A data completion method for identifying pollution intrusion in aquifers.

The data completion method combined with the modeling of water flow and solute transport in saturated porous media is used twice to identify the extent of polluted water intrusion from the downstream boundary of an aquifer. The aim of this work is to solve the problem even though data are missing on some of the boundaries, by exploiting the fact that there are over specified data on the other boundaries. Indeed, it is assumed that the flow and the water head are known on the upstream boundary while the pollutant concentrations are known on the downstream boundary. The method developed in this work allows to determine the flows, water heads and pollutant concentrations in the whole domain. The method is applied in different aquifer configurations with pumping wells, the results are satisfactory. The model developed has shown its effectiveness in detecting the intrusion of polluted water and can be used in real cases.

A Comparison Between the Complications of Laparoscopic and Open Gastrostomy Tube Insertions: A Single-Center Study From Riyadh, Saudi Arabia.

Background and objective Gastrostomy is a procedure that involves placing a feeding tube through the abdominal wall into the stomach to provide nutritional support. There are several modes of gastrostomy tube insertion including laparoscopic-assisted gastrostomy (LAG), percutaneous endoscopic gastrostomy (PEG), and open gastrostomy (OG) procedure, among others. Although it is a widely performed procedure, limited data is available regarding gastrostomy in Saudi Arabia, specifically among the pediatric population. This study aimed to shed more light on different aspects of surgical gastrostomy procedures among pediatric patients at the King Abdullah Specialist Children's Hospital (KASCH) in Riyadh, Saudi Arabia. The main objective of our study was to report the indications and complications of both LAG and OG insertions in the pediatric population. Methods A retrospective cross-sectional study was conducted at KASCH to analyze the different parameters related to LAG and OG insertions, and to evaluate for any association between these modes of insertion and their complications. Pertinent data on children from birth to 14 years of age were collected through consecutive sampling using a chart review. A total of 107 pediatric patients who underwent the procedure from 2016 to 2020 were evaluated. Results Demographically, the majority (58%) of gastrostomies were performed in infants (less than a year old). Additionally, our study showed a significantly increased association between LAG and complications such as discharge, (27.12%), skin manifestations (27.12%), and bleeding (10.17%) when compared to OG. Conclusion Based on our findings, LAG showed less favorable outcomes in contrast to OG. Further studies should be conducted to validate our findings and ensure consistent results and outcomes among different methods of gastrostomy tube insertion.