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Author(s):  
Sumaiya Binte Azad

The Padma Multipurpose Bridge Project is the genesis of some subsequent projects in Bangladesh among which developing Mongla Port is one of the priority values. Since Mongla is an integral part of southern Bangladesh, the government has taken initiatives to integrate the port uses for neighboring countries. An agreement was signed (Intra Bangladesh, Butan, India, and Nepal (BBIN) Trade) for offering multi‐modal transit access to India and Port access to Nepal, Bhutan and Eastern India. The objective of this study is to establish a computational way to analyze the existing fabric and restore a potential optimized fabric. The methodology of this study includes developing a computational approach, collecting data from secondary sources, analyzing the data set and adjusting it to the identified existing urban fabric. In this paper, a new tool is introduced named ‘Physarealm’, based on the algorithm of Grasshopper and Rhinoceros.


2021 ◽  
Vol 15 (11) ◽  
pp. 3026-3027
Author(s):  
Imamuddin Baloch ◽  
Azhar Ali Shah ◽  
Bushra Shaikh ◽  
Saima Athar ◽  
Abdul Sami Mirani ◽  
...  

Aim: To evaluate the feasibility and safety of direct trocar insertion for gaining access to peritoneal cavity in laparoscopic cholecystectomy. Methods: An Observational study was conducted at Surgical unit II Ghulam Mohammad Mahar Medical College Hospital Sukkur from January 2016 to December 2020. Two thousand one hundred twenty (n=2120) patients were included in the study. All the patients who underwent laparoscopic cholecystectomy were included in the study. Informed and written consent was obtained from every patient to participate as study subject. Data was analyzed on SPSS version 16. Mean +/- standard deviation was calculated for age, first port access time and time to establish pneumoperitoneum. Results: Under general anesthesia with patient in supine posture, abdominal access gained by first making small incision of 10mm in skin and subcutaneous fat at sub umbilical region with No. 11 scalpel and then by direct trocar insertion followed by creation of pneumoperitoneum. Cholecystectomy performed. Study variables included first port access time, no. of attempts for DTI, extraperitoneal CO2 insufflation, port site bleeding, visceral injury, port site infection and port site hernia and were recorded on predesigned proforma. Variables like extraperitoneal CO2 insufflation, port site bleeding and visceral injury were expressed as percentage. Conclusion: We conclude that direct trocar insertion is the safe, quick and effective method for creation of pneumoperitoneum and should be employed routinely in all laparoscopic procedures. Keywords: Laparoscpy, Cholecystectomy, Trocars


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Yao Shen

This paper provides an in-depth study and analysis of the construction of a cloud-based agricultural Internet of Things system for a wireless sensing network system for leisure agriculture. Using more mature agricultural sensor technology, compliant economy designed for indoor feeding and planting of distributed and integrated two sensor collection and transmission scheme, analysis of environmental factors selected high-performance various types of sensors and regulation equipment, between nodes based on SI4432 for wireless communication, and controller nodes selected STM32 as a microprocessor, through the W5500-based network port access module or ESP8266-based WiFi module for broadband access. In response to the development of mobile technology and the reality of diversified types of mobile terminals, to make all kinds of terminals accessible to the leisure agriculture system, the server software adopts the SOA software architecture, which makes the system have good openness and scalability. The NoSQL database MongoDB is used for the cloud storage of massive data, and the data structure design is completed after analyzing the database requirements, including collections, documents, and fields. The autosharding technology is used to build a database sharding cluster in the cloud, which realizes the high-speed cloud elastic storage of massive data and rewrites the database access object DAO to ensure that the WEB application is normal. Traditional leisure agriculture is mostly based on field tourism and agritourism methods, and the model is developing slowly and has increasingly failed to attract the interest of urban residents. The introduction of IoT technology in traditional leisure agriculture can increase the interest of leisure agriculture and improve the interest of urban residents in leisure agriculture.


Medicine ◽  
2021 ◽  
Vol 100 (40) ◽  
pp. e27441
Author(s):  
Joseph J. Noh ◽  
Myeong-Seon Kim ◽  
Soo-Young Jeong ◽  
Jun-Hyeok Kang ◽  
Byung-Kwan Park ◽  
...  

2021 ◽  

An apical (S1) segmentectomy of the right upper lobe is considered one of the most challenging procedures among the uncommon pulmonary segmentectomies. However, we consider that the uniportal thoracoscopic approach, for which the single port access is located at the 4th intercostal space of the anterior axillary line, makes this challenging operation easier because we can recognize any intrathoracic vessels and bronchi that should be divided just under the incision. Moreover, it is easy to insert a stapler to divide an intersegmental plane between S1 and the other segments because of the good surgical view provided by this approach. In this video tutorial, we describe the successful results of a patient undergoing uniportal thoracoscopic S1 segmentectomy of the right lower lobe and explain the nuances of performing it.


Author(s):  
S. Aksentijevic ◽  
E. Tijan ◽  
A. Panjako ◽  
G. Mrcela

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