6 research outputs found

    Ignition of fuel–air mixtures from a hot circular cylinder

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    Ignition of hydrogen–air, ethylene–air and n-hexane–air mixtures from a horizontally and vertically oriented heated circular cylinder was studied experimentally in a wide range of equivalence ratio. Initial pressure and temperature were 101.3 kPa and 296 K, respectively. The cylinder with outer diameter 10 mm and heated length 10 mm was designed for high temperature uniformity. Two-color pyrometry measured the surface temperature; Time-resolved Mach–Zehnder interferometry acquired ignition dynamics, gas temperature fields and heat transfer characteristics. Ignition from the horizontal cylinder occurred at temperatures between 960 K and 1100 K for hydrogen, between 1060 K and 1110 K for ethylene, and between 1150 K and 1190 K for n-hexane. Vertical cylinder orientation increased ignition thresholds by 50–110 K for ethylene and n-hexane, whereas only little variation was observed for hydrogen. Infinite-fringe interferograms visualized the ignition dynamics and identified the most favorable ignition locations, which coincided with locations of lowest wall heat flux (largest thermal boundary layer thickness) and long residence time. Gas temperature fields were obtained by post-processing the interferograms, resolving the temporal and spatial development of thermal boundary layers and enabling local heat transfer analysis. The convective pattern around a horizontal cylinder features distinctly shallow temperature gradients, i.e., low heat flux, at the cylinder top due to thermal plume formation, which promotes ignition compared to the vertical cylinder. An analytical scaling model for ignition from hot surfaces was evaluated to determine the sensitivity of ignition threshold to heat transfer variations, and to reveal the influence of chemical mixture properties. This analysis predicts a particularly low sensitivity for hydrogen–air mixtures at temperatures near the extended second explosion limit, and a larger sensitivity of ethylene–air and n-hexane–air mixtures, which is in accordance with the experiments

    Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

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    Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely
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