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Pain; Pain Threshold; Labour Pain

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Purpose. To evaluate injection-associated pain, safety, and efficacy with the isotonic contrast medium iodixanol (Visipaque 270 mg I/ml) compared with iopromide (Ultravist 300 mg I/ml) in femoral arteriography. Methods. A multicenter, double-blind, randomized, parallel-group clinical investigation was carried out in 54 hospitals in Europe. Of the patients evaluated, 1225 received iodixanol and 1227 iopromide in conventional and/or digital subtraction angiography. Results. The iodixanol group reported statistically significantly less injection-associated pain (0.9%) than the iopromide group (9.5%) (p<0.001). Further, 4.1% in the iodixanol group experienced pain and/or severe heat sensation vs 19.8% in the iopromide group (p<0.001). In the iodixanol group, 1.8% of the patients experienced contrast-related adverse events vs 2.4% in the iopromide group (p=NS). Overall diagnostic information was ...

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PMID:2255360

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Studies on the determinants of pain-related support are needed to enhance couples-based treatments for pain. The purpose of this study was to determine the extent to which pain catastrophizing...Full Text Available

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IntroductionShoulder pain covers a wide range of problems and affects up to 20% of the population. It is not a specific diagnosis. Shoulder pain can be caused by problems with the...Full Text Available

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BACKGROUND:Despite increasing attention to the epidemiology of pain, relatively little is known about the association between pain and health in children. In particular, no studies...Full Text Available

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Despite the existence of effective analgesic drugs, many cancer patients live and die with ineffective pain control. The control of cancer pain is largely achievable with the appropriate use of available...Full Text Available

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Little is known about how sociodemographic factors relate to children’s chronic pain. This paper describes the pain, health, and sociodemographic characteristics of a cohort of children...Full Text Available

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Opioids have been regarded for millennia as among the most effective drugs for the treatment of pain. Their use in the management of acute severe pain and chronic pain related to advanced medical...Full Text Available

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The aim of the study was to determine whether children with chronic benign pain are in contact with their general practitioner (GP) more frequently than those without chronic benign pain. A random sample...Full Text Available

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Pain is necessary for survival but chronic pain is disabling and causes significant health and economic problems. This study provides an understanding of the future for spinal cord stimulation. Stimulation by means of chronically implanted electrodes, was carried out in 200 patients with pain of varied benign organic etiology. In 177 of them, pain was confined to the failed back syndrome. Most patients were referred by a Pain Management Service. 226 epidural implants were used: 80 unipolar, 59 Resume, 12 bipolar, and 75 quadripolar. Patients were followed for periods of 6 months to 12 years, with a mean follow-up of 44 months. 84 patients (42%) were able to control their pain by stimulation alone, 22 patients (11%) needed occasional analgesic supplements along with their stimulation program. Pain secondary to failed back syndrome, multiple ...

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Chronic pain patients who show aberrant drug-related behavior often are discontinued from treatment when they are noncompliant with their use of opioids for pain. The purpose of this study was...Full Text Available

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Pain caused by chronic pancreatitis is medically intractable and resistant to conventional interventional or surgical treatment. We report a case of spinal cord stimulation (SCS) for intractable pain...Full Text Available

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In all mammals, tissue inflammation leads to pain and behavioral sensitization to thermal and mechanical stimuli called hyperalgesia. We studied pain mechanisms in the African naked mole-rat, an unusual...Full Text Available

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Chronic neurogenous pain is often an extremely difficult condition to manage. In the orofacial region, trauma from injury or dental procedures may lead to the development of severe neuralgic pains and...Full Text Available

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ObjectiveTo examine the longitudinal relationship between depressive symptoms at study entry (T1) on pain intensity (PI) and functional disability over a 1-year period...Full Text Available

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Objective:To assess the efficacy of facet joint infiltrations for pain relief in 44 selected patients with chronic nonradicular low back pain (LBP).Materials...Full Text Available

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Post amputation pain can be debilitating for patients and families. Chronic pain is a common phenomenon after lower extremity amputation, occurring in up to 80% of this population. The purpose of this...Full Text Available

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Five methods of personality assessment are evaluated to provide guidance for the psychological treatment of patients with chronic back pain. Patient pain drawings, pentothal pain studies, stress score...Full Text Available

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BackgroundLow back pain (LBP) is the most prevalent musculoskeletal condition and one the most common causes of disability in the developed nations. Anecdotally, there is a general...Full Text Available

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The treatment of chronic pain conditions continue to present a challenge to the medical field. Physical therapy treatment needs to approach the management of chronic pain differently than the approach used to resolve acute pain. Patients with chronic pain often have many factors that have perpetuated the pain condition. These factors, as well as pain itself, influence their ability to reactivate and perform functional daily activities. Physical therapists can begin to address some of the factors, including fear and deconditioning, by building confidence and body awareness in a self-care model including a slow graduated reactivation program. There is evidence that patients with chronic pain conditions have altered motor control that may be influencing reoccurrences and possible flares of pa...

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BackgroundStump and phantom pains are debilitating sequelae of amputations that are often resistant to treatment. The efficacy of pharmacologic therapies, including...Full Text Available

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Cryoanalgesia, the local application of extreme cold to nerves to produce analgesia, has been used to treat patients with intractable perineal pain. The cryoprobe was inserted percutaneously through...Full Text Available

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The aim of the study was to determine whether children with chronic benign pain are in contact with their general practitioner (GP) more frequently than those without chronic benign pain. A random sample of children and adolescents aged between 0 and 18 years of age was drawn from the records of ten general practices. According to their responses to a pain questionnaire, subjects were assigned to the chronic benign pain group (n = 95) if they had pain of more than three months' duration, or to the control group (n = 105) if they had pain of less than three months' duration or no pain at all. All the subjects had an average GP consultation rate of 2.6 contacts per year. No significant age and sex differences were found. Chronic benign pain in childhood and adolescence is not related to increased use of healthcare ...

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PMID:1461290

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PMID:20525319

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The language used by chronic benign pain patients to characterize their pain complaint was analyzed to determine the best predictor of psychiatric disturbance. Using the 78 adjectives provided by the McGill Pain Questionnaire, the number of affective descriptors used was the best predictor of psychiatric disturbance. Addition of sensory descriptors either to augment the total number of descriptors used (magnitude) or as a pattern of sensory greater than affective or sensory less than affective failed to increase predictive strength. PMID:6877847

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Over the years, nurses, doctors and scientists have sought ways of assessing the impact of pain on patients. While many of the instruments devised have been extremely useful in identifying the nature and intensity of pain, defining the effect it has on people's lives and perceptions has proved much more problematic. Based on the work she carried out with patients suffering from chronic benign pain, Karen Rose explores one aspect of these effects--the feeling of isolation. By using a four-step anthropological approach to identify the impact of pain, she argues, nurses can arrive at a realistic and accurate assessment of how patients are coping. PMID:7947167

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Forty-one patients were treated with epidural neurolysis using 50 % ethyl alcohol 2 ml. Thirty eight patients were suffering from cancer pain and three patients were complaining of chronic benign pain. Alcohol block was repeated 2.3 times (mean) in the same patient. Thirty patients were followed after the treatment. Forty-seven percent of the patients reported 70 % or greater pain relief and 20 % of the patients reported about 50 % pain relief. Duration of pain relief was from 9 days to 203 days with a mean duration of 54 days. Adverse effects were reported 43 % of the patients. There is no miserable adverse effect. Adverse effect reported most was pain with epidural injection of drugs after the alcohol block had been performed. PMID:8544293

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Background and aims. The multiplicity of vaccine injections during childhood leads to iterative painful and stressful experiences which may lead in turn to anticipated pain and then possibly to a true needle phobia. We aimed at evaluating a multifactorial strategy of pain management combining pharmacological and non-pharmacological approaches during vaccination, as compared to usual care, in 4- to 12-year-old children. Methods. In all, 239 children were enroled by 25 family practitioners in an open-label study. After a pseudo-randomization, usual pain management (n = 132) was compared to a multifactorial strategy (n = 107) associating preliminary application of an anesthesic patch, preferential use of specified vaccines, child education by the parents and the doctor, parental accompaniment...

