14 research outputs found
Numerical Simulation of Flow Behavior within a Venturi Scrubber
The present work details the three-dimensional numerical simulation of single-phase and two-phase flow (air-water) in a venturi scrubber with an inlet and throat diameters of 250 and 122.5 mm, respectively. The dimensions and operating parameters correspond to industrial applications. The mass flow rate conditions were 0.483 kg/s, 0.736 kg/s, 0.861 kg/s, and 0.987 kg/s for the gas only simulation; the mass flow rate for the liquid was 0.013 kg/s and 0.038 kg/s. The gas flow was simulated in five geometries with different converging and diverging angles while the two-phase flow was only simulated for one geometry. The results obtained were validated with experimental data obtained by other researchers. The results show that the pressure drop depends significantly on the gas flow rate and that water flow rate does not have significant effects neither on the pressure drop nor on the fluid maximum velocity within the scrubber
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
Análisis numérico del flujo en ducto con 3 diferentes relaciones de contracción
En esta investigación se presentan los resultados numéricos de la influencia de la relación de aspecto y el número de Reynolds en el comportamiento del flujo laminar en un conducto rectangular con escalón (FFS). Se analizan 3 diferentes Reynolds (300, 400 y 500) y 3 diferentes relaciones de contracción (8, 4 y 2.7). El estudio numérico se realiza con el programa desarrollado denominado FLUSS, el código está basado en la técnica de volúmenes finitos y el algoritmo SIMPLE, la validación del código numérico se realiza comparando con los resultados experimentales obtenidos mediante la técnica láser de velocimetría de imágenes de partículas. Los resultados numéricos y experimentales presentan una diferencia máxima del 4%
A persistência da teoria da degeneração indígena e do colonialismo nos fundamentos da arqueologia brasileira The persistence of the theory of indigenous degeneration and colonialism within the theoretical foundations of Brazilian archeology
Examina a persistência de certos fundamentos teóricos da arqueologia brasileira e do pensamento americanista. Por meio da comparação entre alguns temas da obra de personagens seminais como Karl Friedrich Philipp von Martius, Francisco Adolfo de Varnhagen e Betty Jane Meggers, analisam-se traços temáticos e políticos comuns que marcam uma secular continuidade da teoria da degeneração indígena e do argumento colonialista.<br>The article examines the persistence of certain theoretical foundations of Brazilian archeology and Americanist thought. The theory of indigenous degeneration and the colonialist argument display a secular continuity characterized by common political and thematic lines. This is analyzed through a comparison of some of the topics addressed in the works of seminal figures like Karl Friedrich Philipp von Martius, Francisco Adolfo de Varnhagen, and Betty Jane Meggers