Operation Time Period Research Articles

A high-resolution spectroscopic technique for the analysis of the external quantum efficiency of a multimode semiconductor laser

The high-resolution emission spectra of a GaN-based semiconductor laser were utilized to investigate the external differential quantum efficiency variation with temperature and stability over an extended period of continuous operation time. Moreover, the dynamics and evolution of the optical gain and longitudinal modes emitted both below and above threshold current were also reported. Upon studying the L-I curves over the full range of operating current and temperature, three distinct temperature regimes of the quantum efficiency were identified, with the regime of the temperature range 285–301 K yielding the highest stability. The thermal stability of the laser was also assessed by monitoring the variation of threshold current with temperature.

Unicompartmental knee arthroplasty for lateral compartment knee osteoarthritis: a credible surgical approach and short-term clinical outcomes.

We aimed to investigate the technical advantages and clinical outcomes of lateral unicompartmental knee arthroplasty (LUKA) through the medial parapatellar approach. From August 2022 to June 2024, 104 patients who underwent LUKA via the medial parapatellar approach were enrolled. The operation time, hospital stays, surgical complications and follow-up period were collected. Pre- and postoperative Range of movement (ROM), Oxford knee score (OKS) and Hospital for special surgery knee score (HSS) were recorded and further investigated by paired-samples t-test analysis. Primary demographic data of the retrospective case series collected include gender (30 males and 74 females), age (63.1 ± 8.37years, range 49-84years), operation time (86 ± 17min, range 52-135min), hospital stays (4.0 ± 1.1days, range 3-8days) and follow-up period (9.9 ± 5.7months, range 1-23months). There was a significant improvement in ROM (P < 0.001), OKS (P < 0.001) and HSS (P < 0.001) compared to preoperative values. Patient satisfaction at 1-month postoperative follow-up was up to 95%. The incidence of deep venous thrombosis was 16.3%. There was no incidence of postoperative infection. The medial parapatellar approach is a understandable, easy to master and credible surgical approach for LUKA, showing a striking improvement in clinical outcomes without adverse events in the short-term follow-up.

Evaluation of the nonstapling bullectomy by manual suturing for young men with primary spontaneous pneumothorax.

Currently, surgery for primary spontaneous pneumothorax (PSP) is performed by bullectomy using a stapler with complete video-assisted thoracic surgery (cVATS). However, the postoperative recurrence rate (RR) of PSP is high in young men. The factors of postoperative PSP recurrence are the formation of postoperative bulla neogenesis (POBN) around the staple line, pleural injury caused by forceps for VATS, and bulla overlooked with a thoracoscope. We attempted nonstapling bullectomy with one-port-one-window (1p-1w) by using hybrid VATS (hVATS) to reduce postoperative RR. This study aimed to evaluate nonstapling bullectomy by manual suturing for young male patients with PSP compared with bullectomy by cVATS. From January 2012 to December 2022, we retrospectively reviewed the medical records of 259 male patients aged ≤25 years who underwent initial surgery for PSP and compared them between two groups, with staple use (S+) or by manual suturing without staple use (S-). RR, operative time, blood loss, and postoperative hospitalization period were examined in both groups. The median operative time was 81 and 63 min in the S- and S+ groups, respectively (P<0.001), with the S- group tending to be statistically significantly longer. The mean intraoperative blood loss was 1.61 and 2.11 mL in the S- and S+ groups, respectively (P=0.003). The median postoperative hospitalization period was 4 days in both groups (P=0.32). Recurrences occurred in 8 (7.1%) and 14 patients (12.2%) in the S- and S+ groups, respectively [odds ratio (OR) =0.55; 95% confidence interval (CI): 0.22-1.37; P=0.19]. In patients aged <20 years, 5 (6.6%) and 10 (14.1%) patients had a recurrence in the S- and S+ groups, respectively (OR =0.42; 95% CI: 0.13-1.32; P=0.13). Compared with stapling bullectomy, nonstapling bullectomy with small thoracotomy for young male patients with PSP had lesser RR. This procedure is beneficial in reducing postoperative recurrence and is one of the surgical choices for young male patients with PSP.

