Heat shrinkable behavior, physico-mechanical and structure properties of electron beam cross-linked blends of high-density polyethylene with acrylonitrile-butadiene rubber

International Nuclear Information System (INIS)

Reinholds, Ingars; Kalkis, Valdis; Merijs-Meri, Remo; Zicans, Janis; Grigalovica, Agnese

2016-01-01

In this study, heat-shrinkable composites of electron beam irradiated high-density polyethylene (HDPE) composites with acrylonitrile-butadiene rubber (NBR) were investigated. HDPE/NBR blends at a ratio of components 100/0, 90/10, 80/20, 50/50 and 20/80 wt% were prepared using a two-roll mill. The compression molded films were irradiated high-energy (5 MeV) accelerated electrons up to irradiation absorbed doses of 100–300 kGy. The effect of electron beam induced cross-linking was evaluated by the changes of mechanical properties, gel content and by the differences of thermal properties, detected by differential scanning calorimetry. The thermo-shrinkage forces were determined as the kinetics of thermorelaxation and the residual shrinkage stresses of previously oriented (stretched up to 100% at above melting temperature of HDPE and followed by cooling to room temperature) specimens of irradiated HDPE/NBR blends under isometric heating–cooling mode. The compatibility between the both components was enhanced due to the formation of cross-linked sites at amorphous interphase. The results showed increase of mechanical stiffness of composites with increase of irradiation dose. The values of gel fraction compared to thermorelaxation stresses increased with the growth of irradiation dose level, as a result of formation cross-linked sites in amorphous PP/NBR interphase. - Highlights: • Binary blends of HDPE/NBR have been irradiated with 5 MeV accelerated electrons. • Increase of NBR content and irradiation dose improves cross-linking efficiency. • Thermo-shrinkage and residual stresses are investigated for oriented specimens. • Cross-linked HDPE/NBR composites can be successfully used as thermos-shrinkable materials.

Heat shrinkable behavior, physico-mechanical and structure properties of electron beam cross-linked blends of high-density polyethylene with acrylonitrile-butadiene rubber

Science.gov (United States)

Reinholds, Ingars; Kalkis, Valdis; Merijs-Meri, Remo; Zicans, Janis; Grigalovica, Agnese

2016-03-01

In this study, heat-shrinkable composites of electron beam irradiated high-density polyethylene (HDPE) composites with acrylonitrile-butadiene rubber (NBR) were investigated. HDPE/NBR blends at a ratio of components 100/0, 90/10, 80/20, 50/50 and 20/80 wt% were prepared using a two-roll mill. The compression molded films were irradiated high-energy (5 MeV) accelerated electrons up to irradiation absorbed doses of 100-300 kGy. The effect of electron beam induced cross-linking was evaluated by the changes of mechanical properties, gel content and by the differences of thermal properties, detected by differential scanning calorimetry. The thermo-shrinkage forces were determined as the kinetics of thermorelaxation and the residual shrinkage stresses of previously oriented (stretched up to 100% at above melting temperature of HDPE and followed by cooling to room temperature) specimens of irradiated HDPE/NBR blends under isometric heating-cooling mode. The compatibility between the both components was enhanced due to the formation of cross-linked sites at amorphous interphase. The results showed increase of mechanical stiffness of composites with increase of irradiation dose. The values of gel fraction compared to thermorelaxation stresses increased with the growth of irradiation dose level, as a result of formation cross-linked sites in amorphous PP/NBR interphase.

Studies on heat shrinkage PVC tubes

International Nuclear Information System (INIS)

Pyun, Hyung Chick; Kim, Ki Yup; Nho, Young Chang

1991-01-01

Radiation crosslinking of PVC was investigated for the purpose of obtaining a suitable formulation for heat shrinkable tube. PVC was not only compounded with various crosslinking agents and plasticizers to evaluate their effects on the radiation sensitivity, heat shrinkable property and other mechanical properties, but also mixed with NBR, crosslinking agents and plasticizers to obtain efficient crosslinking yield and suitable mechanical properties for heat shrinkable tube. Gel yield of PVC increased with increasing unsaturation levels per molecular weight of crosslinking agents. Among crosslinking agents tested, TMPTMA with three unsaturated groups showed highest gel yield, while PVC containing NBR was more sensitive to crosslinking than PVC itself regardless the types of crosslinking agents and plasticizers. Tensile strength was increased with increasing radiation dose and gel percent, but elongation decreased. It was found that gel percent was increased with increasing radiation dose, heat transformation was decreased with increasing gel percent. When NBR was mixed with PVC, the radiation dosage required for enhancing yield of gel percent and heat transformation were found to be much smaller comparing with the case containing no NBR. Therefore, the addition of NBR to PVC was very effective to increase heat-resisting property of PVC. Heat shrinkage was not much varied with radiation dose, the types of crosslinking agents and plasticizers, but it was increased remarkably with decreasing stretching temperature and increasing annealing temperature. (Author)

Root cause analysis of thermal sleeve separation

Energy Technology Data Exchange (ETDEWEB)

Jo, J. C.; Jhung, M. J.; Yu, S. O.; Kim, H. J.; Yune, Y. K.; Park, J. Y

2006-01-15

Thermal sleeves in the shape of thin wall cylinder seated inside the nozzle part of each Safety Injection (SI) line at Pressurized Water Reactors (PWRs) have such functions as prevention and relief of potential excessive transient thermal stress in the wall of SI line nozzle part which is initially heated up with hot water flowing in the primary coolant piping system when cold water is injected into the system through the SI nozzles during the SI operation mode. Recently, mechanical failures that the sleeves were separated from the SI branch pipe and fell into the connected cold leg main pipe occurred in sequence at some typical PWR plants in Korea. To find out the root cause of thermal sleeve breakaway failures, the flow situation in the junction of primary coolant main pipe and SI branch pipe, and the vibration modal characteristics of the thermal sleeve are investigated in detail by using both Computational Fluid Dynamic (CFD) code and structure analysis finite element code. As the results, the transient response in fluid force exerting on the local part of thermal sleeve wall surface to the primary coolant flow through the pipe junction area during the normal reactor operation mode shows oscillatory characteristics with frequencies ranging from 17 to 18, which coincide with one of the lower mode natural frequencies of thermal sleeve having a pinned support condition on the circumferential prominence on the outer surface of thermal sleeve which is put into the circumferential groove on the inner surface of SI nozzle at the mid-height of the thermal sleeve. In addition, the variation of force on the thermal sleeve surface yields alternating torques in the directions of two rectangular axes which are perpendicular to the longitudinal axis of cylindrical thermal sleeve, which cause rolling, pitching and rotating motions of the thermal sleeve. Consequently, it is seen that this flow situation surrounding the thermal sleeve during the normal reactor operation can

Microfabricated sleeve devices for chemical reactions

Science.gov (United States)

Northrup, M. Allen

2003-01-01

A silicon-based sleeve type chemical reaction chamber that combines heaters, such as doped polysilicon for heating, and bulk silicon for convection cooling. The reaction chamber combines a critical ratio of silicon and non-silicon based materials to provide the thermal properties desired. For example, the chamber may combine a critical ratio of silicon and silicon nitride to the volume of material to be heated (e.g., a liquid) in order to provide uniform heating, yet low power requirements. The reaction chamber will also allow the introduction of a secondary tube (e.g., plastic) into the reaction sleeve that contains the reaction mixture thereby alleviating any potential materials incompatibility issues. The reaction chamber may be utilized in any chemical reaction system for synthesis or processing of organic, inorganic, or biochemical reactions, such as the polymerase chain reaction (PCR) and/or other DNA reactions, such as the ligase chain reaction, which are examples of a synthetic, thermal-cycling-based reaction. The reaction chamber may also be used in synthesis instruments, particularly those for DNA amplification and synthesis.

Silicon-based sleeve devices for chemical reactions

Science.gov (United States)

Northrup, M. Allen; Mariella, Jr., Raymond P.; Carrano, Anthony V.; Balch, Joseph W.

1996-01-01

A silicon-based sleeve type chemical reaction chamber that combines heaters, such as doped polysilicon for heating, and bulk silicon for convection cooling. The reaction chamber combines a critical ratio of silicon and silicon nitride to the volume of material to be heated (e.g., a liquid) in order to provide uniform heating, yet low power requirements. The reaction chamber will also allow the introduction of a secondary tube (e.g., plastic) into the reaction sleeve that contains the reaction mixture thereby alleviating any potential materials incompatibility issues. The reaction chamber may be utilized in any chemical reaction system for synthesis or processing of organic, inorganic, or biochemical reactions, such as the polymerase chain reaction (PCR) and/or other DNA reactions, such as the ligase chain reaction, which are examples of a synthetic, thermal-cycling-based reaction. The reaction chamber may also be used in synthesis instruments, particularly those for DNA amplification and synthesis.

Gastric Sleeve Surgery

Science.gov (United States)

... Videos for Educators Search English Español Gastric Sleeve Surgery KidsHealth / For Teens / Gastric Sleeve Surgery What's in ... or buying healthy food ) Preparing for Gastric Sleeve Surgery Preparing for this major operation takes months of ...

Heat Generation and Efficiency of a New Modified Phaco Tip and Sleeve.

Directory of Open Access Journals (Sweden)

Aeri Yoo

Full Text Available To compare a modified phacoemulsification tip with the established micro tip, in terms of temperature at the corneal wound, efficiency, and chatter events, using the Centurion® Vision system.Eighty porcine eyes were randomized into 4 groups: 1sleeveless conventional 45D MiniFlared ABS® Kelman tip (1.1-mm incision; 2sleeveless new modified 45D ABS® INTREPID® balanced tip(1.1-mm incision; 3 Kelman tip with own sleeve (2.2-mm incision; 4Balanced tip with modified 4-rib sleeve (2.2-mm incision. Measurements were taken with 2 settings: longitudinal(power 40% and 70% and torsional mode (power 40% and 100%. Peak temperatures were measured 0, 10, 30, and 60 seconds after continuous ultrasound power. For the efficiency test, porcine lens nuclei were formalin soaked and cut into 2.0 mm3 cubes. Efficiency and chatter were examined.In all longitudinal settings, the sleeveless groups(1 and 2 showed lower temperatures than the sleeved groups(3 and 4 (P = 0.003. In 100% torsional mode, groups 3 and 4 produced significantly different temperatures(37.13 ± 1.44 and 35.14 ± 0.54, respectively; P = 0.007.The efficiency, in a 100% power torsional setting, was13.52 ± 2.60 sec for group 4, and 44.45± 14.75 sec for group 3 (P<0.001.The two different bare tips show no significant differences in thermogenesis. However, the balanced tip with sleeve produces lower temperaturesat100% torsional power and better efficiency than the Kelman tip.

Electron beam technology as a new industrial processing tool in Malaysia

International Nuclear Information System (INIS)

Zaman, K.

1996-01-01

Electron beam cross-linked products such as heat resistant automobile and home appliance wires, heat shrinkable tubes, sleeves, end caps for power and electronic industries, plastic packaging and semiconductors are commercially available in Malaysia and most of them are imported products. However, recently there are three newly established in-house industrial electron beam accelerators, in operation in Malaysia for cross-linking of home appliance wires and plastic packaging. Another electron beam accelerator of 3.0 MV, 90 kW is stationed in MINT which is used for research as well as for irradiation services. Research on electron beam cross-linking of natural polymer is one of the main subjects of interest. (author)

Process to repair a steam generator tube by inserting a tubular sleeve and the associated sleeve

International Nuclear Information System (INIS)

Gaudin, J.P.

1986-01-01

The tubular sleeve is introduced in the tube and is mechanically expanded inside the tube plate, and is diametrally expanded at its upper part within the tube and outside the tube plate. Tightness is ensured by brazing the end part of the sleeve within the tube. The end part of the sleeve is brazed by melting of brazing metal previously applied to the outer surface of the sleeve of its end region. The invention applies more particularly to steam generators of pressurized water nuclear reactors [fr

Framatome technologies successfully performs SG re-sleeving at Kewaunee

International Nuclear Information System (INIS)

Anon.

1997-01-01

Framatome Technologies teamed with ABB-CE (Connecticut) to remove previously installed sleeves from the Kewaunee nuclear power stations steam generator tubes and install new sleeves. Recent inspections indicated problems at the upper joint of many of the previous sleeves. The process involved removing most of the hydraulic expansion joint (HEJ) sleeve, expanding the sleeve remnant and the tube section at the upper joint, and installing a TIG-welded sleeve that bridges the problem portion of the tube that the HEJ sleeve covered

Performance of Grouted Splice Sleeve Connector under Tensile Load

Directory of Open Access Journals (Sweden)

A. Alias

2016-05-01

Full Text Available The grouted splice sleeve connector system takes advantage of the bond-slip resistance of the grout and the mechanical gripping of reinforcement bars to provide resistance to tensile force. In this system, grout acts as a load-transferring medium and bonding material between the bars and sleeve. This study adopted the end-to-end rebars connection method to investigate the effect of development length and sleeve diameter on the bonding performance of the sleeve connector. The end-to-end method refers to the condition where reinforcement bars are inserted into the sleeve from both ends and meet at the centre before grout is filled. Eight specimens of grouted splice sleeve connector were tested under tensile load to determine their performance. The sleeve connector was designed using 5 mm thick circular hollow section (CHS steel pipe and consisted of one external and two internal sleeves. The tensile test results show that connectors with a smaller external and internal sleeve diameter appear to provide better bonding performance. Three types of failure were observed in this research, which are bar fracture (outside the sleeve, bar pullout, and internal sleeve pullout. With reference to these failure types, the development length of 200 mm is the optimum value due to its bar fracture type, which indicates that the tensile capacity of the connector is higher than the reinforcement bar. It is found that the performance of the grouted splice sleeve connector is influenced by the development length of the reinforcement bar and the diameter of the sleeve.

Improvements in nuclear fuel assembly sleeves

International Nuclear Information System (INIS)

Eaton, C.W.; Seeley, T.A.; Ince, G.; Speakman, W.T.

1986-01-01

The graphite sleeve of a nuclear fuel assembly or reflector element for a stringer mounts a number of grids via mounting assemblies installed in grooves formed in the interior wall surface of the sleeve. The bore of the sleeve is of reduced cross-section between two successive grooves such that the internal diameter of the sleeve is substantially the same as the inner diameter of the radially innermost extremity of the mounting assemblies whereby the coolant pressure loss at each transition between the reduced diameter bore section and the mounting assemblies is reduced. Each mounting assembly may be of radially contractable split ring construction to permit its placement in the groove and may carry burnable poison material. (author)

Improvements in nuclear fuel assembly sleeves

Energy Technology Data Exchange (ETDEWEB)

Eaton, C.W.; Seeley, T.A.; Ince, G.; Speakman, W.T.

1986-02-26

The graphite sleeve of a nuclear fuel assembly or reflector element for a stringer mounts a number of grids via mounting assemblies installed in grooves formed in the interior wall surface of the sleeve. The bore of the sleeve is of reduced cross-section between two successive grooves such that the internal diameter of the sleeve is substantially the same as the inner diameter of the radially innermost extremity of the mounting assemblies whereby the coolant pressure loss at each transition between the reduced diameter bore section and the mounting assemblies is reduced. Each mounting assembly may be of radially contractable split ring construction to permit its placement in the groove and may carry burnable poison material.

Nuclear qualified in-containment electrical connectors and method of connecting electrical conductors

Science.gov (United States)

Powell, J. G.

1991-01-01

A nuclear qualified in-containment electrical connection comprises an insulated, sheathed instrument lead having electrical conductors extending from one end thereof to provide two exposed lead wires, a watertight cable having electrical conducting wires therein and extending from one end of the cable to provide two lead wires therefrom, two butt splice connectors each connecting the ends of respective ones of the lead wires from the instrument lead and cable, a length of heat shrinkable plastic tubing positioned over each butt splice connector and an adjacent portion of a respective lead wire from the cable and heat shrunk into position, a length of heat shrinkable plastic tubing on the end portion of the instrument lead adjacent the lead wires therefrom and heat shrunk thereon and a length of outer heat shrinkable plastic tubing extending over the end portion of the instrument lead and the heat shrinkable tubing thereon and over the butt splice connectors and a portion of the cable adjacent the cable lead lines, the outer heat shrinkable tubing being heat shrunk into sealing position on the instrument lead and cable.

Development of a high speed extrusion concept using a floating screw sleeve for solid-melt-separation

Science.gov (United States)

Karrenberg, Gregor; Wortberg, Johannes

2015-05-01

The High-Speed-S-Truder with floating screw sleeve is an alternative extrusion concept with solid-melt-separation. A fairly conventional 35 mm screw with a length of 21 D, which is accelerated by a 75 kW gearless, water cooled synchronous drive, conveys the resin into a 60 mm screw sleeve with a length of 10 D. Inside the sleeve the material is plasticizied and discharged into the outer screw channel of the sleeve through radial bores. Only the solid bed remains inside. The development of a melt pool - and thus a decrease of the plasticizing capacity - is avoided. The sleeve is rotated by drag forces only (approximately 10 - 15 % of the screw speed). Due to the low speed of the screw sleeve molten material is conveyed to a 4 D Dynamic Mixing Ring in a gentle manner. The DMRs floating ring and the screw sleeve are directly coupled. The granules in the screw channel are stopped by a barrier on the screw in front of the mixing device. So nearly no unmelted material can pass the system. For temperature management in the plastification and mixing zone a 3-zone heating/air-cooling system is used. Various kinds of experiments with the High-Speed S-Truder were conducted. Reachable throughputs with different types of material (LDPE, LLDPE, PP, PS) have been tested. Also three screw geometries, which are mainly varying in the channel depth, were compared. Experimental results and theoretical background will be described in this paper.

Grid sleeve bulge tool

International Nuclear Information System (INIS)

Phillips, W.D.; Vaill, R.E.

1980-01-01

An improved grid sleeve bulge tool is designed for securing control rod guide tubes to sleeves brazed in a fuel assembly grid. The tool includes a cylinder having an outer diameter less than the internal diameter of the control rod guide tubes. The walls of the cylinder are cut in an axial direction along its length to provide several flexible tines or ligaments. These tines are similar to a fork except they are spaced in a circumferential direction. The end of each alternate tine is equipped with a semispherical projection which extends radially outwardly from the tine surface. A ram or plunger of generally cylindrical configuration and about the same length as the cylinder is designed to fit in and move axially of the cylinder and thereby force the tined projections outwardly when the ram is pulled into the cylinder. The ram surface includes axially extending grooves and plane surfaces which are complimentary to the inner surfaces formed on the tines on the cylinder. As the cylinder is inserted into a control rod guide tube, and the projections on the cylinder placed in a position just below or above a grid strap, the ram is pulled into the cylinder, thus moving the tines and the projections thereon outwardly into contact with the sleeve, to plastically deform both the sleeve and the control rod guide tube, and thereby form four bulges which extend outwardly from the sleeve surface and beyond the outer periphery of the grid peripheral strap. This process is then repeated at the points above the grid to also provide for outwardly projecting surfaces, the result being that the grid is accurately positioned on and mechanically secured to the control rod guide tubes which extend the length of a fuel assembly

SCC testing of steam generator tubes repaired by welded sleeves

International Nuclear Information System (INIS)

Pierson, E.; Stubbe, J.

1993-01-01

One way to repair steam generator tubing is to introduce a sleeve inside the tube so that it spans the corroded area and to seal it at both ends. This technique has been studied at Laborelec with a particular attention paid to the occurrence of new SCC cracks at the upper joint. Tube segments coming from the same lot of mill annealed alloy 600 were sent to six manufacturers to be sleeved by their own procedure (including TIG, laser or kinetic welding, followed or not by a stress relief heat treatment), and then tested at Laborelecin 10% NaOH at 350 degrees C. The tests were performed with and without differential pressure i.e. in capsules (Δ = 9 and 19 MPa) and in autoclave (Δp = 0). Nearly all the not stress relieved mock-ups developed through cracks in several hundred hours in auto-clave. The cracks were circumferential and situated near the weld. At 9 and 19 MPa, the time to failure decreased and longitudinal cracks appeared near the weld and at the transition zone of expanded areas. Cracks were never observed in the alloy 690 sleeve, except in the weld bead. Reference capsules (roll expaned tubes) made of the same lot of alloy 600 were tested in the same environment

Parametric study for design of thermal sleeves

International Nuclear Information System (INIS)

Mukherjee, A.B.; Mehra, V.K.

1985-01-01

Thermal sleeves are used inside nozzle in many reactor components. Basic aim in design of thermal sleeve is to arrive at a set of dimensions for gap and annulus length, which will give rise to minimum thermal gradient in the base metal of the associated nozzle. Study includes the minimisation of the thermal gradient in the crotch zone by suitable choice of gap and annulus length. Three different geometries of nozzle radii 50.00 mm., 100 mm. and 200.0 mm. are studied for single and two concentric thermal sleeves model. The paper also presents effect of parameters like velocity of flow, temperature of fluid, materials etc. on the design of thermal sleeves. (orig.)

The TaSST: Tactile Sleeve for Social Touch

NARCIS (Netherlands)

Huisman, G.; Darriba Frederiks, A.; van Dijk, B.; Heylen, D.; Kröse, B.

2013-01-01

In this paper we outline the design process of the TaSST (Tactile Sleeve for Social Touch), a touch-sensitive vibrotactile arm sleeve. The TaSST was designed to enable two people to communicate different types of touch over a distance. The touch-sensitive surface of the sleeve consists of a grid of

The TaSST: Tactile sleeve for social touch

NARCIS (Netherlands)

Huisman, Gijs; Darriba Frederiks, Aduén; van Dijk, Elisabeth M.A.G.; Heylen, Dirk K.J.; Krose, Ben

In this paper we outline the design process of the TaSST (Tactile Sleeve for Social Touch), a touch-sensitive vibrotactile arm sleeve. The TaSST was designed to enable two people to communicate different types of touch over a distance. The touch-sensitive surface of the sleeve consists of a grid of

The TaSST - Tactile Sleeve for Social Touch

NARCIS (Netherlands)

Huisman, Gijs; Darriba Frederiks, Aduén; Van Dijk, Betsy; Heylen, Dirk

2013-01-01

In this paper we outline the design process of TaSST (Tactile Sleeve for Social Touch), a touch-sensitive vibrotactile arm sleeve. The TaSST was designed to enable two people to communicate different types of touches over a distance. The touch-sensitive surface of the sleeve consists of a grid of

A new system for crack closure of cementitious materials using shrinkable polymers

International Nuclear Information System (INIS)

Jefferson, Anthony; Joseph, Christopher; Lark, Robert; Isaacs, Ben; Dunn, Simon; Weager, Brendon

2010-01-01

This paper presents details of an original crack-closure system for cementitious materials using shrinkable polymer tendons. The system involves the incorporation of unbonded pre-oriented polymer tendons in cementitious beams. Crack closure is achieved by thermally activating the shrinkage mechanism of the restrained polymer tendons after the cement-based material has undergone initial curing. The feasibility of the system is demonstrated in a series of small scale experiments on pre-cracked prismatic mortar specimens. The results from these tests show that, upon activation, the polymer tendon completely closes the preformed macro-cracks and imparts a significant stress across the crack faces. The potential of the system to enhance the natural autogenous crack healing process and generally improve the durability of concrete structures is addressed.

Intra-thoracic Sleeve Migration (ITSM): an Underreported Phenomenon After Laparoscopic Sleeve Gastrectomy.

Science.gov (United States)

Saber, Alan A; Shoar, Saeed; Khoursheed, Mousa

2017-08-01

Despite its technical simplicity, laparoscopic sleeve gastrectomy (LSG) complications are increasingly reported. Intra-thoracic sleeve migration (ITSM ) is a rare complication after LSG which has been inconsistently addressed in the literature. The purpose of this study was to emphasize ITSM occurrence after LSG and evaluate the perioperative factors associated with its development. Between January and July 2016, LSG patients diagnosed with ITSM at two bariatric surgery departments were identified. Perioperative factors were assessed for all the patients and compared between two groups, LSG alone and LSG with concomitant hiatal hernia (HH) repair (HHR). A total of 19 patients (6 males and 13 females) were included. Central obesity was present in 18 patients (94.7%). Nine patients (47.4%) had concomitant hiatal hernia repair during their original LSG. Post-LSG GERD (94.7%) (38.9% de novo and 61.1% recurrent) and post-LSG constipation (57.9%) were commonly associated with ITSM. Severe refractory GERD was the most common presentation for ITSM (94.7%), followed by epigastric pain (47.4%), persistent nausea/vomiting (36.8%), and dysphagia (21.1%). Time interval between primary LSG and ITSM diagnosis ranged from 1 day to 3 years. Patients with LSG and concomitant HHR presented with higher post-LSG BMI compared to the LSG patients (37 ± 6.4 kg/m 2 vs. 30.1 ± 6.3 kg/m 2 , p = 0.03). All the patients underwent successful reduction of ITSM and subsequent HHR. Central obesity, chronic constipation, post-LSG GERD, and concomitant HHR are commonly seen in post-laparoscopic sleeve gastrectomy intra-thoracic sleeve migration.

Experimental study on heat transfer characteristic of T-junction in cooling system of PWR

International Nuclear Information System (INIS)

Wang Haijun; Lu Donghua; Luo Yushan; Chen Tingkuan

2002-01-01

The local near wall fluid temperature and heat transfer coefficient distribution in three different areas were measured for T-junction with and without thermal sleeve where jet injected vertically down to the main flow. Flow with velocity ratio between 0.01 and 1.5 were measured. The diameter ratio of jet pipe to main pipe is 0.16. It was found at that downstream of the jet, the thermal sleeve has little effect on heat transfer. At the inlet of the jet and inside the jet tube, the thermal sleeve distinctly affect heat transfer coefficient and near wall fluid temperature. The thermal sleeve's effect is more marked when the velocity ratio becomes larger

All carbon coaxial supercapacitors based on hollow carbon nanotube sleeve structure

International Nuclear Information System (INIS)

Zang, Xiaobei; Xu, Ruiqiao; Zhang, Yangyang; Zhang, Li; Wei, Jinquan; Wang, Kunlin; Zhu, Hongwei; Li, Xinming

2015-01-01

All carbon coaxial supercapacitors based on hollow carbon nanotube (CNT) sleeve structure are assembled and tested. The key advantage of the structure is that the inner core electrode is variable from CNT sleeve sponges, to CNT fibers, reduced graphene oxide fibers, and graphene woven fabrics. By changing core electrodes from sleeve sponges to CNT fibers, the electrochemical performance has been significantly enhanced. The capacitance based on sleeve sponge + CNT fiber double the capacitances of double-sleeve sponge supercapacitors thanks to reduction of the series and internal resistances. Besides, the coaxial sleeve structure possesses many other features, including high rate capacitance, long cycle life, and good flexibility. (paper)

Thermoelastic/plastic analysis of waste-container sleeve: III. Influence of salt strength on sleeve loading. Technical memorandum report (RSI-0018)

International Nuclear Information System (INIS)

Pariseau, W.G.

1975-01-01

Three combinations of salt tensile, compressive and shear strength in linear and nonlinear yield conditions used in the axially symmetric, large displacement thermoelastic/plastic waste-container/sleeve loading estimates show no influence on the analysis. The salt remains elastic throughout the excavation and subsequent 10 year heating period. Tensile stresses are not observed, tensile strength is thus not important to the analysis even at 10 percent of the compressive strength value. Although strictly applicable only to the conditions of the analyses reported here, the capability for incorporating arbitrary strength combinations in linear or non-linear yield conditions is demonstrated. Computer plots of principal stresses and displacement fields at various stages of the excavation and heating simulation aid in the visualization of repository concept mechanics and show the possible need for additional mesh refinement for more precise stress information

Extending service life of steam generators by sleeving tubes

International Nuclear Information System (INIS)

Gutzwiller, J.E.

1982-01-01

Steam generator tubes that are failing due to IGA in the tubesheet crevice can be kept in service by using the basic sealable sleeve design developed by BandW. Variations of the present sleeve design could significantly reduce the number of tubes that must be plugged each year. Sleeving had the potential of keeping 28 percent more tubes in service during 1979. Lowering the overall rate at which tubes are removed from service by plugging will reduce the probability of having to derate the plant or replace the steam generator. Considering tomorrow's replacement power costs, sleeving to keep tubes in service is a practical and sound investment

Characterization and Surgical Management of Achilles Tendon Sleeve Avulsions.

Science.gov (United States)

Huh, Jeannie; Easley, Mark E; Nunley, James A

2016-06-01

An Achilles sleeve avulsion occurs when the tendon ruptures distally from its calcaneal insertion as a continuous "sleeve." This relatively rare injury pattern may not be appreciated until the time of surgery and can be challenging to treat because, unlike a midsubstance rupture, insufficient tendon remains on the calcaneus to allow for end-to-end repair, and unlike a tuberosity avulsion fracture, any bony element avulsed with the tendon is inadequate for internal fixation. This study aimed to highlight the characteristics of Achilles sleeve avulsions and present the outcomes of operative repair using suture anchor fixation. A retrospective analysis was conducted on 11 consecutive Achilles tendon sleeve avulsions (10 males, 1 female; mean age 44 years) that underwent operative repair between 2008 and 2014. Patient demographics, injury presentation, and operative details were reviewed. Postoperative outcomes were collected at a mean follow-up of 38.4 (range, 12-83.5) months, including the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot score, visual analog scale (VAS) for pain, plantarflexion strength, patient satisfaction, and complications. Eight patients (72.7%) had preexisting symptoms of insertional Achilles disease. Ten of 11 (90.9%) injuries were sustained during recreational athletic activity. An Achilles sleeve avulsion was recognized preoperatively in 7 of 11 (64%) cases, where lateral ankle radiographs demonstrated a small radiodensity several centimeters proximal to the calcaneal insertion. Intraoperatively, 90.9% of sleeve avulsions had a concomitant Haglund deformity and macroscopic evidence of insertional tendinopathy. All patients healed after suture anchor repair. The average AOFAS score was 92.8 and VAS score was 0.9. Ten patients (90.9%) were completely satisfied. One complication occurred, consisting of delayed wound healing. Achilles tendon sleeve avulsions predominantly occurred in middle-aged men with preexisting insertional

Modeling and testing of a knitted-sleeve fluidic artificial muscle

Science.gov (United States)

Ball, Erick J.; Meller, Michael A.; Chipka, Jordan B.; Garcia, Ephrahim

2016-11-01

The knitted-sleeve fluidic muscle is similar in design to a traditional McKibben muscle, with a separate bladder and sleeve. However, in place of a braided sleeve, it uses a tubular-knit sleeve made from a thin strand of flexible but inextensible yarn. When the bladder is pressurized, the sleeve expands by letting the loops of fiber slide past each other, changing the dimensions of the rectangular cells in the stitch pattern. Ideally, the internal volume of the sleeve would reach a maximum when its length has contracted by 2/3 from its maximum length, and although this is not reachable in practice, preliminary tests show that free contraction greater than 50% is achievable. The motion relies on using a fiber with a low coefficient of friction in order to reduce hysteresis to an acceptable level. In addition to increased stroke length, potential advantages of this technique include slower force drop-off during the stroke, more useable energy in certain applications, and greater similarity to the force-length relationship of skeletal muscle. Its main limitation is its potentially greater effect from friction compared to other fluidic muscle designs.

PLUSS-A weldless leaktight sleeve for alloy 600/690 steam generator tubes

International Nuclear Information System (INIS)

Potz, F.; Bohmann, W.

1998-01-01

The ABB PLUSS sleeving represents a new SG tube repair technique qualified and approved to replace in the future most of the plugging as well as welded sleeving. Basically the advantages of an innovative combination of both alloys 600/690 and 800 are taken into consideration. The upper sleeve/SG tube-joint is hydraulically expanded stressing the SG tube only within the elastic range. The lower joint is hard rolled. The installation processes are simple and reproducible, fast, computerized and individually recorded. The operating temperature range of the sleeved SG-tube is effectively reduced so that any further corrosion is impeded. Both, sleeve and SG tube are fully inspectable by ECT. (author)

What matters after sleeve gastrectomy: patient characteristics or surgical technique?

Science.gov (United States)

Dhar, Vikrom K; Hanseman, Dennis J; Watkins, Brad M; Paquette, Ian M; Shah, Shimul A; Thompson, Jonathan R

2018-03-01

The impact of operative technique on outcomes in laparoscopic sleeve gastrectomy has been explored previously; however, the relative importance of patient characteristics remains unknown. Our aim was to characterize national variability in operative technique for laparoscopic sleeve gastrectomy and determine whether patient-specific factors are more critical to predicting outcomes. We queried the database of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program for laparoscopic sleeve gastrostomies performed in 2015 (n = 88,845). Logistic regression models were used to determine predictors of postoperative outcomes. In 2015, >460 variations of laparoscopic sleeve gastrectomy were performed based on combinations of bougie size, distance from the pylorus, use of staple line reinforcement, and oversewing of the staple line. Despite such substantial variability, technique variants were not predictive of outcomes, including perioperative morbidity, leak, or bleeding (all P ≥ .05). Instead, preoperative patient characteristics were found to be more predictive of these outcomes after laparoscopic sleeve gastrectomy. Only history of gastroesophageal disease (odds ratio 1.44, 95% confidence interval 1.08-1.91, P < .01) was associated with leak. Considerable variability exists in technique among surgeons nationally, but patient characteristics are more predictive of adverse outcomes after laparoscopic sleeve gastrectomy. Bundled payments and reimbursement policies should account for patient-specific factors in addition to current accreditation and volume thresholds when deciding risk-adjustment strategies. Copyright © 2018 Elsevier Inc. All rights reserved.

Improved design and durability of aluminum die casting horizontal shot sleeves

Science.gov (United States)

Birceanu, Sebastian

The design and performance of shot sleeves is critical in meeting the engineering requirements of aluminum die cast parts. Improvement in shot sleeve materials have a major impact on dimensional stability, reproducibility and quality of the product. This investigation was undertaken in order to improve the life of aluminum die casting horizontal shot sleeves. Preliminary pin tests were run to evaluate the soldering, wash-out and thermal fatigue behavior of commercially available materials and coatings. An experimental rig was designed and constructed for shot sleeve configuration evaluation. Fabrication and testing of experimental shot sleeves was based upon preliminary results and manufacturing costs. Three shot sleeve designs and materials were compared to a reference nitrided H13 sleeve. Nitrided H13 is the preferred material for aluminum die casting shot sleeves because of wear resistance, strength and relative good soldering and wash-out resistance. The study was directed towards damage evaluation on the area under the pouring hole. This area is the most susceptible to damage because of high temperatures and impingement of molten aluminum. The results of this study showed that tungsten and molybdenum had the least amount of soldering and wash-out damage, and the best thermal fatigue resistance. Low solubility in molten aluminum and stability of intermetallic layers are main factors that determine the soldering and wash-out behavior. Thermal conductivity and thermal expansion coefficient directly influence thermal fatigue behavior. TiAlN nanolayered coating was chosen as the material with the best damage resistance among several commercial PVD coatings, because of relatively large thickness and simple deposition conditions. The results show that molybdenum thermal sprayed coating provided the best protection against damage under the pouring hole. Improved bonding is however required for life extension of the coating. TiAlN PVD coating applied on H13 nitrided

Root cause analysis of SI line-seated thermal sleeve separation failures

International Nuclear Information System (INIS)

Jo, Jong Chull; Jhung, Myung Jo; Kim, Hho Jung

2004-01-01

At conventional pressurized water reactors, a thermal sleeve (named simply 'sleeve' hereafter) is seated inside the nozzle part of each Safety Injection (SI) branch pipe to prevent and relieve potential excessive transient thermal stress in the nozzle wall when a cold water is injected during the safety injection mode Recently, mechanical failures that the sleeves are separated from the SI branch pipe and fall into the connected cold leg main pipe were occurred in sequence at Yonggwang units 5 and 6 and Ulchin unit 5. There were many activities and efforts to figure out the causes of those failures with experts' reasoning, but the proposed causes were derived from superficial views rather than physically concrete grounds or analysis results. The prerequisites to find out the root causes of failure mechanism will be to identify the flow situation in the pipe junction area connecting the cold leg with the SI pipe and to know the vibration characteristics of sleeves. This paper investigates the flow field in the pipe junction thru a numerical simulation and vibration characteristics of thermal sleeves thru a modal analysis, from which the root causes of sleeve separation mechanism are analyzed

Sleeve Muscle Actuator and Its Application in Transtibial Prostheses

Science.gov (United States)

Zheng, Hao; Shen, Xiangrong

2014-01-01

This paper describes the concept of a new sleeve muscle actuator, and a transtibial prosthesis design powered by this novel actuator. Inspired by the functioning mechanism of the traditional pneumatic muscle actuator, the sleeve muscle actuator incorporates a cylindrical insert to the center of the pneumatic muscle, which eliminates the central portion of the internal volume. As a result of this change, the sleeve muscle provides multiple advantages over the traditional pneumatic muscle, including the increased force capacity over the entire range of motion, reduced energy consumption, and faster dynamic response. Furthermore, utilizing the load-bearing tube as the insert, the sleeve muscle enables an innovative “actuation-load bearing” structure, which has a potential of generating a highly compact actuation system suitable for prosthetic use. Utilizing this new actuator, the preliminary design of a transtibial prosthesis is presented, which is able to provide sufficient torque output and range of motion for a 75 Kg amputee user in level walking. PMID:24187262

Sleeve gastrectomy and gastro-oesophageal reflux disease: a complex relationship.

Science.gov (United States)

Mahawar, Kamal K; Jennings, Neil; Balupuri, Shlok; Small, Peter K

2013-07-01

Sleeve gastrectomy is rapidly becoming popular as a standalone bariatric operation. At the same time, there are valid concerns regarding its long-term durability and postoperative gastro-oesophageal reflux disease. Though gastric bypass remains the gold standard bariatric operation, it is not suitable for all patients. Sleeve gastrectomy is sometimes the only viable option. Patients with inflammatory bowel disease, liver cirrhosis, significant intra-abdominal adhesions involving small bowel and those reluctant to undergo gastric bypass could fall in this category. It is widely recognised that some patients report worsening of their gastro-oesophageal reflux disease after sleeve gastrectomy. Still, others develop de novo reflux. This review examines if it is possible to identify these patients prior to surgery and thus prevent postoperative gastro-oesophageal reflux disease after sleeve gastrectomy.

Sleeve type repair of degraded nuclear steam generator tubes

International Nuclear Information System (INIS)

Ayres, P.S.; Stark, L.E.; Feldstein, J.G.; Fu, T.

1986-01-01

A sealable sleeve is described for insertion into the repair of a degraded tube which consists of: a hollow core inner member of the same material as the degraded tube; a thinner outer member of substantially pure nickel and resistant to corrosive attack, the outer member being metallurgically bonded with the inner member; an expanded portion of the sleeve at one end for positioning in the tube within a tube sheet; a multiplicity of grooves formed in and adjacent to the other end of the sleeve which extends into the free-standing portion of the tube beyond the tube sheet, and a noble metal braze material contained in the grooves

Self Touch to Touch Others: Designing the Tactile Sleeve for Social Touch

NARCIS (Netherlands)

Huisman, G.; Darriba Frederiks, A.; van Dijk, B.; Kröse, B.; Heylen, D.

2013-01-01

In this paper we present the concept and initial design stages of the TaSST (Tactile Sleeve for Social Touch). The TaSST consists of a soft pressure-sensitive input layer, and an output layer containing vibration motors. A touch to ones own sleeve is felt as a vibration on the sleeve of another

Self touch to touch others : designing the tactile sleeve for social touch

NARCIS (Netherlands)

Huisman, Gijs; Darriba Frederiks, Aduén; Heylen, Dirk; Van Dijk, Betsy; Kröse, Ben

2013-01-01

In this paper we present the concept and initial design stages of the TaSST (Tactile Sleeve for Social Touch). The TaSST consists of a soft pressure-sensitive input layer, and an output layer containing vibration motors. A touch to ones own sleeve is felt as a vibration on the sleeve of another

Dysphagia after vertical sleeve gastrectomy: Evaluation of risk factors and assessment of endoscopic intervention.

Science.gov (United States)

Nath, Anand; Yewale, Sayali; Tran, Tung; Brebbia, John S; Shope, Timothy R; Koch, Timothy R

2016-12-21

To evaluate the risks of medical conditions, evaluate gastric sleeve narrowing, and assess hydrostatic balloon dilatation to treat dysphagia after vertical sleeve gastrectomy (VSG). VSG is being performed more frequently worldwide as a treatment for medically-complicated obesity, and dysphagia is common post-operatively. We hypothesize that post-operative dysphagia is related to underlying medical conditions or narrowing of the gastric sleeve. This is a retrospective, single institution study of consecutive patients who underwent sleeve gastrectomy from 2013 to 2015. Patients with previous bariatric procedures were excluded. Narrowing of a gastric sleeve includes: inability to pass a 9.6 mm gastroscope due to stenosis or sharp angulation or spiral hindering its passage. Of 400 consecutive patients, 352 are included; the prevalence of dysphagia is 22.7%; 33 patients (9.3%) have narrowing of the sleeve with 25 (7.1%) having sharp angulation or a spiral while 8 (2.3%) have a stenosis. All 33 patients underwent balloon dilatation of the gastric sleeve and dysphagia resolved in 13 patients (39%); 10 patients (30%) noted resolution of dysphagia after two additional dilatations. In a multivariate model, medical conditions associated with post-operative dysphagia include diabetes mellitus, symptoms of esophageal reflux, a low whole blood thiamine level, hypothyroidism, use of non-steroidal anti-inflammatory drugs, and use of opioids. Narrowing of the gastric sleeve and gastric sleeve stenosis are common after VSG. Endoscopic balloon dilatations of the gastric sleeve resolves dysphagia in 69% of patients.

Weight Loss after Sleeve Gastrectomy in Super Superobesity

Directory of Open Access Journals (Sweden)

J.-M. Catheline

2012-01-01

Full Text Available Objective. This prospective study evaluated laparoscopic sleeve gastrectomy for its safety and efficiency in excess weight loss (%EWL in super superobese patients (BMI >60 Kg/m2. Results. Thirty patients (33 women and 7 men were included, with mean age of 35 years (range 18 to 59. Mean preoperative BMI was 66 Kg/m2 (range 60 to 85. The study included one patient with complete situs inversus and 4 (14% with previous restrictive gastric banding. The mean operative time was 120 minutes (range 80 to 220 min and the mean hospital stay was 7.5 days (4 to 28 days. There was no postoperative mortality or need for a laparotomy conversion. Two subphrenic hematomas, one gastric fistula, and one pulmonary embolism, were the major complications. After 18 months 17 (77% had sufficient weight loss and six had insufficient results, leading to either re-sleeve gastrectomy (3, or gastric bypass (2. Three years after the initial laparoscopic sleeve gastrectomy, the mean EWL was 51% (range 21 to 82. Conclusion. The laparoscopic sleeve gastrectomy is a safe and efficient operating procedure for treating super superobesity. In the case of insufficient weight loss, a second-stage operation like resleeve gastrectomy or gastric bypass can be proposed.

Dysphagia after vertical sleeve gastrectomy: Evaluation of risk factors and assessment of endoscopic intervention

Science.gov (United States)

Nath, Anand; Yewale, Sayali; Tran, Tung; Brebbia, John S; Shope, Timothy R; Koch, Timothy R

2016-01-01

AIM To evaluate the risks of medical conditions, evaluate gastric sleeve narrowing, and assess hydrostatic balloon dilatation to treat dysphagia after vertical sleeve gastrectomy (VSG). METHODS VSG is being performed more frequently worldwide as a treatment for medically-complicated obesity, and dysphagia is common post-operatively. We hypothesize that post-operative dysphagia is related to underlying medical conditions or narrowing of the gastric sleeve. This is a retrospective, single institution study of consecutive patients who underwent sleeve gastrectomy from 2013 to 2015. Patients with previous bariatric procedures were excluded. Narrowing of a gastric sleeve includes: inability to pass a 9.6 mm gastroscope due to stenosis or sharp angulation or spiral hindering its passage. RESULTS Of 400 consecutive patients, 352 are included; the prevalence of dysphagia is 22.7%; 33 patients (9.3%) have narrowing of the sleeve with 25 (7.1%) having sharp angulation or a spiral while 8 (2.3%) have a stenosis. All 33 patients underwent balloon dilatation of the gastric sleeve and dysphagia resolved in 13 patients (39%); 10 patients (30%) noted resolution of dysphagia after two additional dilatations. In a multivariate model, medical conditions associated with post-operative dysphagia include diabetes mellitus, symptoms of esophageal reflux, a low whole blood thiamine level, hypothyroidism, use of non-steroidal anti-inflammatory drugs, and use of opioids. CONCLUSION Narrowing of the gastric sleeve and gastric sleeve stenosis are common after VSG. Endoscopic balloon dilatations of the gastric sleeve resolves dysphagia in 69% of patients. PMID:28058017

Fretting and Corrosion Damage in Taper Adapter Sleeves for Ceramic Heads: A Retrieval Study.

Science.gov (United States)

MacDonald, Daniel W; Chen, Antonia F; Lee, Gwo-Chin; Klein, Gregg R; Mont, Michael A; Kurtz, Steven M; Cates, Harold E; Kraay, Matthew J; Rimnac, Clare M

2017-09-01

During revision surgery with a well-fixed stem, a titanium sleeve can be used in conjunction with a ceramic head to achieve better stress distribution across the taper surface. In vitro testing suggests that corrosion is not a concern in sleeved ceramic heads; however, little is known about the in vivo fretting corrosion of the sleeves. The purpose of this study was to investigate fretting corrosion in sleeved ceramic heads in retrieved total hip arthroplasties. Thirty-seven sleeved ceramic heads were collected during revision. The femoral heads and sleeves were implanted 0.0-3.3 years. The implants were revised predominantly for instability, infection, and loosening. Fifty percent of the retrievals were implanted during a primary surgery. Fretting corrosion was assessed using the Goldberg-Higgs semiquantitative scoring system. Mild-to-moderate fretting corrosion scores (score = 2-3) were observed in 92% of internal tapers, 19% of external tapers, and 78% of the stems. Severe fretting corrosion was observed in 1 stem trunnion that was previously retained during revision surgery and none of the retrieved sleeves. There was no difference in corrosion damage of sleeves used in primary or revision surgery. The fretting corrosion scores in this study were predominantly mild and lower than reported fretting scores of cobalt-chrome heads in metal-on-polyethylene bearings. Although intended for use in revisions, we found that the short-term in vivo corrosion behavior of the sleeves was similar in both primary and revision surgery applications. From an in vivo corrosion perspective, sleeves are a reasonable solution for restoring the stem taper during revision surgery. Copyright © 2017. Published by Elsevier Inc.

Analysis and application of GEWI sleeve weld-ability (Material: C45)

International Nuclear Information System (INIS)

Zhang Weiming; Zhang Hongliu

2010-01-01

Welding may use two kinds of welding process of shielded metal arc welding and CO 2 shielded arc welding between inner ring in nuclear island steel lining (material: P265GH) and GEWI sleeve (material:C45).CO 2 shielded arc welding is often used because of higher welding efficiency, in particular, in condition of plan press, but quality can come into being some problems if we lack strict measures, for example welding procedure. Shielded metal arc welding control easier quality, but welding efficiency is lower. Comparing and analyzing Weld-ability of C45(Medium carbon Quenched and Tempered Steel.) between of shielded metal arc welding and CO 2 shielded arc welding, suggest to use shielded metal arc welding in project practice, and control strict welding procedure measure of pre-heating treatment and Post-heating. (authors)

Use of color-coded sleeve shutters accelerates oscillograph channel selection

Science.gov (United States)

Bouchlas, T.; Bowden, F. W.

1967-01-01

Sleeve-type shutters mechanically adjust individual galvanometer light beams onto or away from selected channels on oscillograph papers. In complex test setups, the sleeve-type shutters are color coded to separately identify each oscillograph channel. This technique could be used on any equipment using tubular galvanometer light sources.

Gastroesophageal Reflux Disease and Sleeve Gastrectomy.

Science.gov (United States)

Melissas, John; Braghetto, Italo; Molina, Juan Carlos; Silecchia, Gianfranco; Iossa, Angelo; Iannelli, Antonio; Foletto, Mirto

2015-12-01

Gastroesophageal reflux disease (GERD) and/or hiatus hernia (HH) are one of the most common disorders of the upper gastrointestinal tract. Despite the positive effect of sleeve gastrectomy (SG) regarding weight loss and improvement in obesity co-morbidities, there are concerns about the development of de novo gastroesophageal reflux disease or worsening the existing GERD after this bariatric operation. Furthermore, controversy exists on the consequences of SG in lower esophageal sphincter function and about the ideal procedure when a hiatus hernia is preoperatively diagnosed or discovered during the laparoscopic SG. This review systematically investigates the incidence, the pathophysiology of GERD and/or HH in morbidly obese individuals before and after SG, and the treatment options for concomitant HH repair during laparoscopic sleeve gastrectomy.

TAPIR, Thermal Analysis of HTGR with Graphite Sleeve Fuel Elements

International Nuclear Information System (INIS)

Weicht, U.; Mueller, W.

1983-01-01

1 - Nature of the physical problem solved: Thermal analysis of a reactor core containing internally and/or externally gas cooled prismatic fuel elements of various geometries, rating, power distribution, and material properties. 2 - Method of solution: A fuel element in this programme is regarded as a sector of a fuelled annulus with graphite sleeves of any shape on either side and optional annular gaps between fuel and graphite and/or within the graphite. It may have any centre angle and the fuelled annulus may become a solid cylindrical rod. Heat generation in the fuel is assumed to be uniform over the cross section and peripheral heat flux into adjacent sectors is ignored. Fuel elements and coolant channels are treated separately, then linked together to fit a specified pattern. 3 - Restrictions on the complexity of the problem: Maxima of: 50 fuel elements; 50 cooled channels; 25 fuel geometries; 25 coolant channel geometries; 10 axial power distributions; 10 graphite conductivities

Development of on line automatic separation device for apple and sleeve

Science.gov (United States)

Xin, Dengke; Ning, Duo; Wang, Kangle; Han, Yuhang

2018-04-01

Based on STM32F407 single chip microcomputer as control core, automatic separation device of fruit sleeve is designed. This design consists of hardware and software. In hardware, it includes mechanical tooth separator and three degree of freedom manipulator, as well as industrial control computer, image data acquisition card, end effector and other structures. The software system is based on Visual C++ development environment, to achieve localization and recognition of fruit sleeve with the technology of image processing and machine vision, drive manipulator of foam net sets of capture, transfer, the designated position task. Test shows: The automatic separation device of the fruit sleeve has the advantages of quick response speed and high separation success rate, and can realize separation of the apple and plastic foam sleeve, and lays the foundation for further studying and realizing the application of the enterprise production line.

Esophageal adenocarcinoma five years after laparoscopic sleeve gastrectomy. A case report

Directory of Open Access Journals (Sweden)

Fernando Gabriel Wright

2017-01-01

Conclusion: We present a case of an esophageal adenocarcinoma five years after a laparoscopic sleeve gastrectomy for morbid obesity. There is need to better determine the relationship between sleeve gastrectomy and gastroesophageal reflux disease in order to prevent its related complications, such as esophageal adenocarcinoma.

Crimped braided sleeves for soft, actuating arm in robotic abdominal surgery.

Science.gov (United States)

Elsayed, Yahya; Lekakou, Constantina; Ranzani, Tommaso; Cianchetti, Matteo; Morino, Mario; Arezzo, Alberto; Menciassi, Arianna; Geng, Tao; Saaj, Chakravarthini M

2015-01-01

This paper investigates different types of crimped, braided sleeve used for a soft arm for robotic abdominal surgery, with the sleeve required to contain balloon expansion in the pneumatically actuating arm while it follows the required bending, elongation and diameter reduction of the arm. Three types of crimped, braided sleeves from PET (BraidPET) or nylon (BraidGreyNylon and BraidNylon, with different monofilament diameters) were fabricated and tested including geometrical and microstructural characterisation of the crimp and braid, mechanical tests and medical scratching tests for organ damage of domestic pigs. BraidPET caused some organ damage, sliding under normal force of 2-5 N; this was attributed to the high roughness of the braid pattern, the higher friction coefficient of polyethylene terephthalate (PET) compared to nylon, and the high frequency of the crimp peaks for this sleeve. No organ damage was observed for the BraidNylon, attributed to both the lower roughness of the braid pattern and the low friction coefficient of nylon. BraidNylon also required the lowest tensile force during its elongation to similar maximum strain as that of BraidPET, translating to low power requirements. BraidNylon is recommended for the crimped sleeve of the arm designed for robotic abdominal surgery.

Design of a Soft Robotic Elbow Sleeve with Passive and Intent-Controlled Actuation

Directory of Open Access Journals (Sweden)

Tze Hui Koh

2017-10-01

Full Text Available The provision of continuous passive, and intent-based assisted movements for neuromuscular training can be incorporated into a robotic elbow sleeve. The objective of this study is to propose the design and test the functionality of a soft robotic elbow sleeve in assisting flexion and extension of the elbow, both passively and using intent-based motion reinforcement. First, the elbow sleeve was developed, using elastomeric and fabric-based pneumatic actuators, which are soft and lightweight, in order to address issues of non-portability and poor alignment with joints that conventional robotic rehabilitation devices are faced with. Second, the control system was developed to allow for: (i continuous passive actuation, in which the actuators will be activated in cycles, alternating between flexion and extension; and (ii an intent-based actuation, in which user intent is detected by surface electromyography (sEMG sensors attached to the biceps and triceps, and passed through a logic sequence to allow for flexion or extension of the elbow. Using this setup, the elbow sleeve was tested on six healthy subjects to assess the functionality of the device, in terms of the range of motion afforded by the device while in the continuous passive actuation. The results showed that the elbow sleeve is capable of achieving approximately 50% of the full range of motion of the elbow joint among all subjects. Next, further experiments were conducted to test the efficacy of the intent-based actuation on these healthy subjects. The results showed that all subjects were capable of achieving electromyography (EMG control of the elbow sleeve. These preliminary results show that the elbow sleeve is capable of carrying out continuous passive and intent-based assisted movements. Further investigation of the clinical implementation of the elbow sleeve for the neuromuscular training of neurologically-impaired persons, such as stroke survivors, is needed.

Left lower lobe sleeve lobectomy for lung cancer using the Da Vinci surgical system.

Science.gov (United States)

Zhao, Yandong; Jiao, Wenjie; Ren, Xiaoyang; Zhang, Liangdong; Qiu, Tong; Fu, Bo; Wang, Lei

2016-04-12

Despite the robotic surgery is widely applied, sleeve lobectomy for lung cancer using the Da Vinci surgical system is still less performed. We described a sleeve lobectomy for adenocarcinoma located at the left lower lobe using the Da Vinci surgical system. A case of 57-year old female referred to our hospital. Computed tomography scan showed an occupation located at the left lower lobe and adenocarcinoma project from the lobe bronchus was diagnosed by bronchoscope examination. A sleeve lobectomy was performed using the Da Vinci surgical system and the postoperative recovery was uneventful. Robotic thoracic surgery is feasible to perform sleeve lobectomy inspite of inadequate experience.

Sleeve Push Technique: A Novel Method of Space Gaining.

Science.gov (United States)

Verma, Sanjeev; Bhupali, Nameksh Raj; Gupta, Deepak Kumar; Singh, Sombir; Singh, Satinder Pal

2018-01-01

Space gaining is frequently required in orthodontics. Multiple loops were initially used for space gaining and alignment. The most common used mechanics for space gaining is the use of nickel-titanium open coil springs. The disadvantage of nickel-titanium coil spring is that they cannot be used until the arches are well aligned to receive the stiffer stainless steel wires. Therefore, a new method of gaining space during initial alignment and leveling has been developed and named as sleeve push technique (SPT). The nickel-titanium wires, i.e. 0.012 inches and 0.014 inches along with archwire sleeve (protective tubing) can be used in a modified way to gain space along with alignment. This method helps in gaining space right from day 1 of treatment. The archwire sleeve and nickel-titanium wire in this new SPT act as a mutually synergistic combination and provide the orthodontist with a completely new technique for space opening.

Sleeve push technique: A novel method of space gaining

Directory of Open Access Journals (Sweden)

Sanjeev Verma

2018-01-01

Full Text Available Space gaining is frequently required in orthodontics. Multiple loops were initially used for space gaining and alignment. The most common used mechanics for space gaining is the use of nickel–titanium open coil springs. The disadvantage of nickel–titanium coil spring is that they cannot be used until the arches are well aligned to receive the stiffer stainless steel wires. Therefore, a new method of gaining space during initial alignment and leveling has been developed and named as sleeve push technique (SPT. The nickel–titanium wires, i.e. 0.012 inches and 0.014 inches along with archwire sleeve (protective tubing can be used in a modified way to gain space along with alignment. This method helps in gaining space right from day 1 of treatment. The archwire sleeve and nickel–titanium wire in this new SPT act as a mutually synergistic combination and provide the orthodontist with a completely new technique for space opening.

Dysphagia after vertical sleeve gastrectomy: Evaluation of risk factors and assessment of endoscopic intervention

OpenAIRE

Nath, Anand; Yewale, Sayali; Tran, Tung; Brebbia, John S; Shope, Timothy R; Koch, Timothy R

2016-01-01

AIM To evaluate the risks of medical conditions, evaluate gastric sleeve narrowing, and assess hydrostatic balloon dilatation to treat dysphagia after vertical sleeve gastrectomy (VSG). METHODS VSG is being performed more frequently worldwide as a treatment for medically-complicated obesity, and dysphagia is common post-operatively. We hypothesize that post-operative dysphagia is related to underlying medical conditions or narrowing of the gastric sleeve. This is a retrospective, single insti...

Patellar Sleeve Fracture With Ossification of the Patellar Tendon.

Science.gov (United States)

Damrow, Derek S; Van Valin, Scott E

2017-03-01

Patellar sleeve fractures make up greater than 50% of all patellar fractures. They are essentially only seen in the pediatric population because of the thick periosteum and the distal patellar pole apophysis in this group. These fractures can lead to complications if not treated appropriately and in a timely fashion. Complications of missed or untreated patellar sleeve fractures include patella alta, anterior knee pain, and quadriceps atrophy. These can all result in severe limitations in activity. The authors describe a case of a 16-year-old boy who sustained a patellar sleeve fracture 3 years prior to presentation. On presentation, he had patella alta, diminished strength, 5° of extensor lag, and radiographs that revealed bone formation along the patellar tendon. Despite this, he was able to maintain a high level of activity. This case report explores how the patient could have maintained a high level of activity despite having a patellar sleeve fracture. Also, because of the delayed presentation, the patella was ossified and the quadriceps was retracted, which led to a novel approach to reconstructing his distal extensor mechanism. This approach included a V-Y advancement of the quadriceps tendon and patellar tendon reconstruction using the patient's hamstring tendon (semitendinosus). This technique, combined with physical therapy postoperatively, resulted in his return to varsity high school soccer. To the best of the authors' knowledge, this technique has not been reported for this rare condition. [Orthopedics. 2017; 40(2):e357-e359.]. Copyright 2016, SLACK Incorporated.

Experimental Qualification of the Sleeved Pin Multilink Attachment for Divertor PFC's

International Nuclear Information System (INIS)

Poutanen, J.; McCallum, A.; Turner, A.; Merola, M.

2006-01-01

The latest design for connecting the limited life ITER divertor plasma facing components (PFC's) to the reusable cassette body is the so called sleeved pin multilink attachment. The connection is made by expanding a 43 mm diameter hollow AlBr pin inside the fixation holes of components of the cassette body and PFC by a swaging process. The multilink is an easy, safe and fast assembly method, but the original dismantling method of drilling out the pin was found troublesome. Therefore, in the latest attachment design a thin sleeve is incorporated between the pin and the holes, which makes it possible to dismantle the joint by simply pulling out the pin and sleeve sequentially. Experimental qualification of the new sleeved design is now proceeding. The aim of the experimental qualification is to prove that the sleeved design meets the requirements of load carrying capability, clearance free connection, and easy and safe removal. Associated analytical studies were performed to develop and verify theoretical models and correlations for use in design. Results from the experimental qualification will provide reference information for developing tools for making and removing the connection. Theoretical finite element models in association with the results of earlier test campaigns with nonsleeved design were used to determine pin expansion parameters. The expansion parameters were verified with plate-pin tests measuring contact pressures produced by pin expansion. The plate-pin tests were also used to demonstrate the feasibility of pin removal and develop pin removal methodology. The mechanical capabilities of the connection design are being examined with test series of cyclic tensile loading plus articulation-induced loading of a single connection mock-up. Remaking properties of the attachment are being studied with multiple swaging and removing of the pin into the fixation holes. Finally the dismantling of the connection will be examined with full length pin extraction

Analgesic Effect of Intraperitoneal Bupivacaine Hydrochloride After Laparoscopic Sleeve Gastrectomy: a Randomized Clinical Trial.

Science.gov (United States)

Alamdari, Nasser Malekpour; Bakhtiyari, Mahmood; Gholizadeh, Barmak; Shariati, Catrine

2018-03-01

The indications for sleeve gastrectomy as a primary procedure for the surgical treatment of morbid obesity have increased worldwide. Pain is the most common complaint for patients on the first day after laparoscopic sleeve gastrectomy. There are various methods for decreasing pain after laparoscopic sleeve gastrectomy such as the use of intraperitoneal bupivacaine hydrochloride. This clinical trial was an attempt to discover the effects of intraperitoneal bupivacaine hydrochloride on alleviating postoperative pain after laparoscopic sleeve gastrectomy. In general, 120 patients meeting the inclusion criteria were enrolled. Patients were randomly allocated into two interventions and control groups using a balanced block randomization technique. One group received intraperitoneal bupivacaine hydrochloride (30 cm 3 ), and the other group served as the control one and did not receive bupivacaine hydrochloride. Diclofenac suppository and paracetamol injection were administered to both groups for postoperative pain management. The mean subjective postoperative pain score was significantly decreased in patients who received intraperitoneal bupivacaine hydrochloride within the first 24 h after the surgery; thus, the instillation of bupivacaine hydrochloride was beneficial in managing postoperative pain. The intraoperative peritoneal irrigation of bupivacaine hydrochloride (30 cm 3 , 0.25%) in sleeve gastrectomy patients was safe and effective in reducing postoperative pain, nausea, and vomiting (IRCT2016120329181N4).

Gamma irradiation effect on thermo shrink polyethylene tube: Case study

International Nuclear Information System (INIS)

Naurah Mat Isa; Siti Zulaiha Hairaldin; Mohd Yusof Hamzah; Zulkafli Ghazali

2010-01-01

The production technology of heat shrinkable tubes is based on the industrial usage of so-called memory effect in some polymers. Many polymers can be rendered heat shrinkable, particularly polyolefins by introducing crosslinking in the polymer backbone. Heat shrinkable tubes and moulded parts provide mechanical and/or chemical and/or electrical protection. . In this work, irradiation from Co-60 was used to impart crosslinking in polymer and thus modify their mechanical and thermal properties. Heat shrinkable or thermo shrink polyethylene (PE) tube with diameter 6.4 mm was selected to evaluate crosslinking behaviour from the gamma irradiation exposure at 5 different doses (120, 140, 160, 200 and 220 kGy). The gel content (%), tensile properties and thermal behavior and stability of the tubes were measured using DSC and TGA. Tubes irradiated at 140 kGy and 160 kGy showed better tensile properties than those at 120, 200 and 220 kGy doses. Maximum percent of crystallization was observed at 160 kGy and temperature required to crystallize is lower than melting temperature due to changes in molecular orientation. Thermal decomposition of the irradiated tubes occurred at 430-450 degree Celsius which is lower than the unirradiated sample. Gel content analysis for samples irradiated at 180-220 kGy yield up to 30 to 40 % gel fraction. Although the gel fractions are higher than other dose, the samples are expected to experience chain scission presumably due to localized gel formation. (author)

ENDOSCOPIC SLEEVE GASTROPLASTY FOR OBESITY TREATMENT: TWO YEARS OF EXPERIENCE.

Science.gov (United States)

Lopez-Nava, Gontrand; Galvão, M P; Bautista-Castaño, I; Fernandez-Corbelle, J P; Trell, M; Lopez, N

2017-01-01

Bariatric endoscopic techniques are minimally invasive and induce gastric volume reduction to treat obesity. Aim : To evaluate endoscopic sleeve gastroplasty (Apollo method) using a suturing method directed at the greater curvature, as well as the perioperative care, two year safety and weight loss. Prospective single-center study over 154 patients (108 females) using the endoscopic sleeve gastroplasty procedure under general anesthesia with overnight inpatient observation. Of the154 initial patients, 143 were available for 1-month of follow-up, 133 for 6-month, 64 for 12-month and 28 completed the 24 month assessment. Follow-up was carried out by a multidisciplinary team (nutritionist and psychologist). Outcomes evaluated were: change in BMI; change in body weight (TBWL); % of loss of initial body weight (%TBWL); % of excess body weight loss (%EWL) (segregated in > or 25% %EWL. There were no mayor adverse events intraprocedure or during the 24 months of follow-up . Endoscopic sleeve gastroplasty with regular monitoring by a multidisciplinary team can be considered an effective, safe and well tolerated procedure for obesity treatment, at least for two years of follow-up. As técnicas de endoscopia bariátrica são minimamente invasivas e induzem à redução do volume gástrico para tratar a obesidade. Avaliar a gastroplastia sleeve endoscópica (método Apollo) usando um método de sutura direcionado para a grande curvatura, bem como os cuidados perioperatórios, segurança em dois anos e perda de peso. Estudo prospectivo em um único centro com 154 pacientes (108 mulheres) usando o procedimento endoscópico de gastroplastia sleeve sob anestesia geral com observação do paciente internado durante a noite. Dos 154 pacientes iniciais, 143 estiveram disponíveis para acompanhamento de um mês, 133 durante seis meses, 64 durante 12 meses e 28 completaram a avaliação de 24 meses. O acompanhamento foi realizado por equipe multidisciplinar (nutricionista e psic

'Stent in a stent'--an alternative technique for removing partially covered stents following sleeve gastrectomy complications.

Science.gov (United States)

Vasilikostas, Georgios; Sanmugalingam, Nimalan; Khan, Omar; Reddy, Marcus; Groves, Chris; Wan, Andrew

2014-03-01

Endoscopic stenting is a relatively new technique for the treatment of post sleeve gastrectomy complications. Partially covered stents are used in this method to minimise the risk of migration but they are associated with difficulties with removal. Patients requiring emergency stenting following sleeve gastrectomy underwent insertion of a partially covered metallic stent. One month later, if the stent was not easily removable, a fully covered overlapping stent was inserted and the patient was readmitted 2 weeks later for removal of both stents. Four patients required stenting following sleeve gastrectomy leaks, and one patient required stenting for a stricture. In these cases, a 'stent in a stent' technique was used for removal. This technique allows the safe removal of partially covered stents inserted following sleeve gastrectomy complications.

Optimization of temperature field of tobacco heat shrink machine

Science.gov (United States)

Yang, Xudong; Yang, Hai; Sun, Dong; Xu, Mingyang

2018-06-01

A company currently shrinking machine in the course of the film shrinkage is not compact, uneven temperature, resulting in poor quality of the shrinkage of the surface film. To solve this problem, the simulation and optimization of the temperature field are performed by using the k-epsilon turbulence model and the MRF model in fluent. The simulation results show that after the mesh screen structure is installed at the suction inlet of the centrifugal fan, the suction resistance of the fan can be increased and the eddy current intensity caused by the high-speed rotation of the fan can be improved, so that the internal temperature continuity of the heat shrinkable machine is Stronger.

Study on grout-filled coupling steel sleeve; Kokan sleeve wo mochiita grout jutenshiki tekkin tsugite ni kansuru kenkyu

Energy Technology Data Exchange (ETDEWEB)

Hayashi, Y. [Osaka University, Osaka (Japan)

1997-06-01

Newly designed grout-filled coupling sleeve is discussed, which uses as the sleeve an electric resistance welded tube with protrusions formed in a checker pattern on its inner wall and is capable of using various premixed grouting materials available on the market. Specimens are subjected to uniaxial tensile loading and positive/negative cyclic loading, and the impact of various factors on the basic performance of the specimens and their stress/distortion characteristics at local spots in the reinforcing bar are disclosed. In the positive/negative cyclic loading in the plastic region, however, such findings are not obtained. In view of the stress/distortion characteristics at local spots in the reinforcing bar, a method is proposed for estimating the coupling strength and fracture type. A method for estimating the deformation behavior of the coupling, however, is not proposed. Investigations are conducted into the manufacture and installation of the grout holding framework, coupling fixing jigs, plugs, etc., and it is found that precasting should be studied in the future. 38 refs., 156 figs., 30 tabs.

Sleeve gastrectomy effects on hunger, satiation, and gastrointestinal hormone and motility responses after a liquid meal test.

Science.gov (United States)

Mans, Esther; Serra-Prat, Mateu; Palomera, Elisabet; Suñol, Xavier; Clavé, Pere

2015-09-01

The relation between hunger, satiation, and integrated gastrointestinal motility and hormonal responses in morbidly obese patients after sleeve gastrectomy has not been determined. The objective was to assess the effects of sleeve gastrectomy on hunger, satiation, gastric and gallbladder motility, and gastrointestinal hormone response after a liquid meal test. Three groups were studied: morbidly obese patients (n = 16), morbidly obese patients who had had sleeve gastrectomy (n = 8), and nonobese patients (n = 16). The participants fasted for 10 h and then consumed a 200-mL liquid meal (400 kcal + 1.5 g paracetamol). Fasting and postprandial hunger, satiation, hormone concentrations, and gastric and gallbladder emptying were measured several times over 4 h. No differences were observed in hunger and satiation curves between morbidly obese and nonobese groups; however, sleeve gastrectomy patients were less hungry and more satiated than the other groups. Antrum area during fasting in morbidly obese patients was statistically significant larger than in the nonobese and sleeve gastrectomy groups. Gastric emptying was accelerated in the sleeve gastrectomy group compared with the other 2 groups (which had very similar results). Gallbladder emptying was similar in the 3 groups. Sleeve gastrectomy patients showed the lowest ghrelin concentrations and higher early postprandial cholecystokinin and glucagon-like peptide 1 peaks than did the other participants. This group also showed an improved insulin resistance pattern compared with morbidly obese patients. Sleeve gastrectomy seems to be associated with profound changes in gastrointestinal physiology that contribute to reducing hunger and increasing sensations of satiation. These changes include accelerated gastric emptying, enhanced postprandial cholecystokinin and glucagon-like peptide 1 concentrations, and reduced ghrelin release, which together may help patients lose weight and improve their glucose metabolism after

Preoperative endoscopy may reduce the need for revisional surgery for gastro-oesophageal reflux disease following laparoscopic sleeve gastrectomy.

