Exploring copyrolysis characteristics and thermokinetics of peach stone and bituminous coal blends

Copyrolysis, being an active area of research due to its synergistic impact in utilizing diverse fuel resources, including waste materials, like, peach stone (PS), has been the focal point for this study. PS, produced in vast quantities annually and typically intended for landscaping or insulation purposes, is being studied in combination with low‐grade bituminous coal for energy utilization focusing on thermokinetics and synergistic aspects. Coal‐peach stone (C‐PS) blends were formulated at different ratios and subjected to comprehensive characterization techniques, including ultimate analysis (CHN‐S), gross calorific value (GCV), Fourier transform infrared spectroscopy, and thermogravimetric analyzer (TGA). The ultimate analysis revealed an enhancement in carbon and hydrogen content from 45.38% to 68.08% and from 3.89% to 6.96%, respectively. Additionally, a reduction in sulfur and nitrogen content from 0.54% to 0.11% and from 1.16% to 0.42%, respectively, was observed with an increase in the ratio of PS in the C‐PS blends. The GCV of C‐PS blends ranged from 20.75 to 26.01 MJ kg−1. The pyrolysis conditions simulated in TGA are pivotal for evaluating thermokinetics and synergistic effects. The 60C:40PS blend shows a positive synergy index (SI) value of 0.0203% concerning total mass loss (MLT) indicating a favorable condition for bio‐oil generation. Coats–Redfern model‐fitting method reveals that the activation energy (Ea) of C‐PS blends increases in Section II with the addition of PS, and conversely, it decreases in Section III. The Ea for 100PS and 100C was 106.76 and 45.85 kJ mol−1 through (D3) and (F1), respectively, which was improved through the optimal blend 60C:40PS with an Ea of 94.56 and 27.58 kJ mol−1 through (D3) and (F2), respectively. The values obtained from linear regression prove that the kinetic models are effective while the thermodynamic analysis indicates that the pyrolytic behavior of C‐PS blends is characterized as endothermic, nonspontaneous, and capable of achieving thermodynamic equilibrium more rapidly

Exploring copyrolysis characteristics and thermokinetics of peach stone and bituminous coal blends

Abstract Copyrolysis, being an active area of research due to its synergistic impact in utilizing diverse fuel resources, including waste materials, like, peach stone (PS), has been the focal point for this study. PS, produced in vast quantities annually and typically intended for landscaping or insulation purposes, is being studied in combination with low‐grade bituminous coal for energy utilization focusing on thermokinetics and synergistic aspects. Coal‐peach stone (C‐PS) blends were formulated at different ratios and subjected to comprehensive characterization techniques, including ultimate analysis (CHN‐S), gross calorific value (GCV), Fourier transform infrared spectroscopy, and thermogravimetric analyzer (TGA). The ultimate analysis revealed an enhancement in carbon and hydrogen content from 45.38% to 68.08% and from 3.89% to 6.96%, respectively. Additionally, a reduction in sulfur and nitrogen content from 0.54% to 0.11% and from 1.16% to 0.42%, respectively, was observed with an increase in the ratio of PS in the C‐PS blends. The GCV of C‐PS blends ranged from 20.75 to 26.01 MJ kg−1. The pyrolysis conditions simulated in TGA are pivotal for evaluating thermokinetics and synergistic effects. The 60C:40PS blend shows a positive synergy index (SI) value of 0.0203% concerning total mass loss (MLT) indicating a favorable condition for bio‐oil generation. Coats–Redfern model‐fitting method reveals that the activation energy (Ea) of C‐PS blends increases in Section II with the addition of PS, and conversely, it decreases in Section III. The Ea for 100PS and 100C was 106.76 and 45.85 kJ mol−1 through (D3) and (F1), respectively, which was improved through the optimal blend 60C:40PS with an Ea of 94.56 and 27.58 kJ mol−1 through (D3) and (F2), respectively. The values obtained from linear regression prove that the kinetic models are effective while the thermodynamic analysis indicates that the pyrolytic behavior of C‐PS blends is characterized as endothermic, nonspontaneous, and capable of achieving thermodynamic equilibrium more rapidly

Management and Outcomes Following Surgery for Gastrointestinal Typhoid: An International, Prospective, Multicentre Cohort Study

Background: Gastrointestinal perforation is the most serious complication of typhoid fever, with a high disease burden in low-income countries. Reliable, prospective, contemporary surgical outcome data are scarce in these settings. This study aimed to investigate surgical outcomes following surgery for intestinal typhoid. Methods: Two multicentre, international prospective cohort studies of consecutive patients undergoing surgery for gastrointestinal typhoid perforation were conducted. Outcomes were measured at 30 days and included mortality, surgical site infection, organ space infection and reintervention rate. Multilevel logistic regression models were used to adjust for clinically plausible explanatory variables. Effect estimates are expressed as odds ratios (ORs) alongside their corresponding 95% confidence intervals. Results: A total of 88 patients across the GlobalSurg 1 and GlobalSurg 2 studies were included, from 11 countries. Children comprised 38.6% (34/88) of included patients. Most patients (87/88) had intestinal perforation. The 30-day mortality rate was 9.1% (8/88), which was higher in children (14.7 vs. 5.6%). Surgical site infection was common, at 67.0% (59/88). Organ site infection was common, with 10.2% of patients affected. An ASA grade of III and above was a strong predictor of 30-day post-operative mortality, at the univariable level and following adjustment for explanatory variables (OR 15.82, 95% CI 1.53–163.57, p = 0.021). Conclusions: With high mortality and complication rates, outcomes from surgery for intestinal typhoid remain poor. Future studies in this area should focus on sustainable interventions which can reduce perioperative morbidity. At a policy level, improving these outcomes will require both surgical and public health system advances

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially