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Sample records for rankin scale score

  1. Optimizing cutoff scores for the Barthel Index and the modified Rankin Scale for defining outcome in acute stroke trials

    NARCIS (Netherlands)

    Uyttenboogaart, Maarten; Stewart, Roy E; Vroomen, Patrick C A J; De Keyser, Jacques; Luijckx, Gert-Jan

    Background and Purpose - There is little agreement on how to assess outcome in acute stroke trials. Cutoff scores for the Barthel Index (BI) and modified Rankin Scale (mRS) are frequently arbitrarily chosen to dichotomize favorable and unfavorable outcome. We investigated sensitivity and specificity

  2. Mobile Phone-Based Questionnaire for Assessing 3 Months Modified Rankin Score After Acute Stroke: A Pilot Study.

    Science.gov (United States)

    Cooray, Charith; Matusevicius, Marius; Wahlgren, Nils; Ahmed, Niaz

    2015-10-01

    In many countries, a majority of stroke patients are not assessed for long-term functional outcome owing to limited resources and time. We investigated whether automatic assessment of the modified Rankin Scale (mRS) based on a mobile phone questionnaire may serve as an alternative to mRS assessments at clinical visits after stroke. We enrolled 62 acute stroke patients admitted to our stroke unit during March to May 2014. Forty-eight patients completed the study. During the stay, patients and/or caregivers were equipped with a mobile phone application in their personal mobile phones. The mobile phone application contained a set of 20 questions, based on the Rankin Focused Assessment, which we previously tested in a pilot study. Three months after inclusion, the mobile phone application automatically prompted the study participants to answer the mRS questionnaire in the mobile phones. Each question or a group of questions in the questionnaire corresponded to a certain mRS score. Using a predefined protocol, the highest mRS score question where the study participant had answered yes was deemed the final mobile mRS score. A few days later, a study personnel performed a clinical visit mRS assessment. The 2 assessments were compared using quadratic weighing κ-statistics. Mean age was 67 years (38% females), and median baseline National Institutes of Health Stroke Scale (NIHSS) score was 5 (interquartile range 2-10.5, range 0-23). Median and mean clinical visit mRS at 3 months was 2 and 2.3, respectively. We found a 62.5% agreement between clinical visit and mobile mRS assessment, weighted kappa 0.89 (95% confidence interval 0.82-0.96), and unweighted kappa 0.53 (95% confidence interval 0.36-0.70). Dichotomized mRS outcome separating functionally independent (mRS score 0-2) from dependent (mRS score 3-5) showed 83% agreement and unweighted kappa of 0.66 (95% confidence interval 0.45-0.87). Mobile phone-based automatic assessments of mRS performed well in comparison with

  3. Parametric analysis of blade configurations for a small-scale nitrogen axial expander with hybrid open-Rankine cycle

    International Nuclear Information System (INIS)

    Khalil, Khalil M.; Mahmoud, S.; Al- Dadah, R.K.; AL-Mousawi, Fadhel

    2017-01-01

    Highlights: • Develop cryogenic energy storage and efficient recovery technologies. • Integrate small scale closed and cryogenic open-Rankine cycles. • Investigate blade configuration on small-scale axial expander performance. • Use mean line and 3D CFD simulation for expander robust design procedure. • Predict effects of expander efficiency on hybrid open-Rankine cycle efficiency. - Abstract: During the last few decades, low-grade energy sources such as solar energy and wind energy have enhanced the efficiency of the advanced renewable technologies such as the combined Rankine. Furthermore, these heat sources have contributed to a reduction in CO2 emissions. To address the problem of the intermittent nature of such renewable sources, energy storage technologies have been used to balance the power demand and smooth out energy production. In this study, the direct expansion cycle (open Rankine cycle) is combined with a closed loop Rankine cycle to generate power more efficiently and address the problem of discontinuous renewable sources. The topping cycle of this system is a closed looped Rankine cycle and propane is used as a hydrocarbon fluid, while the direct expansion cycle is considered to be the bottoming cycle utilizing nitrogen as cryogen fluid. Small-scale expanders are the most important parts in many thermal power cycles, such as the Rankine cycle, due to the significant impact on the overall cycle’s efficiency. This work investigated the effect of using a number of blade configurations on the cycle’s performance using a small-scale axial expander. A three-dimensional Computational Fluid Dynamic (CFD) simulation was used to examine four proposed blade configurations (lean, sweep, twist, bowl) with three hub- tip ratios (0.83, 0.75, 0.66). In addition, a numerical simulation model of the hybrid open expansion- Rankine cycle was designed and modeled in order to estimate the cycle’s performance. The results show that when the expander

  4. Working fluid charge oriented off-design modeling of a small scale Organic Rankine Cycle system

    International Nuclear Information System (INIS)

    Liu, Liuchen; Zhu, Tong; Ma, Jiacheng

    2017-01-01

    Highlights: • Organic Rankine Cycle model considering working fluid charge has been established. • Overall solution algorithm of system off-design performance is proposed. • Variation trend of different zones in both heat exchangers can be observed. • Optimal working fluid charge volume for different output work has been estimated. - Abstract: Organic Rankine Cycle system is one of the most widely used technique for low-grade waste heat recovery. Developing of dynamic Organic Rankine Cycle models played an increasingly important part in system performance prediction. The present paper developed a working fluid charge oriented model for an small scale Organic Rankine Cycle to calculate the theoretical value of working fluid charge level for the system under rated condition. The two heat exchangers are divided into three different zones and related heat transfer correlations are employed to estimate the length variation of each zones. Steady state models have been applied to describe the performance of pump and expander. Afterwards, an overall solution algorithm based on the established model has been proposed in order to exact simulate the system’s off-design performance. Additionally, the impact of different working fluid charge volumes has also been discussed. Simulation results clearly shows the variation trend of different zones in both heat exchangers, as well as the variation trend of system operating parameters under various expander output work. Furthermore, the highest thermal efficiency can be reached 6.37% under rated conditions with a working fluid charge volume of 34.6 kg.

  5. Thermo-economic analysis and selection of working fluid for solar organic Rankine cycle

    International Nuclear Information System (INIS)

    Desai, Nishith B.; Bandyopadhyay, Santanu

    2016-01-01

    Highlights: • Concentrating solar power plant with organic Rankine cycle. • Thermo-economic analysis of solar organic Rankine cycle. • Performance evaluation for different working fluids. • Comparison diagram to select appropriate working fluid. - Graphical Abstract: Display Omitted - Abstract: Organic Rankine cycle (ORC), powered by line-focusing concentrating solar collectors (parabolic trough collector and linear Fresnel reflector), is a promising option for modular scale. ORC based power block, with dry working fluids, offers higher design and part-load efficiencies compared to steam Rankine cycle (SRC) in small-medium scale, with temperature sources up to 400 °C. However, the cost of ORC power block is higher compared to the SRC power block. Similarly, parabolic trough collector (PTC) system has higher optical efficiency and higher cost compared to linear Fresnel reflector (LFR) system. The thermodynamic efficiencies and power block costs also vary with working fluids of the Rankine cycle. In this paper, thermo-economic comparisons of organic Rankine and steam Rankine cycles powered by line-focusing concentrating solar collectors are reported. A simple selection methodology, based on thermo-economic analysis, and a comparison diagram for working fluids of power generating cycles are also proposed. Concentrating solar power plants with any collector technology and any power generating cycle can be compared using the proposed methodology.

  6. Validation of the DRAGON score in 12 stroke centers in anterior and posterior circulation.

    Science.gov (United States)

    Strbian, Daniel; Seiffge, David J; Breuer, Lorenz; Numminen, Heikki; Michel, Patrik; Meretoja, Atte; Coote, Skye; Bordet, Régis; Obach, Victor; Weder, Bruno; Jung, Simon; Caso, Valeria; Curtze, Sami; Ollikainen, Jyrki; Lyrer, Philippe A; Eskandari, Ashraf; Mattle, Heinrich P; Chamorro, Angel; Leys, Didier; Bladin, Christopher; Davis, Stephen M; Köhrmann, Martin; Engelter, Stefan T; Tatlisumak, Turgut

    2013-10-01

    The DRAGON score predicts functional outcome in the hyperacute phase of intravenous thrombolysis treatment of ischemic stroke patients. We aimed to validate the score in a large multicenter cohort in anterior and posterior circulation. Prospectively collected data of consecutive ischemic stroke patients who received intravenous thrombolysis in 12 stroke centers were merged (n=5471). We excluded patients lacking data necessary to calculate the score and patients with missing 3-month modified Rankin scale scores. The final cohort comprised 4519 eligible patients. We assessed the performance of the DRAGON score with area under the receiver operating characteristic curve in the whole cohort for both good (modified Rankin scale score, 0-2) and miserable (modified Rankin scale score, 5-6) outcomes. Area under the receiver operating characteristic curve was 0.84 (0.82-0.85) for miserable outcome and 0.82 (0.80-0.83) for good outcome. Proportions of patients with good outcome were 96%, 93%, 78%, and 0% for 0 to 1, 2, 3, and 8 to 10 score points, respectively. Proportions of patients with miserable outcome were 0%, 2%, 4%, 89%, and 97% for 0 to 1, 2, 3, 8, and 9 to 10 points, respectively. When tested separately for anterior and posterior circulation, there was no difference in performance (P=0.55); areas under the receiver operating characteristic curve were 0.84 (0.83-0.86) and 0.82 (0.78-0.87), respectively. No sex-related difference in performance was observed (P=0.25). The DRAGON score showed very good performance in the large merged cohort in both anterior and posterior circulation strokes. The DRAGON score provides rapid estimation of patient prognosis and supports clinical decision-making in the hyperacute phase of stroke care (eg, when invasive add-on strategies are considered).

  7. Validation of a structured interview for telephone assessment of the modified Rankin Scale in Brazilian stroke patients.

    Science.gov (United States)

    Baggio, Jussara A O; Santos-Pontelli, Taiza E G; Cougo-Pinto, Pedro T; Camilo, Millene; Silva, Nathalia F; Antunes, Paula; Machado, Laura; Leite, João P; Pontes-Neto, Octavio M

    2014-01-01

    The modified Rankin Scale (mRS) is a commonly used scale to assess the functional outcome after stroke. Several studies on mRS showed good reliability, feasibility, and interrater agreement of this scale using a face-to-face assessment. However, telephone assessment is a more time-efficient way to obtain an mRS grade than a face-to-face interview. The aim of this study was to validate the telephone assessment of mRS among the Portuguese using a structured interview in a sample of Brazilian stroke patients. We evaluated 50 stroke outpatients twice. The first interview was face-to-face and the second was made by telephone and the time between the two assessments ranged between 7 and 14 days. Four certified raters evaluated the patients using a structured interview based on a questionnaire previously published in the literature. Raters were blinded for the Rankin score given by the other rater. For both assessments, the rater could also interview a caregiver if necessary. The patients' mean age was 62.8 ± 14.7, mean number of years of study 5.2 ± 3.4, 52% were males, 55.2% of patients needed a caregiver's help to answer the questions. The majority of caregivers were female (85%), mean age 49.1 ± 15, and mean number of years of study 8.3 ± 3.4. Perfect agreement between the telephone and face-to-face assessments was obtained for 27 (54%) patients, corresponding to an unweighted Kappa of 0.44 (95% CI 0.27-0.61) and a weighted Kappa of 0.89. The median of telephone assessment mRS was 3.5 (interquartile range = 2-4) and of face-to-face assessment was 4 (interquartile range = 2-5). There was no difference between the two assessments (Wilcoxon test, p = 0.35). Despite the low education level of our sample, the telephone assessment of functional impairment of stroke patients using a translated and culturally adapted Brazilian Portuguese version of the mRS showed good validity and reliability. Therefore, the telephone assessment of mRS can be used in clinical practice and

  8. Exergy analysis of micro-organic Rankine power cycles for a small scale solar driven reverse osmosis desalination system

    International Nuclear Information System (INIS)

    Tchanche, B.F.; Lambrinos, Gr.; Frangoudakis, A.; Papadakis, G.

    2010-01-01

    Exergy analysis of micro-organic Rankine heat engines is performed to identify the most suitable engine for driving a small scale reverse osmosis desalination system. Three modified engines derived from simple Rankine engine using regeneration (incorporation of regenerator or feedliquid heaters) are analyzed through a novel approach, called exergy-topological method based on the combination of exergy flow graphs, exergy loss graphs, and thermoeconomic graphs. For the investigations, three working fluids are considered: R134a, R245fa and R600. The incorporated devices produce different results with different fluids. Exergy destruction throughout the systems operating with R134a was quantified and illustrated using exergy diagrams. The sites with greater exergy destruction include turbine, evaporator and feedliquid heaters. The most critical components include evaporator, turbine and mixing units. A regenerative heat exchanger has positive effects only when the engine operates with dry fluids; feedliquid heaters improve the degree of thermodynamic perfection of the system but lead to loss in exergetic efficiency. Although, different modifications produce better energy conversion and less exergy destroyed, the improvements are not significant enough and subsequent modifications of the simple Rankine engine cannot be considered as economically profitable for heat source temperature below 100 °C. As illustration, a regenerator increases the system's energy efficiency by 7%, the degree of thermodynamic perfection by 3.5% while the exergetic efficiency is unchanged in comparison with the simple Rankine cycle, with R600 as working fluid. The impacts of heat source temperature and pinch point temperature difference on engine's performance are also examined. Finally, results demonstrate that energy analysis combined with the mathematical graph theory is a powerful tool in performance assessments of Rankine based power systems and permits meaningful comparison of different

  9. Three dimensional optimization of small-scale axial turbine for low temperature heat source driven organic Rankine cycle

    International Nuclear Information System (INIS)

    Al Jubori, Ayad; Al-Dadah, Raya K.; Mahmoud, Saad; Bahr Ennil, A.S.; Rahbar, Kiyarash

    2017-01-01

    Highlights: • Three-dimensional optimization of axial turbine stage is presented. • Six organic fluids suitable for low-temperature heat source are considered. • Three-dimensional optimization has been done for each working fluid. • The results showed highlight the potential of optimization technique. • The performance of optimized turbine has been improved off-design conditions. - Abstract: Advances in optimization techniques can be used to enhance the performance of turbines in various applications. However, limited work has been reported on using such optimization techniques to develop small-scale turbines for organic Rankine cycles. This paper investigates the use of multi-objective genetic algorithm to optimize the stage geometry of a small-axial subsonic turbine. This optimization is integrated with organic Rankine cycle analysis using wide range of high density organic working fluids like R123, R134a, R141b, R152a, R245fa and isobutane suitable for low temperature heat sources <100 °C such as solar energy to achieve the best turbine design and highest organic Rankine cycle efficiency. The isentropic efficiency of the turbine in most of the reported organic Rankine cycle studies was assumed constant, while the current work allows the turbine isentropic efficiency to change (dynamic value) with both operating conditions and working fluids. Three-dimensional computational fluid dynamics analysis and multi-objective genetic algorithm optimization were performed using three-dimensional Reynolds-averaged Navier-Stokes equations with k-omega shear stress transport turbulence model in ANSYS"R"1"7-CFX and design exploration for various working fluids. The optimization was carried out using eight design parameters for the turbine stage geometry optimization including stator and rotor number of blades, rotor leading edge beta angle, trailing edge beta angle, stagger angle, throat width, trailing half wedge angle and shroud tip clearance. Results showed that

  10. Development of micro-scale axial and radial turbines for low-temperature heat source driven organic Rankine cycle

    International Nuclear Information System (INIS)

    Al Jubori, Ayad; Daabo, Ahmed; Al-Dadah, Raya K.; Mahmoud, Saad; Ennil, Ali Bahr

    2016-01-01

    . Such results are better than other studies in the literature and highlight the potential of the integrated approach for accurate prediction of the organic Rankine cycle performance based on micro-scale axial and radial-inflow turbines.

  11. Conversion of Low Quality Waste Heat to Electric Power with Small-Scale Organic Rankine Cycle (ORC) Engine/Generator Technology

    Science.gov (United States)

    2016-08-01

    efficiency by reducing energy consumption associated with electrical generation and reduces greenhouse gas emissions by increasing electrical generating...integrated system fuel economy test conditions This computation requires prediction of fuel consumption over baseline and integrated system load...EW-201251) Conversion of Low Quality Waste Heat to Electric Power with Small-Scale Organic Rankine Cycle (ORC) Engine/Generator Technology

  12. Ammonia-water Rankine cycle

    International Nuclear Information System (INIS)

    Bo Hanliang; Ma Changwen; Wu Shaorong

    1997-01-01

    On characteristics of heating source and cooling source in nuclear heating reactor cooperation, the authors advance a new kind of power cycle in which a multicomponent mixture as the work fluid, ammonia-water Rankine cycle, describe its running principle, and compare it with steam Rankine cycle in the same situation. The result is that: the new kind of power cycle, ammonia-water Rankine cycle has higher electricity efficiency; it suits for the situation of heating source and cooling source which offered by nuclear heating reactor cooperation. For low temperature heating source, it maybe has a widely application

  13. Combined rankine and vapor compression cycles

    Science.gov (United States)

    Radcliff, Thomas D.; Biederman, Bruce P.; Brasz, Joost J.

    2005-04-19

    An organic rankine cycle system is combined with a vapor compression cycle system with the turbine generator of the organic rankine cycle generating the power necessary to operate the motor of the refrigerant compressor. The vapor compression cycle is applied with its evaporator cooling the inlet air into a gas turbine, and the organic rankine cycle is applied to receive heat from a gas turbine exhaust to heat its boiler within one embodiment, a common condenser is used for the organic rankine cycle and the vapor compression cycle, with a common refrigerant, R-245a being circulated within both systems. In another embodiment, the turbine driven generator has a common shaft connected to the compressor to thereby eliminate the need for a separate motor to drive the compressor. In another embodiment, an organic rankine cycle system is applied to an internal combustion engine to cool the fluids thereof, and the turbo charged air is cooled first by the organic rankine cycle system and then by an air conditioner prior to passing into the intake of the engine.

  14. National Institutes of Health Stroke Scale-Time Score Predicts Outcome after Endovascular Therapy in Acute Ischemic Stroke: A Retrospective Single-Center Study.

    Science.gov (United States)

    Todo, Kenichi; Sakai, Nobuyuki; Kono, Tomoyuki; Hoshi, Taku; Imamura, Hirotoshi; Adachi, Hidemitsu; Kohara, Nobuo

    2016-05-01

    Outcomes after successful endovascular therapy in acute ischemic stroke are associated with onset-to-reperfusion time (ORT) and the National Institutes of Health Stroke Scale (NIHSS) score. In intravenous recombinant tissue plasminogen activator therapy, the NIHSS-time score, calculated by multiplying onset-to-treatment time with the NIHSS score, has been shown to predict clinical outcomes. In this study, we assessed whether a similar combination of the ORT and the NIHSS score can be applied to predict the outcomes after endovascular therapy. We retrospectively reviewed the charts of 128 consecutive ischemic stroke patients with successful reperfusion after endovascular therapy. We analyzed the association of the ORT, the NIHSS score, and the NIHSS-time score with good outcome (modified Rankin Scale score ≤ 2 at 3 months). Good outcome rates for patients with NIHSS-time scores of 84.7 or lower, scores higher than 84.7 up to 127.5 or lower, and scores higher than 127.5 were 72.1%, 44.2%, and 14.3%, respectively (P < .01). Multivariate logistic regression analysis revealed that the NIHSS-time score was an independent predictor of good outcomes (odds ratio, .372; 95% confidence interval, .175-.789) after adjusting for age, sex, internal carotid artery occlusion, plasma glucose level, ORT, and NIHSS score. The NIHSS-time score can predict good clinical outcomes after endovascular treatment. Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  15. Optimal design of compact organic Rankine cycle units for domestic solar applications

    DEFF Research Database (Denmark)

    Barbazza, Luca; Pierobon, Leonardo; Mirandola, Alberto

    2014-01-01

    criteria, i.e., compactness, high performance and safe operation, are targeted by adopting a multi-objective optimization approach modeled with the genetic algorithm. Design-point thermodynamic variables, e.g., evaporating pressure, the working fluid, minimum allowable temperature differences......Organic Rankine cycle turbogenerators are a promising technology to transform the solar radiation harvested by solar collectors into electric power. The present work aims at sizing a small-scale organic Rankine cycle unit by tailoring its design for domestic solar applications. Stringent design...

  16. Cascaded organic rankine cycles for waste heat utilization

    Science.gov (United States)

    Radcliff, Thomas D [Vernon, CT; Biederman, Bruce P [West Hartford, CT; Brasz, Joost J [Fayetteville, NY

    2011-05-17

    A pair of organic Rankine cycle systems (20, 25) are combined and their respective organic working fluids are chosen such that the organic working fluid of the first organic Rankine cycle is condensed at a condensation temperature that is well above the boiling point of the organic working fluid of the second organic Rankine style system, and a single common heat exchanger (23) is used for both the condenser of the first organic Rankine cycle system and the evaporator of the second organic Rankine cycle system. A preferred organic working fluid of the first system is toluene and that of the second organic working fluid is R245fa.

  17. Organic Rankine Cycles. Old wine in new bottles; Organic Rankine Cycles. Oude wijn in nieuwe zakken

    Energy Technology Data Exchange (ETDEWEB)

    Den Hartog, T.L.B. [Cumae, Arnhem (Netherlands)

    2007-05-15

    An overview is given of the renewed interest for the Organic Rankine Cycle technology and new developments with regard to this power generating technology. [Dutch] Een overzicht wordt gegeven van de hernieuwde belangstelling voor de Organic Rankine Cycle (ORC) technologie en nieuwe ontwikkeling m.b.t. deze vorm van elektriciteitopwekking.

  18. Performance estimation of Tesla turbine applied in small scale Organic Rankine Cycle (ORC) system

    International Nuclear Information System (INIS)

    Song, Jian; Gu, Chun-wei; Li, Xue-song

    2017-01-01

    Highlights: • One-dimensional model of the Tesla turbine is improved and applied in ORC system. • Working fluid properties and system operating conditions impact efficiency. • The influence of turbine efficiency on ORC system performance is evaluated. • Potential of using Tesla turbine in ORC systems is estimated. - Abstract: Organic Rankine Cycle (ORC) system has been proven to be an effective method for the low grade energy utilization. In small scale applications, the Tesla turbine offers an attractive option for the organic expander if an efficient design can be achieved. The Tesla turbine is simple in structure and is easy to be manufactured. This paper improves the one-dimensional model for the Tesla turbine, which adopts a non-dimensional formulation that identifies the dimensionless parameters that dictates the performance features of the turbine. The model is used to predict the efficiency of a Tesla turbine that is applied in a small scale ORC system. The influence of the working fluid properties and the operating conditions on the turbine performance is evaluated. Thermodynamic analysis of the ORC system with different organic working fluids and under various operating conditions is conducted. The simulation results reveal that the ORC system can generate a considerable net power output. Therefore, the Tesla turbine can be regarded as a potential choice to be applied in small scale ORC systems.

  19. High-Efficiency Small-Scale Combined Heat and Power Organic Binary Rankine Cycles

    Directory of Open Access Journals (Sweden)

    Costante Mario Invernizzi

    2018-04-01

    Full Text Available Small-CHP (Combined Heat and Power systems are generally considered a valuable technological option to the conventional boilers, in a technology developed context. If small-CHP systems are associated with the use of renewable energies (biomass, for example they could play an important role in distributed generation even in developing countries or, in any case, where there are no extensive electricity networks. Traditionally the considered heat engines for micro- or mini-CHP are: the gas engine, the gas turbine (with internal combustion, the steam engine, engine working according to the Stirling and to the Rankine cycles, the last with organic fluids. In principle, also fuel cells could be used. In this paper, we focus on small size Rankine cycles (10–15 k W with organic working fluids. The assumed heat source is hot combustion gases at high temperature (900–950 ∘ C and we assume to use only single stages axial turbines. The need to work at high temperatures, limits the choice of the right organic working fluids. The calculation results show the limitation in the performances of simple cycles and suggest the opportunity to resort to complex (binary cycle configurations to achieve high net conversion efficiencies (15–16%.

  20. Conditional Standard Errors of Measurement for Scale Scores.

    Science.gov (United States)

    Kolen, Michael J.; And Others

    1992-01-01

    A procedure is described for estimating the reliability and conditional standard errors of measurement of scale scores incorporating the discrete transformation of raw scores to scale scores. The method is illustrated using a strong true score model, and practical applications are described. (SLD)

  1. Turbomachinery design for Rankine cycles in waste heat recovery applications

    OpenAIRE

    Agromayor Otero, Roberto

    2017-01-01

    Rankine Cycles are an effective and efficient manner to convert waste thermal energy into power. Numerous fluids can be used in Rankine cycles, including water, hydrocarbons, hydrofluorocarbons, siloxanes, alcohols or even mixtures of fluids. The performance of Rankine cycles is highly dependent on the optimization of the operating conditions and the design of its components. The expander is, perhaps, the most important component of the Rankine cycle, as it is the device where the energy of t...

  2. Evaluation of external heat loss from a small-scale expander used in organic Rankine cycle

    International Nuclear Information System (INIS)

    Li Jing; Pei Gang; Li Yunzhu; Ji Jie

    2011-01-01

    With the scaling down of the Organic Rankine Cycle (ORC), the engine shaft power is not only determined by the enthalpy drop in the expansion process but also the external heat loss from the expander. Theoretical and experimental support in evaluating small-scale expander heat loss is rare. This paper presents a quantitative study on the convection, radiation, and conduction heat transfer from a kW-scale expander. A mathematical model is built and validated. The results show that the external radiative or convective heat loss coefficient was about 3.2 or 7.0 W/K.m 2 when the ORC operated around 100 o C. Radiative and convective heat loss coefficients increased as the expander operation temperature increased. Conductive heat loss due to the connection between the expander and the support accounted for a large proportion of the total heat loss. The fitting relationships between heat loss and mean temperature difference were established. It is suggested that low conductivity material be embodied in the support of expander. Mattress insulation for compact expander could be eliminated when the operation temperature is around 100 o C. - Highlights: → A close examination of external heat loss from a small expander is presented. → Theoretical analysis and experimental test were conducted. → The established formulas can be applied to other small ORC expanders. → The results are useful in further research of small-scale ORC.

  3. Increasing thermal efficiency of Rankine cycles by using refrigeration cycles: A theoretical analysis

    International Nuclear Information System (INIS)

    Sarr, Joachim-André Raymond; Mathieu-Potvin, François

    2016-01-01

    Highlights: • A new stratagem is proposed to improve thermal efficiency of Rankine cycles. • Three new configurations are optimized by means of numerical simulations. • The Rankine-1SCR design is advantageous for 1338 different fluid combinations. • The Rankine-2SCR design is advantageous for 772 different fluid combinations. • The Rankine-3SCR design is advantageous for 768 different fluid combinations. - Abstract: In this paper, three different modifications of the basic Rankine thermodynamic cycle are proposed. The objective is to increase the thermal efficiency of power systems based on Rankine cycles. The three new systems are named “Rankine-1SCR”, “Rankine-2SCR”, and “Rankine-3SCR” cycles, and they consist of linking a refrigeration cycle to the basic Rankine cycle. The idea is to use the refrigeration cycle to create a low temperature heat sink for the Rankine cycle. These three new power plant configurations are modeled and optimized with numerical tools, and then they are compared with the basic Rankine cycle. The objective function is the thermal efficiency of the systems (i.e., net power output (kW) divided by heat rate (kW) entering the system), and the design variables are the operating temperatures within the systems. Among the 84 × 84 (i.e., 7056) possible combinations of working and cooling fluids investigated in this paper, it is shown that: (i) the Rankine-1SCR system is advantageous for 1338 different fluid combinations, (ii) the Rankine-2SCR system is advantageous for 772 different fluid combinations, and (iii) the Rankine-3SCR system is advantageous for 768 different fluid combinations.

  4. U-Pb zircon age for a volcanic suite in the Rankin Inlet Group, Rankin Inlet map area, District of Keewatin, Northwest Territories

    International Nuclear Information System (INIS)

    Tella, S.; Roddick, J.C.; VanBreemen, O.

    1996-01-01

    U-Pb zircon analyses from a felsic band within dominantly mafic volcanics of the Rankin Inlet Group yields a U-Pb upper concordia intercept age of 2663 ± 3 Ma. These supracrustals at Rankin Inlet appear to be 15-20 Ma younger than volcanics of the Kaminak Group in the Tavani area, 70 km to the southwest. The 2.68-2.66 Ga volcanism in the Tavani and Rankin Inlet areas coincided with the last stage of the main phase of magmatism in the Slave Structural Province. (author). 16 refs., 1 tab., 3 figs

  5. U-Pb zircon age for a volcanic suite in the Rankin Inlet Group, Rankin Inlet map area, District of Keewatin, Northwest Territories

    Energy Technology Data Exchange (ETDEWEB)

    Tella, S; Roddick, J C; VanBreemen, O [Geological Survey of Canada, Ottawa, ON (Canada)

    1997-12-31

    U-Pb zircon analyses from a felsic band within dominantly mafic volcanics of the Rankin Inlet Group yields a U-Pb upper concordia intercept age of 2663 {+-} 3 Ma. These supracrustals at Rankin Inlet appear to be 15-20 Ma younger than volcanics of the Kaminak Group in the Tavani area, 70 km to the southwest. The 2.68-2.66 Ga volcanism in the Tavani and Rankin Inlet areas coincided with the last stage of the main phase of magmatism in the Slave Structural Province. (author). 16 refs., 1 tab., 3 figs.

  6. Number theory and modular forms papers in memory of Robert A Rankin

    CERN Document Server

    Ono, Ken

    2003-01-01

    Robert A. Rankin, one of the world's foremost authorities on modular forms and a founding editor of The Ramanujan Journal, died on January 27, 2001, at the age of 85. Rankin had broad interests and contributed fundamental papers in a wide variety of areas within number theory, geometry, analysis, and algebra. To commemorate Rankin's life and work, the editors have collected together 25 papers by several eminent mathematicians reflecting Rankin's extensive range of interests within number theory. Many of these papers reflect Rankin's primary focus in modular forms. It is the editors' fervent hope that mathematicians will be stimulated by these papers and gain a greater appreciation for Rankin's contributions to mathematics. This volume would be an inspiration to students and researchers in the areas of number theory and modular forms.

  7. Analysis of a combined Rankine-vapour-compression refrigeration cycle

    International Nuclear Information System (INIS)

    Aphornratana, Satha; Sriveerakul, Thanarath

    2010-01-01

    This paper describes a theoretical analysis of a heat-powered refrigeration cycle, a combined Rankine-vapour-compression refrigeration cycle. This refrigeration cycle combines an Organic Rankine Cycle and a vapour-compression cycle. The cycle can be powered by low grade thermal energy as low as 60 deg. C and can produce cooling temperature as low as -10 deg. C. In the analysis, two combined Rankine-vapour-compression refrigeration cycles were investigated: the system with R22 and the system with R134a. Calculated COP values between 0.1 and 0.6 of both the systems were found.

  8. Ocean Thermal Energy Conversion Using Double-Stage Rankine Cycle

    Directory of Open Access Journals (Sweden)

    Yasuyuki Ikegami

    2018-03-01

    Full Text Available Ocean Thermal Energy Conversion (OTEC using non-azeotropic mixtures such as ammonia/water as working fluid and the multistage cycle has been investigated in order to improve the thermal efficiency of the cycle because of small ocean temperature differences. The performance and effectiveness of the multistage cycle are barely understood. In addition, previous evaluation methods of heat exchange process cannot clearly indicate the influence of the thermophysical characteristics of the working fluid on the power output. Consequently, this study investigated the influence of reduction of the irreversible losses in the heat exchange process on the system performance in double-stage Rankine cycle using pure working fluid. Single Rankine, double-stage Rankine and Kalina cycles were analyzed to ascertain the system characteristics. The simple evaluation method of the temperature difference between the working fluid and the seawater is applied to this analysis. From the results of the parametric performance analysis it can be considered that double-stage Rankine cycle using pure working fluid can reduce the irreversible losses in the heat exchange process as with the Kalina cycle using an ammonia/water mixture. Considering the maximum power efficiency obtained in the study, double-stage Rankine and Kalina cycles can improve the power output by reducing the irreversible losses in the cycle.

  9. Energy, Exergy and Performance Analysis of Small-Scale Organic Rankine Cycle Systems for Electrical Power Generation Applicable in Rural Areas of Developing Countries

    Directory of Open Access Journals (Sweden)

    Suresh Baral

    2015-01-01

    Full Text Available This paper introduces the concept of installing a small-scale organic Rankine cycle system for the generation of electricity in remote areas of developing countries. The Organic Rankine Cycle Systems (ORC system uses a commercial magnetically-coupled scroll expander, plate type heat exchangers and plunger type working fluid feed pump. The heat source for the ORC system can be solar energy. A series of laboratory tests were conducted to confirm the cycle efficiency and expander power output of the system. Using the actual system data, the exergy destruction on the system components and exergy efficiency were assessed. Furthermore, the results of the variations of system energy and exergy efficiencies with different operating parameters, such as the evaporating and condensing pressures, degree of superheating, dead state temperature, expander inlet temperature and pressure ratio were illustrated. The system exhibited acceptable operational characteristics with good performance under a wide range of conditions. A heat source temperature of 121 °C is expected to deliver a power output of approximately 1.4 kW. In addition, the system cost analysis and financing mechanisms for the installation of the ORC system were discussed.

  10. Theoretical thermodynamic analysis of Rankine power cycle with thermal driven pump

    International Nuclear Information System (INIS)

    Lakew, Amlaku Abie; Bolland, Olav; Ladam, Yves

    2011-01-01

    Highlights: → The work is focused on theoretical aspects of thermal driven pump (TDP) Rankine cycle. → The mechanical pump is replaced by thermal driven pump. → Important parameters of thermal driven pump Rankine cycle are investigated. → TDP Rankine cycle produce more power but it requires additional low grade heat. - Abstract: A new approach to improve the performance of supercritical carbon dioxide Rankine cycle which uses low temperature heat source is presented. The mechanical pump in conventional supercritical carbon dioxide Rankine cycle is replaced by thermal driven pump. The concept of thermal driven pump is to increase the pressure of a fluid in a closed container by supplying heat. A low grade heat source is used to increase the pressure of the fluid instead of a mechanical pump, this increase the net power output and avoid the need for mechanical pump which requires regular maintenance and operational cost. The thermal driven pump considered is a shell and tube heat exchanger where the working fluid is contained in the tube, a tube diameter of 5 mm is chosen to reduce the heating time. The net power output of the Rankine cycle with thermal driven pump is compared to that of Rankine cycle with mechanical pump and it is observed that the net power output is higher when low grade thermal energy is used to pressurize the working fluid. The thermal driven pump consumes additional heat at low temperature (60 o C) to pressurize the working fluid.