Graham’s patch omentopexy versus modified Graham’s patch omentopexy in duodenal perforation – A comparative study

Background: Peptic ulcer perforation is a serious complication which affects 2–10% of peptic ulcer patients. Peptic ulcer perforation presents with an overall mortality of 10% although various authors had reported incidence between 1.3% and 20%. Being a life-threatening complication of peptic ulcer disease, it needs special attention with prompt resuscitation and appropriate surgical management if morbidity and mortality are to be contained. Aims and Objectives: The aim of the study was to the comparative study of Graham’s omentopexy versus modified Graham’s omentopexy in duodenal perforation. Materials and Methods: This prospective and single-center study was done in Birsa Munda, GMC Shahdol Madhya Pradesh from 2021 to 2023 for 2 years of periods. A total of 160 patients divided into two groups-Graham’s omentopexy 80 cases group “A” and modified Graham’s omentopexy 80 cases group “B.” Results: One hundred and forty-six (91%) were male and 14 (9%) were female with M:F Ratio 10:1. Most of the patients were 20–78 years of age in both groups. Post-operative leakage was 7.5% and 1.25%, respectively. Mortality rate in Group A (3.75%) and in Group B (1.25%). The overall mortality rate was 7.14%. In this study, average hospital stay was 12.4 days in Group A and 9.0 days in Group B. Conclusion: This study showed that modified Graham’s patch repair is as effective as Graham’s patch repair in terms of the mean operative time period, the timing of oral feed allow, and mean hospital stay timing.

Comparative evaluation of reproductive organ-preserving versus standard radical cystectomy in female: a meta-analysis and systematic review of perioperative, oncological, and functional outcomes.

To evaluate the perioperative, oncological, and functional outcomes of reproductive organ-preserving radical cystectomy (ROPRC) compared to standard radical cystectomy (SRC) in the treatment of female bladder cancer. A systematic search was conducted in November 2023 across several scientific databases. We executed a systematic review and cumulative meta-analysis of the primary outcomes of interest, adhering to the PRISMA and AMSTAR guidelines. The study was registered in PROSPERO (CRD42024501522). The meta-analysis included 10 studies with a total of 2015 participants. ROPRC showed a significant reduction in operative time and postoperative fasting period compared to SRC (MD -45.69, 95% CI -78.91 ~ -12.47, p = 0.007, and MD -0.69, 95% CI -1.25 ~ -0.13, p = 0.02, respectively). Functional outcomes, both daytime continence rate (OR 4.94, 95% CI 1.53 ~ 15.91, p = 0.008) and nighttime continence rate (OR 5.91, 95% CI 1.94 ~ 18.01, p = 0.002), and sexual function measured by the Female Sexual Function Index (MD 5.72, 95% CI 0.19 ~ 11.26, p = 0.04), were significantly improved in the ROPRC group. There were no significant differences between ROPRC and SRC in terms of estimated blood loss, length of hospital stay, overall postoperative complications, minor complications or major complications. Oncologically, both procedures showed comparable outcomes with no significant differences in positive surgical margins, tumor recurrence rates, overall survival, cancer-specific survival, recurrence-free survival, or progression-free survival. ROPRC is a viable and effective alternative to SRC in female bladder cancer patients, offering enhanced functional outcomes and similar oncological safety. These findings suggest that ROPRC can improve the quality of life in female bladder cancer patients without compromising the efficacy of cancer treatment.

Homeopathic Ankle Dislocation for Treatment of Unstable Trimalleolar Fractures Involving Posterior Die-Punch Fragment: A Retrospective Cohort Study.