Science.gov (United States)

Madhok, B M; Carr, W R J; McCormack, C; Boyle, M; Jennings, N; Schroeder, N; Balupuri, S; Small, P K

2016-08-01

Laparoscopic sleeve gastrectomy is a safe and effective bariatric operation, but postoperative reflux symptoms can sometimes necessitate revisional surgery. Roux-en-Y gastric bypass is the preferred operation in morbidly obese patients with gastro-oesophageal reflux disease. In 2011, we introduced preoperative endoscopy to assess for hiatus hernia or evidence of oesophagitis in conjunction with an assessment of gastro-oesophageal reflux symptoms for all patients undergoing bariatric surgery with a view to avoid sleeve gastrectomy for these patients. A prospectively maintained database was used to identify patients who underwent sleeve gastrectomy before and after we changed the unit policy. The need for revisional surgery in patients with troublesome gastro-oesophageal reflux disease was examined. Prior to 2011, 130 patients underwent sleeve gastrectomy, and 11 (8.5%) of them required conversion to Roux-en-Y gastric bypass for symptomatic reflux disease. Following the policy change, 284 patients underwent sleeve gastrectomy, and to date, only five (1.8%) have required revisional surgery (p = 0.001). Baseline demographics were comparable between the groups, and average follow-up period was 47 and 33 months, respectively, for each group. Preoperative endoscopy and a detailed clinical history regarding gastro-oesophageal reflux symptoms may improve patient selection for sleeve gastrectomy. Avoiding sleeve gastrectomy in patients with reflux disease and/or hiatus hernia may reduce the incidence of revisional surgery. © 2016 World Obesity.

Elastic Knee Sleeves Limit Anterior Tibial Translation in Healthy Females

Directory of Open Access Journals (Sweden)

Robert Csapo, Simona Hosp, Ramona Folie, Robert Eberle, Michael Hasler, Werner Nachbauer

2016-03-01

Full Text Available Knee sleeves or braces represent auxiliary tools that have repeatedly been used by athletes, in an attempt to increase knee stability and, thus, reduce the risk of (recurrent ligamentous injuries. Since ACL injuries typically occur in situations involving either torsion or hyperextension of the knee, it has been speculated that braces might protect the ACL by countering excessive anterior translation of the tibia with respect to the femur (Beynnon et al., 1997. However, the preponderance of in vivo studies to test this hypothesis was performed in cohorts of patients suffering from existent ligamentous (Branch et al., 1988; Colville et al., 1986 or other knee injury (Beynnon et al., 1997; Fleming et al., 2000. This complicates the extrapolation of results to healthy subjects. Further, the braces used in these studies were mostly rigid constructs that consisted of either uni- or bilateral hinged bars (Rishiraj et al., 2009. Such braces might hinder performance (Veldhuizen et al., 1991 and would be rejected by the vast majority of healthy athletes. For these reasons, we would like to use this letter to the editor to report the results of our experiments investigating whether a relatively light elastic knee sleeve would limit the degree of anterior tibial translation in computerized arthrometry tests as performed in a sample of non-injured subjects. We recruited ten female college students (age: 23.4 ± 3.2 yrs, height: 1.68 ± 0.05 m, mass: 59.9 ± 5.5 kg who were free of acute or previous injury or any form of orthopaedic disease of the knee joints. The anterior displacement of the tibia was measured using the GNRB® computerized arthrometer (GeNouRob, Laval, France. With subjects lying in the supine position, the lower leg was firmly fixed with plastic caps mounted over the ankle joint and patella. An electrical pressure pad then exerted increasing pressure of up to 250 N on the calf, while a motion sensor, which was positioned on the ventral

Intraoperative leak testing has no correlation with leak after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Sethi, Monica; Zagzag, Jonathan; Patel, Karan; Magrath, Melissa; Somoza, Eduardo; Parikh, Manish S; Saunders, John K; Ude-Welcome, Aku; Schwack, Bradley F; Kurian, Marina S; Fielding, George A; Ren-Fielding, Christine J

2016-03-01

Staple line leak is a serious complication of sleeve gastrectomy. Intraoperative methylene blue and air leak tests are routinely used to evaluate for leak; however, the utility of these tests is controversial. We hypothesize that the practice of routine intraoperative leak testing is unnecessary during sleeve gastrectomy. A retrospective cohort study was designed using a prospectively collected database of seven bariatric surgeons from two institutions. All patients who underwent sleeve gastrectomy from March 2012 to November 2014 were included. The performance of intraoperative leak testing and the type of test (air or methylene blue) were based on surgeon preference. Data obtained included BMI, demographics, comorbidity, presence of intraoperative leak test, result of test, and type of test. The primary outcome was leak rate between the leak test (LT) and no leak test (NLT) groups. SAS version 9.4 was used for univariate and multivariate analyses. A total of 1550 sleeve gastrectomies were included; most were laparoscopic (99.8%), except for one converted and two open cases. Routine intraoperative leak tests were performed in 1329 (85.7%) cases, while 221 (14.3%) did not have LTs. Of the 1329 cases with LTs, there were no positive intraoperative results. Fifteen (1%) patients developed leaks, with no difference in leak rate between the LT and NLT groups (1 vs. 1%, p = 0.999). After adjusting for baseline differences between the groups with a propensity analysis, the observed lack of association between leak and intraoperative leak test remained. In this cohort, leaks presented at a mean of 17.3 days postoperatively (range 1-67 days). Two patients with staple line leaks underwent repeat intraoperative leak testing at leak presentation, and the tests remained negative. Intraoperative leak testing has no correlation with leak due to laparoscopic sleeve gastrectomy and is not predictive of the later development of staple line leak.

Design improvement for partial penetration welds of Pressurizer heater sleeves to head junctures

International Nuclear Information System (INIS)

Kim, Jin-Seon; Lee, Kyoung-Jin; Park, Tae-Jung; Kim, Moo-Yong

2007-01-01

ASME Code, Section III allows partial penetration welds for openings for instrumentation on which there are substantially no piping reactions and requires to have interference fit or limited diametral clearance between nozzles and vessel penetrations for the partial penetration welds. Pressurizer heater sleeves are nonaxisymmetrically attached on the hill-side of bottom head by partial penetration welds. The excessive stresses in the partial penetration weld regions of the heater sleeves are induced by pressure and thermal transient loads and also by the deformation due to manual welding process. The purpose of this study is 1) to improve design for the partial penetration welds between heater sleeves to head junctures, 2) to demonstrate the structural integrity according to the requirements of ASME Code, Section III and 3) to improve welding procedure considering the proposed design

Experimental and numerical studies of various thermal sleeves subjected to severe cyclic thermal shocks

International Nuclear Information System (INIS)

Masson, J.C.; Moinereau, D.

1990-01-01

During the first operating years of nuclear power plants of different countries, damage was encountered on thermal sleeves used as nozzle protection. Following this discovery studies were initiated to determine the causes and to find solutions. At first a problem of vibration was found and easily solved by reducing gaps and reinforcing the welding of the sleeves. But preliminary tests with cyclic thermal shocks showed a risk of fatigue crack initiation and propagation both in the sleeve fixation and in the nozzle. Therefore a large research and development program was led principally by EDF laboratories of Les Renardieres, to demonstrate the absence of nocivity of thermal shocks during the plants life time [fr

Computed tomography of cystic nerve root sleeve dilatation.

Science.gov (United States)

Neave, V C; Wycoff, R R

1983-10-01

A case of cystic nerve root sleeve dilatation in the lumbar area associated with a chronic back pain syndrome is presented. Prominent computed tomography (CT) findings include: (a) rounded masses in the region of the foramina isodense with cerebrospinal fluid in the subarachnoid space; (b) associated asymmetry of epidural fat distribution; (c) enlargement of the neural foramina in axial sections with scalloped erosion of the adjacent posteriolateral vertebral body, pedicle, and pedicular-laminar junction with preservation of cortex and without bony sclerosis or infiltrative appearance; (d) prominent or ectatic dural sac with lack of usual epidural landmarks between the sac and vertebral body; and (e) multilevel abnormalities throughout the entire lumbar region. Myelographic and CT correlations are demonstrated with a review of the literature. A discussion of the various cystic abnormalities involving nerve root sheaths is undertaken in an attempt to clarify the confusing nomenclature applied to nerve root sleeve pathology.

Retained copper sleeve of cu-T IUCD

African Journals Online (AJOL)

Dr Adaji

Case Report. A 47-year old para 7+1 five alive presented at the. Reproductive Health center for removal of a copper-T intrauterine contraceptive device following a clinical diagnosis of pelvic inflammatory disease. The device was inserted the previous year. After easy removal , it was observed that the copper sleeve on one ...

3D finite element modeling of in-service sleeve repair welding of gas pipelines

International Nuclear Information System (INIS)

Alian, Ahmed R.; Shazly, Mostafa; Megahed, Mohammad M.

2016-01-01

The present work investigates the influence of welding sequence and scheme on residual stresses induced during in-service sleeve repair welding of gas pipelines. For this purpose, a 3D thermo-mechanical FE analysis is conducted on an 8″-Schedule-20, API 5L-X65 steel pipe. Two welding sequences for the sleeve-pipe circumferential fillet welds are compared in the present study: sequential welding in which one side of the sleeve is welded first and then the other side is welded by the same welder, and simultaneous welding in which both sides of the sleeve are welded concurrently by two welders. Within the simultaneous welding sequence, four different welding schemes, designed to investigate the influence of the number of welders and welding directions on residual stresses, are investigated. The results show that the sequential welding sequence induces less residual stresses and distortions. Within the simultaneous welding sequence, the back-step welding scheme is found to induce the least average residual stresses as compared to other welding schemes. - Highlights: • We model in-service sleeve repair welding using 3D FE. • Model was validated through comparison with existing experimental results. • The study presents results on the effect of both welding sequence and welding scheme on the resulting residual stresses. • Sequential welding sequence generates lower residual stresses than simultaneous welding sequence. • Back-step welding scheme generates the lowest average residual stresses along the pipe circumference.

Investigation of effect of electron beam on various polyethylene blends

International Nuclear Information System (INIS)

Morshedian, J.; Pourrashidi, A.

2003-01-01

With regards to the expanding usage of electron beams irradiation in polymer industries such as sterilization of polymeric disposable medical products; cable manufacturing; pipes, heat shrinkable materials, etc. In this project the effect of electron beam on polyethylene used in manufacturing of pipe and heat shrinkable products was studied. Results showed that by increasing the applied dose on samples; the crosslink density would increase and polymers with tertiary carbon atoms in their backbone structure tend to crosslink more readily. The melting temperature and crystallinity percent decreased and degradation temperature increased. Density in low doses decreased and in high doses increased

Investigation of effect of electron beam on various polyethylene blends

CERN Document Server

Morshedian, J

2003-01-01

With regards to the expanding usage of electron beams irradiation in polymer industries such as sterilization of polymeric disposable medical products; cable manufacturing; pipes, heat shrinkable materials, etc. In this project the effect of electron beam on polyethylene used in manufacturing of pipe and heat shrinkable products was studied. Results showed that by increasing the applied dose on samples; the crosslink density would increase and polymers with tertiary carbon atoms in their backbone structure tend to crosslink more readily. The melting temperature and crystallinity percent decreased and degradation temperature increased. Density in low doses decreased and in high doses increased.

Feasibility and profitability of chain integration by NCPAK on flower sleeves products in European market

NARCIS (Netherlands)

Yan, X.

2008-01-01

In this report, the author describes that the EU flower sleeve wholesalers are the chain leader of the flower sleeve supply chain from China to the EU market. Their strategy changes can easily put NCpak, in full name, 'Sun Hing Plastic Bag Company', a Hong Kong enterprise based on Shenzhen City,

Effects of wearing lower leg compression sleeves on locomotion economy.

Science.gov (United States)

Kurz, Eduard; Anders, Christoph

2018-09-01

The purpose of this investigation was to assess the effect of compression sleeves on muscle activation cost during locomotion. Twenty-two recreationally active men (age: 25 ± 3 years) ran on a treadmill at four different speeds (ordered sequence of 2.8, 3.3, 2.2, and 3.9 m/s). The tests were performed without (control situation, CON) and while wearing specially designed lower leg compression sleeves (SL). Myoelectric activity of five lower leg muscles (tibialis anterior, fibularis longus, lateral and medial head of gastrocnemius, and soleus) was captured using Surface EMG. To assess muscle activation cost, the cumulative muscle activity per distance travelled (CMAPD) of the CON and SL situations was determined. Repeated measures analyses of variance were performed separately for each muscle. The analyses revealed a reduced lower leg muscle activation cost with respect to test situation for SL for all muscles (p  0.18). The respective significant reductions of CMAPD values during SL ranged between 4% and 16% and were largest at 2.8 m/s. The findings presented point towards an improved muscle activation cost while wearing lower leg compression sleeves during locomotion that have potential to postpone muscle fatigue.

Laparoscopic Sleeve Gastrectomy versus Laparoscopic Banded Sleeve Gastrectomy: First Prospective Pilot Randomized Study

Directory of Open Access Journals (Sweden)

Valeria Tognoni

2016-01-01

Full Text Available Introduction. The placement of ring or band around the gastric tube might prevent the dilation after Laparoscopic Sleeve Gastrectomy (LSG. We describe the first randomized study comparing LSG and Laparoscopic Banded Sleeve Gastrectomy (LBSG. Material and Method. Fifty obese patients were enrolled in the study between January 2014 and January 2015. We analysed differences in operative time, complication rate, mortality, and BMI between the two groups over a period of 12 months. Results. Twenty-five patients received LSG (group A and 25 LBSG (group B. The mean preoperative BMI was 47.3±6.58 kg/m2 and 44.95±5.85 kg/m2, respectively, in the two groups. There was no statistical relevant difference in operative time. No intraoperative complications occurred. Mean BMI registered after 3, 6, and 12 months in groups A and B, respectively, were 37.86±5.72 kg/m2 and 37.58±6.21 kg/m2 (p=0.869, 33.64±6.08 kg/m2 and 32.03±5.24 kg/m2 (p=0.325, and 29.72±4.40 kg/m2 and 27.42±4.47 kg/m2 (p=0.186; no statistical relevant difference was registered between the two groups. Conclusion. LBSG is a safe and feasible procedure. The time required for the device positioning did not influence significantly the surgical time. The results of bodyweight loss did not document any statistically significant differences among the two groups, even though LBSG group showed a mean BMI slightly lower than that of the control group.

Endoscopic sleeve gastroplasty (the Apollo method: a new approach to obesity management

Directory of Open Access Journals (Sweden)

Gontrand López-Nava-Breviere

2016-04-01

Full Text Available Background: Many obese patients cannot lose weight or reject conventional obesity management. Endoscopic sleeve gastroplasty (the Apollo method is a pioneering coadjuvant, interventionist technique for the integral management of obesity. Objectives: The goals of this study were to report safety and efficacy results obtained at 6 months in patients undergoing endoscopic sleeve gastroplasty. Material and methods: A prospective study was performed in 55 patients (13 males, 42 females who were subjected to the Apollo technique; mean age was 43.5 years (range 25-60 and mean BMI was 37.7 kg/m² (range 30-48. All received multidisciplinary follow-up for weight loss. Weight changes and presence of complications were assessed. Through the endoscope a triangular pattern suture is performed consisting of approximately 3-6 transmural (mucosa to serosa stitches, using a cinch device to bring them nearer and form a plication. Results: A total of 6-8 plications are used to provide a tubular or sleeve-shaped restriction to the gastric cavity. No major complications developed and patients were discharged at 24 hours following the procedure. Endoscopic and radiographic follow-up at 6 months post-procedure showed a well preserved tubular form to the stomach. After 6 months patients had lost 18.9 kg and 55.3% of excess weight. Conclusions: Endoscopic sleeve gastroplasty, together with dietary and psycho-behavioral changes, is a safe, effective technique in the coadjuvant management of obese patients.

[Outcomes, controversies and gastric volume after laparoscopic sleeve gastrectomy in the treatment of obesity].

Science.gov (United States)

García-Díaz, Juan José; Ferrer-Márquez, Manuel; Moreno-Serrano, Almudena; Barreto-Rios, Rogelio; Alarcón-Rodríguez, Raquel; Ferrer-Ayza, Manuel

2016-01-01

Laparoscopic sleeve gastrectomy is a surgical procedure for the treatment of morbid obesity. However, there are still controversies regarding its efficiency in terms of weight reduction and incidence of complications. In this prospective study, the experience is presented of a referral centre for the treatment of morbid obesity with laparoscopic sleeve gastrectomy. A prospective study on 73 patients subjected to laparoscopic sleeve gastrectomy from February 2009 to September 2013. Patients were followed-up for a period of 12 months, evaluating the development of complications, reduction of gastric volume, and the weight loss associated with the surgery, as well as their impact on the improvement of comorbidities present at beginning of the study. There was a statistically a significantly reduction between the preoperative body mass index (BMI) and the BMI at 12 months after laparoscopic sleeve gastrectomy (p < 0.001), despite there being an increase in the gastric volume during follow-up, measured at one month and 12 months after surgery (p < 0.001). Five patients (6.85%) had complications, with none of them serious and with no deaths in the whole series. Laparoscopic sleeve gastrectomy is a safe and effective technique for the treatment of morbid obesity. Its use is associated with a significant reduction in the presence of comorbidities associated with obesity. Multicentre studies with a longer period of monitoring are required to confirm the efficacy and safety of this surgical technique. Copyright © 2015 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

Influence of Elastic Bandage and Neoprene Sleeve on Knee Position Sense and Pain in Subjects with Knee Osteoarthritis

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Basir Majdoleslami

2003-12-01

Full Text Available Objective: to investigate whether a neoprene sleeve and elastic bandage around the knee joint of subjects with knee osteoarthritis (OA would , in short term (a reduce pain (b improve knee joint position sense and comparison of their effect with each other if they have. Materials & Methods: In a semi-experimental study, 30 subjects (11 men, 19 women, age between 33-75 with unilateral knee OA. Subjects had to have at least 2cm from 10cm visual analogue scale (VAS of knee pain for study entry.All patients were randomly assigned to either an elastic bandage or a neoprene sleeve. One week later they were assigned to the opposite selection. Joint position sense was assessed in the sitting position using an electrogoniometer and pain by VAS where 0cm equals no pain and 10 cm equals worst pain. Knee pain and JPS were assessed for each selection one week apart. During each visit assessment were performed at baseline and after 20 min of bandage/neoprene sleeve application. Results: the mean of scores for knee variables JPS and VAS was taken and paired-t test and Wilcoxon signed rank test was employed to calculate the different between two trails. Neoprene sleeve had significant effect on knee JPS (P=0.037. But elastic bandage had no effect (P=0.631. Both of them had significantly reduced knee pain. (P=0.000 Conclusion: In subjects with both neoprene sleeve and elastic bandage reduced knee pain with more effect of neoprene sleeve. Only the neoprene sleeve had effect on knee JPS.

A Delphi Consensus of the Crucial Steps in Gastric Bypass and Sleeve Gastrectomy Procedures in the Netherlands.

Science.gov (United States)

Kaijser, Mirjam A; van Ramshorst, Gabrielle H; Emous, Marloes; Veeger, Nic J G M; van Wagensveld, Bart A; Pierie, Jean-Pierre E N

2018-04-09

Bariatric procedures are technically complex and skill demanding. In order to standardize the procedures for research and training, a Delphi analysis was performed to reach consensus on the practice of the laparoscopic gastric bypass and sleeve gastrectomy in the Netherlands. After a pre-round identifying all possible steps from literature and expert opinion within our study group, questionnaires were send to 68 registered Dutch bariatric surgeons, with 73 steps for bypass surgery and 51 steps for sleeve gastrectomy. Statistical analysis was performed to identify steps with and without consensus. This process was repeated to reach consensus of all necessary steps. Thirty-eight participants (56%) responded in the first round and 32 participants (47%) in the second round. After the first Delphi round, 19 steps for gastric bypass (26%) and 14 for sleeve gastrectomy (27%) gained full consensus. After the second round, an additional amount of 10 and 12 sub-steps was confirmed as key steps, respectively. Thirteen steps in the gastric bypass and seven in the gastric sleeve were deemed advisable. Our expert panel showed a high level of consensus expressed in a Cronbach's alpha of 0.82 for the gastric bypass and 0.87 for the sleeve gastrectomy. The Delphi consensus defined 29 steps for gastric bypass and 26 for sleeve gastrectomy as being crucial for correct performance of these procedures to the standards of our expert panel. These results offer a clear framework for the technical execution of these procedures.

Hybrid video-assisted thoracic surgery with segmental-main bronchial sleeve resection for non-small cell lung cancer.

Science.gov (United States)

Li, Shuben; Chai, Huiping; Huang, Jun; Zeng, Guangqiao; Shao, Wenlong; He, Jianxing

2014-04-01

The purpose of the current study is to present the clinical and surgical results in patients who underwent hybrid video-assisted thoracic surgery with segmental-main bronchial sleeve resection. Thirty-one patients, 27 men and 4 women, underwent segmental-main bronchial sleeve anastomoses for non-small cell lung cancer between May 2004 and May 2011. Twenty-six (83.9%) patients had squamous cell carcinoma, and 5 patients had adenocarcinoma. Six patients were at stage IIB, 24 patients at stage IIIA, and 1 patient at stage IIIB. Secondary sleeve anastomosis was performed in 18 patients, and Y-shaped multiple sleeve anastomosis was performed in 8 patients. Single segmental bronchiole anastomosis was performed in 5 cases. The average time for chest tube removal was 5.6 days. The average length of hospital stay was 11.8 days. No anastomosis fistula developed in any of the patients. The 1-, 2-, and 3-year survival rates were 83.9%, 71.0%, and 41.9%, respectively. Hybrid video-assisted thoracic surgery with segmental-main bronchial sleeve resection is a complex technique that requires training and experience, but it is an effective and safe operation for selected patients.

Management of Distal Gastric Leak After Laparoscopic Sleeve Gastrectomy by Double Pigtail Catheter

Directory of Open Access Journals (Sweden)

Mani Habibi

2016-07-01

Full Text Available Gastric leakage postsurgery is the most feared complication of laparoscopic sleeve gastrectomy due to the difficulty of its management. While gastric leakagemanagement postsurgery is often performed using internal drainage catheters accompanied by self-expandable metal stents, endoscopic internal drainage by double pigtail catheter has recently become a recommended approach. Here we describe our treatment of a patient who experienced distal gastric leakage after undergoing laparoscopic sleeve gastrectomy using double pigtail catheter and our treatment recommendations based on the patient outcome.

Laparoscopic Sleeve Gastrectomy Improves Olfaction Sensitivity in Morbidly Obese Patients.

Science.gov (United States)

Hancı, Deniz; Altun, Huseyin; Altun, Hasan; Batman, Burcin; Karip, Aziz Bora; Serin, Kursat Rahmi

2016-03-01

Olfactory abilities of the patients are known to be altered by eating and metabolic disorders, including obesity. There are only a number of studies investigating the effect of obesity on olfaction, and there is limited data on the changes in olfactory abilities of morbidly obese patients after surgical treatment. Here we investigated the changes in olfactory abilities of 54 morbidly obese patients (M/F, 22/32; age range 19-57 years; body mass index (BMI) range 30.5-63.0 kg/m(2)) after laparoscopic sleeve gastrectomy. A laparoscopic sleeve gastrectomy was performed by the same surgeon using five-port technique. Olfactory abilities were tested preoperatively and 1, 3, and 6 months after the surgery using a standardized Sniffin' Sticks Extended Test kit. Analyses of variance indicated statistically significant improvement in T, D, and I scores of morbidly obese patients within time factors (preoperative vs. 1, 3, and 6 months; 1 vs. 3 and 6 months; and 3 vs. 6 months; p < 0.001 for all). There was a statistically significant improvement in overall TDI scores with an increase from 25 to 41 during the 6 months follow-up period (p < 0.001 for all). Here, for the first time in literature, we were able to show the significant improvement in olfactory abilities of morbidly obese patients after laparoscopic sleeve gastrectomy.

The effects of sleeve gastectomy on gastro-esophageal reflux and gastro-esophageal motility.

Science.gov (United States)

Hayat, Jamal O; Wan, Andrew

2014-05-01

Sleeve gastrectomy is an increasingly performed bariatric procedure associated with low morbidity and good short to medium term effects on weight loss and comorbid conditions. Studies assessing the prevalence of post-operative gastro-esophageal reflux disease (GERD), show sleeve gastrectomy may provoke de novo GERD symptoms or worsening of pre-existing GERD. Pathophysiological mechanisms of GERD after sleeve gastrectomy include a hypotensive lower esophageal sphincter, increased gastro-esophageal pressure gradient and intra-thoracic migration of the remnant stomach. A reduction in the compliance of the gastric remnant may provoke an increase in transient lower esophageal sphincter relaxations. Time-resolved MRI suggests relative gastric stasis in the proximal remnant and increased emptying from the antrum. A lack of standardisation of technique, along with heterogeneity of studies assessing GERD may explain the wide variability in reported results. Simultaneous and careful repair of an associated hiatus hernia may result in a reduction in the prevalence of post-operative GERD.

Is a sleeve lobectomy significantly better than a pneumonectomy?

Science.gov (United States)

Stallard, Joseph; Loberg, Anna; Dunning, Joel; Dark, John

2010-11-01

A best evidence topic was written according to a structured protocol. The question addressed was 'whether a sleeve lobectomy results in a better survival rate than a pneumonectomy in suitable patients?' Altogether, more than 327 papers were found using the reported search, of which 15 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. We conclude in the biggest meta-analysis of nearly 3000 patients, the five-year survival was 50% for sleeve lobectomy compared to 30% for pneumonectomy. Operative mortality was 3% vs. 6% for pneumonectomy, and locoregional recurrence was 17% vs. 30%. These results are broadly consistent across all the 13 cohort studies presented here many of which document a 20-year single centre experience or more. There are significant issues in all cohort studies on this subject as, due to their non-randomized nature, the reason for not performing a sleeve resection may well have been more advanced disease, which would necessarily mean that the pneumonectomy patients would have a lower expected survival and higher local recurrence. In addition, there have been many large cohort studies to date and thus no more are required, as future studies are unlikely to resolve this issue. Thus, the only study that would adequately correct for this issue would be a randomized trial, but to prove a 10% increase in five-year survival a 300 patient study would be needed. This is bigger than any study ever done in this area and as some centres took 30 years to collect these numbers of potential sleeve patients an RCT is not a realistic possibility. Therefore, we conclude that no more cohort studies should be performed, as the results will be consistent with the meta-analyses and an RCT to eliminate their bias is unattainable, and thus no more research should be done on this topic and surgeons should use

Wearing long sleeves while prepping a patient in the operating room decreases airborne contaminants.

Science.gov (United States)

Markel, Troy A; Gormley, Thomas; Greeley, Damon; Ostojic, John; Wagner, Jennifer

2018-04-01

The use of long sleeves by nonscrubbed personnel in the operating room has been called into question. We hypothesized that wearing long sleeves and gloves, compared with having bare arms without gloves, while applying the skin preparation solution would decrease particulate and microbial contamination. A mock patient skin prep was performed in 3 different operating rooms. A long-sleeved gown and gloves, or bare arms, were used to perform the procedure. Particle counters were used to assess airborne particulate contamination, and active and passive microbial assessment was achieved through air samplers and settle plate analysis. Data were compared with Student's t-test or Mann-Whitney U, and P airborne contamination while the skin prep is applied, which may lead to decreased surgical site infections. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Clinical practice guidelines for rest orthosis, knee sleeves, and unloading knee braces in knee osteoarthritis.

Science.gov (United States)

Beaudreuil, Johann; Bendaya, Samy; Faucher, Marc; Coudeyre, Emmanuel; Ribinik, Patricia; Revel, Michel; Rannou, François

2009-12-01

To develop clinical practice guidelines concerning the use of bracing--rest orthosis, knee sleeves and unloading knee braces--for knee osteoarthritis. The French Physical Medicine and Rehabilitation Society (SOFMER) methodology, associating a systematic literature review, collection of everyday clinical practice, and external review by multidisciplinary expert panel, was used. Few high-level studies of bracing for knee osteoarthritis were found. No evidence exists for the effectiveness of rest orthosis. Evidence for knee sleeves suggests that they decrease pain in knee osteoarthritis, and their use is associated with subjective improvement. These actions do not appear to depend on a local thermal effect. The effectiveness of knee sleeves for disability is not demonstrated for knee osteoarthritis. Short- and mid-term follow-up indicates that valgus knee bracing decreases pain and disability in medial knee osteoarthritis, appears to be more effective than knee sleeves, and improves quality of life, knee proprioception, quadriceps strength, and gait symmetry, and decreases compressive loads in the medial femoro-tibial compartment. However, results of response to valgus knee bracing remain inconsistent; discomfort and side effects can result. Thrombophlebitis of the lower limbs has been reported with the braces. Braces, whatever kind, are infrequently prescribed in clinical practice for osteoarthritis of the lower limbs. Modest evidence exists for the effectiveness of bracing--rest orthosis, knee sleeves and unloading knee braces--for knee osteoarthritis, with only low level recommendations for its use. Braces are prescribed infrequently in French clinical practice for osteoarthritis of the knee. Randomized clinical trials concerning bracing in knee osteoarthritis are still necessary.

Seismic retrofit of spliced sleeve connections for precast bridge piers.

Science.gov (United States)

2017-03-01

Grouted Splice Sleeve (GSS) connectors are being considered for connecting bridge columns, footings, and pier caps in Accelerated Bridge Construction (ABC). A repair technique for precast reinforced concrete bridge column-to-footing and column-to-pie...

Sleeving-back of horizontal wells to control downstream oil saturation and improve oil recovery

Energy Technology Data Exchange (ETDEWEB)

Greaves, M.; Saghr, A. M. [Bath Univ (United Kingdom)

1998-12-31

Air injection has become popular as an enhanced recovery technology, applicable over a wide variety of reservoir conditions including heavy, medium and light oils. One problem observed in light oil reservoirs is the tendency to desaturate the oil layer downstream of the moving front. This is particularly common in the case of thermal recovery processes. In this experiment designed to study ways to restrict the de-saturation of the oil layer, a modified horizontal producer well, incorporating a `sleeve-back` principal was used. The objective was to replicate the `toe-to-heel` displacement process occurring during heavy oil recovery, wherein downstream oil is essentially immobile due to its high viscosity. The `sleeve-back` of the well was achieved using a co-aligned, two-well assembly, so that the upstream section of the horizontal producer well was active, and continuously adjusted during propagation of the combustion front. The use of this continuous `sleeve-back` operation to control the level of de-saturation in the downstream section of a sand pack was successful as confirmed by the very high oil recovery achieved, equivalent to 93.5 per cent of oil in place. The level of CO{sub 2} production was also very high. The `sleeve-back` of the horizontal producer well made the light oil in-situ combustion more efficient compared to what would be expected in a fully-open well. The `sleeve-back` of the well also produced thermal contours in the sand pack that closely resembled those observed with heavy, highly viscous oil. By sealing-off the otherwise open well in the downstream part of the reservoir, the de-saturation of the oil layer was prevented. 9 refs., 4 tabs., 9 figs.

Wear Resistance of Piston Sleeve Made of Layered Material Structure: MMC A356R, Anti-Abrasion Layer and FGM Interface

Directory of Open Access Journals (Sweden)

Hernik Szymon

2016-09-01

Full Text Available The aim of this paper is the numerical analysis of the one of main part of car engine – piston sleeve. The first example is for piston sleeve made of metal matrix composite (MMC A356R. The second improved material structure is layered. Both of them are comparison to the classical structure of piston sleeve made of Cr-Ni stainless steel. The layered material structure contains the anti-abrasion layer at the inner surface of piston sleeve, where the contact and friction is highest, FGM (functionally graded material interface and the layer of virgin material on the outer surface made of A356R. The complex thermo-elastic model with Archard's condition as a wear law is proposed. The piston sleeve is modelling as a thin walled cylindrical axisymmetric shell. The coupled between the formulation of thermo-elasticity of cylindrical axisymmetric shell and the Archard’s law with functionally changes of local hardness is proposed.

Storage envelopes or sleeves

International Nuclear Information System (INIS)

Freshwater, J.R.; Wagman, P.I.

1980-01-01

A storage envelope or sleeve particularly for processed X-ray films is described. It consists of front and back panels joined together at a hinge line and connected along the intermediate sides by connecting flaps. An inner pocket is formed from a third flap which is folded to lie against the inner face of the back panel. The panels may have additional score lines parallel to the closed sides of the envelope and the inner pocket so that the envelope and the inner pocket can accommodate bulky contents. The free edge of the pocket is inset from the open side of the envelope, and finger cut-outs may be provided to facilitate access to the contents of the envelope and the pocket. (author)

Hemodynamic effect and safety of intermittent sequential pneumatic compression leg sleeves in patients with congestive heart failure.

Science.gov (United States)

Bickel, Amitai; Shturman, Alexander; Sergeiev, Michael; Ivry, Shimon; Eitan, Arieh; Atar, Shaul

2014-10-01

Pneumatic leg sleeves are widely used after prolonged operations for prevention of venous stasis. In healthy volunteers they increase cardiac function. We evaluated the hemodynamic effects and safety of intermittent sequential pneumatic compression (ISPC) leg sleeves in patients with chronic congestive heart failure (CHF). We studied 19 patients with systolic left ventricular dysfunction and CHF. ISPC leg sleeves, each with 10 air cells, were operated by a computerized compressor, exerting 2 cycles/min. Hemodynamic and echocardiographic parameters were measured before, during, and after ISPC activation. The baseline mean left ventricular ejection fraction was 29 ± 9.2%, median 32%, range 10%-40%. Cardiac output (from 4.26 to 4.83 L/min; P = .008) and stroke volume (from 56.1 to 63.5 mL; P = .029) increased significantly after ISPC activation, without a reciprocal increase in heart rate, and declined after sleeve deactivation. Systemic vascular resistance (SVR) decreased significantly (from 1,520 to 1,216 dyne-s/cm5; P = .0005), and remained lower than the baseline level throughout the study. There was no detrimental effect on diastolic function and no adverse clinical events, despite increased pulmonary venous return. ISPC leg sleeves in patients with chronic CHF do not exacerbate symptoms and transiently improve cardiac output through an increase in stroke volume and a reduction in SVR. Copyright © 2014 Elsevier Inc. All rights reserved.

Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Report of Two Cases

Directory of Open Access Journals (Sweden)

Mariana Nuno Costa

2016-01-01

Full Text Available Morbid obesity is an epidemic and complex disease which imposes a multidisciplinary approach. Laparoscopic sleeve gastrectomy has become a frequent procedure given its efficacy and safety compared to other surgical options. However, it isn’t free from complications. Lax gastric fixation or incorrect positioning of the stomach during surgery can result in early gastric outlet obstruction caused by a volvulus-like mechanism by rotation of the stomach around its anatomic axes. This report refers to two cases of post sleeve gastric torsion resulting in persisting vomiting after initiating oral intake. The diagnosis was confirmed by upper gastrointestinal-contrast study and gastroscopy. In both cases, a fully covered self-expandable metallic stent was inserted which prompted the gastric lumen to become permeable resulting in symptomatic resolution. The stents were removed endoscopically after two and three months. Beyond more than three years of follow-up, the patients remain asymptomatic and no recurring “stenosis” was noticed. In these cases the use of fully covered self-expandable metallic stents demonstrated to be effective and safe in the treatment of post sleeve gastric torsion.

FLECHT-SEASET 21-rod bundle flow blockage heat transfer during reflood

International Nuclear Information System (INIS)

Loftus, M.; Hochreiter, L.; Lee, N.

1983-01-01

The effect of various flow blockage shapes and distributions during a PWR reflood was investigated using six 21-rod bundles with full length, internally heated, cosine power-shaped electrical rods. The flow blockage shapes, simulating the fuel rod clad ballooning, were made of thin-wall stainless steel tubes hydroformed into a short, concentric shape and along, nonconcentric shape. The blockage sleeves were distributed both coplanar, with all sleeves located at the same elevation, and non-coplanar. The initial and boundary conditions were varied to include parametric effects of pressure, inlet water temperature, and primarily, flooding rate. The initial mid-plane rod temperature was 871 0 C (1600 0 F) in all tests. Rod and vapor temperature measurements were made throughout the rod bundle with emphasis on the blockage region. The rod heat transfer downstream of the blockage was found to be greater for rods in a blocked bundle than for similar rods in an unblocked bundle. The heat transfer improvement decreases both with time after flood initiation and as the distance increased downstream of the blockage. The improvement in the heat transfer is attributed primarily to the breakup of the water droplets entrained in the steam flow. The smaller droplets subsequently evaporate and desuperheat the steam, which then improves the heat transfer between the rods and the steam in and downstream of the blockage zone

Duodenal-jejunal bypass sleeve - a potential alternative to bariatric surgery?

DEFF Research Database (Denmark)

Rohde, Ulrich; Gylvin, Silas; Vilmann, Peter

2014-01-01

Overweight and obesity are risk factors for several co-morbidities reducing life expectancy. Conservative treatment of obesity is generally ineffective in the long-term. Bariatric surgery has proven effective, but is associated with potential complications. Duodenal-jejunal bypass sleeve is a novel...

Association between postprandial symptoms and gastric emptying after sleeve gastrectomy

NARCIS (Netherlands)

Burgerhart, Jan S.; van Rutte, Pim W. J.; Edelbroek, Michela A. L.; Wyndaele, Dirk N. J.; Smulders, Johannes F.; van de Meeberg, Paul C.; Siersema, Peter D.; Smout, André J. P. M.

2015-01-01

Laparoscopic sleeve gastrectomy (LSG) is an effective bariatric procedure. However, postprandial symptoms can compromise its beneficial effect. It is not known if a changed gastric emptying and these symptoms are related. This study aimed to assess the association between postprandial symptoms and

Automobile parts by radiation crosslinking

International Nuclear Information System (INIS)

Yoshii, Fumio

2008-01-01

Radiation crosslinking, graft polymerization and degradation are useful technologies to improve polymer materials. The crosslinking causes improvement in strength, heat stability and processability to gives network structure for polymer materials and hence crosslinked materials are used in various fields, especially car parts. Electron beam (EB) of short time irradiation is used for these modifications. Irradiated (pre-vulcanized) before sulfur vulcanization rubber tires, heat resistant wires/cables, shrinkable tubes and foams of car parts are achieved by EB crosslinking. Polyethylene and polyvinyl chloride are used in cables and wires, polypropylene in plastic foams and natural rubber etc. In this paper radiation processing of tire, wire/cables, foams, shrinkable tubes and circuit protection devices (CPT) are explained. (author)

The weight is over: RN first assisting techniques for laparoscopic sleeve gastrectomy.

Science.gov (United States)

Wentzell, Joanne; Neff, Marc

2015-08-01

Obesity-related laparoscopic sleeve gastrectomy is a common yet technically challenging bariatric procedure that requires specialized surgical knowledge and training for OR personnel. Critical components of care include an effective preoperative assessment, positioning of the patient, and operation and maintenance of laparoscopic equipment and instrumentation. The purpose of this article is to explain the steps of laparoscopic sleeve gastrectomy and illustrate principles and surgical techniques for the RN who is first assisting during the procedure. Also provided is a perioperative nursing care plan for the patient undergoing bariatric surgery, to aid perioperative nurses in understanding the sequence of events and special considerations for this patient population. Copyright © 2015 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Early Laparoscopic Sleeve Gastrectomy Outcomes in Terms of Weight Loss

International Nuclear Information System (INIS)

Siddiq, G.; Aziz, W.; Pervez, M. B.; Haider, M. I.; Hussain, S. V.; Khan, N.

2016-01-01

Objective: To investigate the outcomes of laparoscopic sleeve gastrectomy (LSG) in terms of weight loss. Study Design: Descriptive cohort study. Place and Duration of Study: Department of Surgery, Shifa International Hospital, Islamabad, from January 2009 to January 2015. Methodology: A total of 100 consecutive patients were included in the study through retrospective chart review. A 5-port technique was utilized with the gastric sleeve being created using endostapler. Postoperatively, patients gradually progressed from clear liquid diet and oral rehydration salts to nutritional supplements over three days. By two weeks postoperatively, patients had progressed to a solid diet. SPSS was used for data entry and analysis. Body mass index (BMI) and weight in kg were determined. Results: From 100 patients, 17 were lost to follow-up less than a week into the postoperative period. Of the remaining, average age of the patients was 34.7 ±11.3 years at the time of surgery. The majority of patients were females (72 percentage). Mean preoperative and postoperative BMI was 45.3 ±10.4 kg/m2 and 35.0 ±10 kg/m2, respectively. Of the 83 patients, 62 were followed-up for longer than 1 month (average 419 days). For patients in this category, mean reduction in BMI was 10.3 ±6.5 kg/m2 with average weight loss of 34.3 ±18.2 kg. There were no mortalities associated with LSG. Conclusion: Laparoscopic sleeve gastrectomy is a safe and effective intervention in young Pakistani females with encouraging outcomes at a mean follow-up of over one year. (author)

Laparoscopic sleeve gastrectomy for morbid obesity with natural orifice specimen extraction (NOSE).

Science.gov (United States)

Gunkova, P; Gunka, I; Zonca, P; Dostalik, J; Ihnat, P

2015-01-01

An experience with laparoscopic sleeve gastrectomy using the natural orifice specimen extraction (NOSE) technique. Bariatric surgery is nowadays the only long term effective obesity treatment method. Twenty one consecutive patients underwent laparoscopic sleeve gastrectomy with the use of natural orifice specimen extraction (NOSE) in the Surgical Clinic of Faculty Hospital Ostrava between May 2012 and August 2012. Inclusion criteria were the body mass index (BMI) higher than 35 kg/m2 or higher than 32 kg/m2 accompanied with relevant comorbidities. Among 21 patients in this series, there were three men (14.3%) and 18 women (85.7%). Their mean age was 40.9±10.2 years. Their mean preoperative BMI was 40.4±4.6 kg/m2. No patient had previous bariatric surgery, one patient had laparoscopic fundoplication. All operations were completed laparoscopically with no conversions to an open procedure. In two cases, laparoscopic cholecystectomy was performed and the gallbladder was extracted along with the gastric specimen by transgastric approach. Laparoscopic sleeve gastrectomy is a safe and effective bariatric procedure with low morbidity and mortality. Based on our initial experiences it could be an indication for NOSE with transgastric approach. Obese patients would benefit from this approach due to the elimination of wound complications (Tab. 2, Fig. 3, Ref. 22).

Meso-scale wrinkled coatings to improve heat transfers of surfaces facing ambient air

International Nuclear Information System (INIS)

Kakiuchida, Hiroshi; Tajiri, Koji; Tazawa, Masato; Yoshimura, Kazuki; Shimono, Kazuaki; Nakagawa, Yukio; Takahashi, Kazuhiro; Fujita, Keisuke; Myoko, Masumi

2015-01-01

Meso-scale (micrometer-to submillimeter-scale) wrinkled surfaces coated on steel sheets used in outdoor storage and transport facilities for industrial low-temperature liquids were discovered to efficiently increase convective heat transfer between ambient air and the surface. The radiative and convective heat transfer coefficients of various wrinkled surfaces, which were formed by coating steel sheets with several types of shrinkable paints, were examined. The convective heat transfer coefficient of a surface colder than ambient air monotonically changed with average height difference and interval distance of the wrinkle undulation, where the proportions were 0.0254 and 0.0054 W/m 2 /K/μm, respectively. With this wrinkled coating, users can lower the possibility of condensation and reduce rust and maintenance cost of facilities for industrial low-temperature liquids. From the point of view of manufacturers, this coating method can be easily adapted to conventional manufacturing processes. - Highlights: • Various wrinkled surfaces were fabricated by a practical process. • Topographical effect on convection was parameterized separately from radiation. • Meso-scale wrinkled coatings increased convective heat transfer with ambient air. • Maintenance cost of outdoor steel sheets due to condensation can be reduced

Laparoscopic hand-assisted versus robotic-assisted laparoscopic sleeve gastrectomy: experience of 103 consecutive cases.

Science.gov (United States)

Kannan, Umashankkar; Ecker, Brett L; Choudhury, Rashikh; Dempsey, Daniel T; Williams, Noel N; Dumon, Kristoffel R

2016-01-01

Laparoscopic sleeve gastrectomy has become a stand-alone procedure in the treatment of morbid obesity. There are very few reports on the use of robotic approach in sleeve gastrectomy. The purpose of this retrospective study is to report our early experience of robotic-assisted laparoscopic sleeve gastrectomy (RALSG) using a proctored training model with comparison to an institutional cohort of patients who underwent laparoscopic hand-assisted sleeve gastrectomy (LASG). University hospital. The study included 108 patients who underwent sleeve gastrectomy either via the laparoscopic-assisted or robot-assisted approach during the study period. Of these 108 patients, 62 underwent LASG and 46 underwent RALSG. The console surgeon in the RALSG is a clinical year 4 (CY4) surgery resident. All CY4 surgery residents received targeted simulation training before their rotation. The console surgeon is proctored by the primary surgeon with assistance as needed by the second surgeon. The patients in the robotic and laparoscopic cohorts did not have a statistical difference in their demographic characteristics, preoperative co-morbidities, or complications. The mean operating time did not differ significantly between the 2 cohorts (121 min versus 110 min, P = .07). Patient follow-up in the LSG and RALSG were 91% and 90% at 3 months, 62% and 64% at 6 months, and 60% and 55% at 1 year, respectively. The mean percentage estimated weight loss (EWL%) at 3 months, 6 months, and 1 year was greater in the robotic group but not statistically significant (27 versus 22 at 3 mo [P = .05] and 39 versus 34 at 6 mo [P = .025], 57 versus 48 at 1 yr [P = .09]). There was no mortality in either group. Early results of our experience with RALSG indicate low perioperative complication rates and comparable weight loss with LASG. The concept of a stepwise education model needs further validation with larger studies. Copyright © 2016 American Society for Bariatric Surgery. Published by Elsevier Inc

A Wideband Dual-Polarized Antenna Using Planar Quasi-Open-Sleeve Dipoles for Base Station Applications

Directory of Open Access Journals (Sweden)

Guan-xi Zhang

2015-01-01

Full Text Available A wideband dual-polarized antenna for WLAN, WiMAX, and LTE base station applications is presented in this paper. The proposed antenna consists of two pairs of orthogonal planar quasi-open-sleeve dipoles along the centerlines, a balanced feeding structure and a square ground plane. The planar quasi-open-sleeve dipole comprises a pair of bowtie-shaped planar dipoles with two parallel curve parasitic elements. The introduced parallel curve parasitic elements change the path of the current of the original bowtie-shaped planar dipoles at high frequencies and hence wideband characteristic is achieved. Two pairs of the planar quasi-open-sleeve dipoles placed orthogonally further broaden the bandwidth of the antenna with dual-polarization characteristics. The proposed antenna achieves a 10-dB return loss bandwidth from 2.32 to 4.03 GHz (53.9% bandwidth using the planar quasi-open-sleeve dipole structures. The isolation between the two ports remains more than 32 dB in the whole bandwidth. Measured results show that the proposed antenna keeps the cross-polarization under −33 dB and the front-to-back ratio better than 15 dB in the operating band. The antenna has an area of 0.3λ  × 0.3λ at 2.32 GHz making it easy to be extended to an array element.

Double-Acting Sleeve Muscle Actuator for Bio-Robotic Systems

Directory of Open Access Journals (Sweden)

Hao Zheng

2013-11-01

Full Text Available This paper presents a new type of muscle-like actuator, namely double-acting (DA sleeve muscle actuator, which is suitable for the actuation of biologically-inspired and biomedical robotic systems, especially those serving human-assistance purposes (prostheses, orthoses, etc.. Developed based on the traditional pneumatic muscle actuator, the new DA sleeve muscle incorporates a unique insert at the center. With the insert occupying the central portion of the internal volume, this new actuator enjoys multiple advantages relative to the traditional pneumatic muscle, including a consistent increase of force capacity over the entire range of motion, and a significant decrease of energy consumption in operation. Furthermore, the insert encompasses an additional chamber, which generates an extension force when pressurized. As such, this new actuator provides a unique bi-directional actuation capability, and, thus, has a potential to significantly simplify the design of a muscle actuator-powered robotic system. To demonstrate this new actuator concept, a prototype has been designed and fabricated, and experiments conducted on this prototype demonstrated the enhanced force capacity and the unique bi-directional actuation capability.

Double-Acting Sleeve Muscle Actuator for Bio-Robotic Systems

Science.gov (United States)

Zheng, Hao; Shen, Xiangrong

2014-01-01

This paper presents a new type of muscle-like actuator, namely double-acting (DA) sleeve muscle actuator, which is suitable for the actuation of biologically-inspired and biomedical robotic systems, especially those serving human-assistance purposes (prostheses, orthoses, etc.). Developed based on the traditional pneumatic muscle actuator, the new DA sleeve muscle incorporates a unique insert at the center. With the insert occupying the central portion of the internal volume, this new actuator enjoys multiple advantages relative to the traditional pneumatic muscle, including a consistent increase of force capacity over the entire range of motion, and a significant decrease of energy consumption in operation. Furthermore, the insert encompasses an additional chamber, which generates an extension force when pressurized. As such, this new actuator provides a unique bi-directional actuation capability, and, thus, has a potential to significantly simplify the design of a muscle actuator-powered robotic system. To demonstrate this new actuator concept, a prototype has been designed and fabricated, and experiments conducted on this prototype demonstrated the enhanced force capacity and the unique bi-directional actuation capability. PMID:25264492

Double-Acting Sleeve Muscle Actuator for Bio-Robotic Systems.

Science.gov (United States)

Zheng, Hao; Shen, Xiangrong

2013-11-25

This paper presents a new type of muscle-like actuator, namely double-acting (DA) sleeve muscle actuator, which is suitable for the actuation of biologically-inspired and biomedical robotic systems, especially those serving human-assistance purposes (prostheses, orthoses, etc .). Developed based on the traditional pneumatic muscle actuator, the new DA sleeve muscle incorporates a unique insert at the center. With the insert occupying the central portion of the internal volume, this new actuator enjoys multiple advantages relative to the traditional pneumatic muscle, including a consistent increase of force capacity over the entire range of motion, and a significant decrease of energy consumption in operation. Furthermore, the insert encompasses an additional chamber, which generates an extension force when pressurized. As such, this new actuator provides a unique bi-directional actuation capability, and, thus, has a potential to significantly simplify the design of a muscle actuator-powered robotic system. To demonstrate this new actuator concept, a prototype has been designed and fabricated, and experiments conducted on this prototype demonstrated the enhanced force capacity and the unique bi-directional actuation capability.

Modified sleeve anastomosis for reconstruction of the hepatic artery in rat liver transplantation.

Science.gov (United States)

Li, Jun; Dahmen, Uta; Dirsch, Olaf; Shen, Kai; Gu, Yanli; Broelsch, Christoph Erich

2002-01-01

End-to-end sleeve anastomosis between a donor common hepatic artery and a recipient proper hepatic artery was proven to be the most physiological and simple method for hepatic rearterialization in rat liver transplantation. Current technical variants of the sleeve technique, however, are hampered by the high rate of bleeding from the anastomotic site. This report deals with a technical modification which inhibits postoperative bleeding efficiently. The procedure consisted of a guiding suture, as previously described in other technical variants, and a modified fixing suture. Instead of using a single stitch to fix the feeding vessel with the receiving vessel, a running suture between the edge of the donor common hepatic artery and the adventitia of the recipient proper hepatic artery was performed to avoid a possible backflow. The patency rate of 91% was as high as reported by others using a sleeve technique, which was also reflected in the histomorphological picture, being indistinguishable from normal liver histology. This technical modification simplified the procedure of reconstructing the hepatic artery and could contribute to a wider use of the arterialized liver transplantation model in rats. Copyright 2002 Wiley-Liss, Inc.

Acute Pancreatitis with Splenic Infarction as Early Postoperative Complication following Laparoscopic Sleeve Gastrectomy

Directory of Open Access Journals (Sweden)

Aleksandr Kalabin

2017-01-01

Full Text Available Obesity is becoming a global health burden along with its comorbidities. It imposes tremendous financial burden and health costs worldwide. Surgery has emerged as the definitive treatment option for morbidly obese patients with comorbidities. Laparoscopic sleeve gastrectomy is performed now more than ever making it imperative for physicians and surgeons to recognize both the common and the uncommon risks and complications associated with it. In this report we describe a rare early life-threatening postoperative complication following laparoscopic sleeve gastrectomy. From our extensive review of literature, there is no existing report of acute pancreatitis with splenic infarction postsleeve gastrectomy to this date.

Experimental and numerical study of steel pipe with part-wall defect reinforced with fibre glass sleeve

International Nuclear Information System (INIS)

Mazurkiewicz, Lukasz; Tomaszewski, Michal; Malachowski, Jerzy; Sybilski, Kamil; Chebakov, Mikhail; Witek, Maciej; Yukhymets, Peter; Dmitrienko, Roman

2017-01-01

The paper presents numerical and experimental burst pressure evaluation of the gas seamless hot-rolled steel pipe. The main goal was to estimate mechanical toughness of pipe wrapped with composite sleeve and verify selected sleeve thickness. The authors used a nonlinear explicit FE code with constitutive models which allows for steel and composite structure failure modelling. Thanks to the achieved numerical and analytical results it was possible to perform the comparison with data received from a capacity test and good correlation between the results were obtained. Additionally, the conducted analyses revealed that local reduction of pipe wall thickness from 6 mm to 2.4 mm due to corrosion defect can reduce high pressure resistance by about 40%. Finally, pipe repaired by a fibre glass sleeve with epoxy resin with 6 mm thickness turned out more resistant than an original steel pipe considering burst pressure. - Highlights: • Numerical and experimental burst pressure evaluation of steel pipe was performed. • Seamless hot-rolled steel pipe with and without corrosion defect were considered. • Local reduction of pipe wall thickness from 6 to 2.4 mm reduces resistance by 40%. • Pipe repaired by a 6 mm fibre glass sleeve was more resistant than an original pipe.

Endoluminal stenting for the management of leak following sleeve gastrectomy and loop duodenojejunal bypass with sleeve gastrectomy

Directory of Open Access Journals (Sweden)

Ying-Nan Tsai

2018-01-01

Full Text Available Postoperative leak is a serious complication of bariatric surgery and often results in significant morbidity and mortality. Stent placement is a less invasive alternative to surgery for the treatment of bariatric surgical leak. We evaluated the efficacy and complications of covered self-expandable metal stents (SEMS in the treatment of post-bariatric surgical leak. We retrospectively reviewed patients who underwent stent placement for leak after bariatric surgery. Leak was diagnosed by upper gastrointestinal series or was visualized during the endoscopy. We examined the timing of stent placement, size of the leak, stent migration and its complications, total stent treatment duration, and treatment outcome. Between January 2011 and April 2015, seven patients underwent covered SEMS placement for leak after bariatric surgery, including laparoscopic sleeve gastrectomy (LSG (n = 5 and laparoscopic loop duodenojejunal bypass with sleeve gastrectomy (LDJB-SG (n = 2. A stent was placed in one patient for infection control and bridging to revisional surgery. Among the other six patients, one patient who received stent placement one year after leak diagnosis failed to achieve leak closure, and five patients with early stent placement achieved leak closure. Three patients with small leak achieved leak closure more quickly. Stent migration was found in six patients, and associated ulcers occurred in five patients. We conclude that stenting is effective in the management of staple-line leaks following LSG and LDJB-SG. Stent migration and associated ulcers are common after stent placement. Early stent removal can be achieved in patients with small leaks.

Endoluminal stenting for the management of leak following sleeve gastrectomy and loop duodenojejunal bypass with sleeve gastrectomy.

Science.gov (United States)

Tsai, Ying-Nan; Wang, Hsiu-Po; Huang, Chih-Kun; Chang, Po-Chin; Lin, I-Chang; Tai, Chi-Ming

2018-01-01

Postoperative leak is a serious complication of bariatric surgery and often results in significant morbidity and mortality. Stent placement is a less invasive alternative to surgery for the treatment of bariatric surgical leak. We evaluated the efficacy and complications of covered self-expandable metal stents (SEMS) in the treatment of post-bariatric surgical leak. We retrospectively reviewed patients who underwent stent placement for leak after bariatric surgery. Leak was diagnosed by upper gastrointestinal series or was visualized during the endoscopy. We examined the timing of stent placement, size of the leak, stent migration and its complications, total stent treatment duration, and treatment outcome. Between January 2011 and April 2015, seven patients underwent covered SEMS placement for leak after bariatric surgery, including laparoscopic sleeve gastrectomy (LSG) (n = 5) and laparoscopic loop duodenojejunal bypass with sleeve gastrectomy (LDJB-SG) (n = 2). A stent was placed in one patient for infection control and bridging to revisional surgery. Among the other six patients, one patient who received stent placement one year after leak diagnosis failed to achieve leak closure, and five patients with early stent placement achieved leak closure. Three patients with small leak achieved leak closure more quickly. Stent migration was found in six patients, and associated ulcers occurred in five patients. We conclude that stenting is effective in the management of staple-line leaks following LSG and LDJB-SG. Stent migration and associated ulcers are common after stent placement. Early stent removal can be achieved in patients with small leaks. Copyright © 2017. Published by Elsevier Taiwan.

Ex-vivo release of Pipeline Embolization Device polytetrafluoroethylene (PTFE) sleeves for improved distal landing zone accuracy in-vivo: A technical note.

Science.gov (United States)

Griessenauer, Christoph J; Gupta, Raghav; Moore, Justin; Thomas, Ajith J; Ogilvy, Christopher S

2016-12-01

Distal landing zone accuracy is critical in some intracranial aneurysms treated with the Pipeline Embolization Device (PED), and delayed opening of the distal end of the device can complicate the procedure. Here, we report a technical nuance that facilitates accurate placement of the distal end of the PED by ex-vivo, pre-implantation release of the PED Flex polytetrafluoroethylene (PTFE) sleeves. The PED Flex is partially pushed out of the introducer sheath ex-vivo, pre-implantation until the distal PED opens entirely and the PTFE sleeves are located distal to the device. Without inverting the PTFE sleeves, the PED is carefully pulled back into the introducer sheath placing the PTFE sleeves inside the device. The PED is loaded into the microcatheter and advanced toward the site of implantation. When the PED is initially deployed and pushed out of the microcatheter, it opens immediately and provides an anchor for the remainder of the deployment process. We present a video (supplementary material) that illustrates the technique along with an illustrative case. Ex-vivo, pre-implantation release of the PTFE sleeves is an option in aneurysm treatment where distal landing accuracy is critical. Even without the protection of the PTFE sleeves, our clinical observation shows that the PED can be advanced safely through the microcatheter in selected cases. © The Author(s) 2016.

Long term (7 or more years) outcomes of the sleeve gastrectomy: a meta-analysis.

Science.gov (United States)

Clapp, Benjamin; Wynn, Matthew; Martyn, Colin; Foster, Chase; O'Dell, Montana; Tyroch, Alan

2018-03-06

The laparoscopic sleeve gastrectomy is now the most common bariatric operation in the United States and has become an established procedure in the armamentarium of the bariatric surgeon. However, this has happened without the strong support of long-term outcomes data, namely the rate of revision and durability of the weight loss. Newly published data from around the world are starting to show alarming trends in these 2 areas. This paper will examine the published and presented data with at least a 7-year follow-up. This is a meta-analysis on published data with at least 7 years of follow-up from the laparoscopic sleeve gastrectomy. Online published articles. We performed a meta-analysis of publications with at least 7 years of follow-up with the keywords "laparoscopic, bariatric, sleeve gastrectomy, sleeve, long-term, long, term, results, follow-up, follow up, conversion, 7 years, 8 years, 9 years, 10 years, 11 years." We queried the PubMed, MEDLINE, and ClinicalKey search engines, which included abstracts as well. The I 2 statistic was used to determine the heterogeneity across the studies. In presence of heterogeneity, a random effect model using the Dersimonian and Laird method was used to estimate the pooled estimates. The results were summarized using effect size along with a 95% confidence interval (CI). Meta-regression was also used to assess the effect of body mass index and follow-up years on the incidence of recidivism at ≥7 years. Nine cohort studies met the inclusion criteria, with a total of 2280 patients included initially. Only 652 patients had completed ≥7 years of follow-up. At ≥7 years, the long-term weight recidivism rate was estimated to be 27.8% (I 2 = .60%; 95% CI: 22.8%-32.7%) with a range of 14% to 37%. The overall revision rate was estimated to be 19.9% (I 2 = 93.8%; 95% CI: 11.3%-28.5%). This was broken down into 13.1% (I 2 = 93.8%; 95% CI: 5.6%-20.6%) due to weight regain (5 studies) and 2.9% (I 2 = 60.8%; 95% CI: 1%-4.9%) due to

Gastroesophageal Reflux Management with the LINX® System for Gastroesophageal Reflux Disease Following Laparoscopic Sleeve Gastrectomy.

Science.gov (United States)

Desart, Kenneth; Rossidis, Georgios; Michel, Michael; Lux, Tamara; Ben-David, Kfir

2015-10-01

Laparoscopic sleeve gastrectomy (LSG) has gained significant popularity in the USA, and consequently resulted in patients experiencing new-onset gastroesophageal reflux disease (GERD) following this bariatric procedure. Patients with GERD refractory to medical therapy present a more challenging situation limiting the surgical options to further treat the de novo GERD symptoms since the gastric fundus to perform a fundoplication is no longer an option. The aim of this study is to determine if the LINX® magnetic sphincter augmentation system is a safe and effective option for patients with new gastroesophageal reflux disease following laparoscopic sleeve gastrectomy. This study was conducted at the University Medical Center. This is a retrospective review of seven consecutive patients who had a laparoscopic LINX® magnetic sphincter device placement for patients with refractory gastroesophageal reflux disease after laparoscopic sleeve gastrectomy between July 2014 and April 2015. All patients were noted to have self-reported greatly improved gastroesophageal reflux symptoms 2-4 weeks after their procedure. They were all noted to have statistically significant improved severity and frequency of their reflux, regurgitation, epigastric pain, sensation of fullness, dysphagia, and cough symptoms in their postoperative GERD symptoms compared with their preoperative evaluation. This is the first reported pilot case series, illustrating that the LINX® device is a safe and effective option in patients with de novo refractory gastroesophageal reflux disease after a laparoscopic sleeve gastrectomy despite appropriate weight loss.

Changes in the makeup of bariatric surgery: a national increase in use of laparoscopic sleeve gastrectomy.

Science.gov (United States)

Nguyen, Ninh T; Nguyen, Brian; Gebhart, Alana; Hohmann, Samuel

2013-02-01

Laparoscopic sleeve gastrectomy is gaining popularity in the US; however, there has been no study examining the use of sleeve gastrectomy at a national level and its impact on the use of other bariatric operations. The aim of this study was to examine contemporary changes in use and outcomes of bariatric surgery performed at academic medical centers. Using ICD-9 diagnosis and procedure codes, clinical data obtained from the University HealthSystem Consortium database for all bariatric procedures performed for the treatment of morbid obesity between October 1, 2008 and September 30, 2012 were reviewed. Quartile trends in use for the 3 most commonly performed bariatric operations were examined, and a comparison of perioperative outcomes between procedures was performed within a subset of patients with minor severity of illness. A total of 60,738 bariatric procedures were examined. In 2008, the makeup of bariatric surgery consisted primarily of gastric bypass (66.8% laparoscopic, 8.6% open), followed by laparoscopic gastric banding (23.8%). In 2012, there was a precipitous increase in use of laparoscopic sleeve gastrectomy (36.3 %), with a concurrent reduction in the use of laparoscopic (56.4%) and open (3.2%) gastric bypass, and a major reduction in laparoscopic gastric banding (4.1%). The length of hospital stay, in-hospital morbidity and mortality, and costs for laparoscopic sleeve gastrectomy were found to be between those of laparoscopic gastric banding and laparoscopic gastric bypass. Within the context of academic medical centers, there has been a recent change in the makeup of bariatric surgery. There has been an increase in the use of laparoscopic sleeve gastrectomy, which has had an impact primarily on reducing the use of laparoscopic adjustable gastric banding. Copyright © 2013 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Rotor losses in laminated magnets and an anisotropic carbon fiber sleeve

NARCIS (Netherlands)

Van der Geest, M.; Wolmarans, J.J.; Polinder, H.; Ferreira, J.A.; Zeilstra, D.

2012-01-01

High speed fault tolerant permanent magnet machines have strong asynchronous airgap harmonics, making them susceptible to rotor eddy-current losses. These losses can be reduced by using novel high resistivity materials like plastic bonded magnets and carbon fiber reinforced retaining sleeves. This

Gastritis in patients undergoing sleeve gastrectomy

Science.gov (United States)

Rath-Wolfson, Lea; Varona, Roy; Bubis, Golan; Tatarov, Alexander; Koren, Rumelia; Ram, Edward

2017-01-01

Abstract Laparoscopic sleeve gastrectomy (LSG) is a therapeutic option in severely obese patients. The aim of this study was to evaluate the presence of Helicobacter pylori (HP) gastritis and non-Helicobacter gastritis in the gastrectomy specimens, and its association to other variables. One hundred six sleeve gastrectomy specimens were examined histopathologically for the presence of gastritis and its relation to other factors like ethnicity, glycemic control, and postoperative complications. Twelve patients had HP gastritis, 39 had non-HP gastritis, and 55 had normal mucosa. There was a statistical difference between the Arab and Jewish Israeli patients in our study. Twenty-eight of the Arab patients had HP gastritis and 48% had non-HP gastritis. In the Jewish population 6% had HP gastritis and 34% had non-HP gastritis. The preoperative glycemic control was worse in the gastritis group with a mean HbA1c of 8.344% while in the normal mucosa group the mean HbA1c was 6.55. After operation the glycemic control reverted to normal in most the diabetic patients. There were few postoperative complications however, they were not related to HP. There is a high incidence of gastritis in obese patients. The incidence of gastritis in the Arab population in our study was higher than that in the Jewish population. The glycemic control before surgery was worse in patients with gastritis than in the normal mucosa group. HP bares no risk for postoperative complications after LSG and does not affect weight loss. However a larger cohort of patients must be studied to arrive at conclusive results. PMID:28422853

Finite element analysis of a novel pin-sleeve system for external fixation of distal limb fractures in horses.

Science.gov (United States)

Brianza, Stefano; Brighenti, Vittoria; Lansdowne, Jennifer L; Schwieger, Karsten; Bouré, Ludovic

2011-11-01

The transfixation pin cast (TPC) is an external skeletal fixation technique used to treat horses with distal limb fractures, but its use is often associated with pin-loosening and an increased risk of treatment failure. To address implant loosening, the pin sleeve cast system (PSC) was recently designed and consists of a pin-sleeve unit inserted into the bone. Each pin runs through a sleeve placed in the bone, making contact at two fixed points only within the sleeve. Each pin is attached to a ring embedded in a resin cast. In this report, the mechanical performance of a traditional TPC pin arrangement was compared with that of the PSC using validated finite element models of bone substitutes previously tested in vitro. The PSC resulted in a marked reduction in peak strain magnitude around the pins and a more even distribution of strain across the bone cortex. The two systems resulted in comparable proximal fragment displacement and had a similar stress concentration around bone defects during implant removal. The findings suggest that the PSC load transfer mechanism is effective even in geometrically complex structures like equine bones. Copyright © 2010 Elsevier Ltd. All rights reserved.

DEFINITION OF DENSITY OF THE THERMAL STATIONARY STREAMS ON A SURFACES OF A SLEEVE OF CYLINDER COMBUSTION ENGINE BY A METHOD OF OPTIMUM FILTRATION KALMANA

Directory of Open Access Journals (Sweden)

ZARENBIN V. G.

2016-01-01

Full Text Available Problem statement. At research warmly intensity and thermal weariness of internal combustion engines (ICE the knowledge and the analysis of local temperatures and thermal streams in the basic details forming the chamber of combustion is defining. Theoretically the problem consists in the decision of the equation of heat conductivity at the set features of course of thermal processes on border of bodies. Thus there is a problem of accuracy of the decision since it depends on accuracy of the task of real boundary conditions which can be received only by means of physical experiment and corresponding metrological maintenance. Unlike temperature the thermal stream cannot be measured directly, therefore it define on a difference of temperatures (thermal gradient a method or a calorimetric method. Definition of density of streams with the help as named gauges of a thermal stream when the measured temperatures are used at the decision of a return problem of heat conductivity for chosen thermometric an element is most extended. In this case, except the requirement of one-dimensionality of distribution of temperatures, linearity and the minimum distortion of temperature fields of thermal system, there are considerable difficulties of calculation derivative of the measured temperature. To perspective it is possible to carry methods of researches which it is accepted to name cybernetic diagnostics or identification of systems. Their essence consists that the deformed information on object is compared to its mathematical model and then are defined its condition, parameters or entrance influences by minimization of square-law function are nonviscous. In work definition of density of thermal stationary streams on surfaces of a sleeve of cylinder ICE by a method of optimum filtration Kalmana and also an estimation of their reliability and accuracy is made. Possibility of application of filtration Kalmana is shown at experimental researches in ICE. The purpose

The design, effectiveness and acceptability of the arm sleeve for the prevention of body fluid contamination during obstetric procedures.

Science.gov (United States)

Kabukoba, J J; Pearce, J M

1993-08-01

1. To design a device that would reduce contamination of staff during obstetric procedures. 2. To undertake clinical trials to assess the effectiveness and acceptability of such a device. A prospective study. The arm sleeve is made of a nonwoven material laminated on polyethylene film making it waterproof. It has an elastomeric cuff with adhesive that ensures a watertight seal between it and the glove. Delivery suite in a teaching hospital. Doctors and midwives were requested to wear the sleeve on top of the standard gown and gloves. Each user was assessed for blood contamination at the end of the procedure and a questionnaire detailing the extent of contamination and the views of the user was completed. Eighty questionnaires were completed. The contamination of arms and hands was 3.8% and 5%, respectively. Eighty-nine percent thought the sleeve had served its purpose and 76% said they would use it regularly. The sleeve is an effective protective device which complements the glove and gown. We recommend that it should be used during all obstetric procedures.