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ObjectivesUse of prescription opioids for chronic pain is increasing, as is abuse of these medications, though the nature of the link between these trends is unclear....Full Text Available

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BackgroundThe objective of this study was to develop and validate a daily electronic Endometriosis Pain and Bleeding Diary (EPBD) for assessing treatment-related changes in endometriosis...Full Text Available

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A retrospective study is presented of 83 athletes with tendo Achillis pain (TAP) treated conservatively over a 12-year period from 1976 to 1988. Local steroid injections did not contribute to an earlier...Full Text Available

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This article reports on an exploratory study of hospice social workers’ assessment and collaborative practices related to pain management; especially caregiver concerns about patient...Full Text Available

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The development of central neuropathic pain varies among patients with spinal cord injury (SCI). The factors contributing to the development and perpetuation of segmental pain (at-level allodynia)...Full Text Available

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Previous studies in several different trigeminal nerve injury/inflammation models indicated that the hyperexcitability of primary afferent neurons contributes to the pain pathway underlying mechanical...Full Text Available

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Racial and ethnic disparities in healthcare persist in the U.S. Although pain is one of the most prevalent and disabling symptoms of disease, only a few studies have assessed disparities in...Full Text Available

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The frozen shoulder is a common cause of shoulder pain and disability. Most patients slowly improve over 12 to 24 months. Some have prolonged loss of movement, pain, and associated disability. Treatments...Full Text Available

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Objectives. To assess the feasibility of treating musculoskeletal pain in the lower back and/or lower extremities in persons with Parkinson's disease (PD) with cranial electrotherapy...Full Text Available

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BackgroundNeuropathic pain (NP) is partially mediated by neuroinflammatory mechanisms, and also modulates local neurogenic inflammation. Dietary lipids, in particular the total amount...Full Text Available

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... Search Help? Coping with Test Pain, Discomfort, and Anxiety Introduction | Be Prepared | Know Your Tests | Relax | Conclusion ... though they may feel some embarrassment, discomfort, or anxiety at the outset. If undergoing medical tests makes ...

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BackgroundUntil now only limited research has been done on the prevalence of chronic pain in primary care. The aim of this investigation was to study the health care utilisation...Full Text Available

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Approximately 20% to 30% of patients who undergo coronary arteriography for the evaluation of chest pain are found to have normal coronary arteries. These patients have a survival rate comparable to...Full Text Available

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Functional imaging has revolutionized the neurosciences. In the pain field it has dramatically altered our understanding of how the brain undergoes significant functional, anatomical and chemical changes...Full Text Available

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The aim of this study was to investigate whether astroglia in the medullary dorsal horn (trigeminal spinal subnucleus caudalis; Vc) may be involved in orofacial neuropathic pain following trigeminal...Full Text Available

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In the last 40 years, significant advances have been made in the understanding of the neurophysiologic processes involved in the experience of trauma and pain. This knowledge, together with the rapid growth and understanding in the behavioral health sciences, has expanded to include a much better appreciation of how these fields are converging and contribute to a process called neuroplasticity. These basic mechanisms common to all patients have important implications for clinical outcome and for improving clinical practice. This article is written for clinicians who manage patients with sacroiliac joint dysfunction, a specific type of nonspecific low back pain.

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BackgroundA_δ and C fibers are the major pain-conducting nerve fibers, activate only partly the same brain areas, and are differently involved in pain syndromes....Full Text Available

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Study Design Best evidence synthesis. Objective To undertake a best evidence synthesis of the published evidence on the burden and determinants of neck pain and its associated disorders in the general population. Summary of Background Data The evidence on burden and determinants of neck has not previously been summarized. Methods The Bone and Joint Decade 2000?2010 Task Force on Neck Pain and Its Associated Disorders performed a systematic search and critical review of literature published between 1980 and 2006 to assemble the best evidence on neck pain. Studies meeting criteria for scientific validity were included in a best evidence synthesis. Results We identified 469 studies on burden and determinants of neck pain, and judged 249 to be scientifically admissible; 101 articles related to...

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The subjective experience of one's environment is constructed by interactions among sensory, cognitive, and affective processes. For centuries, meditation has been thought to influence such processes by enabling a nonevaluative representation of sensory events. To better understand how meditation influences the sensory experience, we used arterial spin labeling functional magnetic resonance imaging to assess the neural mechanisms by which mindfulness meditation influences pain in healthy human participants. After 4 d of mindfulness meditation training, meditating in the presence of noxious stimulation significantly reduced pain unpleasantness by 57% and pain intensity ratings by 40% when compared to rest. A two-factor repeated-measures ANOVA was used to identify interactions between meditation and pain-related brain activation. Meditation reduced pain-related activation of the ...

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Postamputation pain (PAP) affects over 60% of major limb amputees. One of the main challenges in treating PAP is the difficulty involved in identifying pain mechanism(s), which pertains to both residual limb pain (RLP) and phantom limb pain (PLP). In this study, sympathetic blocks were performed on 17 major limb amputees refractory to treatment, including 2 placebo-controlled blocks done for bilateral amputations. One hour postinjection, mean RLP scores at rest declined from 5.2 (SD 2.8) to 2.8 (SD 2.6) (P = .0002), and PLP decreased from 5.3 (SD 3.1) to 2.3 (SD 2.1) (P = .0009). By 1 week, mean pain scores for RLP and PLP were 4.3 (SD 2.9) and 4.2 (SD 3.0), respectively. Overall, 8 of 16 (50%) patients experienced ?50% reduction in RLP 1-hour postinjection, with the beneficial effects ...

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Objective: The aim of this study was to obtain an overview of the methodological quality of studies on the measurement properties of neck pain and disability questionnaires and to describe how well various aspects of the design and statistical analyses of studies on measurement properties are performed. Methods: A systematic review was performed of published studies on the measurement properties of neck pain and disability questionnaires. Two reviewers independently rated the quality of the studies using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. This checklist was developed in an international Delphi consensus study. Results: A total of 47 articles were included on the measurement properties of 8 different questionnaires. The meth...

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Back pain from osteoporosis is commonly related to compression fractures. The patient with vertebral compression fractures additionally suffers from an ongoing risk of recurrent fractures and postural abnormalities that can result in impaired respiratory function, leading to increased risk of morbidity. Weakened back muscles, especially the back extensor group, are felt to contribute significantly to this risk. The combination of pharmacologic and nonpharmacologic interventions, through physical activity, exercise, and modalities, are potential interventions that could be used to help reduce the pain of osteoporotic compression fractures as well as potentially reducing recurrent fracture rates.

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Dengue, a major public health problem throughout subtropical and tropical regions, is an acute infectious disease characterized by biphasic fever, headache, pain in various parts of the body, prostration,...Full Text Available

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ObjectiveNeuralgic amyotrophy (NA) is a distinct clinical syndrome that is characterized by the acute onset of shoulder and arm pain, weakness, and sensory loss. The purpose of this...Full Text Available

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Cutaneous scarring can cause patients symptoms ranging from the psychological to physical pain. Although the process of normal scarring is well described the ultimate cause of pathological scarring...Full Text Available

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The antinociceptive effects of honokiol and magnolol, two major bioactive constituents of the bark of Magnolia officinalis, were investigated on animal paw licking responses and thermal...Full Text Available

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1. Ro 15-8081 (Hoffmann-La Roche, Basle, Switzerland) is a novel mixed 5-HT/noradrenaline uptake inhibitor producing potent antinociceptive effects in animal pain models. 2. In healthy man, two models...Full Text Available

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Morphine sulfate (MS Contin), a proven analgesic in the treatment of cancer pain and chronic benign pain, seems to be a good analgesic for the treatment of burn pain. MS Contin is morphine sulfate incorporated in a wax cellulose matrix delivery system. This wax cellulose delivery system gives MS Contin its duration of action. Ten patients were enrolled in an open-labeled, nonrandomized study. The study was designed to examine the analgesic efficacy of MS Contin in the burn population. Each patient remained in the study for 6 days. The efficacy of the analgesic regimen was subjectively measured by the visual pain scale. The MS Contin group was retrospectively compared with a group of patients who were given continuous intravenous infusions of morphine. The two groups were matched according to age, burn size, surgical procedures, and hospital stay. The analgesic qualities of MS Contin were comparable to ...

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The purpose of this study was to evaluate the safety and efficacy of percutaneous ultrasound (US)-guided radiofrequency ablation (RFA) in patients with intrahepatic cholangiocarcinoma (ICCA) in a small, nonrandomized series. From February 2004 to July 2008, six patients (four men and two women; mean age 69.8 years [range 48 to 83]) with ICCA underwent percutaneous US-guided RFA. Preintervetional transarterial embolization was performed in two cases to decrease heat dispersion during RFA in order to increase the area of ablation. The efficacy of RFA was evaluated using contrast-enhanced dynamic computed tomography (CT) 1 month after treatment and then every 3 months thereafter. Nine RFA sessions were performed for six solid hepatic tumors in six patients. The duration of follow-up ranged from 13 to 21 months (mean 17.5). Posttreatment CT showed total necrosis in four of six tumors after one or two RFA sessions. Residual tumor was observed in two patients with larger ...

