Issues of “Standard” explosion tests for non-spherical dusts

Measurements of the flammability and explosion parameters for non-spherical dusts are performed according to standard procedures in standard explosion equipment developed and tested for spherical dusts. Studies have shown that the standard procedures and equipment applied to spherical particles suffer from many issues: control of the turbulence level, non-uniform dust dispersion, and particle fragmentation due to the injection system. The applicability of the standard procedures and equipment to non-spherical particles is still an open issue. In this work, we have investigated, via CFD simulations, the distribution of turbulence and dust concentration in the standard 20 l spherical vessel for non-spherical particles. Results have shown that a higher turbulence level and a higher amount of dust actually fed into the vessel are reached with respect to spherical particles

Migration of surgical clips through a right lobectomy stump mimicking an asthmatic syndrome

The mechanical stapler is routinely used in thoracic surgery practice to attend resection of bronchus and vessels. Herein, we reported a very rare complication as the migration of a titanium surgical clip through a right lobectomy stump. One year after the procedure, the patient complained of persistent cough. A misdiagnosis of asthma was made and she treated for 6 months with bronchodilators, corticosteroid and antihistaminic without success. Thus, patient re-referred of our unit. No clinical signs of infection as fewer, productive cough, dyspnea were present. The laboratory exams were within normal value including white cells. CT scan revealed no abnormalities. Bronchoscopy demonstrated a healed upper bronchus stump without evidence of an actual, open bronchopleural fistula but with clips apparently working their way into the airway, with approximately half of the clip visible within the lumen. The side of the clips that would be open before closure by the surgeon formed the leading edge of the clips visible in the lumen. The clips were successfully removed during flexible bronchoscopy with a forceps usually used for biopsy. After the procedure, the cough disappeared. The endoscopy check after 3 months showed a normal bronchial stump without evidence of fistula

Optimized testing strategy for the diagnosis of GAA-FGF14 ataxia/spinocerebellar ataxia 27B

Dominantly inherited GAA repeat expansions in FGF14 are a common cause of spinocerebellar ataxia (GAA-FGF14 ataxia; spinocerebellar ataxia 27B). Molecular confirmation of FGF14 GAA repeat expansions has thus far mostly relied on long-read sequencing, a technology that is not yet widely available in clinical laboratories. We developed and validated a strategy to detect FGF14 GAA repeat expansions using long-range PCR, bidirectional repeat-primed PCRs, and Sanger sequencing. We compared this strategy to targeted nanopore sequencing in a cohort of 22 French Canadian patients and next validated it in a cohort of 53 French index patients with unsolved ataxia. Method comparison showed that capillary electrophoresis of long-range PCR amplification products significantly underestimated expansion sizes compared to nanopore sequencing (slope, 0.87 [95% CI, 0.81 to 0.93]; intercept, 14.58 [95% CI, − 2.48 to 31.12]) and gel electrophoresis (slope, 0.84 [95% CI, 0.78 to 0.97]; intercept, 21.34 [95% CI, − 27.66 to 40.22]). The latter techniques yielded similar size estimates. Following calibration with internal controls, expansion size estimates were similar between capillary electrophoresis and nanopore sequencing (slope: 0.98 [95% CI, 0.92 to 1.04]; intercept: 10.62 [95% CI, − 7.49 to 27.71]), and gel electrophoresis (slope: 0.94 [95% CI, 0.88 to 1.09]; intercept: 18.81 [95% CI, − 41.93 to 39.15]). Diagnosis was accurately confirmed for all 22 French Canadian patients using this strategy. We also identified 9 French patients (9/53; 17%) and 2 of their relatives who carried an FGF14 (GAA)≥250 expansion. This novel strategy reliably detected and sized FGF14 GAA expansions, and compared favorably to long-read sequencing

Experimental determination of the permeability of engineering textiles: Benchmark II

In this second international permeability benchmark, the in-plane permeability values of a carbon fabric were studied by twelve research groups worldwide. One participant also investigated the deformation of the tested carbon fabric. The aim of this work was to obtain comparable results in order to make a step toward standardization of permeability measurements. Unidirectional injections were thus conducted to determine the unsaturated in-plane permeability tensor of the fabric. Procedures used by participants were specified in the guidelines defined for this benchmark. Participants were asked to use the same values for parameters such as fiber volume fraction, injection pressure and fluid viscosity to minimize sources of scatter. The comparison of the results from each participant was encouraging. The scatter between data obtained while respecting the guidelines was below 25%. However, a higher dispersion was observed when some parameters differed from the recommendations of this exercise.The authors are grateful to J.M. Beraud from Hexcel Fabrics for his support that made possible this exercise. The contributions of J.B. Alms, N.C. Correia, S. Advani, E. Ruiz and P.C.T. Goncalves to the preparation of the guidelines document and templates are acknowledged by the participants of this benchmark.Vernet, N.; Ruiz, E.; Advani, S.; Alms, JB.; Aubert, M.; Barburski, M.; Barari, B.... (2014). Experimental determination of the permeability of engineering textiles: Benchmark II. Composites Part A: Applied Science and Manufacturing. 61:172-184. doi:10.1016/j.compositesa.2014.02.010S1721846

Use of hydroxychloroquine in hospitalised COVID-19 patients is associated with reduced mortality: Findings from the observational multicentre Italian CORIST study

Background: Hydroxychloroquine (HCQ) was proposed as potential treatment for COVID-19. Objective: We set-up a multicenter Italian collaboration to investigate the relationship between HCQ therapy and COVID-19 in-hospital mortality. Methods: In a retrospective observational study, 3,451 unselected patients hospitalized in 33 clinical centers in Italy, from February 19, 2020 to May 23, 2020, with laboratory-confirmed SARS-CoV-2 infection, were analyzed. The primary end-point in a time-to event analysis was in-hospital death, comparing patients who received HCQ with patients who did not. We used multivariable Cox proportional-hazards regression models with inverse probability for treatment weighting by propensity scores, with the addition of subgroup analyses. Results: Out of 3,451 COVID-19 patients, 76.3% received HCQ. Death rates (per 1,000 person-days) for patients receiving or not HCQ were 8.9 and 15.7, respectively. After adjustment for propensity scores, we found 30% lower risk of death in patients receiving HCQ (HR=0.70; 95%CI: 0.59 to 0.84; E-value=1.67). Secondary analyses yielded similar results. The inverse association of HCQ with inpatient mortality was particularly evident in patients having elevated C-reactive protein at entry. Conclusions: HCQ use was associated with a 30% lower risk of death in COVID-19 hospitalized patients. Within the limits of an observational study and awaiting results from randomized controlled trials, these data do not discourage the use of HCQ in inpatients with COVID-19

The PROVENT-C19 registry: A study protocol for international multicenter SIAARTI registry on the use of prone positioning in mechanically ventilated patients with COVID-19 ARDS

Background The worldwide use of prone position (PP) for invasively ventilated patients with COVID-19 is progressively increasing from the first pandemic wave in everyday clinical practice. Among the suggested treatments for the management of ARDS patients, PP was recommended in the Surviving Sepsis Campaign COVID-19 guidelines as an adjuvant therapy for improving ventilation. In patients with severe classical ARDS, some authors reported that early application of prolonged PP sessions significantly decreases 28-day and 90-day mortality. Methods and analysis Since January 2021, the COVID19 Veneto ICU Network research group has developed and implemented nationally and internationally the "PROVENT-C19 Registry", endorsed by the Italian Society of Anesthesia Analgesia Resuscitation and Intensive Care. . .'(SIAARTI). The PROVENT-C19 Registry wishes to describe 1. The real clinical practice on the use of PP in COVID-19 patients during the pandemic at a National and International level; and 2. Potential baseline and clinical characteristics that identify subpopulations of invasively ventilated patients with COVID-19 that may improve daily from PP therapy. This web-based registry will provide relevant information on how the database research tools may improve our daily clinical practice. Conclusions This multicenter, prospective registry is the first to identify and characterize the role of PP on clinical outcome in COVID-19 patients. In recent years, data emerging from large registries have been increasingly used to provide real-world evidence on the effectiveness, quality, and safety of a clinical intervention. Indeed observation-based registries could be effective tools aimed at identifying specific clusters of patients within a large study population with widely heterogeneous clinical characteristics. Copyright

Experimental characterisation of textile compaction response: A benchmark exercise

This paper reports the results of an international benchmark exercise on the measurement of fibre bed compaction behaviour. The aim was to identify aspects of the test method critical to obtain reliable results and to arrive at a recommended test procedure for fibre bed compaction measurements. A glass fibre 2/2 twill weave and a biaxial (±45°) glass fibre non-crimp fabric (NCF) were tested in dry and wet conditions. All participants used the same testing procedure but were allowed to use the testing frame, the fixture and sample geometry of their choice. The results showed a large scatter in the maximum compaction stress between participants at the given target thickness, with coefficients of variation ranging from 38% to 58%. Statistical analysis of data indicated that wetting of the specimen significantly affected the scatter in results for the woven fabric, but not for the NCF. This is related to the fibre mobility in the architectures in both fabrics. As isolating the effect of other test parameters on the results was not possible, no statistically significant effect of other test parameters could be proven. The high sensitivity of the recorded compaction pressure near the minimum specimen thickness to changes in specimen thickness suggests that small uncertainties in thickness can result in large variations in the maximum value of the compaction stress. Hence, it is suspected that the thickness measurement technique used may have an effect on the scatter

Accidental rate in Biodiesel production plants

In a recent work, the authors showed that the trend of accidents affecting biodiesel (BD) industry follows the production trend, which is increasing worldwide due to environmental issues and climate change action plans (Marmo et al., 2017). The analysis presented a risk figure for the sector that seems above the expectation with respect to "more traditional" facilities adopting similar technologies, revealing the misconception of "green = safer". Indeed, the number of biodiesel production plants is rapidly growing around the world, and the related technologies are developing to full industrial scale within a brief time. Most of the plants adopt the consolidated transesterification process technology; despite supercritical process technology has almost achieved the buildup stage. To better address and characterise the problem of the high accidental rate in biodiesel industry, an in-depth statistical analysis of past accidents was performed and is presented in this paper. The set of records analysed 93 events, from 2003 to 2017 have been selected to depict the most relevant factors affecting the accidental rate, such as: \u2022 Plant characteristics: size, location, capacity, production technology; \u2022 Plant lifetime: plant life stage, operating time; \u2022 Accident Scenario: type of event, substances involved, losses, fatalities and injured. An overview of the results is hereby summarised: The majority of the records accounts for events in the US, which is currently the main biodiesel manufacturer. The more frequent scenario is relative to fire and explosion, while the highest fatality is due to explosion events. A relatively low lifetime could be accounted for investigated BD plants, as more than half of events occurred in the earlier years from plants' start-up and relative low number of plants withstand without an event in the long term. Accidents occurred mainly in start-up phase, or in operating stage, when some maintenance operations are performed on structures and equipment. Considerations could be done analogously on variables as production capacity, plant section (where accident happened), equipment involved, with respect to the accidental rate, referred to the overall operating time of the plant, belonging to the considered category (depending on size, section, etc.). Accidental rate, referred to overall operating time of the plant, could also be referred with respect to different variables as production capacity, plant section, equipment involved and sort by previously defined categories (size, section etc.). The findings of this work could also help to individuate the more adequate risk assessment techniques for this peculiar industrial sector and to suggest correct risk moderation measures. \ua9 2018 IChemE