Pediatrics. A potpourri of clinical pearls

A pediatric focus in the emergency department requires an understanding of age-specific parameters of assessment and management. Differential considerations are unique in the pediatric patient reflecting both congenital and acquired conditions. Respiratory problems, meningitis, seizures, and child abuse require careful assessment and aggressive intervention. When approaching the ill child, attention must be directed toward reducing anxiety and pain in the patient.     

An Evaluation of Public Concerns About Water Management in the Palestinian Territory Pre,During, and Post the National Uprising

We have evaluated the extent of public concerns about water management in the Palestinian Territory (PT) through a survey of the main Palestinian newspaper over the last thirteen years divided in three periods: pre (1984–1987), during (1988–1991), and post national uprising period (1992–1996). The public concern in the PT about various water management aspects was clear and influenced by the prevailing political conditions indicating (1) poor concerns in the first and second period where full Israeli military control of the PT and harsh practices prevailed with relatively more emphasis on regional water issues and (2) extensive-strong concerns in the third period when the peace process started and a partial lift of some of the Israeli water practices took place, along with an increased freedom in expressing public concerns which was granted with more emphasis on local issues and problems. Lack and limitation of water available to Palestinians, alternative solutions, and water quality and pollution control constituted the overwhelming majority of the topics of concern to the public for the three periods studied. Palestinian concerns were always greater than regional ones for the three periods and all of the topics considered. Public concern in the PT about all other water management aspects was poor and negligible especially in the first two periods. A massive increase in public concern has been observed in the third period in which the public expressed their concern over most water management aspects, indicating a possible change in public attitude toward water and water management and reflecting the change of the political status by the start of the peace process and the signing of the peace agreements.     

Severe facial clefting, limbic dermoid, hypoplasia of the corpus callosum, and multiple skin appendages: severe frontofacionasal "dysplasia" or newly recognised syndrome?

We report on a child with severe midline facial cleft, bilateral cleft lip and palate, telecanthus, S-shaped palpebral fissures, limbic dermoid, midface hypoplasia, hypoplastic corpus callosum, and multiple skin appendages. This case may be an example of severe frontofacionasal "dysplasia" or a newly recognised syndrome.     

Evaluation of the domain of attraction of time-varying systems with sector and polynomial nonlinearities

In this paper, we propose a method for computing an estimate of the domain of attraction of a system containing time-varying sector nonlinearity together with quadratic and cubic nonlinearities. The method is based on use of non-symmetric Lyapunov functions combined with scanning the phase space in polar coordinates. Examples testifying to the efficiency of the new approach are presented.     

Surgical treatment of the massively dilated ureter in children. Part II. Management by primary reconstruction

Bypass of the left ventricle was accomplished in dogs and the entire circulation was supported temporarily by only the right ventricle. The atrial septum was excised, and the atrium was repartitioned so that the pulmonary veins were in continuity with the right ventricle and the venae cavae were connected through the atrium. Anastomosis of the superior vena cava to the right pulmonary artery brought systemic venous return directly to the lungs. The main pulmonary artery was ligated proximal to the bifurcation, preserving distal confluence of right and left pulmonary arteries. A tubular prosthesis between the proximal pulmonary artery and the aorta connected the right ventricle to the systemic circuit. This procedure, or some modification of the principle, may have clinical feasibility in the treatment of patients with hypoplastic left heart syndrome.     

Improvement of enzymatic xylooligosaccharides production by the co-utilization of xylans from different origins

This study aimed to improve XOs production by enzymatic hydrolysis of xylans from various lignocellulosic waste biomasses namely corn cob, cotton and sunflower stalks, rice hull, wheat straw by using two commercial xylanase preparations, Shearzyme 500L and Veron 191. Shearzyme 500L showed better xylan hydrolysis capacity with high amount of xylose liberation. Xylobiose was the main hydrolysis product in each case. Even though the enzymatic hydrolyses using Shearzyme 500L resulted higher reducing sugar production compared to those of Veron 191, the hydrolysis of complex xylan structures was improved and the production of undesirable xylose was lowered by the co-utilization of xylanase preparations. By the co-utilization of xylanase preparations, the reducing sugar production from wheat straw, corn cob and sunflower stalk originated xylans was increased by 36%, 33% and 13%, respectively, compared to the expected reducing sugar yields. The highest reducing sugar production was obtained from complex corn cob xylan. The depolymerization of cotton and sunflower stalk xylan was poorest even though they have simple structures. Poor utilization of these xylans might be related to their high residual lignin content which might hinder the accessibility of xylan by the xylanases. However, the utilization of sunflower and cotton stalk xylan was improved when they were hydrolyzed within a xylan mixture containing equal amounts of each of five different xylans. In short, XOs production efficiency from agricultural waste materials was improved by the co-utilization of suitable xylanase and/or xylan mixtures considering the heterogeneous structures of xylan and different substrate specificities of xylanases.     

Phenol Removal through Chemical Oxidation using Fenton Reagent

In this study, phenol, aromatic, and non‐biodegradable organic matter were investigated and found to be removed from the model solution through chemical oxidation using Fenton reagent. The effects of the initial phenol concentration, hydrogen peroxide, and ferrous sulfate concentrations on the removal efficiency were investigated. Performance of the chemical oxidation process was monitored with phenol and COD (Chemical Oxygen Demand) analyses. In the experimental studies, phenol removal of over 98 % and COD removal of nearly 70 % were achieved. The optimum conditions for Fenton reaction both for initial phenol concentrations of 200 and 500 mg/L were found at a ratio [Fe²⁺]/[H₂O₂] (mol/mol) equal to 0.11. According to the results, chemical oxidation using Fenton reagent was found to be too effective, especially for phenol removal. However, this method has limited removal efficiency for COD.     

Investigation of solidification cracking susceptibility during laser beam welding using an in-situ observation technique

In recent years, laser beam welding has found wide applications in many industrial fields. Solidification cracks are one of the most frequently encountered welding defects that hinder obtaining a safe weld joint. Decades of research have shown that one of the main causes of such cracks are the strain and the strain rate. Obtaining meaningful measurements of these strains has always been a major challenge for scientists, because of the specific environment of the measurement range and the many obstacles, as well as the high temperature and the plasma plume. In this study, a special experimental setup with a high-speed camera was employed to measure the strain during the welding process. The hot cracking susceptibility was investigated for 1.4301 stainless steel, and the critical strain required for solidification crack formation was locally and globally determined.     

Reliability analysis of the complex mode indicator function and Hilbert Transform techniques for operational modal analysis

This study presents application of the CMIF and the Hilbert Transform techniques onto simulated response data obtained using a numerical model of a typical school building from Turkey. White noise is added to the data in order to achieve a noise to signal ratio of 5%. 100 Monte Carlo analysis sequences are carried out and the modal parameters (the frequencies, the mode shapes and the damping ratios) are identified at each Monte Carlo run for both techniques. The results are compared with the identifications obtained from the simulated data using stochastic subspace based system identification technique. The overall results of the study show that the mode shapes are clearly identified the best by using the CMIF technique. The damping ratios are estimated better by using the stochastic subspace based system identification technique whereas the frequencies are best determined by the CMIF. The results also show that both the CMIF and the Hilbert Transform techniques are sensitive to the type of window used as well as the averaging and the decimation process. It is apparent that the CMIF technique is as robust as the frequently used stochastic subspace based system identification technique and can be confidently used for modal parameter estimation of stiff low to mid rise reinforced concrete structures.