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Knee osteoarthritis (OA) is a common degenerative joint disorder and a major cause of pain and disability. The hypothesis tested in this study was that the passion fruit peel extract (PFP), a flavonoid-rich dietary supplement, would reduce symptoms due to knee OA. Thirty-three OA patients were enrolled in a randomized, double-blind, placebo-controlled trial with parallel-group design. Patients received either placebo or PFP pills (150 mg, daily) in a double-blinded fashion for 2 months. The OA clinical symptoms were evaluated monthly with Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index. In the PFP group, there was a significant improvement in total WOMAC score and WOMAC subscale score of physical function after 30 days and pain after 60 days. At 60 days, reductions o...

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Osteoporotic vertebral fractures often lead to pain and disability. They can be successfully treated, and possibly prevented, by injecting cement into the vertebral body, a procedure known as vertebroplasty....Full Text Available

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Frozen shoulder (adhesive capsulitis) is a common, painful and disabling condition which is typically slow to resolve. Patients with this condition will be seen in every musculoskeletal practitioner’s...Full Text Available

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According to the International Headache Society, idiopathic stabbing headache (ISH), an indomethacin-responsive headache syndrome, is a paroxysmal disorder of short duration manifested as head pain...Full Text Available

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We describe a case of sacral perineural cyst presenting with complaints of low back pain with neurological claudication. The patient was treated by laminectomy and excision of the cyst. Tarlov cysts...Full Text Available

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BackgroundAdhesive capsulitis is a common, painful, and disabling condition that has been managed with corticosteroid injections for over 50 years. There is debate over the use of...Full Text Available

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ObjectivesThe updated Rome III criteria for pediatric functional gastrointestinal disorders (FGIDs) include new FGID categories and changes to the Rome II criteria...Full Text Available

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... Previous Topic Pain Next Topic Scars and wounds Prostheses Prostheses (pross-THEE-sees) are man-made substitutes ... covered by medical insurance (this includes wigs). Breast prostheses: Contact your local chapter of the American Cancer ...

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Osteoid osteoma of the spine is a relatively rare bone-forming tumor. Pain that is worse at night and relieved by aspirin and muscle contracture are the most characteristic symptoms of spinal osteoid...Full Text Available

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The inflammatory process has direct effects on normal and abnormal wound healing. Hypertrophic scar formation is an aberrant form of wound healing and is an indication of an exaggerated function of...Full Text Available

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Posterior spinal ligament pathology is becoming increasingly recognized as a significant cause of low back pain. Despite the growing clinical importance of interspinous ligament degeneration in low...Full Text Available

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BackgroundThe analgesic effect of perioperative low doses intravenous lidocaine has been demonstrated after abdominal surgery. This study aimed to evaluate whether...Full Text Available

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BackgroundWe have recently reported successful treatment of patients with chronic pain syndromes using human pooled intravenous immunoglobulin (IVIG) in a prospective, open-label...Full Text Available

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The indications, contra-indications and technique of caudal epidural injections in the treatment of low back pain and sciatica are described. Of 201 patients treated by epidural injection, about 56%...Full Text Available

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The purpose of this investigation was to determine the association between gender and the prevalence and incidence of patellofemoral pain syndrome (PFPS). One thousand five hundred and twenty-five participants from the United States Naval Academy (USNA) were followed for up to 2.5 years for the development of PFPS. Physicians and certified athletic trainers documented the cases of PFPS. PFPS was defined as retropatellar pain during at least two of the following activities: ascending/descending stairs, hopping/jogging, prolonged sitting, kneeling, and squatting, negative findings on examination of knee ligament, menisci, bursa, and synovial plica, and pain on palpation of either the patellar facets or femoral condyles. Poisson and logistic regressions were performed to determine the association between gender and the incidence and prevalence of PFPS, respectively. The incidence rate for PFPS was 22/1000 person-years. Females ...

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BackgroundLeukotrienes (LTs) belong to the large family of lipid mediators implicated in various inflammatory conditions such as asthma and rheumatoid arthritis. Four distinct types...Full Text Available

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Examination of a painful hip is fairly concise and reliable at detecting the presence of a hip joint problem. Hip joint disorders often go undetected, leading to the development of secondary disorders....Full Text Available

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BackgroundChronic rotator cuff pathology (CRCP) is a common shoulder condition causing pain and disability. Physiotherapy is often the first line of management for CRCP yet there...Full Text Available

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IntroductionChest pain with ST-segment elevation is a rare clinical problem during dobutamine stress testing. Although beta-agonists treatment prior to dobutamine stress testing...Full Text Available

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A 23-year-old woman presented to our hospital with nonspecific pain in the abdomen. She underwent radiological investigations, which revealed a solid and cystic mass in the tail end of the pancreas....Full Text Available

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BackgroundAcute low back pain is a very common symptom and reason for many medical consultations. In some unusual circumstances it could be linked to a rare aetiology.Case...Full Text Available

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The overarching goal of medical training is to nurture the growth of knowledgeable, caring and insightful clinicians guided by the ideals of medical professionalism. Recent definitions of professional...Full Text Available

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Lumbar epidural anesthesia is useful in a variety of chronic benign pain syndromes, including lumbar radiculopathy, low back pain syndrome, spinal stenosis, and vertebral compression fractures. Given the increased number of epidural nerve blocks being performed, some have reported unexplained complications of a transient or permanent nature and with varying degrees of severity. However, no case has been reported of a broken epidural needle tip retained in the lumbar facet joint area. This represents the first reported case presentation of foraminal stenosis developing in a patient after a retained epidural needle tip. PMID:21286465

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... turbine blade heat-transfer and study the heat-transfer augmentation in idealized geometry and its ... responsible for heat transfer augmentation. ...

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Bone metastases at the thoracic and lumbar segment of the spine are usually presented with painful sensation and medullar compression. The treatment is based on the clinical and neurological conditions of the patient and the degree of tumor invasion. In the present study, 32 patients with spinal metastasis of thoracic and lumbar segment were prospectively analyzed. These patients were treated by decompression and internal stabilization followed by radiotherapy or irradiation with external immobilization. The election of the groups was in accordance with the tumor radiotherapy sensitivity, clinical conditions, spinal stability, medullar or nerve compression and patient's decision. The Frankel scale and pain visual test were applied at the moment of diagnosis and after 1 and 6 months. The surgical group had better results with preserving the ambulation longer and significant reduction of pain.(author)

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Background: Ecchymosis, oedema, haematoma and pain after SMAS-based facelift surgery are all the direct result of the physical trauma of surgery and subsequent inflammatory response. Hilotherapy is a novel form of cryotherapy that purports to minimise these events through single-use face masks circulating cooled, sterile water. This study was performed to assess the validity of Hilotherapy in this population of patients. Methods: Over 14 weeks fifty consecutive patients were randomised to post-operative facial cooling with Hilotherapy or management with standard dressings alone, while fifteen subsequent, consecutive patients were randomised to cooling of one side of the face but not the other. Assessment of ecchymosis, oedema, haematoma and pain was performed independently by clinical staf...

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Abstract Introduction: Transduodenal ampullectomy (TDA) can be performed for benign and premalignant tumors of the ampulla of Vater (AOV) as an alternative to pancreaticoduodenectomy. However, the laparoscopic approach has rarely been attempted. In this report 2 cases of benign ampullary tumor that were treated by totally laparoscopic TDA. Patients and Methods: Case 1 was of a 75-year-old female who was admitted with left knee pain and underwent arthroscopic debridement. On postoperative day 6, she showed elevated levels of alkaline phosphatase, aspirate aminotransferase, alanine transaminase, and gamma-glutamyl transpeptidase, without any other laboratory test abnormality. She had no complaint of abdominal pain, and physical examinations were unremarkable. Computed tomography (CT), magnet...

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SummaryBackground Persistent Lyme Disease Symptoms (PLDS) have included fatigue, headaches, poor concentration and memory, lightheadedness, joint pain, and mood disturbances. Evidence-based guidelines committees disagree over the severity of PLDS. The 2004 International Lyme and Associated Diseases Society (ILADS) concluded that PLDS are severe. The 2006 Infectious Disease Society of America (IDSA) guidelines committee concluded that PLDS are nothing more than the "aches and pains of daily living" and an ad hoc International Lyme group concluded that PLDS are "symptoms common in persons who have never had Lyme disease." Hypothesis Clinical trials validate the severity of persistent Lyme disease symptoms. Evaluation of the Hypothesis There are 22 standardized instruments used to measure the...

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Pyogenic sacroiliitis is a rare entity in children. Diagnosis is often delayed because of its variable clinical presentation, low suspicion by the examining physician, and rare findings on radiographs. Delayed diagnosis, however, results in complications such as iliopsoas abscess. We report the case of a 12-year-old girl hospitalized with a 21-day history of fever, pain in the left iliac fossa, and flexion contracture of the hip. On examination, she had fever (38.9 ^oC), psoitis, localized tenderness at the left sacroiliac joint, and pain elicited by lateral compression of the pelvis. The abdominal examination was normal. The erythrocyte sedimentation rate was 130mm in the first hour, C-reactive protein was 186mg/l, and the white blood cell count was 18,400/mm^3, with 79% neutrophils. Urin...

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Short communication.

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AbstractIn a previous study using male rats, a correlation was found between the development of “at-level” allodynia in T6-7 dermatomes following severe T8 spinal contusion...Full Text Available

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... 03/08/2011 Professor named Chair at Epworth Hospital Professor Nilmini Wickramasinghe from the College of Business at RMIT University has been named Epworth Chair, Health Information Management , by Epworth HealthCare. 26/07/2011 Study investigates drug-free relief for tension headaches As Australia marks its first National Pain Week ...

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BackgroundPostherpetic neuralgia (PHN) is a painful and difficult to treat complication of acute herpes zoster. Current treatment options provide only partial relief and are often...Full Text Available

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Theoretical and experimental results of investigating a cylindrical heat receiver with secondary reflectors are presented. One important element of solar thermal power plants (STPP) is the heat receiver. Several forms of heat receiver exist; the main form is the heat receiver of cavity form (including cylindrical, rectangular, and cubic heat receivers with a noncircular aperture). The linear dimension of such heat receivers is equal to, or larger than, the theoretical diameter of the concentrator focal spot.

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This book contains nine selections. Some of the titles are: High Heat-Flux, Forced-Convection Heat Transfer for Tubes with Twisted-Tape Inserts; Heat Transfer Augmentation by Interrupted Surfaces - Experimental Consideration; Turbulent Flow Heat Transfer from Externally Roughened Tubes in Axial Flow in Concentric Pipe Heat Exchangers; and Heat Transfer Enhancement of Turbulent Flow in Pipes with an Internal Circular Rib.

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This paper presents a set of heuristics useful for optimal design of heat-exchange networks and integrated heat and power systems. These heuristics consolidate other approaches reported in the literature in a formalism useful for design purposes.

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... To maximise heat transfer rates, many heatshield designs make use of heat transfer augmentation devices such as large numbers of pin-fin ...

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Several heat transfer augmentation mechanisms contribute to the heat transfer augmentation around the stagnation point in the gas-solid two-phase impinging jet flow. Among those contributions, that of heat exchange was numerically analyzed and characteristically elucidated by the unsteady direct contact heat conduction at the time of impingement between the laden particles and heat transfer surface. In other words, if the contact time is short between the particles and heat transfer surface, the former is heated by heat stored in the latter as a heat capacity. In such a region, the heat quantity to be transferred to the particles changes by not only the thermal property value (heat capacity multiplied by heat conduction coefficient) of ...

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Energy Technology Data Exchange (ETDEWEB)

This volume is divided into the following sections: (1) fundamentals of convection heat transfer; (2) fundamentals of heat transfer with impinging jets; and (3) fundamentals of heat transfer augmentation. Separate abstracts were prepared for most papers in this volume.

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... The Effect of the Temperature to Which the Material is Heated on the Process of Formation of Intermetallic Compounds in Magnetic Pulse Welding,. ...

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International Nuclear Information System (INIS)

Heat transfer augmentation by straight grid spacers in rod bundles is studied for single phase flow and for post critical heat flux dispersed flow. The heat transfer effect of swirling grid spacers in single phase flow is also examined. Governing heat transfer mechanisms are analyzed, and predictive formulations are established. For single phase flow, the local heat transfer at a straight spacer and at its upstream or downstream locations are treated separately. 18 refs.

Energy Technology Data Exchange (ETDEWEB)

The behavior of air flows in complex heat exchanger passages is reviewed with a focus on the heat transfer effects of boundary-layer development, turbulence, spanwise and streamwise vortices, and wake management. Each of these flow features is discussed for the plain, wavy, and interrupted passages found in contemporary compact heat exchanger designs. Results from the literature are used to help explain the role of these mechanisms in heat transfer enhancement strategies.

British Library Electronic Table of Contents (United Kingdom)

Nerve growth factor (NGF), a survival factor for neurons enforces pain by sensitizing nociceptors. Also in the pancreas, NGF was associated with pain and it can stimulate the proliferation of pancreatic cancer cells. Hepatic stellate cells (HSC) respond to NGF with apoptosis. Transforming growth factor (TGF)-b, one of the strongest pro-fibrogenic activators of pancreatic stellate cells (PSC) induced NGF and its two receptors in an immortalized human cell line (ihPSC) and primary rat PSC (prPSC) as determined by RT-PCR, western blot, and immunofluorescence. In contrast to HSC, PSC expressed both NGF receptors, although p75NTR expression was weak in prPSC. In contrast to ihPSC TGF-b activated both Smad signaling cascades in prPSC. NGF secretion was diminished by the activin-like kinase (ALK)...

Energy Technology Data Exchange (ETDEWEB)

Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis is a rare entity, sometimes referred to as Herlyn-Werner-Wunderlich syndrome (HWW). It usually presents after menarche with progressive pelvic pain, sometimes with regular menses, and a palpable mass due to hemihaematocolpos. The diagnosis is generally made only if the suspicion of this genitourinary syndrome is raised. To highlight the imaging diagnostic clues in this rare condition. We report on 11 adolescents with this condition. Sonography mostly allowed the correct diagnosis by showing uterovaginal duplication, haematocolpos or haematometrocolpos, and the absence of the ipsilateral kidney. MRI provided more detailed information regarding uterine morphology, the continuity with each vaginal channel (obstructed and nonobstructed), and the bloody nature of the contents. Early and accurate diagnosis of this syndrome is important so that adequate and prompt surgical therapy (excision of the ...

Energy Technology Data Exchange (ETDEWEB)

A heat transfer (condenser) of a domestic freezer was tested in a vertical channel in order to study the influence of the chimney effect in the optimization of the heat transfer coefficient. The variation of the opening of the channel, position and the heating power of the heat exchanger in the heat transfer coefficient was considered. The influence of the surface emissivity on the heat transfer by thermal radiation was studied with the heat exchanger testes without paint and with black paint. The air velocity entering the channel was measured with a hot wire anemometer. In order to evaluate the chimney effect, the heat exchanger was testes in a open ambient. This situation simulates its operational conditions when installed on the freezer system. The variables collected in the experimental procedures was gathered in the ...

Environmental Research Database

DescriptionLameness, commonly referred to as the leg health, in the modern broiler chicken is an emotive issue and the debate surrounding this subject is not helped by the lack of agreement as to how leg health should be assessed. A commonly used tool for scoring leg health is the Bristol Gait Score, a technique used in the recently reported Defra project AW0230 (`Leg Health and Welfare in Commercial Broiler Production`). The authors of the final report for AW0230 noted that for the chickens gait scored [continued...

British Library Electronic Table of Contents (United Kingdom)

Visceral hypersensitivity is currently considered a key pathophysiological mechanism involved in pain perception in large subgroups of patients with functional gastrointestinal disorders, including irritable bowel syndrome (IBS). In IBS, visceral hypersensitivity has been described in 20%?90% of patients. The contribution of the central nervous system and psychological factors to visceral hypersensitivity in patients with IBS may be significant, although still debated. Peripheral factors have gained increasing attention following the recognition that infectious enteritis may trigger the development of persistent IBS symptoms, and the identification of mucosal immune, neural, endocrine, microbiological, and intestinal permeability abnormalities. Growing evidence suggests that these factors ...

British Library Electronic Table of Contents (United Kingdom)

A 60-year-old male was bitten by a venomous snake (Vipera ammodytes) and gradually developed signs of an allergic reaction including generalized itching, generalized rash, and chest discomfort. This was followed by severe retrosternal pain with electrocardiographic evidence of an inferior myocardial ischemia progressing to acute myocardial infarction. Cardiac enzymes and troponin, serum tryptase, and histamine were elevated. Coronary arteriography showed normal coronary arteries. This is a characteristic type I variant of Kounis syndrome, which is the concurrence of acute coronary syndromes with conditions associated with mast cell activation including allergic or hypersensitivity reactions as well as anaphylactic or anaphylactoid reactions. This is the first report to show that viper bite...

