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Membrane distillation (MD) is an emerging thermally-driven technology that poses a lot of promise in desalination, and water and wastewater treatment. Developments in membrane design and the use of alternative energy sources have provided much improvement in the viability of MD for different applications. However, fouling of membranes is still one of the major issues that hounds the long-term stability performance of MD. Membrane fouling is the accumulation of unwanted materials on the surface or inside the pores of a membrane that results to a detrimental effect on the overall performance of MD. If not addressed appropriately, it could lead to membrane damage, early membrane replacement or even shutdown of operation. Similar with other membrane separation processes, fouling of MD is still an unresolved problem. Due to differences in membrane structure and design, and operational conditions, the fouling formation mechanism in MD may be different from those of pressure-driven membrane processes. In order to properly address the problem of fouling, there is a need to understand the fouling formation and mechanism happening specifically for MD. This review details the different foulants and fouling mechanisms in the MD process, their possible mitigation and control techniques, and characterization strategies that can be of help in understanding and minimizing the fouling problem.

Percutaneous endoscopic lumbar discectomy (PELD) for migrated disc herniations is technically demanding due to the absence of the technical guideline. The purposes of this study were to propose a radiologic classification of disc migration and surgical approaches of PELD according to the classification. A prospective study of 116 consecutive patients undergoing single-level PELD was conducted. According to preoperative MRI findings, disc migration was classified into four zones based on the direction and distance from the disc space: zone 1 (far up), zone 2 (near up), zone 3 (near down), zone 4 (far down). Two surgical approaches were used according to this classification. Near-migrated discs were treated with "half-and-half" technique, which involved positioning a beveled working sheath across the disc space to the epidural space. Far-migrated discs were treated with "epiduroscopic" technique, which involved introducing the endoscope into the epidural space completely. The mean follow-up period was 14.5 (range 9-20) months. According to the Macnab criteria, satisfactory results were as follows: 91.6% (98/107) in the down-migrated discs; 88.9% (8/9) in the up-migrated discs; 97.4% (76/78) in the near-migrated discs; and 78.9% (30/38) in the far-migrated discs. The mean VAS score decreased from 7.5 +/- 1.7 preoperatively to 2.6 +/- 1.8 at the final follow-up (P < 0.0001). There were no recurrence and no approach-related complications during the follow-up period. The proposed classification and approaches will provide appropriate surgical guideline of PELD for migrated disc herniation. Based on our results, open surgery should be considered for far-migrated disc herniations.

Percutaneous endoscopic interlaminar discectomy is a safe, effective, and minimally invasive procedure for the treatment of intracanalicular disc herniations at the L5-S1 level in properly selected cases, especially when the transforaminal approach is not possible because of anatomic constraints.

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Intel Software Guard Extensions (SGX) is a hardware-based Trusted Execution Environment (TEE) that enables secure execution of a program in an isolated environment, called an enclave. SGX hardware protects the running enclave against malicious software, including the operating system, hypervisor, and even low-level firmware. This strong security property allows trustworthy execution of programs in hostile environments, such as a public cloud, without trusting anyone (e.g., a cloud provider) between the enclave and the SGX hardware. However, recent studies have demonstrated that enclave programs are vulnerable to accurate controlled-channel attacks conducted by a malicious OS. Since enclaves rely on the underlying OS, curious and potentially malicious OSs can observe a sequence of accessed addresses by intentionally triggering page faults. In this paper, we propose T-SGX, a complete mitigation solution to the controlled-channel attack in terms of compatibility, performance, and ease of use. T-SGX relies on a commodity component of the Intel processor (since Haswell), called Transactional Synchronization Extensions (TSX), which implements a restricted form of hardware transactional memory. As TSX is implemented as an extension (i.e., snooping the cache protocol), any unusual event, such as an exception or interrupt, that should be handled in its core component, results in an abort of the ongoing transaction. One interesting property is that the TSX abort suppresses the notification of errors to the underlying OS. This means that the OS cannot know whether a page fault has occurred during the transaction. T-SGX, by utilizing this property of TSX, can carefully isolate the effect of attempts to tap running enclaves, thereby completely eradicating the known controlledchannel attack. We have implemented T-SGX as a compiler-level scheme to automatically transform a normal enclave program into a secured enclave program without requiring manual source code modification or annotation. We not only evaluate the security properties of T-SGX, but also demonstrate that it could be applied to all the previously demonstrated attack targets, such as libjpeg, Hunspell, and FreeType. To evaluate the performance of T-SGX, we ported 10 benchmark programs of nbench to the SGX environment. Our evaluation results look promising. T-SGX is † The two lead authors contributed equally to this work. ⋆ The author did part of this work during an intership at Microsoft Research. an order of magnitude faster than the state-of-the-art mitigation schemes. On our benchmarks, T-SGX incurs on average 50% performance overhead and less than 30% storage overhead. Permission to freely reproduce all or part of this paper for noncommercial purposes is granted provided that copies bear this notice and the full citation on the first page. Reproduction for commercial purposes is strictly prohibited without the prior written consent of the Internet Society, the first-named author (for reproduction of an entire paper only), and the author's employer if the paper ...

Foraminoplastic-PELD is safe and effective procedure for surgical treatment of soft migrated herniations. The results are comparable to results of open discectomy.

Percutaneous endoscopic lumbar discectomy is effective for recurrent disc herniation in selected cases. The posterolateral approach through unscarred virgin tissue can prevent nerve injury and could preserve the spinal stability. Both foraminal and intracanalicular portions can be decompressed simultaneously.