Heavy Metal Diffusion through Soft Clay under High Hydraulic Gradients

This study was focused on the determination of contaminant transport parameters of heavy metal Zinc moving through saturated soft Bangkok undisturbed clay under high hydraulic gradients. These parameters were compared with contaminant transport determined under concentration gradient alone (pure diffusion). In total fifteen column tests were conducted and a mathematical model was applied to determine the coefficients. Two different source concentrations conditions, constant and decreasing, were applied. Testing periods were ranged from 15-60 days while hydraulic gradients were ranged from 0-500. The curves between relative concentration and time and pore volume were developed for the constant source condition whereas curves between source reservoirs concentrations and time were developed for decreasing source condition. The effective diffusion and distribution coefficients, De and Kd, were determined by curve fitting using the computer code POLLUTE v 6.3. The results showed that diffusion coefficient increases and distribution coefficient decreases as hydraulic gradient increases from 0 to high value of 500 due to contribution of dispersion and additional molecular diffusion at high advective velocity. Thus, testing at high gradients ensures the safe performance of earthen barriers under worse conditions

A Conditioned Model for Choice of Mode Under Information

This paper examines the influence of time and cost information obtained from different sources on choice of mode of Leeds' long distance travellers. The choice of mode was investigated through modal attributes provided by at least two different information sources which might provide contrary or corroborating information rather than on actual attributes. The experiment included telephone administered questionnaire including RP (Revealed Preference) questions and an SP (Stated Preference) exercise dealing with the choice of modes conditioned by the information received from various sources. Information on travel time and cost was provided from two different information sources for each mode to facilitate the conditioning of mode choice on corroborating/contradictory information. The research employs a wide range of modelling methodologies and examines a range of traditional and newly developed calibration and estimation procedures including Mixed Logit models with individual specific parameters and the newly developed RRM (Random Regret Minimisation) framework. The study confirms that the market share of the modes increases when information sources show decreased travel time and cost values and shows that the maximum shares are achieved when different information sources give the same information to the travellers. The study found that pre-trip time information has more influence on mode choice when derived from websites than when derived from other sources. Pre-trip information on costs was, however, less influential when derived from websites than when derived from other sources

A Novel Low-Cost Compact High-Performance Flower-Shaped Radiator Design for Modern Smartphone Applications

This manuscript examines the design principle and real-world validation of a new miniaturized high-performance flower-shaped radiator (FSR). The antenna prototype consists of an ultracompact square metallic patch of 0.116λ0 × 0.116λ0 (λ0 is the free space wavelength at 3.67 GHz), a rectangular microstrip feed network, and a partial metal ground plane. A novel, effective, and efficient approach based on open circuit loaded stubs is employed to achieve the antenna’s optimal performance features. Rectangular, triangular, and circular disc stubs were added to the simple structure of the square radiator, and hence, the FSR configuration was formed. The proposed antenna was imprinted on a low-cost F4B laminate with low profile thickness of 0.018λ0, relative permittivity εr = 2.55, and dielectric loss tangent δ = 0.0018. The designed radiator has an overall small size of 0.256λ0 × 0.354λ0. The parameter study of multiple variables and their influence on the performance results has been extensively studied. Moreover, the impact of different substrate materials, impedance bandwidths, resonance tuning, and impedance matching has also been analyzed. The proposed antenna model has been designed, simulated, and fabricated. The designed antenna exhibits a wide bandwidth of 5.33 GHz ranging from 3.67 to 9.0 GHz at 10 dB return loss, which resulted in an 83.6% fractional impedance bandwidth; a maximum gain of 7.3 dBi at 8.625 GHz; optimal radiation efficiency of 89% at 4.5 GHz; strong intensity current flow across the radiator; and stable monopole-like far-field radiation patterns. Finally, a comparison between the scientific results and newly published research has been provided. The antenna’s high-performance simulated and measured results are in a good agreement; hence, they make the proposed antenna an excellent choice for modern smartphones’ connectivity with the sub-6 GHz frequency spectrum of modern fifth-generation (5G) mobile communication application

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

This was an investigator initiated study funded by Nestle Health Sciences through an unrestricted research grant, and by a National Institute for Health Research (UK) Professorship held by RP. The study was sponsored by Queen Mary University of London