International Nuclear Information System (INIS)

Aim: To evaluate the role of computed tomography (CT) in needle placement for ganglion impar blocks, and to determine the efficacy of CT-guided ganglion impar blocks in the management of coccydynia. Materials and methods: The results of ganglion impar blockade in eight patients with coccydynia secondary to trauma or unknown cause were reviewed. The diagnosis of coccydynia was based on clinical history, location of pain, and response to previous diagnostic and therapeutic procedures. The eight patients were treated with CT-guided ganglion impar blocks to manage their coccyx pain after conservative procedures, including oral medication and cushions, failed to provide relief. All patients were subjected to ganglion impar blocks under a thin-section CT-guided technique for needle placement, using a mixture of bupivacaine and triamcinolone. The patients were followed-up for a period of 6-months. Results: Eight patients were treated in this study ...

International Nuclear Information System (INIS)

We encountered a case of Ewing's sarcoma. The patient was a 19 year-old girl, who visited a local physician because of pain in the left scapular region, and was referred to us. Roentgenograms of her left scapula revealed an irregular moth-eaten shadow which was suspected to be a malignant bone tumor. The histological diagnosis of Ewing's sarcoma was comfirmed by needle biopsy. The initial stage of treatment consisted of radiation therapy (6000 rads) and chemotherapy (VAC and ADR). At the end of the initial stage, the symptoms were improved, the size of the local lesion was reduced on the roentgenogram and there was no evidence of distant metastases. (author).

International Nuclear Information System (INIS)

This booklet outlines the position of Manitoba's heat pump market with the objective of promoting the widespread use of geothermal heat pumps in the province. It makes reference to the size of the market, customer satisfaction with heat pumps, and opinion of key players in the industry regarding the heat pump market. The information in this booklet is drawn on market research and lessons learned in Europe and the United States. In October 2001, a group of key stakeholders in Manitoba's heat pump market attended an industry working meeting to address the issues of market barriers, market enablers and market hot buttons. Market barriers include the high cost of geothermal heat pumps, lack of consumer awareness, lack of consistent standards, and public perception that heat pumps are not reliable. Market enablers include the low and stable ...

Energy Technology Data Exchange (ETDEWEB)

The heat capacity and heat of fusion were measured for a number of minerals using differential scanning calorimetry (DSC). The DSC measurements showed that the heat of fusion for the minerals is very low compared to the heat of fusion for pure crystalline phases reported elsewhere. A model for the melting behaviour of mineral materials in terms of melting interval, heat capacities and heat of fusion has been developed. The only model input is the chemical composition of the mineral material. The model was developed to be implemented in a detailed model of a cupola furnace, thus the focus for the development was not only precision but also to obtain a model that was continuous and differentiable. The model is based on several different submodels that each covers a part of the heating and melting of rocks. Each submodel is based on large ...

Energy Technology Data Exchange (ETDEWEB)

The performance of a commercial heat pipe was investigated both experimentally and theoretically. The effect of the temperature difference, the surface area ratio, and the operational conditions on the performance were studied. The heat flow rate and the vapor temperature were estimated on a ready-made commercial heat pipe. Its performance varied considerably with operational conditions. Theoretical consideration of a mathematical model and several nomographs are also presented. This work is applicable to the design and use of heat pipes in the field.

Energy Technology Data Exchange (ETDEWEB)

This book brings recommendations and information on the choice and the operating of heating systems and domestic hot water production in order to better choose the house, to better use the heating and to preserve the environment. General notions on the different heating systems and their operating on the renewable energies used and the heating emitters offer advices for the purchase of a house. (A.L.B.)

Energy Technology Data Exchange (ETDEWEB)

The development of a gas-operated diffusion absorption heat pump for the heating of living spaces is described. By various improvement an energy efficiency of the prototypes of 1.5 was achieved. Structural alterations led to a lower overall height and lower production costs. The CFCs used in electric heat pumps were replaced by environmentally neutral ammonia. Compared with conventional gas heating systems, the CO2 output could be reduced by more than 30%. figs., tabs.

Energy Technology Data Exchange (ETDEWEB)

The dwelling is equipped with solar collectors which heat the air circulating in the cavity walls and the space beneath the floors. The thermal aspects of such a building are described. Heat balance, losses, heating by the sun in different seasons are described. Different measures taken to reduce the energy losses are described.

Science.gov (United States)

The computer program CNHSPM is listed which predicts heat pump seasonal energy consumption (including defrost, cyclic degradation, and supplementary heat) using steady state rating point performance and binned weather data. (LEW)

Science.gov (United States)

The paper investigates the effect of the wall heat flux ratio on the local heat transfer augmentation in a square channel with two opposite in-line ribbed walls for Reynolds numbers from 15,000 to 80,000. The square channel composed of 10 isolated copper sections has a length-to-hydraulic diameter ratio of 20. The rib height-to-hydraulic diameter ratio is 0.0625 and the rib pitch-to-height ratio equals 10. Six ribbed side to smooth side wall heat flux ratios are studied for four rib orientations. The results show that the ribbed side wall heat transfer augmentation increases with increasing ribbed side to smooth side wall heat flux ratios, but the reverse is true for the smooth side wall heat transfer augmentation. The average heat transfer augmentation of the ribbed side and smooth side wall decreases slightly with increasing wall ...

Science.gov (United States)

In this paper, the authors first describe a fourth order accurate finite difference discretization for both the Laplace equation and the heat equation with Dirichlet boundary conditions on irregular domains. In the case of the heat equation, they use an i...

UK PubMed Central (United Kingdom)

In heat-shocked tomato cell cultures, cytoplasmic heat shock granules (HSGs) are tightly associated with a specific subset of mRNAs coding mainly for the untranslated control proteins. This messenger...Full Text Available

British Library Electronic Table of Contents (United Kingdom)

A thermodynamic analysis of a hybrid geothermal heat pump system is carried out. Mass, energy, and exergy balances are applied to the system, which has a cooling tower as a heat rejection unit, and system performance is evaluated in terms of coefficient of performance and exergy efficiency. The heating coefficient of performance for the overall system is found to be 5.34, while the corresponding exergy efficiency is 63.4%. The effect of ambient temperature on the exergy destruction and exergy efficiency is investigated for the system components. The results indicate that the performance of hybrid geothermal heat pump systems is superior to air-source heat pumps.

Energy Technology Data Exchange (ETDEWEB)

The effect of heat transfer is described from heat exchange tubes of a horizontal steam generator on the distribution of primary water to the individual tubes of the tube bundle. It is shown that in a broad interval of mass flow rates and lengths of heat exchange tubes, the simplified method of calcualtion, i.e., calculation of the distribution of primary water into heat exchange tubes neqlecting the changes of physical properties of water along the heat exchange tubes, will yield sufficiently accurate results.

Science.gov (United States)

The Stefan problem involving a source term is considered in this technical note. As an example, planar solidification with time-dependent heat generation in a semi-infinite plane is solved by use of a perturbation technique. The perturbation solution is validated by reducing the problem to the case without heat generation whose exact solution is available. An application to the case with constant heat generation is presented, for which a closed-form solution is obtained. The effects of heat generation and Stefan number on the evolution of solidification are examined using the perturbation solution.

Energy Technology Data Exchange (ETDEWEB)

The fastest rate of growth in the space conditioning market has been attributed to the application of geothermal heat pumps to the industrial and commercial markets. The author reviews and provides examples of the three most popular components of a large geothermal heat pump system: geothermal earth coupling, heat pumps and heat exchangers, and building side terminals. These components are applied to three example geothermal installations: a library, an office building, and a school. Examples of energy use before and after the installation of a geothermal space conditioning system are summarized. General design and cost guidelines and comments on the use of geothermal heat pump in these and similar applications are discussed.

Energy Technology Data Exchange (ETDEWEB)

In many regions of the world, flooded mines are a potentially cost-effective option for heating and cooling using geothermal heat pump systems. For example, a single coal seam in Pennsylvania, West Virginia, and Ohio contains 5.1 x 1012 L of water. The growing volume of water discharging from this one coal seam totals 380,000 L/min, which could theoretically heat and cool 20,000 homes. Using the water stored in the mines would conservatively extend this option to an order of magnitude more sites. Based on current energy prices, geothermal heat pump systems using mine water could reduce annual costs for heating by 67% and cooling by 50% over conventional methods (natural gas or heating oil and standard air conditioning).

