Saturated Critical Heat Flux in a Multi-Microchannel Heat Sink Fed by a Split Flow System

An extensive experimental campaign has been carried out for the measurement of saturated critical heat flux in a multi-microchannel copper heat sink. The heat sink was formed by 29 parallel channels that were 199 μm wide and 756 μm deep. In order to increase the critical heat flux and reduce the two-phase pressure drop, a split flow system was implemented with one central inlet at the middle of the channels and two outlets at either end. The base critical heat flux was measured using three HFC Refrigerants (R134a, R236fa and R245fa) for mass fluxes ranging from 250 to 1500 kg/m2 s, inlet subcoolings from −25 to −5 K and saturation temperatures from 20 to 50 °C. The parametric effects of mass velocity, saturation temperature and inlet subcooling were investigated. The analysis showed that significantly higher CHF was obtainable with the split flow system (one inlet–two outlets) compared to the single inlet–single outlet system, providing also a much lower pressure drop. Notably several existing predictive methods matched the experimental data quite well and quantitatively predicted the benefit of higher CHF of the split flow

EXPERIMENTS DURING FLOW BOILING OF A R22 DROP-IN: R422D ADIABATIC PRESSURE GRADIENTS

R22, the HCFC most widely used in refrigeration and air-conditioning systems in the last years, is phasing-out. R422D, a zero ozone-depleting mixture of R125, R134a and R600a (65.1%/31.5%/3.4% by weight, respectively), has been recently proposed as a drop-in substitute. For energy consumption calculations and temperature control, it is of primary importance to estimate operating conditions after substitution. To determine pressure drop in the evaporator and piping line to the compressor, in this paper the experimental adiabatic pressure gradients during flow boiling of R422D are reported for a circular smooth horizontal tube (3.00 mm inner radius) in a range of operating conditions of interest for dry-expansion evaporators. The data are used to establish the best predictive method for calculations and its accuracy: the Moreno-Quibèn and Thome method provided the best predictions for the whole database and also for the segregated data in the annular flow regime. Finally, the experimental data have been compared with the adiabatic pressure gradients of both R22 and its much used alternative R407C available in the literature

Carbon Dioxide Heat Transfer Coefficients And Pressure Drops During Flow Boiling: Assessment Of Predictive Methods

Among the alternatives to the HCFCs and HFCs, carbon dioxide emerged as one of the most promising environmentally friendly refrigerants. In past years many works were carried out about CO2 flow boiling and very different two-phase flow characteristics from conventional fluids were found. In order to assess the best predictive methods for the evaluation of CO2 heat transfer coefficients and pressure gradients in macro-channels, in the current article a literature survey of works and a collection of the results of statistical comparisons available in literature are furnished. In addition the experimental data from University of Naples are used to run a deeper analysis. Both a statistical and a direct comparison against some of the most quoted predictive methods are carried out. Methods implemented both for low–medium pressure refrigerants and specifically developed for R744 are used in the comparison. Some general indications about the choice of the predictive methods dependently on the operating conditions are given

Thermo-economic Design and Optimization of Cooling Systems Employed in Cruise Ship

The recovery of the available waste heat from the operating engines of a modern cruise ship plays an important role in the reduction of the environmental impact of these huge means of transport. The cooling load required by the ship passengers can be handled with innovative air-conditioning systems that employ a vapor single-phase ejector and are fed by waste heat. On the contrary, these systems are usually more expensive than vapor compression cycles, representing the conventional technology. In this paper, a thermo-economic-environmental analysis of a combined cooling system for a cruise ship operating in the Baltic Sea is proposed. Two different cooling plants are compared, namely a typical vapor compression cycle and a multiejector hybrid ejector cycle integrated with a cold storage tank aiming to buffer the load variations. The approach is numerical, and the simulations are carried-out with dedicated sub-models for each component. Volumetric machines (pumps, compressor) are modeled through phenomenological equations, calibrated and validated on real data, whereas the heat exchangers are simulated by using specific heat transfer prediction methods and typical geometries. The objective is to size the whole system and optimize the tank size and the control strategy, to minimize the investment cost and maximize the seasonal performance. Also, an economic comparison, concerning the total costs (investments costs plus operating costs) between the solution chosen and the reference one has been carried out considering the fuel cost as a parametric input. Finally, an environmental analysis is performed to assess the reduction in pollutant emissions with the proposed system