Unstable trimalleolar fractures are relatively complex and more difficult to manage if die-punch fracture is present. We aimed to evaluate the curative effect of homeopathic ankle dislocation on the unstable trimalleolar fractures involving posterior die-punch fragments. A total of 124 patients diagnosed with unstable trimalleolar fractures combined with post-die punch fragment between June 2008 and June 2020 were retrospectively included. Patients who received homeopathic ankle dislocation were named as the experimental group, and patients who accepted conventional treatment were control group. The fracture healing time, wound healing, American Orthopedic Foot and Ankle Society ankle-hindfoot scale (AOFAS), visual analogue scale (VAS), the Kellgren-Lawrence arthritis grading scale (KLAGS) and short-form 36 score (SF-36) scores were collected. Student t-test was used for fracture healing time. Wound healing and SF-36 were compared using the Mann-Whitney test. Repeated measurement analysis of variance (ANOVA) was used for AOFAS and VAS. χ2-test was used for KLAGS. AOFAS showed statistically significant differences between the two groups (p = 0.001). In non-weight-bearing and weight-bearing conditions, VAS scores were significant different between the two groups, and there was an interaction between group and time point (p < 0.001). The experimental group was superior to the control group in terms of physical function (p = 0.022), role-physical (p = 0.018), general health (p = 0.001) and social function (p = 0.042).The operation time of experimental group was shorter than that of control group (p < 0.001). Homeopathic ankle dislocation is used for the unstable trimalleolar fractures involving posterior die-punch fragment, which can provide better functional outcomes while shortening the operation time and recovery period.

Study on the benefit analysis based on whole life cycle carbon emission calculation after the construction of photovoltaic systems in macau's construction waste landfills

This study seeks to assess both environmental and economic effects associated with installing photovoltaic systems within construction waste landfills in Macau by employing an effective carbon emissions calculation methodology and benefit analysis method. Beginning by outlining characteristics and challenges associated with construction waste landfills, as well as photovoltaic systems used for this application in this paper. Here, we present a detailed outline of our methodology design, outlining its principles of life cycle analysis, data collection processes and the creation of carbon emissions calculation models. Subsequently, we examine photovoltaic systems within Macau's construction waste landfills by studying system design, component selection and operational strategies as well as carbon emission data collection during their operational time period. Under life cycle carbon emissions calculations, we assess the carbon emissions generated from photovoltaic systems as well as conduct an environmental and economic benefit analysis for carbon reduction benefit analysis purposes. This research incorporates sensitivity analysis and uncertainty consideration in order to conduct an extensive benefit analysis. The research results offer strong support for sustainable photovoltaic systems within Macau waste landfills as well as insights to inform planning and policy formation for similar future projects.

Radiographic Comparison of Open and Minimally Invasive Distal Chevron Metatarsal Osteotomy in Patients With Hallux Valgus

This study aimed to compare radiographic outcomes of open and minimally invasive surgery (MIS) in patients with hallux valgus. We reviewed data of patients with hallux valgus who underwent open or minimally invasive distal chevron osteotomy at our institution. Radiographic assessment was completed preoperatively, immediate postoperatively, and one year postoperatively using eight weight bearing parameters . The classic distal chevron osteotomy method was used for open surgery and a modified method that added percutaneous K-wire fixation to the minimal invasive Chevron-Akin (third-generation MIS) was used for correction of the distal metatarsal articular angle (DMAA). A total of 65 feet (33 open surgeries and 32 MIS) were included. The HVA, IMA, and DMAA improved significantly following surgery regardless of surgical method (p<0.001). Other radiographic indicators showed no statistically significant differences after surgery. DMAA improved by 71.0±14.2% after surgery, and the open surgery group showed less significant reduction in DMAA (49.7±25.7%, p<0.001). Other parameters showed no difference between the two groups regarding relative postoperative changes. The MIS group showed shorter operation time (p<0.001) and hospitalization period (p=0.034) than did the open surgery group. Therefore, the MIS group is expected to be cost-effective. Radiographic measurements revealed comparable outcomes of MIS compared with open surgery. Additionally, adding percutaneous K-wire fixation during MIS had an advantage in correcting DMAA compared with open surgery. Furthermore, the correction of DMAA could reduce recurrence of valgus deformity of the hallux.