British Library Electronic Table of Contents (United Kingdom)

It has been considered that dry-out occurs easily in boiling heat transfer for a small channel, a mini- or microchannel, because the channel was easily filled with coalescing vapor bubbles. In the present study, the experiments of subcooled flow boiling of water were performed under atmospheric conditions for a horizontal rectangular channel for which the size is 1 mm height and 1 mm width, with a flat heating surface of 10 mm length and 1 mm width placed on the bottom of the channel. The heating surface has a top of copper heating block and is heated by ceramic heaters. In the high heat flux region of nucleate boiling, about 70-80% of the heating surface was covered with a large coalescing bubble and the boiling reached critical heat flux as observed by high-speed video. In the beginning ...

Science.gov (United States)

... mass of gray gas by thermal radiation; An experimental study of the turbulent wake behind a cone at M = 5; Heat transfer augmentation by steady ...

British Library Electronic Table of Contents (United Kingdom)

A numerical study has been conducted to examine the heat transfer from a metal foam-wrapped solid cylinder in cross-flow. Effects of the key parameters including the free stream velocity and characteristics of metal foam such as porosity, permeability, and form drag coefficient on heat and fluid flow are examined. Being a determining factor in pressure drop and heat transfer increment, the porous layer thickness is changed systematically to observe that there is an optimum layer thickness beyond which the heat transfer does not improve while the pressure drop continues to increase. This has been verified by the application of Bejan?s Intersection of Asymptotes method. Results have been compared to those of a finned-tube heat exchanger to observe much higher heat transfer rate with reasonab...

International Nuclear Information System (INIS)

Heat-transfer augmentation by straight grid spacers in rod bundles is studied for single-phase flow and for post-critical heat flux dispersed flow. The heat transfer effect of swirling grid spacers in single-phase flow is also examined. Governing heat-transfer mechanisms are analyzed, and predictive formulations are established. For single-phase flow, the local heat transfer at a straight spacer and at its upstream or downstream locations are treated separately. The effect of local velocity increasing near swirling spacer is considered. For post critical heat flux (CHF) dispersed flow, the heat transfer by thermal radiation, fin cooling, and vapor convection near the spacer are calculated. The predictions are compared with experimental data with satisfactory agreement.

Science.gov (United States)

A glass heat pipe is adapted for use as a solar energy absorber in an evacuated tube solar collector and for transferring the absorbed solar energy to a working fluid medium or heat sink for storage or practical use. A capillary wick is formed of granular glass particles fused together by heat on the inside surface of the heat pipe with a water glass binder solution to enhance capillary drive distribution of the thermal transfer fluid in the heat pipe throughout the entire inside surface of the evaporator portion of the heat pipe. Selective coatings are used on the heat pipe surface to maximize solar absorption and minimize energy radiation, and the glass wick can alternatively be fabricated with granular particles of black glass or obsidian.

Science.gov (United States)

Forced convective heat transfer in a cross-corrugated channel solar air heater has been studied experimentally using air as a working fluid. The channel was formed by two transversely positioned corrugated sheets and two flat thermally insulated side walls. One corrugated sheet was heated by a radiant heater, while the other was thermally insulated. The fluid velocity and temperature, and the wall temperature and the local heat flux across the heated corrugated sheet were measured for a variety of operating flow rates. Experimental results for the channel geometry have yielded the correlation Nu = 0.0743 (Re)[sup 0.76]. This heat-transfer coefficient is about 2.8 times that of a smooth flat channel. The experiments showed that local heat transfer rate was smaller on the valley of the corrugation than that on the peak. The ratio of the local ...

Science.gov (United States)

Eninger, J. E.: "Menisci Coalesence as a Mechanism for Venting Noncondensible. Gas From Heat-Pipe Arteries", AIAA Paper No. 74-748. ...

International Nuclear Information System (INIS)

The molar heat capacities of chloroform, dichloromethane, methanol, acetonitrile, acetone, dimethyl sulfoxide, benzene, dimethylformamide, toluene, and cyclohexane, as well as their deuterated isotopologues, were measured using a multi-channel heat conduction TAM (Thermal Activity Monitor) III microcalorimeter. In addition, the apparent molar heat capacities of some of the associated dilute aqueous solutions (0.0039 i < 0.0210) were also measured. A temperature drop method from (298.15 to 297.15) K at 0.1 MPa was employed. The corresponding heat capacities were determined from the integration of the measured heat flow. The heat capacity results are shown to be in good to very good agreement with the available literature values. In addition, good correlations were obtained for the effect of isotopic substitution on both molar heat capacity ...

Energy Technology Data Exchange (ETDEWEB)

The heating system of the `Centre integre de mecanique industrielle de la Chaudiere`, in Saint-Georges, Quebec, is based on a solar wall and a geothermal heat pump with a glycol/water mixture circulating in 44 wells that are 100 m deep. With installation costs below $25 per sq.m, more than 85 per cent of the heating needs of the 9500 sq.m centre were supplied by geothermal power. The geothermal heat pump is composed of a well field and two 211-kW cooling units, each equipped with four coiled compressors. In winter, heat is pumped from the earth and in summer, a heat exchanger with control valves allows to heat to be dumped back into the earth. The monitoring and simulation of the system proved its efficiency, considering the climatic conditions in Quebec. The annual consumption of geothermal heating is 0.146 GJ per sq.m, ...

Energy Technology Data Exchange (ETDEWEB)

A method of augmenting heat transfer in the interior of a fluid or from the interface of a solid in contact to a fluid by utilizing electro hydrodynamic (EHD) phenomena has the following advantages: the heat transfer can be effected by using a relatively small, light-weight high voltage source and some simple structural members; no vibration and noise are generated; the method has a control function to control heat transfer by adjustment of field and voltage; and this method is effective in cost-saving. It is mass transfer by the electric force caused by interaction between true charges or polarized charges in a fluid and external electric filed that plays an important role in most of such heat transfer augmentation methods by EHD. Examples of heat transfer augmentation by EHD phenomena include electricaly induced convection, contribution of EHD effect to heat ...

Science.gov (United States)

The authors solve the two-dimensional stefan problem of solidification in a half-space, where the heat flux at the wall is a slightly varying function of positioning along the wall, by means of a large Stefan number approximation (which turns out to be equivalent to a small time solution), and then by means of the Heat Balance Integral Method, which is valid for all time, and which agrees with the large Stefan number solution for small times. A representative solution is given for a particular form of the heat flux perturbation.

International Nuclear Information System (INIS)

Short communication.

KoreaScience (Korea)

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Energy Technology Data Exchange (ETDEWEB)

No abstract prepared.

Energy Technology Data Exchange (ETDEWEB)

No abstract prepared.

Science.gov (United States)

The thermal evolution predicted by current models of the superfluid-crust interaction is noted to

Science.gov (United States)

Not Available

UK PubMed Central (United Kingdom)

Long-term heat acclimation (AC, 30d/34°C) is a phenotypic adaptation leading to increased thermotolerance during heat stress (HS, 2 h 41°C). AC also renders protection against...Full Text Available

International Nuclear Information System (INIS)

The heat transfer augmentation is reviewed in view of high temperature heat exchangers illuminating the contribution of radiative heat transfer. A number of means and/or devices are presented as well as the sophisticated concept which will be promoted to the extended applications in matured industries such as iron and steel, oir refinery, petro-chemical. It should be emphasized that the more creative and innovatory technology has to be promoted in order to stimulate and refresh the foregoing industries, recognizing the increasing importance of the energy resources.

UK PubMed Central (United Kingdom)

Chinese hamster lung fibroblasts V79 cells were treated with heat stress for 4 weeks with short duration (15 min) heat shock every alternate day in culture. It was observed that Hsp...Full Text Available

Energy Technology Data Exchange (ETDEWEB)

Apparent molar heat capacities for KI[sub 3](aq) were determined from flow-microcalorimetric measurements of KI(aq) solutions containing dissolved iodine. From these, the conventional partial molar heat capacity C[sub p,2][sup [infinity

Energy Technology Data Exchange (ETDEWEB)

This 2001 edition of the guide to UK renewable energy companies examines the geothermal heat pump sector, and discusses the technology involved, installations of geothermal heat pumps, the activity in the UK market with increased interest in UK geothermal heat pump products from abroad, and developments in the building sector. The UK government's increased support for the industry including its sponsorship of the Affordable Warmth programme, and the future potential of ground source systems are discussed.

