25 research outputs found
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Cracking and Corrosion of Composite Tubes in Black Liquor Recovery Boiler Primary Air Ports
Black liquor recovery boilers are an essential part of kraft mills. Their design and operating procedures have changed over time with the goal of providing improved boiler performance. These performance improvements are frequently associated with an increase in heat flux and/or operating temperature with a subsequent increase in the demand on structural materials associated with operation at higher temperatures and/or in more corrosive environments. Improvements in structural materials have therefore been required. In most cases the alternate materials have provided acceptable solutions. However, in some cases the alternate materials have solved the original problem but introduced new issues. This report addresses the performance of materials in the tubes forming primary air port openings and, particularly, the problems associated with use of stainless steel clad carbon steel tubes and the solutions that have been identified
2022 ESC Guidelines on cardio-oncology developed in collaboration with the European Hematology Association (EHA), the European Society for Therapeutic Radiology and Oncology (ESTRO) and the International Cardio-Oncology Society (IC-OS)
info:eu-repo/semantics/publishe
The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2
Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase 1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age 6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score 652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc = 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N = 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in Asia and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701
Practical guidelines for rigor and reproducibility in preclinical and clinical studies on cardioprotection
The potential for ischemic preconditioning to reduce infarct size was first recognized more than 30 years ago. Despite extension of the concept to ischemic postconditioning and remote ischemic conditioning and literally thousands of experimental studies in various species and models which identified a multitude of signaling steps, so far there is only a single and very recent study, which has unequivocally translated cardioprotection to improved clinical outcome as the primary endpoint in patients. Many potential reasons for this disappointing lack of clinical translation of cardioprotection have been proposed, including lack of rigor and reproducibility in preclinical studies, and poor design and conduct of clinical trials. There is, however, universal agreement that robust preclinical data are a mandatory prerequisite to initiate a meaningful clinical trial. In this context, it is disconcerting that the CAESAR consortium (Consortium for preclinicAl assESsment of cARdioprotective therapies) in a highly standardized multi-center approach of preclinical studies identified only ischemic preconditioning, but not nitrite or sildenafil, when given as adjunct to reperfusion, to reduce infarct size. However, ischemic preconditioning—due to its very nature—can only be used in elective interventions, and not in acute myocardial infarction. Therefore, better strategies to identify robust and reproducible strategies of cardioprotection, which can subsequently be tested in clinical trials must be developed. We refer to the recent guidelines for experimental models of myocardial ischemia and infarction, and aim to provide now practical guidelines to ensure rigor and reproducibility in preclinical and clinical studies on cardioprotection. In line with the above guideline, we define rigor as standardized state-of-the-art design, conduct and reporting of a study, which is then a prerequisite for reproducibility, i.e. replication of results by another laboratory when performing exactly the same experiment
Effect of remote ischaemic conditioning on clinical outcomes in patients with acute myocardial infarction (CONDI-2/ERIC-PPCI): a single-blind randomised controlled trial.
BACKGROUND: Remote ischaemic conditioning with transient ischaemia and reperfusion applied to the arm has been shown to reduce myocardial infarct size in patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI). We investigated whether remote ischaemic conditioning could reduce the incidence of cardiac death and hospitalisation for heart failure at 12 months. METHODS: We did an international investigator-initiated, prospective, single-blind, randomised controlled trial (CONDI-2/ERIC-PPCI) at 33 centres across the UK, Denmark, Spain, and Serbia. Patients (age >18 years) with suspected STEMI and who were eligible for PPCI were randomly allocated (1:1, stratified by centre with a permuted block method) to receive standard treatment (including a sham simulated remote ischaemic conditioning intervention at UK sites only) or remote ischaemic conditioning treatment (intermittent ischaemia and reperfusion applied to the arm through four cycles of 5-min inflation and 5-min deflation of an automated cuff device) before PPCI. Investigators responsible for data collection and outcome assessment were masked to treatment allocation. The primary combined endpoint was cardiac death or hospitalisation for heart failure at 12 months in the intention-to-treat population. This trial is registered with ClinicalTrials.gov (NCT02342522) and is completed. FINDINGS: Between Nov 6, 2013, and March 31, 2018, 5401 patients were randomly allocated to either the control group (n=2701) or the remote ischaemic conditioning group (n=2700). After exclusion of patients upon hospital arrival or loss to follow-up, 2569 patients in the control group and 2546 in the intervention group were included in the intention-to-treat analysis. At 12 months post-PPCI, the Kaplan-Meier-estimated frequencies of cardiac death or hospitalisation for heart failure (the primary endpoint) were 220 (8·6%) patients in the control group and 239 (9·4%) in the remote ischaemic conditioning group (hazard ratio 1·10 [95% CI 0·91-1·32], p=0·32 for intervention versus control). No important unexpected adverse events or side effects of remote ischaemic conditioning were observed. INTERPRETATION: Remote ischaemic conditioning does not improve clinical outcomes (cardiac death or hospitalisation for heart failure) at 12 months in patients with STEMI undergoing PPCI. FUNDING: British Heart Foundation, University College London Hospitals/University College London Biomedical Research Centre, Danish Innovation Foundation, Novo Nordisk Foundation, TrygFonden
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Final Report, Materials for Industrial Heat Recovery Systems, Task 1 Improved Materials and Operation of Recuperators for Aluminum Melting Furnaces
