GEOMETRICAL EVALUATION OF RECTANGULAR FIN MOUNTED IN LATERAL SURFACE OF LID-DRIVEN CAVITY FORCED CONVECTIVE FLOWS

In this work, it is investigated the geometric effect of rectangular fin inserted in a lid-driven square cavity over thermal performance of laminar, incompressible, steady and forced convective flows. This study is performed by applying Constructal Design to maximize the heat transfer between the fin and the cavity flow. For that, the problem is subjected to two constraints: area of the cavity and area of rectangular fin, and two degrees of freedom: height/length ratio of rectangular fin (H1/L1) and its position in upstream surface of the cavity (S/A1/2). It is considered here some fixed parameters, as the ratio between the fin and cavity areas (ϕ = 0.05), the aspect ratio of the cavity dimensions (H/L = 1.0) and Prandtl number (Pr = 0.71). The fin aspect ratio (H1/L1) was varied for three different placements of the fin at the upstream cavity surface (S/A1/2 = 0.1, 0.5 and 0.9) which represents a lower, intermediate and upper positions of the fin. The effects of the fin geometry over the spatial-averaged Nusselt number ( ) is investigated for three different Reynolds numbers (ReH = 10, 102 and 103). The conservation equations of mass, momentum and energy were numerically solved with the Finite Volume Method. Results showed that both degrees of freedom (H1/L1 and S/A1/2) had a strong influence over , mainly for higher magnitudes of Reynolds number. Moreover, the best thermal performance is reached when the fin is placed near the upper surface of the cavity for an intermediate ratio between height and length of rectangular fin, more precisely when (S/A1/2)o = 0.9 and (H1/L1)oo = 2.0

Avaliação de intervalos de tempo para registro do comportamento ingestivo de bovinos confinados individualmente

O objetivo desse trabalho foi comparar o intervalo de tempo de registro de cinco minutos com quatro intervalos de tempo (10, 15, 20 e 30 minutos), para avaliação dos comportamentos comendo, ruminando, em ócio, em pé, apresentados por bovinos confinados individualmente. Foram utilizados 62 machos Nelore desmamados, confinados durante 112 dias. O comportamento foi registrado a cada 28 dias, durante 24h, por observações diretas com rota de amostragem scan e intervalos de registro de 5 minutos, para o cálculo das seguintes características: tempo de alimentação, tempo de ruminação, tempo em ócio, tempo em pé e frequência de alimentação. Foram comparados os intervalos de registro por meio de variâncias, correlações e médias das características. Observou-se para as características, tendência de aumento da variância residual à medida que o intervalo de tempo entre dois registros aumentou, com exceção da frequência alimentar, em que foi observada tendência de diminuição da variância residual com o aumento do intervalo de registro. As médias ajustadas para as medidas de comportamento ingestivo obtidas nos intervalos de registro de 5, 10, 15, 20 e 30 minutos não diferiram significativamente (P>0,05) entre si, com exceção de tempo de alimentação, que apresentou menor valor (P<0,05) no intervalo de registro de 30 minutos em comparação ao intervalo de 5 minutos. Observou-se que até o intervalo de registro de 15 minutos, as correlações com o intervalo de registro de 5 minutos podem ser consideradas altas. Entretanto, acima de 15 minutos de intervalo de registro, a correlação com o intervalo de registro de 5 minutos cai abruptamente, deixando claro que intervalos de registros superiores a 15 minutos são inadequados para estimar as características de comportamento ingestivo de bovinos avaliadas

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): study protocol for a randomized controlled trial

BACKGROUND: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). METHODS/DESIGN: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH2O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure 6430 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. DISCUSSION: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration metho

I Diretrizes do Grupo de Estudos em Cardiogeriatria da Sociedade Brasileira de Cardiologia

O idoso apresenta características próprias na manifestação das doenças, na resposta à terapêutica e no efeito colateral dos medicamentos. Constitui um grupo de maior risco para o aparecimento das doenças degenerativas, em geral, e cardiovasculares, em particular, além de apresentar maior número de comorbidades