Numerical Computation for Gyrotactic Microorganisms in MHD Radiative Eyring-Powell Nanomaterial Flow by a Static/Moving Wedge with Darcy-Forchheimer Relation.

The intention of this study is to carry out a numerical investigation of time-dependent magneto-hydro-dynamics (MHD) Eyring-Powell liquid by taking a moving/static wedge with Darcy-Forchheimer relation. Thermal radiation was taken into account for upcoming solar radiation, and the idea of bioconvection is also considered for regulating the unsystematic exertion of floating nanoparticles. The novel idea of this work was to stabilized nanoparticles through the bioconvection phenomena. Brownian motion and thermophoresis effects are combined in the most current revision of the nanofluid model. Fluid viscosity and thermal conductivity that depend on temperature are predominant. The extremely nonlinear system of equations comprising partial differential equations (PDEs) with the boundary conditions are converted into ordinary differential equations (ODEs) through an appropriate suitable approach. The reformed equations are then operated numerically with the use of the well-known Lobatto IIIa formula. The variations of different variables on velocity, concentration, temperature and motile microorganism graphs are discussed as well as force friction, the Nusselt, Sherwood, and the motile density organism numbers. It is observed that Forchheimer number Fr decline the velocity field in the case of static and moving wedge. Furthermore, the motile density profiles are deprecated by higher values of the bio convective Lewis number and Peclet number. Current results have been related to the literature indicated aforementioned and are found to be great achievement.

Cattaneo-Christov Double Diffusion (CCDD) on Sutterby Nanofluid with Irreversibility Analysis and Motile Microbes Due to a RIGA Plate.

In this article, a Riga plate is exhibited with an electric magnetization actuator consisting of permanent magnets and electrodes assembled alternatively. This Riga plate creates an electric and magnetic field, where a transverse Lorentz force is generated that contributes to the flow along the plate. A new study field has been created by Sutterby nanofluid flows down the Riga plate, which is crucial to the creation of several industrial advancements, including thermal nuclear reactors, flow metres, and nuclear reactor design. This article addresses the second law analysis of MHD Sutter by nanofluid over a stretching sheet with the Riga plate. The Cattaneo-Christov Double Diffusion heat and mass flux have been created to examine the behaviour of relaxation time. The bioconvection of motile microorganisms and chemical reactions are taken into consideration. Similarity transformations are used to make the governing equations non-dimensional ordinary differential equations (ODE's) that are subsequently solved through an efficient and powerful analytic technique, the homotopy analysis method (HAM). The effect of pertained variables on velocity, temperature, concentration, and motile microorganism distributions are elaborated through the plot in detail. Further, the velocity distribution enhances and reduces for greater value Deborah number and Reynold number for the two cases of pseudoplastic and dilatant flow. Microorganism distribution decreases with the augmented magnitude of Peclet number (Pe), Bioconvection Lewis number (Lb), and microorganism concentration difference number (ϖ). The entropy production distribution is increased for the greater estimations of the Reynolds number (ReL) and Brinkman parameter (Br). Two sets of graphical outputs are presented for the Sutterby fluid parameter. Finally, for the justification of these outcomes, tables of comparison are made with various variables.

Assessment of Bleeding Risk in Hospitalized COVID-19 Patients: A Tertiary Hospital Experience during the Pandemic in a Predominant Minority Population-Bleeding Risk Factors in COVID-19 Patients.

Introduction: In the wake of the SARS-CoV-2 (COVID-19) pandemic, our world has faced multiple challenges. Infection with this virus has commonly been associated with thrombotic events. However, little is known about bleeding risk and anticoagulation therapy. This study aims to determine factors that are associated with increased risk of bleeding in COVID-19 patients. Methods: A retrospective cohort study was conducted using the records of COVID-19 patients admitted during the COVID-19 pandemic from March 2020 through May 2020. Using patient charts, investigators manually collected data regarding patient characteristics and bleeding. Patients were included in the analysis if they had a confirmed COVID-19 PCR test, were older than 18 years of age and were admitted to the hospital. Patients who were pregnant or had incomplete charts were excluded from the study. ANOVA and logistic regression were used to determine the statistical significance of the data using SPSS version 27. Results: A total of 651 patients were included in the analysis out of 685 patients located in the database of COVID-19 infected patients during that time frame. The general characteristics of the patients were as follows: 54.2% were males; females 45.8% ages ranged from 28 to 83 years old (median age = 66 years old). There were 31 patients (4.9%) who required more than 1 unit of packed red blood cell (PRBC). A total of 16 (2.85%) patients had a documented gastrointestinal bleed (GIB), of which 8 received a total of 29 units of PRBC transfusions. The HAS-BLED score (without alcohol/drug due to inadequate charting) is calculated for patients who had a documented GI bleed and who received more than one unit of PRBC. It was noted that the higher the HAS-BLED score the greater the likelihood of having a GI bleed (p < 0.001). The HAS-BLED score (not including alcohol/drug) was also predictive for patients who received more than one unit of PRBC during their hospital stay (p < 0.001). Discussion: Using the HAS-BLED score without alcohol/drugs, patients with COVID-19 can be stratified in regard to their risk of GI bleeding and their risk of transfusion while in the hospital. When administering anticoagulation therapy, cautious monitoring should be carried out. Decisions regarding anticoagulant therapy should be based on individual patient characteristics.

Diagnosing isolated hepatosplenic tuberculosis in an immunocompetent patient: a case report.

For many years, tuberculosis (TB) has been endemic in Pakistan; many rare and unusual presentations have been reported. There is a myriad of non-specific symptoms which always requires a high index of clinical suspicion for TB. World Health Organization data suggest that Pakistan ranks as the fifth highest country burdened with TB and has the fourth highest prevalence of multi-drug resistant TB globally. With an annual incidence of 277 cases per 100,000, the importance of early diagnosis and treatment is self-evident. We present a case where a strong suspicion of isolated hepatosplenic TB in an immunocompetent patient justified a directed approach.