Thermal analysis of 8.5 MVA disk-type power transformer cooled by biodegradable ester oil working in ONAN mode by using advanced EMAG–CFD–CFD coupling

Power transformers are the first devices used to transfer the electrical energy produced in power plants to the grid to supply the industrial and individual receivers with electricity. The heat generation in windings and core, being an effect of the power losses, is usually dissipated in large units by using mineral oils, which are harmful to the environment. Nowadays, the industry and global society seek environmentally-friendly alternatives. One of the most promising substitute for their high biodegradability, safety in operation, and favourable thermo-physical properties are natural ester oils. For this reason, a numerical study of 8.5 MVA disk-type power transformer cooled using conventional mineral oil and a commercially used rapeseed ester oil is presented in this paper. Moreover, due to different thermal behaviour of the considered oils, the comparison was made for the unit working in different seasons of hot and moderate climate zones (Argentina and Poland). In the numerical approach, electromagnetic (EMAG) and computational fluid dynamics (CFD) models were used for a detailed study of the selected device. In particular, a novel and very efficient EMAG–CFD–CFD coupling procedure was developed to assess the cooling of the large power transformer. Such a coupled computational procedure allowed for the detailed investigation of the power loss, oil flow characteristics, and temperatures with a satisfying computational effort. The results showed that the average windings temperatures are higher by 2–9 K when the ester oil is used, dependent on the ambient conditions. The hotspot temperature in the low voltage windings increased by up to 9 K and up to 18 K in the high voltage windings using ester oil. According to the results, the oil duct construction requires modification in the high voltage region for transformers cooled using mineral oil in cold climate conditions.Fil: Stebel, Michal. Silesian University Of Technology; PoloniaFil: Kubiczek, Krzysztof. Silesian University Of Technology; PoloniaFil: Rios Rodriguez, Gustavo Adolfo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Centro de Investigaciones en Métodos Computacionales. Universidad Nacional del Litoral. Centro de Investigaciones en Métodos Computacionales; ArgentinaFil: Palacz, Michal. Silesian University Of Technology; PoloniaFil: Garelli, Luciano. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Centro de Investigaciones en Métodos Computacionales. Universidad Nacional del Litoral. Centro de Investigaciones en Métodos Computacionales; ArgentinaFil: Melka, Bartlomiej. Silesian University Of Technology; PoloniaFil: Haida, Michal. Silesian University Of Technology; PoloniaFil: Bodys, Jakub. Silesian University Of Technology; PoloniaFil: Nowak, Andrzej J.. Silesian University Of Technology; PoloniaFil: Lasek, Pawel. Silesian University Of Technology; PoloniaFil: Stepien, Mariusz. Silesian University Of Technology; PoloniaFil: Pessolani, Francisco. Tadeo Czerweny S.a.; ArgentinaFil: Amadei, Mauro. Tadeo Czerweny S.a.; ArgentinaFil: Granata, Daniel. Tadeo Czerweny S.a.; ArgentinaFil: Storti, Mario Alberto. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Centro de Investigaciones en Métodos Computacionales. Universidad Nacional del Litoral. Centro de Investigaciones en Métodos Computacionales; ArgentinaFil: Smolka, Jacek. Silesian University Of Technology; Poloni

Development, Analysis and Experimental Investigation of Superconducting Wireless Power Transfer System Operating in Kilohertz Range

International audienc

Development, Analysis and Experimental Investigation of Superconducting Wireless Power Transfer System Operating in Kilohertz Range

International audienc

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research