Production of aluminum is a very energy intensive process which is increasingly more important in the USA. This project concentrated on the materials issues associated with recovery of energy from the flue gas stream in the secondary industry where scrap and recycled metal are melted in large furnaces using gas fired burners. Recuperators are one method used to transfer heat from the flue gas to the air intended for use in the gas burners. By preheating this combustion air, less fuel has to be used to raise the gas temperature to the desired level. Recuperators have been successfully used to preheat the air, however, in many cases the metallic recuperator tubes have a relatively limited lifetime – 6 to 9 months. The intent of this project was to determine the cause of the rapid tube degradation and then to recommend alternative materials or operating conditions to prolong life of the recuperator tubes. The first step to understanding degradation of the tubes was to examine exposed tubes to identify the corrosion products. Analyses of the surface scales showed primarily iron oxides rather than chromium oxide suggesting the tubes were probably cycled to relatively high temperatures to the extent that cycling and subsequent oxide spalling reduced the surface concentration of chromium below a critical level. To characterize the temperatures reached by the tubes, thermocouples were mounted on selected tubes and the temperatures measured. During the several hour furnace cycle, tube temperatures well above 1000°C were regularly recorded and, on some occasions, temperatures of more than 1100°C were measured. Further temperature characterization was done with an infrared camera, and this camera clearly showed the variations in temperature across the first row of tubes in the four recuperator modules. Computational fluid dynamics was used to model the flow of combustion air in the tubes and the flue gas around the outside of the tubes. This modeling showed the distribution of air in the tubes was not at all uniform, and it was strongly affected by velocity and the turbulence created by items in the lower plenum such as the fork lift slots, structural members, and broken spiral fins originally intended to promote non-linear flow in the tubes. Finite element modeling of the stresses developed between tubes in the first and second rows showed how stresses could become large enough to account for the bending and bowing of tubes in the first row. To prevent rapid degradation and subsequently short lifetimes of recuperator tubes two approaches were offered. Alloys that form an aluminum oxide surface layer would be more likely to survive the excursions to very high temperatures. However, availability of these alloys in the tube sizes required might be an issue as might the ability of welding these alloys to the other recuperator components. The other approach would entail improving the design of the recuperator module and to change operating procedures to avoid conditions where very hot flue gases are flowing across the recuperator tubes at times when reduced combustion air is flowing through the recuperator tubes
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Final Report, Materials for Industrial Heat Recovery Systems, Tasks 3 and 4 Materials for Heat Recovery in Recovery Boilers
The DOE-funded project on materials for industrial heat recovery systems included four research tasks: materials for aluminum melting furnace recuperator tubes, materials and operational changes to prevent cracking and corrosion of the co-extruded tubes that form primary air ports in black liquor recovery boilers, the cause of and means to prevent corrosion of carbon steel tubes in the mid-furnace area of recovery boilers, and materials and operational changes to prevent corrosion and cracking of recovery boiler superheater tubes. Results from studies on the latter two topics are given in this report while separate reports on results for the first two tasks have already been published. Accelerated, localized corrosion has been observed in the mid-furnace area of kraft recovery boilers. This corrosion of the carbon steel waterwall tubes is typically observed in the vicinity of the upper level of air ports where the stainless clad co-extruded wall tubes used in the lower portion of the boiler are welded to the carbon steel tubes that extend from this transition point or “cut line” to the top of the boiler. Corrosion patterns generally vary from one boiler to another depending on boiler design and operating parameters, but the corrosion is almost always found within a few meters of the cut line and often much closer than that. This localized corrosion results in tube wall thinning that can reach the level where the integrity of the tube is at risk. Collection and analysis of gas samples from various areas near the waterwall surface showed reducing and sulfidizing gases were present in the areas where corrosion was accelerated. However, collection of samples from the same areas at intervals over a two year period showed the gaseous environment in the mid-furnace section can cycle between oxidizing and reducing conditions. These fluctuations are thought to be due to gas flow instabilities and they result in an unstable or a less protective scale on the carbon steel tubes. Also, these fluctuating air flow patterns can result in deposition of black liquor on the wall tubes, and during periods when deposition is high, there is a noticeable increase in the concentrations of sulfur-bearing gases like hydrogen sulfide and methyl mercaptan. Laboratory studies have shown that chromized and aluminized surface treatments on carbon steel improve the resistance to sulfidation attack. Studies of superheater corrosion and cracking have included laboratory analyses of cracked tubes, laboratory corrosion studies designed to simulate the superheater environment and field tests to study the movement of superheater tubes and to expose a corrosion probe to assess the corrosion behavior of alternate superheater alloys, particularly alloys that would be used for superheaters operating at higher temperatures and higher pressures than most current boilers. In the laboratory corrosion studies, samples of six alternate materials were immersed in an aggressive, low melting point salt mixture and exposed for times up to 336 h, at temperatures of 510, 530 or 560°C in an inert or reactive cover gas. Using weight change and results of metallographic examination, the samples were graded on their resistance to the various environments. For the superheater corrosion probe studies, samples of the same six materials were exposed on an air-cooled corrosion probe exposed in the superheater section of a recovery boiler for 1000 h. Post exposure examination showed cracking and/or subsurface attack in the samples exposed at the higher temperatures with the attack being more severe for samples 13 exposed above the first melting temperature of the deposits that collected on the superheater tubes. From these superheater studies, a ranking was developed for the six materials tested. The task addressing cracking and corrosion of primary air port tubes that was part of this project produced results that have been extensively implemented in recovery boilers in North America, the Nordic countries and many other parts of the world. By utilizing these results, boilers are being operated under more demanding conditions with fewer outages and reduced safety concerns about boiler explosions resulting from failed tubes in the lower boiler. The results of studies on the mid-furnace tube corrosion task and the superheater corrosion and cracking task have become available much more recently, and, consequently, the extent of implementation is far more limited. However, boiler operators are utilizing some of the operational information to minimize corrosion in the mid-furnace area. With construction of new boilers that are designed to operate at higher temperatures and pressures, the guidance on selection of superheater tube materials will almost certainly influence the selection of materials for the more critical areas of the superheaters