Theoretical Study of Heat Transfer through a Sun Space Filled with a Porous Medium

A theoretical study had been conducted to detect the effect of using a porous medium in sunspace to reduce  heating  load  and  overcoming  coldness  of  winter  in  the  cold  regions.  In  this  work,  the  heat transferred and stored in the storage wall was investigated. The mathematical model was unsteady, heat conduction equation with nonlinear boundary conditions was solved by using finite difference method and the solution technique  of heat conduction had based  on the  Crank Nicholson method. The results had adopted  on  the  aspect  ratio  (H/L=30),  Darcy  number  (Da=10-3),  porosity  (φ=0.35)  and  particle  to  fluid thermal conductivity ratio (kp/kf=38.5). The results showed that using the porous medium had enhanced the heat transferred and stored in the storage wall. For   the outside storage wall temperature, an increase of 19.7%  was achieved by using the porous medium instead of the air, while it was 20.3%  for the inside storage wall temperature

Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries

Background: Pancreatic surgery remains associated with high morbidity rates. Although postoperative mortality appears to have improved with specialization, the outcomes reported in the literature reflect the activity of highly specialized centres. The aim of this study was to evaluate the outcomes following pancreatic surgery worldwide.Methods: This was an international, prospective, multicentre, cross-sectional snapshot study of consecutive patients undergoing pancreatic operations worldwide in a 3-month interval in 2021. The primary outcome was postoperative mortality within 90 days of surgery. Multivariable logistic regression was used to explore relationships with Human Development Index (HDI) and other parameters.Results: A total of 4223 patients from 67 countries were analysed. A complication of any severity was detected in 68.7 percent of patients (2901 of 4223). Major complication rates (Clavien-Dindo grade at least IIIa) were 24, 18, and 27 percent, and mortality rates were 10, 5, and 5 per cent in low-to-middle-, high-, and very high-HDI countries respectively. The 90-day postoperative mortality rate was 5.4 per cent (229 of 4223) overall, but was significantly higher in the low-to-middle-HDI group (adjusted OR 2.88, 95 per cent c.i. 1.80 to 4.48). The overall failure-to-rescue rate was 21 percent; however, it was 41 per cent in low-to-middle-compared with 19 per cent in very high-HDI countries.Conclusion: Excess mortality in low-to-middle-HDI countries could be attributable to failure to rescue of patients from severe complications. The authors call for a collaborative response from international and regional associations of pancreatic surgeons to address management related to death from postoperative complications to tackle the global disparities in the outcomes of pancreatic surgery (NCT04652271; ISRCTN95140761)