СРАВНЕНИЕ ДОСТУПНОСТИ ЛЬГОТНЫХ РЕЖИМОВ НАЛОГООБЛОЖЕНИЯ СУБЪЕКТАМ МАЛОГО И СРЕДНЕГО ПРЕДПРИНИМАТЕЛЬСТВА В РАЗНЫХ СТРАНАХ

The article analyzes the criteria for classifying economic agents as small and medium-sized businesses in a number of countries, as well as the parameters, the observance of which allows the application of certain preferential tax regimes. The similarities and differences in approaches to the classification of economic entities from the point of view of the implementation of government measures to support entrepreneurship are highlighted. Special attention is paid to the analysis of Chinese government policy regarding the allocation of small and medium-sized businesses due to the similarity of the time period of operation of this sector with the Russian one. A typical discrepancy between the criteria has been established, compliance with which gives the status of a small or medium-sized business with characteristics that allow reducing the tax burden.

Reliability, maintainability and availability analysis of solar power plant in Pantai Baru using voltage measurement data

The hybrid power plant in Pantai Baru, Yogyakarta stands as a noteworthy exemplar within the realm of existing solar power installations throughout Indonesia. Analysis of reliability, maintenance, and availability is needed to minimize problems at solar power plant’s electrical energy production process, so that renewable energy security and sustainability can be maintained. This study aims to determine the reliability, maintainability, and availability of solar panels with a capacity of 48 Volts at the hybrid power plant, Pantai Baru using the control chart method, Weibull distribution. Calculation of reliability, maintainability, and availability of solar panels is carried out using solar panel output voltage measurement data collected over the last 4 years. Time to failure, TTF and time to repair, TTR were obtained from out-of-scope data on the control chart and processed using software, namely Reliasoft Weibull ++ Version 6. The simulation results and calculations show that the distribution obtained from TTF and TTR is a three-parameter Weibull distribution, with a system reliability value of 0.3, maintainability value is 1 and availability value is 0.997 with a solar panel operating time period of 5 days. The reliability of each solar panel unit is 0.122 or 12.2%.

Comparison of burr hole drainage and craniotomy for acute liquid epidural hematoma in pediatric patients

PurposeTo compare the impact of burr hole drainage and craniotomy for acute liquid epidural hematoma (LEDH) in pediatric patients.MethodsThis retrospective study enrolled pediatric patients with LEDH who underwent surgery in the Affiliated Hospital of Nanyang Medical College, China, between October 2011 and December 2019. According to the surgical procedure, patients were divided into the craniotomy group and the burr hole drainage group.ResultsA total of 21 pediatric patients were enrolled (14 males, aged 7.19 ± 2.77 years), including 13 cases in the burr hole drainage group and 8 patients in the craniotomy group. The operation time and hospitalization period in the burr hole drainage group were 33.38 ± 6.99 min and 9.85 ± 1.07 days, respectively, which were significantly shorter than that in the craniotomy group (74.25 ± 9.68 min and 13.38 ± 1.71 days, respectively; all p < 0.05). The Glasgow Coma Scale (GCS) score after burr hole drainage was significantly improved than before (median: 15 vs 13, p < 0.05). No serious complications were observed in either group; one patient in the craniotomy group developed an infection at the incision point. All patients were conscious (GCS score was 15) at discharge.ConclusionCompared with craniotomy, burr hole drainage was associated with better clinical outcomes and early recovery in patients with LEDH.

Random Furrowing for a Stochastic Unit Commitment Solution

The Unit Commitment Problem involves the inherent difficulty of obtaining optimal combinatorial power generation schedules over a future short term period. The formulation of the generalized Unit Commitment Schedule formulation involves the specific combination of generation units at several de-rated capacities during each hour of the planning horizon, the load demand profile, load indeterminateness and several other operating constraints. This largely deterministic schedule continues to find favor with several plant operators, keeping in mind the close operating time-periods involved. However, the deterministic nature of the load profile is sought to be phased out by a stochastic pattern that is realistic and mirrors real-life situations, owing to modern trends in Demand side management. This shift is in tune with the ongoing power restructuring activities of electricity power reforms. The stochastic profile is obtained by a suitably tuned 2-parameter Weibull distribution that uses appropriate shape and scale parameters. The resulting band of generated load profiles are used to evaluate net power and penal costs associated with a set of pervasive randomized probability indices. The exact UCS comprises of a specific unit absolute state corresponding to a certain time period within the planning horizon. Subsequently, regression analysis is applied to establish the correlation between the absolute states and the cumulative randomized load demand against the intervals within the planning horizon. This method is analogous to random furrowing of probabilistic demand profile.

