A feasibility study of electrical energy generation from municipal solid waste in Iraq: Najaf case study

In several developing countries, the electricity crisis obstructs both socio-economic and technological sustainable evolution. Also, it leads to reducing job availability due to shut down several industries or relocate to neighbouring countries to such an issue. A Najaf City is an important holy and tourist city in the middle of Iraq country. Indeed, waste management in An Najaf City needs to be reconsidered to be used as an energy source. In this article, we investigated and listed the waste quantity which produced recently (one year) respect to waste types and types of content. Data collected from the waste products for one year and are used as a key factor to study the feasibility of generating electrical energy from collected MSWs. The proposed model was simulated and tested respect to cost analysis factor of the suggested power plant by Homer pro simulation software. Results were very encouraging and competitive to the current energy production cost based on the production cost of the Kwh prospective among the conventional methods in Iraq. The proposed scenario provide proper and secure waste proposal technique with low-cost

Encoding Motion Cues for Pedestrian Path Prediction in Dense Crowd Scenarios

Pedestrian path prediction is an emerging topic in the crowd visual analysis domain, notwithstanding its practical importance in many respects. To date, the few contributions in the literature proposed quite straightforward approaches, and only a few of them have taken into account the interaction between pedestrians as a paramount cue in forecasting their potential walking preferences in a given scene. Moreover, the typical trend was to evaluate the proposed algorithms on sparse scenarios. To cope with more realistic cases, in this paper, we present an efficient approach for pedestrian path prediction in densely crowded scenes. The proposed approach initiates by extracting motion features related to the target pedestrian and his/her neighbors. Second, in order to further increase the representativeness of the extracted motion cues, an autoencoder feature learning model is considered, whose outcome finally feeds a Gaussian process regression prediction model to infer the potential future trajectories of the target pedestrians given their walking records in the scene. Experimental results demonstrate that our framework scores plausible results and outperforms traditional methods in the literature

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

Automatic Detection of Liver Cancer Using Hybrid Pre-Trained Models

Liver cancer is a life-threatening illness and one of the fastest-growing cancer types in the world. Consequently, the early detection of liver cancer leads to lower mortality rates. This work aims to build a model that will help clinicians determine the type of tumor when it occurs within the liver region by analyzing images of tissue taken from a biopsy of this tumor. Working within this stage requires effort, time, and accumulated experience that must be possessed by a tissue expert to determine whether this tumor is malignant and needs treatment. Thus, a histology expert can make use of this model to obtain an initial diagnosis. This study aims to propose a deep learning model using convolutional neural networks (CNNs), which are able to transfer knowledge from pre-trained global models and decant this knowledge into a single model to help diagnose liver tumors from CT scans. Thus, we obtained a hybrid model capable of detecting CT images of a biopsy of a liver tumor. The best results that we obtained within this research reached an accuracy of 0.995, a precision value of 0.864, and a recall value of 0.979, which are higher than those obtained using other models. It is worth noting that this model was tested on a limited set of data and gave good detection results. This model can be used as an aid to support the decisions of specialists in this field and save their efforts. In addition, it saves the effort and time incurred by the treatment of this type of cancer by specialists, especially during periodic examination campaigns every year

A new computation algorithm for a cryptosystem based on Lucas Functions

Most of public-key cryptosystems rely on one-way functions. The cryptosystems can be used to encrypt and sign messages. The LUC Cryptosystem is a cryptosystem based on Lucas Functions. The encryption process used a public key which was known publicly and the decryption used a private key which was known only by sender and receiver of the messages. The performance of LUC cryptosystem computation influenced by computation of Ve the public key process and Vd the private key process. Very large scales of computations and timing overhead involved for large values of e and d. We are presenting the so-called Doubling with Remainder compared to the existing technique. It shows better performance in LUC computations by reducing time consumed in its computations. The experimental results of existing and new algorithm are included

An improvement of LUC2 cryptosystem algorithm using doubling with remainder

The major factor that influences the performance of the LUC public-key cryptosystem is the computation of Ve and Vd, a public and private key, respectively. Its involve a huge steps of computations for large values of e and d. We concentrated our discussion on how to utilize and manipulate the doubling step technique for an efficient LUC2 computation. Therefore, we proposed the so-called Doubling with Remainder technique. It shows a better performance in LUC2 computations and also a great reductions of time consume for computations. The experimental results for sequential, doubling steps and doubling with remainder are also included