41 research outputs found

    Energy security and renewable energy policy analysis of Pakistan

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    Sustainable energy supply is an important factor for continued economic growth of any society. Pakistan is among those developing countries which are facing severe shortages of energy now-a-days. The current and past governments in the country have designed various energy policies to fulfill energy demands but could not fill the demand-supply gap; there has been a shortage of about 5000 MW of electrical supply during summer 2016. A policy for development of renewable energy was framed in 2006 which was aimed to supply sustainable energy to all consumers including those households which have not been supplied electricity and natural gas in rural and far-flung areas. The policy was extended for implementation in 2011 and is still in use. The basis of this policy rests on energy security and self-sufficiency, social equity and economic benefits. This study aims at analyzing renewable energy policy of Pakistan and examining and finding the ways to secure energy supplies in future using LEAP. Four Scenarios, business-as-usual, green Pakistan, nuclear and optimization, have been developed to assess the validity of the energy plans. The study concludes that green Pakistan scenario employing renewable energy technologies, having minimum operation and externality costs, is the most suitable option in future

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

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    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

    Hierarchical modelling of Last Mile logistic distribution system

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    Cycle Time and Hole Quality in Drilling Canned Cycle

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    Study of Damage Behavior of T-Joint Components by Means of Different Non-destructive Techniques

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    Adhesive joints represent a valid alternative to classical welded and bolted methods, above all for composite materials in which the weight of structures plays an important role for designers. Defects such as debonding of adherents can compromise the correct static and dynamic behaviour of adhesive structures. In this regard, NDT techniques can be used for detecting and monitoring defects and damaged areas during the operative loading conditions. In this work, the capability of the Thermoelastic Stress Analysis (TSA) technique of monitoring debonding in adhesive T-joints has been investigated. Moreover, a quantitative comparison with the well-established Lock-in thermography and Ultrasounds techniques has been provided

    Advanced Imaging Techniques for Complex Endovascular Aortic Repair: Preoperative, Intraoperative and Postoperative Advancements

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    Background: Endovascular aortic repair (EVAR) requires extensive preoperative, intraoperative, and postoperative imaging for planning, surveillance, and detection of endo-leaks. There have been manyadvancements in imaging modalities to achieve this purpose. This review discussed different imaging modalities used at different stages of treatment of complex EVAR. Methods: We conducted a literature review of all the imaging modalities utilized in EVAR by searching various databases. Results: Preoperative techniques include analysis of images obtained via modified central line using analysis software and intravascular ultrasound. Fusion imaging (FI), carbon dioxide (CO2) angiography, intravascular ultrasound, and Fiber Optic RealShape (FORS) technology have been crucial in obtaining real-time imaging for the detection of endo-leaks during operative procedures. Conventional imaging modalities like computed tomography (CT) angiography (CTA) and magnetic resonance (MR) angiography are still employed for postoperative surveillance along with computational fluid dynamics and contrast-enhanced ultrasound (CEUS). The advancements in artificial intelligence (AI) have been the breakthrough in developing robust imaging applications. Conclusions: This review explains the advantages, disadvantages, and side-effect profile of the abovementioned imaging modalities
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