Partial discharge behavior under operational and anomalous conditions in HVDC systems

Power cables undergo various types of overstressing conditions during their operation that influence the integrity of their insulation systems. This causes accelerated ageing and might lead to their premature failure in severe cases. This paper presents an investigation of the impacts of various dynamic electric fields produced by ripples, polarity reversal and transient switching impulses on partial discharge (PD) activity within solid dielectrics with the aim of considering such phenomena in high voltage direct current (HVDC) cable systems. Appropriate terminal voltages of a generic HVDC converter were reproduced - with different harmonic contaminations - and applied to the test samples. The effects of systematic operational polarity reversal and superimposed switching impulses with the possibility of transient polarity reversal were also studied in this investigation. The experimental results show that the PD is greatly affected by the dynamic changes of electric field represented by polarity reversal, ripples and switching. The findings of this study will assist in understanding the behaviour of PDs under HVDC conditions and would be of interest to asset managers considering the effects of such conditions on the insulation diagnostics

Point estimate method for voltage unbalance evaluation in residential distribution networks with high penetration of small wind turbines

Voltage unbalance (VU) in residential distribution networks (RDNs) is mainly caused by load unbalance in three phases, resulting from network configuration and load-variations. The increasing penetration of distributed generation devices, such as small wind turbines (SWTs), and their uneven distribution over the three phases have introduced difficulties in evaluating possible VU. This paper aims to provide a three-phase probabilistic power flow method, point estimate method to evaluate the VU. This method, considering the randomness of load switching in customers’ homes and time-variation in wind speed, is shown to be capable of providing a global picture of a network’s VU degree so that it can be used for fast evaluation. Applying the 2m + 1 scheme of the proposed method to a generic UK distribution network shows that a balanced SWT penetration over three phases reduces the VU of a RDN. Greater unbalance in SWT penetration results in higher voltage unbalance factor (VUF), and cause VUF in excess of the UK statutory limit of 1.3%

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Solving Multi-Group Reflected Spherical Reactor System of Equations Using the Homotopy Perturbation Method

The solution of the complex neutron diffusion equations system of equations in a spherical nuclear reactor is presented using the homotopy perturbation method (HPM); the HPM is a remarkable approximation method that successfully solves different systems of diffusion equations, and in this work, the system is solved for the first time using the approximation method. The considered system of neutron diffusion equations consists of two consistent subsystems, where the first studies the reactor and the multi-group subsystem of equations in the reactor core, and the other studies the multi-group subsystem of equations in the reactor reflector; each subsystem can deal with any finite number of neutron energy groups. The system is simplified numerically to a one-group bare and reflected reactor, which is compared with the modified differential transform method; a two-group bare reactor, which is compared with the residual power series method; a two-group reflected reactor, which is compared with the classical method; and a four-group bare reactor compared with the residual power series