Optimal scheduling, design, operation and control of reverse osmosis desalination. Prediction of RO membrane performance under different design and operating conditions, synthesis of RO networks using MINLP optimization framework involving fouling, boron removal, variable seawater temperature and variable fresh water demand.

An accurate model for RO process has significant importance in the simulation and optimization proposes. A steady state model of RO process is developed based on solution diffusion theory to describe the permeation through membrane and thin film approach is used to describe the concentration polarization. The model is validated against the operation data reported in the literature. For the sake of clear understanding of the interaction of feed temperature and salinity on the design and operation of RO based desalination systems, simultaneous optimization of design and operation of RO network is investigated based on two-stage RO superstructure via MINLP approach. Different cases with several feed concentrations and seasonal variation of seawater temperature are presented. Also, the possibility of flexible scheduling in terms of the number of membrane modules required in operation in high and low temperature seasons is investigated A simultaneous modelling and optimization method for RO system including boron removal is then presented. A superstructure of the RO network is developed based on double pass RO network (two-stage seawater pass and one-stage brackish water pass). The MINLP problem based on the superstructure is used to find out an optimal RO network which will minimize the total annualized cost while fulfilling a given boron content limit. The effect of pH on boron rejection is investigated at deferent seawater temperatures. The optimal operation policy of RO system is then studied in this work considering variations in freshwater demand and with changing seawater temperature throughout the day. A storage tank is added to the RO layout to provide additional operational flexibility and to ensure the availability of freshwater at all times. Two optimization problems are solved incorporating two seawater temperature profiles, representing summer and winter seasons. The possibility of flexible scheduling of cleaning and maintenance of membrane modules is investigated. Then, the optimal design and operation of RO process is studied in the presence of membrane fouling and including several operational variations such as variable seawater temperature. The cleaning schedule of single stage RO process is formulated as MINLP problem using spiral wound modules. NNs based correlation has been developed based on the actual fouling data which can be used for estimating the permeability decline factors. The correlation based on actual data to predict the annual seawater temperature profile is also incorporated in the model. The proposed optimization procedure identified simultaneously the optimal maintenance schedule of RO network including its design parameters and operating policy. The steady state model of RO process is used to study the sensitivity of different operating and design parameters on the plant performance. A non-linear optimization problem is formulated to minimize specific energy consumption at fixed product flow rate and quality while optimizing the design and operating parameters. Then the MINLP formulation is used to find the optimal designs of RO layout for brackish water desalination. A variable fouling profile along the membrane stages is introduced to see how the network design and operation of the RO system are to be adjusted Finally, a preliminary control strategy for RO process is developed based on PID control algorithm and a first order transfer function (presented in the Appendix).Government gran

Simulation of boron rejection by seawater reverse osmosis desalination

yesBoron is a vital element for growth of creations, but excessive exposure can cause detrimental effects to plants, animals, and possibly humans. Reverse Osmosis (RO) technique is widely used for seawater desalination as well as for waste water treatment. The aim of this study is to identify how different operating parameters such as pH, temperature and pressure can affect boron concentrations at the end of RO processes. For this purpose, a mathematical model for boron rejection is developed based on solution-diffusion model which can describe solvent and solute transport mechanism through the membranes. After a wide and thorough research, empirical correlations developed in the past are filtered, adopted and calibrated in order to faction with reliability as part of the solution-diffusion model of this work. The model is validated against a number of experimental results from the literature and is used in further simulations to get a deeper insight of the RO process. The general findings of the boron rejection model are supporting the case that with increasing pH and operating pressure of the feed water, the boron rejection increases and with increasing feed water temperature the boron rejection decreases

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance

INTRODUCTION Investment in Africa over the past year with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing has led to a massive increase in the number of sequences, which, to date, exceeds 100,000 sequences generated to track the pandemic on the continent. These sequences have profoundly affected how public health officials in Africa have navigated the COVID-19 pandemic. RATIONALE We demonstrate how the first 100,000 SARS-CoV-2 sequences from Africa have helped monitor the epidemic on the continent, how genomic surveillance expanded over the course of the pandemic, and how we adapted our sequencing methods to deal with an evolving virus. Finally, we also examine how viral lineages have spread across the continent in a phylogeographic framework to gain insights into the underlying temporal and spatial transmission dynamics for several variants of concern (VOCs). RESULTS Our results indicate that the number of countries in Africa that can sequence the virus within their own borders is growing and that this is coupled with a shorter turnaround time from the time of sampling to sequence submission. Ongoing evolution necessitated the continual updating of primer sets, and, as a result, eight primer sets were designed in tandem with viral evolution and used to ensure effective sequencing of the virus. The pandemic unfolded through multiple waves of infection that were each driven by distinct genetic lineages, with B.1-like ancestral strains associated with the first pandemic wave of infections in 2020. Successive waves on the continent were fueled by different VOCs, with Alpha and Beta cocirculating in distinct spatial patterns during the second wave and Delta and Omicron affecting the whole continent during the third and fourth waves, respectively. Phylogeographic reconstruction points toward distinct differences in viral importation and exportation patterns associated with the Alpha, Beta, Delta, and Omicron variants and subvariants, when considering both Africa versus the rest of the world and viral dissemination within the continent. Our epidemiological and phylogenetic inferences therefore underscore the heterogeneous nature of the pandemic on the continent and highlight key insights and challenges, for instance, recognizing the limitations of low testing proportions. We also highlight the early warning capacity that genomic surveillance in Africa has had for the rest of the world with the detection of new lineages and variants, the most recent being the characterization of various Omicron subvariants. CONCLUSION Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve. This is important not only to help combat SARS-CoV-2 on the continent but also because it can be used as a platform to help address the many emerging and reemerging infectious disease threats in Africa. In particular, capacity building for local sequencing within countries or within the continent should be prioritized because this is generally associated with shorter turnaround times, providing the most benefit to local public health authorities tasked with pandemic response and mitigation and allowing for the fastest reaction to localized outbreaks. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century

Optimal operation of RO system with daily variation of freshwater demand and seawater temperature

noThe optimal operation policy of flexible RO systems is studied in this work. The design and operation of RO process is optimized and controlled considering variations in water demands and changing seawater temperature throughout the day. A storage tank is added to the system layout to provide additional operational flexibility and to ensure the availability of freshwater to customer at all times. A steady state model for the RO process is developed and linked with a dynamic model for the storage tank. The membrane modules are divided into a number of groups to add flexibility in operation to RO network. The total operating cost of the RO process is minimized in order to find the optimal layout and operating variables at discreet time intervals for three design scenarios. (C) 2013 Elsevier Ltd. All rights reserved

MINLP based superstructure optimization for boron removal during desalination by reverse osmosis

noIn this work, a model based MINLP (mixed integer nonlinear programming) optimisation framework is developed for evaluating boron rejection in a reverse osmosis (RO) desalination process. A mathematical model (for the RU process) based on solution diffusion model and thin film theory is incorporated in the optimisation framework. A superstructure of the RU network is developed which includes two passes: (a) seawater pass containing normal two-stage RU system housing seawater membrane modules and (b) the brackish water pass (BW) accommodating brackish water membrane modules. For fixed freshwater demand, the objective of this work is to demonstrate the effectiveness of the MINLP approach for analyzing and optimizing the design and operation of RU network while attaining desired limit on boron concentration in the freshwater produced. The effect of seasonal variation in seawater temperature and pH on boron removal efficiency is also discussed

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice