introduction: rheumatic heart disease still remains one of the leading causes of congestive heart failure and death owing to valvular pathologies, in developing countries. valve replacement still remains the treatment of choice in such patients.the aim of this study wasto analyze the postoperative outcome of  double valve replacement (mitral and aortic ) in patients of rheumatic heart disease. ...

Abstract Dairy processing sludge is currently a bio-based fertiliser being spread to grassland without knowledge pertaining its phosphorus (P) or nitrogen (N) replacement value. This creates uncertainty of desired crop yield achievement and unproductive nutrient recycling also poses great challenge the dairy milk industry in promoting their food by-product as valuable recyclable fertiliser. The...

Aiming at examining the problems of low cache hit ratio and high-average routing hops in named data networking (NDN), this paper proposes a cache-optimization strategy based on dynamic popularity replacement value. When requested content arrives node, latest is calculated number requests current cycle previous cycle. We adjust node threshold according to occupation space with higher than thresh...