Thermo-economic Design and Optimization of Cooling Systems Employed in Cruise Ship

The recovery of the available waste heat from the operating engines of a modern cruise ship plays an important role in the reduction of the environmental impact of these huge means of transport. The cooling load required by the ship passengers can be handled with innovative air-conditioning systems that employ a vapor single-phase ejector and are fed by waste heat. On the contrary, these systems are usually more expensive than vapor compression cycles, representing the conventional technology. In this paper, a thermo-economic-environmental analysis of a combined cooling system for a cruise ship operating in the Baltic Sea is proposed. Two different cooling plants are compared, namely a typical vapor compression cycle and a multiejector hybrid ejector cycle integrated with a cold storage tank aiming to buffer the load variations. The approach is numerical, and the simulations are carried-out with dedicated sub-models for each component. Volumetric machines (pumps, compressor) are modeled through phenomenological equations, calibrated and validated on real data, whereas the heat exchangers are simulated by using specific heat transfer prediction methods and typical geometries. The objective is to size the whole system and optimize the tank size and the control strategy, to minimize the investment cost and maximize the seasonal performance. Also, an economic comparison, concerning the total costs (investments costs plus operating costs) between the solution chosen and the reference one has been carried out considering the fuel cost as a parametric input. Finally, an environmental analysis is performed to assess the reduction in pollutant emissions with the proposed system

The state of the Martian climate

60°N was +2.0°C, relative to the 1981–2010 average value (Fig. 5.1). This marks a new high for the record. The average annual surface air temperature (SAT) anomaly for 2016 for land stations north of starting in 1900, and is a significant increase over the previous highest value of +1.2°C, which was observed in 2007, 2011, and 2015. Average global annual temperatures also showed record values in 2015 and 2016. Currently, the Arctic is warming at more than twice the rate of lower latitudes

Variation in Structure and Process of Care in Traumatic Brain Injury: Provider Profiles of European Neurotrauma Centers Participating in the CENTER-TBI Study.

INTRODUCTION: The strength of evidence underpinning care and treatment recommendations in traumatic brain injury (TBI) is low. Comparative effectiveness research (CER) has been proposed as a framework to provide evidence for optimal care for TBI patients. The first step in CER is to map the existing variation. The aim of current study is to quantify variation in general structural and process characteristics among centers participating in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study. METHODS: We designed a set of 11 provider profiling questionnaires with 321 questions about various aspects of TBI care, chosen based on literature and expert opinion. After pilot testing, questionnaires were disseminated to 71 centers from 20 countries participating in the CENTER-TBI study. Reliability of questionnaires was estimated by calculating a concordance rate among 5% duplicate questions. RESULTS: All 71 centers completed the questionnaires. Median concordance rate among duplicate questions was 0.85. The majority of centers were academic hospitals (n = 65, 92%), designated as a level I trauma center (n = 48, 68%) and situated in an urban location (n = 70, 99%). The availability of facilities for neuro-trauma care varied across centers; e.g. 40 (57%) had a dedicated neuro-intensive care unit (ICU), 36 (51%) had an in-hospital rehabilitation unit and the organization of the ICU was closed in 64% (n = 45) of the centers. In addition, we found wide variation in processes of care, such as the ICU admission policy and intracranial pressure monitoring policy among centers. CONCLUSION: Even among high-volume, specialized neurotrauma centers there is substantial variation in structures and processes of TBI care. This variation provides an opportunity to study effectiveness of specific aspects of TBI care and to identify best practices with CER approaches

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research