  11. Process integration of organic Rankine cycle

    International Nuclear Information System (INIS)

    Desai, Nishith B.; Bandyopadhyay, Santanu

    2009-01-01

    An organic Rankine cycle (ORC) uses an organic fluid as a working medium within a Rankine cycle power plant. ORC offers advantages over conventional Rankine cycle with water as the working medium, as ORC generates shaft-work from low to medium temperature heat sources with higher thermodynamic efficiency. The dry and the isentropic fluids are most preferred working fluid for the ORC. The basic ORC can be modified by incorporating both regeneration and turbine bleeding to improve its thermal efficiency. In this paper, 16 different organic fluids have been analyzed as a working medium for the basic as well as modified ORCs. A methodology is also proposed for appropriate integration and optimization of an ORC as a cogeneration process with the background process to generate shaft-work. It has been illustrated that the choice of cycle configuration for appropriate integration with the background process depends on the heat rejection profile of the background process (i.e., the shape of the below pinch portion of the process grand composite curve). The benefits of integrating ORC with the background process and the applicability of the proposed methodology have been demonstrated through illustrative examples.

  12. Potential application of Rankine and He-Brayton cycles to sodium fast reactors

    International Nuclear Information System (INIS)

    Perez-Pichel, G.D.; Linares, J.I.; Herranz, L.E.; Moratilla, B.Y.

    2011-01-01

    Highlights: → This paper has been focused on thermal efficiency of several Rankine and Brayton cycles for SFR. → A sub-critical Rankine configuration could reach a thermal efficiency higher than 43%. → It could be increased to almost 45% using super-critical configurations. → Brayton cycles thermal performance can be enhanced by adding a super-critical organic fluid Rankine cycle. → The moderate coolant temperature at the reactor makes Brayton configurations have poorer. - Abstract: Traditionally all the demos and/or prototypes of the sodium fast reactor (SFR) technology with power output, have used a steam sub-critical Rankine cycle. Sustainability requirement of Gen. IV reactors recommends exploring alternate power cycle configurations capable of reaching high thermal efficiency. By adopting the anticipated working parameters of next SFRs, this paper investigates the potential of some Rankine and He-Brayton layouts to reach thermal efficiencies as high as feasible, so that they could become alternates for SFR reactor balance of plant. The assessment has encompassed from sub-critical to super-critical Rankine cycles and combined cycles based on He-Brayton gas cycles of different complexity coupled to Organic Rankine Cycles. The sub-critical Rankine configuration reached at thermal efficiency higher than 43%, which has been shown to be a superior performance than any of the He-Brayton configurations analyzed. By adopting a super-critical Rankine arrangement, thermal efficiency would increase less than 1.5%. In short, according to the present study a sub-critical layout seems to be the most promising configuration for all those upcoming prototypes to be operated in the short term (10-15 years). The potential of super-critical CO 2 -Brayton cycles should be explored for future SFRs to be deployed in a longer run.

  13. Experimental and Thermoeconomic Analysis of Small-Scale Solar Organic Rankine Cycle (SORC System

    Directory of Open Access Journals (Sweden)

    Suresh Baral

    2015-04-01

    Full Text Available A small-scale solar organic Rankine cycle (ORC is a promising renewable energy-driven power generation technology that can be used in the rural areas of developing countries. A prototype was developed and tested for its performance characteristics under a range of solar source temperatures. The solar ORC system power output was calculated based on the thermal and solar collector efficiency. The maximum solar power output was observed in April. The solar ORC unit power output ranged from 0.4 kW to 1.38 kW during the year. The highest power output was obtained when the expander inlet pressure was 13 bar and the solar source temperature was 120 °C. The area of the collector for the investigation was calculated based on the meteorological conditions of Busan City (South Korea. In the second part, economic and thermoeconomic analyses were carried out to determine the cost of energy per kWh from the solar ORC. The selling price of electricity generation was found to be $0.68/kWh and $0.39/kWh for the prototype and low cost solar ORC, respectively. The sensitivity analysis was carried out in order to find the influencing economic parameters for the change in NPV. Finally, the sustainability index was calculated to assess the sustainable development of the solar ORC system.

  14. Fluid selection for a low-temperature solar organic Rankine cycle

    International Nuclear Information System (INIS)

    Tchanche, Bertrand Fankam; Papadakis, George; Lambrinos, Gregory; Frangoudakis, Antonios

    2009-01-01

    Theoretical performances as well as thermodynamic and environmental properties of few fluids have been comparatively assessed for use in low-temperature solar organic Rankine cycle systems. Efficiencies, volume flow rate, mass flow rate, pressure ratio, toxicity, flammability, ODP and GWP were used for comparison. Of 20 fluids investigated, R134a appears as the most suitable for small scale solar applications. R152a, R600a, R600 and R290 offer attractive performances but need safety precautions, owing to their flammability.

  15. Outcomes validity and reliability of the modified Rankin scale: implications for stroke clinical trials: a literature review and synthesis.

    Science.gov (United States)

    Banks, Jamie L; Marotta, Charles A

    2007-03-01

    The modified Rankin scale (mRS), a clinician-reported measure of global disability, is widely applied for evaluating stroke patient outcomes and as an end point in randomized clinical trials. Extensive evidence on the validity of the mRS exists across a large but fragmented literature. As new treatments for acute ischemic stroke are submitted for agency approval, an appreciation of the mRS's attributes, specifically its relationship to other stroke evaluation scales, would be valuable for decision-makers to properly assess the impact of a new drug on treatment paradigms. The purpose of this report is to assemble and systematically assess the properties of the mRS to provide decision-makers with pertinent evaluative information. A Medline search was conducted to identify reports in the peer-reviewed medical literature (1957-2006) that provide information on the structure, validation, scoring, and psychometric properties of the mRS and its use in clinical trials. The selection of articles was based on defined criteria that included relevance, study design and use of appropriate statistical methods. Of 224 articles identified by the literature search, 50 were selected for detailed assessment. Inter-rater reliability with the mRS is moderate and improves with structured interviews (kappa 0.56 versus 0.78); strong test-re-test reliability (kappa=0.81 to 0.95) has been reported. Numerous studies demonstrate the construct validity of the mRS by its relationships to physiological indicators such as stroke type, lesion size, perfusion and neurological impairment. Convergent validity between the mRS and other disability scales is well documented. Patient comorbidities and socioeconomic factors should be considered in properly applying and interpreting the mRS. Recent analyses suggest that randomized clinical trials of acute stroke treatments may require a smaller sample size if the mRS is used as a primary end point rather than the Barthel Index. Multiple types of evidence

  16. Facilitating the Interpretation of English Language Proficiency Scores: Combining Scale Anchoring and Test Score Mapping Methodologies

    Science.gov (United States)

    Powers, Donald; Schedl, Mary; Papageorgiou, Spiros

    2017-01-01

    The aim of this study was to develop, for the benefit of both test takers and test score users, enhanced "TOEFL ITP"® test score reports that go beyond the simple numerical scores that are currently reported. To do so, we applied traditional scale anchoring (proficiency scaling) to item difficulty data in order to develop performance…

  17. K-Rankine systems for piloted and cargo Mars missions

    International Nuclear Information System (INIS)

    Mills, J.C.; Rovang, R.D.; Johnson, G.A.

    1992-03-01

    Studies are performed to demonstrate the attractiveness of potassium-Rankine (K-Rankine) nuclear electric propulsion (NEP) systems for both piloted and cargo Mars missions. The key results of the piloted mission study are that a full-up piloted mission can be accomplished with a trip time of less than 390 days with an attractive initial mass in low earth orbit (IMLEO) of 700 metric tons. This is achieved by coupling two advanced cermet fuel reactors (1550 K outlet temperature) to K-Rankine power-conversion systems to produce the 46 MWe needed to power advanced ion engines. This design approach offers an alternative to a more risky split-sprint mission where comparable trip times and IMLEO can be achieved with a nearer-term reactor (SP-100 at 1350 K outlet temperature) technology. The results of the cargo-mission study indicate that a lower-power K-Rankine system (5.5 MWe) operating at SP-100 reactor conditions would best perform a representative Mars cargo transport. A round-trip mission (480 days outbound; 600 day return) to Mars requires only 225 metric tons IMLEO and permit possible system reuse. 6 refs

  18. Investigations on the application of zeotropic fluid mixtures in the organic rankine cycle for the geothermal power generation; Untersuchung zum Einsatz von zeotropen Fluidgemischen im Organic Rankine Cycle fuer die geothermische Stromerzeugung

    Energy Technology Data Exchange (ETDEWEB)

    Heberle, Florian

    2013-04-01

    The organic rankine cycle is a thermodynamic cycle process which uses an organic fluid working fluid instead of water in comparison to the commercial rankine process. The organic rankine cycle facilitates sufficiently high pressures at moderate temperatures. The organic rankine cycle significantly expands the technically possible and economically feasible ranges of application of such heat and power processes. The geothermal power is a very attractive field of application. Thermal water with a temperature of nearly 100 Celsius can be used for the power generation by means of the organic rankine cycle. Especially zeotropic mixtures are interesting as a working fluid. This is due to a non-isothermal phase change to a temperature glide which adapts very well to the temperature progress of the heat source. The author of the book under consideration reports on the application of different mixtures in the organic rankine cycle. The evaluation is based on a thermodynamic analysis and considers also toxicological, ecologic, technical as well as economic aspects.

  19. Recent research trends in organic Rankine cycle technology: A bibliometric approach

    DEFF Research Database (Denmark)

    Imran, Muhammad; Haglind, Fredrik; Asim, Muhammad

    2018-01-01

    This work describes the contribution of researchers around the world in the field of the organic Rankine cycle in the period 2000–2016. A bibliometric approach was applied to analyze the scientific publications in the field using the Scopus Elsevier database, together with Science Citation Index...... of active countries, institutes, authors, and journals in the organic Rankine cycle technology field. From 2000 to 2016, there were 2120 articles published by 3443 authors from 997 research institutes scattered over 71 countries. The total number of citations and impact factor are 36,739 and 4597...... are the leading countries in organic Rankine cycle research and account for 64% of the total number of publications. The core research activities in the field are mainly focused on applications of the organic Rankine cycle technology, working fluids selection/performance, cycle architecture, and design...

  20. Adopting a Patient-Centered Approach to Primary Outcome Analysis of Acute Stroke Trials by Use of a Utility-Weighted Modified Rankin Scale

    Science.gov (United States)

    Chaisinanunkul, Napasri; Adeoye, Opeolu; Lewis, Roger J.; Grotta, James C.; Broderick, Joseph; Jovin, Tudor G.; Nogueira, Raul G.; Elm, Jordan; Graves, Todd; Berry, Scott; Lees, Kennedy R.; Barreto, Andrew D.; Saver, Jeffrey L.

    2015-01-01

    Background and Purpose Although the modified Rankin Scale (mRS) is the most commonly employed primary endpoint in acute stroke trials, its power is limited when analyzed in dichotomized fashion and its indication of effect size challenging to interpret when analyzed ordinally. Weighting the seven Rankin levels by utilities may improve scale interpretability while preserving statistical power. Methods A utility weighted mRS (UW-mRS) was derived by averaging values from time-tradeoff (patient centered) and person-tradeoff (clinician centered) studies. The UW-mRS, standard ordinal mRS, and dichotomized mRS were applied to 11 trials or meta-analyses of acute stroke treatments, including lytic, endovascular reperfusion, blood pressure moderation, and hemicraniectomy interventions. Results Utility values were: mRS 0–1.0; mRS 1 - 0.91; mRS 2 - 0.76; mRS 3 - 0.65; mRS 4 - 0.33; mRS 5 & 6 - 0. For trials with unidirectional treatment effects, the UW-mRS paralleled the ordinal mRS and outperformed dichotomous mRS analyses. Both the UW-mRS and the ordinal mRS were statistically significant in six of eight unidirectional effect trials, while dichotomous analyses were statistically significant in two to four of eight. In bidirectional effect trials, both the UW-mRS and ordinal tests captured the divergent treatment effects by showing neutral results whereas some dichotomized analyses showed positive results. Mean utility differences in trials with statistically significant positive results ranged from 0.026 to 0.249. Conclusion A utility-weighted mRS performs similarly to the standard ordinal mRS in detecting treatment effects in actual stroke trials and ensures the quantitative outcome is a valid reflection of patient-centered benefits. PMID:26138130

  1. Mediterranean Diet in patients with acute ischemic stroke: Relationships between Mediterranean Diet score, diagnostic subtype, and stroke severity index.

    Science.gov (United States)

    Tuttolomondo, Antonino; Casuccio, Alessandra; Buttà, Carmelo; Pecoraro, Rosaria; Di Raimondo, Domenico; Della Corte, Vittoriano; Arnao, Valentina; Clemente, Giuseppe; Maida, Carlo; Simonetta, Irene; Miceli, Giuseppe; Lucifora, Benedetto; Cirrincione, Anna; Di Bona, Danilo; Corpora, Francesca; Maugeri, Rosario; Iacopino, Domenico Gerardo; Pinto, Antonio

    2015-11-01

    Adherence to a Mediterranean Diet appears to reduce the risk of cardiovascular disease, cancer, Alzheimer's disease, and Parkinson's disease, as well as the risk of death due to cardiovascular disease. No study has addressed the association between diagnostic subtype of stroke and its severity and adherence to a Mediterranean Diet in subjects with acute ischemic stroke. To evaluate the association between Mediterranean Diet adherence, TOAST subtype, and stroke severity by means of a retrospective study. The type of acute ischemic stroke was classified according to the TOAST criteria. All patients admitted to our ward with acute ischemic stroke completed a 137-item validated food-frequency questionnaire adapted to the Sicilian population. A scale indicating the degree of adherence to the traditional Mediterranean Diet was used (Me-Di score: range 0-9). 198 subjects with acute ischemic stroke and 100 control subjects without stroke. Stroke subjects had a lower mean Mediterranean Diet score compared to 100 controls without stroke. We observed a significant positive correlation between Me-Di score and SSS score, whereas we observed a negative relationship between Me-Di score and NIHSS and Rankin scores. Subjects with atherosclerotic (LAAS) stroke subtype had a lower mean Me-Di score compared to subjects with other subtypes. Multinomial logistic regression analysis in a simple model showed a negative relationship between MeDi score and LAAS subtype vs. lacunar subtype (and LAAS vs. cardio-embolic subtype). Patients with lower adherence to a Mediterranean Diet are more likely to have an atherosclerotic (LAAS) stroke, a worse clinical presentation of ischemic stroke at admission and a higher Rankin score at discharge. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  2. Combining Spot Sign and Intracerebral Hemorrhage Score to Estimate Functional Outcome: Analysis From the PREDICT Cohort.

    Science.gov (United States)

    Schneider, Hauke; Huynh, Thien J; Demchuk, Andrew M; Dowlatshahi, Dar; Rodriguez-Luna, David; Silva, Yolanda; Aviv, Richard; Dzialowski, Imanuel

    2018-06-01

    The intracerebral hemorrhage (ICH) score is the most commonly used grading scale for stratifying functional outcome in patients with acute ICH. We sought to determine whether a combination of the ICH score and the computed tomographic angiography spot sign may improve outcome prediction in the cohort of a prospective multicenter hemorrhage trial. Prospectively collected data from 241 patients from the observational PREDICT study (Prediction of Hematoma Growth and Outcome in Patients With Intracerebral Hemorrhage Using the CT-Angiography Spot Sign) were analyzed. Functional outcome at 3 months was dichotomized using the modified Rankin Scale (0-3 versus 4-6). Performance of (1) the ICH score and (2) the spot sign ICH score-a scoring scale combining ICH score and spot sign number-was tested. Multivariable analysis demonstrated that ICH score (odds ratio, 3.2; 95% confidence interval, 2.2-4.8) and spot sign number (n=1: odds ratio, 2.7; 95% confidence interval, 1.1-7.4; n>1: odds ratio, 3.8; 95% confidence interval, 1.2-17.1) were independently predictive of functional outcome at 3 months with similar odds ratios. Prediction of functional outcome was not significantly different using the spot sign ICH score compared with the ICH score alone (spot sign ICH score area under curve versus ICH score area under curve: P =0.14). In the PREDICT cohort, a prognostic score adding the computed tomographic angiography-based spot sign to the established ICH score did not improve functional outcome prediction compared with the ICH score. © 2018 American Heart Association, Inc.

  3. Emissions-critical charge cooling using an organic rankine cycle

    Science.gov (United States)

    Ernst, Timothy C.; Nelson, Christopher R.

    2014-07-15

    The disclosure provides a system including a Rankine power cycle cooling subsystem providing emissions-critical charge cooling of an input charge flow. The system includes a boiler fluidly coupled to the input charge flow, an energy conversion device fluidly coupled to the boiler, a condenser fluidly coupled to the energy conversion device, a pump fluidly coupled to the condenser and the boiler, an adjuster that adjusts at least one parameter of the Rankine power cycle subsystem to change a temperature of the input charge exiting the boiler, and a sensor adapted to sense a temperature characteristic of the vaporized input charge. The system includes a controller that can determine a target temperature of the input charge sufficient to meet or exceed predetermined target emissions and cause the adjuster to adjust at least one parameter of the Rankine power cycle to achieve the predetermined target emissions.

  4. FLUOROETHERS AS A WORKING FLUIDS FOR LOW TEMPERATURE ORGANIC RANKINE CYCLE

    Directory of Open Access Journals (Sweden)

    Artemenko S.V

    2014-12-01

    Full Text Available Hydrofluoroethers as a new class of working fluids for the organic Rankine cycle have been considered to utilize the low-potential waste heat. Temperature range 300…400 K was chosen to provide energy conversion of waste heat from fuel cells. The direct assessment of the efficiency criteria for the Rankine cycle via artificial neural networks (ANN was used. To create ANN the critical parameters of substance and normal boiling temperature as input were chosen. The forecast of efficiency criteria for the Rankine cycle as output parameter which reproduces the coefficient of performance with high accuracy and without thermodynamic property calculations was presented.

  5. Thai venous stroke prognostic score: TV-SPSS.

    Science.gov (United States)

    Poungvarin, Niphon; Prayoonwiwat, Naraporn; Ratanakorn, Disya; Towanabut, Somchai; Tantirittisak, Tassanee; Suwanwela, Nijasri; Phanthumchinda, Kamman; Tiamkoa, Somsak; Chankrachang, Siwaporn; Nidhinandana, Samart; Laptikultham, Somsak; Limsoontarakul, Sansern; Udomphanthuruk, Suthipol

    2009-11-01

    Prognosis of cerebral venous sinus thrombosis (CVST) has never been studied in Thailand. A simple prognostic score to predict poor prognosis of CVST has also never been reported. The authors are aiming to establish a simple and reliable prognostic score for this condition. The medical records of CVST patients from eight neurological training centers in Thailand who received between April 1993 and September 2005 were reviewed as part of this retrospective study. Clinical features included headache, seizure, stroke risk factors, Glasgow coma scale (GCS), blood pressure on arrival, papilledema, hemiparesis, meningeal irritation sign, location of occluded venous sinuses, hemorrhagic infarction, cerebrospinal fluid opening pressure, treatment options, length of stay, and other complications were analyzed to determine the outcome using modified Rankin scale (mRS). Poor prognosis (defined as mRS of 3-6) was determined on the discharge date. One hundred ninety four patients' records, 127 females (65.5%) and mean age of 36.6 +/- 14.4 years, were analyzed Fifty-one patients (26.3%) were in the poor outcome group (mRS 3-6). Overall mortality was 8.4%. Univariate analysis and then multivariate analysis using SPSS version 11.5 revealed only four statistically significant predictors influencing outcome of CVST They were underlying malignancy, low GCS, presence of hemorrhagic infarction (for poor outcome), and involvement of lateral sinus (for good outcome). Thai venous stroke prognostic score (TV-SPSS) was derived from these four factors using a multiple logistic model. A simple and pragmatic prognostic score for CVST outcome has been developed with high sensitivity (93%), yet low specificity (33%). The next study should focus on the validation of this score in other prospective populations.

  6. PROMIS GH (Patient-Reported Outcomes Measurement Information System Global Health) Scale in Stroke: A Validation Study.

    Science.gov (United States)

    Katzan, Irene L; Lapin, Brittany

    2018-01-01

    The International Consortium for Health Outcomes Measurement recently included the 10-item PROMIS GH (Patient-Reported Outcomes Measurement Information System Global Health) scale as part of their recommended Standard Set of Stroke Outcome Measures. Before collection of PROMIS GH is broadly implemented, it is necessary to assess its performance in the stroke population. The objective of this study was to evaluate the psychometric properties of PROMIS GH in patients with ischemic stroke and intracerebral hemorrhage. PROMIS GH and 6 PROMIS domain scales measuring same/similar constructs were electronically collected on 1102 patients with ischemic and hemorrhagic strokes at various stages of recovery from their stroke who were seen in a cerebrovascular clinic from October 12, 2015, through June 2, 2017. Confirmatory factor analysis was performed to evaluate the adequacy of 2-factor structure of component scores. Test-retest reliability and convergent validity of PROMIS GH items and component scores were assessed. Discriminant validity and responsiveness were compared between PROMIS GH and PROMIS domain scales measuring the same or related constructs. Analyses were repeated stratified by stroke subtype and modified Rankin Scale score validity was good with significant correlations between all PROMIS GH items and PROMIS domain scales ( P 0.5) was demonstrated for 8 of the 10 PROMIS GH items. Reliability and validity remained consistent across stroke subtype and disability level (modified Rankin Scale, <2 versus ≥2). PROMIS GH exhibits acceptable performance in patients with stroke. Our findings support International Consortium for Health Outcomes Measurement recommendation to use PROMIS GH as part of the standard set of outcome measures in stroke. © 2017 American Heart Association, Inc.

  7. Optimization of organic Rankine cycle power systems considering multistage axial turbine design

    DEFF Research Database (Denmark)

    Meroni, Andrea; Andreasen, Jesper Graa; Persico, Giacomo

    2018-01-01

    Organic Rankine cycle power systems represent a viable and efficient solution for the exploitation of medium-to-low temperature heat sources. Despite the large number of commissioned units, there is limited literature on the design and optimization of organic Rankine cycle power systems considering...... multistage turbine design. This work presents a preliminary design methodology and working fluid selection for organic Rankine cycle units featuring multistage axial turbines. The method is then applied to the case of waste heat recovery from a large marine diesel engine. A multistage axial turbine model...

  8. Optimization of organic Rankine cycle power systems considering multistage axial turbine design

    DEFF Research Database (Denmark)

    Meroni, Andrea; Andreasen, Jesper Graa; Persico, Giacomo

    2017-01-01

    Organic Rankine cycle power systems represent a viable and efficient solution for the exploitation of medium-to-low temperature heat sources. Despite the large number of commissioned units, there is limited literature on the design and optimization of organic Rankine cycle power systems considering...... multistage turbine design. This work presents a preliminary design methodology and working fluid selection for organic Rankine cycle units featuring multistage axial turbines. The method is then applied to the case of waste heat recovery from a large marine diesel engine. A multistage axial turbine model...

  9. Automatic scoring of the severity of psoriasis scaling

    DEFF Research Database (Denmark)

    Gomez, David Delgado; Ersbøll, Bjarne Kjær; Carstensen, Jens Michael

    2004-01-01

    In this work, a combined statistical and image analysis method to automatically evaluate the severity of scaling in psoriasis lesions is proposed. The method separates the different regions of the disease in the image and scores the degree of scaling based on the properties of these areas. The pr...... with scores made by doctors. This and the fact that the obtained measures are continuous indicate the proposed method is a suitable tool to evaluate the lesion and to track the evolution of dermatological diseases....

  10. Performance of four ischemic stroke prognostic scores in a Brazilian population.

    Science.gov (United States)

    Kuster, Gustavo W; Dutra, Lívia A; Brasil, Israel P; Pacheco, Evelyn P; Arruda, Márcio J C; Volcov, Cristiane; Domingues, Renan B

    2016-02-01

    Ischemic stroke (IS) prognostic scales may help clinicians in their clinical decisions. This study aimed to assess the performance of four IS prognostic scales in a Brazilian population. We evaluated data of IS patients admitted at Hospital Paulistano, a Joint Commission International certified primary stroke center. In-hospital mortality and modified Rankin score at discharge were defined as the outcome measures. The performance of National Institutes of Health Stroke Scale (NIHSS), Stroke Prognostication Using Age and NIHSS (SPAN-100), Acute Stroke Registry and Analysis of Lausanne (ASTRAL), and Totaled Health Risks in Vascular Events (THRIVE) were compared. Two hundred six patients with a mean ± SD age of 67.58 ± 15.5 years, being 55.3% male, were included. The four scales were significantly and independently associated functional outcome. Only THRIVE was associated with in-hospital mortality. With area under the curve THRIVE and NIHSS were the scales with better performance for functional outcome and THRIVE had the best performance for mortality. THRIVE showed the best performance among the four scales, being the only associated with in-hospital mortality.

  11. The SCSTPE organic Rankine engine

    Science.gov (United States)

    Boda, F. P.

    1980-01-01

    The organic Rankine cycle engine under consideration for a solar thermal system being developed is described. Design parameters, method of control, performance and cost data are provided for engine power levels up to 80 kWe; efficiency is shown as a function of turbine inlet temperature in the range of 149 C to 427 C.

  12. Exergoeconomic comparison of TLC (trilateral Rankine cycle), ORC (organic Rankine cycle) and Kalina cycle using a low grade heat source

    International Nuclear Information System (INIS)

    Yari, M.; Mehr, A.S.; Zare, V.; Mahmoudi, S.M.S.; Rosen, M.A.

    2015-01-01

    Recently, the TLC (trilateral power cycle) has attracted significant interest as it provides better matching between the temperature profiles in the evaporator compared to conventional power cycles. This article investigates the performance of this cycle and compares it with those for the ORC (organic Rankine cycle) and the Kalina cycle, from the viewpoints of thermodynamics and thermoeconomics. A low-grade heat source with a temperature of 120 °C is considered for all the three systems. Parametric studies are performed for the systems for several working fluids in the ORC and TLC. The systems are then optimized for either maximum net output power or minimum product cost, using the EES (engineering equation solver) software. The results for the TLC indicate that an increase in the expander inlet temperature leads to an increase in net output power and a decrease in product cost for this power plant, whereas this is not the case for the ORC system. It is found that, although the TLC can achieve a higher net output power compared with the ORC and Kalina (KCS11 (Kalina cycle system 11)) systems, its product cost is greatly affected by the expander isentropic efficiency. It is also revealed that using n-butane as the working fluid can result in the lowest product cost in the ORC and the TLC. In addition, it is observed that, for both the ORC and Kalina systems, the optimum operating condition for maximum net output power differs from that for minimum product cost. - Highlights: • Exergoeconomic analysis of trilateral Rankine cycle is performed. • The system performance is compared with Organic Rankine and Kalina cycles. • Net power from trilateral Rankine cycle is higher than the other power systems. • Superiority of trilateral cycle depends on its expander isentropic efficiency

  13. Measuring the impact of multiple sclerosis on psychosocial functioning: the development of a new self-efficacy scale.

    Science.gov (United States)

    Airlie, J; Baker, G A; Smith, S J; Young, C A

    2001-06-01

    To develop a scale to measure self-efficacy in neurologically impaired patients with multiple sclerosis and to assess the scale's psychometric properties. Cross-sectional questionnaire study in a clinical setting, the retest questionnaire returned by mail after completion at home. Regional multiple sclerosis (MS) outpatient clinic or the Clinical Trials Unit (CTU) at a large neuroscience centre in the UK. One hundred persons with MS attending the Walton Centre for Neurology and Neurosurgery and Clatterbridge Hospital, Wirral, as outpatients. Cognitively impaired patients were excluded at an initial clinic assessment. Patients were asked to provide demographic data and complete the self-efficacy scale along with the following validated scales: Hospital Anxiety and Depression Scale, Rosenberg Self-Esteem Scale, Impact, Stigma and Mastery and Rankin Scales. The Rankin Scale and Barthel Index were also assessed by the physician. A new 11-item self-efficacy scale was constructed consisting of two domains of control and personal agency. The validity of the scale was confirmed using Cronbach's alpha analysis of internal consistency (alpha = 0.81). The test-retest reliability of the scale over two weeks was acceptable with an intraclass correlation coefficient of 0.79. Construct validity was investigated using Pearson's product moment correlation coefficient resulting in significant correlations with depression (r= -0.52) anxiety (r =-0.50) and mastery (r= 0.73). Multiple regression analysis demonstrated that these factors accounted for 70% of the variance of scores on the self-efficacy scale, with scores on mastery, anxiety and perceived disability being independently significant. Assessment of the psychometric properties of this new self-efficacy scale suggest that it possesses good validity and reliability in patients with multiple sclerosis.

  14. The impact of component performance on the overall cycle performance of small-scale low temperature organic Rankine cycles

    Science.gov (United States)

    White, M.; Sayma, A. I.

    2015-08-01

    Low temperature organic Rankine cycles offer a promising technology for the generation of power from low temperature heat sources. Small-scale systems (∼10kW) are of significant interest, however there is a current lack of commercially viable expanders. For a potential expander to be economically viable for small-scale applications it is reasonable to assume that the same expander must have the ability to be implemented within a number of different ORC applications. It is therefore important to design and optimise the cycle considering the component performance, most notably the expander, both at different thermodynamic conditions, and using alternative organic fluids. This paper demonstrates a novel modelling methodology that combines a previously generated turbine performance map with cycle analysis to establish at what heat source conditions optimal system performance can be achieved using an existing turbine design. The results obtained show that the same turbine can be effectively utilised within a number of different ORC applications by changing the working fluid. By selecting suitable working fluids, this turbine can be used to convert pressurised hot water at temperatures between 360K and 400K, and mass flow rates between 0.45kg/s and 2.7kg/s, into useful power with outputs between 1.5kW and 27kW. This is a significant result since it allows the same turbine to be implemented into a variety of applications, improving the economy of scale. This work has also confirmed the suitability of the candidate turbine for a range of low temperature ORC applications.

  15. Combined Turbine and Cycle Optimization for Organic Rankine Cycle Power Systems—Part B

    DEFF Research Database (Denmark)

    La Seta, Angelo; Meroni, Andrea; Andreasen, Jesper Graa

    2016-01-01

    Organic Rankine cycle (ORC) power systems have recently emerged as promising solutions for waste heat recovery in low- and medium-size power plants. Their performance and economic feasibility strongly depend on the expander. The design process and efficiency estimation are particularly challenging...... due to the peculiar physical properties of the working fluid and the gas-dynamic phenomena occurring in the machine. Unlike steam Rankine and Brayton engines, organic Rankine cycle expanders combine small enthalpy drops with large expansion ratios. These features yield turbine designs with few highly...... is the preliminary design of an organic Rankine cycle turbogenerator to increase the overall energy efficiency of an offshore platform. For an increase in expander pressure ratio from 10 to 35, the results indicate up to 10% point reduction in expander performance. This corresponds to a relative reduction in net...

  16. Factor Structure of Child Behavior Scale Scores in Peruvian Preschoolers

    Science.gov (United States)

    Meyer, Erin L.; Schaefer, Barbara A.; Soto, Cesar Merino; Simmons, Crystal S.; Anguiano, Rebecca; Brett, Jeremy; Holman, Alea; Martin, Justin F.; Hata, Heidi K.; Roberts, Kimberly J.; Mello, Zena R.; Worrell, Frank C.

    2011-01-01

    Behavior rating scales aid in the identification of problem behaviors, as well as the development of interventions to reduce such behavior. Although scores on many behavior rating scales have been validated in the United States, there have been few such studies in other cultural contexts. In this study, the structural validity of scores on a…

  17. On the Rankin-Selberg method for higher genus string amplitudes

    CERN Document Server

    Florakis, Ioannis

    2017-01-01

    Closed string amplitudes at genus $h\\leq 3$ are given by integrals of Siegel modular functions on a fundamental domain of the Siegel upper half-plane. When the integrand is of rapid decay near the cusps, the integral can be computed by the Rankin-Selberg method, which consists of inserting an Eisenstein series $E_h(s)$ in the integrand, computing the integral by the orbit method, and finally extracting the residue at a suitable value of $s$. String amplitudes, however, typically involve integrands with polynomial or even exponential growth at the cusps, and a renormalization scheme is required to treat infrared divergences. Generalizing Zagier's extension of the Rankin-Selberg method at genus one, we develop the Rankin-Selberg method for Siegel modular functions of degree 2 and 3 with polynomial growth near the cusps. In particular, we show that the renormalized modular integral of the Siegel-Narain partition function of an even self-dual lattice of signature $(d,d)$ is proportional to a residue of the Langla...

  18. A Comparison of Organic and Steam Rankine Cycle Power Systems for Waste Heat Recovery on Large Ships

    Directory of Open Access Journals (Sweden)

    Jesper Graa Andreasen

    2017-04-01

    Full Text Available This paper presents a comparison of the conventional dual pressure steam Rankine cycle process and the organic Rankine cycle process for marine engine waste heat recovery. The comparison was based on a container vessel, and results are presented for a high-sulfur (3 wt % and low-sulfur (0.5 wt % fuel case. The processes were compared based on their off-design performance for diesel engine loads in the range between 25% and 100%. The fluids considered in the organic Rankine cycle process were MM(hexamethyldisiloxane, toluene, n-pentane, i-pentane and c-pentane. The results of the comparison indicate that the net power output of the steam Rankine cycle process is higher at high engine loads, while the performance of the organic Rankine cycle units is higher at lower loads. Preliminary turbine design considerations suggest that higher turbine efficiencies can be obtained for the ORC unit turbines compared to the steam turbines. When the efficiency of the c-pentane turbine was allowed to be 10% points larger than the steam turbine efficiency, the organic Rankine cycle unit reaches higher net power outputs than the steam Rankine cycle unit at all engine loads for the low-sulfur fuel case. The net power production from the waste heat recovery units is generally higher for the low-sulfur fuel case. The steam Rankine cycle unit produces 18% more power at design compared to the high-sulfur fuel case, while the organic Rankine cycle unit using MM produces 33% more power.

  19. Rankine cycle waste heat recovery system

    Science.gov (United States)

    Ernst, Timothy C.; Nelson, Christopher R.

    2014-08-12

    This disclosure relates to a waste heat recovery (WHR) system and to a system and method for regulation of a fluid inventory in a condenser and a receiver of a Rankine cycle WHR system. Such regulation includes the ability to regulate the pressure in a WHR system to control cavitation and energy conversion.

  20. Performance of four ischemic stroke prognostic scores in a Brazilian population

    Directory of Open Access Journals (Sweden)

    Gustavo W. Kuster

    2016-02-01

    Full Text Available ABSTRACT Objective Ischemic stroke (IS prognostic scales may help clinicians in their clinical decisions. This study aimed to assess the performance of four IS prognostic scales in a Brazilian population. Method We evaluated data of IS patients admitted at Hospital Paulistano, a Joint Commission International certified primary stroke center. In-hospital mortality and modified Rankin score at discharge were defined as the outcome measures. The performance of National Institutes of Health Stroke Scale (NIHSS, Stroke Prognostication Using Age and NIHSS (SPAN-100, Acute Stroke Registry and Analysis of Lausanne (ASTRAL, and Totaled Health Risks in Vascular Events (THRIVE were compared. Results Two hundred six patients with a mean ± SD age of 67.58 ± 15.5 years, being 55.3% male, were included. The four scales were significantly and independently associated functional outcome. Only THRIVE was associated with in-hospital mortality. With area under the curve THRIVE and NIHSS were the scales with better performance for functional outcome and THRIVE had the best performance for mortality. Conclusion THRIVE showed the best performance among the four scales, being the only associated with in-hospital mortality.

  1. Research in Support of the Use of Rankine Cycle Energy Conversion Systems for Space Power and Propulsion

    Science.gov (United States)

    Lahey, Richard T., Jr.; Dhir, Vijay

    2004-01-01

    This is the report of a Scientific Working Group (SWG) formed by NASA to determine the feasibility of using a liquid metal cooled nuclear reactor and Rankine energy conversion cycle for dual purpose power and propulsion in space. This is a high level technical report which is intended for use by NASA management in program planning. The SWG was composed of a team of specialists in nuclear energy and multiphase flow and heat transfer technology from academia, national laboratories, NASA and industry. The SWG has identified the key technology issues that need to be addressed and have recommended an integrated short term (approx. 2 years) and a long term (approx. 10 year) research and development (R&D) program to qualify a Rankine cycle power plant for use in space. This research is ultimately intended to give NASA and its contractors the ability to reliably predict both steady and transient multiphase flow and heat transfer phenomena at reduced gravity, so they can analyze and optimize designs and scale-up experimental data on Rankine cycle components and systems. In addition, some of these results should also be useful for the analysis and design of various multiphase life support and thermal management systems being considered by NASA.

  2. A hybrid Rankine cycle (HyRC) with ambient pressure combustion (APC)

    International Nuclear Information System (INIS)

    Wu, Lijun; Thimsen, David; Clements, Bruce; Zheng, Ligang; Pomalis, Richard

    2014-01-01

    The main losses in thermal power generation include heat in exhaust flue gas, heat rejected through steam condensation of low-pressure turbine, and exergy destruction in heat exchange process etc. To the extent that the heat losses are significantly greater in temperature than either air or water coolant resources, these losses also represent exergy losses which might be exploited to improve plant capacity and efficiency. This paper presents a hybrid Rankine cycle (HyRC) with an ambient pressure combustion (APC) boiler to address the recovery potential of these losses within the steam Rankine cycle (SRC). The APC–HyRC concept employs an organic Rankine cycle (ORC) to supplement SRC and to reduce cycle energy losses to the atmosphere since organic fluids are capable of lowering cycle condensation temperature when a very low temperature heat sink is available. The case studies based on a 399 MW SRC unit show that the APC–HyRC configurations have better thermodynamic performance than its base case SRC at a cycle condensation temperature of 30 °C and below. The best APC–HyRC configuration generates up to 14% more power than the baseline steam cycle which is a 5.45% increase in overall gross efficiency with a cycle condensation temperature at 4 °C. - Highlights: • A hybrid Rankine cycle with water and organic fluid is presented. • Heat losses in exhaust flue gas and exhaust steam are reduced. • Exergy losses in regeneration process are reduced. • Efficiency improvements are made to the conventional steam Rankine cycle. • Issues in design/construction of greenfield and repowering project are discussed

  3. Analysis of hot spots in boilers of organic Rankine cycle units during transient operation

    DEFF Research Database (Denmark)

    Benato, A.; Kærn, Martin Ryhl; Pierobon, Leonardo

    2015-01-01

    This paper is devoted to the investigation of critical dynamic events causing thermochemical decompositionof the working fluid in organic Rankine cycle power systems. The case study is the plant of an oiland gas platform where one of the three gas turbines is combined with an organic Rankine cycle...... and fluid decomposition. It is demonstrated thatthe use of a spray attemperator can mitigate the problems of local overheating of the organic compound.As a practical consequence, this paper provides guidelines for safe and reliable operation of organicRankine cycle power modules on offshore installations....

  4. Predictors of short-term outcome in patients with acute middle cerebral artery occlusion: unsuitability of fluid-attenuated inversion recovery vascular hyperintensity scores

    Directory of Open Access Journals (Sweden)

    Chan-chan Li

    2018-01-01

    Full Text Available Fluid-attenuated inversion recovery (FLAIR vascular hyperintensity (FVH is used to assess leptomeningeal collateral circulation, but clinical outcomes of patients with FVH can be very different. The aim of the present study was to assess a FVH score and explore its relationship with clinical outcomes. Patients with acute ischemic stroke due to middle cerebral artery M1 occlusion underwent magnetic resonance imaging and were followed up at 10 days (National Institutes of Health Stroke Scale and 90 days (modified Rankin Scale to determine short-term clinical outcomes. Effective collateral circulation indirectly improved recovery of neurological function and short-term clinical outcome by extending the size of the pial penumbra and reducing infarct lesions. FVH score showed no correlation with 90-day functional clinical outcome and was not sufficient as an independent predictor of short-term clinical outcome.

  5. Statin treatment and stroke outcome in the Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) trial

    DEFF Research Database (Denmark)

    Goldstein, L.B.; Amarenco, P.; Zivin, J.

    2009-01-01

    BACKGROUND AND PURPOSE: Laboratory experiments suggest statins reduce stroke severity and improve outcomes. The Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) trial was a placebo-controlled, randomized trial designed to determine whether treatment with atorvastatin reduces...... or 4), moderate (modified Rankin Scale score 3 or 2), and mild (modified Rankin Scale score 1 or 0) outcome ischemic strokes and transient ischemic attacks and an increase in the proportion of event-free subjects randomized to atorvastatin (P

  6. Improving the economy-of-scale of small organic rankine cycle systems through appropriate working fluid selection

    International Nuclear Information System (INIS)

    White, Martin; Sayma, Abdulnaser I.

    2016-01-01

    Highlights: • Novel system model coupling turbine and ORC system performance. • Contour plots to characterise working fluid and turbine performance. • Changing working fluid can expand pump and turbine operating envelope. • Possible to improve the economy-of-scale through optimal working fluid selection. - Abstract: Organic Rankine cycles (ORC) are becoming a major research area within the field of sustainable energy systems. However, a major challenge facing the widespread implementation of small and mini-scale ORC systems is the economy-of-scale. To overcome this challenge requires single components that can be manufactured in large volumes and then implemented into a wide variety of different applications where the heat source conditions may vary. The aim of this paper is to investigate whether working fluid selection can improve the current economy-of-scale by enabling the same system components to be used in multiple ORC systems. This is done through coupling analysis and optimisation of the energy process, with a performance map for a small-scale ORC radial turbine. The performance map, obtained using CFD, is adapted to account for additional loss mechanisms not accounted for in the original CFD simulation before being non-dimensionalised using a modified similitude theory developed for subsonic ORC turbines. The updated performance map is then implemented into a thermodynamic model, enabling the construction of a single performance contour that displays the range of heat source conditions that can be accommodated by the existing turbine whilst using a particular working fluid. Constructing this performance map for a range of working fluids, this paper demonstrates that through selecting a suitable working fluid, the same turbine can efficiently utilise heat sources between 360 and 400 K, with mass flow rates ranging between 0.5 and 2.75 kg/s respectively. This corresponds to using the same turbine in ORC applications where the heat available ranges

  7. Power generation and heating performances of integrated system of ammonia–water Kalina–Rankine cycle

    International Nuclear Information System (INIS)

    Zhang, Zhi; Guo, Zhanwei; Chen, Yaping; Wu, Jiafeng; Hua, Junye

    2015-01-01

    Highlights: • Integrated system of ammonia–water Kalina–Rankine cycle (AWKRC) is investigated. • Ammonia–water Rankine cycle is operated for cogenerating room heating-water in winter. • Kalina cycle with higher efficiency is operated for power generation in other seasons. • Power recovery efficiency accounts thermal efficiency and waste heat absorbing ratio. • Heating water with 70 °C and capacity of 55% total reclaimed heat load is cogenerated. - Abstract: An integrated system of ammonia–water Kalina–Rankine cycle (AWKRC) for power generation and heating is introduced. The Kalina cycle has large temperature difference during evaporation and small one during condensation therefore with high thermal efficiency for power generation, while the ammonia–water Rankine cycle has large temperature difference during condensation as well as evaporation, thus it can be adopted to generate heating-water as a by-product in winter. The integrated system is based on the Kalina cycle and converted to the Rankine cycle with a set of valves. The performances of the AWKRC system in different seasons with corresponding cycle loops were studied and analyzed. When the temperatures of waste heat and cooling water are 300 °C and 25 °C respectively, the thermal efficiency and power recovery efficiency of Kalina cycle are 20.9% and 17.4% respectively in the non-heating seasons, while these efficiencies of the ammonia–water Rankine cycle are 17.1% and 13.1% respectively with additional 55.3% heating recovery ratio or with comprehensive efficiency 23.7% higher than that of the Kalina cycle in heating season

  8. Prospects of the use of nanofluids as working fluids for organic Rankine cycle power systems

    DEFF Research Database (Denmark)

    Mondejar, Maria E.; Andreasen, Jesper G.; Regidor, Maria

    2017-01-01

    The search of novel working fluids for organic Rankine cycle power systems is driven by the recent regulations imposing additional phase-out schedules for substances with adverse environmental characteristics. Recently, nanofluids (i.e. colloidal suspensions of nanoparticles in fluids) have been...... suggested as potential working fluids for organic Rankine cycle power systems due to their enhanced thermal properties, potentially giving advantages with respect to the design of the components and the cycle performance. Nevertheless, a number of challenges concerning the use of nanofluids must...... the prospects of using nanofluids as working fluids for organic Rankine cycle power systems. As a preliminary study, nanofluids consisting of a homogenous and stable mixture of different nanoparticles types and a selected organic fluid are simulated on a case study organic Rankine cycle unit for waste heat...

  9. [Circadian rhythm : Influence on Epworth Sleepiness Scale score].

    Science.gov (United States)

    Herzog, M; Bedorf, A; Rohrmeier, C; Kühnel, T; Herzog, B; Bremert, T; Plontke, S; Plößl, S

    2017-02-01

    The Epworth Sleepiness Scale (ESS) is frequently used to determine daytime sleepiness in patients with sleep-disordered breathing. It is still unclear whether different levels of alertness induced by the circadian rhythm influence ESS score. The aim of this study is to investigate the influence of circadian rhythm-dependent alertness on ESS performance. In a monocentric prospective noninterventional observation study, 97 patients with suspected sleep-disordered breathing were investigated with respect to daytime sleepiness in temporal relationship to polysomnographic examination and treatment. The Karolinska Sleepiness Scale (KSS) and the Stanford Sleepiness Scale (SSS) served as references for the detection of present sleepiness at three different measurement times (morning, noon, evening), prior to and following a diagnostic polysomnography night as well as after a continuous positive airway pressure (CPAP) titration night (9 measurements in total). The KSS, SSS, and ESS were performed at these times in a randomized order. The KSS and SSS scores revealed a circadian rhythm-dependent curve with increased sleepiness at noon and in the evening. Following a diagnostic polysomnography night, the scores were increased compared to the measurements prior to the night. After the CPAP titration night, sleepiness in the morning was reduced. KSS and SSS reflect the changes in alertness induced by the circadian rhythm. The ESS score war neither altered by the intra-daily nor by the inter-daily changes in the level of alertness. According to the present data, the ESS serves as a reliable instrument to detect the level of daytime sleepiness independently of the circadian rhythm-dependent level of alertness.

  10. Rankine-Brayton engine powered solar thermal aircraft

    Science.gov (United States)

    Bennett, Charles L [Livermore, CA

    2009-12-29

    A solar thermal powered aircraft powered by heat energy from the sun. A Rankine-Brayton hybrid cycle heat engine is carried by the aircraft body for producing power for a propulsion mechanism, such as a propeller or other mechanism for enabling sustained free flight. The Rankine-Brayton engine has a thermal battery, preferably containing a lithium-hydride and lithium mixture, operably connected to it so that heat is supplied from the thermal battery to a working fluid. A solar concentrator, such as reflective parabolic trough, is movably connected to an optically transparent section of the aircraft body for receiving and concentrating solar energy from within the aircraft. Concentrated solar energy is collected by a heat collection and transport conduit, and heat transported to the thermal battery. A solar tracker includes a heliostat for determining optimal alignment with the sun, and a drive motor actuating the solar concentrator into optimal alignment with the sun based on a determination by the heliostat.

  11. A comparative study on assessment procedures and metric properties of two scoring systems of the Coma Recovery Scale-Revised items: standard and modified scores.

    Science.gov (United States)

    Sattin, Davide; Lovaglio, Piergiorgio; Brenna, Greta; Covelli, Venusia; Rossi Sebastiano, Davide; Duran, Dunja; Minati, Ludovico; Giovannetti, Ambra Mara; Rosazza, Cristina; Bersano, Anna; Nigri, Anna; Ferraro, Stefania; Leonardi, Matilde

    2017-09-01

    The study compared the metric characteristics (discriminant capacity and factorial structure) of two different methods for scoring the items of the Coma Recovery Scale-Revised and it analysed scale scores collected using the standard assessment procedure and a new proposed method. Cross sectional design/methodological study. Inpatient, neurological unit. A total of 153 patients with disorders of consciousness were consecutively enrolled between 2011 and 2013. All patients were assessed with the Coma Recovery Scale-Revised using standard (rater 1) and inverted (rater 2) procedures. Coma Recovery Scale-Revised score, number of cognitive and reflex behaviours and diagnosis. Regarding patient assessment, rater 1 using standard and rater 2 using inverted procedures obtained the same best scores for each subscale of the Coma Recovery Scale-Revised for all patients, so no clinical (and statistical) difference was found between the two procedures. In 11 patients (7.7%), rater 2 noted that some Coma Recovery Scale-Revised codified behavioural responses were not found during assessment, although higher response categories were present. A total of 51 (36%) patients presented the same Coma Recovery Scale-Revised scores of 7 or 8 using a standard score, whereas no overlap was found using the modified score. Unidimensionality was confirmed for both score systems. The Coma Recovery Scale Modified Score showed a higher discriminant capacity than the standard score and a monofactorial structure was also supported. The inverted assessment procedure could be a useful evaluation method for the assessment of patients with disorder of consciousness diagnosis.

  12. The Basilar Artery on Computed Tomography Angiography Prognostic Score for Basilar Artery Occlusion.

    Science.gov (United States)

    Alemseged, Fana; Shah, Darshan G; Diomedi, Marina; Sallustio, Fabrizio; Bivard, Andrew; Sharma, Gagan; Mitchell, Peter J; Dowling, Richard J; Bush, Steven; Yan, Bernard; Caltagirone, Carlo; Floris, Roberto; Parsons, Mark W; Levi, Christopher R; Davis, Stephen M; Campbell, Bruce C V

    2017-03-01

    Basilar artery occlusion is associated with high risk of disability and mortality. This study aimed to assess the prognostic value of a new radiological score: the Basilar Artery on Computed Tomography Angiography (BATMAN) score. A retrospective analysis of consecutive stroke patients with basilar artery occlusion diagnosed on computed tomographic angiography was performed. BATMAN score is a 10-point computed tomographic angiography-based grading system which incorporates thrombus burden and the presence of collaterals. Reliability was assessed with intraclass coefficient correlation. Good outcome was defined as modified Rankin Scale score of ≤3 at 3 months and successful reperfusion as thrombolysis in cerebral infarction 2b-3. BATMAN score was externally validated and compared with the Posterior Circulation Collateral score. The derivation cohort included 83 patients with 41 in the validation cohort. In receiver operating characteristic (ROC) analysis, BATMAN score had an area under receiver operating characteristic curve of 0.81 (95% confidence interval [CI], 0.7-0.9) in derivation cohort and an area under receiver operating characteristic curve of 0.74 (95% CI, 0.6-0.9) in validation cohort. In logistic regression adjusted for age and clinical severity, BATMAN score of BATMAN score of BATMAN score had greater accuracy compared with Posterior Circulation Collateral score ( P =0.04). The addition of collateral quality to clot burden in BATMAN score seems to improve prognostic accuracy in basilar artery occlusion patients. © 2017 American Heart Association, Inc.

  13. Low-Concentration Solar-Power Systems based on Organic Rankine Cycles for Distributed-Scale Applications:Overview and Further Developments

    Directory of Open Access Journals (Sweden)

    Christos N. Markides

    2015-12-01

    Full Text Available This paper is concerned with the emergence and development of low- to medium-grade thermal-energy conversion systems for distributed power generation based on thermodynamic vapour-phase heat-engine cycles undergone by organic working-fluids, namely organic Rankine cycles (ORCs. ORC power systems are, to some extent, a relatively established and mature technology that is well-suited to converting low-/medium-grade heat (at temperatures up to ~ 300 – 400 °C to useful work, at an output power scale from a few kW to 10s of MW. Thermal efficiencies in excess of 25% are achievable at higher temperatures and larger scales, and efforts are currently in progress to improve the overall economic viability, and thus uptake, of ORC power systems by focusing on advanced architectures, working-fluid selection, heat exchangers and expansion machines. Solar-power systems based on ORC technology have a significant potential to be used for distributed power generation, by converting thermal energy from simple and low-cost non-concentrated or low-concentration collectors to mechanical, hydraulic or electrical energy. Current fields of use include mainly geothermal and biomass/biogas, as well as the recovery and conversion of waste heat, leading to improved energy efficiency, primary energy (i.e. fuel use and emission minimization, yet the technology is highly transferable to solar power generation as an affordable alternative to small- to medium-scale photovoltaic (PV systems. Solar-ORC systems offer naturally the advantages of providing a simultaneous thermal-energy output for hot water provision and/or space heating, and the particularly interesting possibility of relatively straightforward on-site (thermal energy storage. Key performance characteristics are presented, and important heat transfer effects that act to limit performance are identified as noteworthy directions of future research for the further development of this technology.

  14. Low-Concentration Solar-Power Systems Based on Organic Rankine Cycles for Distributed-Scale Applications: Overview and Further Developments

    Energy Technology Data Exchange (ETDEWEB)

    Markides, Christos N., E-mail: c.markides@imperial.ac.uk [Clean Energy Processes (CEP) Laboratory, Department of Chemical Engineering, Imperial College London, London (United Kingdom)

    2015-12-10

    This paper is concerned with the emergence and development of low-to-medium-grade thermal-energy-conversion systems for distributed power generation based on thermodynamic vapor-phase heat-engine cycles undergone by organic working fluids, namely organic Rankine cycles (ORCs). ORC power systems are, to some extent, a relatively established and mature technology that is well-suited to converting low/medium-grade heat (at temperatures up to ~300–400°C) to useful work, at an output power scale from a few kilowatts to 10s of megawatts. Thermal efficiencies in excess of 25% are achievable at higher temperatures and larger scales, and efforts are currently in progress to improve the overall economic viability and thus uptake of ORC power systems, by focusing on advanced architectures, working-fluid selection, heat exchangers and expansion machines. Solar-power systems based on ORC technology have a significant potential to be used for distributed power generation, by converting thermal energy from simple and low-cost non-concentrated or low-concentration collectors to mechanical, hydraulic, or electrical energy. Current fields of use include mainly geothermal and biomass/biogas, as well as the recovery and conversion of waste heat, leading to improved energy efficiency, primary energy (i.e., fuel) use and emission minimization, yet the technology is highly transferable to solar-power generation as an affordable alternative to small-to-medium-scale photovoltaic systems. Solar-ORC systems offer naturally the advantages of providing a simultaneous thermal-energy output for hot water provision and/or space heating, and the particularly interesting possibility of relatively straightforward onsite (thermal) energy storage. Key performance characteristics are presented, and important heat transfer effects that act to limit performance are identified as noteworthy directions of future research for the further development of this technology.

  15. Low-Concentration Solar-Power Systems Based on Organic Rankine Cycles for Distributed-Scale Applications: Overview and Further Developments

    International Nuclear Information System (INIS)

    Markides, Christos N.

    2015-01-01

    This paper is concerned with the emergence and development of low-to-medium-grade thermal-energy-conversion systems for distributed power generation based on thermodynamic vapor-phase heat-engine cycles undergone by organic working fluids, namely organic Rankine cycles (ORCs). ORC power systems are, to some extent, a relatively established and mature technology that is well-suited to converting low/medium-grade heat (at temperatures up to ~300–400°C) to useful work, at an output power scale from a few kilowatts to 10s of megawatts. Thermal efficiencies in excess of 25% are achievable at higher temperatures and larger scales, and efforts are currently in progress to improve the overall economic viability and thus uptake of ORC power systems, by focusing on advanced architectures, working-fluid selection, heat exchangers and expansion machines. Solar-power systems based on ORC technology have a significant potential to be used for distributed power generation, by converting thermal energy from simple and low-cost non-concentrated or low-concentration collectors to mechanical, hydraulic, or electrical energy. Current fields of use include mainly geothermal and biomass/biogas, as well as the recovery and conversion of waste heat, leading to improved energy efficiency, primary energy (i.e., fuel) use and emission minimization, yet the technology is highly transferable to solar-power generation as an affordable alternative to small-to-medium-scale photovoltaic systems. Solar-ORC systems offer naturally the advantages of providing a simultaneous thermal-energy output for hot water provision and/or space heating, and the particularly interesting possibility of relatively straightforward onsite (thermal) energy storage. Key performance characteristics are presented, and important heat transfer effects that act to limit performance are identified as noteworthy directions of future research for the further development of this technology.

  16. Equation of State Selection for Organic Rankine Cycle Modeling Under Uncertainty

    DEFF Research Database (Denmark)

    Frutiger, Jerome; O'Connell, John; Abildskov, Jens

    In recent years there has been a great interest in the design and selection of working fluids for low-temperature Organic Rankine Cycles (ORC), to efficiently produce electrical power from waste heat from chemical engineering applications, as well as from renewable energy sources such as biomass...... cycle, all influence the model output uncertainty. The procedure is highlighted for an ORC for with a low-temperature heat source from exhaust gas from a marine diesel engine.[1] Saleh B, Koglbauer G, Wendland M, Fischer J. Working fluids for lowtemperature organic Rankine cycles. Energy 2007...

  17. Normal variability of children's scaled scores on subtests of the Dutch Wechsler Preschool and Primary scale of Intelligence - third edition.

    Science.gov (United States)

    Hurks, P P M; Hendriksen, J G M; Dek, J E; Kooij, A P

    2013-01-01

    Intelligence tests are included in millions of assessments of children and adults each year (Watkins, Glutting, & Lei, 2007a , Applied Neuropsychology, 14, 13). Clinicians often interpret large amounts of subtest scatter, or large differences between the highest and lowest scaled subtest scores, on an intelligence test battery as an index for abnormality or cognitive impairment. The purpose of the present study is to characterize "normal" patterns of variability among subtests of the Dutch Wechsler Preschool and Primary Scale of Intelligence - Third Edition (WPPSI-III-NL; Wechsler, 2010 ). Therefore, the frequencies of WPPSI-III-NL scaled subtest scatter were reported for 1039 healthy children aged 4:0-7:11 years. Results indicated that large differences between highest and lowest scaled subtest scores (or subtest scatter) were common in this sample. Furthermore, degree of subtest scatter was related to: (a) the magnitude of the highest scaled subtest score, i.e., more scatter was seen in children with the highest WPPSI-III-NL scaled subtest scores, (b) Full Scale IQ (FSIQ) scores, i.e., higher FSIQ scores were associated with an increase in subtest scatter, and (c) sex differences, with boys showing a tendency to display more scatter than girls. In conclusion, viewing subtest scatter as an index for abnormality in WPPSI-III-NL scores is an oversimplification as this fails to recognize disparate subtest heterogeneity that occurs within a population of healthy children aged 4:0-7:11 years.

  18. A comparative analysis of rankine and absorption power cycles from exergoeconomic viewpoint

    International Nuclear Information System (INIS)

    Shokati, Naser; Ranjbar, Faramarz; Yari, Mortaza

    2014-01-01

    Highlights: • The Rankine and absorption power cycles are compared from exergoeconomic viewpoint. • The LiBr–H 2 O cycle has the highest unit cost of electricity produced by turbine. • The LiBr–H 2 O cycle has the lowest exergy destruction cost rate. • In LiBr–H 2 O cycle, the generator has the maximum value regarding (C-dot) D,k +(C-dot) L,k +(Z-dot) k . - Abstract: In this paper LiBr–H 2 O and NH 3 –H 2 O absorption power cycles and Rankine cycle which produce 1 MW electrical power in same conditions of heat sources are compared from exergoeconomic point of view. Exergoeconomic analysis is performed using the specific exergy costing (SPECO) method. The results show that among these cycles, although the LiBr–H 2 O cycle has the highest first law efficiency, but unit cost of electricity produced by turbine for LiBr–H 2 O cycle is more than that for Rankine cycle. This value is lowest for the NH 3 –H 2 O cycle. Moreover, the NH 3 –H 2 O cycle has the highest and the LiBr–H 2 O cycle has the lowest exergy destruction cost rate. The generator, the absorber and the boiler in all considered cycles have the maximum value of sum of cost rate associated with capital investment, operating and maintenance, exergy destruction and exergy losses. Therefore, these components should be taken into consideration from exergoeconomic viewpoint. In parametric study, it is observed that in the constant generator temperature, as the generator pressure increases, unit cost of power produced by turbine for LiBr–H 2 O and Rankine cycles decreases. This value for Rankine cycle is lower than for LiBr–H 2 O cycle whereas Rankine cycle efficiency is less than the efficiency of LiBr–H 2 O cycle. Also, in LiBr–H 2 O cycle, at constant temperature of the generator, the value of exergy destruction cost rate is minimized and exergoeconomic factor is maximized at particular values of generator pressure and the more absorber pressure results the minimum value of

  19. Energy analysis of Organic Rankine Cycles for biomass applications

    Directory of Open Access Journals (Sweden)

    Algieri Angelo

    2015-01-01

    Full Text Available The present paper aims at analysing the performances of Organic Rankine Cycles (ORCs adopted for the exploitation of the biomass resulting from the pruning residues in a 3000 hectares district in Southern Italy. A parametric energy analysis has been carried out to define the influence of the main plant operating conditions. To this purpose, both subcritical and transcritical power plants have been examined and saturated and superheated conditions at the turbine inlet have been imposed. Moreover, the effect of the working fluid, condensation temperature, and internal regeneration on system performances has been investigated. The results show that ORC plants represent an interesting and sustainable solution for decentralised and small-scale power production. Furthermore, the analysis highlights the significant impact of the maximum temperature and the noticeable effect of internal regeneration on the performances of the biomass power plants.

  20. Rankine cycle system and method

    Science.gov (United States)

    Ernst, Timothy C.; Nelson, Christopher R.

    2014-09-09

    A Rankine cycle waste heat recovery system uses a receiver with a maximum liquid working fluid level lower than the minimum liquid working fluid level of a sub-cooler of the waste heat recovery system. The receiver may have a position that is physically lower than the sub-cooler's position. A valve controls transfer of fluid between several of the components in the waste heat recovery system, especially from the receiver to the sub-cooler. The system may also have an associated control module.

  1. New concepts for organic Rankine cycle power systems

    NARCIS (Netherlands)

    Casati, E.I.M.

    2014-01-01

    Energy provision is one of the major challenges for the Human Society, and it is increasingly clear that the current production/consumption model is not sustainable. The envisaged energy system is smarter, more decentralised and integrated. Energy conversion systems based on the organic Rankine

  2. Thermodynamic, economic and thermo-economic optimization of a new proposed organic Rankine cycle for energy production from geothermal resources

    International Nuclear Information System (INIS)

    Kazemi, Neda; Samadi, Fereshteh

    2016-01-01

    Highlights: • A new cycle was designed to improve basic organic Rankine cycle performance. • Peng Robinson equation of state was used to obtain properties of working fluids. • Operating parameters were optimized with three different objective functions. • Efficiency of new organic Rankine cycle is higher than other considered cycles. • Return on investment of new cycle for Iran is more than France and America. - Abstract: The main goal of this study is to propose and investigate a new organic Rankine cycle based on three considered configurations: basic organic Rankine cycle, regenerative organic Rankine cycle and two-stage evaporator organic Rankine cycle in order to increase electricity generation from geothermal sources. To analyze the considered cycles’ performance, thermodynamic (energy and exergy based on the first and second laws of thermodynamics) and economic (specific investment cost) models are investigated. Also, a comparison of cycles modeling results is carried out in optimum conditions according to different optimization which consist thermodynamic, economic and thermo-economic objective functions for maximizing exergy efficiency, minimizing specific investment cost and applying a multi-objective function in order to maximize exergy efficiency and minimize specific investment cost, respectively. Optimized operating parameters of cycles include evaporators and regenerative temperatures, pinch point temperature difference of evaporators and degree of superheat. Furthermore, Peng Robinson equation of state is used to obtain thermodynamic properties of isobutane and R123 which are selected as dry and isentropic working fluids, respectively. The results of optimization indicate that, thermal and exergy efficiencies increase and exergy destruction decrease especially in evaporators for both working fluids in new proposed organic Rankine cycle compared to the basic organic Rankine cycle. Moreover, the amount of specific investment cost in new

  3. Design of a Rankine cycle operating with a passive turbine multi fluid

    Energy Technology Data Exchange (ETDEWEB)

    Placco, Guilherme M., E-mail: guilhermeplacco@gmail.com [Instituto Tecnológico de Aeronáutica (ITA), São José dos Campos, SP (Brazil); Guimarães, Lamartine N.F., E-mail: guimarae@ieav.cta.br [Instituto de Estudo Avançados (CTA/IEAV), São José dos Campos, SP, (Brazil); Santos, Gabriela S. B., E-mail: siqueira.gsb@gmail.com [Universidade Paulista (UNIP), São José dos Campos, SP (Brazil)

    2017-07-01

    The Institute of Advanced Studies - IEAv, has been conducting a project called TERRA - 'Fast Advanced Reactors Technology', which aims to study the effects on the working of a Rankine cycle operating with a Multi Fluid Passive Turbine - TPMF. This turbine has the main characteristic operate bladeless using discs arranged in parallel along a rotating axis. After a thorough literature search, we have not found a previous operating Rankine cycle with this kind of turbine. Thus, the work presented here, began its development with few guidelines to follow. It will be presented, of a sucint way, of the design of the parts that makes up a Rankine cycle; the boundary conditions of the cycle; Data acquisition system; the development schedule; assembly of the components; some associated costs and project management. Experimental results thermal conduction through the cycle; the results of net power generated by the turbine and a comparison between thermal energy to mechanical energy in the turbine (efficiency curve). (author)

  4. Design of a Rankine cycle operating with a passive turbine multi fluid

    International Nuclear Information System (INIS)

    Placco, Guilherme M.; Guimarães, Lamartine N.F.; Santos, Gabriela S. B.

    2017-01-01

    The Institute of Advanced Studies - IEAv, has been conducting a project called TERRA - 'Fast Advanced Reactors Technology', which aims to study the effects on the working of a Rankine cycle operating with a Multi Fluid Passive Turbine - TPMF. This turbine has the main characteristic operate bladeless using discs arranged in parallel along a rotating axis. After a thorough literature search, we have not found a previous operating Rankine cycle with this kind of turbine. Thus, the work presented here, began its development with few guidelines to follow. It will be presented, of a sucint way, of the design of the parts that makes up a Rankine cycle; the boundary conditions of the cycle; Data acquisition system; the development schedule; assembly of the components; some associated costs and project management. Experimental results thermal conduction through the cycle; the results of net power generated by the turbine and a comparison between thermal energy to mechanical energy in the turbine (efficiency curve). (author)

  5. Predicting Outcome in Subarachnoid Hemorrhage (SAH) Utilizing the Full Outline of UnResponsiveness (FOUR) Score.

    Science.gov (United States)

    Zeiler, F A; Lo, B W Y; Akoth, E; Silvaggio, J; Kaufmann, A M; Teitelbaum, J; West, M

    2017-12-01

    Existing scoring systems for aneurysmal subarachnoid hemorrhage (SAH) patients fail to accurately predict patient outcome. Our goal was to prospectively study the Full Outline of UnResponsiveness (FOUR) score as applied to newly admitted aneurysmal SAH patients. All adult patients presenting to Health Sciences Center in Winnipeg from January 2013 to July 2015 (2.5 year period) with aneurysmal SAH were prospectively enrolled in this study. All patients were followed up to 6 months. FOUR score was calculated upon admission, with repeat calculation at 7 and 14 days. The primary outcomes were: mortality, as well as dichotomized 1- and 6-month Glasgow Outcome Scale (GOS) and modified Rankin Scale (mRS) values. Sixty-four patients were included, with a mean age of 54.2 years (range 26-85 years). The mean FOUR score upon admission pre- and post-external ventricular drain (EVD) was 10.3 (range 0-16) and 11.1 (range 3-16), respectively. There was a statistically significant association between pre-EVD FOUR score (total, eye, respiratory and motor sub-scores) with mortality, 1-month GOS, and 6-month GOS/mRS (p FOUR scores were associated with mortality, 1-month GOS/mRS, and 6-month GOS/mRS (p FOUR scores were associated with 6-month GOS (p FOUR score was associated with the development of clinical vasospasm (p FOUR score at admission and day 7 post-SAH is associated with mortality, 1-month GOS/mRS, and 6-month GOS/mRS. The FOUR score at day 14 post-SAH is associated with 6-month GOS. The brainstem sub-score was not associated with 1- or 6-month primary outcomes.

  6. Preliminary Development of a Free Piston Expander–Linear Generator for Small-Scale Organic Rankine Cycle (ORC Waste Heat Recovery System

    Directory of Open Access Journals (Sweden)

    Gaosheng Li

    2016-04-01

    Full Text Available A novel free piston expander-linear generator (FPE-LG integrated unit was proposed to recover waste heat efficiently from vehicle engine. This integrated unit can be used in a small-scale Organic Rankine Cycle (ORC system and can directly convert the thermodynamic energy of working fluid into electric energy. The conceptual design of the free piston expander (FPE was introduced and discussed. A cam plate and the corresponding valve train were used to control the inlet and outlet valve timing of the FPE. The working principle of the FPE-LG was proven to be feasible using an air test rig. The indicated efficiency of the FPE was obtained from the p–V indicator diagram. The dynamic characteristics of the in-cylinder flow field during the intake and exhaust processes of the FPE were analyzed based on Fluent software and 3D numerical simulation models using a computation fluid dynamics method. Results show that the indicated efficiency of the FPE can reach 66.2% and the maximal electric power output of the FPE-LG can reach 22.7 W when the working frequency is 3 Hz and intake pressure is 0.2 MPa. Two large-scale vortices are formed during the intake process because of the non-uniform distribution of velocity and pressure. The vortex flow will convert pressure energy and kinetic energy into thermodynamic energy for the working fluid, which weakens the power capacity of the working fluid.

  7. Which clinical variable influences health-related quality of life the most after spontaneous subarachnoid hemorrhage? Hunt and Hess scale, Fisher score, World Federation of Neurosurgeons score, Brussels coma score, and Glasgow coma score compared.

    Science.gov (United States)

    Kapapa, Thomas; Tjahjadi, Martin; König, Ralph; Wirtz, Christian Rainer; Woischneck, Dieter

    2013-12-01

    To determine the strength of the correlation between the Hunt and Hess scale, Fisher score, Brussels coma score, World Federation of Neurosurgeons score, and Glasgow coma score and health-related quality of life. Evaluable questionnaires from 236 patients (5.6 years [± standard deviation, 2.854 years] on average after hemorrhage) were included in the analysis. Quality of life was documented using the MOS-36 item short form health survey. Because of the ordinal nature of the variables, Kendall tau was used for calculation. Significance was established as P ≤ 0.05. Weak and very weak correlations were found in general (r ≤ 0.28). The strongest correlations were found between the Glasgow coma score and quality of life (r = 0.236, P = 0.0001). In particular, the "best verbal response" achieved the strongest correlations in the comparison, at r = 0.28/P = 0.0001. The Fisher score showed very weak correlations (r = -0.148/P = 0.012). The Brussels coma score (r = -0.216/P = 0.0001), Hunt and Hess scale (r = -0.197/P = 0.0001), and the World Federation of Neurosurgeons score (r = -0.185/P = 0.0001) revealed stronger correlations, especially in terms of the physical aspects of quality of life. The Glasgow coma scale revealed the strongest, and the Fisher score showed the weakest correlations. Thus the Fisher score, as an indicator of the severity of a hemorrhage, has little significance in terms of health-related quality of life. Copyright © 2013 Elsevier Inc. All rights reserved.

  8. Modelling of an air-cooled two-stage Rankine cycle for electricity production

    International Nuclear Information System (INIS)

    Liu, Bo

    2014-01-01

    This work considers a two stage Rankine cycle architecture slightly different from a standard Rankine cycle for electricity generation. Instead of expanding the steam to extremely low pressure, the vapor leaves the turbine at a higher pressure then having a much smaller specific volume. It is thus possible to greatly reduce the size of the steam turbine. The remaining energy is recovered by a bottoming cycle using a working fluid which has a much higher density than the water steam. Thus, the turbines and heat exchangers are more compact; the turbine exhaust velocity loss is lower. This configuration enables to largely reduce the global size of the steam water turbine and facilitate the use of a dry cooling system. The main advantage of such an air cooled two stage Rankine cycle is the possibility to choose the installation site of a large or medium power plant without the need of a large and constantly available water source; in addition, as compared to water cooled cycles, the risk regarding future operations is reduced (climate conditions may affect water availability or temperature, and imply changes in the water supply regulatory rules). The concept has been investigated by EDF R and D. A 22 MW prototype was developed in the 1970's using ammonia as the working fluid of the bottoming cycle for its high density and high latent heat. However, this fluid is toxic. In order to search more suitable working fluids for the two stage Rankine cycle application and to identify the optimal cycle configuration, we have established a working fluid selection methodology. Some potential candidates have been identified. We have evaluated the performances of the two stage Rankine cycles operating with different working fluids in both design and off design conditions. For the most acceptable working fluids, components of the cycle have been sized. The power plant concept can then be evaluated on a life cycle cost basis. (author)

  9. Reliability Generalization: Exploring Variation of Reliability Coefficients of MMPI Clinical Scales Scores.

    Science.gov (United States)

    Vacha-Haase, Tammi; Kogan, Lori R.; Tani, Crystal R.; Woodall, Renee A.

    2001-01-01

    Used reliability generalization to explore the variance of scores on 10 Minnesota Multiphasic Personality Inventory (MMPI) clinical scales drawing on 1,972 articles in the literature on the MMPI. Results highlight the premise that scores, not tests, are reliable or unreliable, and they show that study characteristics do influence scores on the…

  10. A thermodynamic study of waste heat recovery from GT-MHR using organic Rankine cycles

    International Nuclear Information System (INIS)

    Yari, Mortaza; Mahmoudi, S.M.S.

    2011-01-01

    This paper presents an investigation on the utilization of waste heat from a gas turbine-modular helium reactor (GT-MHR) using different arrangements of organic Rankine cycles (ORCs) for power production. The considered organic Rankine cycles were: simple organic Rankine cycle (SORC), ORC with internal heat exchanger (HORC) and regenerative organic Rankine cycle (RORC). The performances of the combined cycles were studied from the point of view of first and second-laws of thermodynamics. Individual models were developed for each component and the effects of some important parameters such as compressor pressure ratio, turbine inlet temperature, and evaporator and environment temperatures on the efficiencies and on the exergy destruction rate were studied. Finally the combined cycles were optimized thermodynamically using the EES (Engineering Equation Solver) software. Based on the identical operating conditions for the GT-MHR cycle, a comparison between the three combined cycles and a simple GT-MHR cycle is also were made. This comparison was also carried out from the point of view of economics. The GT-MHR/SORC combined cycle proved to be the best among all the cycles from the point of view of both thermodynamics and economics. The efficiency of this cycle was about 10% higher than that of GT-MHR alone. (orig.)

  11. A review of the use of organic Rankine cycle power systems for maritime applications

    DEFF Research Database (Denmark)

    Mondejar, M. E.; Andreasen, J. G.; Pierobon, L.

    2018-01-01

    combustion, geothermal reservoirs, and waste heat from industrial processes. However, its economic feasibility has not yet been demonstrated for marine applications. This paper aims at evaluating the potential of using organic Rankine cycle systems for waste heat recovery aboard ships. The suitable vessels......Diesel engines are by far the most common means of propulsion aboard ships. It is estimated that around half of their fuel energy consumption is dissipated as low-grade heat. The organic Rankine cycle technology is a well-established solution for the energy conversion of thermal power from biomass...... in order to tackle the challenges limiting a widespread use of this technology in currently operating vessels and new-buildings. The results indicate that organic Rankine cycle units recovering heat from the exhaust gases of engines using low-sulfur fuels could yield fuel savings between 10% and 15%....

  12. Decreasing scoring errors on Wechsler Scale Vocabulary, Comprehension, and Similarities subtests: a preliminary study.

    Science.gov (United States)

    Linger, Michele L; Ray, Glen E; Zachar, Peter; Underhill, Andrea T; LoBello, Steven G

    2007-10-01

    Studies of graduate students learning to administer the Wechsler scales have generally shown that training is not associated with the development of scoring proficiency. Many studies report on the reduction of aggregated administration and scoring errors, a strategy that does not highlight the reduction of errors on subtests identified as most prone to error. This study evaluated the development of scoring proficiency specifically on the Wechsler (WISC-IV and WAIS-III) Vocabulary, Comprehension, and Similarities subtests during training by comparing a set of 'early test administrations' to 'later test administrations.' Twelve graduate students enrolled in an intelligence-testing course participated in the study. Scoring errors (e.g., incorrect point assignment) were evaluated on the students' actual practice administration test protocols. Errors on all three subtests declined significantly when scoring errors on 'early' sets of Wechsler scales were compared to those made on 'later' sets. However, correcting these subtest scoring errors did not cause significant changes in subtest scaled scores. Implications for clinical instruction and future research are discussed.

  13. A Comparison of Organic and Steam Rankine Cycle Power Systems for Waste Heat Recovery on Large Ships

    DEFF Research Database (Denmark)

    Andreasen, Jesper Graa; Meroni, Andrea; Haglind, Fredrik

    2017-01-01

    %) fuel case. The processes were compared based on their off-design performance for diesel engine loads in the range between 25% and 100%. The fluids considered in the organic Rankine cycle process were MM(hexamethyldisiloxane), toluene, n-pentane, i-pentane and c-pentane. The results of the comparison....... The net power production from the waste heat recovery units is generally higher for the low-sulfur fuel case. The steam Rankine cycle unit produces 18% more power at design compared to the high-sulfur fuel case, while the organic Rankine cycle unit using MM produces 33% more power....

  14. Efficiency optimization potential in supercritical Organic Rankine Cycles

    Energy Technology Data Exchange (ETDEWEB)

    Schuster, A.; Aumann, R. [Technische Universitaet Muenchen Institute of Energy Systems Boltzmannstr. 15, 85748 Garching (Germany); Karellas, S. [National Technical University of Athens Laboratory of Steam Boilers and Thermal Plants Heroon Polytechniou 9, 15780 Athens (Greece)

    2010-02-15

    Nowadays, the use of Organic Rankine Cycle (ORC) in decentralised applications is linked with the fact that this process allows the use of low temperature heat sources and offers an advantageous efficiency in small-scale concepts. Many state-of-the-art and innovative applications can successfully use the ORC process. In this process, according to the heat source level, special attention must be drawn to the choice of the appropriate working fluid, which is a factor that affects the thermal and exergetic efficiency of the cycle. The investigation of supercritical parameters of various working fluids in ORC applications seems to bring promising results concerning the efficiency of the application. This paper presents the results from a simulation of the ORC and the optimization potential of the process when using supercritical parameters. In order to optimize the process, various working fluids are considered and compared concerning their thermal efficiency and the usable percentage of heat. The reduction of exergy losses is discussed based on the need of surplus heat exchanger surface. (author)

  15. Psychometric Properties of Raw and Scale Scores on Mixed-Format Tests

    Science.gov (United States)

    Kolen, Michael J.; Lee, Won-Chan

    2011-01-01

    This paper illustrates that the psychometric properties of scores and scales that are used with mixed-format educational tests can impact the use and interpretation of the scores that are reported to examinees. Psychometric properties that include reliability and conditional standard errors of measurement are considered in this paper. The focus is…

  16. Organic rankine cycle waste heat applications

    Science.gov (United States)

    Brasz, Joost J.; Biederman, Bruce P.

    2007-02-13

    A machine designed as a centrifugal compressor is applied as an organic rankine cycle turbine by operating the machine in reverse. In order to accommodate the higher pressures when operating as a turbine, a suitable refrigerant is chosen such that the pressures and temperatures are maintained within established limits. Such an adaptation of existing, relatively inexpensive equipment to an application that may be otherwise uneconomical, allows for the convenient and economical use of energy that would be otherwise lost by waste heat to the atmosphere.

  17. Combined Turbine and Cycle Optimization for Organic Rankine Cycle Power Systems—Part A

    DEFF Research Database (Denmark)

    Meroni, Andrea; La Seta, Angelo; Andreasen, Jesper Graa

    2016-01-01

    Axial-flow turbines represent a well-established technology for a wide variety of power generation systems. Compactness, flexibility, reliability and high efficiency have been key factors for the extensive use of axial turbines in conventional power plants and, in the last decades, in organic...... Rankine cycle power systems. In this two-part paper, an overall cycle model and a model of an axial turbine were combined in order to provide a comprehensive preliminary design of the organic Rankine cycle unit, taking into account both cycle and turbine optimal designs. Part A presents the preliminary...

  18. Neurosurgery and prognosis in patients with radiation-induced brain injury after nasopharyngeal carcinoma radiotherapy: a follow-up study

    International Nuclear Information System (INIS)

    Li, Yi; Shi, Xiaolei; Rong, Xiaoming; Peng, Ying; Tang, Yamei

    2013-01-01

    Radiotherapy is the standard radical treatment for nasopharyngeal carcinoma (NPC) and may cause radiation-induced brain injury (RI). Treatment for RI remains a challenge. We conducted this study to investigate the indications of neurosurgery, operation time and prognosis of patients with RI after NPC radiotherapy who underwent neurosurgical management. This was a follow-up study between January 2005 and July 2011. Fifteen NPC cases of RI who underwent neurosurgery were collected. Brain Magnetic resonance imaging (MRI), surgery and histology were studied. The outcome was assessed by LENT/SOMA scales and modified Rankin scale. Brain lesion resection (86.7%) was more common than decompressive craniotomy (13.3%). According to LENT/SOMA scale before and six months after surgery, 13 of 15, 12 of 15, 14 of 15, and 14 of 15 cases showed improvement at subjective, objective, management and analytic domains, respectively. 12 of 15 patients showed improvement of modified Rankin scale after surgery. Three patients who underwent emergency surgery showed significant improvement (average score increment of 2, 2.7, 2.7, 3 and 2 at LENT/SOMA scale subjective, objective, management, analytic, and modified Rankin scale, respectively), as compared with 12 cases underwent elective surgery (average score increment of 1, 1, 1.4, 1.8 and 1 at LENT SOMA scale subjective, objective, management, analytic, and modified Rankin scale, respectively). Neurosurgery, including brain necrotic tissue resection and decompressive craniotomy, improves the prognosis for RI patients, especially for those with indications of emergency surgery

  19. Exergy analysis of biomass organic Rankine cycle for power generation

    Science.gov (United States)

    Nur, T. B.; Sunoto

    2018-02-01

    The study examines proposed small biomass-fed Organic Rankine Cycle (ORC) power plant through exergy analysis. The system consists of combustion burner unit to utilize biomass as fuel, and organic Rankine cycle unit to produce power from the expander. The heat from combustion burner was transfered by thermal oil heater to evaporate ORC working fluid in the evaporator part. The effects of adding recuperator into exergy destruction were investigated. Furthermore, the results of the variations of system configurations with different operating parameters, such as the evaporating pressures, ambient temperatures, and expander pressures were analyzed. It was found that the largest exergy destruction occurs during processes are at combustion part, followed by evaporator, condenser, expander, and pump. The ORC system equipped with a recuperator unit exhibited good operational characteristics under wide range conditions compared to the one without recuperator.

  20. Comparative thermodynamic performance of some Rankine/Brayton cycle configurations for a low-temperature energy application

    Science.gov (United States)

    Lansing, F. L.

    1977-01-01

    Various configurations combining solar-Rankine and fuel-Brayton cycles were analyzed in order to find the arrangement which has the highest thermal efficiency and the smallest fuel share. A numerical example is given to evaluate both the thermodynamic performance and the economic feasibility of each configuration. The solar-assisted regenerative Rankine cycle was found to be leading the candidates from both points of energy utilization and fuel conservation.

  1. A pediatric FOUR score coma scale: interrater reliability and predictive validity.

    Science.gov (United States)

    Czaikowski, Brianna L; Liang, Hong; Stewart, C Todd

    2014-04-01

    The Full Outline of UnResponsiveness (FOUR) Score is a coma scale that consists of four components (eye and motor response, brainstem reflexes, and respiration). It was originally validated among the adult population and recently in a pediatric population. To enhance clinical assessment of pediatric intensive care unit patients, including those intubated and/or sedated, at our children's hospital, we modified the FOUR Score Scale for this population. This modified scale would provide many of the same advantages as the original, such as interrater reliability, simplicity, and elimination of the verbal component that is not compatible with the Glasgow Coma Scale (GCS), creating a more valuable neurological assessment tool for the nursing community. Our goal was to potentially provide greater information than the formally used GCS when assessing critically ill, neurologically impaired patients, including those sedated and/or intubated. Experienced pediatric intensive care unit nurses were trained as "expert raters." Two different nurses assessed each subject using the Pediatric FOUR Score Scale (PFSS), GCS, and Richmond Agitation Sedation Scale at three different time points. Data were compared with the Pediatric Cerebral Performance Category (PCPC) assessed by another nurse. Our hypothesis was that the PFSS and PCPC should highly correlate and the GCS and PCPC should correlate lower. Study results show that the PFSS is excellent for interrater reliability for trained nurse-rater pairs and prediction of poor outcome and in-hospital mortality, under various situations, but there were no statistically significant differences between the PFSS and the GCS. However, the PFSS does have the potential to provide greater neurological assessment in the intubated and/or sedated patient based on the outcomes of our study.

  2. Experimental Study of a Low-Temperature Power Generation System in an Organic Rankine Cycle

    DEFF Research Database (Denmark)

    Mu, Yongchao; Zhang, Yufeng; Deng, Na

    2015-01-01

    This paper presents a new power generation system under the principle of organic Rankine cycle which can generate power with a low-temperature heat source. A prototype was built to investigate the proposed system. In the prototype, an air screw compressor was converted into an expander and used...... as the engine of the power generator. The style of the preheater was a shell and tube heat exchanger, which could provide a long path for the working fluid. A flooded heat exchanger with a high heat transfer coefficient was taken as the evaporator. R134a was used as working fluid for the Rankine cycle......, the average isentropic efficiency of the screw expander was 68%, and the efficiency of power generation varies from 1.2 to 4.56%. The highest value of thermodynamical perfectness was 29.06%. It can be concluded that organic Rankine cycle could be competitive for recovering low-temperature heat source...

  3. Thermodynamic Analysis of a Rankine Cycle Powered Vapor Compression Ice Maker Using Solar Energy

    Directory of Open Access Journals (Sweden)

    Bing Hu

    2014-01-01

    Full Text Available To develop the organic Rankine-vapor compression ice maker driven by solar energy, a thermodynamic model was developed and the effects of generation temperature, condensation temperature, and working fluid types on the system performance were analyzed. The results show that the cooling power per square meter collector and ice production per square meter collector per day depend largely on generation temperature and condensation temperature and they increase firstly and then decrease with increasing generation temperature. For every working fluid there is an optimal generation temperature at which organic Rankine efficiency achieves the maximum value. The cooling power per square meter collector and ice production per square meter collector per day are, respectively, 126.44 W m−2 and 7.61 kg m−2 day−1 at the generation temperature of 140°C for working fluid of R245fa, which demonstrates the feasibility of organic Rankine cycle powered vapor compression ice maker.

  4. Magnetic Resonance Imaging-DRAGON score: 3-month outcome prediction after intravenous thrombolysis for anterior circulation stroke.

    Science.gov (United States)

    Turc, Guillaume; Apoil, Marion; Naggara, Olivier; Calvet, David; Lamy, Catherine; Tataru, Alina M; Méder, Jean-François; Mas, Jean-Louis; Baron, Jean-Claude; Oppenheim, Catherine; Touzé, Emmanuel

    2013-05-01

    The DRAGON score, which includes clinical and computed tomographic scan parameters, showed a high specificity to predict 3-month outcome in patients with acute ischemic stroke treated by intravenous tissue plasminogen activator. We adapted the score for patients undergoing MRI as the first-line diagnostic tool. We reviewed patients with consecutive anterior circulation ischemic stroke treated ≤ 4.5 hour by intravenous tissue plasminogen activator between 2003 and 2012 in our center, where MRI is systematically implemented as first-line diagnostic work-up. We derived the MRI-DRAGON score keeping all clinical parameters of computed tomography-DRAGON (age, initial National Institutes of Health Stroke Scale and glucose level, prestroke handicap, onset to treatment time), and considering the following radiological variables: proximal middle cerebral artery occlusion on MR angiography instead of hyperdense middle cerebral artery sign, and diffusion-weighted imaging Alberta Stroke Program Early Computed Tomography Score (DWI ASPECTS) ≤ 5 instead of early infarct signs on computed tomography. Poor 3-month outcome was defined as modified Rankin scale >2. We calculated c-statistics as a measure of predictive ability and performed an internal cross-validation. Two hundred twenty-eight patients were included. Poor outcome was observed in 98 (43%) patients and was significantly associated with all parameters of the MRI-DRAGON score in multivariate analysis, except for onset to treatment time (nonsignificant trend). The c-statistic was 0.83 (95% confidence interval, 0.78-0.88) for poor outcome prediction. All patients with a MRI-DRAGON score ≤ 2 (n=22) had a good outcome, whereas all patients with a score ≥ 8 (n=11) had a poor outcome. The MRI-DRAGON score is a simple tool to predict 3-month outcome in acute stroke patients screened by MRI then treated by intravenous tissue plasminogen activator and may help for therapeutic decision.

  5. Optimal design of compact organic Rankine cycle units for domestic solar applications

    Directory of Open Access Journals (Sweden)

    Barbazza Luca

    2014-01-01

    Full Text Available Organic Rankine cycle turbogenerators are a promising technology to transform the solar radiation harvested by solar collectors into electric power. The present work aims at sizing a small-scale organic Rankine cycle unit by tailoring its design for domestic solar applications. Stringent design criteria, i. e., compactness, high performance and safe operation, are targeted by adopting a multi-objective optimization approach modeled with the genetic algorithm. Design-point thermodynamic variables, e. g., evaporating pressure, the working fluid, minimum allowable temperature differences, and the equipment geometry, are the decision variables. Flat plate heat exchangers with herringbone corrugations are selected as heat transfer equipment for the preheater, the evaporator and the condenser. The results unveil the hyperbolic trend binding the net power output to the heat exchanger compactness. Findings also suggest that the evaporator and condenser minimum allowable temperature differences have the largest impact on the system volume and on the cycle performances. Among the fluids considered, the results indicate that R1234yf and R1234ze are the best working fluid candidates. Using flat plate solar collectors (hot water temperature equal to 75 °C, R1234yf is the optimal solution. The heat exchanger volume ranges between 6.0 and 23.0 dm3, whereas the thermal efficiency is around 4.5%. R1234ze is the best working fluid employing parabolic solar collectors (hot water temperature equal to 120 °C. In such case the thermal efficiency is around 6.9%, and the heat exchanger volume varies from 6.0 to 18.0 dm3.

  6. Solar thermal organic rankine cycle for micro-generation

    Science.gov (United States)

    Alkahli, N. A.; Abdullah, H.; Darus, A. N.; Jalaludin, A. F.

    2012-06-01

    The conceptual design of an Organic Rankine Cycle (ORC) driven by solar thermal energy is developed for the decentralized production of electricity of up to 50 kW. Conventional Rankine Cycle uses water as the working fluid whereas ORC uses organic compound as the working fluid and it is particularly suitable for low temperature applications. The ORC and the solar collector will be sized according to the solar flux distribution in the Republic of Yemen for the required power output of 50 kW. This will be a micro power generation system that consists of two cycles, the solar thermal cycle that harness solar energy and the power cycle, which is the ORC that generates electricity. As for the solar thermal cycle, heat transfer fluid (HTF) circulates the cycle while absorbing thermal energy from the sun through a parabolic trough collector and then storing it in a thermal storage to increase system efficiency and maintains system operation during low radiation. The heat is then transferred to the organic fluid in the ORC via a heat exchanger. The organic fluids to be used and analyzed in the ORC are hydrocarbons R600a and R290.

  7. Relationship between Barthel Index (BI and the Modified Rankin Scale (mRS Score in Assessing Functional Outcome in Acute Ischemic Stroke

    Directory of Open Access Journals (Sweden)

    C S Mohanty

    2016-01-01

    Conclusion: Our study has demonstrated that stroke functional outcome can be predicted from the baseline BI and mRS scales. It is concluded thatBI and mRS Stroke scale can be used to prognosticate functional outcome at admission and at follow up.

  8. Apparently abnormal Wechsler Memory Scale index score patterns in the normal population.

    Science.gov (United States)

    Carrasco, Roman Marcus; Grups, Josefine; Evans, Brittney; Simco, Edward; Mittenberg, Wiley

    2015-01-01

    Interpretation of the Wechsler Memory Scale-Fourth Edition may involve examination of multiple memory index score contrasts and similar comparisons with Wechsler Adult Intelligence Scale-Fourth Edition ability indexes. Standardization sample data suggest that 15-point differences between any specific pair of index scores are relatively uncommon in normal individuals, but these base rates refer to a comparison between a single pair of indexes rather than multiple simultaneous comparisons among indexes. This study provides normative data for the occurrence of multiple index score differences calculated by using Monte Carlo simulations and validated against standardization data. Differences of 15 points between any two memory indexes or between memory and ability indexes occurred in 60% and 48% of the normative sample, respectively. Wechsler index score discrepancies are normally common and therefore not clinically meaningful when numerous such comparisons are made. Explicit prior interpretive hypotheses are necessary to reduce the number of index comparisons and associated false-positive conclusions. Monte Carlo simulation accurately predicts these false-positive rates.

  9. Thermo- economical consideration of Regenerative organic Rankine cycle coupling with the absorption chiller systems incorporated in the trigeneration system

    International Nuclear Information System (INIS)

    Anvari, Simin; Taghavifar, Hadi; Parvishi, Alireza

    2017-01-01

    Highlights: • A new trigeneration cycle was studied from a new viewpoint of exergoeconomic and thermodynamic. • Organic Rankine and refrigeration cycles are used for recovery waste heat of cogeneration system. • Application of trigeneration cycles is advantageous in economical and thermodynamic aspects. - Abstract: In this paper, a combined cooling, heating and power cycle is proposed consisting of three sections of gas turbine and heat recovery steam generator cycle, Regenerative organic Rankine cycle, and absorption refrigeration cycle. This trigeneration cycle is subjected to a thorough thermodynamic and exergoeconomic analysis. The principal goal followed in the investigation is to address the thermodynamic and exergoeconomic of a trigeneration cycle from a new prospective such that the economic and thermodynamic viability of incorporating Regenerative organic Rankine cycle, and absorption refrigeration cycle to the gas turbine and heat recovery steam generator cycle is being investigated. Thus, the cost-effectiveness of the introduced method can be studied and further examined. The results indicate that adding Regenerative organic Rankine cycle to gas turbine and heat recovery steam generator cycle leads to 2.5% increase and the addition of absorption refrigeration cycle to the gas turbine and heat recovery steam generator/ Regenerative Organic Rankine cycle would cause 0.75% increase in the exergetic efficiency of the entire cycle. Furthermore, from total investment cost of the trigeneration cycle, only 5.5% and 0.45% results from Regenerative organic Rankine cycle and absorption refrigeration cycles, respectively.

  10. Energy, Exergy and Economic Evaluation Comparison of Small-Scale Single and Dual Pressure Organic Rankine Cycles Integrated with Low-Grade Heat Sources

    Directory of Open Access Journals (Sweden)

    Armando Fontalvo

    2017-09-01

    Full Text Available Low-grade heat sources such as solar thermal, geothermal, exhaust gases and industrial waste heat are suitable alternatives for power generation which can be exploited by means of small-scale Organic Rankine Cycle (ORC. This paper combines thermodynamic optimization and economic analysis to assess the performance of single and dual pressure ORC operating with different organic fluids and targeting small-scale applications. Maximum power output is lower than 45 KW while the temperature of the heat source varies in the range 100–200 °C. The studied working fluids, namely R1234yf, R1234ze(E and R1234ze(Z, are selected based on environmental, safety and thermal performance criteria. Levelized Cost of Electricity (LCOE and Specific Investment Cost (SIC for two operation conditions are presented: maximum power output and maximum thermal efficiency. Results showed that R1234ze(Z achieves the highest net power output (up to 44 kW when net power output is optimized. Regenerative ORC achieves the highest performance when thermal efficiency is optimized (up to 18%. Simple ORC is the most cost-effective among the studied cycle configurations, requiring a selling price of energy of 0.3 USD/kWh to obtain a payback period of 8 years. According to SIC results, the working fluid R1234ze(Z exhibits great potential for simple ORC when compared to conventional R245fa.

  11. A Co-Powered Biomass and Concentrated Solar Power Rankine Cycle Concept for Small Size Combined Heat and Power Generation

    Directory of Open Access Journals (Sweden)

    Eileen Tortora

    2013-03-01

    Full Text Available The present work investigates the matching of an advanced small scale Combined Heat and Power (CHP Rankine cycle plant with end-user thermal and electric load. The power plant consists of a concentrated solar power field co-powered by a biomass furnace to produce steam in a Rankine cycle, with a CHP configuration. A hotel was selected as the end user due to its high thermal to electric consumption ratio. The power plant design and its operation were modelled and investigated by adopting transient simulations with an hourly distribution. The study of the load matching of the proposed renewable power technology and the final user has been carried out by comparing two different load tracking scenarios, i.e., the thermal and the electric demands. As a result, the power output follows fairly well the given load curves, supplying, on a selected winter day, about 50 GJ/d of thermal energy and the 6 GJ/d of electric energy, with reduced energy dumps when matching the load.

  12. Performance Estimation of Organic Rankine Cycle by Using Soft Computing Technics

    Directory of Open Access Journals (Sweden)

    Tuğba Kovacı

    2017-10-01

    Full Text Available In this study, the thermal efficiency values of Organic Rankine cycle system were estimated depending on the condenser temperature and the evaporator temperatures values by adaptive network fuzzy interference system (ANFIS and artificial neural networks system (ANN. Organic Rankine cycle (ORC fluids of R365-mfc and SES32 were chosen to evaluate as the system fluid. The performance values of ANN and ANFIS models are compared with actual values. The R2 values are determined between 0.97 and 0.99 for SES36 and R365-mfc, and this is satisfactory. Although it was observed that both ANN and ANFIS models obtained a good statistical prediction performance through coefficient of determination variance, the accuracies of ANN predictions were usually imperceptible better than those of ANFIS predictions.

  13. Constrained multi-objective optimization of radial expanders in organic Rankine cycles by firefly algorithm

    International Nuclear Information System (INIS)

    Bahadormanesh, Nikrouz; Rahat, Shayan; Yarali, Milad

    2017-01-01

    Highlights: • A multi-objective optimization for radial expander in Organic Rankine Cycles is implemented. • By using firefly algorithm, Pareto front based on the size of turbine and thermal efficiency is produced. • Tension and vibration constrains have a significant effect on optimum design points. - Abstract: Organic Rankine Cycles are viable energy conversion systems in sustainable energy systems due to their compatibility with low-temperature heat sources. In the present study, one dimensional model of radial expanders in conjunction with a thermodynamic model of organic Rankine cycles is prepared. After verification, by defining thermal efficiency of the cycle and size parameter of a radial turbine as the objective functions, a multi-objective optimization was conducted regarding tension and vibration constraints for 4 different organic working fluids (R22, R245fa, R236fa and N-Pentane). In addition to mass flow rate, evaporator temperature, maximum pressure of cycle and turbo-machinery design parameters are selected as the decision variables. Regarding Pareto fronts, by a little increase in size of radial expanders, it is feasible to reach high efficiency. Moreover, by assessing the distribution of decision variables, the variables that play a major role in trending between the objective functions are found. Effects of mechanical and vibration constrains on optimum decision variables are investigated. The results of optimization can be considered as an initial values for design of radial turbines for Organic Rankine Cycles.

  14. Proposal of a combined heat and power plant hybridized with regeneration organic Rankine cycle: Energy-Exergy evaluation

    International Nuclear Information System (INIS)

    Anvari, Simin; Jafarmadar, Samad; Khalilarya, Shahram

    2016-01-01

    Highlights: • A new thermodynamic cogeneration system is proposed. • Energy and exergy analysis of the considered cycle were performed. • An enhancement of 2.6% in exergy efficiency compared to that of baseline cycle. - Abstract: Among Rankine cycles (simple, reheat and regeneration), regeneration organic Rankine cycle demonstrates higher efficiencies compared to other cases. Consequently, in the present work a regeneration organic Rankine cycle has been utilized to recuperate gas turbine’s heat using heat recovery steam generator. At first, this cogeneration system was subjected to energy and exergy analysis and the obtained results were compared with that of investigated cogeneration found in literature (a cogeneration system in which a reheat organic Rankine cycle for heat recuperation of gas turbine cycle was used with the aid of heat recovery steam generator). Results indicated that the first and second thermodynamic efficiencies in present cycle utilizing regeneration cycle instead of reheat cycle has increased 2.62% and 2.6%, respectively. In addition, the effect of thermodynamic parameters such as combustion chamber’s inlet temperature, gas turbine inlet temperature, evaporator and condenser temperature on the energetic and exergetic efficiencies of gas turbine-heat recovery steam generator cycle and gas turbine-heat recovery steam generator cycle with regeneration organic Rankine cycle was surveyed. Besides, parametric analysis shows that as gas turbine and combustion chamber inlet temperatures increase, energetic and exergetic efficiencies tend to increase. Moreover, once condenser and evaporator temperature raise, a slight decrement in energetic and exergetic efficiency is expected.

  15. Working fluid selection for the Organic Rankine Cycle (ORC) exhaust heat recovery of an internal combustion engine power plant

    Science.gov (United States)

    Douvartzides, S.; Karmalis, I.

    2016-11-01

    Organic Rankine cycle technology is capable to efficiently convert low-grade heat into useful mechanical power. In the present investigation such a cycle is used for the recovery of heat from the exhaust gases of a four stroke V18 MAN 51/60DF internal combustion engine power plant operating with natural gas. Design is focused on the selection of the appropriate working fluid of the Rankine cycle in terms of thermodynamic, environmental and safety criteria. 37 candidate fluids have been considered and all Rankine cycles examined were subcritical. The thermodynamic analysis of all fluids has been comparatively undertaken and the effect of key operation conditions such as the evaporation pressure and the superheating temperature was taken into account. By appropriately selecting the working fluid and the Rankine cycle operation conditions the overall plant efficiency was improved by 5.52% and fuel consumption was reduced by 12.69%.

  16. A comparison of low IQ scores from the Reynolds Intellectual Assessment Scales and the Wechsler Adult Intelligence Scale-Third Edition.

    Science.gov (United States)

    Umphress, Thomas B

    2008-06-01

    Twenty people with suspected intellectual disability took the Reynolds Intellectual Assessment Scales (RIAS; C. R. Reynolds & R. W. Kamphaus, 1998) and the Wechsler Adult Intelligence Scale-3rd Edition (WAIS-III; D. Wechsler, 1997) to see if the 2 IQ tests produced comparable results. A t test showed that the RIAS Composite Intelligence Index scores were significantly higher than WAIS-III Full Scale IQ scores at the alpha level of .01. There was a significant difference between the RIAS Nonverbal Intelligence and WAIS-III Performance Scale, but there was no significant difference between the RIAS Verbal Intelligence Index and the WAIS-III Verbal Scale IQ. The results raise questions concerning test selection for diagnosing intellectual disability and the use of the correlation statistic for comparing intelligence tests.

  17. Stroke scale score and early prediction of outcome after stroke

    International Nuclear Information System (INIS)

    Ahmed, R.; Zuberi, F.Z.; Afsar, S.

    2004-01-01

    Objective: To evaluate the baseline National Institute of Health Stroke Scale (NIHSS) score as a predictor of functional outcome after ischemic stroke. Subjects and Methods: The study included 50 patients who presented to Civil Hospital, Karachi, during the study period with acute stroke and were evaluated with CT scan of brain. Only those patients were enrolled in the study that had acute ischemic stroke. The enrolled subjects were then evaluated for the neurological impairment using National Institute of Health Stroke Scale (NIHSS). The subjects were followed-up and their functional outcome was assessed using Barthel index (BI) on the 7th day of their admission. Results: Of the fifty patients enrolled in the study, 31 (62%) were males and 19 (38%) were females, with age ranging from 45 years to 95 years and a mean age of 59.9 years. Neurological impairment at presentation was assessed by NIHSS. The score ranged between 2 and 28. The functional outcome was evaluated on the 7th day using Barthel index (BI), which ranged from 0 to 80. NIHSS score was found to be a good predictor of functional outcome in patients with ischemic stroke (p<0.001). Other factors like gender, hypertension and heart disease did not affect the functional recovery in such patients. Various factors were found to be significant for early prediction of stroke recovery. The NIHSS score was the strongest predictor of outcome after ischemic stroke. Age at the time of the event was also found to be an important predictor for stroke recovery. Conclusion: The NIHSS score is a good predictor of patient's recovery after stroke. Assessing the patient's neurological impairment at first presentation of ischemic stroke can guide the physician regarding the prognosis and management plan. (author)

  18. Energy and exergy analysis of integrated system of ammonia–water Kalina–Rankine cycle

    International Nuclear Information System (INIS)

    Chen, Yaping; Guo, Zhanwei; Wu, Jiafeng; Zhang, Zhi; Hua, Junye

    2015-01-01

    The integrated system of AWKRC (ammonia–water Kalina–Rankine cycle) is a novel cycle operated on KC (Kalina cycle) for power generation in non-heating seasons and on AWRC (ammonia–water Rankine cycle) for cogeneration of power and heating water in winter. The influences of inlet temperatures of both heat resource and cooling water on system efficiencies were analyzed based on the first law and the second law of thermodynamics. The calculation is based on following conditions that the heat resource temperature keeps 300 °C, the cooling water temperature for the KC or AWRC is respectively 25 °C or 15 °C; and the temperatures of heating water and backwater are respectively 90 °C and 40 °C. The results show that the evaluation indexes of the power recovery efficiency and the exergy efficiency of KC were respectively 18.2% and 41.9%, while the composite power recovery efficiency and the composite exergy efficiency of AWRC are respectively 21.1% and 43.0% accounting both power and equivalent power of cogenerated heating capacity, including 54.5% heating recovery ratio or 12.4% heating water exergy efficiency. The inventory flow diagrams of both energy and exergy gains and losses of the components operating on KC or AWRC are also demonstrated. - Highlights: • An integrated system of AWKRC (ammonia–water Kalina–Rankine cycle) is investigated. • NH_3–H_2O Rankine cycle is operated for cogenerating power and heating-water in winter. • Heating water with 90 °C and capacity of 54% total reclaimed heat load is cogenerated. • Kalina cycle is operated for power generation in other seasons with high efficiency. • Energy and exergy analysis draw similar results in optimizing the system parameters.

  19. Thermodynamic analysis of an integrated gasification solid oxide fuel cell plant combined with an organic Rankine cycle

    DEFF Research Database (Denmark)

    Pierobon, Leonardo; Rokni, Masoud; Larsen, Ulrik

    2013-01-01

    into a fixed bed gasification plant to produce syngas which fuels the combined solid oxide fuel cells e organic Rankine cycle system to produce electricity. More than a hundred fluids are considered as possible alternative for the organic cycle using non-ideal equations of state (or state-of-the-art equations......A 100 kWe hybrid plant consisting of gasification system, solid oxide fuel cells and organic Rankine cycle is presented. The nominal power is selected based on cultivation area requirement. For the considered output a land of around 0.5 km2 needs to be utilized. Woodchips are introduced...... achieved by simple and double stage organic Rankine cycle plants and around the same efficiency of a combined gasification, solid oxide fuel cells and micro gas turbine plant. © 2013 Elsevier Ltd. All rights reserved....

  20. Reassessing the "traditional background hypothesis" for elevated MMPI and MMPI-2 Lie-scale scores.

    Science.gov (United States)

    Rosen, Gerald M; Baldwin, Scott A; Smith, Ronald E

    2016-10-01

    The Lie (L) scale of the Minnesota Multiphasic Personality Inventory (MMPI) is widely regarded as a measure of conscious attempts to deny common human foibles and to present oneself in an unrealistically positive light. At the same time, the current MMPI-2 manual states that "traditional" and religious backgrounds can account for elevated L scale scores as high as 65T-79T, thereby tempering impression management interpretations for faith-based individuals. To assess the validity of the traditional background hypothesis, we reviewed 11 published studies that employed the original MMPI with religious samples and found that only 1 obtained an elevated mean L score. We then conducted a meta-analysis of 12 published MMPI-2 studies in which we compared L scores of religious samples to the test normative group. The meta-analysis revealed large between-study heterogeneity (I2 = 87.1), L scale scores for religious samples that were somewhat higher but did not approach the upper limits specified in the MMPI-2 manual, and an overall moderate effect size (d¯ = 0.54, p < .001; 95% confidence interval [0.37, 0.70]). Our analyses indicated that religious-group membership accounts, on average, for elevations on L of about 5 t-score points. Whether these scores reflect conscious "fake good" impression management or religious-based virtuousness remains unanswered. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  1. ASTRAL, DRAGON and SEDAN scores predict stroke outcome more accurately than physicians.

    Science.gov (United States)

    Ntaios, G; Gioulekas, F; Papavasileiou, V; Strbian, D; Michel, P

    2016-11-01

    ASTRAL, SEDAN and DRAGON scores are three well-validated scores for stroke outcome prediction. Whether these scores predict stroke outcome more accurately compared with physicians interested in stroke was investigated. Physicians interested in stroke were invited to an online anonymous survey to provide outcome estimates in randomly allocated structured scenarios of recent real-life stroke patients. Their estimates were compared to scores' predictions in the same scenarios. An estimate was considered accurate if it was within 95% confidence intervals of actual outcome. In all, 244 participants from 32 different countries responded assessing 720 real scenarios and 2636 outcomes. The majority of physicians' estimates were inaccurate (1422/2636, 53.9%). 400 (56.8%) of physicians' estimates about the percentage probability of 3-month modified Rankin score (mRS) > 2 were accurate compared with 609 (86.5%) of ASTRAL score estimates (P DRAGON score estimates (P DRAGON score estimates (P DRAGON and SEDAN scores predict outcome of acute ischaemic stroke patients with higher accuracy compared to physicians interested in stroke. © 2016 EAN.

  2. Design of organic Rankine cycle power systems accounting for expander performance

    DEFF Research Database (Denmark)

    La Seta, Angelo; Andreasen, Jesper Graa; Pierobon, Leonardo

    2015-01-01

    Organic Rankine cycle power systems have recently emerged as promising solutions for waste heat recovery in low- and medium-size power plants. Their performance and economic feasibility strongly depend on the expander. Its design process and efficiency estimation are particularly challenging due...

  3. Rankine bottoming cycle safety analysis. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Lewandowski, G.A.

    1980-02-01

    Vector Engineering Inc. conducted a safety and hazards analysis of three Rankine Bottoming Cycle Systems in public utility applications: a Thermo Electron system using Fluorinal-85 (a mixture of 85 mole % trifluoroethanol and 15 mole % water) as the working fluid; a Sundstrand system using toluene as the working fluid; and a Mechanical Technology system using steam and Freon-II as the working fluids. The properties of the working fluids considered are flammability, toxicity, and degradation, and the risks to both plant workers and the community at large are analyzed.

  4. The Impact of Emotional Priming on MMPI-2 Scale Scores

    Science.gov (United States)

    Lee, Tayla T. C.; Forbey, Johnathan D.; Ritchey, Kristin A.

    2011-01-01

    The current study investigated potential emotional priming effects on Minnesota Multiphasic Personality Inventory-2 (MMPI-2) scale scores. Participants included 98 college students who completed a personal narrative intended to induce temporary mood states, the MMPI-2, and a mood rating inventory. Results of the mood manipulation indicated that…

  5. Leptomeningeal collateral status predicts outcome after middle cerebral artery occlusion

    DEFF Research Database (Denmark)

    Madelung, Christopher Fugl; Ovesen, C; Trampedach, C

    2017-01-01

    NCCT and according to European Cooperative Acute Stroke Study (ECASS) criteria. Modified Rankin Scale score was assessed at 90 days, and mortality at 1 year. RESULTS: At 90 days, median (IQR) modified Rankin Scale score in patients with poor collateral status was 4 (3-6) compared to 2 (1-4) in patients...... population (P = .001). CONCLUSIONS: Leptomeningeal collateral status predicts functional outcome, mortality, and hemorrhagic transformation following middle cerebral artery occlusion.......OBJECTIVES: Perfusion through leptomeningeal collateral vessels is a likely pivotal factor in the outcome of stroke patients. We aimed to investigate the effect of collateral status on outcome in a cohort of unselected, consecutive stroke patients with middle cerebral artery occlusion undergoing...

  6. Analysis of a rotating spool expander for Organic Rankine Cycle applications

    Science.gov (United States)

    Krishna, Abhinav

    Increasing interest in recovering or utilizing low-grade heat for power generation has prompted a search for ways in which the power conversion process may be enhanced. Amongst the conversion systems, the Organic Rankine Cycle (ORC) has generated an enormous amount of interest amongst researchers and system designers. Nevertheless, component level technologies need to be developed and match the range of potential applications. In particular, technical challenges associated with scaling expansion machines (turbines) from utility scale to commercial scale have prevented widespread adoption of the technology. In this regard, this work focuses on a novel rotating spool expansion machine at the heart of an Organic Rankine Cycle. A comprehensive, deterministic simulation model of the rotating spool expander is developed. The comprehensive model includes a detailed geometry model of the spool expander and the suction valve mechanism. Sub-models for mass flow, leakage, heat transfer and friction within the expander are also developed. Apart from providing the ability to characterize the expander in a particular system, the model provides a valuable tool to study the impact of various design variables on the performance of the machine. The investigative approach also involved an experimental program to assess the performance of a working prototype. In general, the experimental data showed that the expander performance was sub-par, largely due to the mismatch of prevailing operating conditions and the expander design criteria. Operating challenges during the shakedown tests and subsequent sub-optimal design changes also detracted from performance. Nevertheless, the results of the experimental program were sufficient for a proof-of-concept assessment of the expander and for model validation over a wide range of operating conditions. The results of the validated model reveal several interesting details concerning the expander design and performance. For example, the match

  7. High Agreement was Obtained Across Scores from Multiple Equated Scales for Social Anxiety Disorder using Item Response Theory.

    Science.gov (United States)

    Sunderland, Matthew; Batterham, Philip; Calear, Alison; Carragher, Natacha; Baillie, Andrew; Slade, Tim

    2018-04-10

    There is no standardized approach to the measurement of social anxiety. Researchers and clinicians are faced with numerous self-report scales with varying strengths, weaknesses, and psychometric properties. The lack of standardization makes it difficult to compare scores across populations that utilise different scales. Item response theory offers one solution to this problem via equating different scales using an anchor scale to set a standardized metric. This study is the first to equate several scales for social anxiety disorder. Data from two samples (n=3,175 and n=1,052), recruited from the Australian community using online advertisements, were utilised to equate a network of 11 self-report social anxiety scales via a fixed parameter item calibration method. Comparisons between actual and equated scores for most of the scales indicted a high level of agreement with mean differences <0.10 (equivalent to a mean difference of less than one point on the standardized metric). This study demonstrates that scores from multiple scales that measure social anxiety can be converted to a common scale. Re-scoring observed scores to a common scale provides opportunities to combine research from multiple studies and ultimately better assess social anxiety in treatment and research settings. Copyright © 2018. Published by Elsevier Inc.

  8. Energy recovery system using an organic rankine cycle

    Science.gov (United States)

    Ernst, Timothy C

    2013-10-01

    A thermodynamic system for waste heat recovery, using an organic rankine cycle is provided which employs a single organic heat transferring fluid to recover heat energy from two waste heat streams having differing waste heat temperatures. Separate high and low temperature boilers provide high and low pressure vapor streams that are routed into an integrated turbine assembly having dual turbines mounted on a common shaft. Each turbine is appropriately sized for the pressure ratio of each stream.

  9. New concepts for organic Rankine cycle power systems

    OpenAIRE

    Casati, E.I.M.

    2014-01-01

    Energy provision is one of the major challenges for the Human Society, and it is increasingly clear that the current production/consumption model is not sustainable. The envisaged energy system is smarter, more decentralised and integrated. Energy conversion systems based on the organic Rankine thermodynamic cycle (ORC) have the potential to play a major role in this framework, being one of the most proven solutions for the exploitation of external thermal sources in the power-output range fr...

  10. Performance Evaluation of a Helical Coil Heat Exchanger Working under Supercritical Conditions in a Solar Organic Rankine Cycle Installation

    Directory of Open Access Journals (Sweden)

    Marija Lazova

    2016-06-01

    Full Text Available Worldwide interest in low grade heat valorization using organic Rankine cycle (ORC technologies has increased significantly. A new small-scale ORC with a net capacity of 3 kW was efficiently integrated with a concentrated solar power technology for electricity generation. The excess heat source from Photovoltaic (PV collectors with a maximum temperature of 100 °C was utilized through a supercritical heat exchanger that uses R-404A as working medium. By ensuring supercritical heat transfer leads to a better thermal match in the heat exchanger and improved overall cycle efficiency. A helical coil heat exchanger was designed by using heat transfer correlations from the literature. These heat transfer correlations were derived for different conditions than ORCs and their estimated uncertainty is ~20%. In order to account for the heat transfer correlation uncertainties this component was oversized by 20%. Next, a prototype was built and installed in an integrated concentrated photovoltaic/thermal (CPV/T/Rankine system. The results from the measurements show that for better estimation of the sizing of the heat exchanger a more accurate correlation is required in order to design an optimal configuration and thus employ cheaper components.

  11. Altheim geothermal plant. Power generation by means of an ORC turbogenerator; Geothermieanlagen Altheim. Stromerzeugung mittels Organic-Rankine-Cycle Turbogenerator

    Energy Technology Data Exchange (ETDEWEB)

    Pernecker, G [Marktgemeindeamt Altheim (Austria)

    1997-12-01

    The report describes the project of the Austrian market town of Altheim to generate electricity by means of an ORC turbogenerator using low-temperature thermal water. The project is to improve the technical and economic situation of the existing industrial-scale geothermal project. (orig.) [Deutsch] Der Bericht beschreibt das Vorhaben der Marktgemeinde Altheim in Oberoesterreich, Strom mittels eines Organic-Rankine-Cycle-Turbogenerators unter Verwendung niedrig temperierten Thermalwassers zu produzieren. Ziel bzw. der Zweck des Projektes ist es, die technische und wirtschaftliche Situation der bestehenden Grossthermieanlage zu verbessern. (orig.)

  12. Thermodynamic performance analysis of a coupled transcritical and subcritical organic Rankine cycle system for waste heat recovery

    Energy Technology Data Exchange (ETDEWEB)

    Gong, Xi Wu [Zhejiang Ocean University, Zhejian (China); Wang, Xiao Qiong; Li, You Rong; Wu, Chun Mei [Chongqing University, Chongqing (China)

    2015-07-15

    We present a novel coupled organic Rankine cycle (CORC) system driven by the low-grade waste heat, which couples a transcritical organic Rankine cycle with a subcritical organic Rankine cycle. Based on classical thermodynamic theory, a detailed performance analysis on the novel CORC system was performed. The results show that the pressure ratio of the expander is decreased in the CORC and the selection of the working fluids becomes more flexible and abundant. With the increase of the pinch point temperature difference of the internal heat exchanger, the net power output and thermal efficiency of the CORC all decrease. With the increase of the critical temperature of the working fluid, the system performance of the CORC is improved. The net power output and thermal efficiency of the CORC with isentropic working fluids are higher than those with dry working fluids.

  13. CORRELATION OF MOBILE PHONE ADDICTION SCALE (MPAS SCORE WITH CRANIOVERTEBRAL ANGLE, SCAPULAR INDEX AND BECKS DEPRESSION INVENTORY SCORE IN YOUNG ADULTS

    Directory of Open Access Journals (Sweden)

    Rupali Salvi

    2018-02-01

    Full Text Available Background: Mobile phone usage has become increasingly common in today’s youth. Its heavy use often leads to an addiction. Dependency on these devices could lead to postural dysfunctions as well as produce an adverse effect on psychology. Hence, this study is done to correlate mobile addiction with the craniovertebral angle, scapular index and Beck’s depression inventory score in young adults. Methods: An observational study was performed on 100 subjects out of which 51 were males and 49 were females in the age group of 18- 25 years who were pursuing their graduation and post-graduation courses. Mobile Phone Addiction Scale was used to determine the level of addiction. Craniovertebral angle, Scapular Index, and Beck’s Depression Inventory score were measured. Correlation of Mobile Phone Addiction Scale score with the above-mentioned parameters was done using GraphPad Instat Version 3.10 (Pearson correlation coefficient and Spearman correlation coefficient. Results: Mobile phone addiction was found low in 27%, moderate in 30% and high in 43% participants. There is significant correlation of mobile phone addiction scale score with Craniovertebral angle (r = -0.6470, p = <0.0001, Scapular Index (r = -0.4370, p = < 0.001 and Beck’s depression Inventory score (r = 0.3172, p = 0.0013. Conclusion: This study shows that mobile phone addiction is common amongst the youth and it contributes to considerable stresses on neck and shoulder. It could even cause unfavorable repercussion on an individual’s psychological status, such as depression. Hence, it is important to create awareness amongst the youth and take preventive measures for the same.

  14. Organic Rankine Cycle with Solar Heat Storage in Paraffin Way

    Directory of Open Access Journals (Sweden)

    Constantin LUCA

    2015-06-01

    Full Text Available The paper presents an electricity generation system based on an Organic Rankine Cycle and proposed storing the amount of the heat produced by the solar panels using large volume of paraffin wax. The proposed working fluid is R-134a refrigerant. The cycle operates at very low temperatures. A efficiency of 6,55% was obtained.

  15. Modeling and analysis of scroll compressor conversion into expander for Rankine cycles

    Energy Technology Data Exchange (ETDEWEB)

    Oralli, E.; Dincer, I.; Zamfirescu, C. [Faculty of Engineering and Applied Science, University of Ontario Institute of Technology (Canada)], E-mail: Emre.Oralli@uoit.ca, email: Ibrahim.Dincer@uoit.ca, email: Calin.Zamfirescu@uoit.ca

    2011-07-01

    With the current push towards the use of sustainable energies, low power heat generation systems are shifting towards sustainable heat sources such as geothermal, solar, industrial waste and cogeneration energy. The aim of this paper is to investigate the use of a scroll expander for power generation using the Rankine cycle. A parametric study was carried out on a refrigeration scroll compressor to determine the impact of geometry, working fluid, and operating conditions on the efficiency of the Rankine heat engine. In addition modifications were made to the expander to optimize its operation. Results showed that organic fluids should be used at saturated conditions, that decreasing the temperature of the condenser leads to an increased thermal efficiency of ORC and that the designed radius is an optimum value. This study highlighted the impacts of geometric and thermodynamic parameters on scroll expanders.

  16. Characterizing Sources of Uncertainty in Item Response Theory Scale Scores

    Science.gov (United States)

    Yang, Ji Seung; Hansen, Mark; Cai, Li

    2012-01-01

    Traditional estimators of item response theory scale scores ignore uncertainty carried over from the item calibration process, which can lead to incorrect estimates of the standard errors of measurement (SEMs). Here, the authors review a variety of approaches that have been applied to this problem and compare them on the basis of their statistical…

  17. Normative scores on the Berg Balance Scale decline after age 70 years in healthy community-dwelling people: a systematic review.

    Science.gov (United States)

    Downs, Stephen; Marquez, Jodie; Chiarelli, Pauline

    2014-06-01

    What is the mean Berg Balance Scale score of healthy elderly people living in the community and how does it vary with age? How much variability in Berg Balance Scale scores is present in groups of healthy elderly people and how does this vary with age? Systematic review with meta-analysis. Any group of healthy community-dwelling people with a mean age of 70 years or greater that has undergone assessment using the Berg Balance Scale. Mean and standard deviations of Berg Balance Scale scores within cohorts of elderly people of known mean age. The search yielded 17 relevant studies contributing data from a total of 1363 participants. The mean Berg Balance Scale scores ranged from 37 to 55 out of a possible maximum score of 56. The standard deviation of Berg Balance Scale scores varied from 1.0 to 9.2. Although participants aged around 70 years had very close to normal Berg Balance Scale scores, there was a significant decline in balance with age at a rate of 0.7 points on the 56-point Berg Balance Scale per year. There was also a strong association between increasing age and increasing variability in balance (R(2) = 0.56, p balance deficits, as measured by the Berg Balance Scale, although balance scores deteriorate and become more variable with age. Copyright © 2014. Published by Elsevier B.V.

  18. Severity score system for progressive myelopathy: development and validation of a new clinical scale

    Directory of Open Access Journals (Sweden)

    R.M. Castilhos

    2012-07-01

    Full Text Available Progressive myelopathies can be secondary to inborn errors of metabolism (IEM such as mucopolysaccharidosis, mucolipidosis, and adrenomyeloneuropathy. The available scale, Japanese Orthopaedic Association (JOA score, was validated only for degenerative vertebral diseases. Our objective is to propose and validate a new scale addressing progressive myelopathies and to present validating data for JOA in these diseases. A new scale, Severity Score System for Progressive Myelopathy (SSPROM, covering motor disability, sphincter dysfunction, spasticity, and sensory losses. Inter- and intra-rater reliabilities were measured. External validation was tested by applying JOA, the Expanded Disability Status Scale (EDSS, the Barthel index, and the Osame Motor Disability Score. Thirty-eight patients, 17 with adrenomyeloneuropathy, 3 with mucopolysaccharidosis I, 3 with mucopolysaccharidosis IV, 2 with mucopolysaccharidosis VI, 2 with mucolipidosis, and 11 with human T-cell lymphotropic virus type-1 (HTLV-1-associated myelopathy participated in the study. The mean ± SD SSPROM and JOA scores were 74.6 ± 11.4 and 12.4 ± 2.3, respectively. Construct validity for SSPROM (JOA: r = 0.84, P < 0.0001; EDSS: r = -0.83, P < 0.0001; Barthel: r = 0.56, P < 0.002; Osame: r = -0.94, P < 0.0001 and reliability (intra-rater: r = 0.83, P < 0.0001; inter-rater: r = 0.94, P < 0.0001 were demonstrated. The metric properties of JOA were similar to those found in SSPROM. Several clinimetric requirements were met for both SSPROM and JOA scales. Since SSPROM has a wider range, it should be useful for follow-up studies on IEM myelopathies.

  19. Optimizing the performance of small-scale organic Rankine cycle that utilizes a single-screw expander

    International Nuclear Information System (INIS)

    Ziviani, D.; Gusev, S.; Lecompte, S.; Groll, E.A.; Braun, J.E.; Horton, W.T.; Broek, M. van den; De Paepe, M.

    2017-01-01

    Highlights: • A total of 102 steady-state points with R245fa and SES336 have been collected. • R245fa led to 10% higher power output despite lower expander isentropic efficiency. • The ORC running with SES36 presented a better matching between expander and cycle. • The theoretical matching between expander volume ratio and cycle efficiency is determined. • Steady-state performance maps are used to build a feed-forward controller. - Abstract: This paper deals with the operation and optimization of a down-scaled industrial organic Rankine cycle (ORC) for low-grade waste heat recovery. The system is a sub-critical regenerative ORC with a nominal power output of 11 kW. The ORC unit has been assembled using off-the-shelf components including three identical plate heat exchangers, a liquid receiver, a multi-stage centrifugal pump and a single-screw compressor adapted to operate as an expander. The experimental results are used to evaluate the influence of the expander performance on the behavior of the ORC system at nominal and part-load conditions. The matching between the volumetric expander and the system operating conditions is also analyzed. Results showed that in the case of SES36, both the expander efficiency and system performance were maximized for a pressure ratio between 7 and 9. In the case of R245fa, while the system efficiency achieved values similar to SES36, but the expander maximum isentropic efficiency was 17% lower. Two analyses are carried out to optimize the operation of the ORC unit with R245fa. At first, the insights gained by analyzing the experimental data are used to evaluate the theoretical matching between volumetric expander and the system maximum efficiency in terms of the Second Law of thermodynamics. Secondly, a control-oriented steady-state cycle model based on empirical correlations calibrated on the experimental results is developed. The model is used to implement a feed-forward control strategy based on predetermined steady

  20. Toluene stability Space Station Rankine power system

    Science.gov (United States)

    Havens, V. N.; Ragaller, D. R.; Sibert, L.; Miller, D.

    1987-01-01

    A dynamic test loop is designed to evaluate the thermal stability of an organic Rankine cycle working fluid, toluene, for potential application to the Space Station power conversion unit. Samples of the noncondensible gases and the liquid toluene were taken periodically during the 3410 hour test at 750 F peak temperature. The results obtained from the toluene stability loop verify that toluene degradation will not lead to a loss of performance over the 30-year Space Station mission life requirement. The identity of the degradation products and the low rates of formation were as expected from toluene capsule test data.

  1. An experimental analysis of flow boiling and pressure drop in a brazed plate heat exchanger for organic Rankine cycle power systems

    DEFF Research Database (Denmark)

    Desideri, Adriano; Zhang, Ji; Kærn, Martin Ryhl

    2017-01-01

    Organic Rankine cycle power systems for low quality waste heat recovery applications can play a major role in achieving targets of increasing industrial processes efficiency and thus reducing the emissions of greenhouse gases. Low capacity organic Rankine cycle systems are equipped with brazed...... and pressure drop during vaporization at typical temperatures for low quality waste heat recovery organic Rankine cycle systems are presented for the working fluids HFC-245fa and HFO-1233zd. The experiments were carried out at saturation temperatures of 100°C, 115°C and 130°C and inlet and outlet qualities...

  2. Validation of patient determined disease steps (PDDS) scale scores in persons with multiple sclerosis.

    Science.gov (United States)

    Learmonth, Yvonne C; Motl, Robert W; Sandroff, Brian M; Pula, John H; Cadavid, Diego

    2013-04-25

    The Patient Determined Disease Steps (PDDS) is a promising patient-reported outcome (PRO) of disability in multiple sclerosis (MS). To date, there is limited evidence regarding the validity of PDDS scores, despite its sound conceptual development and broad inclusion in MS research. This study examined the validity of the PDDS based on (1) the association with Expanded Disability Status Scale (EDSS) scores and (2) the pattern of associations between PDDS and EDSS scores with Functional System (FS) scores as well as ambulatory and other outcomes. 96 persons with MS provided demographic/clinical information, completed the PDDS and other PROs including the Multiple Sclerosis Walking Scale-12 (MSWS-12), and underwent a neurological examination for generating FS and EDSS scores. Participants completed assessments of cognition, ambulation including the 6-minute walk (6 MW), and wore an accelerometer during waking hours over seven days. There was a strong correlation between EDSS and PDDS scores (ρ = .783). PDDS and EDSS scores were strongly correlated with Pyramidal (ρ = .578 &ρ = .647, respectively) and Cerebellar (ρ = .501 &ρ = .528, respectively) FS scores as well as 6 MW distance (ρ = .704 &ρ = .805, respectively), MSWS-12 scores (ρ = .801 &ρ = .729, respectively), and accelerometer steps/day (ρ = -.740 &ρ = -.717, respectively). This study provides novel evidence supporting the PDDS as valid PRO of disability in MS.

  3. River Discharge and Local Scale Habitat Influence LIFE Score Macroinvertebrate LIFE Scores

    DEFF Research Database (Denmark)

    Dunbar, Michael J.; Pedersen, Morten Lauge; Cadman, Dan

    2010-01-01

    Midlands of the U.K., we describe how local-scale habitat features (indexed through River Habitat Survey or Danish Habitat Quality Survey) and changing river flow (discharge) influence the response of a macroinvertebrate community index. The approach has broad applicability in developing regional flow...... Invertebrate index for Flow Evaluation (LIFE), an average of abundance-weighted flow groups which indicate the microhabitat preferences of each taxon for higher velocities and clean gravel/cobble substrata or slow/still velocities and finer substrata. 3. For the Danish fauna, the LIFE score responded to three...... of the channel (negative). In both cases, LIFE responded negatively to features associated with historical channel modification. We suggest that there are several mechanisms for these relationships, including the narrower tolerances of taxa preferring high velocity habitat; these taxa are also continually...

  4. Pre-treatment ASPECTS-DWI score has a relation with functional outcome at 3 months following intravenous rt-PA therapy

    International Nuclear Information System (INIS)

    Nezu, Tomohisa; Koga, Masatoshi; Naganuma, Masaki

    2009-01-01

    The clinical importance of early ischemic changes (EIC) on diffusion-weighted imaging (DWI) before recombinant tissue-plasminogen activator (rt-PA) thrombolysis has not been elucidated well. The present study aimed evaluating whether Alberta Stroke Programme Early CT Score (ASPECTS)-DWI before rt-PA therapy could predict chronic independent outcome. Consecutive stroke patients treated with rt-PA from October 2005 through July 2008 were registered from 10 major stroke centers located without regional imbalance in Japan. Before rt-PA IV infusion, we assessed EIC on DWI by using ASPECTS-DWI (11 points). Independent outcome was defined by modified Rankin Scale score (mRS) 0-2 at 3 months after stroke onset. A total of 420 patients (280 men, 71±11 years in age) were studied, and 221 (52.6%) of them were independent (mRS 0-2) at 3 months. The independent patients were younger, had less hypertension and atrial fibrillation, lower baseline National Institutes of Health Stroke Scale (NIHSS) score, higher ASPECTS-DWI, less internal carotid artery occlusion than dependent patients (mRS 3-6, P<0.05 for all). The optimal cutoff score of ASPECTS-DWI to predict independent outcome was ≥7 with a sensitivity of 92% and specificity of 31%, and the area under the receiver-operating characteristic curve was 0.622. After multivariate logistic regression analysis, ASPECTS-DWI ≥7 was independently predictive of an independent outcome at 3 months (odds ratio (OR) 2.78, 95% confidence interval (CI) 1.45-5.49). ASPECTS-DWI before rt-PA therapy is useful to predict patients' chronic functional outcome. (author)

  5. Prestroke CHA2DS2-VASc Score and Severity of Acute Stroke in Patients with Atrial Fibrillation: Findings from RAF Study.

    Science.gov (United States)

    Acciarresi, Monica; Paciaroni, Maurizio; Agnelli, Giancarlo; Falocci, Nicola; Caso, Valeria; Becattini, Cecilia; Marcheselli, Simona; Rueckert, Christina; Pezzini, Alessandro; Morotti, Andrea; Costa, Paolo; Padovani, Alessandro; Csiba, Laszló; Szabó, Lilla; Sohn, Sung-Il; Tassinari, Tiziana; Abdul-Rahim, Azmil H; Michel, Patrik; Cordier, Maria; Vanacker, Peter; Remillard, Suzette; Alberti, Andrea; Venti, Michele; D'Amore, Cataldo; Scoditti, Umberto; Denti, Licia; Orlandi, Giovanni; Chiti, Alberto; Gialdini, Gino; Bovi, Paolo; Carletti, Monica; Rigatelli, Alberto; Putaala, Jukka; Tatlisumak, Turgut; Masotti, Luca; Lorenzini, Gianni; Tassi, Rossana; Guideri, Francesca; Martini, Giuseppe; Tsivgoulis, Georgios; Vadikolias, Kostantinos; Liantinioti, Chrissoula; Corea, Francesco; Del Sette, Massimo; Ageno, Walter; De Lodovici, Maria Luisa; Bono, Giorgio; Baldi, Antonio; D'Anna, Sebastiano; Sacco, Simona; Carolei, Antonio; Tiseo, Cindy; Imberti, Davide; Zabzuni, Dorjan; Doronin, Boris; Volodina, Vera; Consoli, Domenico; Galati, Franco; Pieroni, Alessio; Toni, Danilo; Monaco, Serena; Baronello, Mario Maimone; Barlinn, Kristian; Pallesen, Lars-Peder; Kepplinger, Jessica; Bodechtel, Ulf; Gerber, Johannes; Deleu, Dirk; Melikyan, Gayane; Ibrahim, Faisal; Akhtar, Naveed; Mosconi, Maria Giulia; Lees, Kennedy R

    2017-06-01

    The aim of this study was to investigate for a possible association between both prestroke CHA 2 DS 2 -VASc score and the severity of stroke at presentation, as well as disability and mortality at 90 days, in patients with acute stroke and atrial fibrillation (AF). This prospective study enrolled consecutive patients with acute ischemic stroke, AF, and assessment of prestroke CHA 2 DS 2 -VASc score. Severity of stroke was assessed on admission using the National Institutes of Health Stroke Scale (NIHSS) score (severe stroke: NIHSS ≥10). Disability and mortality at 90 days were assessed by the modified Rankin Scale (mRS <3 or ≥3). Multiple logistic regression was used to correlate prestroke CHA 2 DS 2 -VASc and severity of stroke, as well as disability and mortality at 90 days. Of the 1020 patients included in the analysis, 606 patients had an admission NIHSS score lower and 414 patients higher than 10. At 90 days, 510 patients had mRS ≥3. A linear correlation was found between the prestroke CHA 2 DS 2 -VASc score and severity of stroke (P = .001). On multivariate analysis, CHA 2 DS 2 -VASc score correlated with severity of stroke (P = .041) and adverse functional outcome (mRS ≥3) (P = .001). A logistic regression with the receiver operating characteristic graph procedure (C-statistics) evidenced an area under the curve of .60 (P = .0001) for severe stroke. Furthermore, a correlation was found between prestroke CHA 2 DS 2 -VASc score and lesion size. In patients with AF, in addition to the risk of stroke, a high CHA 2 DS 2 -VASc score was independently associated with both stroke severity at onset and disability and mortality at 90 days. Copyright © 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  6. Psychometric Properties of the Quantitative Myasthenia Gravis Score and the Myasthenia Gravis Composite Scale.

    Science.gov (United States)

    Barnett, Carolina; Merkies, Ingemar S J; Katzberg, Hans; Bril, Vera

    2015-09-02

    The Quantitative Myasthenia Gravis Score and the Myasthenia Gravis Composite are two commonly used outcome measures in Myasthenia Gravis. So far, their measurement properties have not been compared, so we aimed to study their psychometric properties using the Rasch model. 251 patients with stable myasthenia gravis were assessed with both scales, and 211 patients returned for a second assessment. We studied fit to the Rasch model at the first visit, and compared item fit, thresholds, differential item functioning, local dependence, person separation index, and tests for unidimensionality. We also assessed test-retest reliability and estimated the Minimal Detectable Change. Neither scale fit the Rasch model (X2p Myasthenia Gravis Composite had lower discrimination properties than the Quantitative Myasthenia Gravis Scale (Person Separation Index: 0.14 and 0.7). There was local dependence in both scales, as well as differential item functioning for ocular and generalized disease. Disordered thresholds were found in 6(60%) items of the Myasthenia Gravis Composite and in 4(31%) of the Quantitative Myasthenia Gravis Score. Both tools had adequate test-retest reliability (ICCs >0.8). The minimally detectable change was 4.9 points for the Myasthenia Gravis Composite and 4.3 points for the Quantitative Myasthenia Gravis Score. Neither scale fulfilled Rasch model expectations. The Quantitative Myasthenia Gravis Score has higher discrimination than the Myasthenia Gravis Composite. Both tools have items with disordered thresholds, differential item functioning and local dependency. There was evidence of multidimensionality in the QMGS. The minimal detectable change values are higher than previous studies on the minimal significant change. These findings might inform future modifications of these tools.

  7. Technical and economic study of Stirling and Rankine cycle bottoming systems for heavy truck diesel engines

    Science.gov (United States)

    Kubo, I.

    1987-01-01

    Bottoming cycle concepts for heavy duty transport engine applications were studied. In particular, the following tasks were performed: (1) conceptual design and cost data development for Stirling systems; (2) life-cycle cost evaluation of three bottoming systems - organic Rankine, steam Rankine, and Stirling cycles; and (3) assessment of future directions in waste heat utilization research. Variables considered for the second task were initial capital investments, fuel savings, depreciation tax benefits, salvage values, and service/maintenance costs. The study shows that none of the three bottoming systems studied are even marginally attractive. Manufacturing costs have to be reduced by at least 65%. As a new approach, an integrated Rankine/Diesel system was proposed. It utilizes one of the diesel cylinders as an expander and capitalizes on the in-cylinder heat energy. The concept eliminates the need for the power transmission device and a sophisticated control system, and reduces the size of the exhaust evaporator. Results of an economic evaluation indicate that the system has the potential to become an attractive package for end users.

  8. Technical and economical feasibility of the Rankine compression gas turbine (RCG)

    NARCIS (Netherlands)

    Ouwerkerk, H.; Lange, de H.C.

    2006-01-01

    The Rankine compression gas turbine (RCG) is a new type of combined cycle, i.e. combined steam and gas turbine installation, that returns all shaft power on one free power turbine. The novelty of the RCG is that the steam turbine drives the compressor of the gas turbine cycle. This way, the turbine

  9. Fall risk assessment: retrospective analysis of Morse Fall Scale scores in Portuguese hospitalized adult patients.

    Science.gov (United States)

    Sardo, Pedro Miguel Garcez; Simões, Cláudia Sofia Oliveira; Alvarelhão, José Joaquim Marques; Simões, João Filipe Fernandes Lindo; Melo, Elsa Maria de Oliveira Pinheiro de

    2016-08-01

    The Morse Fall Scale is used in several care settings for fall risk assessment and supports the implementation of preventive nursing interventions. Our work aims to analyze the Morse Fall Scale scores of Portuguese hospitalized adult patients in association with their characteristics, diagnoses and length of stay. Retrospective cohort analysis of Morse Fall Scale scores of 8356 patients hospitalized during 2012. Data were associated to age, gender, type of admission, specialty units, length of stay, patient discharge, and ICD-9 diagnosis. Elderly patients, female, with emergency service admission, at medical units and/or with longer length of stays were more frequently included in the risk group for falls. ICD-9 diagnosis may also be an important risk factor. More than a half of hospitalized patients had "medium" to "high" risk of falling during the length of stay, which determines the implementation and maintenance of protocoled preventive nursing interventions throughout hospitalization. There are several fall risk factors not assessed by Morse Fall Scale. There were no statistical differences in Morse Fall Scale score between the first and the last assessment. Copyright © 2015 Elsevier Inc. All rights reserved.

  10. Graduate Student WAIS-III Scoring Accuracy Is a Function of Full Scale IQ and Complexity of Examiner Tasks

    Science.gov (United States)

    Hopwood, Christopher J.; Richard, David C. S.

    2005-01-01

    Research on the Wechsler Adult Intelligence Scale-Revised and Wechsler Adult Intelligence Scale-Third Edition (WAIS-III) suggests that practicing clinical psychologists and graduate students make item-level scoring errors that affect IQ, index, and subtest scores. Studies have been limited in that Full-Scale IQ (FSIQ) and examiner administration,…

  11. A synthesis/design optimization algorithm for Rankine cycle based energy systems

    International Nuclear Information System (INIS)

    Toffolo, Andrea

    2014-01-01

    The algorithm presented in this work has been developed to search for the optimal topology and design parameters of a set of Rankine cycles forming an energy system that absorbs/releases heat at different temperature levels and converts part of the absorbed heat into electricity. This algorithm can deal with several applications in the field of energy engineering: e.g., steam cycles or bottoming cycles in combined/cogenerative plants, steam networks, low temperature organic Rankine cycles. The main purpose of this algorithm is to overcome the limitations of the search space introduced by the traditional mixed-integer programming techniques, which assume that possible solutions are derived from a single superstructure embedding them all. The algorithm presented in this work is a hybrid evolutionary/traditional optimization algorithm organized in two levels. A complex original codification of the topology and the intensive design parameters of the system is managed by the upper level evolutionary algorithm according to the criteria set by the HEATSEP method, which are used for the first time to automatically synthesize a “basic” system configuration from a set of elementary thermodynamic cycles. The lower SQP (sequential quadratic programming) algorithm optimizes the objective function(s) with respect to cycle mass flow rates only, taking into account the heat transfer feasibility constraint within the undefined heat transfer section. A challenging example of application is also presented to show the capabilities of the algorithm. - Highlights: • Energy systems based on Rankine cycles are used in many applications. • A hybrid algorithm is proposed to optimize the synthesis/design of such systems. • The topology of the candidate solutions is not limited by a superstructure. • Topology is managed by the genetic operators of the upper level algorithm. • The effectiveness of the algorithm is proved in a complex test case

  12. Correlation between Manchester Grading Scale and American Orthopaedic Foot and Ankle Society Score in Patients with Hallux Valgus

    Science.gov (United States)

    Iliou, Kalliopi; Paraskevas, George; Kanavaros, Panagiotis; Barbouti, Alexandra; Vrettakos, Aristidis; Gekas, Christos; Kitsoulis, Panagiotis

    2015-01-01

    Objective To evaluate the correlation between the Manchester Grading Scale and the American Orthopaedic Foot and Ankle Society (AOFAS) score in patients with a hallux valgus deformity. Subjects and Methods The study sample included 181 feet of 122 patients with hallux valgus and 424 feet of 212 individuals without hallux valgus deformity as the control group. The severity of hallux valgus, utilizing a relative nonmetric scale, the Manchester Grading Scale, and the metric AOFAS score, was determined for all individuals in the hallux valgus and control groups. SPSS version 18 (Chicago, Ill., USA) was used for data analysis. Results According to the Manchester Grading Scale, the 424 feet of the normal group were classified as ‘no deformity−. In the hallux valgus group, 85 feet were classified as ‘mild deformity−, 67 as ‘moderate deformity' and 29 as ‘severe deformity−. The AOFAS total score in the control group was 99.14. In the hallux valgus group, patients with mild or moderate deformity had total scores of 86.20 and 68.19, respectively. For those with severe hallux valgus, the total score was 44.69 and the differences were statistically significant (p = 0.000). Using the Pearson correlation, strong negative correlations were found between the AOFAS score and the hallux valgus angle (HVA; r = −0.899, p = 0.000). Strong negative correlations were demonstrated between the AOFAS score and the first intermetatarsal angle (IMA) as well (r = −0.748, p = 0.000). Conclusions The AOFAS score was negatively associated with the Manchester Grading Scale, HVA and first IMA. As the severity of hallux valgus increased, the AOFAS score seemed to decrease. PMID:26335050

  13. Pb-H2O Thermogravimetric Plants. The Rankine Cycle

    International Nuclear Information System (INIS)

    Arosio, S.; Carlevaro, R.

    2000-01-01

    An economic evaluation concerning Pb-H 2 O thermogravimetric systems with an electric power in the range 200-1.000 kW has been done. Moreover, plant and running costs for a thermogravimetric and a Rankine cycle, 1 MW power, have been compared. Basically due to the lead charge, the plant cost of the former is higher: nevertheless such amount can be recuperated in less than three years, being higher the running cost of the latter [it

  14. Integration between a thermophotovoltaic generator and an Organic Rankine Cycle

    International Nuclear Information System (INIS)

    De Pascale, Andrea; Ferrari, Claudio; Melino, Francesco; Morini, Mirko; Pinelli, Michele

    2012-01-01

    Highlights: ► A new energy system comprising a Thermo-Photo-Voltaic and Organic Rankine Cycle. ► An analytical model to calculate the performance of the system is introduced. ► The system shows promising results in terms of CHP performance. -- Abstract: The constant increase in energy need and the growing attention to the related environmental impact have given a boost to the development of new strategies in order to reduce the primary energy consumption and to improve its utilization. One of the possible strategies for achieving this aim is Combined Heat and Power (CHP) specially if coupled with the concept of on-site generation (also known as distributed generation). These approaches allow the reduction of fuel consumption and pollutant emissions and the increase of security in energy supply. This paper introduces the Thermophotovoltaic Organic Rankine Cycle Integrated System (TORCIS), an energy system integrating a ThermoPhotoVoltaic generator (TPV) and an Organic Rankine Cycle (ORC). This study represents the start-up of a research program which involves three research teams from IMEM – National Research Council, ENDIF – University of Ferrara and DIEM – University of Bologna. The aim of this research is the complete definition and the pre-prototyping characterization of this system covering all the unresolved issues in this field. More specifically, TPV is a system to convert the radiation emitted from an artificial heat source (i.e. the combustion of fuel) into electrical energy by the use of photovoltaic cells. In this system, the produced electrical power is strictly connected to the thermal one as their ratio is almost constant and cannot be changed without severe loss in performance. The coupling between TPV and ORC allows this limitation to be overcome by the realization of a CHP system which can be regulated with a large degree of freedom changing the ratio between the produced electrical and thermal power. In this study a thermodynamic

  15. [The Collage Impression Scoring Scale (CIISS) may help predict sobriety for alcoholics].

    Science.gov (United States)

    Itoh, Mitsuru; Ishii, Takayoshi

    2009-08-01

    The Collage Impression Scoring Scale (CISS; Imamura, 2004) was used by 54 raters to score collages made by 24 alcoholics on admission to the hospital and at discharge. The CISS contains three factors: stability, expression and creativity. Comparisons using paired t-tests showed that the collages made at discharge had lower scores on the three CISS factors than the collages made on admission. The results for 11 alcoholics, who were followed for six months after discharge, showed that the scores for CISS factors for the abstinent group were lower than those for the relapsed drinking group. The abstinent group showed more anxiety than the relapsed drinking group. This result suggests that the abstinent alcoholics'anxieties were projected onto the collages because they were facing their internal problems more seriously. Thus the CISS was effective as a predictive index for alcoholics who maintain sobriety.

  16. The Basilar Artery on Computed Tomography Angiography Score for Acute Basilar Artery Occlusion Treated with Mechanical Thrombectomy.

    Science.gov (United States)

    Yang, Haihua; Ma, Ning; Liu, Lian; Gao, Feng; Mo, Dapeng; Miao, Zhongrong

    2018-06-01

    Recently, the Basilar Artery on Computed Tomography Angiography (BATMAN) score predicts clinical outcome of acute basilar artery occlusion (BAO), yet there is no extensive external validation. The purpose of this study was to validate the prognostic value of BATMAN scoring system for the prediction of clinical outcome in patients with acute BAO treated with endovascular mechanical thrombectomy by using cerebral digital subtraction angiography (DSA). We analyzed the clinical and angiographic data of consecutive patients with acute BAO from March 2012 to November 2016. The BATMAN scoring system was used to assess the collateral status and thrombus burden. Thrombolysis in Cerebral Infarction (TICI) score 2b-3 was defined as successful recanalization. Receiver operating characteristic (ROC) curve was used to determine the area under the curve (AUC) and the optimum cutoff value. Multivariate regression analysis was used to identify the predictor of clinical outcome. This study included 63 patients with acute BAO who underwent mechanical thrombectomy. Of these patients, 90.5% (57/63) achieved successful recanalization (TICI, 2b-3) and 34.9% (22/63) had a favorable outcome (modified Rankin Scale score 0-2). ROC analysis indicated that the AUC of the BATMAN score was .722 (95% confidence interval [CI], .594-.827), and the optimal cutoff value was 3 (sensitivity = 72.73, specificity = 63.41). In multivariate logistic regression analysis, the BATMAN score higher than 3 was associated with favorable outcome (odds ratio, 5.214; 95% CI, 1.47-18.483; P = .011). The BATMAN score on DSA seems to predict the functional outcome in patients of acute BAO treated with mechanical thrombectomy. Copyright © 2018 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  17. Summary scores captured changes in subjects' QoL as measured by the multiple scales of the EORTC QLQ-C30.

    Science.gov (United States)

    Phillips, Rachel; Gandhi, Mihir; Cheung, Yin Bun; Findlay, Michael P; Win, Khin Maung; Hai, Hoang Hoa; Yang, Jin Mo; Lobo, Rolley Rey; Soo, Khee Chee; Chow, Pierce K H

    2015-08-01

    To examine the performance of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) global health status/quality of life (QoL) scale and two summary scores to detect changes in the QoL profile over time, according to changes in the individual scales. Data came from 167 clinical trial patients with unresectable (advanced) hepatocellular carcinoma. The global health status/QoL scale of the questionnaire contained two items: overall health and overall QoL. Nordin and Hinz proposed summary scores for the questionnaire. A mixed-effect model was fitted to estimate trends in scores over time. Predominantly the individual scale scores declined over time; however, the global health status/QoL score was stable [rate of change = -0.3 per month; 95% confidence interval (CI): -1.2, 0.6]. Nordin's summary score, which gave equal weight to the 15 questionnaire scales, and Hinz's summary score, which gave equal weight to the 30 questionnaire items, showed a statistically significant decline over time, 3.4 (95% CI: -4.5, -2.4) and 4.2 (95% CI: -5.3, -3.0) points per month, respectively. In contrast to the global health status/QoL scale, the summary scores proposed by Nordin and Hinz detected changes in subjects' QoL profile described by the EORTC QLQ-C30 individual scales. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Thermodynamic analysis of high-temperature regenerative organic Rankine cycles using siloxanes as working fluids

    International Nuclear Information System (INIS)

    Fernandez, F.J.; Prieto, M.M.; Suarez, I.

    2011-01-01

    A recent novel adjustment of the Span-Wagner equation of state for siloxanes, used as working fluids in high-temperature organic Rankine cycles, is applied in a mathematical model to solve cycles under several working conditions. The proposed scheme includes a thermo-oil intermediate heat circuit between the heat source and the organic Rankine cycle. Linear and cyclic siloxanes are assayed in saturated, superheated and supercritical cycles. The cycle includes an internal heat exchanger (regenerative cycle), although a non-regenerative scheme is also solved. In the first part of the study, a current of combustion gases cooled to close to their dew point temperature is taken as the reference heat source. In the second part, the outlet temperature of the heat source is varied over a wide range, determining appropriate fluids and schemes for each thermal level. Simple linear (MM, MDM) siloxanes in saturated regenerative schemes show good efficiencies and ensure thermal stability of the working fluid. -- Highlights: → Organic Rankine cycles with polymethylsiloxanes as working fluids were modelled. → The cycle scheme is regenerative and includes an intermediate heat transfer fluid. → The fluid properties were calculated by means of the Span-Wagner equation of state. → Vapour conditions to the expander and source thermal level were analysed. → Siloxanes MM, MDM and D 4 under saturated conditions were the best options.

  19. An Analysis of Cross Racial Identity Scale Scores Using Classical Test Theory and Rasch Item Response Models

    Science.gov (United States)

    Sussman, Joshua; Beaujean, A. Alexander; Worrell, Frank C.; Watson, Stevie

    2013-01-01

    Item response models (IRMs) were used to analyze Cross Racial Identity Scale (CRIS) scores. Rasch analysis scores were compared with classical test theory (CTT) scores. The partial credit model demonstrated a high goodness of fit and correlations between Rasch and CTT scores ranged from 0.91 to 0.99. CRIS scores are supported by both methods.…

  20. Exergy analysis and parameter study on a novel auto-cascade Rankine cycle

    International Nuclear Information System (INIS)

    Bao, Junjiang; Zhao, Li

    2012-01-01

    A novel auto-cascade Rankine cycle (ARC) is proposed to reduce thermodynamics irreversibility and improve energy utilization. Like the Kalina cycle, the working fluid for the ARC is zeotropic mixture, which can improve the system efficiency due to the temperature slip that zeotropic mixtures exhibit during phase change. Unlike the Kalina cycle, two expanders are included in the ARC rather than a expander and a throttling valve in the Kalina cycle, which means more work can be obtained. Using the exhaust gas as the heat source and water as the heat sink, a program is written by Matlab 2010a to carry out exergy analysis and parameter study on the ARC. Results show that the R245fa mass fraction in the primary circuit exists an optimum value with respect to the minimum total cycle irreversibility. The largest exergy loss occurs in evaporator, followed by the superheater, condenser, regenerator and IHE (Internal heat exchanger). As the R245fa mass fraction increases, the exergy losses of different components vary diversely. With the evaporation pressure rises, the total cycle irreversibility decreases and work output increases. Separator temperature has a greater influence on the system performance than superheating temperature. Compared with ORC (organic Rankine cycle) and Kalina cycle in the literature, the ARC has proven to be thermodynamically better. -- Highlights: ► We have proposed a novel auto-cascade Rankine cycle (ARC) system. ► The zeotropic mixture Isopentane/R245fa is employed in this system. ► Exergy analysis and parameter study on the ARC are presented. ► Compared with ORC and Kalina cycle in the literature, the ARC has proven to be thermodynamically better.

  1. Importance of frailty evaluation in the prediction of the prognosis of patients with chronic subdural hematoma.

    Science.gov (United States)

    Shimizu, Kiyoharu; Sadatomo, Takashi; Hara, Takeshi; Onishi, Shumpei; Yuki, Kiyoshi; Kurisu, Kaoru

    2018-05-17

    The present study aimed to clarify the relationship between frailty and prognosis of patients with chronic subdural hematoma. This retrospective study involved 211 patients aged ≥65 years with chronic subdural hematoma, who underwent surgery at Higashihiroshima Medical Center, Hiroshima, Japan, between July 2011 and May 2017. The study outcome was the patient's modified Rankin Scale score at 3 months after surgery. A logistic regression analysis was carried out to analyze factors that influenced the outcome. Chronic subdural hematoma patients with frailty had a poorer prognosis than those without (median modified Rankin Scale: 4 and 2, P < 0.001; proportions of patients discharged to home: 35% and 91%, P < 0.001, respectively). After adjusting for patients' background, the patients' modified Rankin Scale scores at 3 months after surgery were found to be associated with age, controlling nutritional status score and recurrence, but not with frailty. However, receiver operating characteristic curves of the model with the Clinical Frailty Scale were more accurately correlated with prognosis than those of the model without this scale (area under the curve 0.98, 95% confidence interval 0.96-0.99; and 0.87, 95% confidence interval 0.82-0.91, respectively.) CONCLUSIONS: Chronic subdural hematoma patients with frailty had poorer prognosis than those without. The evaluation of the presence of frailty on admission can be an important factor in the prediction of the prognosis of chronic subdural hematoma patients. Geriatr Gerontol Int 2018; ••: ••-••. © 2018 Japan Geriatrics Society.

  2. A review of the use of organic Rankine cycle power systems for maritime applications

    DEFF Research Database (Denmark)

    Mondejar, M. E.; Andreasen, J. G.; Pierobon, L.

    2018-01-01

    Diesel engines are by far the most common means of propulsion aboard ships. It is estimated that around half of their fuel energy consumption is dissipated as low-grade heat. The organic Rankine cycle technology is a well-established solution for the energy conversion of thermal power from biomass...... combustion, geothermal reservoirs, and waste heat from industrial processes. However, its economic feasibility has not yet been demonstrated for marine applications. This paper aims at evaluating the potential of using organic Rankine cycle systems for waste heat recovery aboard ships. The suitable vessels...... and engine heat sources are identified by estimating the total recoverable energy. Different cycle architectures, working fluids, components, and control strategies are analyzed. The economic feasibility and integration on board are also evaluated. A number of research and development areas are identified...

  3. Evaluation of novel scoring system named 5-5-5 exacerbation grading scale for allergic conjunctivitis disease.

    Science.gov (United States)

    Shoji, Jun; Inada, Noriko; Sawa, Mitsuru

    2009-12-01

    The objective of this study is to evaluate the practical usefulness of a scoring system using the 5-5-5 exacerbation grading scale for allergic conjunctivitis disease (ACD). Subjects were 103 patients with ACD including 40 patients with vernal keratoconjunctivitis (VKC), 20 patients with atopic keratoconjunctivitis (AKC), and 43 patients with allergic conjunctivitis (AC). The 5-5-5 exacerbation grading scale consists of the following 3 graded groups of clinical observations: the 100-point-grade group (100 points for each observation) includes active giant papillae, gelatinous infiltrates of the limbus, exfoliative epithelial keratopathy, shield ulcer and papillary proliferation at lower palpebral conjunctiva; the 10-point-grade group (10 points for each observation) includes blepharitis, papillary proliferation with velvety appearance, Horner-Trantas spots, edema of bulbal conjunctiva, and superficial punctate keratopathy; and the 1-point-grade group (1 point for each observation) includes papillae at upper palpebral conjunctiva, follicular lesion at lower palpebral conjunctiva, hyperemia of palpebral conjunctiva, hyperemia of bulbal conjunctiva, and lacrimal effusion. The total points in each grade group were determined as the severity score of the 5-5-5 exacerbation grading scale. The median severity scores of the 5-5-5 exacerbation grading scale in VKC, AKC and AC were 243 (range: 12-444), 32.5 (11-344), and 13 (2-33), respectively. The severity score of each ACD disease type was significantly different (P Kruskal-Wallis test). The severity of each type of ACD was classified as severe, moderate, or mild according to the severity score. The 5-5-5 exacerbation grading scale is a useful clinical tool for grading the severity of each type of ACD.

  4. Technical Analysis of Scores on the "Self-Efficacy Self-Report Scale"

    Science.gov (United States)

    Erford, Bradley T.; Schein, Hallie; Duncan, Kelly

    2011-01-01

    The purpose of this study was to provide preliminary analysis of reliability and validity of scores on the "Self-Efficacy Self-Report Scale", which was designed to assess general self-efficacy in students aged 10 to 17 years. Confirmatory factor analysis on cross-validated samples was conducted revealing a marginal fit of the data to the…

  5. Spacecraft COst REduction Team (SCORE): TQM/CI on a massive scale

    Science.gov (United States)

    Bullard, Jerry D.

    1992-01-01

    The business of building satellites and space systems has matured. Few missions require, or can afford, excellent performance at any price. The new paradigm is doing more with less, providing quality systems at lower cost--in other words, doing our job 'Faster-Better-Cheaper.' The TRW Spacecraft COst REduction (SCORE) initiative was launched in 1990 by Daniel S. Goldin, then general manager of TRW's Space & Technology Group. The SCORE mission is to apply continuous improvement (CI) techniques to effect major reductions in the cost (our primary goal) and span time (as a corollary) required for the production of spacecraft. SCORE is a multi-year initiative that is having a profound effect on both the procedural and the cultural aspects of how we do business. The objectives of this initiative are being realized. The focus of this paper is not on the results of SCORE per se, but rather on the things we have leaned about how to do continuous improvement on a massive scale, with multilevel (hierarchical) CI teams. The following sections summarize the chronology of the SCORE initiative, from team formation to development of the year-end report for 1991. Lessons learned, the core of this presentation, are discussed--with particular focus on the unique aspects of SCORE. The SCORE initiative is continuing and, as a part of our evolving culture, will never end. It has resulted in profound insights into the way we do work and (the topic at hand) how to do CI for large and complex multidisciplinary development activities.

  6. Validation of the DRAGON Score in a Chinese Population to Predict Functional Outcome of Intravenous Thrombolysis-Treated Stroke Patients.

    Science.gov (United States)

    Zhang, Xinmiao; Liao, Xiaoling; Wang, Chunjuan; Liu, Liping; Wang, Chunxue; Zhao, Xingquan; Pan, Yuesong; Wang, Yilong; Wang, Yongjun

    2015-08-01

    The DRAGON score predicts functional outcome of ischemic stroke patients treated with intravenous thrombolysis. Our aim was to evaluate its utility in a Chinese stroke population. Patients with acute ischemic stroke treated with intravenous thrombolysis were prospectively registered in the Thrombolysis Implementation and Monitor of acute ischemic Stroke in China. We excluded patients with basilar artery occlusion and missing data, leaving 970 eligible patients. We calculated the DRAGON score, and the clinical outcome was measured by the modified Rankin Scale at 3 months. Model discrimination was quantified by calculating the C statistic. Calibration was assessed using Pearson correlation coefficient. The C statistic was .73 (.70-.76) for good outcome and .75 (.70-.79) for miserable outcome. Proportions of patients with good outcome were 94%, 83%, 70%, and 0% for 0 to 1, 2, 3, and 8 to 10 score points, respectively. Proportions of patients with miserable outcome were 0%, 3%, 9%, and 50% for 0 to 1, 2, 3, and 8 to 10 points, respectively. There was high correlation between predicted and observed probability of 3-month favorable and miserable outcome in the external validation cohort (Pearson correlation coefficient, .98 and .98, respectively, both P DRAGON score showed good performance to predict functional outcome after tissue-type plasminogen activator treatment in the Chinese population. This study demonstrated the accuracy and usability of the DRAGON score in the Chinese population in daily practice. Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  7. Prognostic value of admission plasma glucose in non-diabetic ...

    African Journals Online (AJOL)

    Prognostic value of admission plasma glucose in non-diabetic Nigerians with stroke. ... International Journal of Medicine and Health Development ... Outcome was measured using the Modified Rankin scale based on the last score of each ...

  8. A Reliability Generalization Study of Scores on Rotter's and Nowicki-Strickland's Locus of Control Scales

    Science.gov (United States)

    Beretvas, S. Natasha; Suizzo, Marie-Anne; Durham, Jennifer A.; Yarnell, Lisa M.

    2008-01-01

    The most commonly used measures of locus of control are Rotter's Internality-Externality Scale (I-E) and Nowicki and Strickland's Internality-Externality Scale (NSIE). A reliability generalization study is conducted to explore variability in I-E and NSIE score reliability. Studies are coded for aspects of the scales used (number of response…

  9. Conservative treatment of soft tissue sarcomas of the extremities. Functional evaluation with LENT-SOMA scales and the Enneking score

    International Nuclear Information System (INIS)

    Tawfiq, N.; Lagarde, P.; Thomas, L.; Kantor, G.; Stockle, E.; Bui, B.N.

    2000-01-01

    Objective. - The aim of this prospective study is the feasibility of late effects assessment by LENT-SOMA scales after conservative treatment of soft tissue sarcomas of the extremities and a comparison with the functional evaluation by the Enneking score. Patients and methods. - During the systematic follow-up consultations, a series of 32 consecutive patients was evaluated in terms of late effects by LENT SOMA scales and functional results by the Enneking score. The median time after treatment was 65 months. The treatment consisted of conservative surgery (all cases) followed by radiation therapy (29 cases), often combined with adjuvant therapy (12 concomitant radio-chemotherapy association cases out of 14). The assessment of the toxicity was retrospective for acute effects and prospective for the following late tissue damage: skin/subcutaneous tissues, muscles/soft tissues and peripheral nerves. Results. -According to the Enneking score, the global score for the overall series was high (24/30) despite four the scores zero for the psychological acceptance. According to LENT SOMA scales, a low rate of severe sequelae (grade 3-4) was observed. The occurrence of high-grade sequelae and their functional consequences were not correlated with quality of exeresis, dose of radiotherapy or use of concomitant chemotherapy. A complementarity was observed between certain factors of the Enneking score and some criteria of the LENTSOMA scales, especially of muscles/soft tissues. Conclusion. -The good quality of functional results was confirmed by the two mean scoring systems for late normal tissue damage. The routine use of LENT-SOMA seems to be more time consuming than the Enneking score (mean time of scoring: 1 3 versus five minutes). The LENT-SOMA scales are aimed at a detailed description of late toxicity and sequelae while the Enneking score provides a more global evaluation, including the psychological acceptance of treatment. The late effects assessment by the LENT

  10. An image based system to automatically and objectivelly score the degreeof redness and scaling in psoriasi lesions

    DEFF Research Database (Denmark)

    Gomez, David Delgado; Ersbøll, Bjarne Kjær; Carstensen, Jens Michael

    2004-01-01

    In this work, a combined statistical and image analysis method to automatically evaluate the severity of scaling in psoriasis lesions is proposed. The method separates the different regions of the disease in the image and scores the degree of scaling based on the properties of these areas. The pr...... that the obtained scores are highly correlated with scores made by doctors. This and the fact that the obtained measures are continuous indicate the proposed method is a suitable tool to evaluate the lesion and to track the evolution of dermatological diseases....

  11. Nuclear alkali metal Rankine power systems for space applications

    International Nuclear Information System (INIS)

    Moyers, J.C.; Holcomb, R.S.

    1986-08-01

    Nucler power systems utilizing alkali metal Rankine power conversion cycles offer the potential for high efficiency, lightweight space power plants. Conceptual design studies are being carried out for both direct and indirect cycle systems for steady state space power applications. A computational model has been developed for calculating the performance, size, and weight of these systems over a wide range of design parameters. The model is described briefly and results from parametric design studies, with descriptions of typical point designs, are presented in this paper

  12. Nuclear alkali metal Rankine power systems for space applications

    International Nuclear Information System (INIS)

    Moyers, J.C.; Holcomb, R.S.

    1986-01-01

    Nuclear power systems utilizing alkali metal Rankine power conversion cycles offer the potential for high efficiency, lightweight space power plants. Conceptual design studies are being carried out for both direct and indirect cycle systems for steady state space power applications. A computational model has been developed for calculating the performance, size, and weight of these systems over a wide range of design parameters. The model is described briefly and results from parametric design studies, with descriptions of typical point designs, are presented in this paper

  13. Status of the organic Rankine cycle for space applications

    Science.gov (United States)

    Bland, T. J.; Lacey, P. D.; Sorensen, G. L.

    The Organic Rankine Cycle (ORC) has been under continuous development and evaluation since the 1960s for both terrestrial and space power applications. Recent activities (Bland et al, 1987) have focused primarily on the Space Station's solar dynamic power system and Dynamic Isotope Power Systems (DIPS) applications. This paper addresses ORC-DIPS system level trade studies conducted during the past year and a half. Two companion papers (Bland and Pearson) present more detailed data on specific ORC-DIPS technology issues and testing conducted during the same period.

  14. A Comparative Study of Glasgow Coma Scale and Full Outline of Unresponsiveness Scores for Predicting Long-Term Outcome After Brain Injury.

    Science.gov (United States)

    McNett, Molly M; Amato, Shelly; Philippbar, Sue Ann

    2016-01-01

    The aim of this study was to compare predictive ability of hospital Glasgow Coma Scale (GCS) scores and scores obtained using a novel coma scoring tool (the Full Outline of Unresponsiveness [FOUR] scale) on long-term outcomes among patients with traumatic brain injury. Preliminary research of the FOUR scale suggests that it is comparable with GCS for predicting mortality and functional outcome at hospital discharge. No research has investigated relationships between coma scores and outcome 12 months postinjury. This is a prospective cohort study. Data were gathered on adult patients with traumatic brain injury admitted to urban level I trauma center. GCS and FOUR scores were assigned at 24 and 72 hours and at hospital discharge. Glasgow Outcome Scale scores were assigned at 6 and 12 months. The sample size was n = 107. Mean age was 53.5 (SD = ±21, range = 18-91) years. Spearman correlations were comparable and strongest among discharge GCS and FOUR scores and 12-month outcome (r = .73, p coma scores performed best for both tools, with GCS discharge scores predictive in multivariate models.

  15. Assessing coral reefs on a Pacific-wide scale using the microbialization score.

    Directory of Open Access Journals (Sweden)

    Tracey McDole

    Full Text Available The majority of the world's coral reefs are in various stages of decline. While a suite of disturbances (overfishing, eutrophication, and global climate change have been identified, the mechanism(s of reef system decline remain elusive. Increased microbial and viral loading with higher percentages of opportunistic and specific microbial pathogens have been identified as potentially unifying features of coral reefs in decline. Due to their relative size and high per cell activity, a small change in microbial biomass may signal a large reallocation of available energy in an ecosystem; that is the microbialization of the coral reef. Our hypothesis was that human activities alter the energy budget of the reef system, specifically by altering the allocation of metabolic energy between microbes and macrobes. To determine if this is occurring on a regional scale, we calculated the basal metabolic rates for the fish and microbial communities at 99 sites on twenty-nine coral islands throughout the Pacific Ocean using previously established scaling relationships. From these metabolic rate predictions, we derived a new metric for assessing and comparing reef health called the microbialization score. The microbialization score represents the percentage of the combined fish and microbial predicted metabolic rate that is microbial. Our results demonstrate a strong positive correlation between reef microbialization scores and human impact. In contrast, microbialization scores did not significantly correlate with ocean net primary production, local chla concentrations, or the combined metabolic rate of the fish and microbial communities. These findings support the hypothesis that human activities are shifting energy to the microbes, at the expense of the macrobes. Regardless of oceanographic context, the microbialization score is a powerful metric for assessing the level of human impact a reef system is experiencing.

  16. Assessing coral reefs on a Pacific-wide scale using the microbialization score.

    Science.gov (United States)

    McDole, Tracey; Nulton, James; Barott, Katie L; Felts, Ben; Hand, Carol; Hatay, Mark; Lee, Hochul; Nadon, Marc O; Nosrat, Bahador; Salamon, Peter; Bailey, Barbara; Sandin, Stuart A; Vargas-Angel, Bernardo; Youle, Merry; Zgliczynski, Brian J; Brainard, Russell E; Rohwer, Forest

    2012-01-01

    The majority of the world's coral reefs are in various stages of decline. While a suite of disturbances (overfishing, eutrophication, and global climate change) have been identified, the mechanism(s) of reef system decline remain elusive. Increased microbial and viral loading with higher percentages of opportunistic and specific microbial pathogens have been identified as potentially unifying features of coral reefs in decline. Due to their relative size and high per cell activity, a small change in microbial biomass may signal a large reallocation of available energy in an ecosystem; that is the microbialization of the coral reef. Our hypothesis was that human activities alter the energy budget of the reef system, specifically by altering the allocation of metabolic energy between microbes and macrobes. To determine if this is occurring on a regional scale, we calculated the basal metabolic rates for the fish and microbial communities at 99 sites on twenty-nine coral islands throughout the Pacific Ocean using previously established scaling relationships. From these metabolic rate predictions, we derived a new metric for assessing and comparing reef health called the microbialization score. The microbialization score represents the percentage of the combined fish and microbial predicted metabolic rate that is microbial. Our results demonstrate a strong positive correlation between reef microbialization scores and human impact. In contrast, microbialization scores did not significantly correlate with ocean net primary production, local chla concentrations, or the combined metabolic rate of the fish and microbial communities. These findings support the hypothesis that human activities are shifting energy to the microbes, at the expense of the macrobes. Regardless of oceanographic context, the microbialization score is a powerful metric for assessing the level of human impact a reef system is experiencing.

  17. The Impact of Overreporting on MMPI-2-RF Substantive Scale Score Validity

    Science.gov (United States)

    Burchett, Danielle L.; Ben-Porath, Yossef S.

    2010-01-01

    This study examined the impact of overreporting on the validity of Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) substantive scale scores by comparing correlations with relevant external criteria (i.e., validity coefficients) of individuals who completed the instrument under instructions to (a) feign psychopathology…

  18. Experimental Assessment of a Helical Coil Heat Exchanger Operating at Subcritical and Supercritical Conditions in a Small-Scale Solar Organic Rankine Cycle

    Directory of Open Access Journals (Sweden)

    Marija Lazova

    2017-05-01

    Full Text Available In this study, the performance of a helical coil heat exchanger operating at subcritical and supercritical conditions is analysed. The counter-current heat exchanger was specially designed to operate at a maximal pressure and temperature of 42 bar and 200 °C, respectively. The small-scale solar organic Rankine cycle (ORC installation has a net power output of 3 kWe. The first tests were done in a laboratory where an electrical heater was used instead of the concentrated photovoltaic/thermal (CPV/T collectors. The inlet heating fluid temperature of the water was 95 °C. The effects of different parameters on the heat transfer rate in the heat exchanger were investigated. Particularly, the performance analysis was elaborated considering the changes of the mass flow rate of the working fluid (R-404A in the range of 0.20–0.33 kg/s and the inlet pressure varying from 18 bar up to 41 bar. Hence, the variation of the heat flux was in the range of 5–9 kW/m2. The results show that the working fluid’s mass flow rate has significant influence on the heat transfer rate rather than the operational pressure. Furthermore, from the comparison between the experimental results with the heat transfer correlations from the literature, the experimental results fall within the uncertainty range for the supercritical analysis but there is a deviation of the investigated subcritical correlations.

  19. Comparability of scores on the MMPI-2-RF scales generated with the MMPI-2 and MMPI-2-RF booklets.

    Science.gov (United States)

    Van der Heijden, P T; Egger, J I M; Derksen, J J L

    2010-05-01

    In most validity studies on the recently released 338-item MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) Restructured Form (MMPI-2-RF; Ben-Porath & Tellegen, 2008; Tellegen & Ben-Porath, 2008), scale scores were derived from the 567-item MMPI-2 booklet. In this study, we evaluated the comparability of the MMPI-2-RF scale scores derived from the original 567-item MMPI-2 booklet with MMPI-2-RF scale scores derived from the 338-item MMPI-2-RF booklet in a Dutch student sample (N = 107). We used a counterbalanced (ABBA) design. We compared results with those previously reported by Tellegen and Ben-Porath (2008). Our findings support the comparability of the scores of the 338-item version and the 567-item version of the 50 MMPI-2-RF scales. We discuss clinical implications and directions for further research.

  20. Prediction of Large Vessel Occlusions in Acute Stroke: National Institute of Health Stroke Scale Is Hard to Beat.

    Science.gov (United States)

    Vanacker, Peter; Heldner, Mirjam R; Amiguet, Michael; Faouzi, Mohamed; Cras, Patrick; Ntaios, George; Arnold, Marcel; Mattle, Heinrich P; Gralla, Jan; Fischer, Urs; Michel, Patrik

    2016-06-01

    Endovascular treatment for acute ischemic stroke with a large vessel occlusion was recently shown to be effective. We aimed to develop a score capable of predicting large vessel occlusion eligible for endovascular treatment in the early hospital management. Retrospective, cohort study. Two tertiary, Swiss stroke centers. Consecutive acute ischemic stroke patients (1,645 patients; Acute STroke Registry and Analysis of Lausanne registry), who had CT angiography within 6 and 12 hours of symptom onset, were categorized according to the occlusion site. Demographic and clinical information was used in logistic regression analysis to derive predictors of large vessel occlusion (defined as intracranial carotid, basilar, and M1 segment of middle cerebral artery occlusions). Based on logistic regression coefficients, an integer score was created and validated internally and externally (848 patients; Bernese Stroke Registry). None. Large vessel occlusions were present in 316 patients (21%) in the derivation and 566 (28%) in the external validation cohort. Five predictors added significantly to the score: National Institute of Health Stroke Scale at admission, hemineglect, female sex, atrial fibrillation, and no history of stroke and prestroke handicap (modified Rankin Scale score, < 2). Diagnostic accuracy in internal and external validation cohorts was excellent (area under the receiver operating characteristic curve, 0.84 both). The score performed slightly better than National Institute of Health Stroke Scale alone regarding prediction error (Wilcoxon signed rank test, p < 0.001) and regarding discriminatory power in derivation and pooled cohorts (area under the receiver operating characteristic curve, 0.81 vs 0.80; DeLong test, p = 0.02). Our score accurately predicts the presence of emergent large vessel occlusions, which are eligible for endovascular treatment. However, incorporation of additional demographic and historical information available on hospital arrival

  1. Combined Turbine and Cycle Optimization for Organic Rankine Cycle Power Systems—Part B: Application on a Case Study

    Directory of Open Access Journals (Sweden)

    Angelo La Seta

    2016-05-01

    Full Text Available Organic Rankine cycle (ORC power systems have recently emerged as promising solutions for waste heat recovery in low- and medium-size power plants. Their performance and economic feasibility strongly depend on the expander. The design process and efficiency estimation are particularly challenging due to the peculiar physical properties of the working fluid and the gas-dynamic phenomena occurring in the machine. Unlike steam Rankine and Brayton engines, organic Rankine cycle expanders combine small enthalpy drops with large expansion ratios. These features yield turbine designs with few highly-loaded stages in supersonic flow regimes. Part A of this two-part paper has presented the implementation and validation of the simulation tool TURAX, which provides the optimal preliminary design of single-stage axial-flow turbines. The authors have also presented a sensitivity analysis on the decision variables affecting the turbine design. Part B of this two-part paper presents the first application of a design method where the thermodynamic cycle optimization is combined with calculations of the maximum expander performance using the mean-line design tool described in part A. The high computational cost of the turbine optimization is tackled by building a model which gives the optimal preliminary design of an axial-flow turbine as a function of the cycle conditions. This allows for estimating the optimal expander performance for each operating condition of interest. The test case is the preliminary design of an organic Rankine cycle turbogenerator to increase the overall energy efficiency of an offshore platform. For an increase in expander pressure ratio from 10 to 35, the results indicate up to 10% point reduction in expander performance. This corresponds to a relative reduction in net power output of 8.3% compared to the case when the turbine efficiency is assumed to be 80%. This work also demonstrates that this approach can support the plant designer

  2. Étude de la faisabilité des cycles sous-critiques et supercritiques de Rankine pour la valorisation de rejets thermiques

    OpenAIRE

    Le , Van Long

    2014-01-01

    This thesis concerns the feasibility study of subcritical and supercritical organic Rankine cycles for industrial waste heat recovery at relatively low temperature. Initially, a state of the art of ORCs (Organic Rankine Cycles) and their working fluids has been achieved. We conducted a preliminary comparison of several configurations from the scientific literature. In a second step, methods of energy and exergy analysis were applied to evaluate and optimize the performance of the ORCs. Indeed...

  3. Étude de la faisabilité des cycles sous-critiques et supercritiques de Rankine pour la valorisation de rejets thermiques

    OpenAIRE

    Le , Van Long

    2014-01-01

    This thesis concerns the feasibility study of subcritical and supercritical organic Rankine cycles for industrial waste heat recovery at relatively low temperature.Initially, a state of the art of ORCs (Organic Rankine Cycles) and their working fluids has been achieved. We conducted a preliminary comparison of several configurations from the scientific literature.In a second step, methods of energy and exergy analysis were applied to evaluate and optimize the performance of the ORCs. Indeed, ...

  4. Waste Heat-to-Power Using Scroll Expander for Organic Rankine Bottoming Cycle

    Energy Technology Data Exchange (ETDEWEB)

    Dieckmann, John [TIAX LLC, Lexington, MA (United States); Smutzer, Chad [TIAX LLC, Lexington, MA (United States); Sinha, Jayanti [TIAX LLC, Lexington, MA (United States)

    2017-05-30

    The objective of this program was to develop a novel, scalable scroll expander for conversion of waste heat to power; this was accomplished and demonstrated in both a bench-scale system as well as a full-scale system. The expander is a key component in Organic Rankine Cycle (ORC) waste heat recovery systems which are used to convert medium-grade waste heat to electric power in a wide range of industries. These types of waste heat recovery systems allow for the capture of energy that would otherwise just be exhausted to the atmosphere. A scroll expander has the benefit over other technologies of having high efficiency over a broad range of operating conditions. The speed range of the TIAX expander (1,200 to 3,600 RPM) enables the shaft power output to directly drive an electric generator and produce 60 Hz electric power without incurring the equipment costs or losses of electronic power conversion. This greatly simplifies integration with the plant electric infrastructure. The TIAX scroll expander will reduce the size, cost, and complexity of a small-scale waste heat recovery system, while increasing the system efficiency compared to the prevailing ORC technologies at similar scale. During this project, TIAX demonstrated the scroll expander in a bench-scale test setup to have isentropic efficiency of 70-75% and operated it successfully for ~200 hours with minimal wear. This same expander was then installed in a complete ORC system driven by a medium grade waste heat source to generate 5-7 kW of electrical power. Due to funding constraints, TIAX was unable to complete this phase of testing, although the initial results were promising and demonstrated the potential of the technology.

  5. System and method for regulating EGR cooling using a rankine cycle

    Science.gov (United States)

    Ernst, Timothy C.; Morris, Dave

    2015-12-22

    This disclosure relates to a waste heat recovery (WHR) system and method for regulating exhaust gas recirculation (EGR) cooling, and more particularly, to a Rankine cycle WHR system and method, including a recuperator bypass arrangement to regulate EGR exhaust gas cooling for engine efficiency improvement and thermal management. This disclosure describes other unique bypass arrangements for increased flexibility in the ability to regulate EGR exhaust gas cooling.

  6. Improving the efficiency of heat supply systems on the basis of plants operating on organic Rankine cycle

    Science.gov (United States)

    Solomin, I. N.; Daminov, A. Z.; Sadykov, R. A.

    2017-11-01

    Results of experimental and analytical studies of the plant main element - plant turbomachine (turbo-expander) operating on organic Rankine cycle were obtained for facilities of the heat supply systems of small-scale power generation. At simultaneous mathematical modeling and experimental studies it was found that the best working medium to be used in the turbomachines of these plants is Freon R245fa which has the most suitable calorimetric properties to be used in the cycle. The mathematical model of gas flow in the turbomachine was developed. The main engineering dependencies to calculate the optimal design parameters of the turbomachine were obtained. The engineering problems of providing the minimum axial size of the turbomachine impeller were solved and the main design elements were unified.

  7. Using Score Equating and Measurement Invariance to Examine the Flynn Effect in the Wechsler Adult Intelligence Scale.

    Science.gov (United States)

    Benson, Nicholas; Beaujean, A Alexander; Taub, Gordon E

    2015-01-01

    The Flynn effect (FE; i.e., increase in mean IQ scores over time) is commonly viewed as reflecting population shifts in intelligence, despite the fact that most FE studies have not investigated the assumption of score comparability. Consequently, the extent to which these mean differences in IQ scores reflect population shifts in cognitive abilities versus changes in the instruments used to measure these abilities is unclear. In this study, we used modern psychometric tools to examine the FE. First, we equated raw scores for each common subtest to be on the same scale across instruments. This enabled the combination of scores from all three instruments into one of 13 age groups before converting raw scores into Z scores. Second, using age-based standardized scores for standardization samples, we examined measurement invariance across the second (revised), third, and fourth editions of the Wechsler Adult Intelligence Scale. Results indicate that while scores were equivalent across the third and fourth editions, they were not equivalent across the second and third editions. Results suggest that there is some evidence for an increase in intelligence, but also call into question many published FE findings as presuming the instruments' scores are invariant when this assumption is not warranted.

  8. Experimental demonstrations of organic Rankine cycle waste heat rejection systems

    Science.gov (United States)

    Bland, Timothy J.; Lacey, P. Douglas

    Two phase fluid management is an important factor in the successful design of organic Rankine cycle (ORC) power conversion systems for space applications. The evolution of the heat rejection system approach from a jet condenser, through a rotary jet condenser, to a rotary fluid management device (RFMD) with a surface condenser has been described in a previous paper. Some of the test programs that were used to prove the validity of the selected approach are described.

  9. Integrated biomass pyrolysis with organic Rankine cycle for power generation

    Science.gov (United States)

    Nur, T. B.; Syahputra, A. W.

    2018-02-01

    The growing interest on Organic Rankine Cycle (ORC) application to produce electricity by utilizing biomass energy sources are increasingly due to its successfully used to generate power from waste heat available in industrial processes. Biomass pyrolysis is one of the thermochemical technologies for converting biomass into energy and chemical products consisting of liquid bio-oil, solid biochar, and pyrolytic gas. In the application, biomass pyrolysis can be divided into three main categories; slow, fast and flash pyrolysis mainly aiming at maximizing the products of bio-oil or biochar. The temperature of synthesis gas generated during processes can be used for Organic Rankine Cycle to generate power. The heat from synthesis gas during pyrolysis processes was transfer by thermal oil heater to evaporate ORC working fluid in the evaporator unit. In this study, the potential of the palm oil empty fruit bunch, palm oil shell, and tree bark have been used as fuel from biomass to generate electricity by integrated with ORC. The Syltherm-XLT thermal oil was used as the heat carrier from combustion burner, while R245fa was used as the working fluid for ORC system. Through Aspen Plus, this study analyses the influences on performance of main thermodynamic parameters, showing the possibilities of reaching an optimum performance for different working conditions that are characteristics of different design parameters.

  10. Exploring Shared Measurement Properties and Score Comparability between Two Versions of the "Supports Intensity Scale"

    Science.gov (United States)

    Seo, Hyojeong; Shogren, Karrie A.; Wehmeyer, Michael L.; Hughes, Carolyn; Thompson, James R.; Little, Todd D.; Palmer, Susan B.

    2016-01-01

    This study examined similarities and differences in measurement properties and score comparability of the "Supports Intensity Scale-Adult Version" (16-64 years) and the "Supports Intensity Scale-Children's Version" (5-16 years). Data were collected from 142 adolescents with intellectual disability with both versions of the…

  11. Modified Ashworth scale and spasm frequency score in spinal cord injury

    DEFF Research Database (Denmark)

    Baunsgaard, C. B.; Nissen, U. V.; Christensen, K. B.

    2016-01-01

    .94 and inter-rater κweighted=0.93. Correlation between MAS and SFS showed non-significant correlation coefficients from-0.11 to 0.90. CONCLUSION: Reliability of MAS is highly affected by the weighting scheme. With a weighted-κ it was overall reliable and simple-κ overall unreliability. Repeated tests should......STUDY DESIGN: Intra- and inter-rater reliability study. OBJECTIVES: To assess intra- and inter-rater reliability of the Modified Ashworth Scale (MAS) and Spasm Frequency Score (SFS) in lower extremities in a population of spinal cord-injured persons, as well as correlations between the two scales....... SETTING: Clinic for Spinal Cord Injuries, Rigshospitalet, Hornbaek, Denmark. METHODS: Thirty-one persons participated in the study and were tested four times in total with MAS and SFS by three experienced raters. Cohen's kappa (κ), simple and quadratic weighted (nominal and ordinal scale level...

  12. Studi Variasi Flowrate Refrigerant pada Sistem Organic Rankine Cycle dengan Fluida Kerja R-123

    Directory of Open Access Journals (Sweden)

    Aria Halim Pamungkas

    2013-09-01

    Full Text Available Saat ini kelangkaan sumber energi fosil telah menjadi isu utama di seluruh dunia. Hal tersebut memberikan dampak yang signifikan di setiap aspek kehidupan dan salah satunya adalah di bidang pembangkit listrik. Salah satu sistem pembangkit listrik yang tidak menggunakan energi fosil adalah Organic rankine cycle (ORC. Pada penelitian ini dilakukan dengan metode eksperimental pada suatu sistem Organic rankine cycle yang telah dibangun. Penelitian ini yang divariasikan adalah flowrate dari fluida kerja dalam hal ini R-123. Variasi flowrate yang digunakan yaitu 3-1 GPM (Galon per menit dengan penurunan 0,5 GPM setiap pengambilan data. Hasil yang didapatkan dari penelitian ini berupa grafik–grafik daya pada turbin, kondensor, pompa dan evaporator, efisiensi siklus dan back work ratio  fungsi flowrate fluida kerja. Efisiensi siklus tertinggi adalah 5,86% yang terjadi pada flowrate 3 GPM dan efisiensi siklus terendah adalah 4,32% yang terjadi pada flowrate 1 GPM.

  13. Performance analysis of double organic Rankine cycle for discontinuous low temperature waste heat recovery

    International Nuclear Information System (INIS)

    Wang Dongxiang; Ling Xiang; Peng Hao

    2012-01-01

    This research proposes a double organic Rankine cycle for discontinuous waste heat recovery. The optimal operation conditions of several working fluids have been calculated by a procedure employing MATLAB and REFPROP. The influence of outlet temperature of heat source on the net power output, thermal efficiency, power consumption, mass flow rate, expander outlet temperature, cycle irreversibility and exergy efficiency at a given pinch point temperature difference (PPTD) has been analyzed. Pinch point analysis has also been employed to obtain a thermodynamic understanding of the ORC performance. Of all the working fluids investigated, some performances between each working fluid are rather similar. For a fixed low temperature heat source, the optimal operation condition should be mainly determined by the heat carrier of the heat source, and working fluids have limited influence. Lower outlet temperature of heat source does not always mean more efficient energy use. Acetone exhibits the least exergy destruction, while R245fa possesses the maximal exergy efficiency at a fixed PPTD. Wet fluids exhibit lower thermal efficiency than the others with the increasing of PPTD at a fixed outlet temperature of heat source. Dry and isentropic fluids offer attractive performance. - Highlights: ► We propose a double organic Rankine cycle for discontinuous waste heat recovery. ► Performance of organic Rankine cycle (ORC) is analyzed by pinch point analysis. ► The heat carrier of the heat source determines ORC optimal operation condition. ► Design of ORC heat exchangers prefers lower pinch point temperature difference.

  14. Relationship between admission serum C-reactive protein and short ...

    African Journals Online (AJOL)

    Outcome measures were 30 day Glasgow outcome scale score and functional impairment on the modified Rankin Scale (mRS). An age- and gender-matched healthy control group had serum CRP determined at inclusion. Elevated CRP was defined as any level above the cutoff (mean +2 x standard deviation of CRP level ...

  15. Off-design performance analysis of a solar-powered organic Rankine cycle

    International Nuclear Information System (INIS)

    Wang, Jiangfeng; Yan, Zhequan; Zhao, Pan; Dai, Yiping

    2014-01-01

    Highlights: • Solar-powered organic Rankine cycle with CPC and thermal storage unit is studied. • Off-design performances encountering the changes of key parameters are examined. • Off-design performance is analyzed over a whole day and in different months. - Abstract: Performance evaluation of a thermodynamic system under off-design conditions is very important for reliable and cost-effective operation. In this study, an off-design model of an organic Rankine cycle driven by solar energy is established with compound parabolic collector (CPC) to collect the solar radiation and thermal storage unit to achieve the continuous operation of the overall system. The system off-design behavior is examined under the change in environment temperature, as well as thermal oil mass flow rates of vapor generator and CPC. In addition, the off-design performance of the system is analyzed over a whole day and in different months. The results indicate that a decrease in environment temperature, or the increases in thermal oil mass flow rates of vapor generator and CPC could improve the off-design performance. The system obtains the maximum average exergy efficiency in December and the maximum net power output in June or in September. Both the net power output and the average exergy efficiency reach minimum values in August

  16. Optimal integration of organic Rankine cycles with industrial processes

    International Nuclear Information System (INIS)

    Hipólito-Valencia, Brígido J.; Rubio-Castro, Eusiel; Ponce-Ortega, José M.; Serna-González, Medardo; Nápoles-Rivera, Fabricio; El-Halwagi, Mahmoud M.

    2013-01-01

    Highlights: • An optimization approach for heat integration is proposed. • A new general superstructure for heat integration is proposed. • Heat process streams are simultaneously integrated with an organic Rankine cycle. • Better results can be obtained respect to other previously reported methodologies. - Abstract: This paper presents a procedure for simultaneously handling the problem of optimal integration of regenerative organic Rankine cycles (ORCs) with overall processes. ORCs may allow the recovery of an important fraction of the low-temperature process excess heat (i.e., waste heat from industrial processes) in the form of mechanical energy. An integrated stagewise superstructure is proposed for representing the interconnections and interactions between the HEN and ORC for fixed data of process streams. Based on the integrated superstructure, the optimization problem is formulated as a mixed integer nonlinear programming problem to simultaneously account for the capital and operating costs including the revenue from the sale of the shaft power produced by the integrated system. The application of this method is illustrated with three example problems. Results show that the proposed procedure provides significantly better results than an earlier developed method for discovering optimal integrated systems using a sequential approach, due to the fact that it accounts simultaneously for the tradeoffs between the capital and operating costs as well as the sale of the produced energy. Also, the proposed method is an improvement over the previously reported methods for solving the synthesis problem of heat exchanger networks without the option of integration with an ORC (i.e., stand-alone heat exchanger networks)

  17. Construct Validity and Reliability Measures of Scores from the Science Teachers' Pedagogical Discontentment (STPD) Scale

    Science.gov (United States)

    Kahveci, Murat; Kahveci, Ajda; Mansour, Nasser; Mohammed, Maher

    2016-01-01

    The Science Teachers' Pedagogical Discontentment (STPD) scale has formerly been developed in the United States and used since 2006. Based on the perceptions of selected teachers, the scale is deeply rooted in the cultural and national standards. Given these limitations, the measurement integrity of its scores has not yet been conclusively…

  18. Genetic parameter estimates among scale activity score and farrowing disposition with reproductive traits in swine.

    Science.gov (United States)

    Schneider, J F; Rempel, L A; Rohrer, G A; Brown-Brandl, T M

    2011-11-01

    The primary objective of this study was to determine if certain behavior traits were genetically correlated with reproduction. If 1 or both of the behavior traits were found to be correlated, a secondary objective was to determine if the behavior traits could be useful in selecting for more productive females. A scale activity score taken at 5 mo of age and a farrowing disposition score taken at farrowing were selected as the behavioral traits. Scale activity score ranged from 1 to 5 and farrowing disposition ranged from 1 to 3. Reproductive traits included age at puberty, number born alive, number born dead, litter birth weight, average piglet birth weight, number weaned, litter weaning weight, average weaning weight, wean-to-estrus interval, ovulation rate including gilts, and postweaning ovulation rate. Genetic correlations between scale activity score and reproduction ranged from -0.79 to 0.61. Three of the correlations, number born alive (P < 0.01), average piglet birth weight (P < 0.001), and wean-to-estrus interval (P = 0.014), were statistically significant but included both favorable and antagonistic correlations. In contrast, all but 1 of the farrowing disposition correlations was favorable and ranged from -0.66 to 0.67. Although only the correlation with litter birth weight was significant (P = 0.018), the consistent favorable direction of all farrowing disposition correlations, except average weaning weight, shows a potential for inclusion of farrowing disposition into a selection program.

  19. Analysis and assessment of a new organic Rankine based heat engine system with/without cogeneration

    International Nuclear Information System (INIS)

    Hogerwaard, Janette; Dincer, Ibrahim; Zamfirescu, Calin

    2013-01-01

    A low-temperature heat driven heat engine is proposed as a cost-effective system for power and heat production for small scale applications. The external heat source allows flexibility in the design; the system may be coupled with various available renewable sources including biomass/biofuel/biogas combustion, geothermal heat, concentrated solar radiation, and industrial waste heat, by selecting appropriate off-the-shelf components from the HVAC (heating, ventilation, and air conditioning), refrigeration, and automotive industries for use in an ORC (organic Rankine cycle). A theoretical analysis and an experimental study are carried out for an ORC with R134a as the working fluid, utilizing a low-temperature heat source (T source < 150 °C), with focus on the expansion and boiling processes. The complete ORC model is comprised of models for the expander, working fluid pump, boiler, and condenser. Thermodynamic and heat transfer models are developed to calculate the local and averaged heat transfer coefficient of the working fluid throughout the boiling process, based on the geometry of the selected heat exchanger. Data collected for the experimental ORC test bench are used to validate the expander and boiler models. A case study is performed for the proposed ORC, for cogeneration of power and heat in a residential application. The results of the case study analysis for the proposed ORC system indicate a cycle efficiency of 0.05, exergy efficiency of 0.17, and energy and exergy cogeneration efficiency of 0.87, and 0.35, respectively. - Highlights: • Development and investigation of a scroll based Rankine heat engine operating with R134a. • Thermodynamic analyses of the system and its components. • Heat transfer analyses of boiler and condenser. • Dynamic analysis of expander. • Model validation through performed experiments on an ORC test bench

  20. Comparison of the Full Outline of UnResponsiveness score and the Glasgow Coma Scale in predicting mortality in critically ill patients*.

    Science.gov (United States)

    Wijdicks, Eelco F M; Kramer, Andrew A; Rohs, Thomas; Hanna, Susan; Sadaka, Farid; O'Brien, Jacklyn; Bible, Shonna; Dickess, Stacy M; Foss, Michelle

    2015-02-01

    Impaired consciousness has been incorporated in prediction models that are used in the ICU. The Glasgow Coma Scale has value but is incomplete and cannot be assessed in intubated patients accurately. The Full Outline of UnResponsiveness score may be a better predictor of mortality in critically ill patients. Thirteen ICUs at five U.S. hospitals. One thousand six hundred ninety-five consecutive unselected ICU admissions during a six-month period in 2012. Glasgow Coma Scale and Full Outline of UnResponsiveness score were recorded within 1 hour of admission. Baseline characteristics and physiologic components of the Acute Physiology and Chronic Health Evaluation system, as well as mortality were linked to Glasgow Coma Scale/Full Outline of UnResponsiveness score information. None. We recruited 1,695 critically ill patients, of which 1,645 with complete data could be linked to data in the Acute Physiology and Chronic Health Evaluation system. The area under the receiver operating characteristic curve of predicting ICU mortality using the Glasgow Coma Scale was 0.715 (95% CI, 0.663-0.768) and using the Full Outline of UnResponsiveness score was 0.742 (95% CI, 0.694-0.790), statistically different (p = 0.001). A similar but nonsignificant difference was found for predicting hospital mortality (p = 0.078). The respiratory and brainstem reflex components of the Full Outline of UnResponsiveness score showed a much wider range of mortality than the verbal component of Glasgow Coma Scale. In multivariable models, the Full Outline of UnResponsiveness score was more useful than the Glasgow Coma Scale for predicting mortality. The Full Outline of UnResponsiveness score might be a better prognostic tool of ICU mortality than the Glasgow Coma Scale in critically ill patients, most likely a result of incorporating brainstem reflexes and respiration into the Full Outline of UnResponsiveness score.

  1. Preliminary thermodynamic study for an efficient turbo-blower external combustion Rankine cycle

    Science.gov (United States)

    Romero Gómez, Manuel; Romero Gómez, Javier; Ferreiro Garcia, Ramón; Baaliña Insua, Álvaro

    2014-08-01

    This research paper presents a preliminary thermodynamic study of an innovative power plant operating under a Rankine cycle fed by an external combustion system with turbo-blower (TB). The power plant comprises an external combustion system for natural gas, where the combustion gases yield their thermal energy, through a heat exchanger, to a carbon dioxide Rankine cycle operating under supercritical conditions and with quasi-critical condensation. The TB exploits the energy from the pressurised exhaust gases for compressing the combustion air. The study is focused on the comparison of the combustion system's conventional technology with that of the proposed. An energy analysis is carried out and the effect of the flue gas pressure on the efficiency and on the heat transfer in the heat exchanger is studied. The coupling of the TB results in an increase in efficiency and of the convection coefficient of the flue gas with pressure, favouring a reduced volume of the heat exchanger. The proposed innovative system achieves increases in efficiency of around 12 % as well as a decrease in the heat exchanger volume of 3/5 compared with the conventional technology without TB.

  2. Dual-objective optimization of organic Rankine cycle (ORC) systems using genetic algorithm: a comparison between basic and recuperative cycles

    Science.gov (United States)

    Hayat, Nasir; Ameen, Muhammad Tahir; Tariq, Muhammad Kashif; Shah, Syed Nadeem Abbas; Naveed, Ahmad

    2017-08-01

    Exploitation of low potential waste thermal energy for useful net power output can be done by manipulating organic Rankine cycle systems. In the current article dual-objectives (η_{th} and SIC) optimization of ORC systems [basic organic Rankine cycle (BORC) and recuperative organic Rankine cycle (RORC)] has been done using non-dominated sorting genetic algorithm (II). Seven organic compounds (R-123, R-1234ze, R-152a, R-21, R-236ea, R-245ca and R-601) have been employed in basic cycle and four dry compounds (R-123, R-236ea, R-245ca and R-601) have been employed in recuperative cycle to investigate the behaviour of two systems and compare their performance. Sensitivity analyses show that recuperation boosts the thermodynamic behaviour of systems but it also raises specific investment cost significantly. R-21, R-245ca and R-601 show attractive performance in BORC whereas R-601 and R-236ea in RORC. RORC, due to higher total investment cost and operation & maintenance costs, has longer payback periods as compared to BORC.

  3. External validation of the DRAGON score in an elderly Spanish population: prediction of stroke prognosis after IV thrombolysis.

    Science.gov (United States)

    Giralt-Steinhauer, Eva; Rodríguez-Campello, Ana; Cuadrado-Godia, Elisa; Ois, Ángel; Jiménez-Conde, Jordi; Soriano-Tárraga, Carolina; Roquer, Jaume

    2013-01-01

    Intravenous (i.v.) thrombolysis within 4.5 h of symptom onset has proven efficacy in acute ischemic stroke treatment, although half of all outcomes are unfavorable. The recently published DRAGON score aims to predict the 3-month outcome in stroke patients who have received i.v. alteplase. The purpose of this study was an external validation of the results of the DRAGON score in a Spanish cohort. Patients with acute stroke treated with alteplase were prospectively registered in our BasicMar database. We collected demographic characteristics, vascular risk factors, the time from stroke onset to treatment, baseline serum glucose levels and stroke severity for this population. We then reviewed hyperdense cerebral artery signs and signs of early infarct on the admission CT scan. We calculated the DRAGON score and used the developers' 3-month prognosis categories: good [modified Rankin Scale score (mRS) 0-2], poor (mRS 3-6) and miserable (mRS 5-6) outcome. Discrimination was tested using the area under the receiver operator curve (AUC-ROC). Calibration was assessed by the Hosmer-Lemeshow test. Our final cohort of 297 patients was older (median age 74 years, IQR 65-80) and had more risk factors and severe strokes [median National Institutes of Health Stroke Scale (NIHSS) points 13, IQR 7-19] than the original study population. Poor prognosis was observed in 143 (48.1%) patients. Higher DRAGON scores were associated with a higher risk of poor prognosis. None of our treated stroke patients with a DRAGON score ≥8 at admission experienced a favorable outcome after 3 months. All DRAGON variables were significantly associated with a worse outcome in the multivariate analysis except for onset-to-treatment time (p = 0.334). Discrimination to predict poor prognosis was very good (AUC-ROC 0.84) and the score had good Hosmer-Lemeshow calibration (p = 0.84). The DRAGON score is easy to perform and offers a rapid, reliable prediction of poor prognosis in acute-stroke patients

  4. Hematoma Shape, Hematoma Size, Glasgow Coma Scale Score and ICH Score: Which Predicts the 30-Day Mortality Better for Intracerebral Hematoma?

