375 research outputs found

    Allogeneic red blood cell transfusion in coronary artery bypass surgery

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    Seed Yield and Lodging Assessment in Red Fescue (<i>Festuca rubra</i> L.) Sprayed with Trinexapac-Ethyl

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    Red fescue (Festuca rubra) is used in seed mixtures for lawns and pastures. It is prone to lodge at flowering, and plant growth regulators (PGRs) are used to prevent lodging, ensuring sufficient pollination. Seed yield and lodging were studied over three years in a red fescue field established with four seeding rates (2, 4, 6 and 8 kg ha&minus;1) and sprayed each year with three doses of the PGR trinexapac-ethyl (250 g L&minus;1) (0, 0.3, 0.6 and 1.2 L ha&minus;1). Half of each plot was sprayed with the PGR and the other half was left unsprayed as control. The degree of lodging was assessed by analysing drone images in the second year of the experiment and using a 10-point scale for scoring lodging at the ground. Generally, application of PGR increased the seed yield but the effect varied between years. There was no interaction between the PGR dosage and seeding rate. We found a positive correlation between the blue intensity of the images and lodging. PGR dosage significantly affected lodging evaluated by visual ranking and the blue intensity of the images, while the seeding rates did not affect lodging. Lodging affected seed yield negatively

    A Comparison of Organic and Steam Rankine Cycle Power Systems for Waste Heat Recovery on Large Ships

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    This paper presents a comparison of the conventional dual pressure steam Rankine cycle process and the organic Rankine cycle process for marine engine waste heat recovery. The comparison was based on a container vessel, and results are presented for a high-sulfur (3 wt %) and low-sulfur (0.5 wt %) fuel case. The processes were compared based on their off-design performance for diesel engine loads in the range between 25% and 100%. The fluids considered in the organic Rankine cycle process were MM(hexamethyldisiloxane), toluene, n-pentane, i-pentane and c-pentane. The results of the comparison indicate that the net power output of the steam Rankine cycle process is higher at high engine loads, while the performance of the organic Rankine cycle units is higher at lower loads. Preliminary turbine design considerations suggest that higher turbine efficiencies can be obtained for the ORC unit turbines compared to the steam turbines. When the efficiency of the c-pentane turbine was allowed to be 10% points larger than the steam turbine efficiency, the organic Rankine cycle unit reaches higher net power outputs than the steam Rankine cycle unit at all engine loads for the low-sulfur fuel case. The net power production from the waste heat recovery units is generally higher for the low-sulfur fuel case. The steam Rankine cycle unit produces 18% more power at design compared to the high-sulfur fuel case, while the organic Rankine cycle unit using MM produces 33% more power

    Exercise-Based Real-time Telerehabilitation for Older Adult Patients Recently Discharged After Transcatheter Aortic Valve Implantation:Mixed Methods Feasibility Study

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    BACKGROUND: The use of telehealth technology to improve functional recovery following transcatheter aortic valve implantation (TAVI) has not been investigated. OBJECTIVE: In this study, we aimed to examine the feasibility of exercise-based cardiac telerehabilitation after TAVI. METHODS: This was a single-center, prospective, nonrandomized study using a mixed methods approach. Data collection included testing, researchers’ observations, logbooks, and individual patient interviews, which were analyzed using a content analysis approach. The intervention lasted 3 weeks and consisted of home-based web-based exercise training, an activity tracker, a TAVI information website, and 1 web-based session with a nurse. RESULTS: Of the initially included 13 patients, 5 (40%) completed the study and were interviewed; the median age was 82 (range 74-84) years, and the sample comprised 3 men and 2 women. Easy access to supervised exercise training at home with real-time feedback and use of the activity tracker to count daily steps were emphasized by the patients who completed the intervention. Reasons for patients not completing the program included poor data coverage, participants’ limited information technology skills, and a lack of functionality in the systems used. No adverse events were reported. CONCLUSIONS: Exercise-based telerehabilitation for older people after TAVI, in the population as included in this study, and delivered as a web-based intervention, does not seem feasible, as 60% (8/13) of patients did not complete the study. Those completing the intervention highly appreciated the real-time feedback during the web-based training sessions. Future studies should address aspects that support retention rates and enhance patients’ information technology skills
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