge-sharing behaviours. Implications This study contributes to understanding the moderating role of knowledge self-efficacy among head nurses in online healthcare communities. Moreover, this study provides guidelines for head nurses to become active members in knowledge sharing in OHCs. The findings of this study offer a basis for further research on knowledge sharing in the healthcare sector