6 research outputs found

    Exergy analysis of energy-intensive production processes: advancing towards a sustainable chemical industry

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    Exergy analysis is becoming a very powerful strategy to evaluate the real efficiency of a process. Its application in the chemical industry is still at an early stage but many interesting remarks can be obtained from the recent research in the most energy intensive processes of the chemical industry: the production of chemicals, the cement industry, the paper industry and, the iron and steel industry. The present review analyzes the opportunities and challenges in those sectors by considering exergy analyses as the first required step (although not sufficient) to advance towards a more sustainable chemical industry. Social, environmental and economic factors play a role in the critical evaluation of a process and exergy could be considered as the property that joins together those three cores of sustainability

    Effects of Extended Jet Holes to Heat Transfer and Flow Characteristics of the Jet Impingement Cooling

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    In this study, effects of extended jet holes to heat transfer and flow characteristics of jet impingement cooling were numerically investigated. Cross-flow in the impinging jet cooling adversely affects the heat transfer on the target surface. The main purpose of this study is to reduce the negative effect of cross-flow on heat transfer by extending jet holes toward the target surface with nozzles. This study has been conducted under turbulent flow condition (15,000 <= Re <= 45,000). The surface of the turbine blade, which is the target surface, has been modeled as a flat plate. The effect of the ribs, placed on the target surface, on the heat transfer has been also investigated, and the results were compared with the flat surface. The parameters such as average and local Nusselt numbers on the target surface, flow characteristics, and compressor power have been examined in detail. It was obtained from the numerical results that the average Nusselt number increases with decreasing the gap between the target surface and the nozzle. In addition, the higher average Nusselt number was obtained on the flat surface than the ribbed surface. The lowest compressor power was achieved in the 5Dj nozzle gap for the flat surface and in the 4Dj nozzle gap for the ribbed surface

    Effect of decompressive hemicraniectomy in patients with acute middle cerebral artery infarction 2050

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    Background/aim: We aimed to determine in which cases this procedure may be more effective based on the data of patients who underwent decompressive hemicraniectomy (DHC). Material and methods: Overall, 47 patients who underwent DHC due to acute middle cerebral artery (MCA) infarction between January 2014 and january 2019 were retrospectively investigated. These patients were divided into two groups: those who died after DHC (Group A) and those who survived DHC (Group B). The groups were compared in terms of various parameters. We investigated whether the patient's modified Rankin scale (mRS) status changed depending on age (> 60 and 60 years who underwent DHC for MCA infraction was 61.5% and 26.5%, respectively (p = 0,041). The median mRS of patients 60 years were 4 (1-6) and 6 (1-6), respectively (p = 0.018). Conclusion: Age, DHC timing, and elapsed time until hospitalization or access to treatment directly affect the functional outcome and survival in MCA-infarcted patients who underwent DHC. In patients in whom the medical treatment fails, early DHC administration will increase survival without waiting for neurological worsening once herniation is detected radiologically

    Local control and vertebral compression fractures following stereotactic body radiotherapy for spine metastases

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    Purpose: We aimed to retrospectively assess the incidence of vertebral compression fractures (VCF), examine clinicopathologic factors potentially associated with VCF, and evaluate treatment response in patients who received stereotactic body radiotherapy (SBRT) for spine metastases (spMets). Methods and Materials: We identified 78 patients with 125 spMets at baseline and subsequent assessments. Patients received SBRT doses of 16 or 18 Gy. Patients with pre-existing VCF and co-existing local progression were excluded. Spine instability neoplastic score (SINS) was used for spMets categorization. Response to SBRT and VCF were assessed according to the Positron Emission tomography Response Criteria In Solid Tumors (PERCIST) and Genant scores, respectively. Kaplan–Meier analyses were used to assess local control of disease and vertebral compression fracture-free survival (FFS). Results: We treated 103 cases with single spMets and 11 cases involving double spMets with SBRT. Progressive disease was reported in 3.2% and 8.2% of the cases in the first and last PET/CT reports, respectively. The distribution of treatment response in the remaining patients was: complete response in 30.6% of patients, partial response in 47.1% of patients, and stable disease in 22.3% of patients in the first PET/CT; complete response in 62.3% of patients, partial response in 16.7% of patients, and stable disease in 21% of patients at the last monitoring. Local failures were observed in 15 (12%) of cases. Median SINS was 5 (range: 1−13); majority of patients in our cohort (70.4%) were categorized as stable according to SINS, five (4%) patients had Grade 3 VCF at a median time of 16 months after SBRT (range: 2−22 months), and 60% of VCF occurred after an interval of at least 12 months after SBRT. No bisphosphonate usage was significantly associated with VCF (r = −0.204; p = 0.022). Median FFS was 21 months. Univariate analyses indicated that female gender (p 6 months of bisphosphonates use (p = 0.002), and the lowest vertebral body collapse score (p = 0.023) were associated with higher FFS. Female gender (p = 0.007), >6 months of bisphosphonates usage (p = 0.018), and the lowest vertebral body collapse score (p = 0.044) retained independent significance. Conclusions: This study demonstrated that spine SBRT with doses of 16–18 Gy promises good local control of disease with acceptable VCF rates. Lowest vertebral body collapse score, female gender, and >6 months of bisphosphonate use were significantly associated with longer FFS. Keywords: SBRT, Spine metastases, Vertebral compression fracture, Bisphosphonate, PET/C
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