Energy Technology Data Exchange (ETDEWEB)

Ground water ranging in temperature from only 38/sup 0/ to 140/sup 0/F can supply a considerable amount of heat energy when couple with a geothermal or ground-water heat pump. The heat pump's method of operation is examined as well as its performance characteristics. (MHR)

Energy Technology Data Exchange (ETDEWEB)

Experimental investigation was carried out for friction factor and heat transfer coefficient in the case of a rotating tube with a twisted-tape insert for heat transfer augmentation. The data obtained were compared with existing data for a stationary tube with a twisted-tape insert. It has been observed that the enhancement in heat transfer offsets the rise in friction factor due to rotation, with respect to a plain tube under stationary conditions. A correlation has been proposed for the data obtained.

KoreaScience (Korea)

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KoreaScience (Korea)

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KoreaScience (Korea)

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KoreaScience (Korea)

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British Library Electronic Table of Contents (United Kingdom)

The immune system modulates many key biological processes in humans. However, the exact role of the immune system in particle-associated periprosthetic osteolysis is controversial. Human tissue retrieval studies, in vivo and in vitro experiments suggest that the immune response to polymer particles is non-specific and macrophage-mediated. Lymphocytes may modulate this response. However direct lymphocyte activation by polymer particle-protein complexes seems unlikely. However, metallic byproducts may complex with serum proteins and lead to a Type IV, lymphocyte-mediated immune reaction. In predisposed individuals, this reaction may rarely lead to persistent painful joint effusions, necessitating debridement and excision of the bearing surfaces of the prosthesis. In these patients, retrieved...

British Library Electronic Table of Contents (United Kingdom)

Summary Background Pemphigus vulgaris and pemphigus foliaceus are rare, potentially life-threatening, autoimmune disorders characterized by antibodies to epidermal adhesion molecules. Clinical characteristics are painful chronic erosions of mucous membranes and of the skin. There are only few published studies on the impact of the disease on the health status (HS) of patients with these conditions. Objectives To assess the impact of disease on the HS of patients with pemphigus. Methods Fifty-eight patients enrolled at the Bullous Skin Diseases Unit of IDI-IRCCS in the period January-June 2006 were assessed for their HS using the Medical Outcomes Study 36-item short form health survey (SF-36) questionnaire and for anxiety and depression using the Institute for Personality and Ability Testin...

Energy Technology Data Exchange (ETDEWEB)

The prevalence of hepatic cysts is 0.1% to 0.5% based on autopsy studies, and 2.5% based on US examinations. Percutaneous therapies are a new alternative to surgery. They include simple percutaneous aspiration, catheter drainage alone, and catheter drainage with sclerotherapy. We present an 11-year-old boy admitted to hospital because of abdominal pain. A diagnosis of simple hepatic cyst was made, which was treated with aspiration and tetracycline hydrochloride solution (5%) injection into the cystic cavity. Complete regression was seen on US and MRI examination at 3 months, with total collapse and deflation of the cyst. The cyst regressed totally, leaving a hyperechoic linear scar on US examination at 1 year. On the basis of the clinical and imaging results obtained, percutaneous sclerotherapy of hepatic cysts can be recommended as the treatment of choice and as a valid alternative to laparoscopy in children. (orig.)

Energy Technology Data Exchange (ETDEWEB)

Paraquat is a nonselective contact herbicide of great toxicological importance, being associated with high mortality rates, mainly due to respiratory failure. We report the case of a 22-year-old male admitted to the emergency room with a sore throat, dysphagia, hemoptysis, and retrosternal pain after the ingestion of 50 mL of a paraquat solution, four days prior to admission. Chest CT scans revealed pulmonary opacities, pneumomediastinum, pneumothorax, and subcutaneous emphysema. The patient was submitted to two cycles of immunosuppressive therapy with cyclophosphamide, methylprednisolone, and dexamethasone. The pulmonary gas exchange parameters gradually improved, and the patient was discharged four weeks later. The clinical and tomographic follow-up evaluations performed at four months after discharge showed that there had been further clinical improvement. We also present a brief review of the literature, as well as a discussion of the therapeutic algorithm for ...

British Library Electronic Table of Contents (United Kingdom)

Purpose. To examine the impact of residual limb osteomyelitis (RLO) on the rehabilitation of lower limb amputees. Method. Retrospective review of the casenotes of patients with RLO. Information sought included details of amputation, clinical features of investigations for and management of RLO and its effect on rehabilitation. Results. There were seven transfemoral and three transtibial amputees. Indications for amputation were vascular disease in nine cases, trauma in one. In each case, delayed wound healing or residual limb pain prompted radiological, hematological and microbiological investigations. Average time between amputation and diagnosis was 187 days. One patient died before treatment commenced. Two transtibial amputees were treated with intravenous antibiotics while rehabilitati...

British Library Electronic Table of Contents (United Kingdom)

Abstract Recently, a study of patients with rheumatoid arthritis who developed herpes zoster while taking a tumor necrosis factor (TNF)- inhibitor reported a decreased incidence of postherpetic neuralgia. The objective of this study was to investigate whether patients on TNF- inhibitors who developed herpes zoster have a lower incidence of subsequent development of postherpetic neuralgia. A retrospective review of herpes zoster patients on TNF- inhibitors (infliximab, etanercept, or adalimumab) was conducted in 12 dermatology clinics. Medical records of such patients were reviewed thoroughly to confirm herpes zoster and TNF- inhibitors and any subsequent development of postherpetic neuralgia (pain score -3 out of 10 after 90 days of shingles onset) was noted. A total of 206 cases were revi...

British Library Electronic Table of Contents (United Kingdom)

Abstract Introduction.- Sling erosion/extrusion is a complication after suburethral sling insertion for female stress urinary incontinence that occurs in approximately 6% of patients. Symptoms may include vaginal discharge, infections, postcoital bleeding, and alterations of the sexual function. Little is known about the effect of sling erosion on the sexual function of the male partner. Aim.- The aim of this study was to determine male sexual function in partners of women who had undergone sling insertion for stress urinary incontinence and who developed sling erosion postoperatively. Main Outcome Measures.- Main outcome measures were the Brief Male Sexual Function Inventory (BMSFI) and visual analog scale (VAS) scores. Methods.- Male partners of patients who presented with sling erosion ...

Energy Technology Data Exchange (ETDEWEB)

A rare case of primary splenic cyst is shown in a young woman who had a left subcostal abdominal pain. Abdominal echography and CT scan revealed a cyst of the anterior aspect of the spleen. A sorologic test for hidatic disease was negative. On the basis of a presumed diagnostic of nonparasitic cyst, the patient was referred to a laparoscopic decapsulation with excision of the cysts wall not covered by splenic tissue. The patient was discharged 24 hours later. Histological report revealed epidermoid cyst. The laparoscopic approach has being recently considered an effective and less invasive alternative in the treatment of splenic diseases. We demonstrated that it should be considered for the treatment of splenic cysts present in a superficial location, with the advantage of organ preservation. (author)

British Library Electronic Table of Contents (United Kingdom)

Perceptions of sensation and pain in healthy people are believed to be the net result of sensory input and descending modulation from brainstem and cortical regions depending on emotional and cognitive factors. Here, the influence of attention on neural activity in the spinal cord during thermal sensory stimulation of the hand was investigated with functional magnetic resonance imaging by systematically varying the participants' attention focus across and within repeated studies. Attention states included (1) attention to the stimulus by rating the sensation and (2) attention away from the stimulus by performing various mental tasks of watching a movie and identifying characters, detecting the direction of coherently moving dots within a randomly moving visual field and answering mentally-...

British Library Electronic Table of Contents (United Kingdom)

The objective of this study was to examine the effect of a nonsteroidal anti-inflammatory drug (NSAID) plaster for knee osteoarthritis among Japanese patients. An open-labeled, randomized, controlled, multiclinic trial was performed involving outpatient clinic groups. Two comparative groups?plaster NSAIDs and oral NSAIDs?were randomly allocated. The drugs used were limited to the current top three in both groups in Japan. Treatments were assessed after four?weeks and compared with the baseline scores. Outcomes were evaluated by two psychometric measures: Japanese knee osteoarthritis measure, and pain with the visual analogue scale. The total number of patients included in the final evaluation was 165 (87 for the plaster group and 78 for the oral group). Between these two groups there were ...

British Library Electronic Table of Contents (United Kingdom)

There are no specific diagnostic tests or a gold standard method for measuring disease activity and outcome in spondyloarthropathies (SpA). Many different methods have been developed to assess the signs and symptoms in SpA. The aim of this study was to evaluate the value of scintigraphy, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and Bath Ankilosing Spondylitis Disease Activity Index (BASDAI) in the evaluation of disease activity in early axial SpA diagnosed with magnetic resonance imaging (MRI). Thirty early MRI-positive axial SpA patients (23 males, 7 females) with a median age of 35 (18?55) years and a median duration of inflammatory low back pain of 24 (8?60) months were included in the study. In the patients with sacroiliitis, the sensitivity, specificity, and pos...

International Nuclear Information System (INIS)

Computed Tomography (CT) of the spine was performed on 17 patients with myeloma in order to assess the role of the technique in recognizing and evaluating the extent of the lesions. Myelomatous lesions followed two patterns at CT: first of all, multiple focal lesions, whose density is either solid, liquid, or fatty; second, an extensive pattern involving the spongiosa of the vertebra, including the posterior arch. CT detected more lesions than conventional radiology; furthermore, the extent of the lesions was much better demonstrated by CT. CT should thus be performed: a) in case of pain and/or neurological findings in negative radiological examinations; b) to evaluate the extent of myelomatous lesions (mainly in the spine); c) in solitary myeloma CT may be performed on different bone segments with clinical symptomatology but normal X-ray findings.

British Library Electronic Table of Contents (United Kingdom)

AbstractBackground Few published data are available on the benefits of aspirin use in patients with unstable angina (UA). Hypothesis Aspirin use carries a mortality benefit in a population-based cohort of patients presenting with UA. Methods All residents of Olmsted County, Minnesota presenting to local emergency departments with acute chest pain from January 1985 through December 1992 having symptoms consistent with UA were identified through medical records. A total of 1628 patients were identified with UA and were stratified by aspirin use in-hospital and at discharge. Cardiovascular mortality and nonfatal myocardial infarction and stroke were assessed over a median of 7.5 years follow-up and all-cause mortality data over a median of 16.7 years. The mean age of patients with UA was 65 y...

British Library Electronic Table of Contents (United Kingdom)

A recently-developed BMT method combines a ''Perfusion Method'' (PM) for collecting bone marrow cells (BMCs) with the Intra-Bone Marrow (IBM) injection of BMCs (IBM-BMT). As distinct from the conventional aspiration method (AM), the PM allows rapid (within 1 h) collection of BMCs without T cell contamination (T cells < 10%). Therefore, no GvHD occurs. Moreover, the burden on donors, such as back pain, bleeding and infection, can be reduced. Full chimerism can be achieved even with only mild conditioning regimens if IBM-BMT is carried out, since IBM-BMT replaces not only the recipient's hemopoietic stem cells (HSCs) but also mesenchymal stem cells (MSCs) with donor-derived HSCs and MSCs. Using this method, we show that most currently intractable diseases are HSC or MSC disorders, and that t...

British Library Electronic Table of Contents (United Kingdom)

Ground thermal energy storage is a means of storing thermal energy underground during the summer and utilizing it during the winter. The main use of such a technology is in the heating, ventilating and air conditioning sector where the ground provides a stable temperature reservoir for a heat pump system. Heat pumps are mechanical systems that provide heating to a space in the winter, and cooling in the summer. They are increasingly popular because the same system provides both heating modes, depending on the direction of the cycle upon which they operate. The stable temperature reservoir allows the heat pump system to run at a higher efficiency. Thermal energy is transmitted to and from the ground by circulation of water through standing column geothermal wells. In commercial applications...

Energy Technology Data Exchange (ETDEWEB)

A geothermal heat pump (GHP) system with three ground coils was installed in a residence in northern Idaho with a portion of the ground heat exchanger wrapped around the residential septic tank. The septic coil provided a significant portion of the heating for the residence over the heating season. There was no evidence of the septic tank freezing up or failing to properly function. Utilizing a septic tank as a heat source for GHP systems is feasible design option if the septic tank is used on a full-time basis. However, the tank should be surrounded on all sides by a large amount of soil and/or insulated from the ground surface to ensure that ground temperatures near the tank remain warm during the winter.

Energy Technology Data Exchange (ETDEWEB)

This experiment investigated the effects of free-stream turbulence intensity, length scale, Reynolds number, and leading-edge velocity gradient on stagnation-region heat transfer. Heat transfer was measured in the stagnation region of four models with elliptical leading edges downstream of five turbulence-generating grids. Stagnation-region heat transfer augmentation increased with decreasing length scale but an optimum scale was not found. A correlation was developed that fit heat transfer data for isotropic turbulence to within {+-}4 percent but did not predict data for anisotropic turbulence. Stagnation heat transfer augmentation caused by turbulence was unaffected by the velocity gradient. The data of other researchers compared well with the correlation. A method of predicting heat transfer downstream of the stagnation point was developed. 28 refs., 12 ...

British Library Electronic Table of Contents (United Kingdom)

Mixed convection heat transfer from longitudinal fins inside a horizontal channel has been investigated for a wide range of modified Rayleigh numbers and different fin heights and spacings. An experimental parametric study was made to investigate effects of fin spacing, fin height and magnitude of heat flux on mixed convection heat transfer from rectangular fin arrays heated from below in a horizontal channel. The optimum fin spacing to obtain maximum heat transfer has also been investigated. During the experiments constant heat flux boundary condition was realized and air was used as the working fluid. The velocity of fluid entering channel was kept nearly constant (0.15win0.16m/s) using a flow rate control valve so that Reynolds number was always about Re=1500. Experiments were conducted...

Energy Technology Data Exchange (ETDEWEB)

Direct Flame Impingement involves the use of an array of very high-velocity flame jets impinging on a work piece to rapidly heat the work piece. The predominant mode of heat transfer is convection. Because of the locally high rate of heat transfer at the surface of the work piece, the refractory walls and exhaust gases of a DFI furnace are significantly cooler than in conventional radiant heating furnaces, resulting in high thermal efficiency and low NOx emissions. A DFI furnace is composed of a successive arrangement of heating modules through or by which the work piece is conveyed, and can be configured for square, round, flat, and curved metal shapes (e.g., billets, tubes, flat bars, and coiled bars) in single- or multi-stranded applications.

Energy Technology Data Exchange (ETDEWEB)

A numerical analysis is performed to clarify the heat transfer characteristics of combined convection around the tubes which form a single row perpendicularly arranged to a forced flow in the direction of gravity. A boundary-fitted coordinate transformation technique is adopted to solve the governing equations numerically. It is found in the case of liquid sodium that gravity-induced flow gives no substantial effect to heat transfer augmentation in a low Reynolds number region while it can be sufficiently expected in the ordinary fluids in the same Reynolds number region. This means that such heat transfer augmentation as expected in ordinary fluids can not be realized when crossflow-type heat exchangers installed for decay-heat removal operates in a low Reynolds number region.

Energy Technology Data Exchange (ETDEWEB)

An exergoeconomic model of a vertical ground-source heat pump residential heating system presented in this study uses exergy and cost energy mass (EXCEM) methods. The data obtained from a ground-source heat pump (GSHP) residential heating system installed at the Solar Energy Institute, Ege University, Turkey, are utilized for calculations at different reference temperature values in the range 0-25{sup o}C. The performance of the geothermal heat pump residential heating system is evaluated to indicate how exergoeconomic parameter values change with system. We also undertake a parametric study to investigate how varying reference temperatures will affect the exergoeconomic analysis of the GSHP system. A correlation between the ratio of thermodynamic loss rate to capital cost and reference state temperature is developed. (author)

International Nuclear Information System (INIS)

A numerical analysis is performed to clarify the heat transfer characteristics of combined convection around the tubes which form a single row perpendicularly arranged to a forced flow in the direction of gravity. A boundary-fitted coordinate transformation technique is adopted to solve the governing equations numerically. It is found in the case of liquid sodium that gravity-induced flow gives no substantial effect to heat transfer augmentation in a low Reynolds number region while it can be sufficiently expected in the ordinary fluids in the same Reynolds number region. This means that such heat transfer augmentation as expected in ordinary fluids can not be realized when crossflow-type heat exchangers installed for decay-heat removal operates in a low Reynolds number region. (author).

International Nuclear Information System (INIS)

Nuclear energy plays an important role in electricity generation, producing 16% of the world's electricity at the beginning of 1999. It has proven to be safe, reliable, economical and has only a minimal impact on the environment. Most of the world's energy consumption, however, is in the form of heat. The market potential for nuclear heat was recognized early. Some of the first reactors were used for heat supply, e.g. Calder Hall (United Kingdom), Obninsk (Russian Federation), and Agesta (Sweden). Now, over 60 reactors are supplying heat for district heating, industrial processes and seawater desalination. But the nuclear option could be better deployed if it would provide a larger share of the heat market. In particular, seawater desalination using nuclear heat is of increasing interest to some IAEA Member States. In consideration of the ...