Environmental life cycle assessment of ammonia‐based electricity

In recent years, several researchers have studied the potential use of ammonia (NH3) as an energy vector, focused on the techno-economic advantages and challenges for full global deployment. The use of ammonia as fuel is seen as a strategy to support decarbonization; however, to confirm the sustainability of the shift to ammonia as fuel in thermal engines, a study of the environmental profile is needed. This paper aims to assess the environmental life cycle impacts of ammonia-based electricity generated in a combined heat and power cycle for different ammonia production pathways. A cradle-to-gate assessment was developed for both ammonia production and ammonia-based electricity generation. The results show that electrolysis-based ammonia from renewable and nuclear energy have a better profile in terms of global warming potential (0.09–0.70 t CO2-eq/t NH3), fossil depletion potential (3.62–213.56 kg oil-eq/t NH3), and ozone depletion potential (0.001–0.082 g CFC-11-eq/t NH3). In addition, surplus heat for district or industrial applications offsets some of the environmental burden, such as a more than 29% reduction in carbon footprint. In general, ammonia-based combined heat and power production presents a favorable environmental profile, for example, the carbon footprint ranges from −0.480 to 0.003 kg CO2-eq/kWh

Grading of carotid artery stenosis with multidetector-row CT angiography: visual estimation or caliper measurements?

To assess the optimal method for grading carotid artery stenosis with computed tomographic angiography (CTA), we compared visual estimation to caliper measurements, and determined inter-observer variability and agreement relative to digital subtraction angiography (DSA). We included 46 patients with symptomatic carotid stenosis for whom CTA and DSA of 55 carotids was available. Stenosis quantification by CTA using visual estimation (CTAVE) (method 1) was compared with caliper measurements using subjectively optimized wide window settings (method 2) or predefined contrast-dependent narrow window settings (method 3). Measurements were independently performed by two radiologists and two residents. To determine accuracy and inter-observer variability, we calculated linear weighted kappa, performed a Bland-Altman analysis and calculated mean difference (bias) and standard deviation of differences (SDD). For inter-observer variability, kappa analysis was “very good” (0.85) for expert observers using CTAVE compared with “good” (0.61) for experts using DSA. Compared with DSA, method 1 led to overestimation (bias 5.8–8.0%, SDD 10.6–14.4), method 3 led to underestimation (bias −6.3 to −3.0%, SDD 13.0–18.1). Measurement variability between DSA and visual estimation on CTA (SDD 11.5) is close to the inter-observer variability of repeated measurements on DSA that we found in this study (SDD 11.6). For CTA of carotids, stenosis grading based on visual estimation provides better agreement to grading by DSA compared with stenosis grading based on caliper measurements

Moving Migration. Narrative Transformations in Asian American Literature

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Diffuse reflectance spectroscopy of the spine: improved breach detection with angulated fibers

Accuracy in spinal fusion varies greatly depending on the experience of the physician. Real-time tissue feedback with diffuse reflectance spectroscopy has been shown to provide cortical breach detection using a conventional probe with two parallel fibers. In this study, Monte Carlo simulations and optical phantom experiments were conducted to investigate how angulation of the emitting fiber affects the probed volume to allow for the detection of acute breaches. Difference in intensity magnitude between cancellous and cortical spectra increased with the fiber angle, suggesting that outward angulated fibers are beneficial in acute breach scenarios. Proximity to the cortical bone could be detected best with fibers angulated at θf = 45° for impending breaches between θp = 0° and θp = 45°. An orthopedic surgical device comprising a third fiber perpendicular to the device axis could thus cover the full impending breach range from θp = 0° to θp = 90°.</p

Intra-arterial Foreign Body in Popliteal Artery: A Case Report

AbstractWe describe the case of a male patient who presented with an intra-arterial sheath following an endovascular intervention months earlier. The occurrence, complications and retrieval of an unusual intra-arterial foreign body are described