| 1. |
- Drake, TM, et al.
(författare)
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Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study
- 2020
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Ingår i: BMJ global health. - : BMJ. - 2059-7908. ; 5:12
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Tidskriftsartikel (refereegranskat)abstract
- Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings.MethodsA multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI).ResultsOf 1159 children across 181 hospitals in 51 countries, 523 (45·1%) children were from high HDI, 397 (34·2%) from middle HDI and 239 (20·6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12·8% (51/397) in middle HDI and 24·7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI.ConclusionThe odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.
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| 2. |
- Alawi, Omer A., et al.
(författare)
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Heat transfer and hydrodynamic properties using different metal-oxide nanostructures in horizontal concentric annular tube : An optimization study
- 2021
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Ingår i: Nanomaterials. - : MDPI AG. - 2079-4991. ; 11:8
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Tidskriftsartikel (refereegranskat)abstract
- Numerical studies were performed to estimate the heat transfer and hydrodynamic properties of a forced convection turbulent flow using three-dimensional horizontal concentric annuli. This paper applied the standard k–ε turbulence model for the flow range 1 × 104 ≤ Re ≥ 24 × 103. A wide range of parameters like different nanomaterials (Al2O3, CuO, SiO2 and ZnO), different particle nanoshapes (spherical, cylindrical, blades, platelets and bricks), different heat flux ratio (HFR) (0, 0.5, 1 and 2) and different aspect ratios (AR) (1.5, 2, 2.5 and 3) were examined. Also, the effect of inner cylinder rotation was discussed. An experiment was conducted out using a field-emission scanning electron microscope (FE-SEM) to characterize metallic oxides in spherical morphologies. Nano-platelet particles showed the best enhancements in heat transfer properties, followed by nano-cylinders, nano-bricks, nano-blades, and nano-spheres. The maximum heat transfer enhancement was found in SiO2, followed by ZnO, CuO, and Al2O3, in that order. Meanwhile, the effect of the HFR parameter was insignificant. At Re = 24,000, the inner wall rotation enhanced the heat transfer about 47.94%, 43.03%, 42.06% and 39.79% for SiO2, ZnO, CuO and Al2O3, respectively. Moreover, the AR of 2.5 presented the higher heat transfer improvement followed by 3, 2, and 1.5.
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| 3. |
- Alawi, Omer A., et al.
(författare)
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Thermohydraulic performance of thermal system integrated with twisted turbulator inserts using ternary hybrid nanofluids
- 2023
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Ingår i: Nanotechnology Reviews. - : Walter de Gruyter. - 2191-9089 .- 2191-9097. ; 12:1
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Tidskriftsartikel (refereegranskat)abstract
- Mono, hybrid, and ternary nanofluids were tested inside the plain and twisted-tape pipes using k-omega shear stress transport turbulence models. The Reynolds number was 5,000 ≤ Re ≤ 15,000, and thermophysical properties were calculated under the condition of 303 K. Single nanofluids (Al2O3/distilled water [DW], SiO2/DW, and ZnO/DW), hybrid nanofluids (SiO2 + Al2O3/DW, SiO2 + ZnO/DW, and ZnO + Al2O3/DW) in the mixture ratio of 80:20, and ternary nanofluids (SiO2 + Al2O3 + ZnO/DW) in the mixture ratio of 60:20:20 were estimated in different volumetric concentrations (1, 2, 3, and 4%). The twisted pipe had a higher outlet temperature than the plain pipe, while SiO2/DW had a lower Tout value with 310.933 K (plain pipe) and 313.842 K (twisted pipe) at Re = 9,000. The thermal system gained better energy using ZnO/DW with 6178.060 W (plain pipe) and 8426.474 W (twisted pipe). Furthermore, using SiO2/DW at Re = 9,000, heat transfer improved by 18.017% (plain pipe) and 21.007% (twisted pipe). At Re = 900, the pressure in plain and twisted pipes employing SiO2/DW reduced by 167.114 and 166.994%, respectively. In general, the thermohydraulic performance of DW and nanofluids was superior to one. Meanwhile, with Re = 15,000, DW had a higher value of η Thermohydraulic = 1.678
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| 4. |
- Homod, Raad Z., et al.
(författare)
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Deep clustering of cooperative multi-agent reinforcement learning to optimize multi chiller HVAC systems for smart buildings energy management
- 2023
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Ingår i: Journal of Building Engineering. - : Elsevier. - 2352-7102. ; 65
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Tidskriftsartikel (refereegranskat)abstract
- Chillers are responsible for almost half of the total energy demand in buildings. Hence, the obligation of control systems of multi-chiller due to changes indoor environments is one of the most significant parts of a smart building. Such a controller is described as a nonlinear and multi-objective algorithm, and its fabrication is crucial to achieving the optimal balance between indoor thermal comfort and running a minimum number of chillers. This work proposes deep clustering of cooperative multi-agent reinforcement learning (DCCMARL) as well-suited to such system control, which supports centralized control by learning of agents. In MARL, since the learning of agents is based on discrete sets of actions and stats, this drawback significantly affects the model of agents for representing their actions with efficient performance. This drawback becomes considerably worse when increasing the number of agents, due to the increased complexity of solving MARL, which makes modeling policy very challenging. Therefore, the DCCMARL of multi-objective reinforcement learning is leveraging powerful frameworks of a hybrid clustering algorithm to deal with complexity and uncertainty, which is a critical factor that influences to the achievement of high levels of a performance action. The results showed that the ability of agents to manipulate the behavior of the smart building could improve indoor thermal conditions, as well as save energy up to 44.5% compared to conventional methods. It seems reasonable to conclude that agents' performance is influenced by what type of model structure.
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| 5. |
- Tao, Hai, et al.
(författare)
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Influence of water based binary composite nanofluids on thermal performance of solar thermal technologies: sustainability assessments
- 2023
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Ingår i: Engineering Applications of Computational Fluid Mechanics. - : Taylor & Francis. - 1994-2060 .- 1997-003X. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- Recent technological advances have made it possible to produce particles with nanometer dimensions that are uniformly and steadily suspended in traditional solar liquids and have enhanced the impact of thermo-physical parameters. In this research, a three-dimensional flat plate solar collector was built using a thin flat plate and a single working fluid pipe. The physical model was solved computationally under conditions of conjugated laminar forced convection in the range 500 ≤ Re ≤ 1900 and a heat flux of 1000 W/m2. Distilled water (DW) and different types of hybrid nanofluids (namely, 0.1%-Al2O3@Cu/DW, 0.1%-MWCNTs@Fe3O4/DW, 0.3%-MWCNTs@Fe3O4/DW, 0.5%-Ag@MgO/DW, 1%-Ag@MgO/DW, 1%-S1 and 1%-S2, where MWCNTs are multi-wall carbon nanotubes, S1 means 2CuO–1Cu and S2 means 1CuO–2Cu nanocomposites) were evaluated via a set of parameters. The numerical results revealed that, by increasing the working fluid velocity (the Reynolds number), the average heat transfer coefficient, pressure loss, heat gain and solar collector efficiency were increased. Meanwhile, outlet fluid temperature and flat plate surface temperature were decreased. At Re = 1900, 1%-S2 and 1%-S1 presented higher thermal performance enhancement by 44.28% and 36.72% relative to DW. Moreover, low thermal performance enhancement of 7.59% and 7.44% were reported by 0.1%-Al2O3@Cu/DW and 0.3%-MWCNTs@Fe3O4/DW, respectively.
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| 6. |
- Tao, Hai, et al.
(författare)
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Thermohydraulic analysis of covalent and noncovalent functionalized graphene nanoplatelets in circular tube fitted with turbulators
- 2022
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Ingår i: Scientific Reports. - : Springer Nature. - 2045-2322. ; 12
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Tidskriftsartikel (refereegranskat)abstract
- Covalent and non-covalent nanofluids were tested inside a circular tube fitted with twisted tape inserts with 45° and 90° helix angles. Reynolds number was 7000 ≤ Re ≤ 17,000, and thermophysical properties were assessed at 308 K. The physical model was solved numerically via a two-equation eddy-viscosity model (SST k-omega turbulence). GNPs-SDBS@DW and GNPs-COOH@DW nanofluids with concentrations (0.025 wt.%, 0.05 wt.% and 0.1 wt.%) were considered in this study. The twisted pipes' walls were heated under a constant temperature of 330 K. The current study considered six parameters: outlet temperature, heat transfer coefficient, average Nusselt number, friction factor, pressure loss, and performance evaluation criterion. In both cases (45° and 90° helix angles), GNPs-SDBS@DW nanofluids presented higher thermohydraulic performance than GNPs-COOH@DW and increased by increasing the mass fractions such as 1.17 for 0.025 wt.%, 1.19 for 0.05 wt.% and 1.26 for 0.1 wt.%. Meanwhile, in both cases (45° and 90° helix angles), the value of thermohydraulic performance using GNPs-COOH@DW was 1.02 for 0.025 wt.%, 1.05 for 0.05 wt.% and 1.02 for 0.1 wt.%.
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