Multiarticular chronic tophaceous gout with severe and multiple ulcerations: a case report

<p>Abstract</p> <p>Introduction</p> <p>Gout is a common inflammatory arthritis caused by articular precipitation of monosodium urate crystals. It usually affects the first metatarsophalangeal joint of the foot and less commonly other joints, such as wrists, elbows, knees and ankles.</p> <p>Case presentation</p> <p>We report the case of a 75-year-old Caucasian man with tophaceous multiarticular gout, soft-tissue involvement and ulcerated tophi on the first metatarsophalangeal joint of the left foot, on the first interphalangeal joint of the right foot and on the left thumb.</p> <p>Conclusion</p> <p>Ulcers due to tophaceous gout are currently uncommon considering the positive effect of pharmaceutical treatment in controlling hyperuricemia. Surgical treatment is seldom required for gout and is usually reserved for cases of recurrent attacks with deformities, severe pain, infection and joint destruction.</p

Investigation of the effect of ambient conditions on the performance of solid desiccant cooling cycles

The operation of desiccant air-conditioning systems is characterised by processes implemented to the moist air of the environment; it is, thus, expected to be affected by ambient conditions. The present work aims at quantifying this influence on the basis of an easy-to-implement, steady-state model of the system, presenting an efficiency factors approach, which has been experimentally validated. The analysis examines the behaviour of the ventilation and the recirculation cycles, which constitute the marginal cases regarding the achieved values of the outside air fraction, given the ambient conditions, the desired regeneration temperature and the efficiency of the involved components. The fact of a desiccant cycle undergoing a set of changing ambient conditions by its actual operation is also considered in the analysis. The results provide useful information for the selection of the optimum configuration to the designer of a desiccant air-conditioning system

Artificial neural networks for the performance prediction of heat pump hot water heaters

The rapid progression in the use of heat pumps, due to the decrease in the equipment cost, together with the favourable economics of the consumed electrical energy, has been combined with the wide dissemination of air-to-water heat pumps (AWHPs) in the residential sector. The entrance of the respective systems in the commercial sector has made important the modelling of the processes. In this work, the suitability of artificial neural networks (ANN) in the modelling of AWHPs is investigated. The ambient air temperature in the evaporator inlet and the water temperature in the condenser inlet have been selected as the input variables; energy performance indices and quantities characterising the operation of the system have been selected as output variables. The results verify that the, easy-to-implement, trained ANN can represent an effective tool for the prediction of the AWHP performance in various operation conditions and the parametrical investigation of their behaviour

A semi-analytical refrigeration cycle modelling approach for a heat pump hot water heater

The use of heat pump systems in applications like the production of hot water or space heating makes important the modelling of the processes for the evaluation of the performance of existing systems, as well as for design purposes. The proposed semi-analytical model offers the opportunity to estimate the performance of a heat pump system producing hot water, without using detailed geometrical or any performance data. This is important, as for many commercial systems the type and characteristics of the involved subcomponents can hardly be detected, thus not allowing the implementation of more analytical approaches or the exploitation of the manufacturers’ catalogue performance data. The analysis copes with the issues related with the development of the models of the subcomponents involved in the studied system. Issues not discussed thoroughly in the existing literature, as the refrigerant mass inventory in the case an accumulator is present, are examined effectively