4 research outputs found

    Saignements précoces après Roux-en-Y bypass gastrique : incidence, facteurs de risque et prise en charge

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    Inhibition effects in the partial oxidation of cyclohexane on polymer supported Co(II) catalysts

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    Polymer supported catalysts with different contents of metal ions where synthesized by wet impregnation of the degassed support from ethanolic solutions of cobalt(II) nitrate. Amacroreticular copolymer of poly-4-vinylpyridine with divinylbenzene was used as the support. The prepared catalysts were tested in the partial oxidation of cyclohexane to cyclohexanol and cyclohexanone. Activity tests were performed in a stainless steel, laboratory scale, stirred autoclave, in the semi batch regime under isothermal and non-isothermal conditions. Isothermal experiments where performed at 170 °C for 120 min. In the non-isothermal conditions. isothermal experiments where performed at 170 °C for 120 min. In the non-isothermal experiments, a constant heating rate of 0.3 degree/min was used in the range between 110 °C and 170 °C. Non-linear, least-squares analysis with the simplex optimization method and numerical simulation of the reaction model in each iterative step was used for the kinetic characterization of the process in a non-stationary, semi-batch regime. Apparent rate constants were obtained as an invariant measure of the catalytic system. Anon-linear effect of the content of metal ions on the reaction rate and on the ratio of the yield of the products was observed, which is attributed to a complex interactions between the reaction medium and the heterogeneous catalyst, including a catalyst-inhibition effect

    Inhibition effects in the partial oxidation of cyclohexane on polymer supported Co(II) catalysts

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    Polymer supported catalysts with different contents of metal ions where synthesized by wet impregnation of the degassed support from ethanolic solutions of cobalt(II) nitrate. Amacroreticular copolymer of poly-4-vinylpyridine with divinylbenzene was used as the support. The prepared catalysts were tested in the partial oxidation of cyclohexane to cyclohexanol and cyclohexanone. Activity tests were performed in a stainless steel, laboratory scale, stirred autoclave, in the semi batch regime under isothermal and non-isothermal conditions. Isothermal experiments where performed at 170 °C for 120 min. In the non-isothermal conditions. isothermal experiments where performed at 170 °C for 120 min. In the non-isothermal experiments, a constant heating rate of 0.3 degree/min was used in the range between 110 °C and 170 °C. Non-linear, least-squares analysis with the simplex optimization method and numerical simulation of the reaction model in each iterative step was used for the kinetic characterization of the process in a non-stationary, semi-batch regime. Apparent rate constants were obtained as an invariant measure of the catalytic system. Anon-linear effect of the content of metal ions on the reaction rate and on the ratio of the yield of the products was observed, which is attributed to a complex interactions between the reaction medium and the heterogeneous catalyst, including a catalyst-inhibition effect.Katalizatori na polimernom nosaču, sa različitim sadržajem metalnih jona, sintetisani su impregnacijom degaziranog nosača iz alkoholnog rastvora kobalt(II) nitrata. Makroretikularni kopolimer poli-4-vinilpriridina sa divinilbenzenom je korišćen kao nosač. Pripremljeni katalizatori su testirani u reakciji parcijalne oksidacije cikloheksana do smeše cikloheksanola i cikloheksanona. Katalitički testovi su izvedeni u laboratorijskom, autoklavu od nerđajućeg čelika, pod izotermalnim i neizotermalnim uslovima. Izotermalni eksperimenti su izvođeni na 170 °C tokom 120 min. U neizotermalnim eksperimentima korišćena je konstantna brzina grejanja od 0,3 °C/min, u intervalu 110 - 170 °C. Nelinearna analiza najmanjih kvadrata sa simpleks metodom optimizacije u numeričkom simulacijom u svakom iteracionom koraku, je korišćena za kinetičku karakterizaciju procesa u nestacionarnom režimu. Dobijene su prividne konstante brzine kao invarijantna karakteristika katalitičkog sistema. Uočeni su nelinearni efekti sadržaja metalnih jona na brzine reakcija i na odnose koncentracija proizvoda. Ovi efekti su pripisani složenoj interakciji reakcione sredine i heterogenog katalizatora, koja uključuje i inhibiciju

    Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

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    Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19\ub78 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6\ub76 and 2\ub74 per cent respectively before, but 23\ub77 and 5\ub73 per cent, during the pandemic (both P < 0\ub7001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2
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