Effect of vertical sleeve gastrectomy in melanocortin receptor 4-deficient rats

NARCIS (Netherlands)

Mul, J.D.; Begg, D.P.; Alsters, S.I.; van Haaften, G.; Duran, K.J.; D'Alessio, D.A.; le Roux, C.W.; Woods, S.C.; Sandoval, D.A.; Blakemore, A.I.; Cuppen, E.; van Haelst, M.M.; Seeley, R.J.

2012-01-01

Bariatric surgery is currently the most effective treatment for obesity. Vertical sleeve gastrectomy (VSG), a commonly applied bariatric procedure, involves surgically incising most of the volume of the stomach. In humans, partial loss of melanocortin receptor-4 (MC4R) activity is the most common

Sleeve resection for delayed presentation of traumatic bronchial transection.

LENUS (Irish Health Repository)

Mohamed, H Y

2010-02-01

Tracheobronchial disruption is uncommon in blunt chest trauma. Many of these patients die before reaching the hospital. In the majority of survivors diagnosis is occasionally delayed resulting in complications like airway stenosis and lung collapse. Thus it is important to have radiological follow up after severe thoracic trauma. Sleeve resection can be an excellent option to conserve lung tissue in delayed presentation of bronchial transection.

Architecture and permeability of post-cytokinesis plasmodesmata lacking cytoplasmic sleeves.

Science.gov (United States)

Nicolas, William J; Grison, Magali S; Trépout, Sylvain; Gaston, Amélia; Fouché, Mathieu; Cordelières, Fabrice P; Oparka, Karl; Tilsner, Jens; Brocard, Lysiane; Bayer, Emmanuelle M

2017-06-12

Plasmodesmata are remarkable cellular machines responsible for the controlled exchange of proteins, small RNAs and signalling molecules between cells. They are lined by the plasma membrane (PM), contain a strand of tubular endoplasmic reticulum (ER), and the space between these two membranes is thought to control plasmodesmata permeability. Here, we have reconstructed plasmodesmata three-dimensional (3D) ultrastructure with an unprecedented level of 3D information using electron tomography. We show that within plasmodesmata, ER-PM contact sites undergo substantial remodelling events during cell differentiation. Instead of being open pores, post-cytokinesis plasmodesmata present such intimate ER-PM contact along the entire length of the pores that no intermembrane gap is visible. Later on, during cell expansion, the plasmodesmata pore widens and the two membranes separate, leaving a cytosolic sleeve spanned by tethers whose presence correlates with the appearance of the intermembrane gap. Surprisingly, the post-cytokinesis plasmodesmata allow diffusion of macromolecules despite the apparent lack of an open cytoplasmic sleeve, forcing the reassessment of the mechanisms that control plant cell-cell communication.

Modified Sleeve Technique in Aortic Valve-Sparing Operation for Marfan Syndrome.

Science.gov (United States)

Wu, Yung-Szu; Hsieh, Shih-Rong; Wang, Chung-Chi; Tsai, Chung-Lin

2018-03-22

We devised a simple modification of the Florida Sleeve procedure to perform aortic valve-sparing surgery. This technique is simple, quick, effective, and safe. We used this technique in operations performed on two young patients with Marfan syndrome. The initial and short-term results were satisfactory.

Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss in Patients With Morbid Obesity: The SM-BOSS Randomized Clinical Trial.

Science.gov (United States)

Peterli, Ralph; Wölnerhanssen, Bettina Karin; Peters, Thomas; Vetter, Diana; Kröll, Dino; Borbély, Yves; Schultes, Bernd; Beglinger, Christoph; Drewe, Jürgen; Schiesser, Marc; Nett, Philipp; Bueter, Marco

2018-01-16

Sleeve gastrectomy is increasingly used in the treatment of morbid obesity, but its long-term outcome vs the standard Roux-en-Y gastric bypass procedure is unknown. To determine whether there are differences between sleeve gastrectomy and Roux-en-Y gastric bypass in terms of weight loss, changes in comorbidities, increase in quality of life, and adverse events. The Swiss Multicenter Bypass or Sleeve Study (SM-BOSS), a 2-group randomized trial, was conducted from January 2007 until November 2011 (last follow-up in March 2017). Of 3971 morbidly obese patients evaluated for bariatric surgery at 4 Swiss bariatric centers, 217 patients were enrolled and randomly assigned to sleeve gastrectomy or Roux-en-Y gastric bypass with a 5-year follow-up period. Patients were randomly assigned to undergo laparoscopic sleeve gastrectomy (n = 107) or laparoscopic Roux-en-Y gastric bypass (n = 110). The primary end point was weight loss, expressed as percentage excess body mass index (BMI) loss. Exploratory end points were changes in comorbidities and adverse events. Among the 217 patients (mean age, 45.5 years; 72% women; mean BMI, 43.9) 205 (94.5%) completed the trial. Excess BMI loss was not significantly different at 5 years: for sleeve gastrectomy, 61.1%, vs Roux-en-Y gastric bypass, 68.3% (absolute difference, -7.18%; 95% CI, -14.30% to -0.06%; P = .22 after adjustment for multiple comparisons). Gastric reflux remission was observed more frequently after Roux-en-Y gastric bypass (60.4%) than after sleeve gastrectomy (25.0%). Gastric reflux worsened (more symptoms or increase in therapy) more often after sleeve gastrectomy (31.8%) than after Roux-en-Y gastric bypass (6.3%). The number of patients with reoperations or interventions was 16/101 (15.8%) after sleeve gastrectomy and 23/104 (22.1%) after Roux-en-Y gastric bypass. Among patients with morbid obesity, there was no significant difference in excess BMI loss between laparoscopic sleeve gastrectomy and laparoscopic Roux

Steam generator thermal sleeve reconstruction

Energy Technology Data Exchange (ETDEWEB)

Caton, E.; Askari, A.; Volder, P. [Babcock and Wilcox Canada Ltd., Cambridge, Ontario (Canada)]. E-mail: eecaton@babcock.com

2003-07-01

'Full text:' Successful implementation of a physically difficult repair program requires collaboration of the design and construction functions of an organization to ensure that goals are shared and rework or on-the-fly design changes are not required. Furthermore, in a nuclear facility this collaboration results in the optimal safety condition as dose uptake is minimized with a well planned job. The replacement of the degraded thermal sleeves in the Pickering A Steam Generator feedwater nozzles posed this type of problem. The project may be summarized as follows: i) problem analysis, ii) identification of design parameters and limitations, iii) integration of field engineering and design engineering solutions, iv) installation. Integration of the design engineering and field engineering design parameters ensured that the most effective solution was implemented. (author)

De novo gastric adenocarcinoma 1 year after sleeve gastrectomy in a transplant patient

Directory of Open Access Journals (Sweden)

M. Masrur

2016-01-01

Conclusions: No direct relation has been established between sleeve gastrectomy and the development of gastric cancer. Robotic procedures allow for complex multiorgan resections, while preserving the benefits of minimally invasive surgery.

Laparoscopic Gastric Sleeve and Micronutrients Supplementation: Our Experience

Directory of Open Access Journals (Sweden)

D. Capoccia

2012-01-01

Full Text Available Background. Laparoscopic gastric sleeve (LGS has been recently introduced as a stand-alone, restrictive bariatric surgery. Theoretically, LGS attenuates micronutrients deficiencies and associated complications that were typically observed following malabsorptive procedures. The aim of this study was to assess some micronutrients and mineral deficiencies in patients undergoing LGS. Methods. In the period between July 2008 and April 2010, 138 obese patients (110 females and 28 males with mean BMI 44.4 kg/m2 ± 6.5, mean age 43.9±10.9 years were enrolled and underwent LGS. Patients were followed up with routine laboratory tests and anthropometric measurements and assessed for nutritional status, as regards vitamin B12, folic acid, iron, hemoglobin, calcium, and vitamin D, every three months throughout 12 months. Results. 12 months after sleeve, patients did not show iron deficiency and/or anemia; plasma calcium levels were in the normal range without supplementation from the sixth month after the operation. Vitamin B12 and folic acid were adequately supplemented for all the follow-up period. Vitamin D was in suboptimal levels, despite daily multivitamin supplementation. Conclusion. In this study, we showed that LGS is an effective surgery for the management of morbid obesity. An adequate supplementation is important to avoid micronutrients deficiencies and greater weight loss does not require higher dosage of multivitamins.

Resident education in robotic-assisted vertical sleeve gastrectomy: outcomes and cost-analysis of 411 consecutive cases.

Science.gov (United States)

Ecker, Brett L; Maduka, Richard; Ramdon, Andre; Dempsey, Daniel T; Dumon, Kristoffel R; Williams, Noel N

2016-02-01

Robotic technology is increasingly prevalent in bariatric surgery, yet there are national deficiencies in exposure of surgical residents to robotic techniques. The purpose of this study is to accurately characterize the perioperative outcomes of a resident teaching model using the robotic-assisted sleeve gastrectomy. University Hospital. We identified 411 consecutive patients who underwent robotic sleeve gastrectomy at our institution from a prospectively maintained administrative database. Perioperative morbidity, operative time, and supply cost of the procedure were analyzed. Mean operative time was 96.4±24.9 minutes; mean robot usage time was 63.9 minutes (range 30.0-122.0 min). Ninety-day morbidities included reoperation (0.72%), major bleeding complications (0.48%), staple line leak (0.24%), stricture (0.97%), need for blood transfusion (3.86%), surgical site infection (1.69%), deep vein thrombosis (0.48%), and pulmonary embolism (0.48%). Mortality was nil. The resident cohort achieved operative time plateaus after five consecutive cases. Subset analysis for fiscal year 2014 demonstrated significantly increased supply cost for robotic sleeve gastrectomy compared with its laparoscopic equivalent. Robotic-assisted sleeve gastrectomy can be instituted as a model for resident robotic education with rates of morbidity and operative times equivalent to historical laparoscopic controls. The robot's enhanced ergonomics and its opportunity for resident education must be weighed against its increased supply cost. Copyright © 2016 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Composting municipal biosolids in polyethylene sleeves with forced aeration: Process control, air emissions, sanitary and agronomic aspects.

Science.gov (United States)

Avidov, R; Saadi, I; Krassnovsky, A; Hanan, A; Medina, Sh; Raviv, M; Chen, Y; Laor, Y

2017-09-01

Composting in polyethylene sleeves with forced aeration may minimize odor emissions, vectors attraction and leachates associated with open windrows. A disadvantage of this technology is the lack of mixing during composting, potentially leading to non-uniform products. In two pilot experiments using biosolids and green waste (1:1; v:v), thermophilic conditions (>45°C) were maintained for two months, with successful control of oxygen levels and sufficient moisture. Emitted odors declined from 1.5-3.8×10 5 to 5.9×10 3 -2.3×10 4 odor units m -3 -air in the first 3weeks of the process, emphasizing the need of odor control primarily during this period. Therefore, composting might be managed in two phases: (i) a closed sleeve for 6-8weeks during which the odor is treated; (ii) an open pile (odor control is not necessary). Reduction of salmonella, E. coli and coliforms was effective initially, meeting the standards of "Class A" biosolids; however, total and fecal coliforms density increased after opening the second sleeve and exceeded the standard of 1000 most probable number (MPN) per g dry matter. Compost maturity was achieved in the open piles following the two sleeves and the final compost was non-phytotoxic and beneficial as a soil additive. Copyright © 2017 Elsevier Ltd. All rights reserved.

Structure and properties of braided sleeve preforms for chemical vapor infiltration

Energy Technology Data Exchange (ETDEWEB)

Starr, T.L.; Fiadzo, O.G.; Hablutzel, N. [Georgia Inst. of Tech., Atlanta, GA (United States). School of Materials Science and Technology

1998-04-01

In all composites the properties and structure of the reinforcement strongly influence the performance of the material. For some composites, however, the reinforcement also affects the fabrication process itself exerting an additional, second order influence on performance. This is the case for the chemical vapor infiltration (CVI) process for fabrication of ceramic matrix composites. In this process the matrix forms progressively as a solid deposit, first onto the fiber surfaces, then onto the previous layer of deposit, ultimately growing to fill the inter-fiber porosity. The transport of reactants to the surfaces and the evolved morphology of the matrix depend on the initial reinforcement structure. This structure can vary greatly and is controlled by such factors as fiber size and cross-section, the number of filaments and amount of twist per tow or yarn, and the weave or braid architecture. Often the choice of reinforcement is based on mechanical performance analysis or on the cost and availability of the material or on the temperature stability of the fiber. Given this choice, the composite densification process--CVI--must be optimized to attain a successful material. Ceramic fiber in the form of cylindrical braided sleeve is an attractive choice for fabrication of tube-form ceramic matrix composites. Multiple, concentric layers of sleeve can be placed over a tubular mandrel, compressed and fixed with a binder to form a freestanding tube preform. This fiber architecture is different than that created by layup of plain weave cloth--the material used in most previous CVI development. This report presents the results of the investigation of CVI densification of braided sleeve preforms and the evolution of their structure and transport properties during processing.

Effect of Sleeve Plunge Depth on Microstructure and Mechanical Properties of Refill Friction Stir Spot Welding of 2198 Aluminum Alloy

Science.gov (United States)

Yue, Yumei; Shi, Yao; Ji, Shude; Wang, Yue; Li, Zhengwei

2017-10-01

Refill friction stir spot welding (RFSSW) is a new spot welding technology, by which spot joint without keyhole can be obtained. In this work, RFSSW was used to join 2-mm-thick 2198-T8 aluminum alloy sheets and effects of the sleeve plunge depth on microstructure and lap shear properties of the joints were mainly discussed. Results showed that when using small plunge depths of 2.4 and 2.6 mm, joints showed good formation and no defects were observed. Incomplete refilling defect was observed with increasing plunge depth due to material loss during welding. Size of the grains at sleeve-affected zone (SAZ) is smaller than that at the pin-affected zone, and the size becomes bigger with increasing the plunge depth. More secondary phase particles can be observed at SAZ with increasing the sleeve plunge depth. The lap shear failure load firstly increased and then decreased with increasing the sleeve plunge depth. The maximum failure load of 9819 N was attained with plug fracture mode when using 2.6 mm. Fracture morphologies show ductile fracture mode.

Concurrent Mesh Repair of a Morgagni and Umbilical Hernia during a Laparoscopic Sleeve Gastrectomy in a Morbidly Obese Individual

Directory of Open Access Journals (Sweden)

N.R Kosai

2016-10-01

Full Text Available Morgagni Hernia is a rare form of diaphragmatic hernia. It is mainly asymptomatic and often identified incidentally during surgery. Tension-free synthetic mesh repair is the preferred treatment modality. However, the use of synthetic mesh concurrently during a clean-contaminated surgery such as sleeve gastrectomy remains controversial due to the remote possibility of mesh infection. A middle-aged female 2 with BMI of 47 Kg/m was admitted electively for laparoscopic sleeve gastrectomy with concurrent umbilical hernia repair. Intra-operatively, a left Morgagni Hernia containing omentum and a segment of transverse colon was noted. She underwent a laparoscopic sleeve gastrectomy and simultaneous laparoscopic tension-free composite mesh repair of both Morgagni and umbilical hernia. Outpatient review three months later revealed excess weight loss of almost 30% with no recurrence of either hernia. In conclusion, the advantages of concurrent hernia repair during bariatric surgery outweigh the risk of mesh infection and should be performed to prevent future risk of visceral herniation and strangulation. Laparoscopic mesh repair of a Morgagni Hernia and umbilical hernia in the setting of an electively planned sleeve gastrectomy is feasible, effective and safe in the hands of a trained laparoscopic surgeon.

pH monitoring of gastro-oesophageal reflux before and after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Thereaux, J; Barsamian, C; Bretault, M; Dusaussoy, H; Lamarque, D; Bouillot, J-L; Czernichow, S; Carette, C

2016-03-01

Gastro-oesophageal reflux disease (GORD) is a common obesity-related co-morbidity that is assessed objectively by 24-h pH monitoring. Some concerns have been raised regarding the risk of de novo GORD or exacerbation of pre-existing GORD after laparoscopic sleeve gastrectomy. Here, 24-h pH monitoring was used to assess the influence of laparoscopic sleeve gastrectomy on postoperative GORD in obese patients with or without preoperative GORD. From July 2012 to September 2014, all patients scheduled for laparoscopic sleeve gastrectomy were invited to participate in a prospective follow-up. Patients who underwent preoperative 24-h pH monitoring were asked to repeat the examination 6 months after operation. GORD was defined as an oesophageal pH < 4 for at least 4·2 per cent of the total time recorded. Of 89 patients, 76 had preoperative pH monitoring for GORD evaluation and 50 had postoperative reassessment. Patients without (group 1, 29 patients) or with (group 2, 21 patients) preoperative GORD were similar regarding age, sex ratio and body mass index. In group 1, the median (i.q.r.) total time at pH < 4 was significantly higher after surgery than before: 5·6 (2·5-9·5) versus 1·6 (0·7-2·9) per cent (P < 0·001). Twenty of the 29 patients experienced de novo GORD as determined by 24-h pH monitoring (P < 0·001). In group 2, total time at pH < 4 after surgery was no different from the preoperative value: 5·9 (3·9-10·7) versus 7·7 (5·2-10·3) per cent (P = 0·296). Laparoscopic sleeve gastrectomy was associated with de novo GORD in over two-thirds of patients, but did not seem to exacerbate existing GORD. © 2016 BJS Society Ltd Published by John Wiley & Sons Ltd.

The Single Needle Lockstitch Machine. [Constructing and Setting Sleeves.] Module 7.

Science.gov (United States)

South Carolina State Dept. of Education, Columbia. Office of Vocational Education.

This module on constructing and setting sleeves, one in a series on the single needle lockstitch sewing machine for student self-study, contains two sections. Each section includes the following parts: an introduction, directions, an objective, learning activities, student information, student self-check, check-out activities, and an instructor's…

Endurance in Al Alloy Melts and Wear Resistance of Titanium Matrix Composite Shot-Sleeve for Aluminum Alloy Die-casting

International Nuclear Information System (INIS)

Choi, Bong-Jae; Kim, Young-Jig; Sung, Si-Young

2012-01-01

The main purpose of this study was to evaluate the endurance against Al alloy melts and wear resistance of an in-situ synthesized titanium matrix composite (TMC) sleeve for aluminum alloy die-casting. The conventional die-casting shot sleeve material was STD61 tool steel. TMCs have great thermal stability, wear and oxidation resistance. The in-situ reaction between Ti and B4C leads to two kinds of thermodynamically stable reinforcements, such as TiBw and TiCp. To evaluate the feasibility of the application to a TMCs diecasting shot sleeve, the interfacial reaction behavior was examined between Al alloys melts with TMCs and STD61 tool steel. The pin-on-disk type dry sliding wear test was also investigated for TMCs and STD61 tool steel.

Biological conduit small gap sleeve bridging method for peripheral nerve injury: regeneration law of nerve fibers in the conduit

Directory of Open Access Journals (Sweden)

Pei-xun Zhang

2015-01-01

Full Text Available The clinical effects of 2-mm small gap sleeve bridging of the biological conduit to repair peripheral nerve injury are better than in the traditional epineurium suture, so it is possible to replace the epineurium suture in the treatment of peripheral nerve injury. This study sought to identify the regeneration law of nerve fibers in the biological conduit. A nerve regeneration chamber was constructed in models of sciatic nerve injury using 2-mm small gap sleeve bridging of a biodegradable biological conduit. The results showed that the biological conduit had good histocompatibility. Tissue and cell apoptosis in the conduit apparently lessened, and regenerating nerve fibers were common. The degeneration regeneration law of Schwann cells and axons in the conduit was quite different from that in traditional epineurium suture. During the prime period for nerve fiber regeneration (2-8 weeks, the number of Schwann cells and nerve fibers was higher in both proximal and distal ends, and the effects of the small gap sleeve bridging method were better than those of the traditional epineurium suture. The above results provide an objective and reliable theoretical basis for the clinical application of the biological conduit small gap sleeve bridging method to repair peripheral nerve injury.

Early and medium term results of the sleeve valve-sparing procedure for aortic root ectasia.

Science.gov (United States)

Gamba, Amando; Tasca, Giordano; Giannico, Floriana; Lobiati, Elisabetta; Skouse, Douglas; Galanti, Andrea; Martino, Antonello Stefano; Triggiani, Michele

2015-04-01

The aim of this retrospective study was to evaluate our experience of using a simplified aortic valve sleeve procedure to treat aortic root ectasia and aneurysms with or without aortic regurgitation. In experienced hands, 2 aortic valve-sparing procedures, ie, Yacoub and David, have yielded excellent long-term results in the treatment of aortic root aneurysms, with or without aortic regurgitation. However, these techniques are demanding and not widely used. Recently, a new and simplified valve-sparing technique, named "sleeve procedure," has been proposed, and has yielded encouraging early results. Ninety consecutive patients with aortic root aneurysms underwent sleeve procedures from October 2006 to October 2012. Follow-up data (clinical 100% complete and echocardiographic 93% complete) were acquired from our outpatient clinic or from the referring cardiologist. The mean age of the patients was 61.5 ± 12.5 years, 79% were male, 16 (18%) had a bicuspid valve, 3 had Marfan syndrome, and 2 had aortic dissection. Over a mean clinical follow-up of 34 ± 19 months, 2 patients died from noncardiac causes and 1 was reoperated on for the recurrence of aortic regurgitation. On follow-up echocardiography after a mean of 18 ± 9 months, aortic regurgitation was absent/negligible, mild or moderate in 62%, 37%, and 1% of patients, respectively, and the diameters of the annulus, Valsalva sinuses, and sinotubular junction were 27.3 + 2.2, 37.0 + 3.4, and 30.6 + 3.1 mm, respectively. Our encouraging early and medium term results suggest that the sleeve procedure is a safe and effective aortic valve-sparing technique for the treatment of aortic root ectasia and aneurysm. However, longer follow-up is needed in order to draw definitive conclusions. Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Basic interrupted versus continuous suturing techniques in bronchial anastomosis following sleeve lobectomy in dogs.

Science.gov (United States)

Bayram, Ahmet Sami; Erol, Mehmet Muharrem; Salci, Hakan; Ozyiğit, Ozgür; Görgül, Sacit; Gebitekin, Cengiz

2007-12-01

Sleeve resection with or without lung resection is a valid conservative operation for patients with benign or malignant tumors; it enables the preservation of lung parenchyma. The aim of this prospective randomized study was to compare complications, operating time, and bronchial healing between the techniques of interrupted and continuous suturing for bronchial anastomosis in dogs. Twenty adult mongrel dogs each weighing 18-22 kg (average: 20 kg) were divided into two groups according to the anastomosis technique performed: group A, interrupted suturing and group B, continuous suturing. Each group comprised of 10 dogs. Following right thoracotomy, sleeve resection of the right cranial lobe was performed in all dogs. Basic interrupted sutures using 4/0 Vicryl (Ethicon, USA) were used in group A, and continuous sutures were used in group B. The median anastomosis time was 15.2 min (range: 13-21 min) in group A and 9.6 min (range: 8-13 min) in group B. In all dogs, the anastomosis line was resected via right pneumonectomy for histopathological investigation 1 month after sleeve resection. Histopathological examination revealed that the healing of the anastomosis was not affected by the suturing technique applied. One dog from each group died on the fourth postoperative day; Fisher's exact test, p=0.763. Our research revealed that the healing of the anastomosis was not affected by the suturing technique performed.

Control of Cocoa Pod Borer and Phytophthora Pod Rot Using Degradable Plastic Pod Sleeves and a Nematode, Steinernema Carpocapsae

OpenAIRE

Rosmana, Ade; Shepard, Merle; Hebbar, Prakash; Mustari, Anita

2010-01-01

Cocoa pod borer (CPB; Conopomorpha cramerella) and Phytophthora pod rot (PPR; Phytophthora palmivora) are serious pest and disease on cocoa plantations in Indonesia. Both pest and disease have been controlled with limited success using cultural practices such as pruning, frequent harvesting, sanitation, plastic sleeving, and chemical pesticides. An experiment was conducted on cocoa plantings in Pinrang Regency, South Sulawesi during the wet season of 2008/09 to test the effect of pod sleeving...

Extended Sleeve Products Allow Control and Monitoring of Process Fluid Flows Inside Shielding, Behind Walls and Beneath Floors - 13041

Energy Technology Data Exchange (ETDEWEB)

Abbott, Mark W. [Flowserve Corporation, 1978 Foreman Drive Cookeville, TN 38506 (United States)

2013-07-01

Throughout power generation, delivery and waste remediation, the ability to control process streams in difficult or impossible locations becomes increasingly necessary as the complexity of processes increases. Example applications include radioactive environments, inside concrete installations, buried in dirt, or inside a shielded or insulated pipe. In these situations, it is necessary to implement innovative solutions to tackle such issues as valve maintenance, valve control from remote locations, equipment cleaning in hazardous environments, and flow stream analysis. The Extended Sleeve family of products provides a scalable solution to tackle some of the most challenging applications in hazardous environments which require flow stream control and monitoring. The Extended Sleeve family of products is defined in three groups: Extended Sleeve (ESV), Extended Bonnet (EBV) and Instrument Enclosure (IE). Each of the products provides a variation on the same requirements: to provide access to the internals of a valve, or to monitor the fluid passing through the pipeline through shielding around the process pipe. The shielding can be as simple as a grout filled pipe covering a process pipe or as complex as a concrete deck protecting a room in which the valves and pipes pass through at varying elevations. Extended Sleeves are available between roughly 30 inches and 18 feet of distance between the pipeline centerline and the top of the surface to which it mounts. The Extended Sleeve provides features such as ± 1.5 inches of adjustment between the pipeline and deck location, internal flush capabilities, automatic alignment of the internal components during assembly and integrated actuator mounting pads. The Extended Bonnet is a shorter fixed height version of the Extended Sleeve which has a removable deck flange to facilitate installation through walls, and is delivered fully assembled. The Instrument Enclosure utilizes many of the same components as an Extended Sleeve

Repair boundary for parent tube indications within the upper joint zone of hybrid expansion joint (HEJ) sleeved tubes

International Nuclear Information System (INIS)

Cullen, W.K.; Keating, R.F.

1997-01-01

In the Spring and Fall of 1994, and the Spring of 1995, crack-like indications were found in the upper hybrid expansion joint (HEJ) region of Steam Generator (S/G) tubes which had been sleeved using Westinghouse HEJ sleeves. As a result of these findings, analytic and test evaluations were performed to assess the effect of the degradation on the structural, and leakage, integrity of the sleeve/tube joint relative to the requirements of the United States Nuclear Regulatory Commission's (NRC) draft Regulatory Guide (RG) 1.121. The results of these evaluations demonstrated that tubes with implied or known crack-like circumferential parent tube indications (PTIs) located 1.1 inches or farther below the bottom of the hardroll upper transition, have sufficient, and significant, integrity relative to the requirements of RG 1.121. Thus, the purpose of this report is to provide background information related to the justification of the modified tube repair boundary

Behandling med duodenal-jejunal bypass-sleeve ved svær overvægt

DEFF Research Database (Denmark)

Rohde, Ulrich; Gylvin, Silas; Vilmann, Peter

2014-01-01

Overweight and obesity are risk factors for several co-morbidities reducing life expectancy. Conservative treatment of obesity is generally ineffective in the long-term. Bariatric surgery has proven effective, but is associated with potential complications. Duodenal-jejunal bypass sleeve is a novel...

Laparoscopic sleeve gastrectomy and gastroesophageal reflux disease : a systematic review and meta-analysis

NARCIS (Netherlands)

Oor, Jelmer E; Roks, David J; Ünlü, Çagdas; Hazebroek, Eric J

BACKGROUND: The effect of sleeve gastrectomy (SG) on the prevalence of gastroesophageal reflux disease (GERD) remains unclear. We aimed to outline the currently available literature. DATA SOURCES: All relevant databases were searched for publications examining the effect of laparoscopic SG on GERD.

Utilization of low-energy electron accelerators in Korea

International Nuclear Information System (INIS)

Lee, Byung Cheol

2003-01-01

There are more than 20 electron accelerators in Korea. Most of those are installed in factories for heat-resistant cables, heat-shrinkable cables, radial tires, foams, tube/ films, curing, etc. Four low-energy electron accelerators are in operation for research purposes such as polymer modification, purification of flue gas, waste water treatment, modification of semiconductor characteristics, etc. (author)

Utilization of low-energy electron accelerators in Korea

Energy Technology Data Exchange (ETDEWEB)

Lee, Byung Cheol [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

2003-02-01

There are more than 20 electron accelerators in Korea. Most of those are installed in factories for heat-resistant cables, heat-shrinkable cables, radial tires, foams, tube/ films, curing, etc. Four low-energy electron accelerators are in operation for research purposes such as polymer modification, purification of flue gas, waste water treatment, modification of semiconductor characteristics, etc. (author)

Feasibility and early outcomes of laparoscopic plicated sleeve gastrectomy: a case-control study

Directory of Open Access Journals (Sweden)

Tomasz Rogula

2016-01-01

Full Text Available Introduction : Sleeve gastrectomy (SG continues to gain popularity as a viable weight loss procedure with well-documented outcomes and procedure-specific adverse effects. It has become increasingly indicated for the treatment of morbid obesity. Aim of the research : To compare a novel approach to SG, which aims to reduce SG-specific complications, to the standard SG procedure. Material and methods : Sixteen morbidly obese patients with a mean body mass index (BMI of 48.5 kg/m 2 ± SD who underwent the novel laparoscopic plicated sleeve gastrectomy (LPSG were retrospectively studied. The control group included 18 patients who underwent laparoscopic SG. Study and control groups were matched for BMI and gender. Study group patients underwent a partial SG with imbrication of the distal 2/3 of the staple line with 2 cm overlap and 3–4 cm of the pre-pyloric stomach. Control group SG patients had their staple line oversewn without plication. Outcomes at 3, 6 and 12 months were compared and analyzed. Results: There was no statistically significant difference in weight loss at 12 months between the LPSG and SG groups. Postoperative nausea was comparable between the two groups. No major complications were noted in either group. Conclusions: The LPSG is a modification of the standard SG which has comparable outcomes, safety and feasibility. It may lead to a decrease in unwanted complications such as sleeve stricture or obstruction. Further studies on long-term outcomes are needed to assess its value as a bariatric procedure.

More stapler firings increase the risk of perioperative morbidity after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Major, Piotr; Wysocki, Michał; Pędziwiatr, Michał; Pisarska, Magdalena; Małczak, Piotr; Wierdak, Mateusz; Dembiński, Marcin; Migaczewski, Marcin; Rubinkiewicz, Mateusz; Budzyński, Andrzej

2018-03-01

Staple-line bleeding and leakage are the most common serious complications of laparoscopic sleeve gastrectomy. The relationship between multiple stapler firings and higher risk of postoperative complications is well defined in colorectal surgery but has not been addressed in bariatric procedures so far. Identification of new factors such as "the numbers of stapler firings used during laparoscopic sleeve gastrectomy (LSG)" as a predictor for complications can lead to optimization of the patient care at bariatric centers. To determine the association between perioperative morbidity and the number of stapler firings during laparoscopic sleeve gastrectomy. This observational study was based on retrospective analysis of prospectively collected data in patients operated on for morbid obesity in a teaching hospital/tertiary referral center for general surgery. The patients who underwent LSG were analyzed in terms of the number of stapler firings used as a new potential risk predictor for postoperative complications after surgery, adjusting for other patient- and treatment-related factors. The study included 333 patients (209 women, 124 men, mean age: 40 ±11). During the first 30 days after surgery, complications were observed in 18 (5.41%) patients. Multivariate analysis showed that prolonging operative time increased morbidity (every minute, OR = 1.01; 95% CI: 1.00-1.02) and the complication rate increased with the number of stapler firings (every firing, OR = 1.91; 95% CI: 1.09-3.33; p = 0.023). Additional stapler firings above the usual number and a prolonged operation should alert a surgeon and the whole team about increased risk of postoperative complications.

Ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy

Directory of Open Access Journals (Sweden)

Dilek E. Arı

2017-12-01

Full Text Available Objectives: To investigate the analgesic effect of a subcostal-posterior transversus abdominis plane (TAP block combination following laparoscopic sleeve gastrectomy. Methods: This study was conducted at Fatih Sultan Mehmet Educational and Research Hospital, Istanbul, Turkey, between March 2014 and June 2015. A total of 40 patients with a body mass index of 40-60 kg/m2 scheduled for laparoscopic sleeve gastrectomy were randomly allocated into 2 groups. Patients in Group I (n=20 received a bilateral subcostal TAP block, and patients in Group II (n=20 received a bilateral subcostal and posterior TAP block. Pain intensity was assessed at rest and during coughing using the visual analog scale (VAS prior to and at various time points after TAP block (0 min, 30 min, 2 hours, 4 hours, 6 hours, 12 hours, and 24 hours. Morphine consumption over 24 hours and time to first morphine requirement were recorded. Results: There was no difference in VAS scores between groups. Morphine consumption was 6.78±5.95 mg in Group I, and 7.28±5.95 mg in Group II (p=0.795. Time to first morphine requirement was 267.22±303.84 min for Group I, and 207.80±209.81 min for Group II (p=0.154. Conclusions: Subcostal-posterior TAP block provided equivalent analgesia to subcostal TAP block alone following laparoscopic sleeve gastrectomy.

The efficacy of sleeve technique in primary nasolacrimal duct obstruction with a high lacrimal sac

Directory of Open Access Journals (Sweden)

Kyoung-Nam Kim

2014-01-01

Full Text Available Purpose: To evaluate the efficacy of a sleeve technique during endoscopic dacryocystorhinostomy (DCR in primary nasolacrimal duct obstruction (NLDO patients with a high lacrimal sac. Materials and Methods: The medical records of 45 patients (49 cases undergoing endoscopic DCR for primary NLDO with a high lacrimal sac were retrospectively reviewed. In 19 patients (21 cases, the thick maxilla covering the common canalicular opening was removed using a drill and a bicanalicular silicone tube was inserted (group 1. In 26 patients (28 cases, instead of removal of the thick maxilla, a sleeve was inserted into the bicanalicular silicone tube (group 2. At 6 months postoperatively, the success rate was evaluated and the size of the intranasal mucosal ostium was measured. Results: The success rates in group 1 and 2 was 90.5% and 96.4%, respectively (P = 0.400. The intranasal mucosal ostium in group 1 and 2 measured 1.7 ± 0.7 mm and 3.1 ± 1.0 mm, respectively, and the difference was significant (P = 0.042. Conclusions: In primary NLDO patients with a high lacrimal sac, DCR inserting a silicone tube and a sleeve together had a satisfactory success rate without using a drill. In comparison with traditional surgical methods, it helped enlarge the size of the intranasal mucosal ostium.

Thermoelastic/plastic analysis of waste-container sleeve: IV. Air gap influence on hole closure. Technical memorandum report (RSI-0019)

International Nuclear Information System (INIS)

Pariseau, W.G.

1975-01-01

A thermoelastic/plastic finite element analysis of the influence of an air-gap on hole closure about a waste-container/sleeve assembly emplaced in a typical repository room (SALT/4T Model) indicates that hole closure would be of the order of hundredths of an inch. Acceptable air-gap width is thus governed by the hole size required for emplacement efficiency. A refined mesh analysis and laboratory testing is suggested in order to further explore the possibility of eliminating the engineering necessity of the sleeve

A new surgical technique of intra-scleral tube fixation in Ahmed Glaucoma Valve implantation: ‘Scleral Sleeve Method’

Directory of Open Access Journals (Sweden)

Charudutt Kalamkar

2017-10-01

Full Text Available Purpose: To present a new surgical technique ‘Scleral Sleeve Method’ which would reduce the risk of Ahmed Glaucoma Valve (AGV tube related complications in patients undergoing AGV FP7 (New World Medical Inc., Rancho Cucamonga, CA for refractory glaucoma. Design: Prospective, Non-Randomized, hospital based interventional case series. Subjects: A total of 16 eyes of adult patients (10 males and 6 females with refractory glaucoma. Methods: Instead of using sutures to fix the AGV tube to sclera, we devised a novel method of intra-scleral tube fixation by creating a scleral tunnel fashioned in form of sleeve. Main outcome measure: Post-operative tube related complications. Result: There were no tube related complications such as exposure, extrusion or retraction in any of the cases. Conclusion: Use of scleral sleeve method for tube fixation, along with graft to cover the tube, will provide additional safety measure and reduce the risks of tube related complications. Keywords: Ahmed Glaucoma Valve, Scleral Sleeve Method, Intra-scleral tube fixation

Application of electron accelerator for thin film in Indonesia

International Nuclear Information System (INIS)

Danu, Sugiarto; Darsono, Dadang

2004-01-01

Electron accelerator is widely used for the crosslinking of wire and cable insulation, the treatment of heat shrinkable products, precuring of tire components, and the sterilization of medical products. Research and development the use of electron accelerator for thin film in Indonesia covered radiation curing of surface coating, crosslinking of poly (butylenes succinate), crosslinking of wire, cable and heat shrinkable, sterilization of wound dressing, and prevulcanization of tire. In general, comparing with conventional method, electron beam processing have some advantages, such as, less energy consumption, much higher production rate, processing ability at ambient temperature and environmental friendly. Indonesia has a great potential to develop the application of electron accelerator, due to the remarkable growth industrial sector, the abundant of natural resources and the increasing demand of the high quality products. This paper describes the activities concerning with R and D, and application of electron accelerator for processing of thin film. (author)

Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss at 5 Years Among Patients With Morbid Obesity: The SLEEVEPASS Randomized Clinical Trial.

Science.gov (United States)

Salminen, Paulina; Helmiö, Mika; Ovaska, Jari; Juuti, Anne; Leivonen, Marja; Peromaa-Haavisto, Pipsa; Hurme, Saija; Soinio, Minna; Nuutila, Pirjo; Victorzon, Mikael

2018-01-16

Laparoscopic sleeve gastrectomy for treatment of morbid obesity has increased substantially despite the lack of long-term results compared with laparoscopic Roux-en-Y gastric bypass. To determine whether laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass are equivalent for weight loss at 5 years in patients with morbid obesity. The Sleeve vs Bypass (SLEEVEPASS) multicenter, multisurgeon, open-label, randomized clinical equivalence trial was conducted from March 2008 until June 2010 in Finland. The trial enrolled 240 morbidly obese patients aged 18 to 60 years, who were randomly assigned to sleeve gastrectomy or gastric bypass with a 5-year follow-up period (last follow-up, October 14, 2015). Laparoscopic sleeve gastrectomy (n = 121) or laparoscopic Roux-en-Y gastric bypass (n = 119). The primary end point was weight loss evaluated by percentage excess weight loss. Prespecified equivalence margins for the clinical significance of weight loss differences between gastric bypass and sleeve gastrectomy were -9% to +9% excess weight loss. Secondary end points included resolution of comorbidities, improvement of quality of life (QOL), all adverse events (overall morbidity), and mortality. Among 240 patients randomized (mean age, 48 [SD, 9] years; mean baseline body mass index, 45.9, [SD, 6.0]; 69.6% women), 80.4% completed the 5-year follow-up. At baseline, 42.1% had type 2 diabetes, 34.6% dyslipidemia, and 70.8% hypertension. The estimated mean percentage excess weight loss at 5 years was 49% (95% CI, 45%-52%) after sleeve gastrectomy and 57% (95% CI, 53%-61%) after gastric bypass (difference, 8.2 percentage units [95% CI, 3.2%-13.2%], higher in the gastric bypass group) and did not meet criteria for equivalence. Complete or partial remission of type 2 diabetes was seen in 37% (n = 15/41) after sleeve gastrectomy and in 45% (n = 18/40) after gastric bypass (P > .99). Medication for dyslipidemia was discontinued in 47% (n�

Numerical Simulation and Experimental Validation of an Integrated Sleeve-Wedge Anchorage for CFRP Rods

DEFF Research Database (Denmark)

Schmidt, Jacob Wittrup; Smith, Scott T.; Täljsten, Björn

2011-01-01

. Recently, an integrated sleeve-wedge anchorage has been successfully developed specifically for CFRP rods. This paper in turn presents a numerical simulation of the newly developed anchorage using ABAQUS. The three-dimensional finite element (FE) model, which considers material non-linearity, uses...

Effects of sleeve blockages on axial velocity and intensity of turbulence in an unheated 7 x 7 rod bundle

International Nuclear Information System (INIS)

Creer, J.M.; Rowe, D.S.; Bates, J.M.; Sutey, A.M.

1976-01-01

An experimental study is described which was performed to investigate the turbulent flow phenomena near postulated sleeve blockages in a model nuclear fuel rod bundle. The sleeve blockages were characteristic of fuel clad ''swelling'' or ''ballooning'' which could occur during loss-of-coolant accidents (LOCA) in pressurized water reactors. The study was conducted to provide information relative to the flow phenomena near postulated blockages to support detailed safety analyses of LOCAs. The results of the study are especially useful for verification of the hydraulic treatment of reactor core computer programs such as COBRA

Management of a case of left tracheal sleeve pneumonectomy under cardiopulmonary bypass: Anesthesia perspectives

Directory of Open Access Journals (Sweden)

Aman Jyoti

2014-01-01

Full Text Available The lung tumors with carinal involvement are frequently managed with tracheal sleeve pneumonectomy and tracheobronchial anastomosis without use of cardiopulmonary bypass (CPB. Various modes of ventilation have been described during tracheal resection and anastomosis. Use of CPB during this period allows the procedure to be conducted in a more controlled way. We performed tracheal sleeve pneumonectomy for adenoid cystic carcinoma of left lung involving carina. The surgery was performed in two stages. In the first stage, left pneumonectomy was performed and in the second stage after 48 h, tracheobronchial resection and anastomosis was performed under CPB. Second stage was delayed to avoid excessive bleeding (due to heparinization from the extensive vascular raw area left after pneumonectomy. Meticulous peri-operative planning and optimal post-operative care helped in successful management of a complex case, which is associated with high morbidity and mortality.

The development of auto-sealing system for field joints of polyethylene coated pipelines

Energy Technology Data Exchange (ETDEWEB)

Okano, Yoshihiro [NKK Corp., Tsu, Mie (Japan); Shoji, Norio [NKK Corp., Yokohama (Japan); Namioka, Toshiyuki [Nippon Kokan Koji Corp., Osaka (Japan); Komura, Minoru [Nitto Denko Corp., Fukaya, Saitama (Japan)

1997-08-01

The paper describes the development of a system to create high quality, automatic sealing of field joints of polyethylene coated pipelines. The system uses a combination of electrically heated shrink sleeves and a low pressure chamber. The self-heating shrink sleeves include electric wires and heat themselves when connected to electricity. A method was developed to eliminate air trapped between the sleeve and steel pipe by shrinking the sleeves under low pressure. The low pressure condition was automatically and easily attained by using a vacuum chamber. The authors verified that the system produces high quality sealing of field joints.

Dietary intake and ghrelin and leptin changes after sleeve gastrectomy

OpenAIRE

Bu?ga, Marek; Zavadilov?, Vladislava; Hol?czy, Pavol; ?vagera, Zden?k; ?vorc, Pavol; Foltys, Ale?; Zon?a, Pavel

2014-01-01

Introduction Surgical intervention in obesity is today the most effective treatment method in high level obesity management. Bariatric interventions not only ensure body weight reduction, but may influence dietary habits. Aim To assess changes in adipose hormones and dietary habits in obese patients after sleeve gastrectomy. Material and methods The study set comprised 37 subjects (29 females and 8 males) 24 to 68 years old with body mass index 43.0 ?4.9 kg/m2. Pre-operative examination inclu...

Numerical investigation of the performances of axial separation helical baffle heat exchangers

International Nuclear Information System (INIS)

Tang, Hongling; Chen, Yaping; Wu, Jiafeng; Yang, Shifan

2016-01-01

Highlights: • Seriation incline angles of axial separation reduce helical baffle manufacture cost. • Adjacent helical baffles are separated by sleeve tubes to form a greater pitch helix. • Flow and thermal performances of normal and axial separation schemes were simulated. • Deviation of h.t.c. or pressure drop of 21(15)° and 21° schemes is −1.21% or 4.96%. • Seriation step of baffle incline angles can be extended to 8° by axial separation. - Abstract: Axial separation is a novel baffle connection configuration of circumferential overlap helical baffle heat exchangers which makes baffle incline angle seriation possible. The adjacent baffle plates are separated by sleeve tubes to form a greater pitched helix for enhancing heat transfer under required pressure drop with the least number of molds for reducing baffle manufacture cost. Numerical simulations of flow and heat transfer performances were conducted and the calculation results were verified by the experimental ones. Performance investigation was conducted on eight normal trisection helical baffle schemes with baffle incline angles from 15° to 23° and five axial separation schemes of equivalent 17–22° angles using 15° baffles. In the calculation scope the average deviations of heat transfer coefficients and pressure drops of the normal helical schemes are respectively about −1.97% and −8.11% per 1° deviation of incline angle. The axial separation schemes using 15° baffles with equivalent 21° and 22° incline angles have deviation values of heat transfer coefficient 1.21% and 1.33% lower and pressure drop 4.96% and 5.55% higher respectively than those of the normal 21° and 22° incline angle schemes. By adopting axial separation approach the seriation step of baffle incline angles can be extended to 8°.

Effect of Yaw Angle and Ambient Wind on Fabric Penetration of a Simulated Sleeve

Science.gov (United States)

2015-08-20

took a day of trial-and-error testing. Of concern is the effect of the fabric sleeve on the flowfield. It is possible that the introduction of the...stephanie.f.zopf.civ@mail.mil CLARKSON UNIVERSITY (1) Mechanical Engineering Department 8 Clarkson Ave., Potsdam , NY 13699 sdhaniyala

Getting the most from the sleeve: the importance of post-operative follow-up.

Science.gov (United States)

Keren, Dean; Matter, Ibrahim; Rainis, Tova; Lavy, Alexandra

2011-12-01

Bariatric approach to obesity provides substantial weight loss and comorbidity resolution. Our unique service includes pre- and postoperative visits to the Health and Nutrition Clinic headed by a specialist in gastroenterology and nutrition. We compared patients attending regular clinic routine with those who were lost to follow-up with regard to anthropometry, comorbidity, quality of life, and food tolerance and determined who benefited most from the operation. A retrospective review was performed on patients 30 months after undergoing sleeve gastrectomy. Body mass index was used to report weight loss. Bariatric Analysis and Reporting Outcome System (BAROS) and Food Tolerance Score were (FTS) completed by all patients at the 30-month follow-up visit and compared between two groups (group I-30 months of active postoperative follow-up; group II-without). A total of 119 patients participated in the study. For groups I and II, the mean percentage of excess BMI loss at 30 months was 82.08 ± 9.83 and 74.88 ± 8.75, respectively, with better comorbidity improvement in group I. BAROS scores were 7.62 ± 0.72 and 6.92 ± 0.92. FTS was 24.30 ± 2.09 and 22.55 ± 2.27, respectively. From our experience, getting the most from the sleeve is attributed to two main factors: surgery and nutrition. Surgery results in optimal restriction and improved satiety, whereas nutrition relies on a professional medical team providing constant, ongoing patient support throughout all the bariatric process stages. These teams of surgeons and gastroenterologists specializing in nutrition, working side by side, each in their area of specialty, are the main pillars leading to the success of the sleeve.

Simple, Safe, and Cost-Effective Technique for Resected Stomach Extraction in Laparoscopic Sleeve Gastrectomy.

Science.gov (United States)

Derici, Serhan; Atila, Koray; Bora, Seymen; Yener, Serkan

2016-01-01

Background. Laparoscopic sleeve gastrectomy (LSG) has become a popular operation during the recent years. This procedure requires resection of 80-90% of the stomach. Extraction of gastric specimen is known to be a challenging and costly stage of the operation. In this paper, we report results of a simple and cost-effective specimen extraction technique which was applied to 137 consecutive LSG patients. Methods. Between October 2013 and October 2015, 137 laparoscopic sleeve gastrectomy surgeries were performed at Dokuz Eylul University General Surgery Department, Upper Gastrointestinal Surgery Unit. All specimens were extracted through a 15 mm trocar site without using any special device. Results. We noticed one superficial incisional surgical site infection and treated this patient with oral antibiotics. No cases of trocar site hernia were observed. Conclusion. Different techniques have been described for specimen extraction. This simple technique allows extraction of specimen safely in a short time and does not require any special device.

Development of the Sixty Watt Heat-Source hardware components

International Nuclear Information System (INIS)

McNeil, D.C.; Wyder, W.C.

1995-01-01

The Sixty Watt Heat Source is a nonvented heat source designed to provide 60 thermal watts of power. The unit incorporates a plutonium-238 fuel pellet encapsulated in a hot isostatically pressed General Purpose Heat Source (GPHS) iridium clad vent set. A molybdenum liner sleeve and support components isolate the fueled iridium clad from the T-111 strength member. This strength member serves as the pressure vessel and fulfills the impact and hydrostatic strength requirements. The shell is manufactured from Hastelloy S which prevents the internal components from being oxidized. Conventional drawing operations were used to simplify processing and utilize existing equipment. The deep drawing reqirements for the molybdenum, T-111, and Hastelloy S were developed from past heat source hardware fabrication experiences. This resulted in multiple step drawing processes with intermediate heat treatments between forming steps. The molybdenum processing included warm forming operations. This paper describes the fabrication of these components and the multiple draw tooling developed to produce hardware to the desired specifications. copyright 1995 American Institute of Physics

Hard facts for radiation curing of elastomers

International Nuclear Information System (INIS)

Lyall, D.J.

1984-01-01

The subject is covered under the headings: introduction; outline of chemistry (differences between conventional and radiation curing); compounding; green strength; response of rubbers to electron beam treatment; electron beam cured applications:(a) wire and cable applications;(b) rubber tyre components;(c) heat shrinkable materials;(d) roofing materials. (U.K.)

Pediatric laparoscopic sleeve gastrectomy in Turkey: Short-term results.

Science.gov (United States)

Ates, Ufuk; Ergun, Ergun; Gollu, Gulnur; Sozduyar, Sumeyye; Can, Ozlem Selvi; Yagmurlu, Aydin

2018-05-01

Obesity is one of the most rapidly increasing health problems in children. Laparoscopic sleeve gastrectomy (LSG) is one of the best treatment options and is feasible and safe in children. The aim of this study was to present the short-term results of a laparoscopic sleeve gastrectomy series in children. Children who underwent LSG in 2014-2017 were included in the study. Charts were investigated retrospectively and short-term weight loss was analyzed. Patients who had surgery in 2014-2017 were included in the study. There were six girls and two boys, and the median age was 15 years (range, 11-18 years). Mean weight was 159.25 ± 19.78 kg, and mean body mass index was 61.05 ± 8.5 kg/m 2 . Mean operation time was 70 min (range, 65-90 min), mean hospital stay was 5.1 days (range, 3-7 days), and mean follow up was 19.2 months (range, 1-43 months). Of these patients, five had hypertension and were under medication and two of these five also had hyperinsulinemia. One of the five children had Bardet-Biedl syndrome and one had bronchial asthma. After operation, medication was stopped in four of the eight children. At the time of writing, six patients were doing well without postoperative complications, or the need for reoperation. Even though the follow-up period was short and the number of patients was small, LSG was a feasible and promising surgical method for morbidly obese children. A multidisciplinary approach and lifelong behavior therapy are key steps for success. © 2018 Japan Pediatric Society.

Experimental consolidation of granulated rock salt with application to sleeve buckling. Technical memorandum report RSI-0044

International Nuclear Information System (INIS)

Hansen, F.D.

1976-01-01

Quasi-static and creep consolidation tests have been performed in order to determine the compressibility of granulated rock salt when subjected to uniaxial deformations. The purpose of this analysis is to evaluate the force-displacement characteristics of rock salt that may be used as a backfill material around waste canister sleeves. The test set-up involved placing rock salt pellets in a thin-walled steel cylinder and applying a uniaxial load which compressed the salt while allowing no lateral movement. Tests were run at room temperature, 100 and 200 0 C and consolidated to uniaxial stress levels between 1000 and 4000 psi. Axial force, displacement and time were monitored during each test and the relationships have been evaluated. In particular, compressibility of the rock salt is not drastically effected by the temperature differences, nor is there an appreciable difference between the consolidation tests that were allowed to creep and those that were tested quasi-statically. On the basis of experimental data relating volume change to uniaxial stress, the pressure on the waste canister sleeve has been shown to be a nonlinear function of drillhole displacement. For a proposed in situ field test geometry, a 16 inch drillhole and a canister with a 12.75 inch O.D., the pressure necessary to buckle the canister sleeve will develop when the drillhole closes diametrically 0.5 to 0.6 inches. By the nature of this experimental effort, the results obtained are conservative

The Effects of Bougie Diameters on Tissue Oxygen Levels After Sleeve Gastrectomy: A Randomized Experimental Trial

Directory of Open Access Journals (Sweden)

Can Konca

2018-05-01

Full Text Available Background: Staple-line leak is the most frightening complication of laparoscopic sleeve gastrectomy and several predisposing factors such as using improper staple sizes regardless of gastric wall thickness, narrower bougie diameter and ischemia of the staple line are asserted. Aims: To evaluate the effects of different bougie diameters on tissue oxygen partial pressure at the esophagogastric junction after sleeve gastrectomy. Study Design: A randomized and controlled animal experiment with 1:1:1:1 allocation ratio. Methods: Thirty-two male Wistar Albino rats were randomly divided into 4 groups of 8 each. While 12-Fr bougies were used in groups 1 and 3, 8-Fr bougies were used in groups 2 and 4. Fibrin sealant application was also carried out around the gastrectomy line after sleeve gastrectomy in groups 3 and 4. Burst pressure of gastrectomy line, tissue oxygen partial pressure and hydroxyproline levels at the esophagogastric junction were measured and compared among groups. Results: Mortality was detected in 2 out of 32 rats (6.25% and one of them was in group 2 and the cause of this mortality was gastric leak. Gastric leak was detected in 2 out of 32 rats (6.25%. There was no significant difference in terms of burst pressures, tissue oxygen partial pressure and tissue hydroxyproline levels among the 4 groups. Conclusion: The use of narrower bougie along with fibrin sealant has not had a negative effect on tissue perfusion and wound healing.

Development of ABWR inertia-increased reactor internal pump and thicker sleeve nozzle

International Nuclear Information System (INIS)

Takahashi, Shirou; Shiina, Kouji; Matsumura, Seiichi

2002-01-01

The conventional reactor internal pumps (RIPs) in the ABWR have an inertia moment coming from the shafts and Motor-Generator sets, enabling the RIPs to continue running for a few seconds, when a trip of all RIPs event occurs. It is possible to simplify the RIPs' power supply system without affecting the core flow supply when the above event occurs by eliminating M-G sets, if the rotating inertia is increased. This inertia increase due to an additional flywheel, which leads to gains in weight and length, requires the larger diameter nozzle with the thicker sleeve. However, too large a nozzle diameter may change the hydraulic performance. In authors' previous study, the optimum nozzle diameter (492 mm) was selected through 1/5-scale test. In this study, the 492 mm nozzle and the inertia-increased RIP were verified through the full-scale tests. The rotating inertia time constant on coastdown characteristics (behavior of the RIP speed in the event of power loss) for the inertia-increased RIP doubled compared with the current RIP. The casing and the shaft vibration were also confirmed to satisfy the design criteria. Moreover, hydraulic performance and heat increase in the motor casing due to the flywheel were evaluated. The inertia increased RIP with the 492 mm nozzle maintained good performance. (author)

Heat exchanger with layers of helical tubes provided with improved tube supports

International Nuclear Information System (INIS)

Carnoy, M.; Mathieu, B.; Renaux, C.

1986-01-01

The present heat exchanger comprises coaxial layers of helically wound tubes; these tubes are supported by support plates, each comprising a row of perforations through which the tubes of a same layer pass. Truncated sleeves are in compression around the tubes within the perforations and mounted on the support plates. Pins fix the plates of different layers together against transverse movement but allowing radial movement. The present invention finds an application with nuclear reactor steam generators [fr

Method and apparatus for extracting tritium and preparing radioactive waste for disposal

Science.gov (United States)

Heung, Leung K.

1994-01-01

Apparatus for heating an object such as a nuclear target bundle to release and recover hydrogen and contain the disposable residue for disposal. The apparatus comprises an inverted furnace, a sleeve/crucible assembly for holding and enclosing the bundle, conveying equipment for placing the sleeve onto the crucible and loading the bundle into the sleeve/crucible, a lift for raising the enclosed bundle into the furnace, and hydrogen recovery equipment including a trap and strippers, all housed in a containment having negative internal pressure. The crucible/sleeve assembly has an internal volume that is sufficient to enclose and hold the bundle before heating; the crucible's internal volume is sufficient by itself to hold and enclose the bundle's volume after heating. The crucible can then be covered and disposed of; the sleeve, on the other hand, can be reused.

Irradiation-induced dimensional changes of fuel compacts and graphite sleeves of OGL-1 fuel assemblies

International Nuclear Information System (INIS)

Hayashi, Kimio; Minato, Kazuo; Kobayashi, Fumiaki; Tobita, Tsutomu; Kikuchi, Teruo; Kurobane, Shiro; Adachi, Mamoru; Fukuda, Kousaku

1988-06-01

Experimental data are summarized on irradiation-induced dimensional changes of fuel compacts and graphite sleeves of the first to ninth OGL-1 fuel assemblies. The range of fast-neutron fluence is up to 4 x 10 24 n/m 2 (E > 0.18 MeV); and that of irradiation temperature is 900 - 1400 deg C for fuel compacts and 800 - 1050 deg C for graphite sleeves. The dimensional change of the fuel compacts was shrinkage under these test conditions, and the shrinkage fraction increased almost linearly with fast-neutron fluence. The shrinkage fraction of the fuel compacts was larger by 20 % in the axial direction than in the radial direction. Influence of the irradiation temperature on the dimensional-change behavior of the fuel compacts was not observed clearly; presumably the influence was hidden by scatter of the data because of low level of the fast-neutron fluence and the resultant small dimensional changes. (author)

Prevalence of Chronic Gastritis or Helicobacter pylori Infection in Adolescent Sleeve Gastrectomy Patients Does Not Correlate with Symptoms or Surgical Outcomes.

Science.gov (United States)

Franklin, Ashanti L; Koeck, Emily S; Hamrick, Miller C; Qureshi, Faisal G; Nadler, Evan P

2015-08-01

In adults undergoing gastric bypass surgery, it is routine practice to perform pre-operative testing for Helicobacter pylori infection. Evidence suggests that infection impairs anastomotic healing and contributes to complications. There currently are no data for adolescents undergoing bariatric procedures. Despite few patients with pre-operative symptoms, we noted occasional patients with H. pylori detected after sleeve gastrectomy. We reviewed our experience with our adolescent sleeve gastrectomy cohort to determine the prevalence of H. pylori infection, its predictive factors, and association with outcomes. We hypothesized that H. pylori infection would be associated with pre-operative symptoms, but not surgical outcomes. All patients undergoing sleeve gastrectomy at our hospital were included. We conducted a chart review to determine pre- or post-operative symptoms of gastroesophageal reflux disease GERD or gastritis, operative complications, and long-term anti-reflux therapy after surgery. Pathology reports were reviewed for evidence of gastritis and H. pylori infection. 78 adolescents had laparoscopic sleeve gastrectomy from January 2010 through July 2014. The prevalence of chronic gastritis was 44.9% (35/78) and 11.4% of those patients had H. pylori (4/35). Only one patient with H. pylori had pre-operative symptoms, and only 25.7% (9/35) of patients with pathology-proven gastritis had symptoms. One staple line leak occurred but this patient did not have H. pylori or gastritis. Mean patient follow-up was 10 (3-26) mos. There is a moderate prevalence of gastritis among adolescents undergoing sleeve gastrectomy, but only a small number of these patients had H. pylori infection. Neither the presence of chronic gastritis nor H. pylori infection correlated with symptoms or outcomes. Thus, in the absence of predictive symptomology or adverse outcome in those who are infected, we advocate for continued routine pathologic evaluation without the required need for pre

The New S-RAM Air Variable Compressor/Expander for Heat Pump and Waste Heat to Power Application

Energy Technology Data Exchange (ETDEWEB)

Dehoff, Ryan R [ORNL; Jestings, Lee [S-RAM Dynamics; Conde, Ricardo [S-RAM Dynamics

2016-05-23

S-RAM Dynamics (S-RAM) has designed an innovative heat pump system targeted for commercial and industrial applications. This new heat pump system is more efficient than anything currently on the market and utilizes air as the refrigerant instead of hydrofluorocarbon (HFC) refrigerants, leading to lower operating costs, minimal environmental costs or concerns, and lower maintenance costs. The heat pumps will be manufactured in the United States. This project was aimed at determining the feasibility of utilizing additive manufacturing to make the heat exchanger device for the new heat pump system. ORNL and S-RAM Dynamics collaborated on determining the prototype performance and subsequently printing of the prototype using additive manufacturing. Complex heat exchanger designs were fabricated using the Arcam electron beam melting (EBM) powder bed technology using Ti-6Al-4V material. An ultrasonic welding system was utilized in order to remove the powder from the small openings of the heat exchanger. The majority of powder in the small chambers was removed, however, the amount of powder remaining in the heat exchanger was a function of geometry. Therefore, only certain geometries of heat exchangers could be fabricated. SRAM Dynamics evaluated a preliminary heat exchanger design. Although the results of the additive manufacturing of the heat exchanger were not optimum, a less complex geometry was demonstrated. A sleeve valve was used as a demonstration piece, as engine designs from S-RAM Dynamics require the engine to have a very high density. Preliminary designs of this geometry were successfully fabricated using the EBM technology.

Rotating-Sleeve Triboelectric-Electromagnetic Hybrid Nanogenerator for High Efficiency of Harvesting Mechanical Energy.

Science.gov (United States)

Cao, Ran; Zhou, Tao; Wang, Bin; Yin, Yingying; Yuan, Zuqing; Li, Congju; Wang, Zhong Lin

2017-08-22

Currently, a triboelectric nanogenerator (TENG) and an electromagnetic generator (EMG) have been hybridized to effectively scavenge mechanical energy. However, one critical issue of the hybrid device is the limited output power due to the mismatched output impedance between the two generators. In this work, impedance matching between the TENG and EMG is achieved facilely through commercial transformers, and we put forward a highly integrated hybrid device. The rotating-sleeve triboelectric-electromagnetic hybrid nanogenerator (RSHG) is designed by simulating the structure of a common EMG, which ensures a high efficiency in transferring ambient mechanical energy into electric power. The RSHG presents an excellent performance with a short-circuit current of 1 mA and open-circuit voltage of 48 V at a rotation speed of 250 rpm. Systematic measurements demonstrate that the hybrid nanogenerator can deliver the largest output power of 13 mW at a loading resistance of 8 kΩ. Moreover, it is demonstrated that a wind-driven RSHG can light dozens of light-emitting diodes and power an electric watch. The distinctive structure and high output performance promise the practical application of this rotating-sleeve structured hybrid nanogenerator for large-scale energy conversion.

The success of sleeve gastrectomy in the management of metabolic syndrome and obesity

OpenAIRE

Shabbir, Asim; Dargan, Dallan

2014-01-01

Abstract The rapid reversal of diabetes, hypertension, hyperlipidaemia and obesity by surgical means has challenged accepted doctrines regarding the management of metabolic syndrome. Sleeve gastrectomy, which developed initially as a preparatory procedure for biliopancreatic diversion with duodenal switch, has seen an exponential rise in popularity as an effective lone laparoscopic bariatric procedure. Superior excess weight loss, a low complication rate, and excellent food tolerance, combine...

"Shrink-to-fit" superhydrophobicity: thermally-induced microscale wrinkling of thin hydrophobic multilayers fabricated on flexible shrink-wrap substrates.

Science.gov (United States)

Manna, Uttam; Carter, Matthew C D; Lynn, David M

2013-06-11

An approach to the design of flexible superhydrophobic surfaces based on thermally induced wrinkling of thin, hydrophobic polymer multilayers on heat-shrinkable polymer films is reported. This approach exploits shrinking processes common to "heat-shrink" plastics, and can thus be used to create "shrink-to-fit" superhydrophobic coatings on complex surfaces, manipulate the dimensions and densities of patterned features, and promote heat-activated repair of full-thickness defects. Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Axillary artery injury after an anterior shoulder fracture dislocation and “periosteal sleeve avulsion of the rotator cuff” (SARC. Case report and review of the literature

Directory of Open Access Journals (Sweden)

Ash Chehata

2017-04-01

Full Text Available We present the rare complication of an axillary artery injury associated with an anterior dislocation of the humerus and what we believe to be the first reported periosteal sleeve avulsion of the entire rotator cuff (SARC. We review the literature and discuss the cause of this unusual injury pattern. Keywords: Axillary artery, Shoulder fracture dislocation, Periosteal sleeve avulsion, SARC

Sleeve gastrectomy leads to easy management of hormone replacement therapy and good weight loss in patients treated for craniopharyngioma.

Science.gov (United States)

Trotta, Manuela; Da Broi, Joël; Salerno, Angelo; Testa, Rosa M; Marinari, Giuseppe M

2017-03-01

The aim of this study is to investigate the effects of sleeve gastrectomy on hormone replacement therapy and on hypothalamic obesity in patients affected by craniopharyngioma with post-surgical pan-hypopituitarism. A retrospective review of three patients, treated for hypothalamic obesity with laparoscopic sleeve gastrectomy, who have previously undergone surgery for craniopharyngioma in their childhood, was done. Patients' mean age and BMI were 22.3 years (range 21-24) and 49.2 kg/m 2 (range 41.6-58.1), respectively. The mean time of delay between neurosurgery and bariatric surgery was 12.3 years (range 6-16). There were no major complications or deaths. At 24 months follow-up, the mean BMI was 35.3 kg/m 2 (range 31.2-40.6). No hydrocortisone and sex steroids dose changes were observed, while levothyroxine was decreased in two patients. Growth hormone replacement therapy was increased in two patients, whereas it was started in one patient. Desmopressin was significantly decreased in all of them. Patients with surgically induced pan-hypopituitarism after craniopharyngioma who become obese, can expect good results from sleeve gastrectomy: this procedure does not have significant negative effects on hormone substitution and leads to a good stabilization of body weight in a mid-term follow-up.

Three-Dimensional Bio-Printed Scaffold Sleeves With Mesenchymal Stem Cells for Enhancement of Tendon-to-Bone Healing in Anterior Cruciate Ligament Reconstruction Using Soft-Tissue Tendon Graft.

Science.gov (United States)

Park, Sin Hyung; Choi, Yeong-Jin; Moon, Sang Won; Lee, Byung Hoon; Shim, Jin-Hyung; Cho, Dong-Woo; Wang, Joon Ho

2018-01-01

To investigate the efficacy of the insertion of 3-dimensional (3D) bio-printed scaffold sleeves seeded with mesenchymal stem cells (MSCs) to enhance osteointegration between the tendon and tunnel bone in anterior cruciate ligament (ACL) reconstruction in a rabbit model. Scaffold sleeves were fabricated by 3D bio-printing. Before ACL reconstruction, MSCs were seeded into the scaffold sleeves. ACL reconstruction with hamstring tendon was performed on both legs of 15 adult rabbits (aged 12 weeks). We implanted 15 bone tunnels with scaffold sleeves with MSCs and implanted another 15 bone tunnels with scaffold sleeves without MSCs before passing the graft. The specimens were harvested at 4, 8, and 12 weeks. H&E staining, immunohistochemical staining of type II collagen, and micro-computed tomography of the tunnel cross-sectional area were evaluated. Histologic assessment was conducted with a histologic scoring system. In the histologic assessment, a smooth bone-to-tendon transition through broad fibrocartilage formation was identified in the treatment group, and the interface zone showed abundant type II collagen production on immunohistochemical staining. Bone-tendon healing histologic scores were significantly higher in the treatment group than in the control group at all time points. Micro-computed tomography at 12 weeks showed smaller tibial (control, 9.4 ± 0.9 mm 2 ; treatment, 5.8 ± 2.9 mm 2 ; P = .044) and femoral (control, 9.6 ± 2.9 mm 2 ; treatment, 6.0 ± 1.0 mm 2 ; P = .03) bone-tunnel areas in the treated group than in the control group. The 3D bio-printed scaffold sleeve with MSCs exhibited excellent results in osteointegration enhancement between the tendon and tunnel bone in ACL reconstruction in a rabbit model. If secure biological healing between the tendon graft and tunnel bone can be induced in the early postoperative period, earlier, more successful rehabilitation may be facilitated. Three-dimensional bio-printed scaffold sleeves with

Present state and progress of industrial electron processing systems in Japan

International Nuclear Information System (INIS)

Sakamoto, I.; Mizusawa, K.

1983-01-01

A summary is given of the state of utilisation of electron processing systems in Japan, mainly for (1) cross-linking of wire and cable insulator, (2) heat shrinkable tube and sheet, (3) foamed polyethylene, and (4) curing of paint coats. Details are given of some of the electron processing systems. (U.K.)

DURABILITY-RELATED CHARACTERISTICS OF DOUBLE-LAYER STRUCTURES OF PIPELINES CONNECTED TO POLYMERIC SLEEVES

Directory of Open Access Journals (Sweden)

Orlov Vladimir Alexandrovich

2012-10-01

The ultimate objective of the software programme is to assess the applicability of the trenchless repair method involving a polymeric sleeve in each specific case by taking account of the environment and the condition of the pipeline. The software is also capable of developing the requirements to be fulfilled by subcontractors in order to assure the appropriate quality of any repair work performed and the reliability of any pipeline sections repaired.

Enabling recruitment success in bariatric surgical trials: pilot phase of the By-Band-Sleeve study.

