Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery

Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery.A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a c…

Dynamic performance evaluation of a non linear digital control technique for multiphase VRMs

Safety of hospital discharge before return of bowel function after elective colorectal surgery

Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multiva…

Linear-non-linear digital control technique for dc-dc converters with fast transient response

A digital control technique for high-performances DC-DC converters

Non linear digital control improving transient response:design and test on a multiphase VRM

A fuel cell model emulator, including temperature effects

Research on the model emulator and experiment checkout of the fuel cell

Safety of primary anastomosis following emergency left sided colorectal resection: an international, multi-centre prospective audit

Introduction: Some evidence suggests that primary anastomosis following left sided colorectal resection in the emergency setting may be safe in selected patients, and confer favourable outcomes to permanent enterostomy. The aim of this study was to compare the major postoperative complication rate in patients undergoing end stoma vs primary anastomosis following emergency left sided colorectal resection. Methods: A pre-planned analysis of the European Society of Coloproctology 2017 audit. Adult patients (> 16 years) who underwent emergency (unplanned, within 24 h of hospital admission) left sided colonic or rectal resection were included. The primary endpoint was the 30-day major complic…

Modeling of the viscoelastic behavior of paving bitumen using fractional derivatives

The paving grade bitumen used in the production of asphalt mixtures for road construction is significantly able to affect the in-service performances of flexible road pavements. It has been proved that, when subjected to loading conditions comparable with most pavement operating conditions, bituminous binders behave as linear visco-elastic materials. The aim of this paper is to propose a model based on fractional differential equations which is able to describe the behavior of bituminous binders in the linear viscoelastic range. Shear creep testing and creep recovery testing were carried out over a range of temperatures and by applying a stress level which makes it possible to maintain the …