7 research outputs found
Revisiting thoracic surface anatomy in an adult population:a Ct evaluation of vertebral level
No full textIntroduction: To compare key thoracic anatomical surface landmarks between healthy and patient adult populations using Computed Tomography (CT).Materials and Methods: Sixteen slice CT images of 250 age and gender matched healthy individuals and 99 patients with lung parenchymal disease were analyzed to determine the relationship of 17 thoracic structures and their vertebral levels using a 32-bit Radiant DICOM viewer. The structures studied were: aortic hiatus, azygos vein, brachiocephalic artery, gastroesophageal junction, left and right common carotid arteries, left and right subclavian arteries, pulmonary trunk bifurcation, superior vena cava junction with the right atrium, carina, cardiac apex, manubriosternal junction, xiphisternal joint, inferior vena cava (IVC) crossing the diaphragm, aortic arch and junction of brachiocephalic veins.Results: The surface anatomy of all structures varied among individuals with no significant effect of age. Binary logistic regression analysis showed a significant association between individual health status and vertebral level for: brachiocephalic artery (p=0.049), gastroesophageal junction (p=0.020), right common carotid (p=0.009) and subclavian arteries (p=0.009), pulmonary trunk bifurcation (p=0.049), carina (p=0.004), and IVC crossing the diaphragm (p=0.025).Conclusion: These observations differ from those reported in a healthy white Caucasian population and from the vertebral levels of the IVC, esophagus and aorta crossing the diaphragm in an Iranian population. The differences observed in the current study provide insight into the effect of lung pathology on specific thoracic structures and their vertebral levels. Further studies are needed to determine whether these are general changes or pathology-specific.</p
Surface anatomy of major anatomical landmarks of the neck in an adult population:a CT evaluation of vertebral level
No full textIntroduction: To compare the projectional surface anatomy of healthy individuals in an adult population with those with a thyroid mass, using computed tomography (CT).Methods: Sixteen slice CT images of 101 individuals were analyzed using a 32-bit Radiant DICOM viewer to establish the relationships among major anatomical landmarks in the neck and their vertebral levels. The structures investigated included: hard palate (HP), hyoid bone (HB) including body and lesser horns, soft palate (SP), thyroid gland (TG) (both superior and inferior poles), thyroid gland anteroposterior (APD) and superoinferior (SID) diameters, thyroid isthmus (TI) superoinferior dimension, epiglottis, vertebral arteries (right and left), and both right and left parotid glands (superior and inferior extents).Results: The vertebral levels noted most frequently were: body of hyoid bone (C4, 42.71%); lesser horns of hyoid bone (C3, 36.46%); thyroid gland superior pole (C6, 31.25%); and thyroid gland inferior pole (T2, 30.2%). TG-ID, TG-APD, and TG-SID were not significantly different between males and females in the healthy group; however, there was a significant gender difference in thyroid gland inferior diameter in the pathology group (males 2.16(±1.16) vs. females 3.37(±1.30), p=0.01, paired sample t-test).Conclusion: Further studies are needed to determine whether neck pathology in those with a thyroid mass affects the dimensions of the thyroid gland. Moreover, the surface anatomy of the neck should be revisited using modern imaging techniques to address inconsistencies in anatomy and clinical reference texts.</p
Solar–Biogas Microgrid: A Strategy for the Sustainable Development of Rural Communities in Pakistan
No full textAccess to uninterrupted power is not a luxury but a basic need. Rural communities living far from the national grid, particularly those in the southern region of Pakistan’s Khyber Pakhtunkhwa province, have limited access to a reliable power supply. In order to provide sustainable electricity, small-scale off-grid renewable energy systems are increasingly used for rural electrification. These systems are commonly known as stand-alone home systems or community micro-grids. This paper proposes an off-grid solar–biogas micro-grid for rural communities in the Lakki Marwat district of Khyber Pakhtunkhwa, Pakistan. The area is mainly dependent upon income from the agricultural and livestock sectors. HOMER was used to simulate the electric power system, while RET-Screen was used to analyze the economics of the system. The optimized system’s