Science.gov (United States)

Paramasivan, S; Rogers, C A; Welbourn, R; Byrne, J P; Salter, N; Mahon, D; Noble, H; Kelly, J; Mazza, G; Whybrow, P; Andrews, R C; Wilson, C; Blazeby, J M; Donovan, J L

2017-11-01

Randomized controlled trials (RCTs) involving surgical procedures are challenging for recruitment and infrequent in the specialty of bariatrics. The pilot phase of the By-Band-Sleeve study (gastric bypass versus gastric band versus sleeve gastrectomy) provided the opportunity for an investigation of recruitment using a qualitative research integrated in trials (QuinteT) recruitment intervention (QRI). The QRI investigated recruitment in two centers in the pilot phase comparing bypass and banding, through the analysis of 12 in-depth staff interviews, 84 audio recordings of patient consultations, 19 non-participant observations of consultations and patient screening data. QRI findings were developed into a plan of action and fed back to centers to improve information provision and recruitment organization. Recruitment proved to be extremely difficult with only two patients recruited during the first 2 months. The pivotal issue in Center A was that an effective and established clinical service could not easily adapt to the needs of the RCT. There was little scope to present RCT details or ensure efficient eligibility assessment, and recruiters struggled to convey equipoise. Following presentation of QRI findings, recruitment in Center A increased from 9% in the first 2 months (2/22) to 40% (26/65) in the 4 months thereafter. Center B, commencing recruitment 3 months after Center A, learnt from the emerging issues in Center A and set up a special clinic for trial recruitment. The trial successfully completed pilot recruitment and progressed to the main phase across 11 centers. The QRI identified key issues that enabled the integration of the trial into the clinical setting. This contributed to successful recruitment in the By-Band-Sleeve trial-currently the largest in bariatric practice-and offers opportunities to optimize recruitment in other trials in bariatrics.

Effects of sleeve gastrectomy in neonatally streptozotocin-induced diabetic rats.

Directory of Open Access Journals (Sweden)

Yan Wang

Full Text Available BACKGROUND: Sleeve gastrectomy (SG has emerged recently as a stand-alone bariatric procedure to treat morbid obesity and enhance glucose homeostasis. The aim of the study was to evaluate its effects in neonatally streptozotocin (STZ-induced diabetic rats (n-STZ diabetic rats. METHODOLOGY AND PRINCIPAL FINDINGS: To induce diabetes, STZ (90 mg/kg was administered intraperitoneally to 2-day-old male pups. When 12 weeks old, diabetic rats were randomized into sleeve operation group (SLG, n = 6 and sham operation group (SOG, n = 6. Body weights were monitored weekly, and daily consumption of water and food were followed for eight consecutive weeks postoperatively. Serum glucose levels were measured periodically at the 4th and 8th week after surgery. Insulin, ghrelin, glucose-dependent insulinotropic polypeptide (GIP and Glucagon-like peptide-1 (GLP-1 levels were assayed at the end of the study. Our data showed that SLG rats exhibited significantly lower body weight gain in addition to reduced food and water intakes postoperatively compared to their sham-operation counterparts. However, resolution of diabetes was not observed in our study. Correspondingly, there were no significant differences between SOG rats and SLG rats in glucose metabolism-associated hormones, including insulin, GIP and GLP-1. In contrast, ghrelin level significantly decreased (P<0.01 in SLG group (58.01 ± 3.75 pg/ml after SG surgery compared to SOG group (76.36 ± 3.51 pg/ml. CONCLUSIONS: These observations strongly suggest that SG is effective in controlling body weight. However, SG did not achieve resolution or improvement of diabetes in n-STZ diabetic rats.

Banding the Sleeve Improves Weight Loss in Midterm Follow-up.

Science.gov (United States)

Fink, Jodok M; Hoffmann, Natalie; Kuesters, Simon; Seifert, Gabriel; Laessle, Claudia; Glatz, Torben; Hopt, Ulrich T; Konrad Karcz, W; Marjanovic, Goran

2017-04-01

Laparoscopic sleeve gastrectomy (LSG) can achieve excellent weight loss, yet sleeve dilatation with concomitant weight regain proves to be a relevant issue. Hence, additional restriction might improve results after LSG. In a retrospective matched-pair analysis, 42 patients who underwent banded LSG (BLSG) using a MiniMizer® ring between January 2012 and October 2014 were analysed regarding weight loss, complications and comorbidity. Median follow-up was 3 years. Forty-two patients who had undergone conventional LSG were selected as matched pairs. Mean preoperative BMI was 54.93 ± 7.42 kg/m 2 for BLSG and 53.46 ± 6.69 kg/m 2 for LSG (Mann-Whitney P = 0.540). Total weight loss (%TWL) was significantly greater in the BLSG group 3 years after surgery (BLSG 38.22% ± 7.26; n = 26 vs. LSG 32.69 ± 9.47; n = 26; P = 0.0154). Ring placement had no relevant impact on new-onset reflux (Fisher's exact test P = 1.0) but a tendency towards reflux improvement when reflux pre-existed (odds ratio 1.96). The major side effect of ring implantation was regurgitation with over 44% of patients presenting with regurgitation >1 per week (Fisher's exact test P = 0.0019, odds ratio 18.07). BLSG is a safe procedure showing similar comorbidity to conventional LSG. However, BLSG leads to a higher rate of postoperative regurgitation. Weight loss is significantly improved 3 years after surgery. Hence, additional ring implantation might be an option for increased restriction in LSG surgery.

Development of technique to apply induction heating stress improvement to recirculation inlet nozzle

International Nuclear Information System (INIS)

Chiba, Kunihiko; Nihei, Kenichi; Ootaka, Minoru

2009-01-01

Stress corrosion cracking (SCC) have been found in the primary loop recirculation (PLR) systems of boiling water reactors (BWR). Residual stress in welding heat-affected zone is one of the factors of SCC, and the residual stress improvement is one of the most effective methods to prevent SCC. Induction heating stress improvement (IHSI) is one of the techniques to improve reduce residual stress. However, it is difficult to apply IHSI to the place such as the recirculation inlet nozzle where the flow stagnates. In this present study, the technique to apply IHSI to the recirculation inlet nozzle was developed using water jet which blowed into the crevice between the nozzle safe end and the thermal sleeve. (author)

Alternative design of pipe sleeve for liquid removal mechanism in mortar slab layer

Science.gov (United States)

Nazri, W. M. H. Wan; Anting, N.; Lim, A. J. M. S.; Prasetijo, J.; Shahidan, S.; Din, M. F. Md; Anuar, M. A. Mohd

2017-11-01

Porosity is one of the mortar’s characteristics that can cause problems, especially in the room space that used high amount of water, such as bathrooms. Waterproofing is one of the technology that normally used to minimize this problem which is preventing deep penetration of liquid water or moisture into underlying concrete layers. However, without the proper mechanism to remove liquid water and moisture from mortar system, waterproofing layer tends to be damaged after a long period of time by the static formation of liquid water and moisture at mortar layer. Thus, a solution has been proposed to drain out water that penetrated into the mortar layer. This paper introduces a new solution using a Modified Pipe Sleeve (MPS) that installed at the mortar layer. The MPS has been designed considering the percentage surface area of the pipe sleeve that having contact with mortar layer (2%, 4%, 6%, 8% and 10%) with angle of holes of 60°. Infiltration test and flow rate test have been conducted to identify the effectiveness of the MPS in order to drain out liquid water or moisture from the mortar layer. In this study shows that, MPS surface area 10%, angled 60°, function effectively as a water removal compared to other design.

The appearance of a lurking ligament in Laparoscopic Sleeve Gastrectomy; Posterior Gastric Ligament

Directory of Open Access Journals (Sweden)

Mutlu Ünver

2017-03-01

Full Text Available Objective: The aim of this study was to demonstrate a lurking ligament and its various formation types and to mention the importance of this ligament in Laparoscopic sleeve gastrectomy Methods: One hundred and twelve patients had laparoscopic sleeve gastrectomy (LSG procedure in our clinic between March 2011 and September 2013. All procedures were performed with a standard operative technique. Only difference for the last 50 patients was to avoid the excessive dissection of posterior gastric wall. The existence of posterior gastric ligament was recorded and different types of posterior gastric ligament was demonstrated. Results: Posterior gastric ligament was observed in all of the cases in different formation types. Three types of ligament; complete, partial and skippy, was demonstrated. 53(47.3% of the patients had skippy, while 41 (36.6% had partial and 18 (16.1% had complete type of posterior gastric ligament. Conclusion: A ligament named as ‘posterior gastric ligament’ and its various forms were defined in the third dimensional plane of stomach. Posterior gastric ligament remains as the only structure in LSG for preventing the mobility and ability of the stomach to rotate. The excessive dissection of the posterior gastric ligament should be avoided to prevent complications such as kinking and volvulus

Synthesis and electrochemical performances of ZnO/MnO2 sea urchin-like sleeve array as anode materials for lithium-ion batteries

International Nuclear Information System (INIS)

Fang, J.; Yuan, Y.F.; Wang, L.K.; Ni, H.L.; Zhu, H.L.; Yang, J.L.; Gui, J.S.; Chen, Y.B.; Guo, S.Y.

2013-01-01

MnO 2 is electrodeposited onto ZnO nanorod array grown on Ni foil, forming a binder-free ZnO/MnO 2 composited electrode. XRD, EDS, SEM and TEM are used to analyze the phase and microstructure of this composite. Burr-like MnO 2 nanoflakes grows on ZnO nanorod array, the top of the composite is hollow and at the bottom exists ZnO large block core as an internal support, forming ZnO/MnO 2 sea urchin-like sleeve array. As anode material for lithium ion batteries, ZnO/MnO 2 sleeve array exhibits higher discharge capacity and coulombic efficiency, better rate performance and cycling stability than single ZnO nanorod array or directly electrodepsited MnO 2 , and the composite effect is very remarkable. After 100 cycles, the discharge capacity of ZnO/MnO 2 still reaches 1259 mA h g −1 , and coulombic efficiency surpasses 98%, higher than those of ZnO nanorod array (111 mA h g −1 ) and directly electrodeposited MnO 2 (507 mA h g −1 ). The improvement of the electrochemical performances is due to the unique sea urchin-like sleeve array architecture. MnO 2 burr tube shell structure leads to high electrochemical activity while the internal ZnO core support ensures good structure stability. The gradually opening of sea urchin-like sleeve during the cycling further enhances the electrochemical activity of MnO 2 , stabilizing and increasing electrochemical performances of the ZnO/MnO 2 composite

Status and future trends of radiation processing in Brazil

International Nuclear Information System (INIS)

Lugao, A.B.; Andrade, E; Silva, L.G.

1998-01-01

Electron-beam and gamma irradiation of polymers are widely applied in Brazil today. The main applications are: radio-induced crosslinking of wire and cable for automobile and appliance industry; heat shrinkable tubes for appliance, automobile and electronic; heat shrinkable packing for food processing industry; sterilization of medical supplies and so on. Nevertheless, there are only a few industrial facilities about 20 years old in full operation at present and there are some new low energy machines for food packing. The reason for such absence of investment in this area was studied and the relation between automobile and appliance production with radiation processing was fully demonstrated for Brazil case. In conclusion, it was shown that the industry of radiation processing of polymers is likely to experience a strong growth based on the continuous increase in the production of automobiles and appliances. The R and D activities of IPEN are an important support for developing the necessary technology and developing the necessary confidence in the radiation as tool for economical and social growth

Status and future trends of radiation processing in Brazil

Science.gov (United States)

Lugão, A. B.; Andrade, E.; Silva, L. G.

1998-06-01

Electron-beam and gamma irradiation of polymers are widely applied in Brazil today. The main applications are: - radio-induced crosslinking of wire and cable for automobile and appliance industry; - heat shrinkable tubes for appliance, automobile and electronic; - heat shrinkable packing for food processing industry; - sterilization of medical supplies and so on. Nevertheless, there are only a few industrial facilities about 20 years old in full operation at present and there are some new low energy machines for food packing. The reason for such absence of investment in this area was studied and the relation between automobile and appliance production with radiation processing was fully demonstrated for Brazil case. In conclusion, it was shown that the industry of radiation processing of polymers is likely to experience a strong growth based on the continuous increase in the production of automobiles and appliances. The R&D activities of IPEN are an important support for developing the necessary technology and developing the necessary confidence in the radiation as tool for economical and social growth.

Increasing the operational safety of nuclear facilities by using special insulation parts in the containment zone

International Nuclear Information System (INIS)

Drumm, F.

2005-01-01

LOCA (Loss of coolant accident) resistant heat-shrinkable polymeric products are widely used for the connection of LV cables for class 1E systems inside the containment area of nuclear power plants. The paper/presentation describes the verification of a reformulated compound for these products, where certain components of the compound formulation had to be substituted. A qualification programme with this so-called reformulated compound was undertaken to proof the equivalency of the products to the products made out of the original compound. The basic elements of this requalification project were material qualification tests including accelerated aging tests according to the arrhenius method and type tests in accordance to IEEE 383, including flammability tests. The test results showed that the products made out of the reformulated compound were similar in fit, form and function to the original products. Additional tests have also proven higher application ranges for the heat-shrinkable tubings and the successful evaluation of a design for a medium voltage joint design for LOCA resistant application. (author)

CT-Guided Percutaneous Drainage of Infected Collections Due to Gastric Leak After Sleeve Gastrectomy for Morbid Obesity: Initial Experience

International Nuclear Information System (INIS)

Kelogrigoris, M.; Sotiropoulou, E.; Stathopoulos, K.; Georgiadou, V.; Philippousis, P.; Thanos, L.

2011-01-01

This study was designed to evaluate the efficacy and safety of computed tomography (CT)-guided drainage in treating infected collections due to gastric leak after laparoscopic sleeve gastrectomy for morbid obesity. From January 2007 to June 2009, 21 patients (9 men and 12 women; mean age, 39.2 (range, 26–52) years) with infected collections due to gastric leak after laparoscopic sleeve gastrectomy for morbid obesity underwent image-guided percutaneous drainage. All procedures were performed using CT guidance and 8- to 12-Fr pigtail drainage catheters. Immediate technical success was achieved in all 21 infected collections. In 18 of 21 collections, we obtained progressive shrinkage of the collection with consequent clinical success (success rate 86%). In three cases, the abdominal fluid collection was not resolved, and the patients were reoperated. Among the 18 patients who avoided surgery, 2 needed replacement of the catheter due to obstruction. No major complications occurred during the procedure. The results of our study support that CT-guided percutaneous drainage is an effective and safe method to treat infected abdominal fluid collections due to gastric leak in patients who had previously underwent laparoscopic sleeve gastrectomy for morbid obesity. It may be considered both as a preparatory step for surgery and a valuable alternative to open surgery. Failure of the procedure does not, however, preclude a subsequent surgical operation.

Axle-sleeve Structured MWCNTs/Polyaniline Composite Film as Cost-effective Counter-Electrodes for High Efficient Dye-Sensitized Solar Cells

International Nuclear Information System (INIS)

Niu, Haihong; Qin, Shengxian; Mao, Xiaoli; Zhang, Shouwei; Wang, Renbao; Wan, Lei; Xu, Jinzhang; Miao, Shiding

2014-01-01

Graphical abstract: Axle-sleeve structured composite materials made with carbon nanotubes and polyaniline were prepared via a co-polymerization strategy. The composite materials were employed as cost-effective counter electrode modifier in dye-sensitized solar cells which demonstrate a comparable photo-to-electron conversion efficiency as the Pt catalyst. - Highlights: • Axle-sleeve structured MWCNT/PANI composite was prepared. • The optimum mass ratio of MWCNT/ANIranges between 1:3 and 1:1. • The π-π drive force was confirmed by spectroscopicmeans. • The polymerization time of 12∼24 hrs affords the highest conversion efficiency. • The DSSCs assembled with the MWCNTs/PANI CEs exhibit a comparable η(7.21%) as that with Pt CE (7.59%). - Abstract: Axle-sleeve structured composite materials made with multi-walled carbon nanotubes (MWCNTs) and polyaniline (PANI) were prepared, characterized, and employed as cost-effective counter electrodes (CEs) in dye-sensitized solar cells (DSSCs). The composite was synthesized by co-polymerization of aniline with carboxylated MWCNTs by using ammonium persulfate in the acidic medium. Thin films of MWCNTs/PANI were prepared via a spin coating technique followed by thermal treatment in N 2 atmosphere. The micro-structure of the composite was studied by scanning electron microscopy (SEM) and transmission electron microscopy (TEM) linked with energy dispersive spectroscopy (EDS). The coating layer of PANI on the MWCNTs and new-formed chemical bonds between MWCNTs and PANI was studied by UV-Vis absorption, X-ray photoelectron spectroscopy (XPS), Raman and FT-IR spectroscopic means. The effect of the multiple-level porosity or the axle-sleeve structures in the composite of MWCNTs/PANI on the electro-catalytic activity was investigated by cyclic voltammetry (CV) and electrochemical impedance spectroscopic (EIS) analysis. The DSSCs assembled with MWCNTs/PANI as CEs exhibit a comparable energy conversion efficiency (η) of 7

The impact of selected factors on parameters of weight loss after sleeve gastrectomy.

Science.gov (United States)

Binda, Artur; Jaworski, Paweł; Kudlicka, Emilia; Ciesielski, Adam; Cabaj, Hubert; Tarnowski, Wiesław

2016-01-01

The effectiveness of sleeve gastrectomy has been confirmed in many studies. The impact of individual factors on the parameters of weight loss is still not clear. To identify important factors affecting the parameters of weight loss after sleeve gastrectomy. The impact of prognostic factors and postoperative care components on body mass index (BMI) and percentage excess weight loss (%EWL) was assessed in a group of 100 consecutive patients who underwent laparoscopic sleeve gastrectomy. The baseline BMI and body mass in patients with BMI < 30 kg/m 2 and BMI ≥ 30 kg/m 2 12 months after surgery were, respectively, 39.7 ±3.2 vs. 45.9 ±4.6 kg/m 2 , p < 0.0001, and 114.4 ±16.8 vs. 130.3 ±18.5 kg, p < 0.0001. In the group with EWL < 50%, the average age was 47.1 ±7.7 vs. 40.6 ±10.8 in the group with EWL ≥ 50%, p = 0.0025. In the group of patients with preoperative weight loss, %EWL was 61.4 ±17.2 vs. 53.3 ±19.3% in the group with no weight loss, p = 0.0496. Body mass index of the patients who started physical activities was 30.6 ±4.2 kg/m 2 vs. 34.0 ±5.6 kg/m 2 in the patients with no physical activity, p = 0.0013, and %EWL was 63.4 ±14.6 vs. 47.0 ±19.9%, p < 0.0001, respectively. In the case of patients regularly consulted by a dietician BMI was 30.6 ±4.2 kg/m 2 vs. 35.1 ±5.5 kg/m 2 in the group without systematic consultations, p < 0.0001, and %EWL was 63.1 ±15.1% vs. 42.3 ±18.2%, p < 0.0001. Lower baseline body weight parameters, younger age, preoperative weight loss, starting systematic physical activities and constant care of a dietician were conducive to achieving better results of surgery, as assessed on the basis of changes in BMI and %EWL.

Sleeve reaction chamber system

Science.gov (United States)

Northrup, M Allen [Berkeley, CA; Beeman, Barton V [San Mateo, CA; Benett, William J [Livermore, CA; Hadley, Dean R [Manteca, CA; Landre, Phoebe [Livermore, CA; Lehew, Stacy L [Livermore, CA; Krulevitch, Peter A [Pleasanton, CA

2009-08-25

A chemical reaction chamber system that combines devices such as doped polysilicon for heating, bulk silicon for convective cooling, and thermoelectric (TE) coolers to augment the heating and cooling rates of the reaction chamber or chambers. In addition the system includes non-silicon-based reaction chambers such as any high thermal conductivity material used in combination with a thermoelectric cooling mechanism (i.e., Peltier device). The heat contained in the thermally conductive part of the system can be used/reused to heat the device, thereby conserving energy and expediting the heating/cooling rates. The system combines a micromachined silicon reaction chamber, for example, with an additional module/device for augmented heating/cooling using the Peltier effect. This additional module is particularly useful in extreme environments (very hot or extremely cold) where augmented heating/cooling would be useful to speed up the thermal cycling rates. The chemical reaction chamber system has various applications for synthesis or processing of organic, inorganic, or biochemical reactions, including the polymerase chain reaction (PCR) and/or other DNA reactions, such as the ligase chain reaction.

FXR is a molecular target for the effects of vertical sleeve gastrectomy

DEFF Research Database (Denmark)

Ryan, Karen K; Tremaroli, Valentina; Clemmensen, Christoffer

2014-01-01

Bariatric surgical procedures, such as vertical sleeve gastrectomy (VSG), are at present the most effective therapy for the treatment of obesity, and are associated with considerable improvements in co-morbidities, including type-2 diabetes mellitus. The underlying molecular mechanisms contributing......-X receptor, also known as NR1H4). We therefore examined the results of VSG surgery applied to mice with diet-induced obesity and targeted genetic disruption of FXR. Here we demonstrate that the therapeutic value of VSG does not result from mechanical restriction imposed by a smaller stomach. Rather, VSG...

Comparison of Early Results and Complications between Multi-and Single-Port Sleeve Gastrectomy: A Randomized Clinical Study

Directory of Open Access Journals (Sweden)

Seyed Vahid Hosseini

2017-05-01

Full Text Available Background: In recent years, laparoscopic sleeve gastrectomy (LSG has become more acceptable for obese patients. Single-port sleeve gastrectomy (SPSG is more popular since each abdominal incision carries the risk of bleeding, hernia, and internal organ injury as well as exponentially affecting cosmesis. This cross-sectional study aimed at comparing multi-port sleeve gastrectomy (MPSG and SPSG in terms of their early results and complications. Methods: Out of129 obese patients candidated for LSG, 102 patients were assigned to 2 groups of SPSG and MPSG. Complications and demographic data such as body mass index (BMI, age, gender, operation time, and hospital stay were measured. All surgeries were carried out between2013 and 2015 in Shiraz, Iran. Data analysis was performed using SPSS, version 16 for Windows (SPSS Inc., Chicago, IL. The continuous and categorical variables were compared using the Student t-test and the Chi-square test or the Fisher exact test, respectively. Results: The patients’ data from both groups were similar in terms of age, intraoperative and postoperative bleeding volume, and length of hospital stay. Mean BMI was 42.8±0.7 in the SPSG group and 45.3±1.2 in the MPSG group. Duration of surgery was significantly lower in the SPSG group (P<0.001. Only 1 patient from the SPSG group and 5 patients from the MPSG group had bleeding as an early complication. Conclusion: The differences in each complication between the groups were not statistically significant. SPSG seems to be safe and is the same as MPSG in terms of major postoperative complications. Trial Registration Number: IRCT201512229936N12

Weight loss independent changes in adipose tissue macrophage and T cell populations after sleeve gastrectomy in mice

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Henriette Frikke-Schmidt

2017-04-01

Full Text Available Objective: In addition to adipocytes, adipose tissue contains large numbers of immune cells. A wide range of evidence links the activity of these cells to regulation of adipocyte and systemic metabolic function. Bariatric surgery improves several aspects of metabolic derangements and at least some of these effects occur in a weight-loss independent manner. We sought to investigate the impact of vertical sleeve gastrectomy (VSG on adipose immune cell frequencies. Methods: We analyzed the frequencies of immune cells within distinct adipose tissue depots in obese mice that had VSG or sham surgery with a portion of the latter group pair-fed such that their body mass was matched to the VSG animals. Results: We demonstrate that VSG induced a shift in the epididymal adipose tissue leukocyte profile including increased frequencies of CD11c− macrophages, increased frequencies of T cells (CD4+, CD8+, and CD4−/CD8− T cells all increased, but a significantly decreased frequency of adipose tissue dendritic cells (ATDC that, despite the continued high fat feeding of the VSG group, dropped below control diet levels. Conclusions: These results indicate that VSG induces substantial changes in the immune populations residing in the adipose depots independent of weight loss. Author Video: Author Video Watch what authors say about their articles Keywords: Sleeve gastrectomy, Adipose tissue, Macrophages, T cells, Dendritic cells, Abbreviations: ATDC, adipose tissue dendritic cell, ATM, adipose tissue macrophage, eWAT, epididymal white adipose tissue, FFA, free fatty acids, HFS, high fat sham, iWAT, inguinal white adipose tissue, SVC, stromal vascular cells, VSG, vertical sleeve gastrectomy

Thermal analysis of a hybrid solar energy saving system inside a greenhouse

International Nuclear Information System (INIS)

Ntinas, G.K.; Fragos, V.P.; Nikita-Martzopoulou, Ch.

2014-01-01

Highlights: • A hybrid solar system consisted of water filled polyethylene sleeves was examined. • The thermal behaviour of the system was studied based on the sleeves energy balance. • Water temperature and heat exchanges of the sleeves were dynamically estimated. • Experimental data used to validate the predictions of the mathematical model. • The use of the system led to an energy saving of 23% inside a heated greenhouse. - Abstract: The intensive greenhouse energy requirements are a major operational and economical problem for producers around the world. Energy conservation techniques and innovative applications of solar energy for heating are being employed in greenhouse operation to reduce heating costs during cold periods. The present study investigated the development of a mathematical model to predict the thermal efficiency of a novel hybrid solar energy saving system inside a heated greenhouse. The solar system consisted of a transparent water-filled polyethylene sleeve and two perforated air-filled polyethylene tubes on the top peripheral sides of it. Above the sleeve and between the two tubes, rockwool substrates were placed for hydroponic cultivation of tomato crop. In order to validate this model, experiments were carried out in two identical parts of a polyethylene arched-type greenhouse to obtain data during winter. By comparing the measured and the predicted values, a correlation of 95% was found, indicating that the model can simulate the water temperature inside the hybrid solar sleeves. Moreover, the additional energy provided by the hybrid solar system reached approximately 23% during the examined period, depending on solar radiation levels

Food Tolerance and Quality of Alimentation Following Laparoscopic Sleeve Gastrectomy Calibrated with a 50-Fr Bougie: Long-Term Results.

Science.gov (United States)

Ruiz-Tovar, Jaime; Bozhychko, Maryana; Del-Campo, Jone Miren; Zubiaga, Lorea; Llavero, Carolina

2018-04-02

Adjustable gastric banding and vertical banded gastroplasty are associated with the worst postoperative food tolerance of all bariatric techniques. However, food tolerance tends to improve over time. The aim of this study was to assess food tolerance and diet quality in patients undergoing a sleeve gastrectomy, 1 and 5 years after surgery. A prospective observational study of all the morbidly obese patients undergoing laparoscopic sleeve gastrectomy was performed. Food tolerance was assessed using the Quality of Alimentation questionnaire validated in bariatric patients. Ninety-three patients were analyzed. One year after surgery, mean excess weight loss (EWL) was 81.1% ± 8.3%, and 5 years after surgery, mean EWL was 79.9% ± 6.4%. Preoperatively, 39.8% of patients perceived their eating patterns as good or excellent, 1 year after surgery, 79.6% and 5 years postoperatively, 86%. One year after surgery, the patients reported some difficulty in tolerance of rice, pasta, and red meat. Five years after surgery, these difficulties disappeared and very few patients just refer some tolerance difficulties with red meat. One year after surgery, 10% of the patients reported that they suffered postprandial vomiting often and 22% rarely. Five years postoperatively, only 8% of subjects describe rarely vomiting. After sleeve gastrectomy, the patients recognize an improvement in the quality of alimentation. During the first postoperative year, they present tolerance problems with rice, pasta, and red meat, and that disappeared 5 years after surgery.

Laparoscopic sleeve gastrectomy in patients over 59 years: early recovery and 12-month follow-up.

Science.gov (United States)

Leivonen, Marja Kaarina; Juuti, Anne; Jaser, Nabil; Mustonen, Harri

2011-08-01

Bariatric surgery has shown to be safe for patients over 60 years with good results especially considering resolving of comorbidities. Sleeve gastrectomy is considered to be safer than gastric bypass (GBP) and more effective than gastric banding with less adverse symptoms. Weight loss may be more modest than after GBP, but the effect on vitamins may also be milder. Since 2007, we collected prospectively 12-month follow-up data from 55 sleeve gastrectomy patients of whom 12 were over 59 years of age. Vitamin and calcium supplements were used postoperatively. The recovery from the operation was recorded during hospital stay, at 1- and 12-month follow-up visits using a standard protocol including laboratory tests. The results between patients over and under 59 years were compared. The preoperative weight and weight loss were comparable between the groups. Operation time was shorter and hospital stay was longer for older patients, p = ns. There was no operative mortality. Early major complications were seen more often in the older age group, 42% vs 9% (p = 0.02), but late complications were more common in younger patients, 17% vs 44%, p = ns. Early complications were mostly bleedings, which did not lengthen the hospital stay, neither were re-operations nor endoscopic procedures needed. Excess weight loss and resolving of comorbidities after 12 months was comparable between the groups. However, vitamin deficiencies and hypoalbuminemia were more common in the older age group, 42% and 23% for vitamins and 44% and 29% for proteins, p = ns. The older patients had more adverse effects related to surgery, 25% vs 9%, and younger had more adverse psychiatric effects, p = ns. Sleeve gastrectomy is effective and safe for older bariatric patients. Weight loss is comparable to younger patients and enough to resolve the comorbidities in most of the patients. With standardized nutritional supplementation, the older patients had more often vitamin deficiencies and

Prevalence of Non-Alcoholic Fatty Liver Disease in Morbidly Obese Patients Undergoing Sleeve Bariatric Surgery in Iran and Association With Other Comorbid Conditions

Directory of Open Access Journals (Sweden)

Karimi-Sari

2015-04-01

Full Text Available Background Nonalcoholic fatty liver disease (NAFLD is one of the most common causes of chronic liver disease including simple steatosis to nonalcoholic steatohepatitis (NASH. NASH could progress to cirrhosis and liver cancer. The prevalence of NAFLD is increasing by increasing the prevalence of obesity. Objectives This study was designed to determine the prevalence of NASH in morbidly obese patients undergoing sleeve bariatric surgery and its correlation with other comorbidities. Patients and Methods In this analytical cross-sectional study, 114 morbidly obese patients undergoing sleeve gastrectomy were selected. Liver ultrasonography was performed for all patients before surgery and NAFLD existence and its grade was determined by hyperechoic texture and fatty infiltration. The liver enzymes and lipid profile were also measured. Prevalence of NAFLD in these patients and its correlation with other comorbid conditions (e.g. diabetes mellitus, hyperlipidemia, hypertension, hypothyroidism and ischemic heart disease were evaluated by SPSS software version 18. Results One hundred fourteen patients with a mean age of 33.96 ± 9.92 years and mean BMI of 43.61 ± 5.77 kg/m2 were enrolled (48 males and 66 females. The prevalence of NAFLD was 16.7%. NAFLD existence was associated with systolic blood pressure, hyperlipidemia, hemoglobin, hematocrit, triglyceride, alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase and potassium (P < 0.05. Conclusions According to high prevalence of NAFLD in morbidly obese patients undergoing sleeve gastrectomy in Iran, we suggest using gold standard diagnostic method to determine the exact NAFLD prevalence and evaluation of impact of sleeve surgery on NAFLD in short and long term follow-up periods.

Electron beam processing system

International Nuclear Information System (INIS)

Kashiwagi, Masayuki

2004-01-01

Electron beam Processing Systems (EPS) are used as useful and powerful tools in many industrial application fields such as the production of cross-linked wire, rubber tire, heat shrinkable film and tubing, curing, degradation of polymers, sterilization and environmental application. In this paper, the feature and application fields, the selection of machine ratings and safety measures of EPS will be described. (author)

Calf Compression Sleeves Change Biomechanics but Not Performance and Physiological Responses in Trail Running

Directory of Open Access Journals (Sweden)

Hugo A. Kerhervé

2017-04-01

Full Text Available Introduction: The aim of this study was to determine whether calf compression sleeves (CS affects physiological and biomechanical parameters, exercise performance, and perceived sensations of muscle fatigue, pain and soreness during prolonged (~2 h 30 min outdoor trail running.Methods: Fourteen healthy trained males took part in a randomized, cross-over study consisting in two identical 24-km trail running sessions (each including one bout of running at constant rate on moderately flat terrain, and one period of all-out running on hilly terrain wearing either degressive CS (23 ± 2 mmHg or control sleeves (CON, <4 mmHg. Running time, heart rate and muscle oxygenation of the medial gastrocnemius muscle (measured using portable near-infrared spectroscopy were monitored continuously. Muscle functional capabilities (power, stiffness were determined using 20 s of maximal hopping before and after both sessions. Running biomechanics (kinematics, vertical and leg stiffness were determined at 12 km·h−1 at the beginning, during, and at the end of both sessions. Exercise-induced Achilles tendon pain and delayed onset calf muscles soreness (DOMS were assessed using visual analog scales.Results: Muscle oxygenation increased significantly in CS compared to CON at baseline and immediately after exercise (p < 0.05, without any difference in deoxygenation kinetics during the run, and without any significant change in run times. Wearing CS was associated with (i higher aerial time and leg stiffness in running at constant rate, (ii with lower ground contact time, higher leg stiffness, and higher vertical stiffness in all-out running, and (iii with lower ground contact time in hopping. Significant DOMS were induced in both CS and CON (>6 on a 10-cm scale with no difference between conditions. However, Achilles tendon pain was significantly lower after the trial in CS than CON (p < 0.05.Discussion: Calf compression did not modify muscle oxygenation during ~2 h 30

[Perioperative managment of laparoscopic sleeve gastrectomy].

Science.gov (United States)

Chang, Xu-sheng; Yin, Kai; Wang, Xin; Zhuo, Guang-zuan; Ding, Dan; Guo, Xiang; Zheng, Cheng-zhu

2013-10-01

To summarize the surgical technique and perioperative management of laparoscopic sleeve gastrectomy (LSG). A total of 57 morbid obesity patients undergoing LSG surgery from May 2010 to December 2012 were enrolled in the study, whose clinical data in perioperative period were analyzed retrospectively. These patients had more than 1 year of follow-up. All the patients received preoperative preparation and postoperative management, and postoperative excess weight loss(EWL%) and improvement of preoperative complications was evaluated. All the cases completed the operation under laparoscopy, except 1 case because of the abdominal extensive adhesion. The average operation time was(102.0±15.2) min and the mean intraoperative blood loss (132.3±45.6) ml. Of 2 postoperative hemorrhage patients, 1 case received conservative treatment, and another one underwent laparoscopic exploration. The EWL% at 3 months, 6 months and 1 year after procedure was (54.9±13.8)%, (79.0±23.6)% and (106.9±25.1)% respectively. The preoperative complications were improved in some degree. There were no operative death, and anastomotic leak, anastomotic stenosis, or surgical site infection occurred. LSG is a safe and effective surgical technique, whose safety and efficacy may be increased by improving the perioperative management.

Report covering examination of parts from downhole steam generators. [Combustor head and sleeve parts

Energy Technology Data Exchange (ETDEWEB)

Pettit, F. S.; Meier, G. H.

1983-08-01

Combustor head and sleeve parts were examined by using optical and scanning electron metallography after use in oxygen/diesel and air/diesel downhole steam generators. The degradation of the different alloy components is described in terms of reactions with oxygen, sulfur and carbon in the presence of cyclic stresses, all generated by the combustion process. Recommendations are presented for component materials (alloys and coatings) to extend component lives in the downhole steam generators. 9 references, 22 figures, 3 tables.

Interactive effect of aging and local muscle heating on renal vasoconstriction during isometric handgrip.

Science.gov (United States)

Kuipers, Nathan T; Sauder, Charity L; Kearney, Matthew L; Ray, Chester A

2009-08-01

The purpose of the study was to determine the interactive effect of aging and forearm muscle heating on renal vascular conductance and muscle sympathetic nerve activity (MSNA) during ischemic isometric handgrip. A tube-lined, water-perfused sleeve was used to heat the forearm in 12 young (27 +/- 1 yr) and 9 older (63 +/- 1 yr) subjects. Ischemic isometric handgrip was performed before and after heating. Muscle temperature (intramuscular thermistor) was 34.3 +/- 0.2 and 38.7 +/- 0.1 degrees C during normothermia and heating, respectively. At rest, heating had no effect on renal blood velocity (Doppler ultrasound) or renal vascular conductance in either group (young, n = 12; older, n = 8). Heating compared with normothermia caused a significantly greater increase in renal vasoconstriction during exercise and postexercise muscle ischemia (PEMI) in both groups. However, the increase in renal vasoconstriction during heating was greater in the older compared with the young subjects (18 +/- 3 vs. 8 +/- 3%). During handgrip, heating elicited greater increases in MSNA responses in the older group (young, n = 12; older, n = 6), whereas no statistical difference was observed between groups during PEMI. In summary, aging augments renal vascular responses to ischemic isometric handgrip during heating of the exercising muscle. The greater renal vasoconstriction was associated with augmented MSNA in the older subjects.

Modification of bioplastic by radiation processing

International Nuclear Information System (INIS)

Nagasawa, Naotsugu

2008-01-01

The application of bioplastic derived from renewable resource is expected to address the problem of global warming. The thermostability of poly(lactic acid) (PLA), of which practical use was especially expected, is improved by radiation-induced crosslinking with additives. The obtained highly heat-resistant and transparent PLA is applied as heat-shrinkable materials, injection molded parts. In addition, the development of the PLA with flexible elasticity by holding plasticizer was succeeded. Therefore, it is proven that crosslinking technology is beneficial to expanding the application of PLA. (author)

Portomesenteric Vein Thrombosis After Laparoscopic Sleeve Gastrectomy: Incidence, Analysis and Follow-Up in 1236 Consecutive Cases

OpenAIRE

Villagr?n, Rodrigo; Smith, Gabriela; Rodriguez, Walter; Flores, Carlos; Cariaga, Mario; Araya, Sof?a; Ya?ez, Marisol; Fuentes, Paulina; Linares, Jeannette; Zapata, Antonio

2016-01-01

Background Portomesenteric vein thrombosis (PMVT) is a rare but severe complication after laparoscopic bariatric surgery, with potentially serious consequences. We aimed to describe the incidence, clinical features, management, outcome, and midterm follow-up in patients with PMVT after laparoscopic sleeve gastrectomy (LSG). Methods This retrospective and descriptive study included patients who underwent LSG between November 2009 and July 2015 and developed PMVT. The following data were analyz...

Residual curarization and postoperative respiratory complications following laparoscopic sleeve gastrectomy. The effect of reversal agents: sugammadex vs. neostigmine

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Ezri Tiberiu

2015-04-01

Full Text Available Background: Incomplete muscle relaxant reversal or re-curarization may be associated with postoperative respiratory complications. In this retrospective study we compared the incidence of postoperative residual curarization and respiratory complications in association with the type of muscle relaxant reversal agent, sugammadex or neostigmine, in patients undergoing laparoscopic sleeve gastrectomy.

NST Quarterly - January 1997 issue

International Nuclear Information System (INIS)

1997-01-01

NST Quarterly reports current development in Nuclear Science and Technology in Malaysia. In this issue it highlights MINT activities in local heat shrinkable copolymer and electron beam technology for purification of flue gases. It announces an International Nuclear Conference themed ' a new era in nuclear science and technology - the challenge of the 21 century ' will be held in Kuala Lumpur, Malaysia from 29 to 30 Sept 1997

Perioperative analgesic requirements in severely obese adolescents and young adults undergoing laparoscopic versus robotic-assisted gastric sleeve resection

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Anita Joselyn

2015-01-01

Full Text Available Purpose: One of the major advantages for patients undergoing minimally invasive surgery as compared to an open surgical procedure is the improved recovery profile and decreased opioid requirements in the perioperative period. There are no definitive studies comparing the analgesic requirements in patients undergoing two different types of minimally invasive procedure. This study retrospectively compares the perioperative analgesic requirements in severely obese adolescents and young adults undergoing laparoscopic versus robotic-assisted, laparoscopic gastric sleeve resection. Materials and Methods: With Institutional Review Board approval, the medication administration records of all severely obese patients who underwent gastric sleeve resection were retrospectively reviewed. Intra-operative analgesic and adjuvant medications administered, postoperative analgesic requirements, and visual analog pain scores were compared between those undergoing a laparoscopic procedure versus a robotic-assisted procedure. Results: This study cohort included a total of 28 patients who underwent gastric sleeve resection surgery with 14 patients in the laparoscopic group and 14 patients in the robotic-assisted group. Intra-operative adjuvant administration of both intravenous acetaminophen and ketorolac was similar in both groups. Patients in the robotic-assisted group required significantly less opioid during the intra-operative period as compared to patients in the laparoscopic group (0.15 ± 0.08 mg/kg vs. 0.19 ± 0.06 mg/kg morphine, P = 0.024. Cumulative opioid requirements for the first 72 postoperative h were similar in both the groups (0.64 ± 0.25 vs. 0.68 ± 0.27 mg/kg morphine, P = NS. No difference was noted in the postoperative pain scores. Conclusion: Although intraoperative opioid administration was lower in the robotic-assisted group, the postoperative opioid requirements, and the postoperative pain scores were similar in both groups.

The effect of knee brace and knee sleeve on the proprioception of the knee in young non-professional healthy sportsmen.

Science.gov (United States)

Bottoni, G; Herten, A; Kofler, P; Hasler, M; Nachbauer, W

2013-12-01

Proprioception has been defined as the capacity to feel the position of a joint in space as sensed by the central nervous system. Prophylactic knee braces are supposed to help in knee injury prevention not just with a mechanical support of the joint but also improving proprioception. The main aim of this study was to determine the effects of a knee brace and a knee sleeve on knee proprioception. The secondary aim was to determine if different starting angles of the knee and different movement directions influence knee proprioception. We tested a group of twenty healthy male sport students without knee injuries. They were tested with the brace, with the sleeve and without support. The threshold of detection of passive knee movement with a starting knee angle of 30° and 60°, both in flexion and extension was determined. We did not find any statistically significant change in the threshold of detection of passive knee movement wearing the brace or the sleeve compared to the unsupported condition (p=0.462, α=0.05). We found a significantly lower proprioceptive sensitivity starting at the more flexed knee angle (p=0.005, α=0.05) and moving in extension than in the other test situations (p=0.001, α=0.05). Movement direction and starting position appear to influence the threshold of detection of passive knee movement. The results of this study also suggest that knee supports do not influence either positively or negatively knee proprioception of uninjured active subjects. Copyright © 2013 Elsevier B.V. All rights reserved.

Gastritis in patients undergoing sleeve gastrectomy: Prevalence, ethnic distribution, and impact on glycemic.

Science.gov (United States)

Rath-Wolfson, Lea; Varona, Roy; Bubis, Golan; Tatarov, Alexander; Koren, Rumelia; Ram, Edward

2017-04-01

Laparoscopic sleeve gastrectomy (LSG) is a therapeutic option in severely obese patients. The aim of this study was to evaluate the presence of Helicobacter pylori (HP) gastritis and non-Helicobacter gastritis in the gastrectomy specimens, and its association to other variables.One hundred six sleeve gastrectomy specimens were examined histopathologically for the presence of gastritis and its relation to other factors like ethnicity, glycemic control, and postoperative complications.Twelve patients had HP gastritis, 39 had non-HP gastritis, and 55 had normal mucosa. There was a statistical difference between the Arab and Jewish Israeli patients in our study. Twenty-eight of the Arab patients had HP gastritis and 48% had non-HP gastritis. In the Jewish population 6% had HP gastritis and 34% had non-HP gastritis. The preoperative glycemic control was worse in the gastritis group with a mean HbA1c of 8.344% while in the normal mucosa group the mean HbA1c was 6.55. After operation the glycemic control reverted to normal in most the diabetic patients. There were few postoperative complications however, they were not related to HP.There is a high incidence of gastritis in obese patients. The incidence of gastritis in the Arab population in our study was higher than that in the Jewish population. The glycemic control before surgery was worse in patients with gastritis than in the normal mucosa group. HP bares no risk for postoperative complications after LSG and does not affect weight loss. However a larger cohort of patients must be studied to arrive at conclusive results.

A multicenter study of routine versus selective intraoperative leak testing for sleeve gastrectomy.

Science.gov (United States)

Bingham, Jason; Kaufman, Jedediah; Hata, Kai; Dickerson, James; Beekley, Alec; Wisbach, Gordon; Swann, Jacob; Ahnfeldt, Eric; Hawkins, Devon; Choi, Yong; Lim, Robert; Martin, Matthew

2017-09-01

Staple line leaks after sleeve gastrectomy are dreaded complications. Many surgeons routinely perform an intraoperative leak test (IOLT) despite little evidence to validate the reliability, clinical benefit, and safety of this procedure. To determine the efficacy of IOLT and if routine use has any benefit over selective use. Eight teaching hospitals, including private, university, and military facilities. A multicenter, retrospective analysis over a 5-year period. The efficacy of the IOLT for identifying unsuspected staple line defects and for predicting postoperative leaks was evaluated. An anonymous survey was also collected reflecting surgeons' practices and beliefs regarding IOLT. From January 2010 through December 2014, 4284 patients underwent sleeve gastrectomy. Of these, 37 patients (.9%) developed a postoperative leak, and 2376 patients (55%) received an IOLT. Only 2 patients (0.08%) had a positive finding. Subsequently, 21 patients with a negative IOLT developed a leak. IOLT demonstrated a sensitivity of only 8.7%. There was a nonsignificant trend toward increased leak rates when an IOLT was performed versus when IOLT was not performed. Leak rates were not statistically different between centers that routinely perform IOLT versus those that selectively perform IOLT. Routine IOLT had very poor sensitivity and was negative in 91% of patients who later developed postoperative leaks. The use of IOLT was not associated with a decrease in the incidence of postoperative leaks, and routine IOLT had no benefit over selective leak testing. IOLT should not be used as a quality indicator or "best practice" for bariatric surgery. Published by Elsevier Inc.

Design optimization of a robust sleeve antenna for hepatic microwave ablation

International Nuclear Information System (INIS)

Prakash, Punit; Webster, John G; Deng Geng; Converse, Mark C; Mahvi, David M; Ferris, Michael C

2008-01-01

We describe the application of a Bayesian variable-number sample-path (VNSP) optimization algorithm to yield a robust design for a floating sleeve antenna for hepatic microwave ablation. Finite element models are used to generate the electromagnetic (EM) field and thermal distribution in liver given a particular design. Dielectric properties of the tissue are assumed to vary within ± 10% of average properties to simulate the variation among individuals. The Bayesian VNSP algorithm yields an optimal design that is a 14.3% improvement over the original design and is more robust in terms of lesion size, shape and efficiency. Moreover, the Bayesian VNSP algorithm finds an optimal solution saving 68.2% simulation of the evaluations compared to the standard sample-path optimization method

Perioperative complications of sleeve gastrectomy: Review of the literature.

Science.gov (United States)

Iannelli, Antonio; Treacy, Patrick; Sebastianelli, Lionel; Schiavo, Luigi; Martini, Francesco

2018-05-04

Sleeve gastrectomy (SG) has known a spectacular rise worldwide during the last decade. The absence of digestive anastomosis simplifies the surgical technique, reducing anastomosis-related complications such as fistula, stricture and marginal ulcer. Furthermore, the respect for digestive continuity preserves the functions of pylorus, that regulates gastric emptying, and duodenum, where calcium, B vitamins and iron are absorbed. Despite the multiple advantages, SG also has specific complications such as bleeding, stenosis, portal thrombosis and leak. The staple line leak at the oesophagogastric junction is the most feared complication and its prevention remains difficult, as the involved mechanisms have been only partially elucidated. Its management is long and requires a multidisciplinary technical platform including Intensive Care Unit, digestive endoscopy and interventional radiology as well as a specialised surgeon. The aim of this review is to explain in detail the perioperative complications of SG, their prevention and treatment, referring to the most recent available literature.

Validation of sleeve of straight union type B for leaks

Energy Technology Data Exchange (ETDEWEB)

Teutonico, Mauricio; Fazzini, Pablo [Gie S.A., Buenos Aires (Argentina)

2009-07-01

Analytic study and experimental validation of type B sleeve with overlapping, were done in order to determine whether they are suitable for used as permanent leaks repair in hydrocarbons transport lines. All relevant background of this type of repair was analyzed, following the guidelines defined by applicable regulations (ASME B31.8 and ASME B31.4) and modeled by finite elements methods. Solicitations under internal pressure of each one of the reinforcement parts were analyzed. All solicitations involved in welded unions were studied, so as the reinforcement effectiveness when it is filled with internal gap filler. Experimental tests were developed, consisted on the reinforcement installation upon damaged pipes and the following hydrostatic test. These tests were assisted by a digitalized measurement, to determine the solicitations at different parts of the reinforcement; strain gauges were used for this task. (author)

EB treatment of wastewater and progress of on-going project in China

International Nuclear Information System (INIS)

Wang Zhiguang

2006-01-01

Electron beam processing has been widely used in China in the fields of radiation crosslinking cables and wires, heat shrinkable material, foam materials, irradiated latex and polymers, sterilization, removal SOx and NOx of flue gas, chemical industry, industrial CT, electron instrument, and so on. However, EB treatment of wastewater is mostly under study in laboratory. The manufacture of electron accelerators has also become a comparatively independent industry in China. (author)

[Laparoscopic gastric sleeve in gastric volvulus secondary to diaphragmatic eventration in an adult patient].

Science.gov (United States)

Gálvez-Valdovinos, Ramiro; Marín-Santillán, Ernesto; Funes-Rodríguez, Juan Francisco; López-Ambriz, Gustavo

2016-01-01

Acute gastric volvulus is a rare, but potentially life-threatening, cause of upper gastrointestinal obstruction. Male of 60 years old with severe epigastric pain and abdominal distension with haematemesis on two occasions. The patient was haemodynamically stable, with abdominal distension and palpable epigastric fullness. Hematic cytology showed: haemoglobin 8.2g/dl and haematocrit 27%. Abdominal X-ray showed an elevation of left diaphragm with a hugely dilated stomach. A nasogastric tube was inserted. Endoscopy was performed. There was no active bleeding, but it was impossible to reach the duodenum due to the stomach distortion. The upper gastrointestinal X-ray study showed the appearance of an inverted stomach in the chest and an organoaxial gastric torsion. The CT scans of thorax and abdomen showed a gastric ascent into the thoracic cavity. Laparoscopic surgery was performed, finding the left hemi-diaphragm elevated, and the stomach, splenic angle of the colon, the spleen and tail of the pancreas were also raised. A linear gastrectomy (gastric sleeve) was performed. The postoperative progress was satisfactory. Oral feeding was started 72 hours after surgery, and the patient was discharged, and has remained asymptomatic during the following by 8 years. Emergency physicians must maintain a high level of suspicion in patients that present with signs and symptoms suggesting upper digestive tract occlusion. The gastric sleeve is an excellent alternative to avoid recurrence of gastric volvulus. Copyright © 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. All rights reserved.

Achalasia: A case report on its effect during surgical decision making for laparoscopic sleeve gastrectomy in the young morbidly obese patient

Directory of Open Access Journals (Sweden)

Rodolfo J. Oviedo, MD, FACS

2016-01-01

Conclusion: The patient has already undergone a POEM procedure, which was chosen to maintain the gastric fundus, cardia, and gastroesophageal junction (GEJ architecture as opposed to a LHM with Dor fundoplication, which would have altered the anatomy, thus making a concomitant laparoscopic sleeve gastrectomy an unfeasible option.

Evaluation of nutrient status after laparoscopic sleeve gastrectomy 1, 3, and 5 years after surgery.

Science.gov (United States)

Saif, Taha; Strain, Gladys W; Dakin, Gregory; Gagner, Michel; Costa, Ricardo; Pomp, Alfons

2012-01-01

Laparoscopic sleeve gastrectomy evolved as a primary bariatric procedure with little information on its nutritional effects. Our objective was to assess the longer term micronutrient and vitamin status after laparoscopic sleeve gastrectomy at a university hospital. Measurements of ferritin, iron, total iron binding capacity, hemoglobin, hematocrit, parathyroid hormone, albumin, calcium, magnesium, phosphorus, zinc, folate, and vitamins A, B1, B12, and D were obtained at baseline and 1, 3, and 5 years after surgery. Two-sample t tests with multiple adjusted comparisons and Fisher's exact test were used to determine deficiency. A total of 82 patients (67% women), with a mean age of 46.4 years and a baseline body mass index 55.7 kg/m2 were included in the present study (35 at 1, 27 at 3, and 30 at 5 years postoperatively). The percentage of excess body mass index loss was 58.5% at year 1 in 35 patients, 63.1% at year 3 in 27 patients, and 46.1% at year 5 in 30 patients. The parathyroid hormone level decreased from 75.0 to 49.6 ng/mL in year 1 to 40.7 ng/mL in year 3. The year 5 levels increased to 99.6 ng/mL. The mean vitamin D level increased from 23.6 ng/mL to 35.0, 32.1 and 34.8 at years 1, 3, and 5 (P = .05 for baseline to year 1). The vitamin D level was less than normal in 42% of the patients at year 5. After normalization from baseline, by year 5, parathyroid hormone had increased in 58.3% of patients. At year 5, vitamin B1 was less than normal in 30.8% of patients, and hemoglobin and hematocrit were less than normal in for 28.6% and 25% of patients, respectively. Finally, 28.9% of patients reported taking supplements in year 1, 42.9% in year 3, and 63.3% in year 5. The other variables were not significantly different. Laparoscopic sleeve gastrectomy resulted in health improvements through year 3. At year 5, the nutrient levels had reverted toward the baseline values. These observations provide focus for necessary clinical monitoring. Copyright © 2012 American

Evaluation of an inductively-coupled plasma with an extended-sleeve torch as an atomization cell for laser-excited fluorescence spectrometry.

Science.gov (United States)

Kosinski, M A; Uchida, H; Winefordner, J D

1983-05-01

An inductively-coupled plasma (ICP) with an extended-sleeve torch has been evaluated as an atomization cell for laser-excited fluorescence spectrometry. Limits of detection for 20 lines are given. The detection power is almost equivalent to that obtained by excitation with a hollow-cathode lamp. Interelement effects and spectral interferences are discussed.

Numerical Analysis and Experimental Study of Hard Roofs in Fully Mechanized Mining Faces under Sleeve Fracturing

Directory of Open Access Journals (Sweden)

Zhitao Zheng

2015-11-01

Full Text Available Sudden falls of large-area hard roofs in a mined area release a large amount of elastic energy, generate dynamic loads, and cause disasters such as impact ground pressure and gas outbursts. To address these problems, in this study, the sleeve fracturing method (SFM was applied to weaken a hard roof. The numerical simulation software FLAC3D was used to develop three models based on an analysis of the SFM working mechanism. These models were applied to an analysis of the fracturing effects of various factors such as the borehole diameter, hole spacing, and sleeve pressure. Finally, the results of a simulation were validated using experiments with similar models. Our research indicated the following: (1 The crack propagation directions in the models were affected by the maximum principal stress and hole spacing. When the borehole diameter was fixed, the fracturing pressure increased with increasing hole spacing. In contrast, when the fracturing pressure was fixed, the fracturing range increased with increasing borehole diameter; (2 The most ideal fracturing effect was found at a fracturing pressure of 17.6 MPa in the model with a borehole diameter of 40 mm and hole spacing of 400 mm. The results showed that it is possible to regulate the falls of hard roofs using the SFM. This research may provide a theoretical basis for controlling hard roofs in mining.

Vertical steam generator with slab-type tube-plate with even tube bundle washing

International Nuclear Information System (INIS)

Manek, O.; Masek, V.; Motejl, V.; Quitta, R.

1980-01-01

A shielding plate supporting the tubes attached to the tube plate of a vertical steam generator is mounted above the tube plate. Tube sleeves are designed with a dimensional tolerance relative to the heat transfer tubes and the sleeve end and the tube plate end. A separate space is thus formed above the tube plate in which circulation or feed water is introduced to flow between the branch and the heat transfer tube. This provides intensive washing of heat transfer tubes at a critical point and prevents deposit formation, thus excluding heat transfer tube failures. (J.B.)

Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses

OpenAIRE

PATRICIA B CARROLL; WERVISTON DEFARIA; CARLOS GANDIA; MARIANA BERHO; EVANGELOS MISIAKOS; ANDREAS G TZAKIS

2006-01-01

The creation of successful vascular anastomoses is of primary importance in many surgical fields. Numerous attempts to automate this process have been made. These techniques have slowly gained acceptance, but their use is still limited. This report details feasibility testing of a new prototype stapler that automates the rollover sleeve technique for venous vascular anastomoses. Male and female mongrel dogs (n=7) (25-32 kg) were used. A segment of the right (n=5) or left (n=2) iliac vein was ...

Modification of plastic by ionizing radiation

International Nuclear Information System (INIS)

Dalager, P.

1974-01-01

Very few of the modifications of plastic materials have got industrial status. Nearly all of the succesful industrial irradiations processes are performed with polyethylene. Irradiated polyethylene has been used in industries and products such as wire, cables, foams and heat shrinkable products, i.e. films, tubings and molded parts. Also the irradiation of finished products, i.e. improvement on a thermoplastic material into thermosetting material, has been developed in this field. (M.S.)

Rare Neurological Complications After Sleeve Gastrectomy.

Science.gov (United States)

Tabbara, Malek; Carandina, Sergio; Bossi, Manuela; Polliand, Claude; Genser, Laurent; Barrat, Christophe

2016-12-01

Bariatric surgery is considered to be the most effective treatment of morbid obesity and improvement of obesity-related comorbidities, such as type II diabetes. However, both peripheral and central neurological complications can occur after bariatric surgery. Such complications tend to occur more frequently after bypass surgery than after sleeve gastrectomy (SG). The objective of this study was to identify the patients that presented post-operative neurological complications after undergoing SG and describe the incidence, presentation, and management of these complications. This was a retrospective study of 592 cases of SG performed between 2009 and 2014 with a special focus on patients who presented neurological complications. Of the 592 SG cases, only seven (1.18 %) patients presented neurological complications. All patients had uneventful post-operative course, but all reported feeding difficulties, accompanied by severe dysphagia, and rapid weight loss, with a mean weight loss of 35 kg (30-40 kg) 3 months after SG. All patients were readmitted owing to neurological symptoms that included paresthesia, abolition of deep tendon reflexes of the lower limbs, muscle pain, and motor and sensitive deficits in some cases. There were two cases of Wernicke's encephalopathy. All patients were treated for neuropathy secondary to vitamin B1 deficiency and had a significant improvement and/or resolution of their symptoms. Neurological complications after SG are rare and are often preceded by gastrointestinal symptoms, rapid weight loss, and lack of post-operative vitamin supplementation. Re-hospitalization and multidisciplinary team management are crucial to establish the diagnosis and initiate treatment.

Mechanical design of a sodium heated steam generator

International Nuclear Information System (INIS)

Chetal, S.C.

1975-01-01

FBTR steam generator is a once through type unit consisting of four 12.5 MW thermal modules generating a total of 74 tons per hour of steam at 125 bar and 480 0 C. This paper outlines the mechanical design of such type of steam generator with emphasis on special design problems associated with this type of sodium to water steam heat exchanger, namely, thermal cycling of transition zone where nucleate boiling changes over to film boiling, application of pressure vessel design criteria for transient pressures, thermal stress evaluation resulting from differential expansion between shell and tube in this typical configuration, sodium headers support design, thermal sleeve, design, thermal shock analysis in thick tubes, thermal stress resulting from stratification and stability of expansion bends against vibration. Some of the possible design changes for the future large size steam generator are outlined. (author)

Impact of laparoscopic sleeve gastrectomy on body mass index, ghrelin, insulin and lipid levels in 100 obese patients

OpenAIRE

Hady, Hady Razak; Dadan, Jacek; Go?aszewski, Pawe?; Safiejko, Kamil

2012-01-01

Introduction A high percentage of patients benefit from bariatric procedures in terms of metabolic effect and substantial body mass reduction. These procedures improve glucose metabolism leading to the amelioration or complete resolution of type 2 diabetes, reduction of insulin resistance and alleviation of metabolic syndrome effects. Aim To assess the impact of laparoscopic sleeve gastrectomy (LSG) on the plasma levels of ghrelin, insulin, glucose, triglycerides, total cholesterol, high-dens...

Gastric wall thickness and stapling in laparoscopic sleeve gastrectomy - a literature review.

Science.gov (United States)

Barski, Krzysztof; Binda, Artur; Kudlicka, Emilia; Jaworski, Paweł; Tarnowski, Wiesław

2018-03-01

Despite the growing experience of bariatric surgeons in performing laparoscopic sleeve gastrectomy, the number of complications involving staple line leaks remains constant. Hence a solution to avoid such complications is still sought. A defect of the staple line may be the consequence of an inappropriate choice of staple size in relation to gastric wall thickness. Due to the variable nature of gastric wall thickness, the choice of proper staple height is not obvious. In the few studies in which gastric wall thickness was measured, it was observed to decrease gradually from the antrum to the fundus. However, the authors are divided on the issue of whether gender and body mass index influence gastric wall thickness. The question whether there are other perioperative factors that would allow gastric wall thickness to be predicted remains unanswered.

One-stoma carinoplasty: right upper sleeve lobectomy with hemicarinectomy for resection of right-tracheobronchial-angle tumors.

Science.gov (United States)

Kaya, Seyda Ors; Sevinc, Serpil; Ceylan, Kenan Can; Usluer, Ozan; Unsal, Saban

2013-01-01

Tracheobronchial-angle tumors involve the right main bronchus, the right upper lobar bronchus, and the lateral wall of the lower trachea. Resecting these tumors is one of the most complex procedures in thoracic surgery. In cases of high-caliber mismatch, the selection of a suitable anastomotic technique can be challenging. We found that our use of a one-stoma carinoplasty technique overcame high-caliber mismatch after the resection of these tumors. From 2009 through 2012, 8 men (mean age, 59 ± 6.2 yr; range, 46-66 yr) underwent complete resection of non-small-cell right-tracheobronchial-angle tumors at our institution. In every case, right upper sleeve lobectomy, wedge carinal resection, and one-stoma carinoplasty were applied. After tumor resection, one patient with hemoptysis and bronchopleural fistula underwent a completion pneumonectomy and died 10 days postoperatively. Bronchoscopy was necessary in 2 patients who had atelectasis in the contralateral lung. At a mean follow-up duration of 19.43 ± 8.4 months (range, 0.2-27.1 mo), 6 patients were alive and free of disease. We conclude that our one-stoma carinoplasty technique enables the resection of tumors at the right tracheobronchial angle, with acceptable morbidity and mortality rates. This method saves the unaffected part of the ipsilateral lung and can overcome high-caliber mismatch. Because of these and other advantages, we suggest that using our method first might preclude having to perform a right carinal sleeve pneumonectomy or using Barclay's method.

Pattern of changes in quality of life of obese patients after sleeve gastrectomy in Sulaimani provence –Kurdistan-Iraq, based on 4 years experience in two bariatric centers

Directory of Open Access Journals (Sweden)

Hiwa Omer Ahmed

2018-02-01

Full Text Available Background: Obesity influences all aspects of the life of obese patients physically, psychologically, socially and monetarily, it is not only a disease but rather a beginning point of a group of ailments and inabilities, which gradually impacts and changes all aspects of their life. Objectives: The changes in the Quality of life in respect to the amount of access weight lost after sleeve gastrectomy. Patients, materials and methods: A prospective longitudinal study evaluating 40 female patients who underwent laparoscopic sleeve gastrectomy within 4 years, starting from July 4th, 2012 up to July 5th, 2016. Results: More than three-quarter of the patients were not satisfied with their body before their operation, but six to twelve months after their weight loss; (N = 36, 90% of them were satisfied with their new body image. Half of the patients were unhappy before their operation, but twelve months later (N = 31, 77.5% of them became much happier. Regarding satisfaction with the body image, noticeable improvement occurred since (N = 36, 90% of them were satisfied with their new body image. While, most of them have had low self-esteem and (N 27, 67.5% of the patients had no self-esteem at all, 12 months after the operation (N = 35, 87.5% felt great improvement in their self-esteem (p-value = .040. A significant decrease in appetite was noticed in (N = 39, 97.5% of the patients after 12 months. Conclusion: Significant changes in the parallel pattern to the extent of EWL were noticed in the quality of life of morbidly obese patients after laparoscopic sleeve gastrectomy. Keywords: A pattern, Parallel, Reverse-pattern, Laparoscopic sleeve gastrectomy, Quality of life, Non-health quality of life, Morbid obesity

Reactor shutdown device

International Nuclear Information System (INIS)

Matsumiya, Hirohito; Endo, Hiroshi; Tsuboi, Yasushi.

1993-01-01

The present invention concerns a reactor shutdown device capable of suppressing change of a core insertion amount relative to temperature change during normal operation and having a great extension amount due to thermal expansion and high mechanical strength. A control rod main body is contained vertically movably in a guide tube disposed in a reactor core. An extension member extends upward from the upper end of a control rod main body and suspends the control rod main body. A shrinkable member intervenes at a midway of the extension member and is made shrinkable. A temperature sensitive member contains coolants at the inside and surrounds the shrinkable member. Thus, if the temperature of external coolants rises abruptly, the shrinkable member is extended by thermal expansion of the coolants in the temperature sensitive member. Upon usual reactor startup, the coolants in the temperature sensitive member cause no substantial thermal expansion by temperature elevation from a cold shutdown temperature to a rated power operation temperature, and the shrinkable member maintains its original state, so that the control rod main body is not inserted into the reactor core. However, upon abrupt temperature elevation, the control rod main body is inserted into the reactor core. (I.S.)

Containment penetration design and analysis by finite element methods

International Nuclear Information System (INIS)

Perry, R.F.; Rigamonti, G.; Dainora, J.

1975-01-01

Containment penetration designs which provide complete support to process piping containing high pressure and high temperature fluids and which do not employ cooling coils, require special provisions to sustain loadings associated with normal/abnormal conditions and to limit maximum temperature transmitted to the containment concrete wall. In order to accommodate piping imposed loads and fluid temperatures within code and regulatory limitations, the containment penetration designs require careful analysis of two critical regions: the portion of the penetration sleeve which is exposed to containment ambient conditions and the portion of the penetration which connects the sleeve to process piping (flued head). The length and thickness of the sleeve must be designed to provide maximum heat dissipation to the atmosphere and minimum heat conduction through the sleeve to meet concrete temperature limitations. The sleeve must have the capability to transmit the postulated piping loads to concrete embedments in the containment shell. The penetration flued head design must be strong enough to transfer high mechanical loads and be flexible enough to accommodate the thermal stresses generated by the high temperature fluid. Analytical models using finite element representations of process piping, penetration flued head, and exposed sleeve were employed to investigate the penetration assembly design. By application of flexible multi-step analyses, different penetration configurations were evaluated to determine the effects of key design parameters. Among the parameters studied were flued head profiles, flued head angles with the process piping, sleeve length and wall thickness. Special designs employing fins welded to the sleeve to lower the temperature at the concrete wall interface were investigated and fin geometry effects reported

Heat transfer characteristics of building walls using phase change material

Science.gov (United States)

Irsyad, M.; Pasek, A. D.; Indartono, Y. S.; Pratomo, A. W.

2017-03-01

Minimizing energy consumption in air conditioning system can be done with reducing the cooling load in a room. Heat from solar radiation which passes through the wall increases the cooling load. Utilization of phase change material on walls is expected to decrease the heat rate by storing energy when the phase change process takes place. The stored energy is released when the ambient temperature is low. Temperature differences at noon and evening can be utilized as discharging and charging cycles. This study examines the characteristics of heat transfer in walls using phase change material (PCM) in the form of encapsulation and using the sleeve as well. Heat transfer of bricks containing encapsulated PCM, tested the storage and released the heat on the walls of the building models were evaluated in this study. Experiments of heat transfer on brick consist of time that is needed for heat transfer and thermal conductivity test as well. Experiments were conducted on a wall coated by PCM which was exposed on a day and night cycle to analyze the heat storage and heat release. PCM used in these experiments was coconut oil. The measured parameter is the temperature at some points in the brick, walls and ambient temperature as well. The results showed that the use of encapsulation on an empty brick can increase the time for thermal heat transfer. Thermal conductivity values of a brick containing encapsulated PCM was lower than hollow bricks, where each value was 1.3 W/m.K and 1.6 W/m.K. While the process of heat absorption takes place from 7:00 am to 06:00 pm, and the release of heat runs from 10:00 pm to 7:00 am. The use of this PCM layer can reduce the surface temperature of the walls of an average of 2°C and slows the heat into the room.

Endoscopic sleeve gastroplasty: the learning curve.

Science.gov (United States)

Hill, Christine; El Zein, Mohamad; Agnihotri, Abhishek; Dunlap, Margo; Chang, Angela; Agrawal, Alison; Barola, Sindhu; Ngamruengphong, Saowanee; Chen, Yen-I; Kalloo, Anthony N; Khashab, Mouen A; Kumbhari, Vivek

2017-09-01

 Endoscopic sleeve gastroplasty (ESG) is gaining traction as a minimally invasive bariatric treatment. Concern that the learning curve may be slow, even among those proficient in endoscopic suturing, is a barrier to widespread implementation of the procedure. Therefore, we aimed to define the learning curve for ESG in a single endoscopist experienced in endoscopic suturing who participated in a 1-day ESG training program.  Consecutive patients who underwent ESG between February 2016 and November 2016 were included. The performing endoscopist, who is proficient in endoscopic suturing for non-ESG procedures, participated in a 1-day ESG training session before offering ESG to patients. The outcome measurements were length of procedure (LOP) and number of plications per procedure. Nonlinear regression was used to determine the learning plateau and calculate the learning rate.  Twenty-one consecutive patients (8 males), with mean age 47.7 ± 11.2 years and mean body mass index 41.8 ± 8.5 kg/m 2 underwent ESG. LOP decreased significantly across consecutive procedures, with a learning plateau at 101.5 minutes and a learning rate of 7 cases ( P  = 0.04). The number of plications per procedure also decreased significantly across consecutive procedures, with a plateau at 8 sutures and a learning rate of 9 cases ( P  < 0.001). Further, the average time per plication decreased significantly with consecutive procedures, reaching a plateau at 9 procedures ( P  < 0.001).  Endoscopists experienced in endoscopic suturing are expected to achieve a reduction in LOP and number of plications per procedure in successive cases, with progress plateauing at 7 and 9 cases, respectively.

Long-term nutritional impact of sleeve gastrectomy.

Science.gov (United States)

Caron, M; Hould, F S; Lescelleur, O; Marceau, S; Lebel, S; Julien, F; Simard, S; Biertho, Laurent

2017-10-01

Sleeve gastrectomy (SG) has become a predominant bariatric procedure throughout the world. However, the long-term nutritional impact of this procedure is unknown. To describe the nutritional deficiencies before and after SG and to analyze the influence of baseline weight on nutritional status. University-affiliated tertiary care center. All patients who underwent SG as a standalone procedure between 2008 and 2012 were included in this study. Patients were given multivitamin supplementation. Data were obtained from our prospectively maintained electronic database and are reported as mean ± standard deviation and percentage. Bivariate analyses were conducted to evaluate the influence of selected variables on outcomes. The mean age of the 537 patients was 48.0 ± 11.3 years, with an initial body mass index of 48.1 ± 8.7 kg/m 2 . Excess weight loss and total weight loss were 56.2% and 28.0% at 1 year and 43.0% and 21.1% at 5 years, respectively (Pvitamin B12 in 30.3% and 16.4% (Pvitamin D 63.2% and 24.3% (Pvitamin A insufficiency peaked from 7.9% preoperatively to 28.7% at 3 months (Pvitamin B12 and vitamin D. Nutritional deficiencies are common in patients with morbid obesity before and after surgery. Preoperative supplementation and long-term nutritional follow-up are required to prevent nutritional deficiencies. Copyright © 2017 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Self-Regulation of Weight After Sleeve Gastrectomy.

Science.gov (United States)

Madeira, Teresa; do Carmo, Isabel; Bicha Castelo, Henrique; Santos, Osvaldo

2018-03-01

Bariatric surgery is recognized as the most effective method for achieving relevant weight loss in subjects with severe obesity. However, there is insufficient knowledge about weight self-regulation and quality of motivation in these patients. The main goal of this study was to characterize the association between the percentage of excess weight loss (%EWL) and the motivation to manage weight, at least 1 year after sleeve gastrectomy (SG). This is an observational longitudinal retrospective study. All patients corresponding to predefined inclusion criteria who underwent SG from January 2008 to July 2010 at a main general hospital were invited. A version of the Treatment Self-Regulation Questionnaire (TSRQ) was used to assess patients' quality of motivation: TSRQ concerning continuing the weight self-management program. Clinical data were collected from patients' records. Overall, 81 patients participated (16 men and 65 women, 25-64 years old). The average body mass index was significantly reduced from 45.3 ± 7.0 kg/m 2 preoperatively to 32.7 ± 6.9 kg/m 2 postoperatively. Autonomous self-regulation was higher than externally controlled self-regulation, regarding motives to keep managing weight after SG. Postoperatively, %EWL correlated negatively with external self-regulation. SG was found to be associated with the quality of motivation for losing weight. External motivations were associated with worse results. These findings support the importance of multiprofessional teams in the assessment and treatment of patients, aiming for the promotion of weight self-regulation after bariatric surgery.

Melting method for radioactive solid wastes and device therefor

Energy Technology Data Exchange (ETDEWEB)

Komatsu, Masahiko; Abe, Takashi; Nakayama, Junpei; Kusamichi, Tatsuhiko; Sakamoto, Koichi

1998-11-17

Upon melting radioactive solid wastes mixed with radioactive metal wastes and non metal materials such as concrete by cold crucible high frequency induction heating, induction coils are wound around the outer circumference of a copper crucible having a water cooling structure to which radioactive solid wastes are charged. A heating sleeve formed by a material which generates heat by an induction heating function of graphite is disposed to the inside of the crucible at a height not in contact with molten metals in the crucible vertically movably. Radioactive solid wastes are melted collectively by the induction heat of the induction coils and thermal radiation and heat conduction of the heating sleeve heated by the induction heat. With such procedures, non metal materials such as concrete and radioactive metal wastes in a mixed state can be melt collectively continuously highly economically. (T.M.)

Development of an eddy current inspection technique for sleeved engine disk bolt holes

International Nuclear Information System (INIS)

Palanisamy, R.; Lakin, K.M.

1983-01-01

Recent research programs have concentrated mainly on developing techniques to characterize surface breaking cracks and very little has been done towards characterizing subsurface flaws in conducting materials. Presented in this paper are the results of some initial theoretical work aimed at the development of a reliable eddy current technique to detect and characterize defects in engine disk bolt holes under a 0.05'' stainless steel sleeve. The change in impedance of an absolute eddy current coil with and without ferrite core, and the distribution of eddy currents around a second layer crack with and without a thin insulating film between the two conducting layers have been predicted numerically. The overall system development goals and methods to accomplish them are outlined briefly

Magnet-Sleeve-Sealed Mini Trochoidal-Gear Pump Prototype with Polymer Composite Gear

Directory of Open Access Journals (Sweden)

Pedro Javier Gamez-Montero

2017-09-01

Full Text Available The trochoidal-gear technology has been growing in groundbreaking fields. Forthcoming applications are demanding to this technology a step forward in the conceiving stage of positive displacement machines. The compendium of the qualities and the inherent characteristics of trochoidal-gear technology, especially towards the gerotor pump, together with scale/size factor and magnetic-driven transmission has led to the idea of a magnet-sleeve-sealed variable flow mini trochoidal-gear pump. From its original concept, to the last phase of the design development, the proof of concept, this new product will intend to overcome problems such as noise, vibration, maintenance, materials, and dimensions. The paper aims to show the technological path followed from the concept, design, and model, to the manufacture of the first prototype, where the theoretical and numerical approaches are not always directly reflected in the prototype performance results. Early in the design process, from a standard-commercial sintered metal mini trochoidal-gear unit, fundamental characteristics and dimensional limitations have been evaluated becoming the strategic parameters that led to its configuration. The main technical challenge to confront is being sealed with non-exterior driveshaft, ensuring that the whole interior is filled and wetted with working fluid and helping the hydrodynamic film formation, the pumping effect, and the heat dissipation. Subsequently, the mini pump architecture, embodiment, methodology, materials, and manufacture are presented. The trend of applications of polymer composite materials and their benefits wanted to be examined with this new mini pump prototype, and a pure polyoxymethylene mini trochoidal-gear set has been designed and manufactured. Finally, both the sintered and the polymer trochoidal-gear units have been experimentally tested in an in-house full-instrumented mini test bench. Although the main goal of the presented work is the

Anorectal function following colo-anal sleeve anastomosis for chronic radiation injury to the rectum

Energy Technology Data Exchange (ETDEWEB)

Varma, J S; Smith, A N

1986-04-01

This paper reports the results of anorectal manometry and electrophysiological studies of the pelvic floor in eight patients who had undergone anterior resection of the rectum with mucosal proctectomy and colo-anal sleeve anastomosis for radiation rectal injury. The group comprised six women and two men (age range 61-84 years, mean 71 years). Six bladder carcinoma patients had received small field (10 x 10 cm) external beam radiotherapy (5500 cGy in 20 treatments over 4 weeks); two cervical cancer patients had been given whole pelvis, external beam radiotherapy supplemented by a single caesium implant (cumulative dosage of 9500 cGy to the vaginal vault, equivalent to 7500 cG to point A).

Anorectal function following colo-anal sleeve anastomosis for chronic radiation injury to the rectum

International Nuclear Information System (INIS)

Varma, J.S.; Smith, A.N.

1986-01-01

This paper reports the results of anorectal manometry and electrophysiological studies of the pelvic floor in eight patients who had undergone anterior resection of the rectum with mucosal proctectomy and colo-anal sleeve anastomosis for radiation rectal injury. The group comprised six women and two men (age range 61-84 years, mean 71 years). Six bladder carcinoma patients had received small field (10 x 10 cm) external beam radiotherapy (5500 cGy in 20 treatments over 4 weeks); two cervical cancer patients had been given whole pelvis, external beam radiotherapy supplemented by a single caesium implant (cumulative dosage of 9500 cGy to the vaginal vault, equivalent to 7500 cG to point A). (UK)

Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses

Directory of Open Access Journals (Sweden)

PATRICIA B CARROLL

2006-01-01

Full Text Available The creation of successful vascular anastomoses is of primary importance in many surgical fields. Numerous attempts to automate this process have been made. These techniques have slowly gained acceptance, but their use is still limited. This report details feasibility testing of a new prototype stapler that automates the rollover sleeve technique for venous vascular anastomoses. Male and female mongrel dogs (n=7 (25-32 kg were used. A segment of the right (n=5 or left (n=2 iliac vein was harvested for interposition grafts after the contra lateral side was transected. In each dog, two end-to-end venous anastomoses at the interposition grafts were performed. The standard anastomosis employed continuous mattress sutures. The experimental anastomosis was performed with a new prototype surgical stapler. The stapled anastomosis was proximal and the sutured was distal. In all experiments, it was possible to perform the experimental anastomosis with the stapler. Complications included two small leaks, one due to misfiring of a single pin in one experimental site. These leaks required suture reinforcement. One dog died of hemorrhage due to a slipped suture at the vein harvest site. One vein had thrombus seen at the sutured site although no technical abnormalities at either of the anastomoses could be found. After two weeks, grafts were inspected grossly and histologically. Healing appeared normal. There was a trend for less inflammatory cells infiltrating stapled sites; however, this was not statistically significant. The experiments demonstrate that this device can automate the rollover sleeve technique for venous anastomoses.

Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses.

Science.gov (United States)

Carroll, Patricia B; Defaria, Werviston; Gandia, Carlos; Berho, Mariana; Misiakos, Evangelos; Tzakis, Andreas G

2006-01-01

The creation of successful vascular anastomoses is of primary importance in many surgical fields. Numerous attempts to automate this process have been made. These techniques have slowly gained acceptance, but their use is still limited. This report details feasibility testing of a new prototype stapler that automates the rollover sleeve technique for venous vascular anastomoses. Male and female mongrel dogs (n=7) (25-32 kg) were used. A segment of the right (n=5) or left (n=2) iliac vein was harvested for interposition grafts after the contra lateral side was transected. In each dog, two end-to-end venous anastomoses at the interposition grafts were performed. The standard anastomosis employed continuous mattress sutures. The experimental anastomosis was performed with a new prototype surgical stapler. The stapled anastomosis was proximal and the sutured was distal. In all experiments, it was possible to perform the experimental anastomosis with the stapler. Complications included two small leaks, one due to misfiring of a single pin in one experimental site. These leaks required suture reinforcement. One dog died of hemorrhage due to a slipped suture at the vein harvest site. One vein had thrombus seen at the sutured site although no technical abnormalities at either of the anastomoses could be found. After two weeks, grafts were inspected grossly and histologically. Healing appeared normal. There was a trend for less inflammatory cells infiltrating stapled sites; however, this was not statistically significant. The experiments demonstrate that this device can automate the rollover sleeve technique for venous anastomoses.

Pre-operative and early post-operative factors associated with surgical site infection after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Ruiz-Tovar, Jaime; Oller, Inmaculada; Llavero, Carolina; Arroyo, Antonio; Muñoz, Jose Luis; Calero, Alicia; Diez, María; Zubiaga, Lorea; Calpena, Rafael

2013-08-01

Surgical procedures on obese patients are expected to have a high incidence of surgical site infection (SSI). The identification of pre-operative or early post-operative risk factors for SSI may help the surgeon to identify subjects in risk and adequately optimize their status. We conducted a study of the association of comorbidities and pre- and post-operative analytical variables with SSI following laparoscopic sleeve gastrectomy for the treatment of morbid obesity. We performed a prospective study of all morbidly obese patients undergoing laparoscopic sleeve gastrectomy as a bariatric procedure between 2007 and 2011. An association of clinical and analytical variables with SSI was investigated. The study included 40 patients with a mean pre-operative body mass index (BMI) of 51.2±7.9 kg/m(2). Surgical site infections appeared in three patients (7.5%), of whom two had an intra-abdominal abscess located in the left hypochondrium and the third had a superficial incisional SSI. Pre-operatively, a BMI >45 kg/m(2) (OR 8.7; p=0.008), restrictive disorders identified by pulmonary function tests (OR 10.0; p=0.012), a serum total protein concentration 30 mcg/dL (OR 13.0; p=0.003), and a mean corpuscular volume (MCV) operative SSI. Post-operatively, a serum glucose >128 mg/dL (OR 4.7; p=0.012) and hemoglobin operative anemia and hyperglycemia as risk factors for SSI. In these situations, the surgeon must be aware of and seek to control these risk factors.

Production of radiation crosslinked polymeric compositions using diacetylenes

International Nuclear Information System (INIS)

Patel, G.N.

1979-01-01

Crosslinked polymeric compositions, useful as electrical insulators, heat shrinkable packaging, and lightweight foam plastics, are described. The crosslinked polymeric compositions are produced by admixing a diacetylene monomer, oligomer, polymer or mixture thereof, wherein the monomer has the formula, RNHCO-O-CH 2 -C==C-C==C-CH- 2 -O-OCNHR' in which R and R' are the same or different and are alkyl containing 1 to 20 carbon atoms, with a thermoplastic crosslinkable polymer and then subjecting the resulting mixture to actinic radiation

Thermal characterization of phacoemulsification probes operated in axial and torsional modes.

Science.gov (United States)

Zacharias, Jaime

2015-01-01

To analyze temperature increases and identify potential sources of heat generated when sleeved and sleeveless phacoemulsification probes were operated in axial and torsional modes using the Infiniti Vision System with the Ozil torsional handpiece. Phacodynamics Laboratory, Pasteur Ophthalmic Clinic, Santiago, Chile. Experimental study. Two computer-controlled thermal transfer systems were developed to evaluate the contribution of internal metal stress and tip-to-sleeve friction on heat generation during phacoemulsification using axial and torsional ultrasound modalities. Both systems incorporated infrared thermal imaging and used a black-body film to accurately capture temperature measurements. Axial mode was consistently associated with greater temperature increases than torsional mode whether tips were operated with or without sleeves. In tests involving bare tips, axial mode and torsional mode peaked at 51.7°C and 34.2°C, respectively. In an example using sleeved tips in which a 30.0 g load was applied for 1 second, temperatures for axial mode reached 45°C and for torsional mode, 38°C. Friction between the sleeved probe and the incisional wall contributed more significantly to the temperature increase than internal metal stress regardless of the mode used. In all experiments, the temperature increase observed with axial mode was greater than that observed with torsional mode, even when conditions such as power or amplitude and flow rate were varied. Tip-to-sleeve friction was a more dominant source of phaco probe heating than internal metal stress. The temperature increase due to internal metal stress was greater with axial mode than with torsional mode. Dr. Zacharias received research funding from Alcon Laboratories, Inc., to conduct this study. He has no financial or proprietary interest in any material or method mentioned. Copyright © 2015 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Pulmonary artery reconstruction with a tailor-made bovine pericardial conduit following sleeve resection of a long segmental pulmonary artery for the treatment of lung cancer: technical details of the dog-ear method for adjusting diameter during vascular anastomosis.

Science.gov (United States)

Shimizu, Kimihiro; Nagashima, Toshiteru; Ohtaki, Yoichi; Takahashi, Toru; Mogi, Akira; Kuwano, Hiroyuki

2017-05-01

Sleeve resection of the pulmonary artery (PA) is always required for lung-sparing operations in which half or more of the vessel circumference is infiltrated by the primary tumor or metastatic hilar nodes. Following sleeve resection, conduit reconstruction may be indicated if there is excessive distance between the two vascular stumps, because there is a high degree of tension when repaired by direct anastomosis. We herein present a case of PA reconstruction using a tailor-made bovine pericardial conduit after sleeve resection of PA during lung cancer surgery. The length of resection was longer than 3 cm, and the difference in diameter between the conduit and peripheral PA stump was larger than 0.5 cm. We describe the surgical and oncological merits of a bovine pericardial conduit, and provide details of our reconstruction technique, focusing on adjustment of diameter between the conduit and peripheral PA (dog-ear method).

Sleeve bridging of the rhesus monkey ulnar nerve with muscular branches of the pronator teres: multiple amplification of axonal regeneration

OpenAIRE

Yu-hui Kou; Pei-xun Zhang; Yan-hua Wang; Bo Chen; Na Han; Feng Xue; Hong-bo Zhang; Xiao-feng Yin; Bao-guo Jiang

2015-01-01

Multiple-bud regeneration, i.e., multiple amplification, has been shown to exist in peripheral nerve regeneration. Multiple buds grow towards the distal nerve stump during proximal nerve fiber regeneration. Our previous studies have verified the limit and validity of multiple amplification of peripheral nerve regeneration using small gap sleeve bridging of small donor nerves to repair large receptor nerves in rodents. The present study sought to observe multiple amplification of myelinated ne...

Fabrication of a pen-shaped portable biochemical reaction system based on magnetic bead manipulation

International Nuclear Information System (INIS)

Shikida, Mitsuhiro; Inagaki, Noriyuki; Okochi, Mina; Honda, Hiroyuki; Sato, Kazuo

2011-01-01

A pen-shaped platform that is similar to a mechanical pencil is proposed for producing a portable reaction system. A reaction unit, as the key component in the system, was produced by using a heat shrinkable tube. A mechanical pencil supplied by Mitsubishi Pencil Co. Ltd was used as the pen-shaped platform for driving the reaction cylinder. It was actuated using an inchworm motion. We confirmed that the magnetic beads were successfully manipulated in the droplet in the cylinder-shaped reaction units. (technical note)

SPIDER ® sleeve gastrectomy--a new concept in single-trocar bariatric surgery: initial experience and technical details.

Science.gov (United States)

Noel, P; Nedelcu, M; Gagner, M

2014-04-01

Single port instrument delivery extended reach (SPIDER(®)) surgical system is a revolutionary surgical platform that allows triangulation of the surgical instruments while eliminating the crossing of instruments, the problematic characteristic of single access laparoscopic surgery. The purpose of this study was to analyze our initial experience with SPIDER(®) sleeve gastrectomy and to present the technical details of this new minimally invasive approach, performed in ten patients at the La Casamance Private Hospital between November 2012 and April 2013. All patients were reviewed at scheduled post-operative consultations at 1, 3 and 6 months. In addition to clinical examination, the post-operative consultation at one month also included a satisfaction survey using the Moorehead-Ardelt questionnaire. An initial series of ten sleeve gastrectomies were performed in female patients with a mean age of 41.5 years (range: 2-52). The mean BMI was 40.11 (range: 37.25-44.3). The intervention was performed through a single trocar in all patients with no "conversion" to classic laparoscopy or open surgery. The mean operative time was 61 ± 15.22 minutes (SD=standard deviation) (range: 43-96 min). The mean BMI at one month was 35.5 (SD:± 3.58, SEM: ± 1.13) (SEM=standard error of mean) with an average percentage of excess weight loss (%EWL) of 32.9% (SD:± 8.56%, SEM:± 2.71%). The mean BMI at three months was 32.4 (SD: ± 2.78, SEM: ± 0.88) with an average %EWL of 52.7% (SD: ± 8.64%, SEM: ± 2.73%). The mean BMI at six months was 29.9 (SD:± 2.60, SEM: ± 0.98) with a mean %EWL of 68.8% (SD: ± 8.38%, SEM:± 3.17%). Complete remission of co-morbid conditions was observed in four patients, improvement in three others, and no change in a single patient. The mean duration of hospitalization was 3.1 days. The mean follow-up period was 161 days (SD:± 57.4 days, range: 90-243 days). There was no mortality and no intra-operative and post-operative complications were noted. The

Fabrication process of expanded cooling jackets

International Nuclear Information System (INIS)

Weber, C.M.

1980-01-01

The present invention concerns the fabrication process of heat exchangers and in particular, the fabrication and assembly process of cooling jackets of the system driving the control rods used in nuclear reactors. The cooling jackets are assembled for cooling the stator of a tubular motor displacing the control rods. The fabrication and assembling of the cooling jacket is made up by the following operations: - a sleeve has an inner fluid inlet and outlet ways, - an external socket is fitted to the sleeve, - on the external socket a continuous welding is realized, which join the socket to the sleeve, and define a serie of parallel welded turns, - a pressure is established between the sleeve and the socket by a fluid through the outlet or inlet ways of the sleeve. When the other way is sealed up, the socket expands between the welded turns, and the fluid can pass through the jacket [fr

Leak or Fistula After Sleeve Gastrectomy: Treatment with Pigtail Drain by the Rendezvous Technique.

Science.gov (United States)

Soufron, Jacques

2015-10-01

After a sleeve gastrectomy, a leak or fistula is a serious complication. Laparoscopic drainage, drainage under US or CT scan control, or endoscopic insertion of a stent can be used, but a major re-operation is sometimes unavoidable. Endoscopic drainage with a pigtail catheter could give more success and fewer complications, but the insertion of the drain is not always possible nor does it always provide a perfect drainage. If a laparoscopic second look appears necessary, it is possible to insert a pigtail drain laparoscopically, but under endoscopic control, ensuring a correct positioning of the drain both in the peritoneal cavity and in the gastric tube. This simultaneous "rendezvous" technique could combine in this situation the advantages of purely surgical techniques and of purely endoscopic or image-guided techniques.

Process for the manufacture of seamless metal-clad fiber-reinforced organic matrix composite structures

Science.gov (United States)

Bluck, Raymond M. (Inventor); Bush, Harold G. (Inventor); Johnson, Robert R. (Inventor)

1991-01-01

A process for producing seamless metal-clad composite structures includes providing a hollow, metallic inner member and an outer sleeve to surround the inner member and define an inner space therebetween. A plurality of continuous reinforcing fibers is attached to the distal end of the outside diameter of the inner member, and the inner member is then introduced, distal end first, into one end of the outer sleeve. The inner member is then moved, distal end first, into the outer sleeve until the inner member is completely enveloped by the outer sleeve. A liquid matrix material is then injected into the space containing the reinforcing fibers between the inner member and the outer sleeve. Next a pressurized heat transfer medium is passed through the inner member to cure the liquid matrix material. Finally, the wall thickness of both the inner member and the outer sleeve are reduced to desired dimensions by chemical etching, which adjusts the thermal expansion coefficient of the metal-clad composite structure to a desired value.

Irradiated multilayer film for primal meat packaging

International Nuclear Information System (INIS)

Lustig, S.; Schuetz, J.M.; Vicik, S.J.

1987-01-01

This patent deals with a heat-shrinkable, multilayer film suitable for use in fabricating bags for packaging primal and sub-primal meat cuts and processed meats. The multilayer film has a first outer layer of an ethylene-vinyl acetate copolymer, a core layer of a barrier film comprising vinylidene chloride-methyl acrylate copolymer, and a second outer layer of an ethylene-vinyl acetate copolymer. The multilayer film is preferably made by co-extrusion of the layers, and then it is biaxially stretched. After biaxial stretching, the multilayer film is irradiated to a dosage level of between 1 megarad and 5 megarads and heat-sealed in the form of a bag. The bag has improved storage stability characteristics

Radiation processing of polymers and semiconductors at the Institute of Nuclear Chemistry and Technology

International Nuclear Information System (INIS)

Zimek, Z.; Przybytniak, G.; Kaluska, I.

2006-01-01

R(and)D studies in the field of radiation technology in Poland are mostly concentrated at the Institute of Nuclear Chemistry and Technology (INCT). The results of the INCT works on polymer and semiconductor modification have been implemented in various branches of national economy, particularly in industry and medicine. Radiation technology for polymer modification was implemented in the middle of the 1970-ties. Among others, the processes of irradiation and heat shrinkable products expansion have been developed. The transfer of this technology to Polish industry was performed in the middle of the 1980-ties. The present study aims at the formulation of new PE composites better suited to new generation of heat shrinkable products, for example, a new generation of hot-melt adhesives has been developed to meet specific requirements of customers. Modified polypropylene was used for the production of medical devices sterilized by radiation, especially disposable syringes, to overcome the low radiation resistance of the basic material. Modified polypropylene (PP-M) has been formulated at the INCT to provide material suitable for medical application and radiation sterilization process. Modification of semiconductor devices by EB was applied on an industrial scale since 1978 when the INCT and the LAMINA semiconductor factory successfully adopted that technology to improve specific semiconductor devices. This activity is continued on commercial basis where the INCT facilities served to contract irradiation of certain semiconductor devices according to the manufacturing program of the Polish factory and customers from abroad. (author)

Self-esteem and quality of life in adolescents with extreme obesity in Saudi Arabia: the effect of weight loss after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Aldaqal, Saleh M; Sehlo, Mohammad G

2013-01-01

To evaluate the self-esteem and quality of life in adolescents with extreme obesity before and one year after laparoscopic sleeve gastrectomy as obesity is a major challenging medical problem, not only in adults but also in children and adolescents in Saudi Arabia. In a prospective cohort study, 32 adolescents (aged 13-17 years) with extreme obesity (Group 1) presenting for laparoscopic sleeve gastrectomy (LSG) were compared with 32 matched, healthy, nonobese adolescents (aged 14-17 years) (Group 2) with regards to self-esteem and quality of life. Assessment was done using the Rosenberg Self-Esteem Scale and Pediatric Quality of Life Inventory version 4.0 (self- and parent report), respectively. Body mass index (BMI) Z scores were calculated for both groups. We found significantly poor self-esteem and impairment in all domains of quality of life (self- and parent report) in Group 1 compared with Group 2 (Pself-esteem (R2=0.28 and P=.003) and quality of life (R(2)=0.67 and Padolescents with extreme obesity: LSG leads to weight loss, with subsequent improvement in self-esteem and quality of life. Copyright © 2013 Elsevier Inc. All rights reserved.

Irradiation Crosslinking of Polyamides for the Electrical and Automotive Industry

International Nuclear Information System (INIS)

Gehring, J.

2006-01-01

Irradiation crosslinking of electrical cables and heat shrinkable tubes have been widely accepted in the automotive and electrical industry for a long time. Due higher demands regarding temperature resistance, arc resistance and good chemical resistance against oil and greases crosslinked injection moulded parts made out of polyamid and polybutylentherephtalate become also more and more interesting. Crosslinked polyamide can also replace thermosets for switches and offers therefore additional financial benefits. It will be shown on the basis of already realized projects, which basic requirements exist and how irradiation crosslinking can fulfil these demands

An efficient and low resistant circumferential overlap trisection helical baffle heat exchanger with folded baffles

International Nuclear Information System (INIS)

Dong, Cong; Li, Dongshuang; Zheng, Youqu; Li, Guoneng; Suo, Yange; Chen, Yaping

2016-01-01

Highlights: • The novel cothHXf with circumferential overlap and folded baffles is first proposed. • The key sections of cylindrical and dumbbell are constructed to analyze local flow field characteristics. • The restricted leakage, easier to install and low resistant characteristics are emphasized. • The enhanced heat transfer mechanism of Dean Vortex secondary flow is analyzed. • A variety of comprehensive efficiency assessments are used. - Abstract: An efficient and low resistant circumferential overlap trisection helical baffle shell-and-tube heat exchanger with folded baffles (cothHXf) is presented. It is a modified trisection helical baffle heat exchanger with folded helical baffles for setting rods-and-spanning sleeves. It not only inherits all the merits of circumferential overlap helical baffle scheme, but also adds many additional advantages, such as supporting the inclined baffles with the least rods, simplifying the manufacturing process of spanning tubes and effectively inhibiting the reverse leakage at triangular areas between adjacent baffles. The improved flow characteristic and heat transfer enhancement mechanism of this heat exchanger were numerically investigated in comparison with conventional segmental baffles shell-and-tube heat exchanger (segHX). The flow fields within triangular area of adjacent baffles and nearby regions were depicted. The impacts of the folded baffles on shell-side helical flow, secondary vortex flow, and leakage pattern were analyzed. The distribution configurations of fields of velocity, pressure, temperature and local heat flow rate were revealed. The results show that the heat transfer performance and comprehensive performance evaluation indexes of the cothHXf are much better than those of the segHX while the pressure drop of the cothHXf is much lower than that of the segHX. The numerical simulation results of vivid distributions of flow and thermal fields of the cothHXf can provide theoretical basis for an

Combustion-driven oscillation in a furnace with multispud-type gas burners. 4th Report. Effects of position of secondary air guide sleeve and openness of secondary air guide vane on combustion oscillation condition; Multispud gata gas turner ni okeru nensho shindo. 4. Nijigen kuki sleeve ichi oyobi nijigen kuki vane kaido no shindo reiki ni oyobosu eikyo

Energy Technology Data Exchange (ETDEWEB)

Akiyama, I.; Okiura, K.; Baba, A.; Orimoto, M. [Babcock-Hitachi K.K., Tokyo (Japan)

1994-07-25

Effects of the position of a secondary air guide sleeve and the openness of a secondary air guide vane on combustion oscillation conditions were studied experimentally for multispud-type gas burners. Pressure fluctuation in furnaces was analyzed with the previously reported resonance factor which was proposed as an index to represent the degree of combustion oscillation. As a result, the combustion oscillation region was largely affected by both position of a guide sleeve and openness of a guide vane. As the openness having large effect on the ratio of primary and secondary air/tertiary air and the position hardly having effect on the ratio were adjusted skillfully, the burner with no combustion oscillation region was achieved in its normal operation range. In addition, as the effect of preheating combustion air was arranged with a standard flow rate or mass flow flux of air, it was suggested the combustion oscillation region due to preheating can be described with the same manner as that due to no preheating. 5 refs., 8 figs.

Air velocity profiles near sleeve blockages in an unheated 7 x 7 rod bundle. [PWR

Energy Technology Data Exchange (ETDEWEB)

Creer, J. M.; Bates, J. M.

1979-04-01

Local air velocity measurements were obtained with a laser Doppler anemometer near flow blockages in an unheated 7 x 7 rod bundle. Sleeve blockages were positioned on the center nine rods to create an area reduction of 90% in the center four subchannels of the bundle. Experimental results indicated that severe flow disturbances occurred downstream from the blockage cluster but showed only minor flow disturbances upstream from the blockage. Flow reversals were detected downstream from the blockage and persisted for approximately five subchannel hydraulic diameters. The air velocity profiles were in excellent agreement with water velocity data previously obtained at essentially the same Reynolds number. Subchannel average velocity predictions obtained with the COBRA computer program were in good agreement with subchannel average velocities estimated using the measured local velocity data.

Change in levels of C-reactive protein (CRP) and serum cortisol in morbidly obese patients after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Ruiz-Tovar, Jaime; Oller, Inmaculada; Galindo, Isabel; Llavero, Carolina; Arroyo, Antonio; Calero, Alicia; Diez, María; Zubiaga, Lorea; Calpena, Rafael

2013-06-01

C-Reactive protein (CRP) has been associated with the macro- and microvascular effects of hypertension and diabetes mellitus. Referring to serum cortisol, it has been proposed to contribute to the pathogenesis of metabolic syndrome, and it has been demonstrated that weight loss normalizes cortisol levels and improves insulin resistance. The aims of this study were to analyze CRP and cortisol levels pre- and postoperatively in morbidly obese patients undergoing a laparoscopic sleeve gastrectomy and to correlate them with weight loss and parameters associated with cardiovascular risk. A prospective study of all the morbidly obese patients undergoing laparoscopic sleeve gastrectomy as bariatric procedure between October 2007 and May 2011 was performed. A total of 40 patients were included in the study. CRP levels decreased significantly 12 months after surgery (median reduction of 8.9 mg/l; p = 0.001). Serum cortisol levels decreased significantly 6 months after surgery (median reduction of 34.9 μg/dl; p = 0.001). CRP values reached the normal range (cortisol, a significant association was observed with the cardiovascular risk predictor (triglyceride/high-density lipoprotein cholesterol ratio) from the 6th month after surgery onward (Pearson correlation coefficient, 0.559; p = 0.008). CRP levels are increased preoperatively and in the postoperative course up to 1 year after surgery. Serum cortisol levels remain elevated until the 6th month after surgery. From this moment onward, serum cortisol is associated with the cardiovascular risk predictor reflecting the cardiovascular risk decreasement during the weight loss.

Bronchus anastomosis after sleeve resection for lung cancer: does the suture technique have an impact on postoperative complication rate?

Science.gov (United States)

Palade, Emanuel; Holdt, Holger; Passlick, Bernward

2015-06-01

Bronchoplastic resections emerged as an alternative to pneumonectomy for patients with impaired pulmonary function and have gained popularity due to a marked decrease in morbidity and at least similar oncological outcome. Actual guidelines recommend sleeve resections whenever technically feasible, even in cases with adequate pulmonary reserve for pneumonectomy, in order to maximally preserve functional lung parenchyma. Various suture techniques were described; the existing evidence, however, is insufficient to recommend one of them as standard. The aim of this study was to compare two suture techniques for bronchus repair after sleeve resection. Two groups of patients from two separate institutions were retrospectively analysed. In Group A (n = 20), the anastomosis was performed with a running suture at the membranous part and an interrupted suture for the rest of the circumference. In Group B (n = 40), a telescoping continuous suture was used. Intra- and postoperative findings directly related to the anastomosis were compared. The parameters were assessed as absolute numbers and percentages; the statistical significance was determined using Pearson's χ(2) test for categorical variables and Student's t-test for continuous data (P resection type (predominance of the right upper lobe for Group B), the groups were comparable regarding patient characteristics. The intraoperative anastomotic assessment revealed: patency 100% in both groups, initial air tightness (100 vs 82.5%; P = 0.047) and buttressing 85 vs 5%. No suture revision was necessary in both groups. The analysis of anastomosis-related morbidity revealed no significant difference: atelectasis (1 in Group A and 2 in Group B; P = 1), reversible anastomotic changes (0 vs 2; P = 0.309), early stenosis (0 vs 0), bronchopleural fistula (1 vs 0; P = 0.154), bronchovascular fistula (0 vs 0), late stenosis (1 vs 0; P = 0.119) and reoperations (15 vs 5%; P = 0.186). The operative mortality rate was similar (2 vs 3; P

Accelerated electron beams for production of heat shrinkable polymeric products and PTFE wastes recovery

Energy Technology Data Exchange (ETDEWEB)

Marin, Gh; Marcuta, M [SC ICPE Electrostatica SA, Bucharest (Romania); Jipa, S [' Valahia' University, Targoviste (Romania)

2001-07-01

Radiation curing, i.e. curing under the action of ionizing radiation (predominantly electron beams) is one of the most important areas of radiation processing. There are many practical applications of electron beam processing. Our research activity was focused on two of them: radiation cross-linking of polymeric materials; recovery of PTFE wastes. For this purpose we have used: an industrial electron accelerator ILU-6 with 2.5 MeV electron energy and 40kW beam power; equipment for the transport of materials under the electron beam; and a technologic line with typical equipment for the expansion process.

Accelerated electron beams for production of heat shrinkable polymeric products and PTFE wastes recovery

International Nuclear Information System (INIS)

Marin, Gh.; Marcuta, M.; Jipa, S.

2001-01-01

Radiation curing, i.e. curing under the action of ionizing radiation (predominantly electron beams) is one of the most important areas of radiation processing. There are many practical applications of electron beam processing. Our research activity was focused on two of them: radiation cross-linking of polymeric materials; recovery of PTFE wastes. For this purpose we have used: an industrial electron accelerator ILU-6 with 2.5 MeV electron energy and 40kW beam power; equipment for the transport of materials under the electron beam; and a technologic line with typical equipment for the expansion process

Complications, Reoperations, and Nutrient Deficiencies Two Years after Sleeve Gastrectomy

Directory of Open Access Journals (Sweden)

Nicole Pech

2012-01-01

Full Text Available Background. The aim of this study was to investigate patient outcomes and nutritional deficiencies following sleeve gastrectomy (SG during a follow-up of two years. Methods. Over a period of 56 months, all consecutive patients who underwent SG were documented in this prospective, single-center, observational study. The study endpoints included operative time, complication rates, nutritional deficiencies and percentage of excess weight loss (%EWL. Results. From September 26, 2005 to May 28, 2009, 82 patients (female : male = 48 : 34 with a mean age of 43.3 years (range: 22–64 and a preoperative BMI of 52.5 kg/m² (range: 36.8–77.0 underwent SG. Major complications were observed in 9.8% of the patients, with 1 death. During follow up 51.2% of patients were supplemented with iron, 36.6% with zinc, 37.8% with calcium, 26.8% with vitamin D, 46.3% with vitamin B12 and 41.5% with folic acid. %EWL was 54.3, 65.3 and 62.6% after 6, 12 and 24 months. Conclusion. SG as a single step procedure is an effective bariatric intervention. Nutritional deficiencies after SG can be detected by routine nutritional screening. Our results show that Vitamin B12 supplementation should suggest routinely after SG.

Mechanistic comparison between gastric bypass vs. duodenal switch with sleeve gastrectomy in rat models.

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Yosuke Kodama

Full Text Available BACKGROUND: Both gastric bypass (GB and duodenal switch with sleeve gastrectomy (DS have been widely used as bariatric surgeries, and DS appears to be superior to GB. The aim of this study was to better understand the mechanisms leading to body weight loss by comparing these two procedures in experimental models of rats. METHODS: Animals were subjected to GB, DS or laparotomy (controls, and monitored by an open-circuit indirect calorimeter composed of comprehensive laboratory animal monitoring system and adiabatic bomb calorimeter. RESULTS: Body weight loss was greater after DS than GB. Food intake was reduced after DS but not GB. Energy expenditure was increased after either GB or DS. Fecal energy content was increased after DS but not GB. CONCLUSION: GB induced body weight loss by increasing energy expenditure, whereas DS induced greater body weight loss by reducing food intake, increasing energy expenditure and causing malabsorption in rat models.

Nutritional Status Prior to Laparoscopic Sleeve Gastrectomy Surgery.

Science.gov (United States)

Sherf Dagan, Shiri; Zelber-Sagi, Shira; Webb, Muriel; Keidar, Andrei; Raziel, Asnat; Sakran, Nasser; Goitein, David; Shibolet, Oren

2016-09-01

Two main causes for nutrient deficiencies following bariatric surgery (BS) are pre-operative deficiencies and favoring foods with high-energy density and poor micronutrient content. The aims of this study were to evaluate nutritional status and gender differences and the prevalence of nutritional deficiencies among candidates for laparoscopic sleeve gastrectomy (LSG) surgery. A cross-sectional analysis of pre-surgery data collected as part of a randomized clinical trial on 100 morbidly obese patients with non-alcoholic fatty liver disease (NAFLD) admitted to LSG surgery at Assuta Medical Center between February 2014 and January 2015. Anthropometrics, food intake, and fasting blood tests were evaluated during the baseline visit. One-hundred patients completed the pre-operative measurements (60 % female) with a mean age of 41.9 ± 9.8 years and a mean BMI of 42.3 ± 4.7 kg/m(2). Pre-operatively, deficiencies for iron, ferritin, folic acid, vitamin B1, vitamin B12, vitamin D, and hemoglobin were 6, 1, 1, 6, 0, 22, and 6 %, respectively. Pre-surgery, mean energy, protein, fat, and carbohydrate intake were 2710.7 ± 1275.7 kcal/day, 114.2 ± 48.5, 110.6 ± 54.5, and 321.6 ± 176.1 gr/day, respectively. The intakes for iron, calcium, folic acid, vitamin B12, and vitamin B1 were below the Dietary Reference Intake (DRI) recommendations for 46, 48, 58, 14, and 34 % of the study population, respectively. We found a low prevalence of nutritional deficiencies pre-operatively except for vitamin D. Most micronutrient intake did not reach the DRI recommendations, despite high-caloric and macronutrient intake indicating a poor dietary quality.

Applications of electron accelerator in Malaysia

Energy Technology Data Exchange (ETDEWEB)

Khairul Zaman Hj. Mohd Dahlan [Malaysian Institute for Nuclear Technology Research (MINT), Bangi, Selangor Darul Ehsan (Malaysia)

2003-02-01

Current status of radiation processing, as one of the core research programs of the Malaysian Institute for Nuclear Technology Research (MINT), is presented. Industrial applications of six electron accelerators from 150 kV up to 3 MV in Malaysia now in operation are mainly for curing of surface coatings, crosslinking of tubes, heat shrinkable tubes and packaging films, crosslinking of wire insulation. Their performances are listed. New technology now in R and D stage includes natural rubber, sago starch and chitosan for biomedical applications, and radiation curable materials from oil palm for pressure sensitive adhesive and printing ink. (S. Ohno)

Applications of electron accelerator in Malaysia

International Nuclear Information System (INIS)

Khairul Zaman Hj. Mohd Dahlan

2003-01-01

Current status of radiation processing, as one of the core research programs of the Malaysian Institute for Nuclear Technology Research (MINT), is presented. Industrial applications of six electron accelerators from 150 kV up to 3 MV in Malaysia now in operation are mainly for curing of surface coatings, crosslinking of tubes, heat shrinkable tubes and packaging films, crosslinking of wire insulation. Their performances are listed. New technology now in R and D stage includes natural rubber, sago starch and chitosan for biomedical applications, and radiation curable materials from oil palm for pressure sensitive adhesive and printing ink. (S. Ohno)

Next Generation Nuclear Plant Intermediate Heat Exchanger Materials Research and Development Plan (PLN-2804)

Energy Technology Data Exchange (ETDEWEB)

J. K. Wright

2008-04-01

DOE has selected the High Temperature Gas-cooled Reactor (HTGR) design for the Next Generation Nuclear Plant (NGNP) Project. The NGNP will demonstrate the use of nuclear power for electricity and hydrogen production. It will have an outlet gas temperature in the range of 900°C and a plant design service life of 60 years. The reactor design will be a graphite moderated, helium-cooled, prismatic or pebble-bed reactor and use low-enriched uranium, Tri-Isotopic (TRISO)-coated fuel. The plant size, reactor thermal power, and core configuration will ensure passive decay heat removal without fuel damage or radioactive material releases during accidents. The NGNP Materials Research and Development (R&D) Program is responsible for performing R&D on likely NGNP materials in support of the NGNP design, licensing, and construction activities. Today’s high-temperature alloys and associated ASME Codes for reactor applications are approved up to 760°C. However, some primary system components, such as the Intermediate Heat Exchanger (IHX) for the NGNP will require use of materials that can withstand higher temperatures. The thermal, environmental, and service life conditions of the NGNP will make selection and qualification of some high-temperature materials a significant challenge. Examples include materials for the core barrel and core internals, such as the control rod sleeves. The requirements of the materials for the IHX are among the most demanding. Selection of the technology and design configuration for the NGNP must consider both the cost and risk profiles to ensure that the demonstration plant establishes a sound foundation for future commercial deployments. The NGNP challenge is to achieve a significant advancement in nuclear technology while at the same time setting the stage for an economically viable deployment of the new technology in the commercial sector soon after 2020. A number of solid solution strengthened nickel based alloys have been considered for

Dietary intake and ghrelin and leptin changes after sleeve gastrectomy.

Science.gov (United States)

Bužga, Marek; Zavadilová, Vladislava; Holéczy, Pavol; Švagera, Zdeněk; Švorc, Pavol; Foltys, Aleš; Zonča, Pavel

2014-12-01

Surgical intervention in obesity is today the most effective treatment method in high level obesity management. Bariatric interventions not only ensure body weight reduction, but may influence dietary habits. To assess changes in adipose hormones and dietary habits in obese patients after sleeve gastrectomy. The study set comprised 37 subjects (29 females and 8 males) 24 to 68 years old with body mass index 43.0 ±4.9 kg/m(2). Pre-operative examination included baseline measurements of body composition. Dietary habits and intake frequency were monitored by a questionnaire method. Follow-up examinations were carried out in a scope identical to the pre-operative examination, 6 and 12 months after surgery, respectively. The average patient weight loss 12 months after surgery was 31.7 kg. Excess weight loss was 55.2 ±20.6%. Patients reported reduced appetite (p meal portions per day (p = 0.003) and a decrease in consuming the largest portions during the afternoon and evening (p = 0.030). Plasma levels of fasting glucose, leptin and ghrelin significantly decreased (p = 0.006; p = 0.0.043); in contrast, the level of adiponectin significantly increased (p weight reduction within 1 year after surgery. An improvement of certain dietary habits in patients was registered. At 12 months after surgery, there were no statistically significant differences in decreases in ghrelin and leptin concentrations between patients without changed appetite and those reporting decreased appetite.

Irradiated multilayer film for primal meat packaging

International Nuclear Information System (INIS)

Lustig, S.; Schuetz, J.M.; Vicik, S.J.

1987-01-01

This patent deals with a heat-shrinkable, multilayer film suitable for use in fabricating bags for packaging primal and sub-primal meat cuts and processed meats. The multilayer film has a first outer layer of a first ethylene-vinyl acetate copolymer, a core layer of a polyvinylidene chloride-vinyl chloride copolymer containing between about 70 weight percent and about 90 weight percent vinylidene chloride as a barrier film, and a second outer layer of a second ethylene-vinyl acetate copolymer. The multilayer film is preferably made by co-extrusion of the layers, and then it is biaxially stretched. After biaxial stretching, the entire multilayer film is substantially uniformly irradiated to a dosage level of between about 2 megarads and about 3 megarads and heat-sealed in the form of a bag. The film is not significantly discoloured by the irradiation and the bag has improved toughness properties and heat-sealing characteristics

Are there risk factors that increase the rate of staple line leakage in patients undergoing primary sleeve gastrectomy for morbid obesity?

Science.gov (United States)

Benedix, Frank; Benedix, Diana D; Knoll, Christian; Weiner, Rudolf; Bruns, Christiane; Manger, Thomas; Stroh, Christine

2014-10-01

Laparoscopic sleeve gastrectomy (LSG) is currently being performed with increasing frequency worldwide. It offers an excellent weight loss and resolution of comorbidities in the short term with a very low incidence of complications. However, the ever present risk of a staple line leak is still a major concern. Since 2005, data from obese patients that undergo bariatric procedures in Germany are prospectively registered in an online database and analyzed at the Institute of Quality Assurance in Surgical Medicine. For the current analysis, all patients that had undergone primary sleeve gastrectomy for morbid obesity within a 7-year period were considered. Using the GBSR, data from 5.400 LSGs were considered for analysis. Staple line leak rate decreased during the study period from 6.5 to 1.4 %. Male gender, higher BMI, concomitant sleep apnea, conversion to laparotomy, longer operation time, use of both buttresses and oversewing, and the occurrence of intraoperative complications were associated with a significantly higher leakage rate. On multivariate analysis, operation time and year of procedure only had a significant impact on staple line leak rate. The results of the current study demonstrated that there are factors that increase the risk of a leakage which would enable surgeons to define risk groups, to more carefully select patients, and to offer a closer follow-up during the postoperative course with early recognition and adequate treatment. All future efforts should be focused on a further reduction of serious complications to make the LSG a widely accepted and safer procedure.

Next Generation Nuclear Plant Steam Generator and Intermediate Heat Exchanger Materials Research and Development Plan

Energy Technology Data Exchange (ETDEWEB)

J. K. Wright

2010-09-01

DOE has selected the High Temperature Gas-cooled Reactor (HTGR) design for the Next Generation Nuclear Plant (NGNP) Project. The NGNP will demonstrate the use of nuclear power for electricity and hydrogen production. It will have an outlet gas temperature in the range of 900°C and a plant design service life of 60 years. The reactor design will be a graphite moderated, helium-cooled, prismatic or pebble-bed reactor and use low-enriched uranium, Tri-Isotopic (TRISO)-coated fuel. The plant size, reactor thermal power, and core configuration will ensure passive decay heat removal without fuel damage or radioactive material releases during accidents. The NGNP Materials Research and Development (R&D) Program is responsible for performing R&D on likely NGNP materials in support of the NGNP design, licensing, and construction activities. Today’s high-temperature alloys and associated ASME Codes for reactor applications are approved up to 760°C. However, some primary system components, such as the Intermediate Heat Exchanger (IHX) for the NGNP will require use of materials that can withstand higher temperatures. The thermal, environmental, and service life conditions of the NGNP will make selection and qualification of some high-temperature materials a significant challenge. Examples include materials for the core barrel and core internals, such as the control rod sleeves. The requirements of the materials for the IHX are among the most demanding. Selection of the technology and design configuration for the NGNP must consider both the cost and risk profiles to ensure that the demonstration plant establishes a sound foundation for future commercial deployments. The NGNP challenge is to achieve a significant advancement in nuclear technology while at the same time setting the stage for an economically viable deployment of the new technology in the commercial sector soon after 2020. A number of solid solution strengthened nickel based alloys have been considered for

Complications and nutrient deficiencies two years after sleeve gastrectomy

Directory of Open Access Journals (Sweden)

Pech Nicole

2012-07-01

Full Text Available Abstract Background The aim of this systematic study was to investigate patient outcomes and nutritional deficiencies following sleeve gastrectomy (SG during a median follow-up of two years. Methods Over a period of 56 months, all consecutive patients who underwent SG were documented in this prospective, single-center, observational study. The study endpoints included complication rates, nutritional deficiencies and percentage of excess weight loss (%EWL. Results From September 26, 2005 to May 28, 2009, 100 patients (female: male = 59:41 with a mean age of 43.6 years (range: 22–64 and a preoperative BMI of 52.3 kg/² (range: 36–77 underwent SG. The mean operative time was 86.4 min (range: 35–275. Major complications were observed in 8.0 % of the patients. During the follow-up period, 25 patients (25.0 % underwent a second bariatric intervention (22 DS and 3 RYGBP. Out of the total 100 patients, 48 % were supplemented with iron, 33 % with zinc, 34 % with a combination of calcium carbonate and cholecalciferol, 24 % with vitamin D, 42 % with vitamin B12 and 40 % with folic acid. The patients who received only a SG (n = 75 had %EWL of 53.6, 65.8 and 62.6 % after 6, 12 and 24 months, respectively. Conclusions SG is a highly effective bariatric intervention for morbidly obese patients. Nutritional deficiencies resulting from the procedure can be detected by routine nutritional screening. Results of the study show that Vitamin B12 supplementation should suggested routinely.

Sleeve bridging of the rhesus monkey ulnar nerve with muscular branches of the pronator teres: multiple amplification of axonal regeneration

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Yu-hui Kou

2015-01-01

Full Text Available Multiple-bud regeneration, i.e., multiple amplification, has been shown to exist in peripheral nerve regeneration. Multiple buds grow towards the distal nerve stump during proximal nerve fiber regeneration. Our previous studies have verified the limit and validity of multiple amplification of peripheral nerve regeneration using small gap sleeve bridging of small donor nerves to repair large receptor nerves in rodents. The present study sought to observe multiple amplification of myelinated nerve fiber regeneration in the primate peripheral nerve. Rhesus monkey models of distal ulnar nerve defects were established and repaired using muscular branches of the right forearm pronator teres. Proximal muscular branches of the pronator teres were sutured into the distal ulnar nerve using the small gap sleeve bridging method. At 6 months after suture, two-finger flexion and mild wrist flexion were restored in the ulnar-sided injured limbs of rhesus monkey. Neurophysiological examination showed that motor nerve conduction velocity reached 22.63 ± 6.34 m/s on the affected side of rhesus monkey. Osmium tetroxide staining demonstrated that the number of myelinated nerve fibers was 1,657 ± 652 in the branches of pronator teres of donor, and 2,661 ± 843 in the repaired ulnar nerve. The rate of multiple amplification of regenerating myelinated nerve fibers was 1.61. These data showed that when muscular branches of the pronator teres were used to repair ulnar nerve in primates, effective regeneration was observed in regenerating nerve fibers, and functions of the injured ulnar nerve were restored to a certain extent. Moreover, multiple amplification was subsequently detected in ulnar nerve axons.

Sleeve bridging of the rhesus monkey ulnar nerve with muscular branches of the pronator teres: multiple amplification of axonal regeneration.

Science.gov (United States)

Kou, Yu-Hui; Zhang, Pei-Xun; Wang, Yan-Hua; Chen, Bo; Han, Na; Xue, Feng; Zhang, Hong-Bo; Yin, Xiao-Feng; Jiang, Bao-Guo

2015-01-01

Multiple-bud regeneration, i.e., multiple amplification, has been shown to exist in peripheral nerve regeneration. Multiple buds grow towards the distal nerve stump during proximal nerve fiber regeneration. Our previous studies have verified the limit and validity of multiple amplification of peripheral nerve regeneration using small gap sleeve bridging of small donor nerves to repair large receptor nerves in rodents. The present study sought to observe multiple amplification of myelinated nerve fiber regeneration in the primate peripheral nerve. Rhesus monkey models of distal ulnar nerve defects were established and repaired using muscular branches of the right forearm pronator teres. Proximal muscular branches of the pronator teres were sutured into the distal ulnar nerve using the small gap sleeve bridging method. At 6 months after suture, two-finger flexion and mild wrist flexion were restored in the ulnar-sided injured limbs of rhesus monkey. Neurophysiological examination showed that motor nerve conduction velocity reached 22.63 ± 6.34 m/s on the affected side of rhesus monkey. Osmium tetroxide staining demonstrated that the number of myelinated nerve fibers was 1,657 ± 652 in the branches of pronator teres of donor, and 2,661 ± 843 in the repaired ulnar nerve. The rate of multiple amplification of regenerating myelinated nerve fibers was 1.61. These data showed that when muscular branches of the pronator teres were used to repair ulnar nerve in primates, effective regeneration was observed in regenerating nerve fibers, and functions of the injured ulnar nerve were restored to a certain extent. Moreover, multiple amplification was subsequently detected in ulnar nerve axons.

Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention

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Parveen Bhatia

2015-01-01

Full Text Available Postoperative portomesenteric venous thrombosis (PMVT is being increasingly reported after bariatric surgery. It is variable and often a nonspecific presentation along with its potential for life-threatening and life-altering outcomes makes it imperative that it is prevented, detected early and treated optimally. We report the case of a 50-year-old morbidly obese man undergoing a laparoscopic sleeve gastrectomy who developed symptomatic PMVT two weeks postsurgery, which was successfully treated by anticoagulant therapy. We provide postulates to the etiopathological mechanism for this thrombotic entity. The growing recognition that obesity and bariatric surgery create a procoagulant state regionally and systemically provides impetus for designing the ideal protocol for PMVT prophylaxis, which could be more common than currently believed. We support the early screening for PMVT in the postbariatric surgical patient with unexplainable or intractable abdominal symptoms. The role of routine surveillance and the ideal duration of post-PMVT anticoagulation is yet to be elucidated.

Numerical analysis of heat propagation in a battery pack using a novel technology for triggering thermal runaway

International Nuclear Information System (INIS)

Coman, Paul T.; Darcy, Eric C.; Veje, Christian T.; White, Ralph E.

2017-01-01

Highlights: •Heat propagation during thermal runaway (TR) in a battery pack with aluminum heat sink was analyzed. •TR in the battery pack, triggered by a novel internal short circuit device (ISCD) was modeled. •A 2D geometry and model couplings reduce computation time significantly. •Small air gaps and mica paper in combination with a thermally conductive matrix increase safety in battery packs. -- Abstract: This paper presents a numerical model used for analyzing heat propagation as a safety feature in a custom-made battery pack. The pack uses a novel technology consisting of an internal short circuit device implanted in a cell to trigger thermal runaway. The goal of the study is to investigate the importance of wrapping cylindrical battery cells (18650 type) in a thermally and electrically insulating mica sleeve, to fix the cells in a thermally conductive aluminum heat sink. By modeling the full-scale pack using a 2D model and coupling the thermal model with an electrochemical model, good agreement with a 3D model and experimental data was found (less than 6%). The 2D modeling approach also reduces the computation time considerably (from 11 h to 25 min) compared to using a 3D model. The results showed that the air trapped between the cell and the boreholes of the heat sink provides a good insulation which reduces the temperature of the adjacent cells during thermal runaway. At the same time, a highly conductive matrix dissipates the heat throughout its thermal mass, reducing the temperature even further. It was found that for designing a safe battery pack which mitigates thermal runaway propagation, a combination of small insulating layers wrapped around the cells, and a conductive heat sink is beneficial.

Integrated Approaches for the Management of Staple Line Leaks following Sleeve Gastrectomy

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Mauro Montuori

2017-01-01

Full Text Available Introduction. Aim of the study was trying to draw a final flow chart for the management of gastric leaks after laparoscopic sleeve gastrectomy, based on the review of our cases over 10 years’ experience. Material and Methods. We retrospectively reviewed all patients who underwent LSG as a primary operation at the Bariatric Unit of Tor Vergata University Hospital in Rome from 2007 to 2015. Results. Patients included in the study were 418. There were 6 staple line leaks (1.44%. All patients with diagnosis of a leak were initially discharged home in good clinical conditions and then returned to A&E because of the complication. The mean interval between surgery and readmission for leak was 13,4 days (range 6–34 days, SD ± 11.85. We recorded one death (16.67% due to sepsis. The remaining five cases were successfully treated with a mean healing time of the gastric leak of 55,5 days (range 26–83 days; SD ± 25.44. Conclusion. Choosing the proper treatment depends on clinical stability and on the presence or not of collected abscess. Our treatment protocol showed being associated with low complication rate and minor discomfort to the patients, reducing the need for more invasive procedures.

Sleeve lobectomy versus pneumonectomy for non-small cell lung cancer: a meta-analysis

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Shi Woda

2012-12-01

Full Text Available Abstract Aim It is controversial that whether sleeve lobectomy (SL should be promoted more worthy than pneumonectomy (PN in suitable patients. Methods We searched all studies that had been published in English from PUBMED and Embase which compared the short-term and long-term outcomes of SL and pneumonectomy (PN in patients with non-small cell lung cancer (NSCLC. Results Nineteen studies met our criteria with a combined total of 3878 subjects, of which 1316 (33.9% underwent SL and 2562 (66.1% underwent PN. The odds ratio was 0.50 (95% CI: 0.34-0.72 for postoperative mortality, 1.17 (95% CI: 0.82-1.67 for postoperative complications, 0.78 (95% CI: 0.47-1.29 for locoregional recurrences. The risk difference for 1-, 3-, 5- year was 0.11 (95% CI: 0.07-0.14, 0.15 (95% CI: 0.06-0.24, 0.15 (95% CI: 0.09-0.20,respectively. The pooled hazard ratio was 0.63 (95% CI: 0.56-0.71 in favor of SL group. Conclusion SL is more worthy to be done than PN in suitable patients with less mortality and better long-term survival.

Changes in Gut Hormones After Roux en Y Gastric bypass, Sleeve Gastrectomy, and Adjustable Gastric Banding

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Miroslav Ilić

2015-12-01

Full Text Available The obesity epidemic has burdened healthcare systems worldwide. Bariatric surgery is currently the most effective method for long-term weight loss in obese adults, but the exact mechanism of weight loss is poorly understood. Bariatric procedures were initially classified by their presumed mechanism of action into restrictive, malabsoptive, or mixed procedures; however, due to recent advancements in the field of neuroendocrinology, hormones are increasing being recognized as important regulators of satiation, hunger, and energy expenditure. Studies examining changes in gut hormones following bariatric surgery have yielded conflicting results and the relationship between these hormones and weight loss is nothing but clear. This review will summarize the effect of Roux en Y gastric bypass, sleeve gastrectomy and adjustable gastric banding on various gut hormones including ghrelin, cholecystokinin, glucagon-like polypeptide-1, peptide YY3, and pancreatic polypeptide. Furthermore, the relationship between these hormones and weight loss will be examined.

Management of gastric leaks after laparoscopic sleeve gastrectomy for morbid obesity: A tertiary care experience and design of a management algorithm

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Palanivelu Praveenraj

2016-01-01

Full Text Available Background: Laparoscopic sleeve gastrectomy (LSG is the most commonly performed 'standalone' bariatric procedure in India. Staple line gastric leaks occur infrequently but cause significant and prolonged morbidity. The aim of this retrospective study was to analyse the management of patients with a gastric leak after LSG for morbid obesity at our institution. Patients and Methods: From February 2008 to 2014, 650 patients with different degrees of morbid obesity underwent LSG. Among these, all those diagnosed with a gastric leak were included in the study. Patients referred to our institution with gastric leak after LSG were also included. The time of presentation, site of leak, investigations performed, treatment given and time of closure of all leaks were analysed. Results: Among the 650 patients who underwent LSG, 3 (0.46% developed a gastric leak. Two patients were referred after LSG was performed at another institution. The mean age was 45.60 ± 15.43 years. Mean body mass index (BMI was 44.79 ± 5.35. Gastric leak was diagnosed 24 h to 7 months after surgery. One was early, two were intermediate and two were late leaks. Two were type I and three were type II gastric leaks. Endoscopic oesophageal stenting was used variably before or after re-surgery. Re-surgery was performed in all and included stapled fistula excision (re-sleeve, suture repair only or with conversion to roux-en-Y gastric bypass or fistula jujenostomy. There was no mortality. Conclusion: Leakage closure time may be shorter with intervention than expectant management. Sequence and choice of endoscopic oesophageal stenting and/or surgical re-intervention should be individualized according to clinical presentation.

Development of applications for Indian industry using electron beam technology

International Nuclear Information System (INIS)

Sarma, K.S.S.; Khader, S.A.; Sabharwal, S.

2009-01-01

This paper presents a report on the industrial applications that have been developed and demonstrated to the Indian industry using 2MeV/20kW Electron Beam accelerator at BARC-BRIT in the field of polymer modifications (crosslinking and degradation), gem stone coloration etc. Technological scale demonstration of the applications citing the benefits in terms of clean technology and better economics, encouraged three companies in private industry to set up EB facilities for the treatment of cable insulations, heat shrinkable products, diamond and gem stones during the last five years. Recent work on EB processing of automobile rubber tires is also included. (author)

Efficient frequency-domain numerical analysis of modified surface plasmon waveguides formed by a metallic sleeve and coaxial rod

International Nuclear Information System (INIS)

Tian Jinping; Xue Wenrui

2012-01-01

Some types of modified surface plasmonic waveguides formed by nanometric silver rods with triangular and square cross-section and a coaxial silver sleeve are proposed in this paper. The finite-difference frequency-domain method is used to study the propagation properties of the fundamental mode supported by these types of surface plasmonic waveguides. The field distribution of the fundamental mode and the dependences of the propagation properties on the geometrical parameters, working wavelength and gain media are discussed in detail. The results show that the above physical properties can be adjusted by choosing proper structure parameters, working wavelength and gain media. So the advantages of the properties of the modes render these waveguides promising optical components or photonic device integration and sensors that would benefit future plasmonic interconnects and circuits.

Effect of incisional friction and ophthalmic viscosurgical devices on the heat generation of ultrasound during cataract surgery.

Science.gov (United States)

Floyd, Michael; Valentine, Jeremy; Coombs, Jamie; Olson, Randall J

2006-07-01

To determine the thermal features of the Legacy (Alcon) and Sovereign (Advanced Medical Optics) phacoemulsification machines in a cadaver eye and with 7 ophthalmic viscosurgical devices (OVDs). In situ and in vitro study. Temperature without occlusion was recorded at the sleeve placed in the wound of a cadaver eye, and temperature over baseline was determined after 60 seconds. The result was then compared with the results in a previous study that used balanced salt solution (BSS) in artificial chambers. In the second portion of the experiment, with irrigation and aspiration lines occluded, temperature was recorded at the sleeve placed in an artificial chamber filled with sodium hyaluronate 2.3% (Healon5), sodium hyaluronate 1.4% (Healon GV), sodium hyaluronate 1.0% (Healon), sodium hyaluronate 1.6% (Amvisc Plus), sodium hyaluronate 1.0% (Provisc), sodium hyaluronate 3.0%-chondroitin sulfate 4.0% (Viscoat), or hyaluronate 3.0% (Vitrax). Temperature over baseline was also determined after 60 seconds. These results were compared with each set of OVD data and with the results in the prior BSS study. In the eye-bank model, the Legacy machine had a 62% temperature increase from incisional friction and the Sovereign machine had a decrease of 8.6% over results in an artificial anterior chamber. The OVD temperature increases were greater for the Sovereign (Pgeneration in the Legacy, a stroke-length driven instrument, more than in the Sovereign, a power-driven instrument. Ophthalmic viscosurgical devices are not only a concern due to outflow occlusion but can also add up to 6 times the heat in comparison with BSS. The need to aspirate the OVD before using ultrasound is thus verified.

The behaviour of CAGR moderator and sleeve graphites radiolytically oxidised to high weight loss in inhibited coolant gas compositions

International Nuclear Information System (INIS)

Schofield, P.; Fitzgerald, B.; Ketchen, J.

1987-01-01

Gilsocarbon graphites were irradiated to high weight losses in three different CO 2 based coolants. The experimental data is tested against a model which interprets the gas phase chemistry and pore geometry and allows weight loss and gas flow properties to be calculated. The observed changes of oxidation rate with dose were successfully predicted from the model. An empirical relationship was also derived which was shown to fit data for moderator, sleeve and special pore structure graphites. Changes in graphite permeability and diffusivity were predicted by the model, and also by other simplified, more approximate methods. The model based upon the measured transport pore spectrum was shown to be the best with other methods proving adequate to moderate doses. (author)

Rodent vertical sleeve gastrectomy alters maternal immune health and fetoplacental development.

Science.gov (United States)

Spann, Redin A; Lawson, William J; Bidwell, Gene L; Zamarripa, C Austin; Maranon, Rodrigo O; Bandyopadhyay, Sibali; Taylor, Erin R; Reckelhoff, Jane F; Garrett, Michael R; Grayson, Bernadette E

2018-01-31

Bariatric surgery is increasingly employed to improve fertility and reduce obesity-related co-morbidities in obese women. Surgical weight loss not only improves the chance of conception but reduces the risk of pregnancy complications including pre-eclampsia, gestational diabetes, and macrosomia. However, bariatric procedures increase the incidence of intrauterine growth restriction (IUGR), fetal demise, thromboembolism, and other gestational disorders. Using our rodent model of vertical sleeve gastrectomy (VSG), we tested the hypothesis that VSG in diet-induced, obese dams would cause immune and placental structural abnormalities that may be responsible for fetal demise during pregnancy. VSG dams studied on gestational day (G) 19 had reduced circulating T-cell (CD3 + and CD8 + ) populations compared with lean or obese controls. Further, local interleukin (IL) 1β and IL 1 receptor antagonist ( il1rn ) cmRNA were increased in placenta of VSG dams. Placental barrier function was also affected, with increased transplacental permeability to small molecules, increased matrix metalloproteinase 9 expression, and increased apoptosis in VSG. Furthermore, we identified increased placental mTOR signaling that may contribute to preserving the body weight of the fetuses during gestation. These changes occurred in the absence of a macronutrient deficit or gestational hypertension in the VSG dams. In summary, previous VSG in dams may contribute to fetal demise by affecting maternal immune system activity and compromise placental integrity. © 2018 The Author(s). Published by Portland Press Limited on behalf of the Biochemical Society.

Influence of Sleeve Gastrectomy on NASH and Type 2 Diabetes Mellitus

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W. K. Karcz

2011-01-01

Full Text Available Background. Nonalcoholic fatty liver disease is present in up to 85% of adipose patients and may proceed to nonalcoholic steatohepatitis (NASH. With insulin resistance and obesity being the main risk factors for NASH, the effect of isolated sleeve gastrectomy (ISG on these parameters was examined. Methods. 236 patients underwent ISG with intraoperative liver biopsy from December 2002 to September 2009. Besides demographic data, pre-operative weight/BMI, HbA1c, AST, ALT, triglycerides, HDL and LDL levels were determined. Results. A significant correlation of NASH with higher HbA1c, AST and ALT and lower levels for HDL was observed (P<.05, <.0001, <.0001, <.01, resp.. Overall BMI decreased from 45.0 ± 6.8 to 29.7 ± 6.5 and 31.6 ± 4.4 kg/m2 at 1 and 3 years. An impaired weight loss was demonstrated for patients with NASH and patients with elevated HbA1c (plateau 28.08 kg/m2 versus 29.79 kg/m2 and 32.30 kg/m2 versus 28.79 kg/m2, resp.. Regarding NASH, a significant improvement of AST, ALT, triglyceride and HDL levels was shown (P<.0001 for all. A resolution of elevated HbA1c was observed in 21 of 23 patients. Summary. NASH patients showed a significant loss of body weight and amelioration of NASH status. ISG can be successfully performed in these patients and should be recommended for this subgroup.

Ultrasonic inspection of tube to tube plate welds

International Nuclear Information System (INIS)

Telford, D.W.; Peat, T.S.

1985-01-01

To monitor the deterioration of a weld between a tube and tube plate which has been repaired by a repair sleeve inside the tube and brazed at one end to the tube, ultrasound from a crystal at the end of a rod is launched, in the form of Lamb-type waves, into the tube through the braze and allowed to travel along the tube to the weld and be reflected back along the tube. The technique may also be used for the type of heat exchanger in which, during construction, the tubes are welded to the tube plate via external sleeves in which case the ultrasound is used in a similar manner to inspect the sleeve/tube plate weld. an electromagnetic transducer may be used to generate the ultrasound. The ultrasonic head comprising the crystal and an acoustic baffle is mounted on a Perspex (RTM) rod which may be rotated by a stepping motor. Echo signals from the region of deterioration may be isolated by use of a time gate in the receiver. The device primarily detects circumferentially orientated cracks, and may be used in heat exchangers in nuclear power plants. (author)

Differences in the heat stress associated with white sportswear and being semi-nude in exercising humans under conditions of radiant heat and wind at a wet bulb globe temperature of greater than 28 °C.

Science.gov (United States)

Tsuji, Michio; Kume, Masashi; Tuneoka, Hideyuki; Yoshida, Tetsuya

2014-08-01

This study investigated whether wearing common white sportswear can reduce heat stress more than being semi-nude during exercise of different intensities performed under radiant heat and wind conditions, such as a hot summer day. After a 20-min rest period, eight male subjects performed three 20 min sessions of cycling exercise at a load intensity of 20 % or 50 % of their peak oxygen uptake (VO2peak) in a room maintained at a wet bulb globe temperature (WBGT) of 28.7 ± 0.1 °C using two spot lights and a fan (0.8 m/s airflow). Subjects wore common white sportswear (WS) consisting of a long-sleeved shirt (45 % cotton and 55 % polyester) and short pants (100 % polyester), or only swimming pants (SP) under the semi-nude condition. The mean skin temperature (Tsk) was greater when subjects wore SP than WS under both the 20 % and 50 % exercise conditions. During the 50 % exercise, the rating of perceived exertion (RPE) and thermal sensation (TS), and the increases in esophageal temperature (ΔTes) and heart rate were significantly higher (Pheat storage (S), calculated from the changes in the mean body temperature (0.9Tes + 0.1 Tsk), was significantly lower in the WS trials than in the SP trials during the 20 min resting period before exercise session. However, S was similar between conditions during the 20 % exercise, but was greater in the WS than in the SP trials during 50 % exercise. These results suggest that, under conditions of radiant heat and wind at a WBGT greater than 28 °C, the heat stress associated with wearing common WS is similar to that of being semi-nude during light exercise, but was greater during moderate exercise, and the storage of body heat can be reduced by wearing WS during rest periods.

Stapling and Section of the Nasogastric Tube during Sleeve Gastrectomy: How to Prevent and Recover

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A. Péquignot

2011-07-01

Full Text Available Bariatric surgery has become an integral part of morbid obesity treatment with well-defined indications. Some complications, specific or not, due to laparoscopic sleeve gastrectomy (LSG procedure have recently been described. We report a rare complication unpublished to date: a nasogastric section during great gastric curve stapling. A 44-year-old woman suffered of severe obesity (BMI 36.6 kg/m2 with failure of medical treatments for years. According to already published technique, a LSG was performed. Six hours postoperatively, a nurse removed the nasogastric tube according to the local protocol and the nasogastric tube was abnormally short, with staples at its extremity. Surgery was performed with peroperative endoscopy. In conclusion, this is the first publication of a nasogastric section during LSG. Therefore we report this case and propose a solution to prevent its occurrence. To avoid this kind of accident, we now systematically insert the nasogastric tube by mouth through a Guedel cannula. Then, to insert the calibrating bougie, we entirely withdraw the nasogastric tube.

Troubles detected during regular inspection of No.1 plant in Oi Power Station, Kansai Electric Power Co., Inc

International Nuclear Information System (INIS)

1990-01-01

No. 1 plant in Oi Power Station, Kansai Electric Power Co., Inc. is a PWR plant with rated output of 1175 MW, and its regular inspection is carried out since August 14, 1989. When eddy current flaw detection inspection was carried out on the total number (11426 except already plugged tubes) of the heating tubes of steam generators, significant indication was observed in tube supporting plate part of 279 tubes, at the boundary of tube plate expanded part of 34 tubes, and in the tube plate expanded part of 99 tubes, 411 heating tubes in total (all on high temperature side). Consequently, it was decided to repair 367 tubes using sleeves, and to plug other 44 tubes. Besides, among the heating tubes plugged in the past, it was decided to remove plugs from 161 tubes, and by repairing them with sleeves, to use them again. Total number of heating tubes 13552 (3388 tubes x 4 steam generators), Number of plugged tubes 2009 (decrease by 117 this time), Ratio of plugging 14.8%. (K.I.)

Sleeve Gastrectomy and Roux-en-Y Gastric Bypass Alter the Gut-Brain Communication

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L. A. Ballsmider

2015-01-01

Full Text Available This study investigated the anatomical integrity of vagal innervation of the gastrointestinal tract following vertical sleeve gastrectomy (VSG and Roux-en-Y gastric bypass (RYGB operations. The retrograde tracer fast blue (FB was injected into the stomach to label vagal neurons originating from nodose ganglion (NG and dorsal motor nucleus of the vagus (DMV. Microglia activation was determined by quantifying changes in the fluorescent staining of hindbrain sections against an ionizing calcium adapter binding molecule 1 (Iba1. Reorganization of vagal afferents in the hindbrain was studied by fluorescent staining against isolectin 4 (IB4. The density of Iba1- and IB4-immunoreactivity was analyzed using Nikon Elements software. There was no difference in the number of FB-labeled neurons located in NG and DMV between VSG and VSG-sham rats. RYGB, but not RYGB-sham rats, showed a dramatic reduction in number of FB-labeled neurons located in the NG and DMV. VSG increased, while the RYGB operation decreased, the density of vagal afferents in the nucleus tractus solitarius (NTS. The RYGB operation, but not the VSG procedure, significantly activated microglia in the NTS and DMV. Results of this study show that the RYGB, but not the VSG procedure, triggers microglia activation in vagal structures and remodels gut-brain communication.

Microcirculatory Improvement Induced by Laparoscopic Sleeve Gastrectomy Is Related to Insulin Sensitivity Retrieval.

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Ministrini, Stefano; Fattori, Chiara; Ricci, Maria Anastasia; Bianconi, Vanessa; Paltriccia, Rita; Boni, Marcello; Paganelli, Maria Teresa; Vaudo, Gaetano; Lupattelli, Graziana; Pasqualini, Leonella

2018-05-12

Microvascular dysfunction is a potential factor explaining the association of obesity, insulin resistance, and vascular damage in morbidly obese subjects. The purpose of the study was to evaluate possible determinants of microcirculatory improvement 1 year after laparoscopic sleeve gastrectomy (LSG) intervention. Thirty-seven morbidly obese subjects eligible for bariatric surgery were included in the study. Post-occlusive reactive hyperemia (PORH) of the forearm skin was measured as area of hyperemia (AH) by laser-Doppler flowmetry before LSG and after a 1-year follow-up. After intervention, we observed a significant reduction in BMI, HOMA index, HbA1c, and a significant increase of AH in all patients after surgery; this variation was significant only in those patients having insulin resistance or prediabetes/diabetes. Although significant correlation between the increase of AH and the reduction of both BMI, HOMA index, and HbA1c was observed, BMI was the only independent predictor of AH variation after LSG at the linear regression analysis. Our study shows that LSG intervention is correlated with a significant improvement in the microvascular function of morbidly obese subjects; this improvement seems to be related to the baseline degree of insulin-resistance and to the retrieval of insulin-sensitivity post-intervention.

Cylinder head seal for piston engines especially internal combustion engines. Zylinderkopfdichtung fuer Hubkolbenmaschinen, insbesondere Brennkraftmaschinen

Energy Technology Data Exchange (ETDEWEB)

Kubis, H.; Winter, J.

1991-01-17

The invention concerns a cylinder head seal for reciprocating piston engines especially internal combustion engines and preferentially those with cylinder sleeves. With performances of internal combustion engines encreasing all the time it is becoming more and more difficult to seal the cylinder heat. The invention proposes a ring seal whose sides are plastically deformed when the cylinder headed screws are tightened. The inner deformations of the cylinder head resulting from the pressure forces inside the cylinder are compensated by means of elastic spring action of the combustion chamber sealing ring. The dimension of land, groove and sides are matched in such a way as to prevent any seal squeezing during plastification which would result in a deformation of the cylinder sleeve. The ring can therefore be set directly into the centering of the cylinder sleeve. Separate centering devices are not required.

Sleeve gastrectomy severe complications: is it always a reasonable surgical option?

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Moszkowicz, David; Arienzo, Roberto; Khettab, Idir; Rahmi, Gabriel; Zinzindohoué, Franck; Berger, Anne; Chevallier, Jean-Marc

2013-05-01

Laparoscopic sleeve gastrectomy (LSG) is widely adopted but exposes serious complications. A retrospective database analysis was done to study LSG staple line complications in a tertiary referral university center with surgical ICU experienced in treatment of morbid obesity and complications. Twenty-two consecutive patients were referred between January 2004 and February 2012 with postoperative gastric leak or stenosis after LSG. Interventions consisted in the control of intra-abdominal and general sepsis; restoration of staple line continuity or revision of LSG; nutritional support; treatment of associated complications. Main outcome measures concerned success rates of therapeutic strategies, morbidity and mortality rates, LOS, and time to cure. Thirteen patients (59 %) were referred after failure of reoperation (seven fistula repairs were attempted). Three patients received emergency surgery in our center with transorificial intubation and jejunostomy formation. An endoscopic stent was tried in nine patients but failed in 84.6 % of cases within 20 days (1-161). Seven patients (32 %) necessitated total gastrectomy within 217 days (0-1,915 days) for conservative treatment failure. Procedures under general anesthesia were required in 41 % of cases, organ failure was found in 55 % of cases, and central venous device infection in 40 %. Mortality rate was 4.5 % (n = 1). Patients with unfavorable evolution of LSG complications (death or additional gastrectomy) had more previous bariatric procedure (82 % vs. 18 %, p = 0.003). Median time to cure was 310 days (9-546 days). LSG exposes severe complications occurring in patients with benign condition. Endoscopic stents entail high failure rate. Total gastrectomy is required in one third of the cases.

Alcohol consumption after laparoscopic sleeve gastrectomy: 1-year results.

Science.gov (United States)

Coluzzi, Ilenia; Iossa, Angelo; Spinetti, Elena; Silecchia, Gianfranco

2018-02-06

Laparoscopic sleeve gastrectomy (SG) represents, at present, the most performed bariatric procedure worldwide with excellent long-term results on weight loss and comorbidities control. After the gastrectomy procedure, together with hormonal modification, several changes in taste and habits occur, including the potential modification in alcohol consumption. The aim of this prospective study was to determine the frequency and the amount of alcohol use before and after SG using a modified version of the Alcohol Use Disorder Identification Test (AUDIT) at 1-year follow-up and eventually to evaluate relationships between different ages and sexes. A total of 142 patients were prospectively enrolled and evaluated before and 1 year after SG with a modified AUDIT. The exclusion criteria were as follows: history of alcohol abuse, presence of psychopathology or cognitive impairments, diabetes mellitus type II decompensated, or previous gastrointestinal, liver, and pancreatic resective surgery. Subgroup analyses were performed between male and female and between under and over 40 years old. The median AUDIT score decreased from 2.70 (range 1-18) before surgery to 1.38 (range 1-7) after 1 year of SG, indicating a marked reduction in alcohol use. The most consumed alcoholic drink was beer (36.6%/n = 52) while after surgery the consumption of beer decreased considerably (21.1%/n = 30). The frequency of alcohol consumption also decreased: at baseline 45% of patients consumed alcoholic drinks "from 2 to 4 times per month", whereas 26 and 39.4% consumed alcohol "never" and "less than once a month," respectively. After surgery, nobody consumed more then six alcoholic drinks. No differences were found between the subgroups in terms of alcohol consumption and social behavior. The alcohol preference is modified and decreased 1 year after SG and this could be related to the strict nutritional follow-up and to the hormonal changes. Studies with large samples and long

Refinement of Perioperative Feeding in a Mouse Model of Vertical Sleeve Gastrectomy.

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Doerning, Carolyn M; Burlingame, Lisa A; Lewis, Alfor G; Myronovych, Andriy; Seeley, Randy J; Lester, Patrick A

2018-05-01

Provision of liquid enteral nutrition (LEN) during the perioperative period is standard practice for rodents undergoing bariatric surgery, yet these diets are associated with several challenges, including coagulation of the liquid diet within the delivery system and decreased postoperative consumption. We investigated the use of a commercially available high-calorie dietary gel supplement (DG) as an alternative food source for mice during the perioperative period. C57BL/6J male mice were fed high-fat diet for 8 to 10 wk prior to surgery. The study groups were: vertical sleeve gastrectomy (VSG) +DG, VSG+LEN, sham surgery+DG, and sham+LEN. Food and water intakes, body weight, and body fat composition was monitored throughout the study. Mice that received DG lost significantly more weight preoperatively than those fed LEN. However, during the postoperative period, body weight, body fat composition, and water and caloric intake were similar among all experimental diet groups. Three mice in the VSG+LEN group were euthanized due to clinical illness during the course of the study. In summary, feeding a high-calorie DG to mice undergoing VSG surgery is a viable alternative to LEN, given that DG does not significantly affect the surgical model of weight loss or result in adverse clinical outcomes. We recommend additional metabolic characterization of DG supplementation to ensure that this novel diet does not confound specific research goals in the murine VSG model.

Effects of Weight Reduction After Sleeve Gastrectomy on Metabolic Variables in Saudi Obese Subjects in Aseer Province of Kingdom of Saudi Arabia.

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Bawahab, Mohammed A; Assiri, Abdullah S; Maksoud, Walid Abdel; Patel, Ayyub; Kadoumi, Osama; Zaman, Gaffar Sarwar; Alessih, Riyad Mohammed Khalil; Haider, Syed Saleem

2017-08-01

The objectives of this study were to investigate the occurrence of oxidative stress, status of protective antioxidants enzymes, inflammatory biomarkers, and some metabolic health variables in the blood and to compare the results between those of the normal controls and obese patients submitted to sleeve gastrectomy-induced weight loss over a 1-year follow-up period. A prospective study was conducted in Aseer Central Hospital and Abha Private Hospital in the Kingdom of Saudi Arabia from January 2012 to January 2013 on 50 normal (BMI = 22-25 kg/m 2 ) control subjects and 50 obese (BMI = 45-50 kg/m 2 ) patients. A subset of 20 men and 80 women patients, aged 20-45 years, was included. The systemic blood cell counts were determined by Beckman Coulter UniCel analyzer. The occurrence of oxidative stress, the status of antioxidant enzyme system in the blood, levels of serum hepatic enzymes, cardiovascular risk factors, and serum sodium, potassium, copper, and zinc levels were determined by spectrophotometric procedures. The concentration of TSH and T 4 were analyzed by Siemens Immunoassay System. Group 1 (Obese: preoperative) This group compared with the normal controls exhibited significant (p copper and zinc levels were significantly (p phosphate dehydrogenase (G6PDH), and vitamin C, were remarkably (p potassium, copper, zinc, and TSH levels were significantly (p < 0.001) decreased. Obesity is a chronic disease of multifactorial origin and resulted in perturbations of whole body metabolism in this study. It is thus likely that this imbalance was associated with an inhibition in protective antioxidants and occurrence of oxidative stress. The staging concept of sleeve gastrectomy is a safe and effective approach with remarkable efficacy in sustaining weight loss and bringing back normal metabolism of variables in tissues over a 1-year follow-up period.

Casting of Hearth Plates from High-chromium Steel

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Drotlew A.

2014-12-01

Full Text Available The paper presents the results of studies on the development of manufacturing technologies to cast hearth plates operating in chamber furnaces for heat treatment. Castings made from the heat-resistant G-X40CrNiSi27-4 steel were poured in hand-made green sand molds. The following operations were performed: computer simulation to predict the distribution of internal defects in castings produced by the above mentioned technology with risers bare and coated with exothermic and insulating sleeves, analysis of each variant of the technology, and manufacture of experimental castings. As a result of the conducted studies and analysis it was found that the use of risers with exothermic sleeves does not affect to a significant degree the quality of the produced castings of hearth plates, but it significantly improves the metal yield.

Introduction to radiation processing

International Nuclear Information System (INIS)

Kume, Tamikazu

2008-01-01

Nuclear technology such as γ-rays, electron beams and ion beams irradiation is widely used in industrial, medical and agricultural fields. The purpose of radiation application is aiming at increasing welfare and quality of our life. Radiation technology applied to medical care is widely known as X-ray diagnosis but the contribution of radiation processing to our daily life is not well known even though it is effectively used in industry and agriculture. The main radiation processing in industry is the modification of polymers, i.e. heat shrinkable tube, radial tire, plastic foam, etc. in a car, heat resistant wire and cable, semiconductor, floppy disk, etc. in a computer, and sterilization of medical devices. In Agriculture, radiation has been used in various fields such as food irradiation, sterile insect technique, mutation breeding, etc. contributing for human being to supply foods and sustainable environment. (author)

Standards for pipelines repairs approval through composite sleeves materials; Criterios para aceitacao de reparos em dutos atraves de luvas de material composito

Energy Technology Data Exchange (ETDEWEB)

Bayer, Richard Foerster; Bifulco, Antonio C.; Vilani, Eduardo C. [Rust Engenharia Ltda., Diadema, SP (Brazil)

2005-07-01

The current paper presents the standards that define the test demanded by the technical specifications set for the evaluation of composite sleeves repairs for steel industrial ducts and pipelines, as well as their forecasted results. Practical comments are given about the adhesion, tensile strength, interlaminate shear resistance, impact, hardness, circumferential elasticity modulus, axial elasticity modulus, and the poison ratio rests, as well as the interpretation of those demands are also discussed. Explains the repair project and the procedure to be followed importance, and why qualified personnel are necessary to install it. The repair project and the procedure, as well as the repair construction effectiveness are verified by hydrostatics testes in tubular specimens. (author)

Port site hernia after laparoscopic sleeve gastrectomy: a retrospective cohort study of 352 patients.

Science.gov (United States)

Ece, Ilhan; Yilmaz, Huseyin; Alptekin, Husnu; Yormaz, Serdar; Colak, Bayram; Sahin, Mustafa

2018-03-01

Port site hernia (PSH) following laparoscopic procedures is a rare but serious complication. The aim of this study was to evaluate the rate of PSH after laparoscopic sleeve gastrectomy (LSG), and the efficacy of closure of the port site as a means of preventing PSH. A retrospective analysis was performed on 386 patients who underwent LSG between December 2009 and January 2015. 352 (91.2%) of the patient were followed up for at least 24 months. In the first 206 patients, the fascial layers of the trocar incisions were not closed, while in the next 146 cases, routine closure of the trocar sites was performed. The patients were reviewed in relation to demographics, comorbidities, complications, percentage of excess weight loss, and rates of PSH. The total cohort consisted of 220 female and 132 male patients with a mean age of 36.2 ± 12.3 years. Demographic data, initial BMI, and comorbidities were similar for the patients in both groups. The closure of the fascia was caused by the prolonged duration of the operation with no significant difference. The unclosed fascial defects were associated with a significantly increased incidence of PSH (1.3 vs. 3.9%, p port sites may result in a decreased PSH rate.

Sugammadex versus two doses of neostigmine for reversal of rocuronium in gastric sleeve surgery

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Abdulhamid Alsaeed

2017-01-01

Patients and Methods: A total of 110 patients with body mass index> 40 underwent elective gastric sleeve surgery were enrolled in this study. Exclusion criteria included patients with co-existing muscular and cardiovascular diseases. Patients were randomly allocated to one of the following groups: group A (SUG, Group B (NEO 2.5 mg, and Group C (NEO 5 mg. General anesthesia was induced in the three groups using propofol 2.0 mg/kg of corrected body weight (CBW and fentanyl 3 mcg/kg of CBW. Anesthesia was maintained with O2/air/desflurane 1 minimum alveolar concentration. Remifentanil infusion started at 0.05–0.2 mcg/kg/min. Tracheal intubation was facilitated with rocuronium 1.2 mg/kg of CBW guided with PNS. When the train of four (TOF reached zero, intubation was performed using a GlideScope. At the end of surgery, TOF ratio and posttetanic counts were recorded. SUG 2 mg/kg of CBW (Group A, NEO 2.5 mg (Group B, and NEO 5 mg (Group C were administered according to the random envelope. The time to achieve 90% of TOF was recorded in seconds using a timer. ANOVA for repeated measurements was used for statistical analyses. P 90%, the recovery pattern of both was similar.

Contrasting Sleeve Gastrectomy with Lifestyle Modification Therapy in the Treatment of Polycystic Ovary Syndrome.

Science.gov (United States)

Wang, Kaijing; Jiang, Qixin; Zhi, Yunqing; Zhu, Zhe; Zhou, Zhuqing; Xie, Yanting; Yin, Xiaoqi; Lu, Aiguo

2015-06-01

To explore the feasibility of sleeve gastrectomy (SG) as a treatment for polycystic ovary syndrome (PCOS) and its potential to improve clinical efficacy in PCOS patients with symptoms of oligomenorrhea. Twenty-four obese patients with PCOS underwent laparoscopic SG. Simultaneously, 24 obese patients with PCOS received lifestyle modification therapy (LMT). Follow-ups were conducted at 3-6 months. Weight loss, menstruation, and improvements in hirsutism and metabolic symptoms were compared. In the SG group, 20 patients were restored to normal menstrual cycles and ovulation at 3-6 months after surgery. Their average androgen levels decreased significantly following surgery (P=.012). Conversely, only 6 patients in the LMT group were restored to normal menstrual cycles and ovulation after receiving 3 months of treatment. Their average preoperative and postoperative androgen levels showed a nonstatistically significant decrease (P>.05). Compared with the LMT group, the SG group showed more pronounced improvements in menstruation. Additionally, body mass and body mass index were significantly reduced in patients in the SG group 3 months after the surgeries, with maximum weight loss observed at approximately 6 months after surgery. Patients who received LMT showed a gradual weight reduction such that body mass decreased significantly after 3 months (Pweight loss results (Pweight loss and better improvements in clinical symptoms compared with LMT.

Current status of electron beam processing applications and the latest accelerator technologies in Japan

International Nuclear Information System (INIS)

Hoshi, Yasuhisa

1998-01-01

Electron Beam (EB) processing has been increasing in popularity as a cross-linking process since the beginning of its industrial use. Examples are heat resistance improvement of electric wires, high quality foamed polyethylene (PE) and polypropylene (PP), automotive tire manufacturing and heat shrinkable products. EB is also used in the tire manufacturing process as a pre-vulcanisation of rubber sheet before forming process. Cross-linking of electric wire insulators is the most popular industrial application of electron beam accelerators in Japan. EB cross-linked wires are widely used in electrical appliances and automotive wire harnesses. Curing of inks or coating is a promising application of low energy EB. EB cure is often compared with Ultra-Violet (UV) curing. Both has a common advantage compared with a conventional heat curing process such as no solvent requirement. A typical advantage is that no initiators are required to start curing process. EB can also be used to remove SO 2 and NO x from coal flue gas. This paper reports some of these applications and discusses the latest equipment design. (author)

Thermo/viscoelastic analysis of the waste-container sleeve: I. Time-dependent salt loading on the sleeve and closure of the drillhole. Technical memorandum report RSI-0020

International Nuclear Information System (INIS)

Callahan, G.D.; Ratigan, J.L.

1975-01-01

The thermo/viscoelastic analyses predicts a maximum drillhole surface pressure of approximately 3,000 psi after one-half year of heating, assuming the drillhole surface is fixed against radial displacement. With the drillhole surface free to displace radially, the radial displacement is observed to be about 1.5 inches after twenty-five years of heating, for a total drillhole closure of 3.0 inches. In this particular case, with the centerline of the pillar being a line of symmetry, the material expansion upon heating forces the salt upward and into the room and drillhole areas

Scour Monitoring System for Subsea Pipeline Based on Active Thermometry: Numerical and Experimental Studies

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Jun Du

2013-01-01

Full Text Available A scour monitoring system for subsea pipeline based on active thermometry is proposed in this paper. The temperature reading of the proposed system is based on a distributed Brillouin optical fiber sensing technique. A thermal cable acts as the main component of the system, which consists of a heating belt, armored optical fibers and heat-shrinkable tubes which run parallel to the pipeline. The scour-induced free span can be monitored through different heat transfer behaviors of in-water and in-sediment scenarios during heating and cooling processes. Two sets of experiments, including exposing different lengths of the upper surface of the pipeline to water and creating free spans of various lengths, were carried out in laboratory. In both cases, the scour condition was immediately detected by the proposed monitoring system, which confirmed the system is robust and very sensitive. Numerical study of the method was also investigated by using the finite element method (FEM with ANSYS, resulting in reasonable agreement with the test data. This brand new system provides a promising, low cost, highly precise and flexible approach for scour monitoring of subsea pipelines.

Sweet Eating Habit: Does This Affect the Results After Sleeve Gastrectomy?

Science.gov (United States)

Moser, Federico; Marconetto, Mariana; Gorodner, Verónica; Viscido, Germán; Piazzoni, Noel; Maldonado, Pablo; Rodriguez, Eugenia Loretani; Obeide, Lucio

2016-04-01

It is commonly believed that eating habits, specially the sweet eating habit, can predict results after bariatric surgery; for this reason, it is considered one of the selection criteria when deciding the surgical technique. However, there is not enough evidence of its impact on the results after sleeve gastrectomy (SG). To evaluate the relationship between the sweet eating habit and weight loss after SG. Cross-sectional retrospective study. Group A: nonobese subjects, and group B: patients who underwent SG and had ≥6 months follow-up. Demographics, anthropometrics, percentage excess weight loss (%EWL) at 6, 12, and 24 months, and eating habits before surgery were analyzed. Sweet eating consumption was classified as follows: mild, moderate, and severe. Uni- and bivariate logistic regression analysis according to each variable was performed. Between 2006 and 2011, 157 patients underwent SG at our institution; 36% were male, age 41 years old, and initial body mass index 46 kg/m(2). Mean %EWL at 6, 12, and 24 months was 66%, 77%, and 70%, respectively. Sweet eating consumption: Mild: 59%; Moderate: 38%; and Severe: 3%. No difference was found in sweet eating patterns among groups A and B; %EWL for mild, moderate, and severe sweet eaters at 6 months was 66 ± 16, 66 ± 14, and 65 ± 10, respectively (P = non-significant [NS]). The same analysis was made at 12 months: 76 ± 20, 79 ± 18, and 78 ± 11 (P = NS). At 24 months, only mild and moderate sweet eaters were available for comparison: 69 ± 23 and 73 ± 19, respectively (P = NS). Preliminary data suggested that preoperative sweet eating habit would not predict results after SG in terms of weight loss.

Interfacial Microstructure and Shear Strength of Brazed Cu-Cr-Zr Alloy Cylinder and Cylindrical Hole by Au Based Solder

Directory of Open Access Journals (Sweden)

Zaihua Li

2017-07-01

Full Text Available Au-Ge-Ni solder was chosen for brazing of the Cu-Cr-Zr alloy cylinder and a part with a cylindrical hole (sleeve below 550 °C. The Au based solder was first sintered on the surface of the cylinder and then brazed to the inner surface of the sleeve. The effects of the heating process, the temperature and the holding time at the temperature on the microstructure of the sintered layer on the surface of the cylinder, the brazed interfacial microstructure, and the brazed shear strength between the cylinder and the sleeve were investigated by scanning electron microscope, energy dispersive X-ray spectroscopy analysis, and tensile shear tests. By approach of side solder melt feeding and brazing under proper parameters, the voids and micro cracks due to a lack of enough solder melt feeding are greatly lessened and the brazed shear strength of 100 MPa is ensured even with large clearances around 0.01 mm.

Behaviour of a pressure vessel nozzle with thermo-sleeve under thermal loading induced by stratified flow

International Nuclear Information System (INIS)

Kussmaul, K.; Mayinger, W.; Diem, H.; Katzenmeier, G.

1993-01-01

Startup at low reactor power may give rise to stratified flow conditions in pipes of boiling water and pressurized water reactors. Stratified flow regimes cause a steep temperature gradient between the cold and the hot fluid layer. This temperature gradient produces high axial stresses which, in the case of intermittent feeding of cold water and an appropriate number of repetitions, in principle may initiate cracking in the feedwater pipe and close to the feeding nozzle. Thermosleeves have been installed in a number of reactors to mitigate thermally induced stresses; they reduce the intensity of thermal transients by means of an insulating fluid annulus developing between the sleeve and the nozzle, in order to measure the temperature and stress gradients occurring in the region of the nozzle edge, the so-called TEMS experiments were carried out under realistic operating conditions, and with different cold water levels within the framework of German research activities in the field of reactor safety at the HDR test facility. The experiments served to simulate the physics phenomena by means of a FE-program and to verify the computational approach by comparisons of measurements and calculations

Industrial potential for application of radiation curing in Pakistan

International Nuclear Information System (INIS)

Ahmed, S.

1991-01-01

Potential applications of radiation curing of coating are in the field of wood and wood products, drying of printing inks, ceramics (roof and floor tiles) and textiles. Pakistan a 'timber deficit' country needs to improve her wood, plywood, hardboard and particle board to make for shortage of quality wood. Imports of wood and wood products are in excess of 3000 million rupees. Radiation curing can be applied and itexcels over heat treatment. Whereas costs of high energy units (500 KeV) with scanning type are rather high, low energy (100-175 KeV) flat beam self-shielded units costing 200,000 US$ are available. For developing countries ultraviolet (UV) curing is ideally suited because of its low price, flexibility and simplicity in handling. Alternately, multipurpose bunker type facility such as 500 KeV current mA can be utilized in carrying out heat-shrinkables production, irradiation of cable and wire and curing of coatings on wood and wood products. (author)

Staple Line Reinforcement with Stitch in Laparoscopic Sleeve Gastrectomies. Is It Useful or Harmful?

Science.gov (United States)

Albanopoulos, Konstantinos; Tsamis, Dimitrios; Arapaki, Aggeliki; Kleidi, Eleftheria; Zografos, Georgios; Leandros, Emmanouil

2015-07-01

Reinforcement of the staple line in laparoscopic sleeve gastrectomy (LSG) is a practice that leads to less morbidity, but equivocal results have been reported in the literature. This is a prospective randomized study comparing two groups of patients who underwent LSG. In one group LSG was performed with a running absorbable suture placement at the staple line. In the other group the running suture was not placed. General data of the patients, as well as intraoperative and postoperative data, were gathered and statistically analyzed. Overall, 146 patients were subjected to LSG. In 84 patients a running suture was placed, and in 62 patients no suture was placed. No significant differences were found between the two groups in demographic data. No significant differences were found also in the intraoperative data, such as number of trocars, number and type of cartridges, drain placement, and operative time (45±21 versus 40±20 minutes, respectively; Prunning suture (9.5% versus 0.0%, respectively; P.05). After this randomized study, final conclusions about the efficacy of this running suture to the staple line cannot be made. To the contrary, problems seem to exist after such reinforcement of the staple line, such as hematomas. Dealing with possible leaks and hemorrhage of the staple line is also problematic after placement of the running suture.

Health-Related Fitness Improvements in Morbid Obese Patients After Laparoscopic Sleeve Gastrectomy: a Cohort Study.

Science.gov (United States)

Gallart-Aragón, Tania; Fernández-Lao, Carolina; Castro-Martín, Eduardo; Cantarero-Villanueva, Irene; Cózar-Ibáñez, Antonio; Arroyo-Morales, Manuel

2017-05-01

Laparoscopic sleeve gastrectomy (LSG) has demonstrated high long-term effectiveness and major advantages over other techniques. The objective of this study was to analyze changes in physical fitness parameters in morbidly obese patients during 6 months after LSG. We conducted a descriptive observational study with 6-month follow-up in 72 LSG patients, evaluating changes in body mass index (BMI), functional capacity (6-min walking test), hand grip strength (manual dynamometry), flexibility (fingertip-to-floor test), balance (Flamingo test), physical activity level (International Physical Activity Questionnaire, IPAQ), and perception of general physical fitness (International Fitness Scale [IFIS] questionnaire). The ANOVA revealed significant improvements in BMI, functional capacity, flexibility, balance, and physical activity level (P fitness in most cases. No significant changes were found in dominant hand (P = 0.676) or non-dominant hand (P = 0.222) dynamometry. General physical fitness was positively correlated with BMI and distance in the 6-min test, and was negatively correlated with fingertip-to-floor distance. Morbidly obese patients showed major improvements at 6 months after LSG in functional capacity, balance, mobility, and physical activity, with no change in grip strength. These improvements were related to a better self-perception of general physical fitness.

Application of radiation processing in Asia and the pacific region: focus on Malaysia

International Nuclear Information System (INIS)

Khairul Zaman, H.J.; Mohd Dahlan

1995-01-01

Applications of radiation processing in Malaysia and other developing countries in Asia and the Pacific region is increasing as the countries move toward industrialisation. At present, there are more than 85 gamma facilities and 334 electron accelerators in Asia and the Pacific region which are mainly in Japan, Rep. of Korea and China. The main applications which are in the interest of the region are radiation sterilisation of medical products; radiation crosslinking of wire and cable, heat shrinkable film and tube, and foam; radiation euring of surface coatings, printing inks and adhesive; radiation vulcanisation of natural rubber latex; radiation processing of agro-industrial waste; radiation treatment of sewage sludge and municipal waste; food irradiation; tissue grafts and radiation synthesis of bioactive materials. (author)

Application of radiation processing in Asia and the Pacific region: focus on Malaysia

International Nuclear Information System (INIS)

Dahlan, K.Z.H.M.

1995-01-01

Applications of radiation processing in Malaysia and other developing countries in Asia and the Pacific region is increasing as the countries move toward industrialisation. At present, there are more than 85 gamma facilities and 334 electron accelerators in Asia and the Pacific region which are mainly in Japan, Rep. of Korea and China. The main applications which are in the interest of the region are radiation sterilisation of medical products; radiation crosslinking of wire and cable, heat shrinkable film and tube, and foam; radiation curing of surface coatings, printing inks and adhesive; radiation vulcanisation of natural rubber latex; radiation processing of agro-industrial waste; radiation treatment of sewage sludge and municipal waste; food irradiation; tissue grafts and radiation synthesis of bioactive materials. (author)

[A case of iatrogenic scrotal elephantiasis: reconstruction of the scrotal purse and the cutaneous sleeve of the penis with local skin flaps].

Science.gov (United States)

Masia, D-R; Castus, P; Delia, G; Casoli, V; Martine, D

2008-02-01

Scrotal elephantiasis is a pathology of often unknown etiology. Symptomatology is characterized by an oedematius infiltration of skin and subcutaneous tissue, hard-bound aspect and purplished color. The scrotum, the penis and the perineal area are gradually affected. This pathology is very invalidating for the patient, on functional, sexual and aesthetic aspects. The authors present the case of a 58-year-old man with an enormous scrotal mass invading the penis and drowning the testicular elements, which were impossible to palpate. The aetiology was determined by exclusion and an iatrogenic origin following the cure of bilateral inguinal hernia was retained. Resection of the scrotal mass was performed. The reconstruction of the scrotal purse and the cutaneous sleeve of the penis were carried out using local flaps of the remaining healthy skin.

Preparation of Bismuth- and Thallium-Based Cuprate Superconductors

Science.gov (United States)

1991-10-01

heating times, the use of gold foil wrappings, and, possibly most impor- tantly, a decrease in thallium volatility according to the principle of Le ... Chatelier (27). If the reactions are carried out in nonporous sleeves with exiting gases passed through multiple traps filled with basic peroxide

HTCAP: a FORTRAN IV program for calculating coated-particle operating temperatures in HFIR target irradiation experiments

International Nuclear Information System (INIS)

Kania, M.J.

1976-05-01

A description is presented of HTCAP, a computer code that calculates in-reactor operating temperatures of loose coated ThO 2 particles in the HFIR target series of irradiation tests. Three computational models are employed to determine the following: (1) fission heat generation rates, (2) capsule heat transfer analysis, and (3) maximum particle surface temperature within the design of an HT capsule. Maximum particle operating temperatures are calculated at daily intervals during each irradiation cycle. The application of HTCAP to sleeve CP-62 of HT-15 is discussed, and the results are compared with those obtained in an earlier thermal analysis on the same capsule. Agreement is generally within +-5 percent, while decreasing the computational time by more than an order of magnitude. A complete FORTRAN listing and summary of required input data are presented in appendices. Included is a listing of the input data and a tabular output from the thermal analysis of sleeve CP-62 of HT-15

Aluminum-based one- and two-dimensional micro fin array structures: high-throughput fabrication and heat transfer testing

International Nuclear Information System (INIS)

Primeaux, Philip A; Zhang, Bin; Zhang, Xiaoman; Miller, Jacob; Meng, W J; KC, Pratik; Moore, Arden L

2017-01-01

Microscale fin array structures were replicated onto surfaces of aluminum 1100 and aluminum 6061 alloy (Al1100/Al6061) sheet metals through room-temperature instrumented roll molding. Aluminum-based micro fin arrays were replicated at room temperature, and the fabrication process is one with high throughput and low cost. One-dimensional (1D) micro fin arrays were made through one-pass rolling, while two-dimensional (2D) micro fin arrays were made by sequential 90° cross rolling with the same roller sleeve. For roll molding of 1D micro fins, fin heights greater than 600 µ m were achieved and were shown to be proportional to the normal load force per feature width. At a given normal load force, the fin height was further shown to scale inversely with the hardness of the sheet metal. For sequential 90° cross rolling, morphologies of roll molded 2D micro fin arrays were examined, which provided clues to understand how plastic deformation occurred under cross rolling conditions. A series of pool boiling experiments on low profile Al micro fin array structures were performed within Novec 7100, a widely used commercial dielectric coolant. Results for both horizontal and vertical surface orientations show that roll molded Al micro fin arrays can increase heat flux at fixed surface temperature as compared to un-patterned Al sheet. The present results further suggest that many factors beyond just increased surface area can influence heat transfer performance, including surface finish and the important multiphase transport mechanisms in and around the fin geometry. These factors must also be considered when designing and optimizing micro fin array structures for heat transfer applications. (paper)

Predictors of fat-free mass loss 1 year after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Guida, B; Cataldi, M; Busetto, L; Aiello, M L; Musella, M; Capone, D; Parolisi, S; Policastro, V; Ragozini, G; Belfiore, A

2018-03-24

Laparoscopic sleeve gastrectomy (LSG) is one of the most frequently performed bariatric surgery interventions because of its safety and efficacy. Nevertheless, concerns have been raised on its detrimental effect on patient nutritional state that can ultimately lead to the loss of fat-free mass (FFM). There is interest in identifying predictors for the early identification of patients at risk of this highly unwanted adverse because they could benefit of nutritional preventive interventions. Therefore, we investigated whether anthropometric parameters, body composition or resting energy expenditure (REE) measured before surgery could predict FFM loss 1 year after LSG. Study design was retrospective observational. We retrieved data on body weight, BMI, body composition and REE before and 1 year after LSG from the medical files of 36 patients operated on by LSG at our institutions. Simple regression, the Oldham's method and multilevel analysis were used to identify predictors of FFM loss. Averaged percentage FFM loss 1 year after LSG was 17.0 ± 7.7% with significant differences between sexes (20.8 ± 6.6 in males and 12.2 ± 6.1% in females, p FFM loss was strongly predicted by pre-surgery FFM and this effect persisted also after correcting for the contribution of sex. High FFM values before surgery predict a more severe FFM loss after LSG. This factor could also account for the higher FFM loss in men than in women. Our finding could help in the early identification of patient requiring a nutritional support after LSG.

Nuclear fuel assembly grid sleeve/guide thimble bulge orientation gage and inspection method

International Nuclear Information System (INIS)

Widener, W.H.

1988-01-01

This patent describes a method of inspecting a fuel assembly to determine the orientation of externally-projecting mated bulges connecting a grid sleeve to a guide thimble of the assembly, the method comprising the steps of: (a) inserting a radially-expandable tubular member within the guide thimble, the tubular member having externally-projecting embossments thereon spaced circumferentially from one another about the tubular member, the embossments being the same in number as the bulges of the guide thimble and configured to fit therewithin; (b) axially moving an elongated expansion member, which extends through and rotatably mounts the tubular member, relative to the tubular member from a first position in which the expansion member permits inward contraction of the tubular member and displacement of embossments thereon away from the interior of the guide thimble bulges for removing the embossments from registry therewith and a second position in which the expansion member produces radial expansion of the tubular member and displacement of the embossments thereon toward the interior of the guide thimble bulges for placing the embossments in registry therewith; (c) rotating the tubular member relative to the expansion member so as to bring the embossments on the tubular member into alignment with the guide thimble bulges as the embossments on the tubular member are being displaced toward and into registry with the interior of the bulges; and (d) responsive to rotation of the tubular member away from a reference position, providing an indication of the orientation of the guide thimble bulges relative to a reference point upon displacement of the embossments into registry therewith

C-reactive protein, fibrinogen, and procalcitonin levels as early markers of staple line leak after laparoscopic sleeve gastrectomy in morbidly obese patients within an Enhanced Recovery After Surgery (ERAS) program.

Science.gov (United States)

Ruiz-Tovar, Jaime; Muñoz, Jose Luis; Gonzalez, Juan; Garcia, Alejandro; Ferrigni, Carlos; Jimenez, Montiel; Duran, Manuel

2017-12-01

The performance of most bariatric procedures within an Enhanced Recovery After Surgery program has resulted in significant advantages, including a reduction in the length of hospital stay to 2-3 days. However, some postoperative complications may appear after the patient has been discharged. The aim of this study was to investigate the efficacy of various acute-phase parameters determined 24 h after a laparoscopic sleeve gastrectomy for predicting staple line leak in the postoperative course. A prospective study of 208 morbidly obese patients undergoing laparoscopic sleeve gastrectomy as bariatric procedure between 2012 and 2015 was performed. Blood analysis was performed 24 h after surgery. Acute-phase parameters (C-reactive protein, procalcitonin, fibrinogen, and White Blood Cell count) were investigated. Staple line leak appeared in eight patients (3.8%). Using receiver operating characteristic analysis at 24 h postoperatively, a cutoff level of CRP at 9 mg/dL achieved 85% sensitivity and 90% specificity for predicting staple line leak, a cutoff level of procalcitonin at 0.85 ng/mL achieved 70% sensitivity and 90% specificity, and a cutoff level of fibrinogen at 600 mg/dL achieved 80% sensitivity and 87.5% specificity. An elevation of CRP > 9 mg/dL, procalcitonin > 0.85 ng/mL and fibrinogen > 600 mg/dL should alert the surgeon the possibility of occurrence of postoperative staple line leak.

Laparoscopic Sleeve Gastrectomy for Morbid Obesity in Patients After Orthotopic Liver Transplant: a Matched Case-Control Study.

Science.gov (United States)

Tsamalaidze, Levan; Stauffer, John A; Arasi, Lisa C; Villacreses, Diego E; Franco, Jose Salvador Serrano; Bowers, Steven; Elli, Enrique F

2018-02-01

Obesity is frequently encountered in patients with orthotopic liver transplant (OLT). The role of bariatric surgery is still unclear for this specific population. The aim of this study was to review our experience with laparoscopic sleeve gastrectomy (LSG) after OLT. We performed a retrospective case-control study of patients undergoing LSG after OLT from 2010 to 2016. OLT-LSG patients were matched by age, sex, body mass index (BMI), and year to non-OLT patients undergoing LSG. Demographics, operative variables, postoperative events, and long-term weight loss with comorbidity resolution were collected and compared between cases and controls. Of 303 patients undergoing LSG, 12 (4%) had previous OLT. They were matched to 36 non-OLT patients. No difference was found between groups in the American Society of Anesthesiologists class, mean operative time, or postoperative morbidity. The non-OLT group, however, had a significantly shorter mean hospital stay than the OLT group (1.7 vs 3.1 days; P OLT patients had significantly more excess body weight loss at 2 years (53.7 vs 45.2%; P OLT in appropriately selected patients appears to have similar outcomes to LSG in non-OLT patients.

Diet Change After Sleeve Gastrectomy Is More Effective for Weight Loss Than Surgery Only.

Science.gov (United States)

Rossell, Joana; González, Marta; Mestres, Núria; Pardina, Eva; Ricart-Jané, David; Peinado-Onsurbe, Julia; Baena-Fustegueras, Juan Antonio

2017-10-01

Bariatric surgery with or without diet change has become one of the most effective treatments for obesity. The objective of this study was to observe the effects of vertical sleeve gastrectomy (VSG) and diet change in Sprague-Dawley rats on both body and tissue weights. Eighteen rats were fed with a standard chow diet (SCD) (C group), and 36 rats were fed with a high-fat diet (HFD) (diet-induced obesity (DIO) group). After 8 weeks, the animals underwent VSG, sham surgery or no surgery (NS). After surgery, a third of the rats fed with the HFD changed to the SCD (DIO + C group). Body weight, food and energy intake were recorded daily during the experiment (12 weeks). Food efficiency (%) (FE) was determined from weekly weight gain and weekly kilocalorie consumed measurements. The DIO group had higher and significant weight gain than the C group at the time of surgery (p weight loss (WL) was observed in the DIO + C-VSG group, during the 4 weeks after surgery. Adipose tissues in the DIO + C-VSG group were drastically reduced and had a weight similar to those in the C-VSG group. VSG and the diet change combination led to a greater WL, which was maintained during the 4 weeks post-surgery, leading to a normalization of body weight. VSG and diet change also affected most of the tissues, not only adipose, showing a global change in whole body composition.

Randomized, Prospective Comparison of Ursodeoxycholic Acid for the Prevention of Gallstones after Sleeve Gastrectomy.

Science.gov (United States)

Adams, Lindsay B; Chang, Craig; Pope, Janet; Kim, Yeonsoo; Liu, Pei; Yates, Amy

2016-05-01

Several studies have examined the role of ursodeoxycholic acid (UDCA) for the prevention of cholelithiasis (gallstones) following rapid weight loss from restrictive diets, vertical band gastroplasty, and Roux-en-Y gastric bypass. However, to date, there have been no prospective, controlled studies examining the role of UDCA for the prevention of gallstones following sleeve gastrectomy (SG). This study was conducted to identify the effectiveness of UDCA for prevention of gallstones after SG. Following SG, eligible patients were randomized to a control group who did not receive UDCA treatment or to a group who were prescribed 300 mg UDCA twice daily for 6 months. Gallbladder ultrasounds were performed preoperatively and at 6 and 12 months postoperatively. Patients with positive findings preoperatively were excluded from the study. Compliance with UDCA was assessed. Between December 2011 and April 2013, 37 patients were randomized to the UDCA treatment arm and 38 patients were randomized to no treatment. At baseline, the two groups were similar. At 6 months, the UDCA group had a statistically significant lower incidence of gallstones (p = 0.032). Analysis revealed no significant difference in gallstones between the two groups at 1 year (p = 0.553 and p = 0.962, respectively). The overall gallstone formation rate was 29.8%. The incidence of gallstones is higher than previously estimated in SG patients. UDCA significantly lowers the gallstone formation rate at 6 months postoperatively.

Evaluation of Nutritional Status Post Laparoscopic Sleeve Gastrectomy-5-Year Outcomes.

Science.gov (United States)

Al-Mutawa, Aliaa; Al-Sabah, Salman; Anderson, Alfred Kojo; Al-Mutawa, Mohammad

2017-12-01

Obesity is considered a public health problem and has led to advancements in bariatric surgery. Laparoscopic sleeve gastrectomy (LSG) had become the most performed procedure worldwide; however, its consequences on nutritional status in the short and long term are of concern. A retrospective analysis of medical records and bariatric database of patients who underwent LSG from October 2008-September 2015 at Al-Amiri Hospital, Kuwait, was performed. Data regarding nutritional status along with demographic data were collected over a 5-year follow-up period. One thousand seven hundred ninety-three patients comprising of 74% females and 26% males were included. The greatest % total body weight loss (%TBWL) was at 18 months post-LSG (33%), corresponding to a % excess weight loss (%EWL) of 73.8%. With regard to nutritional status, vitamin B1 showed a significant drop at 3-5 years post-op in comparison to pre-op value, but stayed within the normal range throughout the study. Red blood cells count, hemoglobin, and hematocrit also showed a significant drop starting from 6 months post-op until the fifth year of follow-up. On the other hand, vitamins B6 and B12 showed a significant increase at 6 months post-op and decreased afterwards, but did not reach pre-op values. Vitamin D also showed a significant increase throughout the study period from deficient value at the pre-op time, but remained insufficient. Albumin, transferrin, folate, ferritin, iron, and vitamin B2 showed no significant changes at 5 years post-LSG compared to pre-op values. Little is known about the nutritional status and optimal nutritional care plan post-LSG, especially in the longer term. Nutritional deficiencies were prevalent prior and post-LSG. Some of the nutritional parameters improved and even reached the abnormal high level post-LSG. These observations highlight the importance of pre- and post-operative nutritional assessment and tailored supplementation to ensure optimal nutritional status.

Field tests on human tolerance to (LNG) fire radiant heat exposure, and attenuation effects of clothing and other objects

International Nuclear Information System (INIS)

Raj, Phani K.

2008-01-01

A series of field tests exposing mannequins clothed with civilian clothing to a 3 m x 3 m square liquefied natural gas (LNG) pool fire was conducted. Both single layer clothing and double layer clothing were used. The radiant heat flux incident outside the clothing and incident on the skin covered by clothing were measured using wide-angle radiometers, for durations of 100-200 s (per test). The levels of heat flux incident on the clothing were close to 5 kW/m 2 . The magnitude of the radiant heat attenuation factor (AF) across the thickness was determined. AF varies between 2 and higher for cotton and polyester clothing (thickness 0.286-1.347 mm); AF value of 6 was measured for 1.347 mm thickness. Single sheet newspaper held about 5 cm in front of mannequins and exposed to incident flux of 5 kW/m 2 resulted in AF of 5, and AF of 8 with double sheets. AF decreases linearly with increasing heat flux values and linearly increases with thickness. The author exposed himself, in normal civilian clothing (of full sleeve cotton/polyester shirt and jean pants), to radiant heat from a LNG fire. The exposure was for several tens of seconds to heat flux levels ranging from 3.5 kW/m 2 to 5 + kW/m 2 (exposure times from 25 s to 97 s at average heat flux values in the 4 kW/m 2 and 5 kW/m 2 range). Occasionally, he was exposed to (as high as) 7 kW/m 2 for durations of several seconds. He did not suffer any unbearable or even severe pain nor did he experience blisters or burns or any other injury on the unprotected skin of his body. The incident heat fluxes on the author were measured by a hand-held radiometer (with digital display) as well as by strapped on wide-angle radiometers connected to a computer. He could withstand the US regulatory criterion of 5 kW/m 2 (for 30 s) without suffering any damage or burns. Temperature measured on author's skin covered by clothing did not rise above the normal body temperature even after 200 s of exposure to 4 kW/m 2 average heat flux

Application of large radiation sources in chemical processing industry

International Nuclear Information System (INIS)

Krishnamurthy, K.

1977-01-01

Large radiation sources and their application in chemical processing industry are described. A reference has also been made to the present developments in this field in India. Radioactive sources, notably 60 Co, are employed in production of wood-plastic and concrete-polymer composites, vulcanised rubbers, polymers, sulfochlorinated paraffin hydrocarbons and in a number of other applications which require deep penetration and high reliability of source. Machine sources of electrons are used in production of heat shrinkable plastics, insulation materials for cables, curing of paints etc. Radiation sources have also been used for sewage hygienisation. As for the scene in India, 60 Co sources, gamma chambers and batch irradiators are manufactured. A list of the on-going R and D projects and organisations engaged in research in this field is given. (M.G.B.)

Status of electron beam processing technology in Malaysia

International Nuclear Information System (INIS)

Ghazali, Zulkafli; Dahlan, Khairul Zaman; Aiasah, S.H.; Khomsaton, A.B.; Ting, T.M.

2003-01-01

The electron beam processing in Malaysia starting in 1991 at MINT (Malaysian Institute for Nuclear Technology Research) has been focussed on medical product sterilization, curing of surface coating and polymer modifications. Subsequent installation of accelerators by private companies promoted the development of radiation processing technologies for the use of production of heat-shrinkable products, pilot-scale flue gas purification, as well as wires, cables, tubes and hydrogels. Decomposition of a wide range of volatile organic compounds from industrial exhausts (car painting lines, volatile dioxin and furan from municipal waste incinerators) and purification of liquid wastewater and drinking water are also being under R and D work. Malaysia will continue to play an active part in the program on radiation technology to strengthen environmentally sustainable development in line with FNCA objectives. (S. Ohno)

Application of EB in Japan

International Nuclear Information System (INIS)

Sunaga, Hiromi

2003-01-01

Radiation processing using electron beam (EB) facilities other than gamma-ray facilities in Japan is introduced. After briefly presented the features of EB compared with gamma ray, present status of EB application is described. Polymerized materials for use of wire, cable, radial tire, heat shrinkable tube, foam polyethylene, PTFE, battery separator, and adsorbent material are known to be resulting from cross-linking, decomposition, and graft polymerization reactions. Environmental preservation includes electron flue gas treatment in the coal- or oil-fired power plants, research for volatile organic compounds (VOC) and dioxins, as well as wastewater and sludge treatment. Finally activity of JAERI in the related fields is overviewed with the authors prospects for utilization of low energy EB with low cost for surface treatment and functional materials. (S. Ohno)

Application of EB in Japan

Energy Technology Data Exchange (ETDEWEB)

Sunaga, Hiromi [Japan Atomic Energy Research Inst., Takasaki, Gunma (Japan). Takasaki Radiation Chemistry Research Establishment

2003-02-01

Radiation processing using electron beam (EB) facilities other than gamma-ray facilities in Japan is introduced. After briefly presented the features of EB compared with gamma ray, present status of EB application is described. Polymerized materials for use of wire, cable, radial tire, heat shrinkable tube, foam polyethylene, PTFE, battery separator, and adsorbent material are known to be resulting from cross-linking, decomposition, and graft polymerization reactions. Environmental preservation includes electron flue gas treatment in the coal- or oil-fired power plants, research for volatile organic compounds (VOC) and dioxins, as well as wastewater and sludge treatment. Finally activity of JAERI in the related fields is overviewed with the authors prospects for utilization of low energy EB with low cost for surface treatment and functional materials. (S. Ohno)

Ammonium detection by formation of colored zebra-bands in a detecting tube.

Science.gov (United States)

Hori, Tatsuaki; Niki, Keizou; Kiso, Yoshiaki; Oguchi, Tatsuo; Kamimoto, Yuki; Yamada, Toshiro; Nagai, Masahiro

2010-06-15

Ammonium ion was colorized by means of a diazo coupling reaction with 2-phenylphenol, where the color development reaction was conducted within 3min by using boric acid as a catalyst. The resulting colored solution (0.5ml) was supplied by suction to a detecting tube consisting of a nonwoven fabric test strip (2mm wide, 1mm thick, 150mm long) impregnated with benzylcetyldimethylammonium chloride in a stripe pattern and enclosed in a heat-shrinkable tube. When the colored solution was supplied to the detecting tube, blue zebra-bands formed, and the ammonium concentration was determined by counting the number of zebra-bands. The detection range was 1-20mg-Nl(-1). Ammonium ion in actual domestic wastewater samples was successfully detected by means of this method.

Use of hot set and gel content test in QA/QC for irradiation of commercial products

International Nuclear Information System (INIS)

Ruzalina Baharin; Siti Aiasah Hashim; Zulkafli Ghazali; Zarina Mohd Noor

2006-01-01

Currently, irradiation of polyolefin heat shrinkable tube is the main commercial activity at Alurtron. Other products include medical devices and cosmetic products. As required by the quality management system, ISO 9001:2000, Alurtron is responsible to ensure that customer received their irradiation dose as requested. At present two test methods are employed namely, hot set and gel content measurement to verify received dose . Hot set test is a physical test to determine longitudinal shrinkage of the irradiated products. Whereas gel content measurement determine to certain extend the degree of crosslinking occurred in polymeric material upon irradiation, in the customer products. Both test are routinely used to cross-check the dose required by customer. This paper outlines the correlation between hot set and gel content measurement of customer products. (Author)

Vertical sleeve gastrectomy reduces blood pressure and hypothalamic endoplasmic reticulum stress in mice

Directory of Open Access Journals (Sweden)

Anne K. McGavigan

2017-03-01

Full Text Available Bariatric surgery, such as vertical sleeve gastrectomy (VSG, causes remarkable improvements in cardiometabolic health, including hypertension remission. However, the mechanisms responsible remain undefined and poorly studied. Therefore, we developed and validated the first murine model of VSG that recapitulates the blood pressure-lowering effect of VSG using gold-standard radiotelemetry technology. We used this model to investigate several potential mechanisms, including body mass, brain endoplasmic reticulum (ER stress signaling and brain inflammatory signaling, which are all critical contributors to the pathogenesis of obesity-associated hypertension. Mice fed on a high-fat diet underwent sham or VSG surgery and radiotelemeter implantation. Sham mice were fed ad libitum or were food restricted to match their body mass to VSG-operated mice to determine the role of body mass in the ability of VSG to lower blood pressure. Blood pressure was then measured in freely moving unstressed mice by radiotelemetry. VSG decreased energy intake, body mass and fat mass. Mean arterial blood pressure (MAP was reduced in VSG-operated mice compared with both sham-operated groups. VSG-induced reductions in MAP were accompanied by a body mass-independent decrease in hypothalamic ER stress, hypothalamic inflammation and sympathetic nervous system tone. Assessment of gut microbial populations revealed VSG-induced increases in the relative abundance of Gammaproteobacteria and Enterococcus, and decreases in Adlercreutzia. These results suggest that VSG reduces blood pressure, but this is only partly due to the reduction in body weight. VSG-induced reductions in blood pressure may be driven by a decrease in hypothalamic ER stress and inflammatory signaling, and shifts in gut microbial populations.

Barium swallow for hiatal hernia detection is unnecessary prior to primary sleeve gastrectomy.

Science.gov (United States)

Goitein, David; Sakran, Nasser; Rayman, Shlomi; Szold, Amir; Goitein, Orly; Raziel, Asnat

2017-02-01

Hiatal hernia (HH) is common in the bariatric population. Its presence imposes various degrees of difficulty in performing laparoscopic sleeve gastrectomy (LSG). Preoperative upper gastrointestinal evaluation consists of fluoroscopic and or endoscopic studies OBJECTIVES: To evaluate the efficacy of routine, preoperative barium swallow in identifying HH in patients undergoing LSG, and determine if such foreknowledge changes operative and immediate postoperative course regarding operative time, intraoperative adverse events, and length of hospital stay (LOS). In addition, to quantify HH prevalence in these patients and correlate preoperative patient characteristics with its presence. High-volume bariatric practice in a private hospital in Israel METHODS: Retrospective analysis of prospectively collected data between October 2010 and March 2015: anthropometrics, co-morbidities, previous barium swallow, preoperative HH workup (type and result), operative and immediate postoperative course. Primary LSG was performed in 2417 patients. The overall prevalence of HH was 7.3%. Preoperative diagnosis of gastroesophageal reflux disease and female gender were independent risk factors for HH presence. Operative times were significantly longer when HH was concomitantly repaired but "foreknowledge" thereof did not assist in shortening this time. Looking for an HH that was suggested in preoperative upper gastrointestinal evaluation slightly prolonged surgery. LOS was not changed in a significant fashion by HH presence and repair, whether suspected or incidentally found. Routine, pre-LSG barium swallow does not seem to offer an advantage over selective intraoperative hiatal exploration, in the discovery and management of HH. Conversely, when preoperative workup yields a false-positive result, surgery is slightly prolonged. Copyright © 2016 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Differences in the heat stress associated with white sportswear and being semi-nude in exercising humans under conditions of radiant heat and wind at a wet bulb globe temperature of greater than 28 °C

Science.gov (United States)

Tsuji, Michio; Kume, Masashi; Tuneoka, Hideyuki; Yoshida, Tetsuya

2014-08-01

This study investigated whether wearing common white sportswear can reduce heat stress more than being semi-nude during exercise of different intensities performed under radiant heat and wind conditions, such as a hot summer day. After a 20-min rest period, eight male subjects performed three 20 min sessions of cycling exercise at a load intensity of 20 % or 50 % of their peak oxygen uptake (VO2peak) in a room maintained at a wet bulb globe temperature (WBGT) of 28.7 ± 0.1 °C using two spot lights and a fan (0.8 m/s airflow). Subjects wore common white sportswear (WS) consisting of a long-sleeved shirt (45 % cotton and 55 % polyester) and short pants (100 % polyester), or only swimming pants (SP) under the semi-nude condition. The mean skin temperature was greater when subjects wore SP than WS under both the 20 % and 50 % exercise conditions. During the 50 % exercise, the rating of perceived exertion (RPE) and thermal sensation (TS), and the increases in esophageal temperature (ΔTes) and heart rate were significantly higher ( P < 0.001-0.05), or tended to be higher ( P < 0.07), in the WS than SP trials at the end of the third 20-min exercise session. The total sweat loss ( m sw,tot) was also significantly higher in the WS than in the SP trials ( P < 0.05). However, during the 20 % exercise, the m sw,tot during exercise, and the ΔTes, RPE and TS at the end of the second and third sessions of exercise did not differ significant between conditions. The heat storage (S), calculated from the changes in the mean body temperature (0.9Tes + 0.1 ), was significantly lower in the WS trials than in the SP trials during the 20 min resting period before exercise session. However, S was similar between conditions during the 20 % exercise, but was greater in the WS than in the SP trials during 50 % exercise. These results suggest that, under conditions of radiant heat and wind at a WBGT greater than 28 °C, the heat stress associated with wearing common WS is similar to that

Metabolic, behavioral, and reproductive effects of vertical sleeve gastrectomy in an obese rat model of polycystic ovary syndrome.

Science.gov (United States)

Ressler, Ilana B; Grayson, Bernadette E; Seeley, Randy J

2014-06-01

Polycystic ovary syndrome (PCOS) is the most common endocrinopathy affecting women of reproductive age. Its clinical expression is diverse, including metabolic, behavioral, and reproductive effects, with many affected by obesity and decreased quality of life. Women with PCOS who have undergone surgically induced weight loss have reported tremendous benefit, not only with weight loss, but also improvement of hyperandrogenism and menstrual cyclicity. In a rat model of PCOS achieved via chronic administration of dihydrotestosterone (DHT) exposure, we investigated the ability of bariatric surgery, specifically vertical sleeve gastrectomy (VSG), to ameliorate the metabolic, behavioral, and reproductive abnormalities invoked by this PCOS model. We found that DHT treatment combined with exposure to a high-fat diet resulted in increased body weight and body fat, impaired fasting glucose, hirsutism, anxiety, and irregular cycles. VSG resulted in reduced food intake, body weight, and adiposity with improved fasting glucose and triglycerides. VSG induced lower basal corticosterone levels and attenuated stress responsivity. Once the DHT levels decreased to normal, regular estrous cyclicity was also restored. VSG, therefore, improved PCOS manifestations in a comprehensive manner and may represent a potential therapeutic approach for specific aspects of PCOS.

Role of ursodeoxycholic acid in the prevention of gallstone formation after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Abdallah, Emad; Emile, Sameh Hany; Elfeki, Hossam; Fikry, Mohamed; Abdelshafy, Mahmoud; Elshobaky, Ayman; Elgendy, Hesham; Thabet, Waleed; Youssef, Mohamed; Elghadban, Hosam; Lotfy, Ahmed

2017-07-01

Postoperative cholelithiasis (CL) is a latent complication of bariatric surgery. The aim of this study was to evaluate the role of ursodeoxycholic acid (UDCA) in the prevention of CL after laparoscopic sleeve gastrectomy (LSG). This was a retrospective analysis of the prospectively collected data of patients with morbid obesity who underwent LSG. Patients were subdivided into two groups: Group I, which did not receive prophylactic treatment with UCDA after LSG; and Group II, which received UCDA therapy for 6 months after LSG. Patients' characteristics, operation duration, weight loss data, and incidence of CL at 6 and 12 months postoperatively were collected. A total of 406 patients (124 males, 282 females) with a mean age of 32.1 ± 9.4 years were included. The mean baseline body mass index (BMI) was 50.1 ± 8.3 kg/m 2 . Group I comprised 159 patients, and Group II comprised 247 patients. The two groups showed comparable demographics, % excess weight loss (EWL), and decrease in BMI at 6 and 12 months after LSG. Eight patients (5%) developed CL in Group I, whereas no patients in Group II did (P = 0.0005). Preoperative dyslipidemia and rapid loss of excess weight within the first 3 months after LSG were the risk factors that significantly predicted CL postoperatively. The use of UCDA effectively reduced the incidence of CL after LSG in patients with morbid obesity. Dyslipidemia and rapid EWL in the first 3 months after LSG significantly predisposed patients to postoperative CL.

Florida Sleeve Procedure Is Durable and Improves Aortic Valve Function in Marfan Syndrome Patients.

Science.gov (United States)

Aalaei-Andabili, Seyed Hossein; Martin, Tomas; Hess, Philip; Klodell, Charles; Karimi, Ashkan; Arnaoutakis, George; Lee, Teng; Beaver, Thomas

2017-09-01

The Florida sleeve (FS) procedure was developed as a simplified approach for repair of functional type I aortic insufficiency secondary to aortic root aneurysm. We evaluated postoperative aortic valve function, long-term survival, and freedom from reoperation in Marfan syndrome patients who underwent the FS procedure at our center. All Marfan syndrome patients undergoing FS procedure from May 2002 to December 2014 were included. Echocardiography assessment included left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD), ejection fraction, and degree of aortic insufficiency (none = 0, minimal = 1, mild = 2, moderate = 3, severe = 4). Social Security Death Index and primary care physicians' report were used for long-term follow-up. Thirty-seven Marfan syndrome patients, 21 (56.8%) men and 16 (43%) women with mean age of 35.08 ± 13.45 years underwent FL repair at our center. There was no in-hospital or 30-day death or stroke. Two patients required reoperation due to bleeding. Patients' survival rate was 94% at 1 to 8 years. Freedom from reoperation was 100% at 8 years. Twenty-five patients had postoperative follow-up echocardiography at 1 week. Aortic insufficiency grade significantly decreased after the procedure (preoperative mean ± SD: 1.76 ± 1.2 versus 1-week postoperative mean ± SD: 0.48 ± 0.71, p Marfan syndrome patients with immediate improvement in aortic valve function. Long-term survival and freedom from reoperation rates are encouraging. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Age is not associated with increased surgical complications in patients after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Jędrzejewski, Emil; Liszka, Maciej; Maciejewski, Marcin; Kowalewski, Piotr K; Walędziak, Maciej; Paśnik, Krzysztof; Janik, Michał R

2018-03-01

Age is considered as a risk factor in bariatric surgery. The observation was made on the basis of results from studies where patients underwent different type of surgery, but laparoscopic sleeve gastrectomy (LSG) was not among them. It is necessary to reevaluate the association of age with adverse events in the group of patients after LSG. To investigate the association of age with surgery-related adverse events in patients after LSG. Retrospective analysis of medical data was performed. The study involved 345 patients who underwent LSG in our institution between January 2013 and December 2014. The patients were subdivided by age into four groups according to quartiles. In 30-day follow-up adverse events were evaluated. We considered the presence of the following events as the endpoint of our study: death, medical events and surgical events. In general, we observed adverse events in 36 (10.4%) patients. The mortality rate in our study was 0.59%. Nineteen events were surgical and 18 medical. In 1 patient a surgical event was associated with a medical event. Bleeding was the most common surgical event and was observed in 17 (4.9%) cases. Age was not associated with surgical events (OR = 1.032, 95% CI: 0.991-1.075, p = 0.33) or medical events (OR = 0.997, 95% CI: 0.956-1.039, p = 0.89). The LSG is a safe bariatric procedure with low mortality. Bleeding is the most frequent surgical complication. Our findings suggest that age is not associated with increased risk of surgical or medical adverse events after LSG.

Is type 2 diabetes really resolved after laparoscopic sleeve gastrectomy? Glucose variability studied by continuous glucose monitoring.

Science.gov (United States)

Capoccia, D; Coccia, F; Guida, A; Rizzello, M; De Angelis, F; Silecchia, G; Leonetti, F

2015-01-01

The study was carried out on type 2 diabetic obese patients who underwent laparoscopic sleeve gastrectomy (LSG). Patients underwent regular glycemic controls throughout 3 years and all patients were defined cured from diabetes according to conventional criteria defined as normalization of fasting glucose levels and glycated hemoglobin in absence of antidiabetic therapy. After 3 years of follow-up, Continuous Glucose Monitoring (CGM) was performed in each patient to better clarify the remission of diabetes. In this study, we found that the diabetes resolution after LSG occurred in 40% of patients; in the other 60%, even if they showed a normal fasting glycemia and A1c, patients spent a lot of time in hyperglycemia. During the oral glucose tolerance test (OGTT), we found that 2 h postload glucose determinations revealed overt diabetes only in a small group of patients and might be insufficient to exclude the diagnosis of diabetes in the other patients who spent a lot of time in hyperglycemia, even if they showed a normal glycemia (<140 mg/dL) at 120 minutes OGTT. These interesting data could help clinicians to better individualize patients in which diabetes is not resolved and who could need more attention in order to prevent chronic complications of diabetes.

Heat pipe heat exchangers in heat recovery systems

Energy Technology Data Exchange (ETDEWEB)

Stulc, P; Vasiliev, L L; Kiseljev, V G; Matvejev, Ju N

1985-01-01

The results of combined research and development activities of the National Research Institute for Machine Design, Prague, C.S.S.R. and the Institute for Heat and Mass Transfer, Minsk, U.S.S.R. concerning intensification heat pipes used in heat pipe heat exchangers are presented. This sort of research has been occasioned by increased interest in heat power economy trying to utilise waste heat produced by various technological processes. The developed heat pipes are deployed in construction of air-air, gas-air or gas-gas heat recovery exchangers in the field of air-engineering and air-conditioning. (author).

A study on the development of repair procedure for gas pipelines

Energy Technology Data Exchange (ETDEWEB)

Kim, W S; Kim, Y P; Baek, J H [R and D Center, Korea Gas Corporation, Ansan (Korea)

1999-06-01

In the buried natural gas pipelines, many defects may occur by construction faults, corrosion, third-party interference and ground movement. When a segment of a pipeline is found to be defective, one of the repair methods is to remove its contents and cut out the defective segment after shutting down the pipeline. However, the cost is extremely high in terms of venting and disrupting the gas supply. Therefore, most pipeline companies have developed in-service repair methods without removing the line from service. In general, in order to avoid removing the line from service, direct deposition of weld metal, full-encirclement sleeve, patches, stopple fittings, half-sole and branch connections are required. There are three important concerns in the sleeve-repair welding like other methods of in-service repair-welding. The first concern is the possibility of burn-through which is due to the localized heating and loss of meterial strength on the inner surface of pipe during the welding process. The pipe wall may burst under internal pressure if the loss in strength is too great. The second concern is the high cooling rates by the flowing gas which quickly removes heat from the pipe wall, resulting in accelerated cooling of the weld. Such rapid cooling rates promote the formation of hard heat affected zone microstructure making these welds susceptible to hydrogen cracking. The third concern is for the load carrying ability, such as tensile strength, fracture toughness and fatigue strength. This study was taken to investigate the effect of in-service welding conditions and assess the mechanical properties for the direct deposition welding and sleeve-repair welding of in-service gas pipelines and develope the welding procedure specification for in-service pipeline repair. 81 figs., 40 tabs.

Radiation cross-linked plastics: a versatile material solution for packaging, automotive, Electrotechnic and Electronics

International Nuclear Information System (INIS)

Rouif, Sophie

2004-01-01

Used since the beginning of the 1970s for the production of halogen-free and heat-resistant cables and wires, for conditioning polyethylene hot-water pipes or for the manufacture of heat shrinkable tubes and of tyres, radiation cross-linking is developing fastly today on the scale of plastic-moulded parts, and not only by the mean of EB, but also under gamma rays. Indeed, it improves considerably the performances of a great number of plastics among thermoplastics, elastomers and thermoplastic elastomers (TPE). Radiation cross-linking reinforces the dimensional stability of polymers in chemically aggressive and high-temperature conditions. Radiation cross-linked-based engineering plastics offers OEM and end users in many branches of industry both technical and economical advantages in comparison with high-performances plastics. They constitute a technical and economical compromise between engineering plastics that failed and high-performances plastic, often over-tailored and expensive. This modern industrial technology gives way to new applications and perspectives in various sectors (packaging, automotive, electrotechnic and electronics, including connectors, surface-mounted devices, integrated circuits, 3D-MID, etc.) that are described in the paper

Application of functional polymers synthesized by radiation

International Nuclear Information System (INIS)

Yoshii, Fumio

2005-01-01

It was found that polysaccharide derivatives undergo crosslinking under ionization irradiation at high concentration - so called 'paste-like' conditions. The crosslinking behavior of carboxymethylcellulose (CMC) was largely affected by concentration and degree of substitution (DS). The concentration of 20-30% for DS 1.3 and 50 - 60% for DS 2.2 were the most effective for crosslinking of CMC. Bedsore prevention mat filled up with CMC soft hydrogel crosslinked by irradiation at a paste-like condition was applied as a health care product. It was conformed that CMC dry gel is effective as an absorber of water, even up to 60-70% in order to carry out fermentation effectively of original excrement from livestock, which include 90% of water. Polylactic acid (PLA) irradiated in the presence of polyfunctional monomer (PFM), triallyisocyanurate (TAIC) results in crosslinking. The crosslinked PLA possesses such properties as biodegradability, transparency, high heat-stability and it can be use as heat-shrinkable tubes. Radiation crosslinked poly (vinyl alcohol) hydrogel was applied as wound healing dressing material and it was commercialized since July 2004. (author)

Containers for the transport of radioactive materials

International Nuclear Information System (INIS)

Bochard, C.

1975-01-01

The container for heat evolving radioactive materials has a metallic outer casing formed with outwardly projecting heat dissipating or cooling members, such as pins or fins, while each of its ends is formed with a flat flange which extends radially beyond the outer ends of the cooling members. A perforated wall extends between the flanges to define with same and with the periphery of the outer casing an annular space within which the cooling members are enclosed. This perforated wall is adapted to support a flexible covering sleeve the ends of which are clamped by inflatable seals between the periphery of the flanges and outer rings removably secured to the latter. Spraying means are provided within the aforesaid space to permit of projecting an uncontaminated liquid on the cooling members to cool the container before and/or while the latter is immersed in a loading and unloading pond with the sleeve mounted in position. The lower flange is provided with liquid collecting and evacuating means and compressed air may be injected into the said space to force the collected liquid outwardly. (auth)

Formal Nutritional Education Improves Weight Loss in Bariatric Patients Following Laparoscopic Sleeve Gastrectomy.

Science.gov (United States)

Mangieri, Christopher Wesley; Strode, Matthew A

2016-12-01

Laparoscopic sleeve gastrectomy (LSG) is an increasingly performed procedure in the bariatric surgery armamentarium. This study evaluates our experience with LSG at Dwight D. Eisenhower Army Medical Center (DDEAMC) during the time period of 2008-2010. We found that the inclusion of formal nutritional education significantly increased our weight loss results following LSG. This is a retrospective review from our LSG caseload from 2008 to 2010. During that time, we performed 159 LSG. In our review, we performed comparative data of all operative years during 2008-2010 for up to 3 years postoperatively. Our main focus was in regard to weight loss as measured by percentage of excess body weight loss (%EWL), percentage of total weight loss (%TWL), and percentage of excess BMI loss (%EBL). We also evaluated the effect of LSG on diabetes mellitus (DM) and hypertension (HTN) postoperatively. We found an improvement in our %EWL, %TWL, and %EBL rates in our LSG cases following the inclusion of formal nutritional education. There was a mean increase in %EWL of 15 %, %TWL of 7 %, and %EBL of 21 %, which were statistically significant, that was present at all postoperative years of follow-up. We determined the only variable that changed in our bariatric program starting in 2010 was the inclusion of formal nutritional education. We also found a statistically significant improvement in resolution of HTN with the inclusion of formal nutritional education. The addition of formal nutritional education can enhance weight loss following bariatric surgery. We have shown a significant improvement in weight loss results following LSG with the implementation of formal nutritional education; this is the only study to our knowledge evaluating formal nutritional education and LSG.

Heat pipe heat storage performance

Energy Technology Data Exchange (ETDEWEB)

Caruso, A; Pasquetti, R [Univ. de Provence, Marseille (FR). Inst. Universitaire des Systemes; Grakovich, L P; Vasiliev, L L [A.V. Luikov Heat and Mass Transfer Inst. of the BSSR, Academy of Sciences, Minsk (BY)

1989-01-01

Heat storage offers essential thermal energy saving for heating. A ground heat store equipped with heat pipes connecting it with a heat source and to the user is considered in this paper. It has been shown that such a heat exchanging system along with a batch energy source meets, to a considerable extent, house heating requirements. (author).

Radiation and isotope applications for improving everyday life

International Nuclear Information System (INIS)

Machi, Sueo

2006-01-01

Electron beams are used in industrial scale for removing toxic pollutants of SO 2 and NOx from flue gases of the coal burning power stations in Poland and China. This environmental protection technology was first developed in Japan. Radiation is used for improving food safety. Worldwide more than 70,000 tons of irradiated spices are consumed for better hygiene. Radiation induced mutation breeding is widely used to develop new varieties of plants for improving production yields. Sterile insect technique using radiation is an unique method to eradicate or control insect pests without using chemical insecticides which pollute environment. In manufacturing industry, radiation crosslinking and/or grafting are extensively used for high quality products such as wires, automobile tires, heat-shrinkable tubes, battery separators and etc. Radiation and isotopes are also effectively used for nuclear medicine and cancer therapy. (author)

Current and future industrial application of electron accelerators in Thailand

International Nuclear Information System (INIS)

Siri-Upathum, Chyagrit

2003-01-01

Industrial applications of electron accelerators in Thailand, first introduced in 1997 for radiation sterilized products such as doctor gown, pampas, feminine napkin etc followed by installation of accelerators, one with energies at 20 MV and the other at 5 MV to produce new value added products like gem stones, topaz, tourmaline and zircon. The machines operate in pulse mode and is also used for irradiation services for food and sterilized products treatment. The need for low and medium energy accelerators in radiation technology is stressed. They are to be used for crosslinking of electrical wire and cable, heat shrinkable materials, low protein concentrated rubber latex, rubber wood furniture and parts, and silk protein degradation. The role of governmental organizations like Nuclear Research Institute (OAEP) and universities in stimulating the utilization of radiation processing in Thailand is strengthened. (S. Ohno)

Current and future industrial application of electron accelerators in Thailand

Energy Technology Data Exchange (ETDEWEB)

Siri-Upathum, Chyagrit [Chulalongkorn Univ., Faculty of Engineering, Bangkok (Thailand)

2003-02-01

Industrial applications of electron accelerators in Thailand, first introduced in 1997 for radiation sterilized products such as doctor gown, pampas, feminine napkin etc followed by installation of accelerators, one with energies at 20 MV and the other at 5 MV to produce new value added products like gem stones, topaz, tourmaline and zircon. The machines operate in pulse mode and is also used for irradiation services for food and sterilized products treatment. The need for low and medium energy accelerators in radiation technology is stressed. They are to be used for crosslinking of electrical wire and cable, heat shrinkable materials, low protein concentrated rubber latex, rubber wood furniture and parts, and silk protein degradation. The role of governmental organizations like Nuclear Research Institute (OAEP) and universities in stimulating the utilization of radiation processing in Thailand is strengthened. (S. Ohno)

A New Algorithm to Reduce the Incidence of Gastroesophageal Reflux Symptoms after Laparoscopic Sleeve Gastrectomy.

Science.gov (United States)

Ece, Ilhan; Yilmaz, Huseyin; Acar, Fahrettin; Colak, Bayram; Yormaz, Serdar; Sahin, Mustafa

2017-06-01

Laparoscopic sleeve gastrectomy (LSG) is one of the most prefered treatment option for morbid obesity. However, the effects of LSG on gastroesophageal reflux disease (GERD) are controversial. Asymptomatic GERD and hiatal hernia (HH) is common in obese patients. Therefore, it is important to identify the high risk patients prior to surgery. This study aims to evaluate efficacy of cruroplasty for HH during LSG in morbidly obese patients using ambulatory pH monitoring (APM) results, and to investigate the patients' selection criteria for this procedure. This retrospective study includes outcomes of 59 patients who underwent LSG and HH repair according to our patient selection algorithm. Outcomes included preoperative GERD Health-Related Quality of Life (GERD-HRQL) questionnaire, APM results, percentage of postoperative excess weight loss, and total weight loss. For a total of 402 patients, APM was applied in 70 patients who had a positive score of GERD-HRQL, and 59 patients underwent LSG and concomitant HH repair who had a DeMeester score of 14.7% or above. There was no statistically significant difference in weight loss at 6 and 12-month follow-up. Two patients (3.3%) had symptoms of GERD at 12 months postoperatively, and only one (1.6%) patient required treatment of proton pump inhibitor for reflux. In the total cohort, 11 (2.7%) patients also evolved de novo GERD symptoms. This study confirm that careful attention to patient selection and surgical technique can reduce the symptoms of GERD at short-term. Routine bilateral crus exploration could be a major risk factor of postoperative GERD.

Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy with Concomitant Hiatal Hernia Repair: an Unresolved Question.

Science.gov (United States)

Dakour Aridi, Hanaa; Asali, Mohammad; Fouani, Tarek; Alami, Ramzi S; Safadi, Bassem Y

2017-11-01

The effectiveness of the concomitant repair of hiatal hernia (HHR) during laparoscopic sleeve gastrectomy (LSG) in reducing gastroesophageal reflux disease (GERD) symptoms is still unclear. The aim of this study is to assess the effect of concomitant HHR on postoperative GERD symptoms in our patient population. A retrospective review of patients who underwent LSG with or without HHR between 2011and 2014 was performed. Pre- and postoperative GERD symptoms were assessed at different time intervals until a maximum of 2 years after the surgery. The study included 165 patients; 76 (46%) underwent LSG with concomitant HHR (group A) while the rest underwent only LSG (group B). Baseline GERD complaints were more prevalent in group A (61.8 vs 41.6%, p = 0.04), in which 44 patients (57.9%) had evidence of hiatal hernia on preoperative EGD. In the remaining 32 patients, it was diagnosed intraoperatively. GERD symptoms did not significantly differ between the two groups after years 1 and 2. GERD remission was observed in 21.3% of the 76 patients who underwent concomitant HHR (group A) and in 29.7% of those who did not (group B) while new-onset GERD symptoms were reported in 12 patients (41.4%) in group A and in 24 patients (46.2%) in group B. Routine HHR at the time of LSG does not show an improvement in GERD symptoms. More prospective studies are needed to clarify the role of the routine dissection, identification, and repair of concomitant hiatal hernia during LSG.

Long-Term Results of Laparoscopic Sleeve Gastrectomy for Morbid Obesity: 5 to 8-Year Results.

Science.gov (United States)

Gadiot, Ralph P M; Biter, L Ulas; van Mil, Stefanie; Zengerink, Hans F; Apers, J; Mannaerts, Guido H H

2017-01-01

Although long-term results of sleeve gastrectomy (LSG) remain scarce in the literature, its popularity as a stand-alone procedure has accounted for a global increase in LSG performance. In this retrospective study, the authors present 5 to 8-year follow-up results in terms of weight loss, failure/revision rate, and comorbidity resolution from a single center. A prospectively maintained database was reviewed for patients who underwent LSG between 2007 and 2010. Data analysis on weight loss, comorbid conditions, revision surgery, and mortality was conducted. Median percentage excess BMI loss (%EBMIL) was 59.0, and 53.9 %, and median percentage total weight loss (%TWL) was 25.1, and 22.9 % at 5 and 8 years, respectively. Revision to gastric bypass due to insufficient weight loss or gastroesophageal reflux disease (GERD) was performed in 42 patients (15.2 %). Resolution of comorbid condition was achieved in 91 % of patients with obstructive sleep apnea syndrome (OSAS), 68 % of patients with type 2 diabetes (T2DM), 53 % of patients with hypertension, and 25 % of patients with dyslipedemia. Loss to follow-up rate was 45 % at 5 years, 28 % at 6 years, 23 % at 7 years, and 13 % at 8 years. This study adds to the currently available data confirming the LSG to be a safe and effective procedure at long term. Data from high-volume studies are needed to establish the definite role of the LSG in the spectrum of bariatric procedures.

The role of proximal versus distal stomach resection in the weight loss seen after vertical sleeve gastrectomy

Science.gov (United States)

Kulkarni, Bhushan V.; LaSance, Kathleen; Sorrell, Joyce E.; Lemen, Lisa; Woods, Stephen C.; Seeley, Randy J.

2016-01-01

The mechanisms involved in the weight loss seen after vertical sleeve gastrectomy (VSG) are not clear. The rat stomach has two morphologically and functionally distinct proximal and distal parts. The rat model for VSG involves complete removal of the proximal part and 80% removal of the distal part along the greater curvature. The purpose of this study was to understand the potential independent contributions of removal of these distinct gastric sections to VSG outcomes. We prepared four surgical groups of male Long-Evans rats: VSG, sham surgery (control), selective proximal section removal (PR), and selective distal section removal (DR). Gastric emptying rate (GER) was highest after VSG compared with all other groups. However, PR, in turn, had significantly greater GER compared with both DR and sham groups. The surgery-induced weight loss followed the same pattern with VSG causing the greatest weight loss and PR having greater weight loss compared with DR and sham groups. The results were robust for rats fed regular chow or a high-fat diet. Body mass analysis revealed that the weight loss was due to the loss of fat mass, and there was no change in lean mass after the surgeries. In conclusion, removal of the proximal stomach contributes to most, but not all, of the physiological impact of VSG. PMID:27581811

Results of More Than 11,800 Sleeve Gastrectomies: Data Analysis of the German Bariatric Surgery Registry.

Science.gov (United States)

Stroh, Christine; Köckerling, Ferdinand; Volker, Lange; Frank, Benedix; Stefanie, Wolff; Christian, Knoll; Christiane, Bruns; Thomas, Manger

2016-05-01

Laparoscopic sleeve gastrectomy (SG) is an upcoming procedure in bariatric surgery and is currently performed worldwide. Staple line leakage, as the most frequent and most feared complication, is still a major concern. Since 2005 data from patients undergoing bariatric procedures in Germany have been prospectively registered in an online database and analyzed. All patients who had undergone primary SG within a 7-year period were considered for analysis. Using the German Bariatric Surgery Registry, data from more than 11,800 SGs were collected between January 1, 2005, and December 31, 2013. Staple line leak rate decreased from 6.5% to 1.4%. Male sex, higher body mass index, concomitant sleep apnea, conversion to laparotomy, longer operation time, a combination of buttresses and oversewing, and the occurrence of intraoperative complications were associated with a significantly higher leakage rate compared with when using either buttresses or oversewing alone. On multivariable analysis, operation time and year of procedure only had a significant impact on staple line leakage rate. Owing to the growing experience a constant decrease in the leakage rate after SG has been observed. Staple line disruption may still lead to sepsis, multiorgan dysfunction, and increased mortality. The results of the current study demonstrated that there are factors that increase the risk of leakage and which would enable surgeons to define risk groups, select patients more carefully, and offer closer follow-up during the postoperative course with early recognition and adequate treatment.

Evaluation of insulin resistance improvement after laparoscopic sleeve gastrectomy or gastric bypass surgery with HOMA-IR.

Science.gov (United States)

Zhu, Yubing; Sun, Zhipeng; Du, Yanmin; Xu, Guangzhong; Gong, Ke; Zhu, Bin; Zhang, Nengwei

2017-01-01

Our purpose was to explore the remission of insulin resistance after bariatric surgery to discover the mechanism of diabetes remission excluding dietary factors. A retrospective case control study was conducted on patients with type 2 diabetes, who underwent laparoscopic sleeve gastrectomy (LSG) or laparoscopic gastric bypass surgery (LGB) in Beijing Shijitan Hospital from April 1, 2012 to April 1, 2013. The laboratory and anthropometric data was analyzed pre-surgery and during a 2-year follow-up. HOMA-IR was calculated and evaluated. The two surgical procedures were compared. No significant difference in complete remission rate was observed between the two groups (LGB group: 62.1%, LSG group: 60.0%, p = 0.892). HOMA-IR was reduced to a stable level at the 3 rd month after surgery. The cut-off value of HOMA-IR was 2.38 (sensitivity: 0.938, specificity: 0.75) and 2.33 (sensitivity: 0.941, specificity: 0.778) respectively for complete remission after LSG or LGB surgery. Insulin resistance was improved while GLP-1 and Ghrelin was changed significantly in patients with type 2 diabetes prior to weight loss either in the LSG or LGB group. HOMA-IR decreased to less than the cut-off value at the 3 rd month and was closely related to complete remission. The mechanism of bariatric surgery was not due just to simply dietary factors or body weight loss but also the remission of insulin resistance.

Heat pipes and heat pipe exchangers for heat recovery systems

Energy Technology Data Exchange (ETDEWEB)

Vasiliev, L L; Grakovich, L P; Kiselev, V G; Kurustalev, D K; Matveev, Yu

1984-01-01

Heat pipes and heat pipe exchangers are of great importance in power engineering as a means of recovering waste heat of industrial enterprises, solar energy, geothermal waters and deep soil. Heat pipes are highly effective heat transfer units for transferring thermal energy over large distance (tens of meters) with low temperature drops. Their heat transfer characteristics and reliable working for more than 10-15 yr permit the design of new systems with higher heat engineering parameters.

Heat pipes in modern heat exchangers

International Nuclear Information System (INIS)

Vasiliev, Leonard L.

2005-01-01

Heat pipes are very flexible systems with regard to effective thermal control. They can easily be implemented as heat exchangers inside sorption and vapour-compression heat pumps, refrigerators and other types of heat transfer devices. Their heat transfer coefficient in the evaporator and condenser zones is 10 3 -10 5 W/m 2 K, heat pipe thermal resistance is 0.01-0.03 K/W, therefore leading to smaller area and mass of heat exchangers. Miniature and micro heat pipes are welcomed for electronic components cooling and space two-phase thermal control systems. Loop heat pipes, pulsating heat pipes and sorption heat pipes are the novelty for modern heat exchangers. Heat pipe air preheaters are used in thermal power plants to preheat the secondary-primary air required for combustion of fuel in the boiler using the energy available in exhaust gases. Heat pipe solar collectors are promising for domestic use. This paper reviews mainly heat pipe developments in the Former Soviet Union Countries. Some new results obtained in USA and Europe are also included

Portal vein thrombosis after laparoscopic sleeve gastrectomy: presentation and management.

Science.gov (United States)

Belnap, LeGrand; Rodgers, George M; Cottam, Daniel; Zaveri, Hinali; Drury, Cara; Surve, Amit

2016-12-01

Portal vein thrombosis (PVT) is a serious problem with a high morbidity and mortality, often exceeding 40% of affected patients. Recently, PVT has been reported in patients after laparoscopic sleeve gastrectomy (LSG). The frequency is surprisingly high compared with other abdominal operations. We present a series of 5 patients with PVT after LSG. The treatment was not restricted simply to anticoagulation alone, but was determined by the extent of disease. A distinction is made among nonocclusive, high-grade nonocclusive, and occlusive PVT. We present evidence that systemic anticoagulation is insufficient in occlusive thrombosis and may also be insufficient in high-grade nonocclusive disease. Single private institution, United States. We present a retrospective analysis of 646 patients who underwent LSG between 2012 and 2015. In all patients, the diagnosis was established with an abdominal computed tomography (CT) scan as well as duplex ultrasound of the portal venous system. All patients received systemic anticoagulation. Depending on the extent of disease, thrombolytic therapy and portal vein thrombectomy were utilized. All patients received long-term anticoagulation. Four patients with PVT were identified. A fifth patient with PVT after LSG was referred from another center. The mean age of all patients was 49 years. One patient had a history of deep vein thrombosis (DVT). No complications were identified intraoperatively or during the hospital stay, and all patients were discharged by postoperative day 2. The patients presented with PVT at an average of 20 days (range: 10-35) post-LSG. The CT scan was positive for PVT in all patients. In stable noncirrhotic patients with nonocclusive disease, we administered therapeutic anticoagulation. One patient with high-grade, nonocclusive PVT received anticoagulation alone. Patients with occlusive disease were treated with operative thrombectomy including intraoperative and postoperative thrombolysis (tissue plasminogen

Improved content aware scene retargeting for retinitis pigmentosa patients

Directory of Open Access Journals (Sweden)

Al-Atabany Walid I

2010-09-01

Full Text Available Abstract Background In this paper we present a novel scene retargeting technique to reduce the visual scene while maintaining the size of the key features. The algorithm is scalable to implementation onto portable devices, and thus, has potential for augmented reality systems to provide visual support for those with tunnel vision. We therefore test the efficacy of our algorithm on shrinking the visual scene into the remaining field of view for those patients. Methods Simple spatial compression of visual scenes makes objects appear further away. We have therefore developed an algorithm which removes low importance information, maintaining the size of the significant features. Previous approaches in this field have included seam carving, which removes low importance seams from the scene, and shrinkability which dynamically shrinks the scene according to a generated importance map. The former method causes significant artifacts and the latter is inefficient. In this work we have developed a new algorithm, combining the best aspects of both these two previous methods. In particular, our approach is to generate a shrinkability importance map using as seam based approach. We then use it to dynamically shrink the scene in similar fashion to the shrinkability method. Importantly, we have implemented it so that it can be used in real time without prior knowledge of future frames. Results We have evaluated and compared our algorithm to the seam carving and image shrinkability approaches from a content preservation perspective and a compression quality perspective. Also our technique has been evaluated and tested on a trial included 20 participants with simulated tunnel vision. Results show the robustness of our method at reducing scenes up to 50% with minimal distortion. We also demonstrate efficacy in its use for those with simulated tunnel vision of 22 degrees of field of view or less. Conclusions Our approach allows us to perform content aware video

Heat pumps: heat recovery

Energy Technology Data Exchange (ETDEWEB)

Pielke, R

1976-01-01

The author firstly explains in a general manner the functioning of the heat pump. Following a brief look at the future heat demand and the possibilities of covering it, the various methods of obtaining energy (making use of solar energy, ground heat, and others) and the practical applications (office heating, swimming pool heating etc.) are explained. The author still sees considerable difficulties in using the heat pump at present on a large scale. Firstly there is not enough maintenance personnel available, secondly the electricity supply undertakings cannot provide the necessary electricity on a wide basis without considerable investments. Other possibilities to save energy or to use waste energy are at present easier and more economical to realize. Recuperative and regenerative systems are described.

Cooling via one hand improves physical performance in heat-sensitive individuals with Multiple Sclerosis: A preliminary study

Directory of Open Access Journals (Sweden)

Murray Julie

2008-05-01

Full Text Available Abstract Background Many individuals afflicted with multiple sclerosis (MS experience a transient worsening of symptoms when body temperature increases due to ambient conditions or physical activity. Resulting symptom exacerbations can limit performance. We hypothesized that extraction of heat from the body through the subcutaneous retia venosa that underlie the palmar surfaces of the hands would reduce exercise-related heat stress and thereby increase the physical performance capacity of heat-sensitive individuals with MS. Methods Ten ambulatory MS patients completed one or more randomized paired trials of walking on a treadmill in a temperate environment with and without cooling. Stop criteria were symptom exacerbation and subjective fatigue. The cooling treatment entailed inserting one hand into a rigid chamber through an elastic sleeve that formed an airtight seal around the wrist. A small vacuum pump created a -40 mm Hg subatmospheric pressure enviinside the chamber where the palmar surface of the hand rested on a metal surface maintained at 18–22°C. During the treatment trials, the device was suspended from above the treadmill on a bungee cord so the subjects could comfortably keep a hand in the device without having to bear its weight while walking on the treadmill. Results When the trials were grouped by treatment only, cooling treatment increased exercise durations by 33% (43.6 ± 17.1 min with treatment vs. 32.8 ± 10.9 min. without treatment, mean ± SD, p -6, paired t-test, n = 26. When the average values were calculated for the subjects who performed multiple trials before the treatment group results were compared, cooling treatment increased exercise duration by 35% (42.8 ± 16.4 min with treatment vs. 31.7 ± 9.8 min. without treatment, mean ± SD, p Conclusion These preliminary results suggest that utilization of the heat transfer capacity of the non-hairy skin surfaces can enable temperature-sensitive individuals with MS to

Impact of concomitant laparoscopic sleeve gastrectomy and hiatal hernia repair on gastro-oesophageal reflux disease in morbidly obese patients.

Science.gov (United States)

Garg, Harshit; Vigneshwaran, Balasubiramaniyan; Aggarwal, Sandeep; Ahuja, Vineet

2017-01-01

The aim of this study was to analyse the impact of hiatal hernia repair (HHR) on gastro-oesophageal reflux disease (GERD) in morbidly obese patients with hiatus hernia undergoing laparoscopic sleeve gastrectomy (LSG). It is a retrospective study involving ten morbidly obese patients with large hiatus hernia diagnosed on pre-operative endoscopy who underwent LSG and simultaneous HHR. The patients were assessed for symptoms of GERD using a Severity symptom score (SS) questionnaire and anti-reflux medications. Of the ten patients, five patients had GERD preoperatively. At the mean follow-up of 11.70 ± 6.07 months after surgery, four patients (80%) showed complete resolution while one patient complained of persistence of symptoms. Endoscopy in this patient revealed resolution of esophagitis indicating that the persistent symptoms were not attributable to reflux. The other five patients without GERD remained free of any symptom attributable to GERD. Thus, in all ten patients, repair of hiatal hernia (HH) during LSG led to either resolution of GERD or prevented any new onset symptom related to GER. In morbidly obese patients with HH with or without GERD undergoing LSG, repair of the hiatus hernia helps in amelioration of GERD and prevents any new onset GER. Thus, the presence of HH should not be considered as a contraindication for LSG.

Routine intraoperative leak testing for sleeve gastrectomy: is the leak test full of hot air?

Science.gov (United States)

Bingham, Jason; Lallemand, Michael; Barron, Morgan; Kuckelman, John; Carter, Preston; Blair, Kelly; Martin, Matthew

2016-05-01

Staple line leak after sleeve gastrectomy (SG) is a rare but dreaded complication with a reported incidence of 0% to 8%. Many surgeons routinely test the staple line with an intraoperative leak test (IOLT), but there is little evidence to validate this practice. In fact, there is a theoretical concern that the leak test may weaken the staple line and increase the risk of a postop leak. Retrospective review of all SGs performed over a 7-year period was conducted. Cases were grouped by whether an IOLT was performed, and compared for the incidence of postop staple line leaks. The ability of the IOLT for identifying a staple line defect and for predicting a postoperative leak was analyzed. Five hundred forty-two SGs were performed between 2007 and 2014. Thirteen patients (2.4%) developed a postop staple line leak. The majority of patients (n = 494, 91%) received an IOLT, including all 13 patients (100%) who developed a subsequent clinical leak. There were no (0%) positive IOLTs and no additional interventions were performed based on the IOLT. The IOLT sensitivity and positive predictive value were both 0%. There was a trend, although not significant, to increase leak rates when a routine IOLT was performed vs no routine IOLT (2.6% vs 0%, P = .6). The performance of routine IOLT after SG provided no actionable information, and was negative in all patients who developed a postoperative leak. The routine use of an IOLT did not reduce the incidence of postop leak, and in fact was associated with a higher leak rate after SG. Published by Elsevier Inc.

Optical Coherence Tomography Parameters in Morbidly Obese Patients Who Underwent Laparoscopic Sleeve Gastrectomy

Directory of Open Access Journals (Sweden)

Berna Dogan

2016-01-01

Full Text Available Purpose. To investigate changes in optical coherence tomography parameters in morbidly obese patients who had undergone laparoscopic sleeve gastrectomy (LSG. Methods. A total of 41 eyes of 41 morbidly obese patients (BMI ≥ 40 who had undergone LSG were included in study. The topographic optic disc parameters, central macular thickness (CMT, total macular volume (TMV, and retinal ganglion cell layer (RGCL were measured by spectral-domain optical coherence tomography (SD-OCT. Subfoveal choroidal thickness (SFCT was measured by enhanced deep imaging-optical coherence tomography (EDI-OCT. Results. The mean CMT was 237.4±24.5 μm, 239.3±24.1 μm, and 240.4±24.5 μm preoperatively, 3 months postoperatively, and 6 months postoperatively, respectively (p<0.01. The mean TMV was 9.88±0.52 mm3, 9.96±0.56 mm3, and 9.99±0.56 mm3 preoperatively, 3 months postoperatively, and 6 months postoperatively, respectively (p<0.01. The mean RGCL was 81.2±6.5 μm, 82.7±6.6 μm, and 82.9±6.5 μm preoperatively, 3 months postoperatively, and 6 months postoperatively, respectively (p<0.01. The mean SFCT was 309.8±71.8 μm, 331.0±81.4 μm, and 352.7±81.4 μm preoperatively, 3 months postoperatively, and 6 months postoperatively, respectively (p<0.01. No statistically significant differences were found between the preoperative values and 3- and 6-month postoperative values in rim area (p=0.34, disc area (p=0.64, vertical cup/disc ratio (p=0.39, cup volume (p=0.08, or retinal nerve fiber layer (p=0.90. Conclusions. Morbidly obese patients who undergo LSG experience a statistically significant increase in CMT, TMV, SFCT, and RGCL at 3 months and 6 months after surgery.

Engineered pipeline field joint coating solutions for demanding conditions

Energy Technology Data Exchange (ETDEWEB)

Lwemuchi, Andre L.; Gudme, Carl C.; Buchanan, Robert [Canusa-CPS, Toronto, OT (Canada)

2009-12-19

Trends in the oil and gas pipeline industry see that the demand for new technologies and engineered solutions for pipeline external coatings are increasing. In general, superior mechanical resistance and long term performance are being required in addition to operating at higher temperatures. This demand for more robust coatings has been created because of factors such as more remote fields, deep onshore reservoirs, deep water offshore fields and heavy oil that must be pumped at higher temperatures. The development of new techniques for pipeline construction is also exposing the coatings to more aggressive construction conditions. Because of this, the use of three layer and multi-layer polypropylene mainline coating systems have been growing considerably. Following this trend, the field joint coating manufacturers developed polypropylene systems and more recently had to work on engineered solutions required for recent offshore projects in Europe where very thick polypropylene field joint heat-shrinkable systems were provided. In addition, projects in remote locations such as the recently completed projects in the Brazilian Amazon required special logistics and field services. The growth of the mining industry in South America with slurry pipelines constructed in the recent years also demanded thicker, more robust coatings. The popularization of directional drilling and shore approach applications moved the industry to develop improved abrasion resistant coating systems such as using sacrificial elements to protect the primary coating integrity after the pipeline pull. PETROBRAS plans to replace existing thermally insulated pipelines crossing Great Sao Paulo. Therefore, pumping heavy oil at high temperatures created the need to develop improved mainline and field joint coatings to avoid having the same sort of problems they are facing in existing thermally insulated lines. Due to these needs, the field joint coating manufactures have been challenged to provide

New waste heat district heating system with combined heat and power based on absorption heat exchange cycle in China

International Nuclear Information System (INIS)

Sun Fangtian; Fu Lin; Zhang Shigang; Sun Jian

2012-01-01

A new waste heat district heating system with combined heat and power based on absorption heat exchange cycle (DHAC) was developed to increase the heating capacity of combined heat and power (CHP) through waste heat recovery, and enhance heat transmission capacity of the existing primary side district heating network through decreasing return water temperature by new type absorption heat exchanger (AHE). The DHAC system and a conventional district heating system based on CHP (CDH) were analyzed in terms of both thermodynamics and economics. Compared to CDH, the DHAC increased heating capacity by 31% and increased heat transmission capacity of the existing primary side district heating network by 75%. The results showed that the exergetic efficiency of DHAC was 10.41% higher and the product exergy monetary cost was 36.6¥/GJ less than a CHD. DHAC is an effective way to increase thermal utilization factor of CHP, and to reduce district heating cost. - Highlights: ► Absorption heat pumps are used to recover waste heat in CHP. ► Absorption heat exchanger can reduce exergy loss in the heat transfer process. ► New waste heat heating system (DHAC) can increase heating capacity of CHP by 31%. ► DHAC can enhance heat transmission capacity of the primary pipe network by 75%. ► DHAC system has the higher exergetic efficiency and the better economic benefit.

Heating systems for heating subsurface formations

Science.gov (United States)

Nguyen, Scott Vinh [Houston, TX; Vinegar, Harold J [Bellaire, TX

2011-04-26

Methods and systems for heating a subsurface formation are described herein. A heating system for a subsurface formation includes a sealed conduit positioned in an opening in the formation and a heat source. The sealed conduit includes a heat transfer fluid. The heat source provides heat to a portion of the sealed conduit to change phase of the heat transfer fluid from a liquid to a vapor. The vapor in the sealed conduit rises in the sealed conduit, condenses to transfer heat to the formation and returns to the conduit portion as a liquid.

Weight Loss and Glycemic Control after Sleeve Gastrectomy: Results from a Middle Eastern Center of Excellence.

Science.gov (United States)

Al Khalifa, Khalid; Al Ansari, Ahmed; Showaiter, May

2018-02-01

Obesity and its associated metabolic disorders are strongly linked to both morbidity and mortality. Sleeve gastrectomy (SG) has been established as an effective means of weight loss for obese patients as well as a treatment for type 2 diabetes mellitus (T2DM). This study was designed to examine the short- and midterm outcomes of patients who underwent SG in a Middle Eastern Center of Excellence, a military training teaching hospital. The clinical outcomes of 59 patients with impaired glucose tolerance and T2DM who underwent SG between 2011 and 2014 with at least one and up to four years of follow-up were studied. Data were collected and compared, including the pre- and post-surgery measures of weight, body mass index, glycosylated hemoglobin (HbA1c), and fasting blood glucose. Complete remission was defined as a fasting blood glucose level ≤100 mg/dL, an HbA1c ≤6 mg/dL, without use of antidiabetic medications. All patients showed significant reduction in body mass index following SG. Tight glycemic control was achieved among both diabetic and prediabetic patients. In this study, 88.14 per cent of all patients (diabetic and prediabetic) achieved complete resolution from their impaired glucose tolerance and T2DM and maintained normal blood glucose and HbA1C levels from one to four years postoperatively. SG is beneficial both in terms of short- and midterm weight loss and glucose control in both diabetic and prediabetic obese patients.

Portomesenteric Vein Thrombosis After Laparoscopic Sleeve Gastrectomy: Incidence, Analysis and Follow-Up in 1236 Consecutive Cases.

Science.gov (United States)

Villagrán, Rodrigo; Smith, Gabriela; Rodriguez, Walter; Flores, Carlos; Cariaga, Mario; Araya, Sofía; Yañez, Marisol; Fuentes, Paulina; Linares, Jeannette; Zapata, Antonio

2016-11-01

Portomesenteric vein thrombosis (PMVT) is a rare but severe complication after laparoscopic bariatric surgery, with potentially serious consequences. We aimed to describe the incidence, clinical features, management, outcome, and midterm follow-up in patients with PMVT after laparoscopic sleeve gastrectomy (LSG). This retrospective and descriptive study included patients who underwent LSG between November 2009 and July 2015 and developed PMVT. The following data were analyzed: age, gender, body mass index (BMI), thrombosis risk factors, surgical technique, thromboembolic prophylaxis, primary surgery outcomes, clinical features, treatment, thrombophilia testing results, and follow-up findings, including imaging and endoscopic findings. A total of 1236 patients underwent LSG, and 5 (0.4 %) developed PMVT. The mean age was 34.4 years, and 3 patients were women. The mean BMI was 38.5 kg/m 2 . Two patients had received hormonal contraceptive treatment. Four patients had a history of smoking. All of the patients received anticoagulant treatment, and none required surgery. The mean hospitalization duration was 7.6 days. Two patients showed complete recanalization. One patient showed portal cavernomatosis on delayed images. Two patients had a positive thrombophilia test. No portal hypertension endoscopic findings were observed. PMVT is a rare complication, for which smoking was identified as a predominant risk factor. Early diagnosis and prompt anticoagulant therapy could lead to a dramatic decrease in the incidence of intestinal infarction, mortality, and extrahepatic portal hypertension in the near future. However, careful follow-up is necessary to evaluate the impact of PMVT on long-term patient outcomes.

Staple line leak with peritonitis after laparoscopic sleeve gastrectomy - a solution in one to six steps.

Science.gov (United States)

Špička, Petr

2017-06-01

Laparoscopic sleeve gastrectomy (LSG) is one of the most efficient bariatric interventions in morbidly obese patients. The most severe risk of this procedure seems to be the staple line leak, and the management of this complication can be very arduous. To share our experience in managing the staple line leak after LSG and to help to find the best procedure that should be preferred. In the 2010-2015 period we performed 223 LSG, with about 5 demonstrating severe complications - two patients with severe bleeding requiring revision surgery, and three patients with resection surface leak. We always primarily treated the staple line leak with a laparoscopic revision. Once the fistula did not spontaneously close after this treatment. A series of other methods were then indicated for this patient and only the sixth one resulted in the desirable therapeutic success. At first, our team opted for laparoscopic revision with drainage. The next procedure involved applying Ovesco and Boston clips. As a third method we performed abscess drainage through a nasobiliary tube inserted via gastroscopy. Due to failure we performed the second laparoscopic revision with staple line resuture, the next intervention was an open revision with fistula excision and suture, and finally we opted for the application of a self-expanding metallic stent, which proved to be definitely curative. Without any guidelines it is very difficult to determine the right procedure addressing the staple line leak after LSG. It depends mainly on the clinician's experience and is lengthy and often untraditional.

Heat pipe heat exchanger for heat recovery in air conditioning

Energy Technology Data Exchange (ETDEWEB)

Abd El-Baky, Mostafa A.; Mohamed, Mousa M. [Mechanical Power Engineering Department, Faculty of Engineering, Minufiya University, Shebin El-Kom (Egypt)

2007-03-15

The heat pipe heat exchangers are used in heat recovery applications to cool the incoming fresh air in air conditioning applications. Two streams of fresh and return air have been connected with heat pipe heat exchanger to investigate the thermal performance and effectiveness of heat recovery system. Ratios of mass flow rate between return and fresh air of 1, 1.5 and 2.3 have been adapted to validate the heat transfer and the temperature change of fresh air. Fresh air inlet temperature of 32-40{sup o}C has been controlled, while the inlet return air temperature is kept constant at about 26{sup o}C. The results showed that the temperature changes of fresh and return air are increased with the increase of inlet temperature of fresh air. The effectiveness and heat transfer for both evaporator and condenser sections are also increased to about 48%, when the inlet fresh air temperature is increased to 40{sup o}C. The effect of mass flow rate ratio on effectiveness is positive for evaporator side and negative for condenser side. The enthalpy ratio between the heat recovery and conventional air mixing is increased to about 85% with increasing fresh air inlet temperature. The optimum effectiveness of heat pipe heat exchanger is estimated and compared with the present experimental data. The results showed that the effectiveness is close to the optimum effectiveness at fresh air inlet temperature near the fluid operating temperature of heat pipes. (author)

Experimental determination of thermal conductivity and gap conductance of fuel rod for HTGR

International Nuclear Information System (INIS)

Kikuchi, Teruo; Iwamoto, Kazumi; Ikawa, Katsuichi; Ishimoto, Kiyoshi

1985-01-01

The thermal conductivity of fuel compacts and the gap conductance between the fuel compact and the graphite sleeve in fuel rods for a high-temperature gas-cooled reactor (HTGR) were measured by the center heating method. These measurements were made as functions of volume percent particle loading and temperature for thermal conductivity and as functions of gap distance and gas composition for gap conductance. The thermal conductivity of fuel compacts decreases with increasing temperature and with increasing particle loading. The gap conductance increases with increasing temperature and decrease with increasing gap distance. A good gap conductance was observed with helium fill gas. It was seen that the gap conductance was dependent on the thermal conductivity of fill gas and conductance by radiation and could be neglected the conductance through solid-solid contact points of fuel compact and graphite sleeve. (author)

Future heat supply of our cities. Heating by waste heat

Energy Technology Data Exchange (ETDEWEB)

Brachetti, H E [Stadtwerke Hannover A.G. (Germany, F.R.); Technische Univ. Hannover (Germany, F.R.))

1976-08-01

The energy-price crisis resulted in structural changes of the complete energy supply and reactivated the question of energy management with respect to the optimum solution of meeting the energy requirements for space heating. Condensation power plants are increasingly replaced by thermal stations, the waste heat of which is used as so-called district heat. Thermal power stations must be situated close to urban areas. The problem of emission of harmful materials can partly be overcome by high-level emission. The main subject of the article, however, is the problem of conducting and distributing the heat. The building costs of heat pipeline systems and the requirements to be met by heat pipelines such as strength, heat insulation and protection against humidity and ground water are investigated.

Advisory group meeting on new trends and developments in radiation technology

International Nuclear Information System (INIS)

1993-02-01

High energy, ionizing radiation (gamma and electron beams) has been used by industry for many years and for different applications. Well established applications include: industrial sterilization of health care products (medical products and medicinals), radiation modification of plastics (crosslinking of wire and cable insulation, heat shrinkable materials, etc.) and radiation curing of adhesives and coatings on different substrates. The main purpose of the Advisory Group Meeting was to provide a forum for an exchange of information about the new developments in radiation technology, to review the status of these developments and to discuss potential for commercial applications. A further objective was to discuss the role of the International Atomic Energy Agency in promoting new technologies, research and transfer of technology to developing countries. The meeting was expected to prepare recommendations to the Agency for future activities and programmes in this field. Refs, figs and tabs

Development of environmental-friendly wire and cable

International Nuclear Information System (INIS)

Ueno, Keiji

1996-01-01

The electron beam technology has been used in many industrial fields as a method of conventional polymer modification or optimum processability. The main industrial fields of radiation crosslinking are wire and cable, heat shrinkable tubings, plastic foams, precuring of tires, floppy disk curing, foods packaging films, and so on. The radiation crosslinking of wire and cable was started in 1961 in Japan and 15 wire and cable companies are now using electron beam accelerators for production or R and D. The dominant characteristics of crosslinking of insulation materials are application at high temperature, good oil and chemical resistibility and high mechanical properties. These radiation crosslinking wire and cable are applied widely in electronics equipments and automobiles. Recently, electronics manufacturers have indicated deep concern over the effects on the environment. Wire and cable also are required to be applicable for environmental preservation. (J.P.N.)

Hydride heat pump with heat regenerator

Science.gov (United States)

Jones, Jack A. (Inventor)

1991-01-01

A regenerative hydride heat pump process and system is provided which can regenerate a high percentage of the sensible heat of the system. A series of at least four canisters containing a lower temperature performing hydride and a series of at least four canisters containing a higher temperature performing hydride is provided. Each canister contains a heat conductive passageway through which a heat transfer fluid is circulated so that sensible heat is regenerated. The process and system are useful for air conditioning rooms, providing room heat in the winter or for hot water heating throughout the year, and, in general, for pumping heat from a lower temperature to a higher temperature.

Spot Feeding Spheroidal Graphite Iron with Exothermic and Insulating Ram-Up Sleeves in Vertically Parted Moulds: Efficiency, Microstructure, Dimensional Accuracy, Deformation, and Driving Force and Feeding Criteria Identification

DEFF Research Database (Denmark)

Vedel-Smith, Nikolaj Kjelgaard

feeders (ram-up sleeves) is investigated, showing that this new feeding approach can be used successfully to feed secluded sections inductile cast iron (EN-GJS-500-7). The feeder efficiency is tested using a high Silicon (Si) ductile iron (EN-GJS-450-10). The limits for the examined feeder configurations......Improvement of feeder technologies for energy savings in cast iron foundries is not only the title of the project behind this dissertation; it is a good idea that can improve casting yield and reduce production cost, and in turn strengthening the foundries competitive advantage. The approach...... of solidification. The dissertation provides a new approach to feeding secluded sections, a new characterisation of the underlying feeding forces, and new knowledge about the thermal deformation effects caused and controlled by feeding....

Exporting advanced service tech to Europe

International Nuclear Information System (INIS)

Naredo, F.P.

1991-01-01

The concept of Westinghouse's European Service Center (ESC), located at Nivelles, Belgium, to bring advanced services and maintenance technologies to European customers is described. Laser-welded sleeving to repair degraded steam generator tubes employing pulsed Neodymium Yttrium Aluminium Garnet (Nd:YAG) laser, which Westinghouse has developed for 22mm tubing is mentioned. U-bend heat treatment (UBHT) technology was also brought to Europe by Westinghouse

Industrial waste heat for district heating

International Nuclear Information System (INIS)

Heitner, K.L.; Brooks, P.P.

1982-01-01

Presents 2 bounding evaluations of industrial waste heat availability. Surveys waste heat from 29 major industry groups at the 2-digit level in Standard Industrial Codes (SIC). Explains that waste heat availability in each industry was related to regional product sales, in order to estimate regional waste heat availability. Evaluates 4 selected industries at the 4-digit SIC level. Finds that industrial waste heat represents a significant energy resource in several urban areas, including Chicago and Los Angeles, where it could supply all of these areas residential heating and cooling load. Points out that there is a strong need to evaluate the available waste heat for more industries at the 4-digit level. Urges further studies to identify other useful industrial waste heat sources as well as potential waste heat users

Mapping of potential heat sources for heat pumps for district heating in Denmark

International Nuclear Information System (INIS)

Lund, Rasmus; Persson, Urban

2016-01-01

The ambitious policy in Denmark on having a 100% renewable energy supply in 2050 requires radical changes to the energy systems to avoid an extensive and unsustainable use of biomass resources. Currently, wind power is being expanded and the increasing supply of electricity is slowly pushing the CHP (combined heat and power) plants out of operation, reducing the energy efficiency of the DH (district heating) supply. Here, large heat pumps for district heating is a frequently mentioned solution as a flexible demand for electricity and an energy efficient heat producer. The idea is to make heat pump use a low temperature waste or ambient heat source, but it has so far been very unclear which heat sources are actually available for this purpose. In this study eight categories of heat sources are analysed for the case of Denmark and included in a detailed spatial analysis where the identified heat sources are put in relation to the district heating areas and the corresponding demands. The analysis shows that potential heat sources are present near almost all district heating areas and that sea water most likely will have to play a substantial role as a heat source in future energy systems in Denmark. - Highlights: • The availability of heat sources for heat pumps in Denmark are mapped and quantified. • A novel methodology for assessment of low temperature industrial excess heat is presented. • There are heat sources available for 99% of district heating networks in Denmark. • The concentration of heat sources is generally bigger around bigger cities than smaller. • Ambient temperature heat sources will be more needed in district heating of big cities.

Thermoelastic/plastic analysis of waste-container sleeve. II. Influence of large displacements on sleeve loading. Technical memorandum report RSI-0017

International Nuclear Information System (INIS)

Pariseau, W.G.

1975-01-01

Modification of the thermoelastic/plastic finite element program to account for large displacements possibly associated with the development of an extensive plastic zone about a radioactive waste container emplaced in a typical repository room (SALT-4/T model) has been completed. Comparisons of radial stresses acting on the waste container and borehole wall displacements computed by the modified and conventional analyses techniques reveal little difference between the two sets of results over a 10 year heating period for salt strengths 25 percent of original values. Because no significant differences in results arise even under these exaggerated conditions, the more costly large displacement option need be used only sparingly as an occasional control check on the conventional procedure. As a consequence, economy of computer run time can be maintained without sacrifice of accuracy

Trends for Electron Beam Accelerator Applications in Industry

Science.gov (United States)

Machi, Sueo

2011-02-01

Electron beam (EB) accelerators are major pieces of industrial equipment used for many commercial radiation processing applications. The industrial use of EB accelerators has a history of more than 50 years and is still growing in terms of both its economic scale and new applications. Major applications involve the modification of polymeric materials to create value-added products, such as heat-resistant wires, heat-shrinkable sheets, automobile tires, foamed plastics, battery separators and hydrogel wound dressing. The surface curing of coatings and printing inks is a growing application for low energy electron accelerators, resulting in an environmentally friendly and an energy-saving process. Recently there has been the acceptance of the use of EB accelerators in lieu of the radioactive isotope cobalt-60 as a source for sterilizing disposable medical products. Environmental protection by the use of EB accelerators is a new and important field of application. A commercial plant for the cleaning flue gases from a coal-burning power plant is in operation in Poland, employing high power EB accelerators. In Korea, a commercial plant uses EB to clean waste water from a dye factory.

Review: heat pipe heat exchangers at IROST

OpenAIRE

E. Azad

2012-01-01

The use of the heat pipe as a component in a heat recovery device has gained worldwide acceptance. Heat pipes are passive, highly reliable and offer high heat transfer rates. This study summarizes the investigation of different types of heat pipe heat recovery systems (HPHRSs). The studies are classified on the basis of the type of the HPHRS. This research is based on 30 years of experience on heat pipe and heat recovery systems that are presented in this study. Copyright , Oxford University ...

A Randomized Comparison Between Staple-Line Oversewing Versus No Reinforcement During Laparoscopic Vertical Sleeve Gastrectomy.

Science.gov (United States)

Taha, Osama; Abdelaal, Mahmoud; Talaat, Mohamed; Abozeid, Mohamed

2018-01-01

Varieties of intraoperative methods such as oversewing of staple lines or other reinforcement products are used for preventing the laparoscopic vertical sleeve gastrectomy (LSG) complications. The aim of this study is to evaluate the complication rates of the gastric stapling alone versus stapling with oversewing invagination of the staple line in the LSG. This is a single-center randomized study, Patients were randomized to two groups, 200 patients underwent LSG without reinforcement of the staple line and 200 patients underwent LSG with oversewing of the staple line. All patients were followed up for 1 year. The data collected prospectively for statistical analysis included demographics, BMI, preoperative comorbidities, operative time, complications, and hospital stay. The overall mean operative age was 33.7 ± 9.4 years and mean BMI was 42.4 ± 4.3 kg/m 2 . Patient baseline characteristics (age, gender, weight, and BMI) and comorbidities were generally a nonsignificant different between the treatment arms. Surgical time was shorter in patients of the nonreinforced group (44.3 ± vs 51.3 ± 4.3 min; p < 0.01) with lower %EWL (73 ± 13.8 vs 80.7 ± 13.6%, p < 0.01). One patient in the nonreinforced group was complicated by gastric leak. The staple-line bleeding rate was significantly lower in patients underwent oversewing of the staple line during LSG (p < 0.05). Oversewing of the staple line during LSG is a nonexpansive and easy method to decrease the incidence and severity of the postoperative bleeding. However, it is time-consuming and should be performed by experienced surgeons to avoid the complications which may occur secondary to the seroserotomy suturing.

Evaluation of oil-leakage of multi-layered resin-hose clamped with metal nipple and sleeve

Science.gov (United States)

Matsuoka, Kenta; Okubo, Kazuya; Fujii, Toru; Nakamura, Chihiro; Fujishita, Yushi; Kusu, Fuko; Matsushita, Masato; Yoshihara, Ryota

2018-03-01

The purpose of this study is to investigate the path of occurred oil-leakage of multi-layered resin-hose as one of multifunctional materials around the caulked joint with a metal nipple and sleeve when excessive cyclic internal pressure was applied onto the hose. Equivalent cyclic axial tensile force was substitutively applied to the hose, where same degree of normal stress was produced in longitudinal direction. Excessive 3 and 5 times of the standard load was applied to the hose. Cyclic loading was paused at every 1000 and 10000 cycles and then designed internal pressure was applied to the hose by a hand-operated pump with water in order to check whether the leakage was occurred around the joint and surface of the hose for safety evaluation. Cyclic fatigue life was defined as the number of loading cycles in which the leakage and the initial damage which was the passage of the ultrasonic wave was observed on the cyclic test. Test results showed the fatigue life at which leakage of water was observed was increased 20 times in case of K=3 compared to that in case of K=5. The cycles of initial damage detected by the ultrasonic wave were passed was increased 3.3 times in case of K=3 compared to that in case of K=5. The fluorescent agent penetrated from the core layer of resin hose to the reinforcement layer in which a half cross section along longitudinal direction in failed specimens was observed after the leak test. The original specimens had the gap between the resin-hose and the nipple and then the gap extended and connected during fatigue cyclic. In this study, it was observed that oil was leaked through narrow gap between the nipple and core layer of resin hose.

Targeting the maximum heat recovery for systems with heat losses and heat gains

International Nuclear Information System (INIS)

Wan Alwi, Sharifah Rafidah; Lee, Carmen Kar Mun; Lee, Kim Yau; Abd Manan, Zainuddin; Fraser, Duncan M.

2014-01-01

Graphical abstract: Illustration of heat gains and losses from process streams. - Highlights: • Maximising energy savings through heat losses or gains. • Identifying location where insulation can be avoided. • Heuristics to maximise heat losses or gains. • Targeting heat losses or gains using the extended STEP technique and HEAT diagram. - Abstract: Process Integration using the Pinch Analysis technique has been widely used as a tool for the optimal design of heat exchanger networks (HENs). The Composite Curves and the Stream Temperature versus Enthalpy Plot (STEP) are among the graphical tools used to target the maximum heat recovery for a HEN. However, these tools assume that heat losses and heat gains are negligible. This work presents an approach that considers heat losses and heat gains during the establishment of the minimum utility targets. The STEP method, which is plotted based on the individual, as opposed to the composite streams, has been extended to consider the effect of heat losses and heat gains during stream matching. Several rules to guide the proper location of pipe insulation, and the appropriate procedure for stream shifting have been introduced in order to minimise the heat losses and maximise the heat gains. Application of the method on two case studies shows that considering heat losses and heat gains yield more realistic utility targets and help reduce both the insulation capital cost and utility cost of a HEN

Heating networks and domestic central heating systems

Energy Technology Data Exchange (ETDEWEB)

Kamler, W; Wasilewski, W

1976-08-01

This is a comprehensive survey of the 26 contributions from 8 European countries submitted to the 3rd International District Heating Conference in Warsaw held on the subject 'Heating Networks and Domestic Central Heating Systems'. The contributions are grouped according to 8 groups of subjects: (1) heat carriers and their parameters; (2) system of heating networks; (3) calculation and optimization of heating networks; (4) construction of heating networks; (5) operation control and automation; (6) operational problems; (7) corrosion problems; and (8) methods of heat accounting.

Heat transfer and critical heat flux in a asymmetrically heated tube helicoidal flow

International Nuclear Information System (INIS)

Boscary, J.

1995-10-01

The design of plasma facing components is crucial for plasma performance in next fusion reactors. These elements will be submitted to very high heat flux. They will be actively water-cooled by swirl tubes in the subcooled boiling regime. High heat flux experiments were conducted in order to analyse the heat transfer and to evaluate the critical heat flux. Water-cooled mock-ups were one-side heated by an electron beam gun for different thermal-hydraulic conditions. The critical heat flux was detected by an original method based on the isotherm modification on the heated surface. The wall heat transfer law including forced convection and subcooled boiling regimes was established. Numerical calculations of the material heat transfer conduction allowed the non-homogeneous distribution of the wall temperature and of the wall heat flux to be evaluated. The critical heat flux value was defined as the wall maximum heat flux. A critical heat flux model based on the liquid sublayer dryout under a vapor blanket was established. A good agreement with test results was found. (author). 198 refs., 126 figs., 21 tabs

A rotating helical sealing joint capable of partially melting

International Nuclear Information System (INIS)

Martin, Jean; Ollier, J.-L.; Petit, Paul.

1973-01-01

A coagulated rotating helical joint providing gas and liquid tightness along a rotating shaft, comprising: a metal sleeve connected to the wall through which passes the rotating sleeve, an intermediate sleeve made of a fusible material, inert with respect to the fluid to be sealingly retained, and finally the rotating shaft provided with an engraved helical thread in register with the intermediate sleeve. Means are provided for regulating the intermediate sleeve temperature so that a thin melted film is formed on said intermediate sleeve when in contact with the rotating threaded shaft. This can be applied in the nuclear industry, including cases when the intermediate sleeve is constituted by the fluid itself, then in the solid state [fr

Industrial excess heat for district heating in Denmark

International Nuclear Information System (INIS)

Bühler, Fabian; Petrović, Stefan; Karlsson, Kenneth; Elmegaard, Brian

2017-01-01

Highlights: •Method for utilisation potential of industrial excess heat for district heating. •Industrial excess heat from thermal processes is quantified at single production units. •Linking of industrial excess heat sources and district heating demands done in GIS. •Excess heat recovery using direct heat transfer and heat pumps. •5.1% of the Danish district heating demand could be supplied by industrial excess heat. -- Abstract: Excess heat is available from various sources and its utilisation could reduce the primary energy use. The accessibility of this heat is however dependent amongst others on the source and sink temperature, amount and potential users in its vicinity. In this work a new method is developed which analyses excess heat sources from the industrial sector and how they could be used for district heating. This method first allocates excess heat to single production units by introducing and validating a new approach. Spatial analysis of the heat sources and consumers are then performed to evaluate the potential for using them for district heating. In this way the theoretical potential of using the excess heat for covering the heating demand of buildings is determined. Through the use of industry specific temperature profiles the heat usable directly or via heat pumps is further found. A sensitivity analysis investigates the impact of future energy efficiency measures in the industry, buildings and the district heating grid on the national potential. The results show that for the case study of Denmark, 1.36 TWh of district heat could be provided annually with industrial excess heat from thermal processes which equals 5.1% of the current demand. More than half of this heat was found to be usable directly, without the need for a heat pump.

Numerical and Experimental Study of Producing Flanges on Hollow Parts by Extrusion with a Movable Sleeve / Badania Teoretyczno-Doświadczalne Procesu Wyciskania Z Zastosowaniem Ruchomej Tulei Kołnierza We Wsadach Drążonych

Directory of Open Access Journals (Sweden)

Gontarz A.

2015-12-01

Full Text Available The paper presents the numerical and experimental results of a new method for producing flanges on hollow parts. With this new method, the flange is extruded by a movable sleeve. This innovative technique is modelled numerically by the finite element method. The effect of workpiece and finished product geometries on the forming process is investigated and failure modes are identfied. The numerical reults are then verified in experiments. The tests are conducted using a three-slide forging press equipped with a special device. The numerical and experimental results show a good agreement, which proves that the developed method is correct.

Preoperative Detection of Sarcopenic Obesity Helps to Predict the Occurrence of Gastric Leak After Sleeve Gastrectomy.

Science.gov (United States)

Gaillard, Martin; Tranchart, Hadrien; Maitre, Sophie; Perlemuter, Gabriel; Lainas, Panagiotis; Dagher, Ibrahim

2018-03-02

Sleeve gastrectomy (SG) has become the primary procedure for many bariatric teams and staple-line leak represents its most feared complication. Sarcopenic obesity combines the risks of obesity and depleted lean mass leading possibly to an inferior surgical outcome after abdominal surgery. The aim of this study was to evaluate the existence of a potential link between radiologically determined sarcopenic obesity and staple-line leak risk after SG. A retrospective analysis of a prospective database was performed in consecutive patients undergoing SG as primary procedure. Total psoas muscles (TPA) and total visible muscles (TMA) areas were measured on a preoperative computed tomography (CT). Sarcopenia was defined as lowest tertile of skeletal muscular mass indexes (muscular areas over square of height) in each gender (using TPA or TMA). Multivariate analysis was performed to determine preoperative risk factors for staple-line leak. During the study period, 205 patients were included in the analysis. Median BMI was 40.8 kg/m 2 (34.2-49.6), and 9 patients (4.4%) presented a gastric leak. The sex-specific cut-offs for skeletal muscular mass index according to TPA were 8.2 cm 2 /m 2 for men and 6.08 cm 2 /m 2 for women. After multivariate analysis, preoperative weight (OR = 1043) and sarcopenia (TPA) (OR = 5204) were independent predictive factors for gastric leak. The present series suggests that CT scan-determined sarcopenic obesity is associated with increased risk of gastric leak after SG. This preoperatively radiological examination would be a useful clinical tool to tailor patient management according to gastric leak risk.

Impact of concomitant laparoscopic sleeve gastrectomy and hiatal hernia repair on gastro-oesophageal reflux disease in morbidly obese patients

Directory of Open Access Journals (Sweden)

Harshit Garg

2017-01-01

Full Text Available Background: The aim of this study was to analyse the impact of hiatal hernia repair (HHR on gastro-oesophageal reflux disease (GERD in morbidly obese patients with hiatus hernia undergoing laparoscopic sleeve gastrectomy (LSG. Materials and Methods: It is a retrospective study involving ten morbidly obese patients with large hiatus hernia diagnosed on pre-operative endoscopy who underwent LSG and simultaneous HHR. The patients were assessed for symptoms of GERD using a Severity symptom score (SS questionnaire and anti-reflux medications. Results: Of the ten patients, five patients had GERD preoperatively. At the mean follow-up of 11.70 ± 6.07 months after surgery, four patients (80% showed complete resolution while one patient complained of persistence of symptoms. Endoscopy in this patient revealed resolution of esophagitis indicating that the persistent symptoms were not attributable to reflux. The other five patients without GERD remained free of any symptom attributable to GERD. Thus, in all ten patients, repair of hiatal hernia (HH during LSG led to either resolution of GERD or prevented any new onset symptom related to GER. Conclusion: In morbidly obese patients with HH with or without GERD undergoing LSG, repair of the hiatus hernia helps in amelioration of GERD and prevents any new onset GER. Thus, the presence of HH should not be considered as a contraindication for LSG.

Effects of Laparoscopic Sleeve Gastrectomy on Central Obesity and Metabolic Syndrome in Indian Adults- A Prospective Study.

Science.gov (United States)

Sethi, Pulkit; Thillai, Manoj; Nain, Prabhdeep Singh; Ahuja, Ashish; Vayoth, Sudheer Othiyil; Khurana, Preetika

2017-01-01

Increasing incidence of obesity in Indian population has led to an exponential rise in the number of bariatric operations performed annually. Laparoscopic Sleeve Gastrectomy (LSG) has been proposed to cause rapid remission of Type 2 Diabetes Melitus (T2DM) and metabolic syndrome in a weight loss independent manner. To evaluate the effects of LSG on metabolic syndrome and central obesity in morbidly and severely obese Indian adults. Material and Methods: Study was conducted on 91 morbidly obese [Body Mass Index (BMI)>40 kg/m 2 ] and severely obese (BMI>35 kg/m 2 ) individuals who were suffering from diabetes, hypertension or dyslipidemia. The patients were followed up for six months and the trends of glycaemic control, mean blood pressure, lipid profile, weight loss parameters and changes in parameters of central obesity were studied. Weight loss was significant at three months postsurgery and was sustained through six months. There was significant improvement in glycaemic control leading to reduction in need for oral hypoglycaemic agents or insulin in majority of them and even discontinuation of these medications in few patients. Hypertension and dyslipidemia also showed an improving trend through six months postsurgery. There was a significant impact on reduction of central obesity in these patients as marked by significant reduction in waist to hip ratio. LSG produces sustainable weight loss with significant improvement in glycaemic status and control of metabolic syndrome in severe to morbidly obese patients. LSG is also efficacious in reducing central obesity in Indian population which is a major depressive ailment amongst obese individuals.

Effects of sleeve gastrectomy on the composition and diurnal oscillation of gut microbiota related to the metabolic improvements.

Science.gov (United States)

Shao, Yikai; Shen, Qiwei; Hua, Rong; Evers, Simon S; He, Kai; Yao, Qiyuan

2018-03-07

Disruptions of the composition and diurnal oscillation of gut microbiota are involved in metabolic disorders. To identify alterations in both the composition and diurnal oscillation of gut microbiota after high-fat diet (HFD) feeding and sleeve gastrectomy (SG) related to host metabolic status. University laboratories. Twenty-one 6-week-old male C57 BL/6 J mice were randomized on an HFD (n = 14) or normal chow (NC, n = 7). After 14 weeks of feeding, HFD-induced obese mice were randomized to receive either SG or sham surgery (n = 7 in each group). Fecal samples were collected every 6 hours over a 24-hour period at 14 weeks of NC or HFD feeding and subsequently 8 weeks after surgery. The composition and diurnal oscillation of gut microbiota were characterized using next-generation Illumina sequencing of 16 S rDNA. HFD feeding led to adiposity, disrupted composition, and impaired diurnal oscillation of gut microbiota relative to NC. After surgery, SG mice had considerable weight loss, improved glucose tolerance, and insulin sensitivity compared with sham mice. SG restored the reduced richness and disruptions in the composition of gut microbiota. The diminished diurnal oscillation of gut microbiota was improved after SG. SG not only changed the disrupted composition of gut microbiota toward that of NC feeding, but also improved the dampened diurnal oscillation of gut microbiota due to HFD feeding. Copyright © 2018 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Laparoscopic sleeve gastrectomy achieves substantial weight loss in an adolescent girl with morbid obesity.

Science.gov (United States)

Till, H K-H; Muensterer, O; Keller, A; Körner, A; Blueher, S; Merkle, R; Kiess, W

2008-02-01

The European guidelines for bariatric surgery clearly define criteria for operating children with morbid obesity. However the appropriate technique for this age-group has not been identified yet. So far gastric banding and Roux-Y bypass represent the standards, but they demand life-long tolerance of either an artificial device or significant malabsorption. Although laparoscopic sleeve gastrectomy (LSG) demands neither, it has not been advocated for this age-group as a stand-alone technique. We report the outcome and the rationale for this approach in a 16-year-old girl with morbid obesity. The patient had been in an intensive weight loss programme for several years, but within the last 12 months her body weight had increased again dramatically. At referral she presented with a body mass index (BMI) of 43.1 kg/m(2) (height 169 cm, preoperative weight 121 kg) and suffered from co-morbidities as features of a developing metabolic-vascular syndrome such as dyslipidemia and arterial hypertension. Our obesity team and her parents opted for surgery at that time. The patient underwent LSG with a 5-trocar technique. With a gastroscope protecting the lesser curvature, the stomach was resected from the antrum to the fundus using an EndoGIA stapler. The operative time was 95 minutes, there were no perioperative complications and the patient was extubated immediately. An upper GI contrast study on postoperative day 4 showed a tubular gastric remnant with a volume of about 200 ml. The patient's diet was advanced as tolerated to full oral intake, and she was followed-up regularly in our special obesity outpatient clinic. After 12 months she had lost 36 kg (BMI 29 kg/m(2)) and enjoyed sports and activities with friends again. Laboratory studies ruled out malnutrition or vitamin deficiency. LSG is a safe and effective option for bariatric surgery in obese adolescents. It can be offered as a stand-alone restrictive operation and could be extended to a malabsorptive procedure at any

Clad fiber capacitor and method of making same

Science.gov (United States)

Tuncer, Enis

2012-12-11

A clad capacitor and method of manufacture includes assembling a preform comprising a ductile, electrically conductive fiber; a ductile, electrically insulating cladding positioned on the fiber; and a ductile, electrically conductive sleeve positioned over the cladding. One or more preforms are then bundled, heated and drawn along a longitudinal axis to decrease the diameter of the ductile components of the preform and fuse the preform into a unitized strand.

Heat Transfer Characteristics of SiC-coated Heat Pipe for Passive Decay Heat Removal

International Nuclear Information System (INIS)

Kim, Kyung Mo; Kim, In Guk; Jeong, Yeong Shin; Bang, In Cheol

2014-01-01

The main concern with the Fukushima accident was the failure of active and passive core cooling systems. The main function of existing passive decay heat removal systems is feeding additional coolant to the reactor core. Thus, an established emergency core cooling system (ECCS) cannot operate properly because of impossible depressurization under the station blackout (SBO) condition. Therefore, a new concept for passive decay heat removal system is required. In this study, an innovative hybrid control rod concept is considered for passive in-core decay heat removal that differs from the existing direct vessel injection core cooling system and passive auxiliary feedwater system (PAFS). The heat transfer between the evaporator and condenser sections occurs by phase change of the working fluid and capillary action induced by wick structures installed on the inner wall of the heat pipe. In this study, a hybrid control rod is developed to take the roles of both neutron absorption and heat removal by combining the functions of a heat pipe and control rod. Previous studies on enhancing the heat removal capacity of heat pipes used nanofluids, self-rewetting fluids, various wick structures and condensers. Many studies have examined the thermal performances of heat pipes using various nanofluids. They concluded that the enhanced thermal performance of the heat pipe using nanofluids is due to nanoparticle deposition on the wick structures. Thus, the wick structure of heat pipes has been modified by nanoparticle deposition to enhance the heat removal capacity. However, previous studies used relatively small heat pipes and narrow ranges of heat loads. The environment of a nuclear reactor is very specific, and the decay heat produced by fission products after shutdown is relatively large. Thus, this study tested a large-scale heat pipe over a wide range of power. The concept of a hybrid heat pipe for an advanced in-core decay heat removal system was introduced for complete

Heat Transfer Characteristics of SiC-coated Heat Pipe for Passive Decay Heat Removal

Energy Technology Data Exchange (ETDEWEB)

Kim, Kyung Mo; Kim, In Guk; Jeong, Yeong Shin; Bang, In Cheol [Ulsan National Institute of Science and Technology, Ulsan (Korea, Republic of)

2014-10-15

The main concern with the Fukushima accident was the failure of active and passive core cooling systems. The main function of existing passive decay heat removal systems is feeding additional coolant to the reactor core. Thus, an established emergency core cooling system (ECCS) cannot operate properly because of impossible depressurization under the station blackout (SBO) condition. Therefore, a new concept for passive decay heat removal system is required. In this study, an innovative hybrid control rod concept is considered for passive in-core decay heat removal that differs from the existing direct vessel injection core cooling system and passive auxiliary feedwater system (PAFS). The heat transfer between the evaporator and condenser sections occurs by phase change of the working fluid and capillary action induced by wick structures installed on the inner wall of the heat pipe. In this study, a hybrid control rod is developed to take the roles of both neutron absorption and heat removal by combining the functions of a heat pipe and control rod. Previous studies on enhancing the heat removal capacity of heat pipes used nanofluids, self-rewetting fluids, various wick structures and condensers. Many studies have examined the thermal performances of heat pipes using various nanofluids. They concluded that the enhanced thermal performance of the heat pipe using nanofluids is due to nanoparticle deposition on the wick structures. Thus, the wick structure of heat pipes has been modified by nanoparticle deposition to enhance the heat removal capacity. However, previous studies used relatively small heat pipes and narrow ranges of heat loads. The environment of a nuclear reactor is very specific, and the decay heat produced by fission products after shutdown is relatively large. Thus, this study tested a large-scale heat pipe over a wide range of power. The concept of a hybrid heat pipe for an advanced in-core decay heat removal system was introduced for complete

Optimal usage of low temperature heat sources to supply district heating by heat pumps

DEFF Research Database (Denmark)

Pieper, Henrik; Ommen, Torben Schmidt; Markussen, Wiebke Brix

2017-01-01

This paper presents a theoretical study on the optimal usage of different low temperature heat sources to supply district heating by heat pumps. The study is based on data for the Copenhagen region. The heat sources were prioritized based on the coefficient of performance calculated for each hour...... and the covered demand of each heat source as well as required peak unit capacity. The results showed that heat pumps using different heat sources yield better performance than a heat pump based on a single one. The performance was influenced by the composition of the different heat sources. It was found that 78......% groundwater, 22% seawater and 0% air resulted in highest COP of 3.33 for the given heat demand. Furthermore, the implementation of rule based short term storage made peak units redundant. The variation in base load capacity showed that heat pumps utilizing the analyzed heat sources could perform very...

