Search results for: Zuhreya Muazu

Authors: Ammar Ayad Issa Al-Rifaie, Zuhreya Muazu, Maysam Ali Abdulwahid, Dermot Gleeson

Abstract:

The aim of this audit was to examine the efficiency of alcohol history documentation and screening for hazardous drinkers at the Medical Admission Unit (MAU) of Northern General Hospital (NGH), Sheffield, to identify any potential for enhancing clinical practice. Data were collected from medical clerking sheets, ICE system and directly from 82 patients by three junior medical doctors using both CAGE questionnaire and AUDIT-C tool for newly admitted patients to MAU in NGH, in the period between January and March 2015. Alcohol consumption was documented in around two-third of the patient sample and this was documented fairly accurately by health care professionals. Some used subjective words such as 'social drinking' in the alcohol units’ section of the history. CAGE questionnaire was applied to only four patients and none of the patients had documented advice, education or referral to an alcohol liaison team. AUDIT-C tool had identified 30.4%, while CAGE 10.9%, of patients admitted to the NGH MAU as hazardous drinkers. The amount of alcohol the patient consumes positively correlated with the score of AUDIT-C (Pearson correlation 0.83). Re-audit is planned to be carried out after integrating AUDIT-C tool as labels in the notes and presenting a brief teaching session to junior doctors. Alcohol misuse screening is not adequately undertaken and no appropriate action is being offered to hazardous drinkers. CAGE questionnaire is poorly applied to patients and when satisfactory and adequately used has low sensitivity to detect hazardous drinkers in comparison with AUDIT-C tool. Re-audit of alcohol screening practice after introducing AUDIT-C tool in clerking sheets (as labels) is required to compare the findings and conclude the audit cycle.

Keywords: Alcohol screening, AUDIT-C, CAGE, Hazardous drinking.

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Authors: Rukayya Ibrahim Muazu, Aiduan Li Borrion, Julia A. Stegemann

Abstract:

Biomass briquette gasification is regarded as a promising route for efficient briquette use in energy generation, fuels and other useful chemicals. However, previous research has been focused on briquette gasification in fixed bed gasifiers such as updraft and downdraft gasifiers. Fluidised bed gasifier has the potential to be effectively sized to medium or large scale. This study investigated the use of fuel briquettes produced from blends of rice husks and corn cobs biomass, in a bubbling fluidised bed gasifier. The study adopted a combination of numerical equations and Aspen Plus simulation software, to predict the product gas (syngas) composition base on briquette density and biomass composition (blend ratio of rice husks to corn cobs). The Aspen Plus model was based on an experimentally validated model from the literature. The results based on a briquette size 32 mm diameter and relaxed density range of 500 to 650kg/m3, indicated that fluidisation air required in the gasifier increased with increase in briquette density, and the fluidisation air showed to be the controlling factor compared with the actual air required for gasification of the biomass briquettes. The mass flowrate of CO2 in the predicted syngas composition increased with an increase in air flow, in the gasifier, while CO decreased and H2 was almost constant. The ratio of H2 to CO for various blends of rice husks and corn cobs did not significantly change at the designed process air, but a significant difference of 1.0 was observed between 10/90 and 90/10 % blend of rice husks and corn cobs.

Keywords: Briquettes, fluidised bed, gasification, Aspen Plus, syngas.

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