Influence of the Anhydrite Interbeds on a Stability of the Storage Caverns in the Mechelinki Salt Deposit (Northern Poland)

This paper presents a complex study of anhydrite interbeds influence on the cavern stability in the Mechelinki salt deposit. The impact of interbeds on the cavern shape and the stress concentrations were also considered. The stability analysis was based on the 3D numerical modelling. Numerical simulations were performed with use of the Finite Difference Method (FDM) and the FLAC3D v. 6.00 software. The numerical model in a cuboidal shape and the following dimensions: length 1400, width 1400, height 1400 m, comprised the part of the Mechelinki salt deposit. Three (K-6, K-8, K-9) caverns were projected inside this model. The mesh of the numerical model contained about 15 million tetrahedral elements. The occurrence of anhydrite interbeds within the rock salt beds had contributed to the reduction in a diameter and irregular shape of the analysed caverns. The results of the 3D numerical modelling had indicated that the contact area between the rock salt beds and the anhydrite interbeds is likely to the occurrence of displacements. Irregularities in a shape of the analysed caverns are prone to the stress concentration. However, the stability of the analysed caverns are not expected to be affected in the assumed operation conditions and time period (9.5 years).

Transient thermal management characteristics of a porous fin with radially outwards fluid flow

Thermal management and energy storage problems often utilize extended surfaces, also known as fins for enhanced heat transfer. While thermal conduction is usually the dominant mode of heat transfer in a solid fin, the use of porous fins that include advective thermal transport due to porous fluid flow has also been investigated. In particular, the steady state thermal performance of a porous fin with pressure-driven radially outwards flow has been studied. While such results are helpful for studying problems that are inherently steady state in nature, such results do not readily apply to problems where heat removal or energy storage occurs only over a short period of time. This work presents transient thermal analysis of a porous fin with radial porous fluid flow driven by a pressure gradient. It is shown that the transient temperature field in the fin is governed by a transient convection-diffusion-reaction (CDR) equation, the solution for which is derived in the form of Bessel functions. Based on this solution, the evolution of fin performance with time is examined. Comparison of heat removed by the porous fin with a baseline case without any fin is carried out. The time taken to reach steady state is calculated. Key non-dimensional parameters appearing in this problem are identified and their impact on fin performance over time is investigated. Since fin porosity improves advective thermal transport but suppresses diffusive transport at different rates at different times, therefore, it is shown that for a given operating time, there may exist an optimal porosity that maximizes the rate of heat removal. It is shown that the operating time period of the fin plays a key role in determining whether fin porosity strongly impacts heat removal rate or not. Consequently, it is shown that it is important to consider transient effects in determining whether the use of a porous fin is beneficial at all, and, if so, what is the optimal fin porosity to use. This work contributes towards porous fin theory, and offers practical design guidelines for improving and optimizing the transient performance of porous fins.

Assessment of engine oil viscosity and vibration characteristics of CI engine fuelled with jatropha biodiesel blends

Abstract In the search for environmentally acceptable alternative fuels for diesel engines, biodiesel is a tempting option. Still, the long-term repercussions are excessive noise and vibration, as well as irregular and unpredictable combustion, which leads to knocking. In this study, an attempt was made to study the vibrational behavior of diesel engines fuelled with neat diesel and jatropha biodiesel blends (BJ0, BJ10, BJ20, BJ30, and BJ40) and lubrication oil degradation at different operating time periods (40, 60, 80 and 100 h). Vibration analysis is done through the measurement of horizontal and vertical frequencies and physical characteristics of lubrication are done through the determination of viscosity and density. Observation shows that there is a definite relationship between the degradation of oil and the vibration signatures of the engine. It is observed that BJ20 is the best-suited fuel for optimized performance. The highest frequency of vibration is reported in the frequency range of 1039–1041 Hz. The present study provides the guidelines for condition monitoring of bio fuelled engines for proper maintenance and scheduling change of oil.