Solar Heating System with Building-Integrated Heat Storage

DEFF Research Database (Denmark)

Heller, Alfred

1996-01-01

Traditional solar heating systems cover between 5 and 10% of the heat demand fordomestic hot water and comfort heating. By applying storage capacity this share can beincreased much. The Danish producer of solar heating systems, Aidt-Miljø, markets such a system including storage of dry sand heated...... by PP-pipe heat exchanger. Heat demand is reduced due to direct solar heating, and due to storage. Heat demand is reduced due to direct solar heating, due to storage and due to lower heat losses through the ground. In theory, by running the system flow backwards through the sand storage, active heating...... can be achieved.The objective of the report is to present results from measured system evaluation andcalculations and to give guidelines for the design of such solar heating systems with building integrated sand storage. The report is aimed to non-technicians. In another report R-006 the main results...

Split heat pipe heat recovery system

OpenAIRE

E. Azad

2008-01-01

This paper describes a theoretical analysis of a split heat pipe heat recovery system. The analysis is based on an Effectiveness-NTU approach to deduce its heat transfer characteristics. In this study the variation of overall effectiveness of heat recovery with the number of transfer units are presented. Copyright , Manchester University Press.

Heat cascading regenerative sorption heat pump

Science.gov (United States)

Jones, Jack A. (Inventor)

1995-01-01

A simple heat cascading regenerative sorption heat pump process with rejected or waste heat from a higher temperature chemisorption circuit (HTCC) powering a lower temperature physisorption circuit (LTPC) which provides a 30% total improvement over simple regenerative physisorption compression heat pumps when ammonia is both the chemisorbate and physisorbate, and a total improvement of 50% or more for LTPC having two pressure stages. The HTCC contains ammonia and a chemisorbent therefor contained in a plurality of canisters, a condenser-evaporator-radiator system, and a heater, operatively connected together. The LTPC contains ammonia and a physisorbent therefor contained in a plurality of compressors, a condenser-evaporator-radiator system, operatively connected together. A closed heat transfer circuit (CHTC) is provided which contains a flowing heat transfer liquid (FHTL) in thermal communication with each canister and each compressor for cascading heat from the HTCC to the LTPC. Heat is regenerated within the LTPC by transferring heat from one compressor to another. In one embodiment the regeneration is performed by another CHTC containing another FHTL in thermal communication with each compressor. In another embodiment the HTCC powers a lower temperature ammonia water absorption circuit (LTAWAC) which contains a generator-absorber system containing the absorbent, and a condenser-evaporator-radiator system, operatively connected together. The absorbent is water or an absorbent aqueous solution. A CHTC is provided which contains a FHTL in thermal communication with the generator for cascading heat from the HTCC to the LTAWAC. Heat is regenerated within the LTAWAC by transferring heat from the generator to the absorber. The chemical composition of the chemisorbent is different than the chemical composition of the physisorbent, and the absorbent. The chemical composition of the FHTL is different than the chemisorbent, the physisorbent, the absorbent, and ammonia.

Modeling of heat transfer into a heat pipe for a localized heat input zone

International Nuclear Information System (INIS)

Rosenfeld, J.H.

1987-01-01

A general model is presented for heat transfer into a heat pipe using a localized heat input. Conduction in the wall of the heat pipe and boiling in the interior structure are treated simultaneously. The model is derived from circumferential heat transfer in a cylindrical heat pipe evaporator and for radial heat transfer in a circular disk with boiling from the interior surface. A comparison is made with data for a localized heat input zone. Agreement between the theory and the model is good. This model can be used for design purposes if a boiling correlation is available. The model can be extended to provide improved predictions of heat pipe performance

Industrial excess heat for district heating in Denmark

DEFF Research Database (Denmark)

Bühler, Fabian; Petrovic, Stefan; Karlsson, Kenneth Bernard

2017-01-01

analyses excess heat sources from the industrial sector and how they could be used for district heating. This method first allocates excess heat to single production units by introducing and validating a new approach. Spatial analysis of the heat sources and consumers are then performed to evaluate...... the potential for using them for district heating. In this way the theoretical potential of using the excess heat for covering the heating demand of buildings is determined. Through the use of industry specific temperature profiles the heat usable directly or via heat pumps is further found. A sensitivity...... analysis investigates the impact of future energy efficiency measures in the industry, buildings and the district heating grid on the national potential. The results show that for the case study of Denmark, 1.36 TWh of district heat could be provided annually with industrial excess heat from thermal...

Design of serially connected district heating heat pumps utilising a geothermal heat source

DEFF Research Database (Denmark)

Jensen, Jonas Kjær; Ommen, Torben Schmidt; Markussen, Wiebke Brix

2017-01-01

The design of two heat pumps (HP), connected in series, was investigated for operation in the district heating (DH) network of the Greater Copenhagen area, Denmark. The installation was dimensioned to supply 7.2 MW of heat at a temperature of 85 °C. The heat pumps utilise a geothermal heat source...

Utilising heat from nuclear waste for space heating

International Nuclear Information System (INIS)

Deacon, D.

1982-01-01

A heating unit utilising the decay heat from irradiated material comprises a storage envelope for the material associated with a heat exchange system, means for producing a flow of air over the heat exchange system to extract heat from the material, an exhaust duct capable of discharging the heated air to the atmosphere, and means for selectively diverting at least some of the heated air to effect the required heating. With the flow of air over the heat exchange system taking place by a natural thermosyphon process the arrangement is self regulating and inherently reliable. (author)

Heat pumps in district heating networks

DEFF Research Database (Denmark)

Ommen, Torben Schmidt; Markussen, Wiebke Brix; Elmegaard, Brian

constraints limit the power plants. Efficient heat pumps can be used to decouple the constraints of electricity and heat production, while maintaining the high energy efficiency needed to match the politically agreed carbon emission goals. The requirements in terms of COP, location, capacity and economy...... and strategic planning in the energy sector. The paper presents a case study of optimal implementation of heat pumps in the present energy system of the Copenhagen area. By introduction of the correct capacity of heat pumps, a 1,6 % reduction in fuel consumption for electricity and heat production can...

Experimental device for the residential heating with heat pipe and electric heat storage blocks

Energy Technology Data Exchange (ETDEWEB)

Vasiliev, L L; Boldak, I M; Domorod, L S; Rabetsky, M I; Schirokov, E I [AN Belorusskoj SSR, Minsk (Belarus). Inst. Teplo- i Massoobmena

1992-01-01

Residential heating using electric heat storage blocks nowadays is an actual problem from the point of view of heat recovery and nature protection. In the Luikov Heat and Mass Transfer Institute a new residential electrical heater capable of heating chambers by controlling air temperature and heat output using heat pipes and an electric heat storage block was developed. This heater (BETA) is fed from the source of energy and during 7 h of night time accumulates energy sufficiently to heat 10 m{sup 3} during 24 h. Heating device BETA has a ceramic thermal storage block, electric heaters and a heat pipe with evaporator inside the ceramic block and constant temperature (65{sup o}C) finned condenser outside it. The condenser temperature could be controlled easily. BETA is compact, has high thermal response, accurate air temperature control and safe operation. Such types of residential heaters are necessary for heating residential and office building in the Mogilev and Gomel regions in Byelorussia which suffered after the Chernobyl catastrophe. (Author).

Staple Line Reinforcement During Laparoscopic Sleeve Gastrectomy: Absorbable Monofilament, Barbed Suture, Fibrin Glue, or Nothing? Results of a Prospective Randomized Study.

Science.gov (United States)

Carandina, S; Tabbara, M; Bossi, M; Valenti, A; Polliand, C; Genser, L; Barrat, Christophe

2016-02-01

Laparoscopic sleeve gastrectomy (LSG) is associated with serious complications, such as staple line (SL) leaks and bleeding. In order to prevent the occurrence of these complications, surgeons have advocated the need to strengthen the staple line. The aim of this randomized controlled study was to compare the efficacy of three different ways of strengthening of the SL in LSG in preventing surgical post-operative complications. Between April 2012 and December 2014, 600 patients (pts) scheduled for LSG were prospectively randomized into groups without SL reinforcement (group A) or with SL reinforcement including fibrin glue coverage (group B), or oversewn SL with imbricating absorbable (Monocryl™; group C) or barbed (V lock®) running suture (group D). Primary endpoints were post-operative leaks, bleeding, and stenosis, while secondary outcomes consisted of the time to perform the staple line reinforcement (SLR) and total operative time. Mean SLR operative time was lower for group B (3.4 ± 1.3 min) compared with that for groups C (26.8 ± 8.5 min) and D (21.1 ± 8.4 min) (p running suture or with fibrin glue, is an unrewarding surgical act with the sole effect of prolonging the operative time.

Effects of Sleeve Gastrectomy vs. Roux-en-Y Gastric Bypass on Eating Behavior and Sweet Taste Perception in Subjects with Obesity

Directory of Open Access Journals (Sweden)

Katie Nance

2017-12-01

Full Text Available The goal of this study was to test the hypothesis that weight loss induced by Roux-en-Y gastric bypass (RYGB has greater effects on taste perception and eating behavior than comparable weight loss induced by sleeve gastrectomy (SG. We evaluated the following outcomes in 31 subjects both before and after ~20% weight loss induced by RYGB (n = 23 or SG (n = 8: (1 sweet, savory, and salty taste sensitivity; (2 the most preferred concentrations of sucrose and monosodium glutamate; (3 sweetness palatability, by using validated sensory testing techniques; and (4 eating behavior, by using the Food Craving Inventory and the Dutch Eating Behavior Questionnaire. We found that neither RYGB nor SG affected sweetness or saltiness sensitivity. However, weight loss induced by either RYGB or SG caused the same decrease in: (1 frequency of cravings for foods; (2 influence of emotions and external food cues on eating behavior; and (3 shifted sweetness palatability from pleasant to unpleasant when repetitively tasting sucrose (all p-values ≤ 0.01. Therefore, when matched on weight loss, SG and RYGB cause the same beneficial effects on key factors involved in the regulation of eating behavior and hedonic component of taste perception.

The new development of radiation processing in China

International Nuclear Information System (INIS)

Chen Dianhua

1998-12-01

China Isotope and Radiation Association (CIRA) investigated the status of radiation processing in China's mainland. There are 45 accelerators each with beam power over 5 kW, the total beam power is 2005 kW. There are 48 γ facilities each with designed capacity over 1.11 x 10 4 TBq (0.3 million curies) and other 75 units with designed capacity less than 1.11 x 10 4 TBq. The total loaded capacity is 4.63 x 10 5 TBq, more than one third of the designed capacity. radiation processing is mainly used in producing chemical-industrial products (as heat-shrinkable products and radiation cross-linked wire and cable) in China. Some enterprises with annual output value over a hundred million RMB have emerged. Radiation processing is also used in preservation and disinfection of food. In 1977, six kinds of hygienic standards for irradiated food were authorized. Radiation sterilization of disposable medical products, radiation desulphurization and denitration are also being developed in China

Industrial applications of electron beam technology

International Nuclear Information System (INIS)

Khairul Zaman Mohd Dahlan

1997-01-01

Electron beam technology was first introduced in Malaysia in 1989 with the conclusion of the bilateral cooperation between the Malaysian Institute for Nuclear Technology Research (MINT) and Japan International Co-operation Agency (JICA) on Radiation Application Projects. Two electron beam accelerators with energy of 3.0 MeV and 200 keV were installed at MINT. These two accelerators pave the way for R and D to be carried out in radiation processing of polymers for cross-linking and surface curing. In 1994, another electron beam accelerator was installed in the private sector for cross-linking of home appliance wires. Since then, two more accelerators were installed in the private sector for cross-linking of heat shrinkable plastic films. Recently, a local company has acquired a low energy electron beam machine for cross-linking of plastic film. Within a period of 7 years, industrial applications of electron beam technology in Malaysia have increased significantly

The use and potential application of electron accelerator in Indonesia

International Nuclear Information System (INIS)

Danu, Sugiarto

2003-01-01

The use of electron accelerator in Indonesia for research and development, radiation services, commercial purposes and potential application in the future is described. A pilot plant for radiation curing technology particularly for wood surface coating using low energy electron accelerator (300 keV, 50 mA; installed in 1984) and a EBM GJ 2 (2 MeV, 10 mA, installed in 1994) for R and D of crosslinking process such as wire and cable and heat shrinkable tube and sheets in Center for Research and Development of Isotopes and Radiation Technology, Jakarta, and also a low energy electron accelerator (installed in 1998) in a private company, PT Gajah Tunggai, are being mainly used. Their performances are presented with activities achieved in the fields of wood surface coating, vulcanization of natural rubber latex, grafting of polyethylene terephthalate (PET), radiation sterilization, degradation of cellulose and, as promising applications, radiation curing for composite production and uses for environmental preservation are introduced. (S. Ohno)

The use and potential application of electron accelerator in Indonesia

Energy Technology Data Exchange (ETDEWEB)

Danu, Sugiarto [National Nuclear Energy Agency, Center for Research and Development of Isotopes and Radiation Technology, Jakarta (Indonesia)

2003-02-01

The use of electron accelerator in Indonesia for research and development, radiation services, commercial purposes and potential application in the future is described. A pilot plant for radiation curing technology particularly for wood surface coating using low energy electron accelerator (300 keV, 50 mA; installed in 1984) and a EBM GJ 2 (2 MeV, 10 mA, installed in 1994) for R and D of crosslinking process such as wire and cable and heat shrinkable tube and sheets in Center for Research and Development of Isotopes and Radiation Technology, Jakarta, and also a low energy electron accelerator (installed in 1998) in a private company, PT Gajah Tunggai, are being mainly used. Their performances are presented with activities achieved in the fields of wood surface coating, vulcanization of natural rubber latex, grafting of polyethylene terephthalate (PET), radiation sterilization, degradation of cellulose and, as promising applications, radiation curing for composite production and uses for environmental preservation are introduced. (S. Ohno)

Solar heat storages in district heating networks

Energy Technology Data Exchange (ETDEWEB)

Ellehauge, K. (Ellehauge og Kildemoes, AArhus (DK)); Engberg Pedersen, T. (COWI A/S, Kgs. Lyngby (DK))

2007-07-15

This report gives information on the work carried out and the results obtained in Denmark on storages for large solar heating plants in district heating networks. Especially in Denmark the share of district heating has increased to a large percentage. In 1981 around 33% of all dwellings in DK were connected to a district heating network, while the percentage in 2006 was about 60% (in total 1.5 mio. dwellings). In the report storage types for short term storage and long term storages are described. Short term storages are done as steel tanks and is well established technology widely used in district heating networks. Long term storages are experimental and used in connection with solar heating. A number of solar heating plants have been established with either short term or long term storages showing economy competitive with normal energy sources. Since, in the majority of the Danish district heating networks the heat is produced in co-generation plants, i.e. plants producing both electricity and heat for the network, special attention has been put on the use of solar energy in combination with co-generation. Part of this report describes that in the liberalized electricity market central solar heating plants can also be advantageous in combination with co-generation plants. (au)

24 CFR 3280.506 - Heat loss/heat gain.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Heat loss/heat gain. 3280.506... URBAN DEVELOPMENT MANUFACTURED HOME CONSTRUCTION AND SAFETY STANDARDS Thermal Protection § 3280.506 Heat loss/heat gain. The manufactured home heat loss/heat gain shall be determined by methods outlined in...

Automation of heating system with heat pump

OpenAIRE

Ferdin, Gašper

2016-01-01

Because of high prices of energy, we are upgrading our heating systems with newer, more fuel efficient heating devices. Each new device has its own control system, which operates independently from other devices in a heating system. With a relatively low investment costs in automation, we can group devices in one central control system and increase the energy efficiency of a heating system. In this project, we show how to connect an oil furnace, a sanitary heat pump, solar panels and a heat p...

Regenerative heat sources for heating networks

International Nuclear Information System (INIS)

Huenges, Ernst; Sperber, Evelyn; Eggers, Jan-Bleicke; Noll, Florian; Kallert, Anna Maria; Reuss, Manfred

2015-01-01

The ambitious goal, the German Federal Government has set itself, to reduce the emissions of greenhouse gases by 80% to 95% by the year 2050. As there are currently more than half of German energy consumption for the production of heat is required, big contributions to climate protection can be expected from this area if more renewable heat sources are used. Renewable heat sources such as bioenergy, solar thermal and geothermal energy in particular can be provided as compared to fossil fuels with significantly lower specific CO 2 emissions. Objectives in the heating market and scenarios for the transformation of the heat sector have been elaborated in the BMU Lead Study 2011. The main pillar of this scenario is the reduction of final energy consumption for heat by the energy-efficient renovation of existing buildings and further increasing demands on the energetic quality of new buildings. To cover the remaining energy demand, a focus is on the expansion of heating networks based on renewable energies. [de

Heat pipes for ground heating and cooling

Energy Technology Data Exchange (ETDEWEB)

Vasiliev, L L

1988-01-01

Different versions of heat pipe ground heating and cooling devices are considered. Solar energy, biomass, ground stored energy, recovered heat of industrial enterprises and ambient cold air are used as energy and cold sources. Heat pipe utilization of air in winter makes it possible to design accumulators of cold and ensures deep freezing of ground in order to increase its mechanical strength when building roadways through the swamps and ponds in Siberia. Long-term underground heat storage systems are considered, in which the solar and biomass energy is accumulated and then transferred to heat dwellings and greenhouses, as well as to remove snow from roadways with the help of heat pipes and solar collectors.

Effect of heated length on the Critical Heat Flux of subcooled flow boiling. 2. Effective heated length under axially nonuniform heating condition

International Nuclear Information System (INIS)

Kinoshita, Hidetaka; Yoshida, Takuya; Nariai, Hideki; Inasaka, Fujio

1998-01-01

Effect of heated length on the Critical Heat Flux (CHF) of subcooled flow boiling with water was experimentally investigated by using direct current heated tube made of stainless steel a part of whose wall thickness was axially cut for realizing nonuniform heat flux condition. The higher enhancement of the CHF was derived for shorter tube length. The effective heated length was determined for the tube under axially nonuniform heat flux condition. When the lower heat flux part below the Net Vapor Generation (NVG) heat flux exists at the middle of tube length, then the effective heated length becomes the tube length downstream the lower heat flux parts. However, when the lower heat flux part is above the NVG, then the effective heated length is full tube length. (author)

Heat Roadmap Europe: Identifying strategic heat synergy regions

International Nuclear Information System (INIS)

Persson, U.; Möller, B.; Werner, S.

2014-01-01

This study presents a methodology to assess annual excess heat volumes from fuel combustion activities in energy and industry sector facilities based on carbon dioxide emission data. The aim is to determine regional balances of excess heat relative heat demands for all third level administrative regions in the European Union (EU) and to identify strategic regions suitable for large-scale implementation of district heating. The approach is motivated since the efficiency of current supply structures to meet building heat demands, mainly characterised by direct use of primary energy sources, is low and improvable. District heating is conceived as an urban supply side energy efficiency measure employable to enhance energy system efficiency by increased excess heat recoveries; hereby reducing primary energy demands by fuel substitution. However, the importance of heat has long been underestimated in EU decarbonisation strategies and local heat synergies have often been overlooked in energy models used for such scenarios. Study results indicate that 46% of all excess heat in EU27, corresponding to 31% of total building heat demands, is located within identified strategic regions. Still, a realisation of these rich opportunities will require higher recognition of the heat sector in future EU energy policy. - Highlights: • EU27 energy and industry sector heat recycling resources are mapped and quantified. • Target regions for large-scale implementation of district heating are identified. • 46% of total EU27 excess heat volume is seized in 63 strategic heat synergy regions. • Large urban zones have lead roles to play in transition to sustainability in Europe. • Higher recognition of heat sector is needed in future EU energy policy for realisation

Laparoscopic sleeve gastrectomy after failed gastric banding: is it really effective? Six years of follow-up.

Science.gov (United States)

Carandina, Sergio; Genser, Laurent; Bossi, Manuela; Polliand, Claude; Tabbara, Malek; Barrat, Christophe

2017-07-01

Laparoscopic sleeve gastrectomy (LSG) has become a valuable surgical option to rescue laparoscopic adjustable gastric banding (LAGB) failures. The aim of this study was to determine whether conversion to LSG after failed LAGB (CLSG) is a well-tolerated and effective rescue procedure compared with primary LSG (PLSG) in the long term. University hospital, France. A retrospective review of data concerning consecutive patients receiving a LSG between February 2008 and December 2014 was conducted. Mortality, postoperative complications, and weight loss outcomes were analyzed. Of 701 LSG, 601 (85.7%) were PLSG and 100 (14.3%) were CLSG. The mortality rate was 0%. Overall morbidity was comparable between the primary and conversion group (10% versus 6%, P = .27). The mean percentage of excess weight loss at 3, 36, and 72 months was 34.9%, 72.1%, and 57.2% after PLSG and 22.6%, 51.2% and 29.8% after CLSG (P<.05). The failure rate (mean percentage of excess weight loss<50%) was higher in the CLSG group during the first 5 postoperative years (P < .001) with more than two thirds of the CLSG considered as having failed at 60 months. Patients who underwent band ablation as a result of insufficient weight loss or weight regain presented the worst results after conversion to LSG. In this study, the conversion of failed LAGB to LSG in 2 steps indicated a safety profile comparable to that of primary LSG but was significantly less effective from the early postoperative course (3 mo) up to 6 years postoperatively. CLSG may not be the best option because a third operation may be needed as a result of insufficient weight loss. Copyright © 2017 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Gastroesophageal reflux disease and Barrett's esophagus after laparoscopic sleeve gastrectomy: a possible, underestimated long-term complication.

Science.gov (United States)

Genco, Alfredo; Soricelli, Emanuele; Casella, Giovanni; Maselli, Roberta; Castagneto-Gissey, Lidia; Di Lorenzo, Nicola; Basso, Nicola

2017-04-01

Morbidly obese patients are affected by gastroesophageal reflux disease (GERD) and hiatal hernia (HH) more frequently than lean patients. Because of conflicting results, the indication to sleeve gastrectomy (SG) in patients with GERD is still debated. To evaluate the incidence of GERD on the basis of clinical, endoscopic, and histologic data in patients undergoing SG. University hospital, Rome, Italy. From July 2007 to January 2010, 162 patients underwent primary SG. Preoperatively all patients underwent visual analogue scale (VAS) evaluation of GERD symptoms, proton pump inhibitors (PPIs) consumption recording, and esophagogastroduodenoscopy (EGD). Stomach resection started 6 cm from pylorus on a 48Fr bougie. Staple line was reinforced by an oversewing suture. A postoperative clinical control with VAS evaluation, PPI consumption, and EGD was proposed to all patients. Three patients were excluded because of the occurrence of major postoperative complications. A total of 110 patients accepted to take part in the study (follow-up rate: 69.1%). At a mean 58 months of follow-up, incidence of GERD symptoms, VAS mean score, and PPI intake significantly increased compared with preoperative values (68.1% versus 33.6%: Preflux was found in 73.6% and 74.5% of cases, respectively. A significant increase in the incidence and in the severity of erosive esophagitis (EE) was evidenced, whereas nondysplastic Barrett's esophagus (BE) was newly diagnosed in 19 patients (17.2%). No significant correlations were found between GERD symptoms and endoscopic findings. In the present series the incidence of EE and of BE in SG patients was considerably higher than that reported in the current literature, and it was not related to GERD symptoms. Endoscopic surveillance after SG should be advocated irrespective of the presence of GERD symptoms. Copyright © 2017 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Comparison of two specimen retrieval techniques in laparoscopic sleeve gastrectomy: what is the role of endobag?

Science.gov (United States)

Shoar, Saeed; Aboutaleb, Shereen; Karem, Mohsen; Bashah, Moataz M; AlKuwari, Mohamed; Sargsyan, Davit; Saber, Alan A

2017-12-01

Laparoscopic sleeve gastrectomy (LSG) has become a popular stand-alone treatment for morbid obesity. However, removal of the gastric specimen could be a challenging step due to its large size relative to the width of the trocar site. We aimed to compare a simplified retrieval technique for extraction of the gastric specimen without an endobag with conventionally performed specimen retrieval using an endobag. A case-control study was conducted recruiting patients undergoing LSG. Patient's demographics, preoperative characteristics, intra-operative, and postoperative variables were compared between the two groups according to the technique of gastric specimen removal. A total of 193 patients (60.6% female) were enrolled into case (n = 100) and control groups (n = 93). Mean ± SD age and BMI of patients were 35.64 ± 11.84 years and 47.28 ± 8.22 Kg/m 2 , respectively with no significant difference between groups. Median (25th, 75th inter-quartile), extraction time was significantly reduced in the non-endobag group compared to the endobag group (3.5 [2.5-4.5] min vs. 6.5 [3.4-8.2] min, p = 0.03).Patients of both groups had similar intra-operative and trocar site complications (hernia and wound infection) (3% for endobag group and 3.3 % for non-endobag group). The median (25-75% [IQR]) LOS was also comparable between endobag and non-endobag patients (3[2-3] vs. 3[2-4] days, p = 0.84). No difference was observed between the two groups for weight loss and comorbidity resolution. Non-endobag technique for gastric specimen retrieval is safe and feasible with substantial saving in operative time and comparable intra-operative and postoperative outcomes to the conventional retrieval technique.

Heat transfer and critical heat flux in a spiral flow in an asymmetrical heated tube

International Nuclear Information System (INIS)

Boscary, J.; Association Euratom-CEA, Centre d'Etudes Nucleaires de Cadarache, 13 - Saint-Paul-lez-Durance

1997-03-01

The design of plasma facing components is crucial for plasma performance in next fusion reactors. These elements will be submitted to very high heat flux. They will be actively water-cooled by swirl tubes in the subcooled boiling regime. High heat flux experiments were conducted in order to analyse the heat transfer and to evaluate the critical heat flux. Water-cooled mock-ups were one-side heated by an electron beam gun for different thermal-hydraulic conditions. The critical heat flux was detected by an original method based on the isotherm modification on the heated surface. The wall heat transfer law including forced convection and subcooled boiling regimes was established. Numerical calculations of the material heat transfer conduction allowed the non-homogeneous distribution of the wall temperature and of the wall heat flux to be evaluated. The critical heat flux value was defined as the wall maximum heat flux. A critical heat flux model based on the liquid sublayer dryout under a vapor blanket was established. A good agreement with test results was found. (author)

3D Volumetry and its Correlation Between Postoperative Gastric Volume and Excess Weight Loss After Sleeve Gastrectomy.

Science.gov (United States)

Hanssen, Andrés; Plotnikov, Sergio; Acosta, Geylor; Nuñez, José Tomas; Haddad, José; Rodriguez, Carmen; Petrucci, Claudia; Hanssen, Diego; Hanssen, Rafael

2018-03-01

The volume of the postoperative gastric remnant is a key factor in excess weight loss (EWL) after sleeve gastrectomy (SG). Traditional methods to estimate gastric volume (GV) after bariatric procedures are often inaccurate; usually conventional biplanar contrast studies are used. Thirty patients who underwent SG were followed prospectively and evaluated at 6 months after the surgical procedure, performing 3D CT reconstruction and gastric volumetry, to establish its relationship with EWL. The gastric remnant was distended with effervescent sodium bicarbonate given orally. Helical CT images were acquired and reconstructed; GV was estimated with the software of the CT device. The relationship between GV and EWL was analyzed. The study allowed estimating the GV in all patients. A dispersion diagram showed an inverse relationship between GV and %EWL. 55.5% of patients with GV ≤ 100 ml had %EWL 25-75% and 38.8% had an %EWL above 75% and patients with GV ≥ 100 ml had an %EWL under 25% (50% of patients) or between 25 and 75% (50% of this group). The Pearson's correlation coefficient was R = 6.62, with bilateral significance (p ≤ .01). The Chi-square result correlating GV and EWL showed a significance of .005 (p ≤ .01). The 3D reconstructions showed accurately the shape and anatomic details of the gastric remnant. 3D volumetry CT scans accurately estimate GV after SG. A significant relationship between GV and EWL 6 months after SG was established, seeming that GV ≥ 100 ml at 6 months of SG is associated with poor EWL.

Clinical evaluation of C-reactive protein and procalcitonin for the early detection of postoperative complications after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Frask, Agata; Orłowski, Michał; Dowgiałło-Wnukiewicz, Natalia; Lech, Paweł; Gajewski, Krzysztof; Michalik, Maciej

2017-06-01

Among the most common early complications after bariatric surgery are anastomosis leak and bleeding. In order to react quickly and perform accurate treatment before the clinical signs appear, early predictors should be found. In the study C-reactive protein (CRP) and procalcitonin (PCT) levels were investigated. Characterized by a relatively short half-life, they can predict surgical complications. To develop and implement certain standards for early detection of complications. The study involved 319 adults who underwent laparoscopic sleeve gastrectomy (LSG) as a surgical intervention for morbid obesity at the Department of General Surgery of Ceynowa Hospital in Wejherowo. Every patient had CRP and PCT levels measured before the surgery and on the 1 st and 2 nd postoperative day (POD). Early postoperative complications occurred in 19 (5.96%) patients. Septic and non-septic complications occurred in 3 and 16 patients respectively. Among the patients with septic postoperative complications CRP level increased significantly on the 2 nd POD compared to the remainder (p = 0.0221). Among the patients with non-septic postoperative complications CRP level increased significantly on the 1 st and 2 nd POD compared to the remainder. Among the patients with septic and non-septic postoperative complications PCT level increased significantly on the 2 nd POD compared to the remainder. The CRP and PCT level are supposed to be relevant diagnostic markers to predict non-septic and septic complications after LSG.

Urban district heating using nuclear heat - a survey

International Nuclear Information System (INIS)

Beresovski, T.; Oliker, I.

1979-01-01

The use of heat from nuclear power plants is of great interest in connection with projected future expansions of large urban district heating systems. Oil price escalation and air pollution from increased burning of fossil fuels are substantial incentivers for the adoption of nuclear heat and power plants. The cost of the hot water piping system from the nuclear plant to the city is a major factor in determining the feasibility of using nuclear heat. To achieve reasonable costs, the heat load should be at least 1500 MW(th), transport temperatures 125-200 0 C and distances preferably 50 km or less. Heat may be extracted from the turbines of conventional power reactors. Alternatively, some special-purpose smaller reactors are under development which are specially suited to production of heat with little or no power coproduct. Many countries are conducting studies of future expansions of district heating systems to use nuclear heat. Several countries are developing technology suitable for this application. Actual experience with the use of nuclear heat for district heating is currently being gained only in the USSR, however. While district heating appears to be a desirable technology at a time of increasing fossil-fuel costs, the use of nuclear heat will require siting of nuclear plants within transmission radius of cities. The institutional barries toward use of nuclear heating will have to be overcome before the energy conservation potential of this approach can be realized on a significant scale. (author)

Does Weight Gain During the Operation Wait Time Have an Impact on Weight Loss After Laparoscopic Sleeve Gastrectomy?

Science.gov (United States)

Cayci, Haci Murat; Erdogdu, Umut Eren; Karaman, Kerem; Budak, Ersin; Taymur, İbrahim; Buyukuysal, Cagatay

2017-02-01

The effect of preoperative weight changes on postoperative outcomes after bariatric surgery remains inconclusive. The aim of the present study was to evaluate the effect of preoperative weight gain on postoperative weight loss outcomes after laparoscopic sleeve gastrectomy (SG). Ninety-two morbidly obese patients undergoing SG from January 2014 to April 2016 were separated into two groups according to whether they gained weight or not during the waiting time prior to surgery. Thirty-nine patients (42.4 %) gained weight during the waiting time and 53 patients (57.6 %) did not. The median body mass index (BMI; kg/m 2 ) at surgery was significantly higher in weight-gained patients (47.8 (min-max, 40-62)) compared to patients who had not gained weight (45.10 (min-max, 41-67)), (P = 0.034). No significant difference was found between the two groups regarding the distribution of age, gender, family history of obesity, existence of comorbidity, smoking, weight gain during childhood or adulthood, preoperative Beck depression and Beck anxiety scores, waiting time period, and body weight at the initial visit (P > 0.05). The ASA I score was higher in weight-gained patients whereas ASA II score was higher in those who did not gain, and the difference was significant (P = 0.046). Postoperative % BMI loss and % weight loss were not significantly different between the two groups at the first, third, sixth months, and the end of the first year (P > 0.05). Weight gain during waiting time has no negative impact on % weight loss and % BMI loss after SG.

Utility of the balloon-overtube-assisted modified over-the-wire stenting technique to treat post-sleeve gastrectomy complications.

Science.gov (United States)

Ponte, Ana; Pinho, Rolando; Proença, Luísa; Silva, Joana; Rodrigues, Jaime; Sousa, Mafalda; Silva, João Carlos; Carvalho, João

2017-06-16

To describe a modified technique of deployment of stents using the overtube developed for balloon-assisted enteroscopy in post-sleeve gastrectomy (SG) complications. Between January 2010 and December 2015, all patients submitted to an endoscopic stenting procedure to treat a post-SG stenosis or leakage were retrospectively collected. Procedures from patients in which the stent was deployed using the balloon-overtube-assisted modified over-the-wire (OTW) stenting technique were described. The technical success, corresponding to proper placement of the stent in the stomach resulting in exclusion of the SG leak or the stenosis, was evaluated. Complications related to stenting were also reported. Five procedures were included to treat 2 staple line leaks and 3 stenoses. Two types of stents were used, including a fully covered self-expandable metal stent designed for the SG anatomy (Hanarostent, ECBB-30-240-090; M.I. Tech, Co., Ltd, Seoul, South Korea) in 4 procedures and a biodegradable stent (BD stent 019-10A-25/20/25-080, SX-ELLA, Hradec Kralove, Czech Republic) in the remaining procedure. In all cases, an overtube was advanced with the endoscope through the SG to the duodenum. After placement of the guidewire and removal of the endoscope, the stent was easily advanced through the overtube. The overtube was pulled back and the stent was successfully deployed under fluoroscopic guidance. Technical success was achieved in all patients. The adoption of a modified technique of deployment of OTW stents using an overtube may represent an effective option in the approach of SG complications.

Reactor waste heat utilization and district heating reactors. Nuclear district heating in Sweden - Regional reject heat utilization schemes and small heat-only reactors

International Nuclear Information System (INIS)

Hannerz, K.; Larsson, Y.; Margen, P.

1977-01-01

A brief review is given of the current status of district heating in Sweden. In future, district heating schemes will become increasingly interesting as a means of utilizing heat from nuclear reactors. Present recommendations in Sweden are that large reactors should not be located closer than about 20 km from large population centres. Reject heat from such reactors is cheap at source. To minimize the cost of long distance hot water transmission large heat rates must be transmitted. Only areas with large populations can meet this requirement. The three areas of main interest are Malmoe/Lund/Helsingborg housing close to 0.5 million; Greater Stockholm housing 1 to 1.5 million and Greater Gothenburg housing about 0.5 million people. There is an active proposal that the Malmoe/Lund/Helsingborg region would be served by a third nuclear unit at Barsebaeck, located about 20 km from Malmoe/Lund and supplying 950 MW of base load heat. Preliminary proposals for Stockholm involve a 2000 MW heat supply; proposals for Gothenburg are more tentative. The paper describes progress on these proposals and their technology. It also outlines technology under development to increase the economic range of large scale heat transport and to make distribution economic even for low heat-density family housing estates. Regions apart from the few major urban areas mentioned above require the adoption of a different approach. To this end the development of a small, simple low-temperature reactor for heat-only production suitable for urban location has been started in Sweden in close contact with Finland. Some results of the work in progress are presented, with emphasis on the safety requirements. An outline is given in the paper as to how problems of regional heat planning and institutional and legislative issues are being approached

Heat pipes as perspective base elements of heat recovery in heat supply and ventilating systems

Directory of Open Access Journals (Sweden)

Matveev Andrey

2017-01-01

Full Text Available Thermotechnical characteristics of heat pipes are considered as high-efficient heat-transfer devices, which can provide energy-saving technologies for heat supply and ventilating systems and for different branches of industry. Thermotechnical and working (”performance capability” characteristics of heat pipes are investigated. By ”performance capability” of heat pipes and heat-transfer devices on heat pipes we mean the system state, where it can perform set functions and keep parameter values (thermal power, conductivity, thermal resistance, heat-transfer coefficient, temperature level and differential, etc. within the regulations of standardized specifications. The article presents theoretical and experimental methods of «gaslock» length determination on noncondensable gases during long-lasting tests of ammonia heat pipes made of aluminum shape АS – КRА 7.5 – R1 (alloy АD – 31. The paper gives results of research of thermotechnical characteristics of heat pipes in horizontal and vertical states (separate and as a set part while using different systems of thermal insulation. The obtained results of thermotechnical and resource tests show the advantages of ammonia heat pipes as basic elements for heat exchanger design in heating and ventilation systems.

Influence on Heat Transfer Coefficient of Heat Exchanger by Velocity and Heat Transfer Temperature Difference

Directory of Open Access Journals (Sweden)

WANG Fang

2017-04-01

Full Text Available Aimed to insufficient heat transfer of heat exchanger, research the influence on the heat transfer coefficient impacted by velocity and heat transfer temperature difference of tube heat exchanger. According to the different heat transfer temperature difference and gas velocity，the experimental data were divided into group. Using the control variable method，the above two factors were analyzed separately. K一△T and k一:fitting curve were clone to obtain empirical function. The entire heat exchanger is as the study object，using numerical simulation methods，porous media，k一￡model，second order upwind mode，and pressure一velocity coupling with SIMPLE algorithm，the entire heat exchanger temperature field and the heat transfer coefficient distribution were given. Finally the trend of the heat transfer coefficient effected by the above two factors was gotten.

Heat-treatment and heat-to-heat variations in the fracture toughness of Alloy 718

International Nuclear Information System (INIS)

Mills, W.J.

1981-07-01

The effect of heat-treatment and heat-to-heat variations on the J Ic fracture toughness response of Alloy 718 was examined at room and elevated temperatures using the multiple-specimen R-curve technique. Six heats of alloy 718 were tested in the conventional and modified heat-treated conditions. The fracture toughness response for the modified superalloy was found to be superior to that exhibited by the conventional material. Heat-to-heat variations in the J Ic response of Alloy 718 were observed in both heat-treated conditions; the modified treatment exhibited much larger variability. The J Ic and corresponding K Ic fracture toughness values were analyzed statistically to establish minimum expected toughness, values for use in design and safety analyses. 26 refs., 10 figs., 9 tabs

Residential CO{sub 2} heat pump system for combined space heating and hot water heating

Energy Technology Data Exchange (ETDEWEB)

Stene, Joern

2004-02-01

Carbon dioxide (CO{sub 2}, R-744) has been identified as a promising alternative to conventional working fluids in a number of applications due to its favourable environmental and thermophysical properties. Previous work on residential CO{sub 2} heat pumps has been dealing with systems for either space heating or hot water heating, and it was therefore considered interesting to carry out a theoretical and experimental study of residential CO{sub 2} heat pump systems for combined space heating and hot water heating - o-called integrated CO{sub 2} heat pump systems. The scope of this thesis is limited to brine-to-water and water-to-water heat pumps connected to low-temperature hydronic space heating systems. The main conclusions are: (1) Under certain conditions residential CO{sub 2} heat pump systems for combined space heating and hot water heating may achieve the same or higher seasonal performance factor (SPF) than the most energy efficient state-of-the-art brine-to-water heat pumps. (2) In contrary to conventional heat pump systems for combined space heating and DHW heating, the integrated CO{sub 2} heat pump system achieves the highest COP in the combined heating mode and the DHW heating mode, and the lowest COP in the space heating mode. Hence, the larger the annual DHW heating demand, the higher the SPF of the integrated CO{sub 2} heat pump system. (3) The lower the return temperature in the space heating system and the lower the DHW storage temperature, the higher the COP of the integrated CO{sub 2} heat pump. A low return temperature in the space heating system also results in a moderate DHW heating capacity ratio, which means that a relatively large part of the annual space heating demand can be covered by operation in the combined heating mode, where the COP is considerably higher than in the space heating mode. (4) During operation in the combined heating mode and the DHW heating mode, the COP of the integrated CO{sub 2} heat pump is heavily influenced by

Waste heat of HTR power stations for district heating

International Nuclear Information System (INIS)

Bonnenberg, H.; Schlenker, H.V.

1975-01-01

The market situation, the applied techniques, and the transport, for district heating in combination with HTR plants are considered. Analysis of the heat market indicates a high demand for heat at temperatures between 100 and 150 0 C in household and industry. This market for district heating can be supplied by heat generated in HTR plants using two methods: (1) the combined heat and power generation in steam cycle plants by extracting steam from the turbine, and (2) the use of waste heat of a closed gas turbine cycle. The heat generation costs of (2) are negligible. The cost for transportation of heat over the average distance between existing plant sites and consumer regions (25 km) are between 10 and 20% of the total heat price, considering the high heat output of nuclear power stations. Comparing the price of heat gained by use of waste heat in HTR plants with that of conventional methods, considerable advantages are indicated for the combined heat and power generation in HTR plants. (author)

Postaccident heat removal. II. Heat transfer from an internally heated liquid to a melting solid

International Nuclear Information System (INIS)

Faw, R.E.; Baker, L. Jr.

1976-01-01

Microwave heating has been used in studies of heat transfer from a horizontal layer of internally heated liquid to a melting solid. Experiments were designed to simulate heat transfer and meltthrough processes of importance in the analysis of postaccident heat removal capabilities of nuclear reactors. Glycerin, heated by 2.45-GHz microwave radiation, was used to simulate molten fuel. Paraffin wax was used to simulate a melting barrier confining the fuel. Experimentally measured heat fluxes and melting rates were consistent with a model based on downward heat transfer by conduction through a stagnant liquid layer and upward heat transfer augmented by natural convection. Melting and displacement of the barrier material occurred by upward-moving droplets randomly distributed across the melting surface. Results indicated that the melting and displacement process had no effect on the heat transfer process

Effects of Symmetrically Arranged Heat Sources on the Heat Release Performance of Extruded-Type Heat Sinks

Energy Technology Data Exchange (ETDEWEB)

Ku, Min Ye [Chonbuk National Univ., Chonju (Korea, Republic of)

2016-02-15

In this study we investigated the effects of symmetrically arranged heat sources on the heat release performances of extruded-type heat sinks through experiments and thermal fluid simulations. Also, based on the results we suggested a high-efficiency and cost-effective heat sink for a solar inverter cooling system. In this parametric study, the temperatures between heaters on the base plate and the heat release rates were investigated with respect to the arrangements of heat sources and amounts of heat input. Based on the results we believe that the use of both sides of the heat sink is the preferred method for releasing the heat from the heat source to the ambient environment rather than the use of a single side of the heat sink. Also from the results, it is believed that the symmetric arrangement of the heat sources is recommended to achieve a higher rate of heat transfer. From the results of the thermal fluid simulation, it was possible to confirm the qualitative agreement with the experimental results. Finally, quantitative comparison with respect to mass flow rates, heat inputs, and arrangements of the heat source was also performed.

Heat exchangers

Energy Technology Data Exchange (ETDEWEB)

Schmidt, E L; Eisenmann, G; Hahne, E [Stuttgart Univ. (TH) (F.R. Germany). Inst. fuer Thermodynamik und Waermetechnik

1976-04-01

A survey is presented on publications on design, heat transfer, form factors, free convection, evaporation processes, cooling towers, condensation, annular gap, cross-flowed cylinders, axial flow through a bundle of tubes, roughnesses, convective heat transfer, loss of pressure, radiative heat transfer, finned surfaces, spiral heat exchangers, curved pipes, regeneraters, heat pipes, heat carriers, scaling, heat recovery systems, materials selection, strength calculation, control, instabilities, automation of circuits, operational problems and optimization.

Evaluation of parameters effect on the maximum fuel temperature in the core thermal and hydraulic design of HTTR

International Nuclear Information System (INIS)

Fujimoto, Nozomu; Maruyama, Soh; Sudo, Yukio; Fujii, Sadao; Niguma, Yoshinori.

1988-10-01

This report presents the results of quantitative evaluation on the effects of the dominant parameters on the maximum fuel temperature in the core thermal hydraulic design of the High Temperature Engineering Test Reactor(HTTR) of 30 MW in thermal power, 950 deg C in reactor outlet coolant temperature and 40 kg/cm 2 G in coolant pressure. The dominant parameters investigated are 1) Gap conductance. 2) Effect of eccertricity of fuel compacts in graphite sleeve. 3) Effect of spacer ribs on heat transfer coefficients. 4) Contact probability of fuel compact and graphite sleeve. 5) Validity of uniform radial power density in the fuel compacts. 6) Effect of impurity gas on gap conductance. 7) Effect of FP gas on gap conductance. The effects of these items on the maximum fuel temperature were quantitalively identified as hot spot factors. A probability of the appearance of the maximum fuel temperature was also evaluated in this report. (author)

Pulsed eddy currents: principle and applications

International Nuclear Information System (INIS)

Bernard, A.; Coutanceau, N.

1993-04-01

Eddy currents are widely used as a non destructive testing technique specially for heat exchanger testing. The specificities of pulsed eddy current testing are analyzed in terms of probe design and signal processing. The specific applications are detailed. They are divided in two parts. First part, deals with the two main applications of the high peak energy supplied to the probe. One concerns the design of focused probes used for the detection of small defects in irradiated fuel rods. The other concerns the saturation of ferromagnetic materials in order to test the full thickness of the exchanger tubes. Second part, deals with applications of the wide and low frequency spectrum generated by the pulse source. It enables the testing of thick materials, and the detection of sub-surface defects. It has been tested on austenitic steel (nuclear pressure vessel nozzle), multilayered structures of aluminium alloys (aeronautics) and sleeved structures (nuclear pressure vessel head penetrations through thermal sleeves)

Radiation effects on heat transfer in heat exchangers, (2)

International Nuclear Information System (INIS)

Mori, Yasuo; Watanabe, Kenji; Taira, Tatsuji.

1980-01-01

In a high temperature gas-cooled reactor system, in which the working fluid exchanges heat at high temperature near 1000 deg C, the heat transfer acceleration by positively utilizing the radiation heat transfer between solid surfaces should be considered. This paper reports on the results of experiment and analysis for the effects of radiant heat on the heat transfer performance at elevated temperature by applying the heat transfer-accelerating method using radiators to the heat exchanger with tube bundle composed of two channels of heating and heated sides. As the test heat exchangers, a parallel counter flow exchanger and the cross flow exchanger simulating helical tubes were employed, and the results studied on the characteristics of each heat exchanger are described. The plates placed in parallel to flow in every space of the tube bundle arranged in a matrix were used as the heat transfer accelerator. The effects of acceleration with the plates were the increase of heat transmission from 12 to 24% and 12 to 38% in the parallel flow and cross flow heat exchangers, respectively. Also, it was clarified that the theoretical analysis, in which it was assumed that the region within pitch S and two radiator plates, with a heat-transferring tube placed at the center, is the minimum domain for calculation, and that the heat exchange by radiation occurs only between the domain and the adjacent domains, can estimate the heat transfer-accelerating effect and the temperature distribution in a heat exchanger with sufficient accuracy. (Wakatsuki, Y.)

Heat transfer from two-side heated helical channels

International Nuclear Information System (INIS)

Shimonis, V.; Ragaishis, V.; Poshkas, P.

1995-01-01

Experimental results are presented on the heat transfer from two-side heated helical channels to gas (air) flows. The study covered six configurations and wide ranges of geometrical (D/h=5.5 to 84.2) and performance (Re=10 3 to 2*10 5 ) parameters. Under the influence of Re and of the channel curvature, the heat transfer from both the convex and the concave surfaces for two-side heating (q w1 ≅ q w2 ) is augmented by 20-30% over one-side heating. Improved relations to predict the critical values of Reynolds Re cr1 and Re cr2 are suggested. They enable more exact predictions of the heat transfer from convex surface in transient flows for one-side heating. The relation for annular channels is suggested for the turbulent heat transfer from the convex and concave surfaces of two-side heated helical channels. It can be adapted by introducing earlier expresions for one-side heated helical channels. (author). 6 refs., 2 tabs., 3 figs

Comparison of percentage excess weight loss after laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding

Science.gov (United States)

Bobowicz, Maciej; Lech, Paweł; Orłowski, Michał; Siczewski, Wiaczesław; Pawlak, Maciej; Świetlik, Dariusz; Witzling, Mieczysław; Michalik, Maciej

2014-01-01

Introduction Laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB) are acceptable options for primary bariatric procedures in patients with body mass index (BMI) 35–55 kg/m2. Aim The aim of this study is to compare the effects of these two bariatric procedures 6, 12 and 24 months after surgery. Material and methods Two hundred and two patients were included 72 LSG and 130 LAGB patients. The average age was 38.8 ±11.9 and 39.4 ±10.4 years in LSG and LAGB groups, with initial BMI of 44.1 kg/m2 and 45.2 kg/m2, p = NS. Results The mean percentage of excess weight loss (%EWL) at 6 months for LSG vs. LAGB was 36.3% vs. 30.1% (p = 0.01) and at 12 months was 43.8% vs. 34.6% (p = 0.005). The greatest difference in the mean %EWL at 12 months was observed in patients with initial BMI of 40–49.9 kg/m2 in favor of LSG (47.5% vs. 35.6%; p = 0.01). Two years after surgery there was no advantage of LSG and in the subgroup of patients with BMI 50–55 kg/m2 there was a trend in favor of LAGB (57.2% vs. 30%; p = 0.07). The multiple regression model of independent variables (age, gender, initial BMI and the presence of comorbidities) proved insignificant in prediction of the best outcome in means of %EWL for either operative modality. None of these factors in the logistic regression model could determine the type of surgery that should be used in particular patients. Conclusions During the first 2 years after surgery, the best results were obtained in women with lower BMI undergoing LSG surgery. The LSG provides greater %EWL after a shorter period of time though the difference decreases in time. PMID:25337157

Византийские (средиземноморские мечи с перекрестьями с муфтой IX—XI вв. / Byzantine (Mediterranian 9th — 11th century swords with sleeve cross-guards

Directory of Open Access Journals (Sweden)

Baranov G.V.

2017-12-01

Full Text Available The article reviews such as a group of early medieval swords with cross-guards having three main elements: a collar, a quillon and a sleeve. A significant number of such swords as well as separate cross-guards were found in Eastern Europe and are dated from the 9th c. (possibly as early as the second half of the 8th c. to the 11th c. This design of cross-guards is typical of the Mediterranean region. Its wide spread across Eastern Europe should be linked to the influence of the Byzantine Empire, where comparable items can be found in art. The paper categorizes cross-guards of this kind into three main types and describes the principal trends in their evolution: reduction of collar and sleeve height and increasing quillon length. Two types of pommels in such swords are described, as well as remaining elements of scabbards.

District heating and heat storage using the solution heat of an ammonia/water system

International Nuclear Information System (INIS)

Taube, M.; Peier, W.; Mayor, J.C.

1976-01-01

The article describes a model for the optimum use of the heat energy generated in a nuclear power station for district heating and heat storage taking account of the electricity and heat demand varying with time. (HR/AK) [de

Winter-regime surface heat loss from heated streams

International Nuclear Information System (INIS)

Paily, P.P.; Macagno, E.O.; Kennedy, J.F.

1974-01-01

Evaluation of the rate of surface heat exchange between the water and air is a significant factor in any study of the thermal response of heated streams to heat inputs. Existing methods to determine the amount of heat transfer across the water surface are surveyed, and the different formulas developed for determining the heat exchange components are compiled. Heat-transfer models that have been proposed in the literature are reviewed, and a new linearized model for determining the rate of surface heat exchange is proposed. Generalized relations between the major climatological factors and the coefficients of the linearized heat-loss rate are established by multiple-regression analysis. The analysis is limited to cold-period conditions, in the sense that air temperatures below the freezing point of water only are considered in developing the regression equations. A computer program, using FORTRAN, is presented which enables the computation of the coefficients appearing in the linearized heat-loss rate for all combinations of the various climatological factors

Nuclear heat for industrial purposes and district heating

International Nuclear Information System (INIS)

1974-01-01

Studies on the various possibilities for the application of heat from nuclear reactors in the form of district heat or process steam for industrial purposes had been made long before the present energy crisis. Although these studies have indicated technical feasibility and economical justification of such utilization, the availability of relatively cheap oil and difficulties in locating a nuclear heat source inside industrial areas did not stimulate much further development. Since the increase of oil prices, the interest in nuclear heat application is reawakened, and a number of new potential areas have been identified. It now seems generally recognized that the heat from nuclear reactors should play an important role in primary energy supply, not only for electricity production but also as direct heat. At present three broad areas of nuclear heat application are identified: Direct heat utilization in industrial processing requiring a temperature above 800 deg. C; Process steam utilization in various industries, requiring a temperature mainly in the range of 200-300 deg. C; Low temperature and waste heat utilization from nuclear power plants for desalination of sea water and district heating. Such classification is mainly related to the type and characteristics of the heat source or nuclear reactor which could be used for a particular application. Modified high temperature reactor types (HTR) are the candidates for direct heat application, while the LWR reactors can satisfy most of the demands for process steam. Production of waste heat is a characteristic of all thermal power plants, and its utilization is a major challenge in the field of power production

System and method for manufacture of airfoil components

Science.gov (United States)

Moors, Thomas Michael

2016-11-29

Embodiments of the present disclosure relate generally to systems and methods for manufacturing an airfoil component. The system can include: a geometrical mold; an elongated flexible sleeve having a closed-off interior and positioned within the geometrical mold, wherein the elongated flexible sleeve is further positioned to have a desired geometry; an infusing channel in fluid communication with the closed-off interior of the elongated flexible sleeve and configured to communicate a resinous material thereto; a vacuum channel in fluid communication with the closed-off interior of the elongated flexible sleeve and configured to vacuum seal the closed-off interior of the elongated flexible sleeve; and a glass fiber layer positioned within the closed-off interior of the elongated flexible sleeve.

The log mean heat transfer rate method of heat exchanger considering the influence of heat radiation

International Nuclear Information System (INIS)

Wong, K.-L.; Ke, M.-T.; Ku, S.-S.

2009-01-01

The log mean temperature difference (LMTD) method is conventionally used to calculate the total heat transfer rate of heat exchangers. Because the heat radiation equation contains the 4th order exponential of temperature which is very complicate in calculations, thus LMTD method neglects the influence of heat radiation. From the recent investigation of a circular duct in some practical situations, it is found that even in the situation of the temperature difference between outer duct surface and surrounding is low to 1 deg. C, the heat radiation effect can not be ignored in the situations of lower ambient convective heat coefficient and greater surface emissivities. In this investigation, the log mean heat transfer rate (LMHTR) method which considering the influence of heat radiation, is developed to calculate the total heat transfer rate of heat exchangers.

Repair technology for steam generator tubes

Energy Technology Data Exchange (ETDEWEB)

Kim, Seung Ho; Jung, Hyun Kyu; Jung, Seung Ho; Kim, Chang Hoi; Jung, Young Moo; Seo, Yong Chil; Kim, Jung Su; Seo, Moo Hong

2001-02-01

The most commonly used sleeving materials are thermally treated Alloy 600 and thermally treated Alloy 690 Alloy. Currently, thermally treated Alloy 690 and Alloy 800 are being offered although Alloy 800 has not been licensed in the US. To install sleeve, joint strength, leak tightness, PWSCC resistance, evaluation on process parameter range and the effect of equipments and procedures on repair plan and radiation damage have to be investigated before sleeving. ABB CE provides three type of leak tight Alloy 690 TIG welded and PLUSS sleeve. Currently, Direct Tube Repair technique using Nd:YAG laser has been developed by ABB CE and Westinghouse. FTI has brazed and kinetic sleeve designs for recirculating steam generator and hydraulic and rolled sleeve designs for one-through steam generators. Westinghouse provides HEJ, brazed and laser welded sleeve design. When sleeve is installed in order to repair the damaged S/G tubes, it is certain that defects can be occurred due to the plastic induced stress and thermal stress. Therefore it is important to minimize the residual stress. FTI provides the electrosleeve technique as a future repair candidate using electroplating.

Repair technology for steam generator tubes

International Nuclear Information System (INIS)

Kim, Seung Ho; Jung, Hyun Kyu; Jung, Seung Ho; Kim, Chang Hoi; Jung, Young Moo; Seo, Yong Chil; Kim, Jung Su; Seo, Moo Hong

2001-02-01

The most commonly used sleeving materials are thermally treated Alloy 600 and thermally treated Alloy 690 Alloy. Currently, thermally treated Alloy 690 and Alloy 800 are being offered although Alloy 800 has not been licensed in the US. To install sleeve, joint strength, leak tightness, PWSCC resistance, evaluation on process parameter range and the effect of equipments and procedures on repair plan and radiation damage have to be investigated before sleeving. ABB CE provides three type of leak tight Alloy 690 TIG welded and PLUSS sleeve. Currently, Direct Tube Repair technique using Nd:YAG laser has been developed by ABB CE and Westinghouse. FTI has brazed and kinetic sleeve designs for recirculating steam generator and hydraulic and rolled sleeve designs for one-through steam generators. Westinghouse provides HEJ, brazed and laser welded sleeve design. When sleeve is installed in order to repair the damaged S/G tubes, it is certain that defects can be occurred due to the plastic induced stress and thermal stress. Therefore it is important to minimize the residual stress. FTI provides the electrosleeve technique as a future repair candidate using electroplating

Heat pump augmentation of nuclear process heat

International Nuclear Information System (INIS)

Koutz, S.L.

1986-01-01

A system is described for increasing the temperature of a working fluid heated by a nuclear reactor. The system consists of: a high temperature gas cooled nuclear reactor having a core and a primary cooling loop through which a coolant is circulated so as to undergo an increase in temperature, a closed secondary loop having a working fluid therein, the cooling and secondary loops having cooperative association with an intermediate heat exchanger adapted to effect transfer of heat from the coolant to the working fluid as the working fluid passes through the intermediate heat exchanger, a heat pump connected in the secondary loop and including a turbine and a compressor through which the working fluid passes so that the working fluid undergoes an increase in temperature as it passes through the compressor, a process loop including a process chamber adapted to receive a process fluid therein, the process chamber being connected in circuit with the secondary loop so as to receive the working fluid from the compressor and transfer heat from the working fluid to the process fluid, a heat exchanger for heating the working fluid connected to the process loop for receiving heat therefrom and for transferring heat to the secondary loop prior to the working fluid passing through the compressor, the secondary loop being operative to pass the working fluid from the process chamber to the turbine so as to effect driving relation thereof, a steam generator operatively associated with the secondary loop so as to receive the working fluid from the turbine, and a steam loop having a feedwater supply and connected in circuit with the steam generator so that feedwater passing through the steam loop is heated by the steam generator, the steam loop being connected in circuit with the process chamber and adapted to pass steam to the process chamber with the process fluid

Investigation on Solar Heating System with Building-Integrated Heat Storage

DEFF Research Database (Denmark)

Heller, Alfred

1996-01-01

Traditional solar heating systems cover between 5 and 10% of the heat demand fordomestic hot water and comfort heating. By applying storage capacity this share can beincreased much. The Danish producer of solar heating systems, Aidt-Miljø, markets such a system including storage of dry sand heated...... by PP-pipe heat exchanger. Heat demand is reduced due to direct solar heating and due to storage. The storage affects the heat demand passively due to higher temperatures. Hence heat loss is reduced and passive heating is optioned. In theory, by running the system flow backwards, active heating can...... solar collector area of the system, was achieved. Active heating from the sand storage was not observed. The pay-back time for the system can be estimated to be similar to solar heated domestic hot water systems in general. A number of minor improvements on the system could be pointed out....

Heat transfer in an asymmetrically heated duct, 2

International Nuclear Information System (INIS)

Satoh, Isao; Kurosaki, Yasuo

1986-01-01

The objective of this article is to study theoretically and experimentally the effects of nonuniform heating on turbulent heat transfer characteristics for flow in a horizontal rectangular duct ; a vertical side wall was uniformly heated, and the other wall were insulated. In our theoretical approach, the zero-equation model for turbulent eddy viscosity was employed. The effects of mesh size of finite difference on the calculation results were examined, and some refined compensation for wall temperatures and wall shear stresses by no use of fine mesh were proposed to reduce the calculation time. The heat transfer coefficients in thermally developing region for a nonuniformly heated duct obtained from numerical solutions are larger than the one for uniformly heated case. The buoyancy effects on heat transfer were evaluated. However, it was seen that the secondary flow due to buoyancy force was hardly expected to enhance heat transfer in a turbulent duct flow. Experiments were performed to measure the velocity and temperature profiles in a turbulent duct flow with a nonuniform heated wall. The experimental results were in good agreement with the theoretical ones. (author)

Experimental study on heat pipe assisted heat exchanger used for industrial waste heat recovery

International Nuclear Information System (INIS)

Ma, Hongting; Yin, Lihui; Shen, Xiaopeng; Lu, Wenqian; Sun, Yuexia; Zhang, Yufeng; Deng, Na

2016-01-01

Highlights: • A heat pipe heat exchanger (HPHE) was used to recycle the waste heat in a slag cooling process of steel industry. • An specially designed on-line cleaning device was construed and used to enhance the heat transfer of HPHE. • The performance characteristics of a HPHE has been assessed by integrating the first and second law of thermodynamics. • The optimum operation conditions was determined by integrating the first and the second law of thermodynamics. - Abstract: Steel industry plays an important role economically in China. A great amount of hot waste liquids and gases are discharged into environment during many steelmaking processes. These waste liquids and gases have crucial energy saving potential, especially for steel slag cooling process. It could be possible to provide energy saving by employing a waste heat recovery system (WHRS). The optimum operation condition was assessed by integrating the first and the second law of thermodynamics for a water–water heat pipe heat exchanger (HPHE) for a slag cooling process in steel industry. The performance characteristics of a HPHE has been investigated experimentally by analyzing heat transfer rate, heat transfer coefficient, effectiveness, exergy efficiency and number of heat transfer units (NTU). A specially designed on-line cleaning device was used to clean the heat exchange tubes and enhance heat transfer. The results indicated that the exergy efficiency increased with the increment of waste water mass flow rate at constant fresh water mass flow rate, while the effectiveness decreased at the same operation condition. As the waste water mass flow rate varied from 0.83 m"3/h to 1.87 m"3/h, the effectiveness and exergy efficiency varied from 0.19 to 0.09 and from 34% to 41%, respectively. In the present work, the optimal flow rates of waste water and fresh water were 1.20 m"3/h and 3.00 m"3/h, respectively. The on-line cleaning device had an obvious effect on the heat transfer, by performing

Mathematical model for calculation of the heat-hydraulic modes of heating points of heat-supplying systems

Science.gov (United States)

Shalaginova, Z. I.

2016-03-01

The mathematical model and calculation method of the thermal-hydraulic modes of heat points, based on the theory of hydraulic circuits, being developed at the Melentiev Energy Systems Institute are presented. The redundant circuit of the heat point was developed, in which all possible connecting circuits (CC) of the heat engineering equipment and the places of possible installation of control valve were inserted. It allows simulating the operating modes both at central heat points (CHP) and individual heat points (IHP). The configuration of the desired circuit is carried out automatically by removing the unnecessary links. The following circuits connecting the heating systems (HS) are considered: the dependent circuit (direct and through mixing elevator) and independent one (through the heater). The following connecting circuits of the load of hot water supply (HWS) were considered: open CC (direct water pumping from pipelines of heat networks) and a closed CC with connecting the HWS heaters on single-level (serial and parallel) and two-level (sequential and combined) circuits. The following connecting circuits of the ventilation systems (VS) were also considered: dependent circuit and independent one through a common heat exchanger with HS load. In the heat points, water temperature regulators for the hot water supply and ventilation and flow regulators for the heating system, as well as to the inlet as a whole, are possible. According to the accepted decomposition, the model of the heat point is an integral part of the overall heat-hydraulic model of the heat-supplying system having intermediate control stages (CHP and IHP), which allows to consider the operating modes of the heat networks of different levels connected with each other through CHP as well as connected through IHP of consumers with various connecting circuits of local systems of heat consumption: heating, ventilation and hot water supply. The model is implemented in the Angara data

PWR pressurizer with heaters well which can be obturate and sealing process

International Nuclear Information System (INIS)

Godin, B.; Guicherd, L.

1991-01-01

Each heater well is prolongated at the end located outer the pressurizer containment by a sleeve internally tapped which is prolongated at the other end by a guiding and fixation sleeve for welding the heater. The heater well can be obturated by a threaded plug introduce in the tapped part of the sleeve after cutting the welding sleeve and extraction of the heater [fr

Geothermal heat-pump systems of heat supply

International Nuclear Information System (INIS)

Vasil'ev, G.P.

2004-01-01

The data on the multilayer operation of the objects, located in the climatic conditions of the central area of Russia and equipped with the geothermal heat-pumping systems of the heat supply are presented. The results of the analytical studies on evaluating the geothermal heat-pumping systems of the heat supply integration efficiency into the structure of the energy supply system, prevailing in the country, are presented [ru

Loop heat pipes - highly efficient heat-transfer devices for systems of sun heat supply

Energy Technology Data Exchange (ETDEWEB)

Maydanik, Yu. [Ural Branch of the Russian Academy of Sciences, Ekaterinburg (Russian Federation). Inst. of Thermophysics

2004-07-01

Loop heat pipes (LHPs) are hermetic heat-transfer devices operating on a closed evaporation-condensation cycle with the use of capillary pressure for pumping the working fluid [1]. In accordance with this, they possess all the main advantages of conventional heat pipes, but, as distinct from the latter, have a considerably higher heat-transfer capacity, especially when operating in the ''antigravity'' regime, when heat is transferred from above downwards. Besides, LHPs possess a higher functional versatility, are adaptable to different operating conditions and provide great scope for various design embodiments. This is achieved at the expense of both the original design of the device and the properties of the wick - a special capillary structure used for the creation of capillary pressure. The LHP schematic diagram is given in Fig. 1. The device contains an evaporator and a condenser - heat exchanger connected by means of smooth-walled pipe-lines with a relatively small diameter intended for separate motion of vapor and liquid. At present loop heat pipes are most extensively employed in thermoregulation systems of spacecrafts. Miniature LHPs are used for cooling electronics and computers. At the same time there exists a considerable potential of using these devices for the recovery of low-grade (waste) heat from different sources, and also in systems of sun heat supply. In the latter case LHPs may serve as an efficient heat-transfer link between a sun collector and a heat accumulator, which has a low thermal resistance and does not consume any additional energy for pumping the working fluid between them. (orig.)

Heat transfer

Indian Academy of Sciences (India)

First page Back Continue Last page Overview Graphics. Heat transfer. Heat conduction in solid slab. Convective heat transfer. Non-linear temperature. variation due to flow. HEAT FLUX AT SURFACE. conduction/diffusion.

Component Cooling Heat Exchanger Heat Transfer Capability Operability Monitoring

International Nuclear Information System (INIS)

Mihalina, M.; Djetelic, N.

2010-01-01

The ultimate heat sink (UHS) is of highest importance for nuclear power plant safe and reliable operation. The most important component in line from safety-related heat sources to the ultimate heat sink water body is a component cooling heat exchanger (CC Heat Exchanger). The Component Cooling Heat Exchanger has a safety-related function to transfer the heat from the Component Cooling (CC) water system to the Service Water (SW) system. SW systems throughout the world have been the root of many plant problems because the water source, usually river, lake, sea or cooling pond, are conductive to corrosion, erosion, biofouling, debris intrusion, silt, sediment deposits, etc. At Krsko NPP, these problems usually cumulate in the summer period from July to August, with higher Sava River (service water system) temperatures. Therefore it was necessary to continuously evaluate the CC Heat Exchanger operation and confirm that the system would perform its intended function in accordance with the plant's design basis, given as a minimum heat transfer rate in the heat exchanger design specification sheet. The Essential Service Water system at Krsko NPP is an open cycle cooling system which transfers heat from safety and non-safety-related systems and components to the ultimate heat sink the Sava River. The system is continuously in operation in all modes of plant operation, including plant shutdown and refueling. However, due to the Sava River impurities and our limited abilities of the water treatment, the system is subject to fouling, sedimentation buildup, corrosion and scale formation, which could negatively impact its performance being unable to satisfy its safety related post accident heat removal function. Low temperature difference and high fluid flows make it difficult to evaluate the CC Heat Exchanger due to its specific design. The important effects noted are measurement uncertainties, nonspecific construction, high heat transfer capacity, and operational specifics (e

Heat transfer capability analysis of heat pipe for space reactor

International Nuclear Information System (INIS)

Li Huaqi; Jiang Xinbiao; Chen Lixin; Yang Ning; Hu Pan; Ma Tengyue; Zhang Liang

2015-01-01

To insure the safety of space reactor power system with no single point failures, the reactor heat pipes must work below its heat transfer limits, thus when some pipes fail, the reactor could still be adequately cooled by neighbor heat pipes. Methods to analyze the reactor heat pipe's heat transfer limits were presented, and that for the prevailing capillary limit analysis was improved. The calculation was made on the lithium heat pipe in core of heat pipes segmented thermoelectric module converter (HP-STMC) space reactor power system (SRPS), potassium heat pipe as radiator of HP-STMC SRPS, and sodium heat pipe in core of scalable AMTEC integrated reactor space power system (SAIRS). It is shown that the prevailing capillary limits of the reactor lithium heat pipe and sodium heat pipe is 25.21 kW and 14.69 kW, providing a design margin >19.4% and >23.6%, respectively. The sonic limit of the reactor radiator potassium heat pipe is 7.88 kW, providing a design margin >43.2%. As the result of calculation, it is concluded that the main heat transfer limit of HP-STMC SRPS lithium heat pipe and SARIS sodium heat pipe is prevailing capillary limit, but the sonic limit for HP-STMC SRPS radiator potassium heat pipe. (authors)