BACKGROUND Transplant teams often hesitate to use the right kidney(RK)in living donor(LD)transplants due to the complexities of anastomosing the short,thin-walled right renal veins,which can potentially lead to graft ...BACKGROUND Transplant teams often hesitate to use the right kidney(RK)in living donor(LD)transplants due to the complexities of anastomosing the short,thin-walled right renal veins,which can potentially lead to graft loss or graft dysfunction.Nevertheless,circumstances may arise where selecting the RK over the left kidney(LK)is unavoidable.Consequently,it is crucial to thoroughly examine the implications of such a choice on the overall transplant outcome.AIM To compare transplant outcomes between recipients of RK and LK while examining the factors that influence these outcomes.METHODS We retrospectively analyzed data from adult patients who received LD kidney transplants involving meticulous patient selection and surgical techniques at our center from January 2020 to December 2023.We included all kidney donors who were over 18,fit to donate,and had undergone diethylenetriamine pentaacetic acid split function and/or computed tomography based volumetry.The variables examined comprised donor and recipient demographics,and outcome measures included technical graft loss(TGL),delayed or slow graft function(SGF),and post-transplant serum creatinine(SC)trends.We used a logistic regression model to assess the likelihood of adverse outcomes considering the donor kidney side.RESULTS Of the 250 transplants performed during the period,56(22%)were RKs.The recipient demographics and transplant factors were comparable for the right and LKs,except that the donor warm and cold ischemia time were shorter for RKs.TGL and SGF each occurred in 2%(n=1)of RKs and 0.5%(n=1)of LKs,the difference being insignificant.These complications,however,were not related to the venous anastomosis.One RK(2%)developed delayed graft function after 48 hours,which was attributable to postoperative hypoxia rather than the surgical technique.The post-transplant SC trend and mean SC at the last follow-up were similar across both kidney sides.CONCLUSION The donor kidney side has little impact on post-transplant adverse events and graft function in LD transplants,provided that careful patient selection and precise surgical techniques are employed.展开更多
The situation of electricity in Pakistan has been alarming from the last ten years. The deficiency in electricity has not only obstructed the business activities but also affected the domestic consumers, educational i...The situation of electricity in Pakistan has been alarming from the last ten years. The deficiency in electricity has not only obstructed the business activities but also affected the domestic consumers, educational institutes and hospitals. Usually electrical power companies are liable for electricity shortfall and power interruption. However, electricity end consumers are also equally responsible behind strange shortfall and unusual power interruption. Frequently, the consumers use the heavy electrical equipment in their homes including heaters, geysers, irons and water motors which causes the more electricity consumption, load shedding and huge amount of bills. For escaping the huge amount of electricity bill, the consumers commit the illegal and unethical connections. The illegal usage of electrical power failed the power companies to plan schedule load shedding accordingly and the other side the damaged electricity wires or Pole Mount Transformer increased faults due to overburdening, which directly affected on extend power interruption. In addition that, responsible teams of electrical power companies cannot reach instantly to repair faults and prevent the theft. Electricity thieving is social crime committed by the consumers or meter readers which causes the electricity strange shortfall within country. This paper presents the practical demonstration about the common energy theft methods and techniques done by electricity consumers within their home and residential building. In Pakistan EPC (electrical power companies) deploy the traditional electromechanical meters for electricity consumption measurements, however, these meters do not have any real time communication. Therefore there are many easy ways to manipulate the meter reading as well as internal structural of metering system.展开更多
The interconnection of Solar PV to the Tarkwa Bulk Supply Point (BSP) has become necessary in order to provide additional capacity to meet the ever-increasing demand of Tarkwa and its environs during the day. The Sola...The interconnection of Solar PV to the Tarkwa Bulk Supply Point (BSP) has become necessary in order to provide additional capacity to meet the ever-increasing demand of Tarkwa and its environs during the day. The Solar PV Plant will support the Tarkwa BSP during the day. In this study, a grid impact analysis for the integration of Solar PV plant at three points of common coupling (PCC) at Tarkwa Bulk Supply Point’s (BSP) 33 kV network of the Electricity Company of Ghana was carried out. The three PCCs were Tarkwa BSP, Ghana Australia Gold (GAG) Substation and Darmang Substation. Simulations and detailed analysis were carried out with the use of CYME Software (Cyme 8.0 Rev 05). The Solar PV was integrated at varying penetration levels of 9 MWp, 11 MWp, 14 MWp, 16 MWp, 18 MWp, 20 MWp and 23 MWp (representing penetration levels of 40%, 50%, 60%, 70%, 80%, 90% and 100%, respectively) of the 2020 projected light demand of Tarkwa BSP 25.15 MVA network at an average power factor of 0.903. From the study, the optimum capacity of Solar PV power that could be connected is 9 MWp at an optimum inverter power factor of 0.94 lagging, and the GAG Substation was identified as the optimal location. The stiffness ratio at the optimal location was determined as 41.9, a figure which is far greater than the minimum standard value of 5, and gives an indication of very little voltage control problems in the operation of the proposed Solar PV interconnection. The integration of the optimum 9 MW Solar PV Plant to the Tarkwa network represents an additional 12.77% capacity, decreased the technical losses by 7.76%, and increased the voltage profile by 1.97%.展开更多
文摘BACKGROUND Transplant teams often hesitate to use the right kidney(RK)in living donor(LD)transplants due to the complexities of anastomosing the short,thin-walled right renal veins,which can potentially lead to graft loss or graft dysfunction.Nevertheless,circumstances may arise where selecting the RK over the left kidney(LK)is unavoidable.Consequently,it is crucial to thoroughly examine the implications of such a choice on the overall transplant outcome.AIM To compare transplant outcomes between recipients of RK and LK while examining the factors that influence these outcomes.METHODS We retrospectively analyzed data from adult patients who received LD kidney transplants involving meticulous patient selection and surgical techniques at our center from January 2020 to December 2023.We included all kidney donors who were over 18,fit to donate,and had undergone diethylenetriamine pentaacetic acid split function and/or computed tomography based volumetry.The variables examined comprised donor and recipient demographics,and outcome measures included technical graft loss(TGL),delayed or slow graft function(SGF),and post-transplant serum creatinine(SC)trends.We used a logistic regression model to assess the likelihood of adverse outcomes considering the donor kidney side.RESULTS Of the 250 transplants performed during the period,56(22%)were RKs.The recipient demographics and transplant factors were comparable for the right and LKs,except that the donor warm and cold ischemia time were shorter for RKs.TGL and SGF each occurred in 2%(n=1)of RKs and 0.5%(n=1)of LKs,the difference being insignificant.These complications,however,were not related to the venous anastomosis.One RK(2%)developed delayed graft function after 48 hours,which was attributable to postoperative hypoxia rather than the surgical technique.The post-transplant SC trend and mean SC at the last follow-up were similar across both kidney sides.CONCLUSION The donor kidney side has little impact on post-transplant adverse events and graft function in LD transplants,provided that careful patient selection and precise surgical techniques are employed.
文摘The situation of electricity in Pakistan has been alarming from the last ten years. The deficiency in electricity has not only obstructed the business activities but also affected the domestic consumers, educational institutes and hospitals. Usually electrical power companies are liable for electricity shortfall and power interruption. However, electricity end consumers are also equally responsible behind strange shortfall and unusual power interruption. Frequently, the consumers use the heavy electrical equipment in their homes including heaters, geysers, irons and water motors which causes the more electricity consumption, load shedding and huge amount of bills. For escaping the huge amount of electricity bill, the consumers commit the illegal and unethical connections. The illegal usage of electrical power failed the power companies to plan schedule load shedding accordingly and the other side the damaged electricity wires or Pole Mount Transformer increased faults due to overburdening, which directly affected on extend power interruption. In addition that, responsible teams of electrical power companies cannot reach instantly to repair faults and prevent the theft. Electricity thieving is social crime committed by the consumers or meter readers which causes the electricity strange shortfall within country. This paper presents the practical demonstration about the common energy theft methods and techniques done by electricity consumers within their home and residential building. In Pakistan EPC (electrical power companies) deploy the traditional electromechanical meters for electricity consumption measurements, however, these meters do not have any real time communication. Therefore there are many easy ways to manipulate the meter reading as well as internal structural of metering system.
文摘The interconnection of Solar PV to the Tarkwa Bulk Supply Point (BSP) has become necessary in order to provide additional capacity to meet the ever-increasing demand of Tarkwa and its environs during the day. The Solar PV Plant will support the Tarkwa BSP during the day. In this study, a grid impact analysis for the integration of Solar PV plant at three points of common coupling (PCC) at Tarkwa Bulk Supply Point’s (BSP) 33 kV network of the Electricity Company of Ghana was carried out. The three PCCs were Tarkwa BSP, Ghana Australia Gold (GAG) Substation and Darmang Substation. Simulations and detailed analysis were carried out with the use of CYME Software (Cyme 8.0 Rev 05). The Solar PV was integrated at varying penetration levels of 9 MWp, 11 MWp, 14 MWp, 16 MWp, 18 MWp, 20 MWp and 23 MWp (representing penetration levels of 40%, 50%, 60%, 70%, 80%, 90% and 100%, respectively) of the 2020 projected light demand of Tarkwa BSP 25.15 MVA network at an average power factor of 0.903. From the study, the optimum capacity of Solar PV power that could be connected is 9 MWp at an optimum inverter power factor of 0.94 lagging, and the GAG Substation was identified as the optimal location. The stiffness ratio at the optimal location was determined as 41.9, a figure which is far greater than the minimum standard value of 5, and gives an indication of very little voltage control problems in the operation of the proposed Solar PV interconnection. The integration of the optimum 9 MW Solar PV Plant to the Tarkwa network represents an additional 12.77% capacity, decreased the technical losses by 7.76%, and increased the voltage profile by 1.97%.