URERTEROSCOPIC LASER LITHOTRIPSY IS BETTER THAN PNEUMATIC LITHOTRIPSY FOR URETRIC STONES

Background: Among various intra-corporeal lithotripters, pneumatic lithotripter has become the widely used tool for the treatment of urinary stones. Recently the holmium: YAG laser has been used with a wide range of potential urological applications, including intra-corporeal lithotripsy of urinary calculi. Aims and objective: Compare the effectiveness and complications of treatment for ureteric stones between holmium laser lithotripsy and pneumatic lithotripsy. Material and Methods: Comparison of 100 patients presented with ureteric stones, group one (50) of whom were treated with pneumatic lithotripsy and group two (50) with holmium laser was done and the effectiveness and complications of both were analyzed. Results: There was no difference in patient age, sex, stone size and location of stones between the two groups. The immediate stone free rates were 86% in the holmium: YAG group and 64% in the pneumatic lithotripsy group (p = 0.011).. The mean operative time in the holmium: YAG group (35.7±3.2) was shorter than those with pneumatic lithotripsy group (50.2±5.3). Postoperative stay in hospital was less than 24 hours in holmium: YAG group (74%) and shorter than those for pneumatic group (36%) (p &lt; 0.002). Post treatment complications such as ureteral perforation were encountered in only three patients who underwent pneumatic lithotripsy. Other complications, such as mucosal injury, ureteral perforation and postoperative fever; there was no statistically signicant difference between the two groups. While light hematuria was found more frequently in the pneumatic group (10%) in comparison to laser group (4%) (p = 0.045). On the other hand, the overall complication rates between the two groups was statistically signicant (10%) laser group vs. (36%) pneumatic group (p = 0.002). Conclusions: Holmium: YAG laser lithotripsy was associated with shorter operation time and postoperative hospitalization period. We believe that Holmium: YAG laser lithotripsy is an excellent treatment modality for managing ureteral calculi in central Rajasthan where stone formation rate is quite high. Drawback of holmium laser lithotripsy is its cost and maintainance

Occupant Heating Patterns of Low-Temperature Air-to-Air Heat Pumps in Rural Areas during Different Heating Periods

Understanding the actual heating patterns of air-to-air heat pumps (AAHP) in rural areas is crucial for energy planning and clean-heating policy optimization. To explore the influence of outdoor climate change on occupants’ heating patterns when using AAHPs in rural areas, the heating season was classified into three periods: the early heating period (EH), the mid heating period (MH), and the late heating period (LH). The investigation was conducted in rural areas of northern China, and indoor environmental parameters were measured from December 2021 to March 2022. Occupants completed household questionnaires about their heating habits before heating and phone interviews at the end of heating. This paper proposes clustering analysis to identify the AAHP heating pattern in rural areas. The results revealed four typical heating patterns of AAHP utilization. Occupant heating behaviors were dominated by the outdoor temperature fluctuation. In particular, during the mid heating period, the heating operation time periods and the heating duration were longer than that of other heating periods. Moreover, the heating patterns in living rooms were different from that in bedrooms. Room occupancy had an impact on household heating demands. These results could provide guidance for energy planning and the development of clean heating policy in the rural area.

Prospective study comparing between plate osteosynthesis and antegrade interlocking nailing its functional and radiological outcome in treating humeral shaft fractures

Humeral shaft fractures are common injuries making upto 1-3% of all fractures. They are widely treated by conservative methods leading to higher rates of non-union. Henceforth surgeons tend to perform operative procedures to treat them. To statistically analyse and compare the functional and radiological outcome of two treatment modalities of humeral shaft fractures, they are plate osteosyntheis and antegrade intramedullary nailing. A total of 22 patients of humeral shaft fractures were operated by either of two methods 12 in plating (P) group ,10 in nailing (N) group and their radiological outcome was assessed by rate of union, time taken for callus formation etc and their Functional outcome was analysed based on Rodriguez Merchan criteria. The commonest age group of patients operated is 21-40 years (70%) majority being males (70%) and road traffic accident being commonest mode of injury. The plate osteosynthesis group stands superior than nailing group in terms of duration of union (20 weeks), rate, percentage of union (100%), least risk of non-union (0). Statistically significant (p&lt;0.05) improvement in shoulder joint function with minimal complications. The plate osteosynthesis method is the most promising surgical procedure for treating humeral shaft fracture due to negligible rates of non-union and early recovery of motion. Though nailing group has minimal need of soft tissue dissection, preserves fracture biology, decreased operative time and early rehabilitation period it still stands inferior when it comes to complications like rotator cuff injury, shoulder impingement pain and restriction of shoulder movements. Ultimately the post operative quality of life is equally good in both techniques.

Feasibility, comparability and outcomes of three acquainted facial island flaps for periorbital defects reconstruction.

Severe coloboma of ocular malignant neoplasms post-resection poses a reconstructive challenge to surgeons. To compare the practicability, manipulability and outcomes of temporal (myocutaneous) flaps (TFs), forehead (supratrochlear artery/supraorbital artery) flaps (FFs) and buccal (facial artery) flaps (BFs) for periorbital defects reconstruction, a retrospective case series was conducted and evaluated between March 2014 and March 2021. Patient demographics and clinical parameters including age, gender, pathological diagnosis, operative methods, flap selection, operation time, aesthetic satisfaction and follow-up period were collected. The differences in complications were compared and assessed of the three flaps, including flap survival, venous congestion and donor site healing. Totally, 68 patients who underwent periorbital reconstructive operations because of common ocular malignant tumours were reviewed in this study. As for aesthetic satisfaction, a score more than "moderately dissatisfied" was obtained in 21 patients with TFs (95.5%), and of which the scores in FFs group were 12 cases (60%) and 16 cases with BFs reconstruction (61.5%) (P< .05). Severe microvascular complications underwent re-exploration operation occurred in one patient with FFs (1.5%) (P> .05). Notable flap necrosis was observed in two patients with BFs repair (2.9%) and in one case with FFs repair (1.5%), with no statistical difference between the three flap selections (P> .05). Moderate venous congestion occurred in one patient with TFs (1.5%), which was fully meliorated non-surgically. The three familiar facial island flaps are considered as minor trauma and time-saving process for reconstructing the extensive periorbital defects with comparable ranks of complications.

Microbial electro deionization for waste water treatment – A critical review on methods, applications and mechanism

Electro deionization using microbial communities has been proven as a competent method for desalination and abatement of water pollution by removing ionic chemicals from the target waters. Microbial Desalination Cell (MDC) facilitates microbial deionization which can either support or be a substitute for the conventional desalination methods. Generation of electricity is accomplished by the bio electrochemical oxidation of organic compounds present as contaminants in wastewater which in turn attribute to the migration of ions in MDC system. The present review aims to elucidate the theory, principles and the application of microbial desalination cell and microbial fuel cell (MFC) in treatment of saline and wastewaters. Air cathode MDC and stacked MDC for purification of saline water are found to give promising results. Air pump assisted microbial desalination cell reported 150.39 ppm h−1 of salt removal with an operational time period of 80 h and showed consistent results. Hence the air cathode assisted MDC showed dominant capacity of salt removal compared to stacked MDC. Also, three major types of microbial fuel cell, namely photosynthetic biofilm MFC, constructive wetland MFC and ceramic membrane supported MFC are reviewed for their potentials in wastewater treatment by deionization method and electricity generation. Complete (100%) removal of chemical oxygen demand was reported by photosynthetic microbial fuel cell operated for 16 days having 435.8 Ω of external resistance. When constructive wetland microbial fuel cell was operated for 10 days with 1000 ohms of external resistance, it exhibited complete (100%) removal of chemical oxygen demand from the wastewater. About 92% of chemical oxygen demand removal was demonstrated by ceramic membrane supported microbial fuel. Compared to ceramic membrane microbial fuel cell, photosynthetic and constructive wetland microbial fuel cell displayed better performance in terms of pollutant removal capacity and economical factor. Ability of the electrogenic species, namely Geobacter, Shewanella, Clostridium and Bacillus and the photosynthetic species, namely Chorella Vulgaris Rhodopsuedomonas, and Scenedesmus abundans in microbial deionization methods and their performance levels reported by several researchers are presented.