results demonstrate that the most economically and technically possible system, which produces 515 kWh and 338.50 m3 biogas daily, is made up of a 30-kW photovoltaic system coupled with a 37-kW biomass hybrid system, a 64-kWh battery storage capacity, and a 20-kW invertor. The system will meet the cooking and power needs of 900 individuals who reside in 100 homes. In addition to household users, the system will provide fixed-priced electricity to productive buildings, and free electricity to community buildings. The system will generate 1300 kg of organic fertilizer each day, which will be sold to local farmers for 50% less than what it would cost on the open market. The proposed approach is techno-economically viable based on the payback period and internal rate of return
Revolutionary NiCo layered double hydroxide electrodes: Advances, challenges, and future prospects for high-performance supercapacitors
No full textThe increasing global energy demand and transition to renewable sources emphasize the critical need for advanced energy storage technologies. Supercapacitors, with their high power density, rapid charge/discharge rates, and long cycle life, have emerged as a promising solution. Among various electrode materials, NiCo layered double hydroxides (NiCoLDHs) are particularly notable due to their tunable composition, large surface area, high electrical conductivity, multiple redox states, and exceptional redox activity. This review comprehensively explores the structural and electrochemical properties of NiCoLDHs, highlighting recent advancements in their development as revolutionary electrode materials for supercapacitors. Strategies for enhancing capacitance, such as doping with metals/non-metals, hybridization with carbon materials (e.g., graphene, carbon nanotubes, biomass-derived carbon), and integration with metal oxides, sulfides, selenides, MXenes, MOFs, and conducting polymers, are systematically discussed. Additionally, synthetic methodologies and their impact on electrochemical performance are explored. Current challenges, including scalable synthesis, structural stability, and enhanced energy and power densities, are addressed. Insights from computational modeling and density functional theory provide guidance for optimizing performance at commercial scales. This work provides an overview of advances in NiCoLDHs for next-generation, cost-effective, and sustainable energy storage devices
Global disparities in surgeons' workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study
No full text: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI
Adsorption of rare earth elements on a magnetic geopolymer derived from rice husk: studies in batch, column, and application in real phosphogypsum leachate sample
No full textThere is a growing need to develop new strategies for rare earth element (REE) recovery from secondary resources. Herein, a novel approach to utilize biogenic silica (from rice husk) and metakaolin was employed to fabricate magnetic geopolymer (MGP) by incorporating metallic iron. The fabricated MGP adsorbent material was used to uptake Ce3+, La3+, and Nd3+ from synthetic solutions and real phosphogypsum leachate in batch and column modes. The MGP offers a negatively charged surface at pH above 2.7, and the uptake of REEs rises from pH 3 to 6. The kinetic study validated that the kinetics was much faster for Nd3+, followed by La3+ and Ce3+. A thermodynamic investigation validated the exothermic nature of the adsorption process for all selected REEs. The desorption experiment using 2 mol L−1 H2SO4 as the eluent demonstrated approximately 100% desorption of REEs from the adsorbent. After six adsorption–desorption cycles, the MGP maintained a high adsorption performance up to cycle five before suffering a significant decrease in performance in cycle six. The effectiveness of MGP was also assessed for its applicability in recovering numerous REEs (La3+, Ce3+, Pr3+, Sm3+, and Nd3+) from real leachate from phosphogypsum wastes, and the highest recovery was achieved for Nd3+ (95.03%) followed by Ce3+ (86.33%). The operation was also feasible in the column presenting suitable values of the length of the mass transfer zone. The findings of this investigation indicate that MGP adsorbent prepared via a simple route has the potential for the recovery of REEs from synthetic and real samples in both batch and continuous operations modes
Global disparities in surgeons' workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study
No full textThe workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI
