162 research outputs found

    Development of a Flat Membrane Microchannel Packed- Bed Reactor for Scalable Aerobic Oxidation of Benzyl Alcohol in Flow

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    A Teflon AF-2400 flat membrane microchannel reactor was designed and demonstrated for safe and scalable oxidation of solvent-free benzyl alcohol with molecular oxygen on Au- Pd/TiO2 catalyst. The microchannel reactor employed a mesh-supported Teflon AF-2400 flat membrane, with gas and liquid channels on each side. Catalyst particles were packed in the liquid flow channel. Operation with 20 bara pressure difference between the gas and the liquid phases was possible at 120 ºC. Pervaporation of organics through the membrane was experimentally measured to assure that the organic vapour concentration remains below the lower explosive limit during the reaction. The effect of oxygen pressure was studied, and the oxygen was shown to have a positive effect on the oxidation of benzyl alcohol. A conversion of benzyl alcohol of 70% with 71% selectivity to benzaldehyde was obtained at 1150 gcat·s/galcohol, 8.4 bara oxygen pressure and 10 bara liquid pressure. Doubling the membrane thickness led to a 20% drop of oxygen consumption rate, indicating the main oxygen transfer resistance not existing in the membrane. When changing the catalyst particle size and the liquid flow rate, no significant effect was observed on the oxidation reaction rate. An effectiveness factor approach is proposed to predict the effect of oxygen permeation and transverse mass transfer on the catalyst packed in the membrane reactor, which suggests that the oxidation of benzyl alcohol on the highly active Au-Pd/TiO2 catalyst is controlled by the oxygen transverse mass transfer in the bulk liquid within the catalyst bed. Scale-up of the flat membrane microchannel reactor was demonstrated through widening the liquid channel width by ~10 times, which increased the reactor productivity by a factor of 8

    Total extraperitoneal endoscopic hernioplasty (TEP) versus Lichtenstein hernioplasty: a systematic review by updated traditional and cumulative meta-analysis of randomised-controlled trials.

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    BACKGROUND-PURPOSE: Totally extraperitoneal (TEP) endoscopic hernioplasty and Lichtenstein hernioplasty are the most commonly used approaches for inguinal hernia repair. However, current evidence on which is the preferred approach is inconclusive. This updated meta-analysis was conducted to track the accumulation of evidence over time. METHODS: Studies were identified by a systematic literature search of the EMBASE, PubMed, Cochrane Library, and Google Scholar databases. Fixed- and random-effects models were used to cumulatively assess the accumulation of evidence over time. RESULTS: The TEP cohort showed significantly higher rates of recurrences and vascular injuries compared to the Lichtenstein cohort; [Peto Odds ratio (OR) = 1.58 (1.22, 2.04), p = 0.005], [Peto OR = 2.49 (1.05, 5.88), p = 0.04], respectively. In contrast, haematoma formation rate, time to return to usual activities, and local paraesthesia were significantly lower in the TEP cohort compared to the Lichtenstein cohort; [Peto OR = 0.26 (0.16, 0.41), p ≤ 0.001], [mean difference = - 6.32 (- 8.17, - 4.48), p ≤ 0.001], [Peto OR = 0.26 (0.17, 0.40), p ≤ 0.001], respectively. CONCLUSIONS: This study, which is based on randomised-controlled trials (RCTs) of high quality, showed significantly higher rates of recurrences and vascular injuries in the TEP cohort than in the Lichtenstein cohort. In contrast, rate of postoperative haematoma formation, local paraesthesia, and time to return to usual activities were significantly lower in the TEP cohort than in the Lichtenstein cohort. Future multicentre RCTs with strict adherence to the standards recommended in the Consolidated Standards of Reporting Trials guidelines will shed further light on the topic

    Experimental and computational investigation of heat transfer in a microwave-assisted flow system

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    Microwave technology is gaining popularity as a tool for chemical process intensification and an alternative to conventional heating. However, in flow systems non-uniform temperature profiles are commonly encountered and hence methods to characterise and improve them are required. In this work, we studied the effects of various operational parameters-microwave power, inlet flow rate, tube orientation and pressure-on the electric field and temperature profiles of water flowing in a PTFE tube (2.4 mm internal diameter), placed in a commercial single-mode microwave applicator. A finite element model was developed to estimate the longitudinal temperature profiles and the absorbed microwave power, while in situ temperature monitoring was performed by a fibre optic probe placed at multiple locations inside the tube. The water temperature inside the tube increased by increasing the microwave power input and temperature profiles stabilised beyond 20 W, while the percentage absorbed microwave power showed the inverse trend. When changing the tube orientation or decreasing the inlet flow rate, microwave absorption decreased significantly. When the pressure was increased to 2.3 bara, water temperature increased by ~ 20 o C. Results from this study provide valuable insights on achievable temperature profiles and energy efficiency of microwave-assisted flow synthesis systems.

    Robotic vs laparoscopic total mesorectal excision for rectal cancers: has a paradigm change occurred? A systematic review by updated meta-analysis

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    Aim The debate about the oncological adequacy, safety and efficiency of robotic vs laparoscopic total mesorectal excision for rectal cancers continues. Therefore, an updated, traditional and cumulative meta-analysis was performed with the aim of assessing the new evidence on this topic. Method A systematic search of the literature for data pertaining to the last 25 years was performed. Fixed- and random-effects models were used to cumulatively assess the accumulation of evidence over time. Results Patients with a significantly higher body mass index (BMI), tumours located approximately 1 cm further distally and more patients undergoing neoadjuvant therapy were included in the robotic total mesorectal excision (RTME) cohort compared with those in the laparoscopic total mesorectal excision (LTME) cohort [RTME, mean difference (MD) = 0.22 (0.07, 0.36), P = 0.005; LTME, MD = -0.97 (-1.57, 0.36), P < 0.002; OR = 1.47 (1.11, 1.93), P = 0.006]. Significantly lower conversion rates to open surgery were observed in the RTME cohort than in the LTME cohort [OR = 0.33 (0.24, 0.46), P < 0.001]. Operative time in the LTME cohort was significantly reduced (by 50 min) compared with the RTME cohort. Subgroup analysis of the three randomized controlled trials (RCTs) challenged all the significant results of the main analysis and demonstrated nonsignificant differences between the RTME cohort and LTME cohort. Conclusion Although the RTME cohort included patients with a significantly higher BMI, more distal tumours and more patients undergoing neoadjuvant therapy, this cohort demonstrated lower conversion rates to open surgery when compared with the LTME cohort. However, subgroup analysis of the RCTs demonstrated nonsignificant differences between the two procedures

    Development of an in-line magnetometer for flow chemistry and its demonstration for magnetic nanoparticle synthesis

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    Despite the wide usage of magnetic nanoparticles, it remains challenging to synthesise particles with properties that exploit each application's full potential. Time consuming experimental procedures and particle analysis hinder process development, which is commonly constrained to a handful of experiments without considering particle formation kinetics, reproducibility and scalability. Flow reactors are known for their potential of large-scale production and high-throughput screening of process parameters. These advantages, however, have not been utilised for magnetic nanoparticle synthesis where particle characterisation is performed, with a few exceptions, post-synthesis. To overcome this bottleneck, we developed a highly sensitive magnetometer for flow reactors to characterise magnetic nanoparticles in solution in-line and in real-time using alternating current susceptometry. This flow magnetometer enriches the flow-chemistry toolbox by facilitating continuous quality control and high-throughput screening of magnetic nanoparticle syntheses. The sensitivity required to monitor magnetic nanoparticle syntheses at the typically low concentrations (<100 mM of Fe) was achieved by comparing the signals induced in the sample and reference cell, each of which contained near-identical pairs of induction and pick-up coils. The reference cell was filled only with air, whereas the sample cell was a flow cell allowing sample solution to pass through. Balancing the flow and reference cell impedance with a newly developed electronic circuit was pivotal for the magnetometer's sensitivity. To showcase its potential, the flow magnetometer was used to monitor two iron oxide nanoparticle syntheses with well-known particle formation kinetics, i.e., co-precipitation syntheses with sodium carbonate and sodium hydroxide as base, which have been previously studied via synchrotron X-ray diffraction. The flow magnetometer facilitated batch (on-line) and flow (in-line) synthesis monitoring, providing new insights into the particle formation kinetics as well as, effect of temperature and pH. The compact lab-scale flow device presented here, opens up new possibilities for magnetic nanoparticle synthesis and manufacturing, including 1) early stage reaction characterisation 2) process monitoring and control and 3) high-throughput screening in combination with flow reactors

    PDE-5i Management of Erectile Dysfunction After Rectal Surgery: A Systematic Review Focusing on Treatment Efficacy

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    Erectile dysfunction (ED) is one of the main functional complications of surgical resections of the rectum due to rectal cancers or inflammatory bowel disease (IBD). The present systematic review aimed at revising ED management strategies applied after rectal resections and their efficacy in terms of improvement of the International Index of Erectile Function (IIEF) score. A literature search was conducted on Medline, EMBASE, Scopus, and Cochrane databases by two independent reviewers following the PRISMA guidelines. Randomized and nonrandomized controlled trials (RCTs, NRCTs), case-control studies, and case series evaluating medical or surgical therapies for ED diagnosed after rectal surgery for both benign and malignant pathologies were eligible for inclusion. Out of 1028 articles initially identified, only five met the inclusion criteria: two RCTs comparing oral phosphodiesterase type-5 inhibitor (PDE-5i) versus placebo; one NRCT comparing PDE-5i versus PDE-5i + vacuum erection devices (VEDs) versus control; and two before-after studies on PDE-5i. A total of 253 (82.7%) rectal cancer patients and 53 (17.3%) IBD patients were included. Based on two RCTs, PDE-5i significantly improved IIEF compared to placebo at 3 months (SMD = 1.07; 95% CI [0.65, 1.48]; p &lt;.00001; I2 = 39%). Improved IIEF was also reported with PDE-5i + VED at 12 months. There is a paucity of articles in the literature that specifically assess efficacy of ED treatments after rectal surgery. Many alternative treatment strategies to PDE-5is remain to be investigated. Future studies should implement standardized preoperative, postoperative, and follow-up sexual function assessment in patients undergoing rectal resections

    Aerobic Oxidation of Benzyl Alcohol in a Continuous Catalytic Membrane Reactor

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    A catalytic membrane reactor with a Au-Pd catalyst, impregnated at the inner side of the membrane, was studied in the catalytic oxidation of benzyl alcohol in flow. The reactor comprised of four concentric sections. The liquid substrate flowed in the annulus created by an inner tube and the membrane. The membrane consisted of 3 layers of α-alumina and a titania top layer with 5nm average pore size. Oxygen was fed on the outer side of the membrane, and its use allowed the controlled contact of the liquid and the gas phase. Experiments revealed excellent stability of the impregnated membrane and selectivities to benzaldehyde were on average >95%. Increasing the pressure of the gas phase and decreasing liquid flowrates and benzyl alcohol concentration resulted in an increased conversion, while selectivities to benzaldehyde remained constant and in excess of 95%
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