    Science.gov (United States)

    Wang, Chih-Wei; Liu, Yi-Jui; Lee, Yi-Hsiung; Hueng, Dueng-Yuan; Fan, Hueng-Chuen; Yang, Fu-Chi; Hsueh, Chun-Jen; Kao, Hung-Wen; Juan, Chun-Jung; Hsu, Hsian-He

    2014-01-01

    Purpose To investigate the performance of hematoma shape, hematoma size, Glasgow coma scale (GCS) score, and intracerebral hematoma (ICH) score in predicting the 30-day mortality for ICH patients. To examine the influence of the estimation error of hematoma size on the prediction of 30-day mortality. Materials and Methods This retrospective study, approved by a local institutional review board with written informed consent waived, recruited 106 patients diagnosed as ICH by non-enhanced computed tomography study. The hemorrhagic shape, hematoma size measured by computer-assisted volumetric analysis (CAVA) and estimated by ABC/2 formula, ICH score and GCS score was examined. The predicting performance of 30-day mortality of the aforementioned variables was evaluated. Statistical analysis was performed using Kolmogorov-Smirnov tests, paired t test, nonparametric test, linear regression analysis, and binary logistic regression. The receiver operating characteristics curves were plotted and areas under curve (AUC) were calculated for 30-day mortality. A P value less than 0.05 was considered as statistically significant. Results The overall 30-day mortality rate was 15.1% of ICH patients. The hematoma shape, hematoma size, ICH score, and GCS score all significantly predict the 30-day mortality for ICH patients, with an AUC of 0.692 (P = 0.0018), 0.715 (P = 0.0008) (by ABC/2) to 0.738 (P = 0.0002) (by CAVA), 0.877 (Phematoma shape, hematoma size, ICH scores and GCS score all significantly predict the 30-day mortality in an increasing order of AUC. The effect of overestimation of hematoma size by ABC/2 formula in predicting the 30-day mortality could be remedied by using ICH score. PMID:25029592

  5. Study of toluene stability for an Organic Rankine Cycle (ORC) space-based power system

    Science.gov (United States)

    Havens, Vance; Ragaller, Dana

    1988-01-01

    The design, fabrication, assembly, and endurance operation of a dynamic test loop, built to evaluate the thermal stability of a proposed Organic Rankine Cycle (ORC) working fluid, is discussed. The test fluid, toluene, was circulated through a heater, simulated turbine, regenerator, condenser and pump to duplicate an actual ORC system. The maximum nominal fluid temperature, 750 F, was at the turbine simulator inlet. Samples of noncondensible gases and liquid toluene were taken periodically during the test. The samples were analyzed to identify the degradation products formed and the quantity of these products. From these data it was possible to determine the degradation rate of the working fluid and the generation rate of noncondensible gases. A further goal of this work was to relate the degradation observed in the dynamic operating loop to degradation obtained in isothermal capsule tests. This relationship was the basis for estimating the power loop degradation in the Space Station Organic Rankine Cycle system.

  6. Review of organic Rankine cycles for internal combustion engine exhaust waste heat recovery

    International Nuclear Information System (INIS)

    Sprouse, Charles; Depcik, Christopher

    2013-01-01

    Escalating fuel prices and future carbon dioxide emission limits are creating a renewed interest in methods to increase the thermal efficiency of engines beyond the limit of in-cylinder techniques. One promising mechanism that accomplishes both objectives is the conversion of engine waste heat to a more useful form of energy, either mechanical or electrical. This paper reviews the history of internal combustion engine exhaust waste heat recovery focusing on Organic Rankine Cycles since this thermodynamic cycle works well with the medium-grade energy of the exhaust. Selection of the cycle expander and working fluid are the primary focus of the review, since they are regarded as having the largest impact on system performance. Results demonstrate a potential fuel economy improvement around 10% with modern refrigerants and advancements in expander technology. -- Highlights: ► This review article focuses on engine exhaust waste heat recovery works. ► The organic Rankine cycle is superior for low to medium exergy heat sources. ► Working fluid and expander selection strongly influence efficiency. ► Several authors demonstrate viable systems for vehicle installation

  7. Prevalence of Fabry Disease and Outcomes in Young Canadian Patients With Cryptogenic Ischemic Cerebrovascular Events.

    Science.gov (United States)

    Lanthier, Sylvain; Saposnik, Gustavo; Lebovic, Gerald; Pope, Karen; Selchen, Daniel; Moore, David F

    2017-07-01

    Previous studies reported Fabry disease in 0% to 4% of young patients with cryptogenic ischemic stroke (IS). We sought to determine the prevalence of Fabry and outcomes among young Canadians with cryptogenic IS or transient ischemic attack (TIA). We prospectively enrolled individuals aged 18 to 55 with IS or speech or motor TIA, and no cause identified despite predetermined investigation. α-galactosidase-A gene was sequenced for Fabry diagnosis. National Institutes of Health Stroke Scale score was measured at presentation to quantify stroke severity. Modified Rankin Scale determined functional outcomes ≤7 days after presentation and 6 months later. We enrolled 365 patients with IS and 32 with TIA. α-galactosidase-A sequencing identified a single carrier of a genetic variant of unknown significance (p.R118C) and no well-recognized pathogenic variants. Mean National Institutes of Health Stroke Scale score was 3.1. Proportion of patients with modified Rankin Scale of 0 to 2 was 70.7% at ≤7 days and 87.4% at 6 months. National Institutes of Health Stroke Scale score at presentation and diabetes mellitus predicted 6-month modified Rankin Scale. Thirteen patients experienced 5 recurrent IS and 9 TIA during follow-up. No patient died. Most patients (98.7%) returned home. Among previous workers, 43% had residual working limitations. In this Canadian cohort of patients with cryptogenic IS or TIA, the prevalence of Fabry was 0.3% if p.R118C variant is considered as pathogenic. This suggests that more cost-effective methods should be applied for diagnosis of Fabry rather than systematic genetic screening in this population. Overall, cryptogenic IS in young adults is associated with favorable outcomes. © 2017 American Heart Association, Inc.

  8. Relationship between admission serum C-reactive protein and short ...

    African Journals Online (AJOL)

    2012-09-17

    Sep 17, 2012 ... were 30 day Glasgow outcome scale score and functional impairment on the modified Rankin Scale (mRS). An age- and gender-matched healthy control group had serum CRP determined at inclusion. Elevated CRP was defined as any level above the cutoff (mean +2 x standard deviation of CRP level of ...

  9. Does Wechsler Intelligence Scale administration and scoring proficiency improve during assessment training?

    Science.gov (United States)

    Platt, Tyson L; Zachar, Peter; Ray, Glen E; Lobello, Steven G; Underhill, Andrea T

    2007-04-01

    Studies have found that Wechsler scale administration and scoring proficiency is not easily attained during graduate training. These findings may be related to methodological issues. Using a single-group repeated measures design, this study documents statistically significant, though modest, error reduction on the WAIS-III and WISC-III during a graduate course in assessment. The study design does not permit the isolation of training factors related to error reduction, or assessment of whether error reduction is a function of mere practice. However, the results do indicate that previous study findings of no or inconsistent improvement in scoring proficiency may have been the result of methodological factors. Implications for teaching individual intelligence testing and further research are discussed.

  10. Method for customizing an organic Rankine cycle to a complex heat source for efficient energy conversion, demonstrated on a Fischer Tropsch plant

    International Nuclear Information System (INIS)

    DiGenova, Kevin J.; Botros, Barbara B.; Brisson, J.G.

    2013-01-01

    Highlights: ► Methods for customizing organic Rankine cycles are proposed. ► A set of cycle modifications help to target available heat sources. ► Heat sources with complex temperature–enthalpy profiles can be matched. ► Significant efficiency improvements can be achieved over basic ORC’s. -- Abstract: Organic Rankine cycles (ORCs) provide an alternative to traditional steam Rankine cycles for the conversion of low grade heat sources into power, where conventional steam power cycles are known to be inefficient. A large processing plant often has multiple low temperature waste heat streams available for conversion to electricity by a low temperature cycle, resulting in a composite heat source with a complex temperature–enthalpy profile. This work presents a set of ORC design concepts: reheat stages, multiple pressure levels, and balanced recuperators; and demonstrates the use of these design concepts as building blocks to create a customized cycle that matches an available heat source. Organic fluids are modeled using a pure substance database. The pinch analysis technique of forming composite curves is applied to analyze the effect of each building block on the temperature–enthalpy profile of the ORC heat requirement. The customized cycle is demonstrated on a heat source derived from a Fischer Tropsch reactor and its associated processes. Analysis shows a steam Rankine cycle can achieve a 20.6% conversion efficiency for this heat source, whereas a simple organic Rankine cycle using hexane as the working fluid can achieve a 20.9% conversion efficiency. If the ORC building blocks are combined into a cycle targeted to match the temperature–enthalpy profile of the heat source, this customized ORC can achieve 28.5% conversion efficiency.

  11. Analysis of vehicle exhaust waste heat recovery potential using a Rankine cycle

    International Nuclear Information System (INIS)

    Domingues, António; Santos, Helder; Costa, Mário

    2013-01-01

    This study evaluates the vehicle exhaust WHR (waste heat recovery) potential using a RC (Rankine cycle ). To this end, both a RC thermodynamic model and a heat exchanger model have been developed. Both models use as input, experimental data obtained from a vehicle tested on a chassis dynamometer. The thermodynamic analysis was performed for water, R123 and R245fa and revealed the advantage of using water as the working fluid in applications of thermal recovery from exhaust gases of vehicles equipped with a spark-ignition engine. Moreover, the heat exchanger effectiveness for the organic working fluids R123 and R245fa is higher than that for the water and, consequently, they can also be considered appropriate for use in vehicle WHR applications through RCs when the exhaust gas temperatures are relatively low. For an ideal heat exchanger, the simulations revealed increases in the internal combustion engine thermal and vehicle mechanical efficiencies of 1.4%–3.52% and 10.16%–15.95%, respectively, while for a shell and tube heat exchanger, the simulations showed an increase of 0.85%–1.2% in the thermal efficiency and an increase of 2.64%–6.96% in the mechanical efficiency for an evaporating pressure of 2 MPa. The results confirm the advantages of using the thermal energy contained in the vehicle exhaust gases through RCs. Furthermore, the present analysis demonstrates that improved evaporator designs and appropriate expander devices allowing for higher evaporating pressures are required to obtain the maximum WHR potential from vehicle RC systems. -- Highlights: ► This study evaluates the vehicle exhaust waste heat recovery potential using Rankine cycle systems. ► A thermodynamic model and a heat exchanger model were developed. ► Experimental data obtained in a vehicle tested on a chassis dynamometer was used as models input. ► Thermodynamic analysis was performed for water, R123 and R245fa. ► Results confirm advantages of using the thermal energy

  12. Comparing the MMPI-2 Scale Scores of Parents Involved in Parental Competency and Child Custody Assessments

    Science.gov (United States)

    Resendes, John; Lecci, Len

    2012-01-01

    MMPI-2 scores from a parent competency sample (N = 136 parents) are compared with a previously published data set of MMPI-2 scores for child custody litigants (N = 508 parents; Bathurst et al., 1997). Independent samples t tests yielded significant and in some cases substantial differences on the standard MMPI-2 clinical scales (especially Scales…

  13. Bottoming organic Rankine cycle for a small scale gas turbine: A comparison of different solutions

    International Nuclear Information System (INIS)

    Clemente, Stefano; Micheli, Diego; Reini, Mauro; Taccani, Rodolfo

    2013-01-01

    Highlights: ► The ORC bottoming section for a commercial micro gas turbine has been studied. ► Six different organic working fluids have been considered and compared. ► The preliminary designs of both axial and radial turbines have been developed. ► Also scroll and reciprocating expanders have been analyzed for comparison. ► The best suited machine has to be selected after a detailed analysis in each case. - Abstract: Recently, several efforts have been devoted to the improvement of the thermal efficiency of small gas turbines, in order to approach the typical values of the internal combustion engines in the same range of power. One possibility is represented by a combined cycle, obtained coupling the gas turbine to a bottoming organic Rankine cycle (ORC). This paper deals with the definition of the main features of an ORC system aimed to recover heat from a 100 kWe commercial gas turbine with internal recuperator. After the optimization of the thermodynamic cycles, involving a comparison between six working fluids, different expanders are analyzed, with the aim of detecting, if possible, the best suited machine. First, single stage turbines, in both radial and axial flow configuration, are designed specifically for each considered fluid, in particular investigating the opportunity of mounting the ORC expander directly on the high-speed shaft of the gas turbine. Then, the performances of these dynamic machines are compared with those of positive displacement expanders, such as scroll devices, obtainable from commercial HVAC compressor with minor revisions, and reciprocating ones, here newly designed

  14. Hematoma shape, hematoma size, Glasgow coma scale score and ICH score: which predicts the 30-day mortality better for intracerebral hematoma?

    Directory of Open Access Journals (Sweden)

    Chih-Wei Wang

    Full Text Available To investigate the performance of hematoma shape, hematoma size, Glasgow coma scale (GCS score, and intracerebral hematoma (ICH score in predicting the 30-day mortality for ICH patients. To examine the influence of the estimation error of hematoma size on the prediction of 30-day mortality.This retrospective study, approved by a local institutional review board with written informed consent waived, recruited 106 patients diagnosed as ICH by non-enhanced computed tomography study. The hemorrhagic shape, hematoma size measured by computer-assisted volumetric analysis (CAVA and estimated by ABC/2 formula, ICH score and GCS score was examined. The predicting performance of 30-day mortality of the aforementioned variables was evaluated. Statistical analysis was performed using Kolmogorov-Smirnov tests, paired t test, nonparametric test, linear regression analysis, and binary logistic regression. The receiver operating characteristics curves were plotted and areas under curve (AUC were calculated for 30-day mortality. A P value less than 0.05 was considered as statistically significant.The overall 30-day mortality rate was 15.1% of ICH patients. The hematoma shape, hematoma size, ICH score, and GCS score all significantly predict the 30-day mortality for ICH patients, with an AUC of 0.692 (P = 0.0018, 0.715 (P = 0.0008 (by ABC/2 to 0.738 (P = 0.0002 (by CAVA, 0.877 (P<0.0001 (by ABC/2 to 0.882 (P<0.0001 (by CAVA, and 0.912 (P<0.0001, respectively.Our study shows that hematoma shape, hematoma size, ICH scores and GCS score all significantly predict the 30-day mortality in an increasing order of AUC. The effect of overestimation of hematoma size by ABC/2 formula in predicting the 30-day mortality could be remedied by using ICH score.

  15. Conditional standard errors of measurement for composite scores on the Wechsler Preschool and Primary Scale of Intelligence-Third Edition.

    Science.gov (United States)

    Price, Larry R; Raju, Nambury; Lurie, Anna; Wilkins, Charles; Zhu, Jianjun

    2006-02-01

    A specific recommendation of the 1999 Standards for Educational and Psychological Testing by the American Educational Research Association, the American Psychological Association, and the National Council on Measurement in Education is that test publishers report estimates of the conditional standard error of measurement (SEM). Procedures for calculating the conditional (score-level) SEM based on raw scores are well documented; however, few procedures have been developed for estimating the conditional SEM of subtest or composite scale scores resulting from a nonlinear transformation. Item response theory provided the psychometric foundation to derive the conditional standard errors of measurement and confidence intervals for composite scores on the Wechsler Preschool and Primary Scale of Intelligence-Third Edition.

  16. The use of the SF-36 questionnaire in adult survivors of childhood cancer: evaluation of data quality, score reliability, and scaling assumptions

    Directory of Open Access Journals (Sweden)

    Winter David L

    2006-10-01

    Full Text Available Abstract Background The SF-36 has been used in a number of previous studies that have investigated the health status of childhood cancer survivors, but it never has been evaluated regarding data quality, scaling assumptions, and reliability in this population. As health status among childhood cancer survivors is being increasingly investigated, it is important that the measurement instruments are reliable, validated and appropriate for use in this population. The aim of this paper was to determine whether the SF-36 questionnaire is a valid and reliable instrument in assessing self-perceived health status of adult survivors of childhood cancer. Methods We examined the SF-36 to see how it performed with respect to (1 data completeness, (2 distribution of the scale scores, (3 item-internal consistency, (4 item-discriminant validity, (5 internal consistency, and (6 scaling assumptions. For this investigation we used SF-36 data from a population-based study of 10,189 adult survivors of childhood cancer. Results Overall, missing values ranged per item from 0.5 to 2.9 percent. Ceiling effects were found to be highest in the role limitation-physical (76.7% and role limitation-emotional (76.5% scales. All correlations between items and their hypothesised scales exceeded the suggested standard of 0.40 for satisfactory item-consistency. Across all scales, the Cronbach's alpha coefficient of reliability was found to be higher than the suggested value of 0.70. Consistent across all cancer groups, the physical health related scale scores correlated strongly with the Physical Component Summary (PCS scale scores and weakly with the Mental Component Summary (MCS scale scores. Also, the mental health and role limitation-emotional scales correlated strongly with the MCS scale score and weakly with the PCS scale score. Moderate to strong correlations with both summary scores were found for the general health perception, energy/vitality, and social functioning

  17. Part-Load Performance of aWet Indirectly Fired Gas Turbine Integrated with an Organic Rankine Cycle Turbogenerator

    Directory of Open Access Journals (Sweden)

    Leonardo Pierobon

    2014-12-01

    Full Text Available Over the last years, much attention has been paid to the development of efficient and low-cost power systems for biomass-to-electricity conversion. This paper aims at investigating the design- and part-load performance of an innovative plant based on a wet indirectly fired gas turbine (WIFGT fueled by woodchips and an organic Rankine cycle (ORC turbogenerator. An exergy analysis is performed to identify the sources of inefficiencies, the optimal design variables, and the most suitable working fluid for the organic Rankine process. This step enables to parametrize the part-load model of the plant and to estimate its performance at different power outputs. The novel plant has a nominal power of 250 kW and a thermal efficiency of 43%. The major irreversibilities take place in the burner, recuperator, compressor and in the condenser. Toluene is the optimal working fluid for the organic Rankine engine. The part-load investigation indicates that the plant can operate at high efficiencies over a wide range of power outputs (50%–100%, with a peak thermal efficiency of 45% at around 80% load. While the ORC turbogenerator is responsible for the efficiency drop at low capacities, the off-design performance is governed by the efficiency characteristics of the compressor and turbine serving the gas turbine unit.

  18. Performance analysis of different organic Rankine cycle configurations on board liquefied natural gas-fuelled vessels

    DEFF Research Database (Denmark)

    Baldasso, Enrico; Andreasen, Jesper Graa; Meroni, Andrea

    2017-01-01

    Gas-fuelled shipping is expected to increase significantly in the coming years. Similarly, much effort is devoted to the study of waste heat recovery systems to be implemented on board ships. In this context, the organic Rankine cycle (ORC) technology is considered one of the most promising...

  19. Parametric investigation of working fluids for organic Rankine cycle applications

    International Nuclear Information System (INIS)

    Brown, J. Steven; Brignoli, Riccardo; Quine, Timothy

    2015-01-01

    This paper investigates working fluids for organic Rankine cycle (ORC) applications with a goal of identifying “ideal” working fluids for five renewable/alternative energy sources. It employs a methodology for screening and comparing with good engineering accuracy the thermodynamic performance potential of ORC operating with working fluids that are not well characterized experimentally or by high-accuracy equations of state. A wide range of “theoretical” working fluids are investigated with the goals to identify potential alternative working fluids and to guide future research and development efforts of working fluids. The “theoretical” working fluids investigated are described in terms of critical state properties, acentric factor, and ideal gas specific heat capacity at constant pressure and are obtained by parametrically varying each of these parameters. The performances of these “theoretical” working fluids are compared to the performances of several “real” working fluids. The study suggests a working fluid's critical temperature and its critical ideal gas molar heat capacity have the largest impact on the cycle efficiency and volumetric work output, with “ideal” working fluids for high efficiency possessing critical temperatures on the order of 100%–150% of the source temperature and possessing intermediate values of critical ideal gas molar heat capacity. - Highlights: • “Ideal” working fluids are investigated for organic Rankine cycles (ORC). • The thermodynamic space of “ideal” working fluids is parametrically investigated. • Five low- and high-temperature ORC applications are investigated. • 1620 “ideal” and several “real” working fluids per application are investigated.

  20. RANKINE-HUGONIOT RELATIONS IN RELATIVISTIC COMBUSTION WAVES

    International Nuclear Information System (INIS)

    Gao Yang; Law, Chung K.

    2012-01-01

    As a foundational element describing relativistic reacting waves of relevance to astrophysical phenomena, the Rankine-Hugoniot relations classifying the various propagation modes of detonation and deflagration are analyzed in the relativistic regime, with the results properly degenerating to the non-relativistic and highly relativistic limits. The existence of negative-pressure downstream flows is noted for relativistic shocks, which could be of interest in the understanding of the nature of dark energy. Entropy analysis for relativistic shock waves is also performed for relativistic fluids with different equations of state (EoS), denoting the existence of rarefaction shocks in fluids with adiabatic index Γ < 1 in their EoS. The analysis further shows that weak detonations and strong deflagrations, which are rare phenomena in terrestrial environments, are expected to exist more commonly in astrophysical systems because of the various endothermic reactions present therein. Additional topics of relevance to astrophysical phenomena are also discussed.

  1. Comparison of WAIS-III Short Forms for Measuring Index and Full-Scale Scores

    Science.gov (United States)

    Girard, Todd A.; Axelrod, Bradley N.; Wilkins, Leanne K.

    2010-01-01

    This investigation assessed the ability of the Wechsler Adult Intelligence Scale-Third Edition (WAIS-III) short forms to estimate both index and IQ scores in a large, mixed clinical sample (N = 809). More specifically, a commonly used modification of Ward's seven-subtest short form (SF7-A), a recently proposed index-based SF7-C and eight-subtest…

  2. [Collateral score based on CT perfusion can predict the prognosis of patients with anterior circulation ischemic stroke after thrombectomy].

    Science.gov (United States)

    Wang, Qingsong; Zhang, Sheng; Zhang, Meixia; Chen, Zhicai; Lou, Min

    2017-07-25

    To evaluate the value of collateral score based on CT perfusion (CTP-CS) in predicting the clinical outcome of patients with anterior circulation ischemic stroke after thrombectomy. Clinical data of acute ischemic stroke patients with anterior artery occlusion undergoing endovascular treatment in the Second Affiliated Hospital, Zhejiang University School of Medicine during October 2013 and October 2016 were retrospectively reviewed. Collateral scores were assessed based on CTP and digital subtraction angiography (DSA) images, respectively. And DSA-CS or CTP-CS 3-4 was defined as good collateral vessels. Good clinical outcome was defined as a modified Rankin Scale (mRS) ≤ 2 at 3 months after stroke. The binary logistic regression model was used to analyze the correlation between the collateral score and clinical outcome, and the receiver operating characteristic (ROC) curve was used to analyze the value of DSA-CS and CTP-CS in predicting the clinical outcome. Among 40 patients, 33 (82.5%) acquired recanalization and 16 (40.0%) got good outcome. Compared with poor outcome group, the collateral score (all P collateral vessels were higher in good outcome group (all P collateral vessels were independent factor of good outcome (CTP-CS: OR =48.404, 95% CI :1.373-1706.585, P Collateral scores based on CTP and DSA had good consistency ( κ =0.697, P <0.01), and ROC curve showed that the predictive value of CTP-CS and DSA-CS were comparable (both AUC=0.726, 95% CI :0.559-0.893, P <0.05). CTP-CS can predict the clinical outcome of patients with anterior circulation ischemic stroke after thrombectomy.

  3. Instability of a two-step Rankine vortex in a reduced gravity QG model

    Energy Technology Data Exchange (ETDEWEB)

    Perrot, Xavier [Laboratoire de Météorologie Dynamique, Ecole Normale Supérieure, 24 rue Lhomond, F-75005 Paris (France); Carton, Xavier, E-mail: xperrot@lmd.ens.fr, E-mail: xcarton@univ-brest.fr [Laboratoire de Physique des Océans, Université de Bretagne Occidentale, 6 avenue Le Gorgeu, F-29200 Brest (France)

    2014-06-01

    We investigate the stability of a steplike Rankine vortex in a one-active-layer, reduced gravity, quasi-geostrophic model. After calculating the linear stability with a normal mode analysis, the singular modes are determined as a function of the vortex shape to investigate short-time stability. Finally we determine the position of the critical layer and show its influence when it lies inside the vortex. (papers)

  4. Defining the minimal detectable change in scores on the eight-item Morisky Medication Adherence Scale.

    Science.gov (United States)

    Muntner, Paul; Joyce, Cara; Holt, Elizabeth; He, Jiang; Morisky, Donald; Webber, Larry S; Krousel-Wood, Marie

    2011-05-01

    Self-report scales are used to assess medication adherence. Data on how to discriminate change in self-reported adherence over time from random variability are limited. To determine the minimal detectable change for scores on the 8-item Morisky Medication Adherence Scale (MMAS-8). The MMAS-8 was administered twice, using a standard telephone script, with administration separated by 14-22 days, to 210 participants taking antihypertensive medication in the CoSMO (Cohort Study of Medication Adherence among Older Adults). MMAS-8 scores were calculated and participants were grouped into previously defined categories (<6, 6 to <8, and 8 for low, medium, and high adherence). The mean (SD) age of participants was 78.1 (5.8) years, 43.8% were black, and 68.1% were women. Overall, 8.1% (17/210), 16.2% (34/210), and 51.0% (107/210) of participants had low, medium, and high MMAS-8 scores, respectively, at both survey administrations (overall agreement 75.2%; 158/210). The weighted κ statistic was 0.63 (95% CI 0.53 to 0.72). The intraclass correlation coefficient was 0.78. The within-person standard error of the mean for change in MMAS-8 scores was 0.81, which equated to a minimal detectable change of 1.98 points. Only 4.3% (9/210) of the participants had a change in MMAS-8 of 2 or more points between survey administrations. Within-person changes in MMAS-8 scores of 2 or more points over time may represent a real change in antihypertensive medication adherence.

  5. Performance characterization of a power generation unit–organic Rankine cycle system based on the efficiencies of the system components

    International Nuclear Information System (INIS)

    Knizley, Alta; Mago, Pedro J.; Tobermann, James; Warren, Harrison R.

    2015-01-01

    Highlights: • Use of waste heat from a power generation unit to generate electricity is explored. • An organic Rankine cycle is used to recover the waste heat. • The system may lower cost, primary energy consumption, and carbon dioxide emission. • A parameter was established to show when the proposed system would provide savings. • The proposed system was evaluated in different locations in the US. - Abstract: This paper analyzes the potential of using the waste heat from a power generation unit to generate additional electricity using an organic Rankine cycle to reduce operational cost, primary energy consumption, and carbon dioxide emissions in different locations in the U.S. The power generation unit–organic Rankine cycle system is compared with a conventional system in terms of operational cost, primary energy consumption, and carbon dioxide emissions reduction. A parameter (R_m_i_n), which is based on system efficiencies, is established to determine when the proposed power generation unit–organic Rankine cycle system would potentially provide savings versus the conventional system in which electricity is purchased from the utility grid. The effect on the R_m_i_n parameter with variation of each system efficiency is also analyzed in this paper. Results indicated that savings in one parameter, such as primary energy consumption, did not imply savings in the other two parameters. Savings in the three parameters (operational cost, primary energy consumption, and carbon dioxide emissions) varied widely based on location due to prices of natural gas and electricity, source-to-site conversion factors, and carbon dioxide emissions conversion factors for electricity and natural gas. Variations in each system efficiency affected R_m_i_n, but varying the power generation unit efficiency had the most dramatic effect in the overall savings potential from the proposed system.

  6. Empirical Correlates of Low Scores on MMPI-2/MMPI-2-RF Restructured Clinical Scales in a Sample of University Students

    Science.gov (United States)

    Avdeyeva, Tatyana V.; Tellegen, Auke; Ben-Porath, Yossef S.

    2012-01-01

    In the present study, the authors explored the meaning of low scores on the MMPI-2/MMPI-2-RF Restructured Clinical (RC) scales. Using responses of a sample of university students (N = 811), the authors examined whether low (T less than 39), within-normal-limits (T = 39-64), and high (T greater than 65) score levels on the RC scales are…

  7. How is the injury severity scored? a brief review of scoring systems

    Directory of Open Access Journals (Sweden)

    Mohsen Ebrahimi

    2015-06-01

    Full Text Available The management of injured patients is a critical issue in pre-hospital and emergency departments. Trauma victims are usually young and the injuries may lead to mortality or severe morbidities. The severity of injury can be estimated by observing the anatomic and physiologic evidences. Scoring systems are used to present a scale of describing the severity of the injuries in the victims.We reviewed the evidences of famous scoring systems, the history of their development, applications and their evolutions. We searched electronic database PubMed and Google scholar with keywords: (trauma OR injury AND (severity OR intensity AND (score OR scale.In this paper, we are going to present a definition of scoring systems and discuss the Abbreviated Injury Scale (AIS and Injury Severity Score (ISS, the most acceptable systems, their applications and their advantages and limitations.Several injury-scoring methods have been introduced. Each method has specific features, advantages and disadvantages. The AIS is an anatomical-based scoring system, which provides a standard numerical scale of ranking and comparing injuries. The ISS was established as a platform for trauma data registry. ISS is also an anatomically-based ordinal scale, with a range of 1-75. Several databases and studies are formed based on ISS and are available for trauma management research.Although the ISS is not perfect, it is established as the basic platform of health services and public health researches. The ISS registering system can provide many opportunities for the development of efficient data recording and statistical analyzing models.

  8. Neurological outcomes in patients with ischemic stroke receiving enoxaparin or heparin for venous thromboembolism prophylaxis: subanalysis of the Prevention of VTE after Acute Ischemic Stroke with LMWH (PREVAIL) study.

    Science.gov (United States)

    Kase, Carlos S; Albers, Gregory W; Bladin, Christopher; Fieschi, Cesare; Gabbai, Alberto A; O'Riordan, William; Pineo, Graham F

    2009-11-01

    The Prevention of VTE after Acute Ischemic Stroke with LMWH (PREVAIL) study demonstrated that enoxaparin was superior to unfractionated heparin (UFH) in preventing venous thromboembolism in patients with ischemic stroke and was associated with a small but statistically significant increase in extracranial hemorrhage rates. In this PREVAIL subanalysis, we evaluate the long-term neurological outcomes associated with the use of enoxaparin compared with UFH. We also determine predictors of stroke progression. Acute ischemic stroke patients aged >or=18 years, who could not walk unassisted, were randomized to receive enoxaparin (40 mg once daily) or UFH (5000 U every 12 hours) for 10 days. Patients were stratified according to baseline stroke severity using the National Institutes of Health Stroke Scale score. End points for this analysis included stroke progression (>or=4-point increase in National Institutes of Health Stroke Scale score), neurological outcomes up to 3 months postrandomization (assessed using National Institutes of Health Stroke Scale score and modified Rankin Scale score), and incidence of intracranial hemorrhage. Stroke progression occurred in 45 of 877 (5.1%) patients in the enoxaparin group and 42 of 872 (4.8%) of those receiving UFH. Similar improvements in National Institutes of Health Stroke Scale and modified Rankin Scale scores were observed in both groups over the 90-day follow-up period. Incidence of intracranial hemorrhage was comparable between groups (20 of 877 [2.3%] and 22 of 872 [2.5%] in enoxaparin and UFH groups, respectively). Baseline National Institutes of Health Stroke Scale score, hyperlipidemia, and Hispanic ethnicity were independent predictors of stroke progression. The clinical benefits associated with use of enoxaparin for venous thromboembolism prophylaxis in patients with acute ischemic stroke are not associated with poorer long-term neurological outcomes or increased rates of symptomatic intracranial hemorrhage compared

  9. Evaluation of Rankine cycle air conditioning system hardware by computer simulation

    Science.gov (United States)

    Healey, H. M.; Clark, D.

    1978-01-01

    A computer program for simulating the performance of a variety of solar powered Rankine cycle air conditioning system components (RCACS) has been developed. The computer program models actual equipment by developing performance maps from manufacturers data and is capable of simulating off-design operation of the RCACS components. The program designed to be a subroutine of the Marshall Space Flight Center (MSFC) Solar Energy System Analysis Computer Program 'SOLRAD', is a complete package suitable for use by an occasional computer user in developing performance maps of heating, ventilation and air conditioning components.

  10. Application of Biomass from Palm Oil Mill for Organic Rankine Cycle to Generate Power in North Sumatera Indonesia

    Science.gov (United States)

    Nur, T. B.; Pane, Z.; Amin, M. N.

    2017-03-01

    Due to increasing oil and gas demand with the depletion of fossil resources in the current situation make efficient energy systems and alternative energy conversion processes are urgently needed. With the great potential of resources in Indonesia, make biomass has been considered as one of major potential fuel and renewable resource for the near future. In this paper, the potential of palm oil mill waste as a bioenergy source has been investigated. An organic Rankine cycle (ORC) small scale power plant has been preliminary designed to generate electricity. The working fluid candidates for the ORC plant based on the heat source temperature domains have been investigated. The ORC system with a regenerator has higher thermal efficiency than the basic ORC system. The study demonstrates the technical feasibility of ORC solutions in terms of resources optimizations and reducing of greenhouse gas emissions.

  11. Optimization of Cycle and Expander Design of an Organic Rankine Cycle Unit using Multi-Component Working Fluids

    DEFF Research Database (Denmark)

    Meroni, Andrea; Andreasen, Jesper Graa; Pierobon, Leonardo

    2016-01-01

    Organic Rankine cycle (ORC) power systems represent at-tractive solutions for power conversion from low temperatureheat sources, and the use of these power systems is gaining increasing attention in the marine industry. This paper proposesthe combined optimal design of cycle and expander...... for an organic Rankine cycle unit utilizing waste heat from low temperature heat sources. The study addresses a case where the minimum temperature of the heat source is constrained and a case where no constraint is imposed. The former case is the wasteheat recovery from jacket cooling water of a marine diesel...... engine onboard a large ship, and the latter is representative of a low-temperature geothermal, solar or waste heat recovery application. Multi-component working fluids are investigated, as they allow improving the match between the temperature pro-files in the heat exchangers and, consequently, reducing...

  12. Validation of Scores on the Marlowe-Crowne Social Desirability Scale and the Balanced Inventory of Desirable Responding

    Science.gov (United States)

    Leite, Walter L.; Beretvas, S. Natasha

    2005-01-01

    The Marlowe-Crowne Social Desirability Scale (MCSDS), the most commonly used social desirability bias (SDB) assessment, conceptualizes SDB as an individual's need for approval. The Balanced Inventory of Desirable Responding (BIDR) measures SDB as two separate constructs: impression management and self-deception. Scores on SDB scales are commonly…

  13. Parametric Adjustments to the Rankine Vortex Wind Model for Gulf of Mexico Hurricanes

    Science.gov (United States)

    2012-11-01

    2012 4. TITLE AND SUBTITLE Parametric Adjustments to the Rankine Vortex Wind Model for Gulf of Mexico Hurricanes 5a. CONTRACT NUMBER 5b. GRANT ...may be used to construct spatially varying wind fields for the GOM region (e.g., Thompson and Cardone [12]), but this requires using a complicated...Storm Damage Reduc- tion, and Dredging Operations and Environmental Research (DOER). The USACE Headquarters granted permission to publish this paper

  14. Rankin-Selberg methods for closed string amplitudes

    CERN Document Server

    Pioline, Boris

    2014-01-01

    After integrating over supermoduli and vertex operator positions, scattering amplitudes in superstring theory at genus $h\\leq 3$ are reduced to an integral of a Siegel modular function of degree $h$ on a fundamental domain of the Siegel upper half plane. A direct computation is in general unwieldy, but becomes feasible if the integrand can be expressed as a sum over images under a suitable subgroup of the Siegel modular group: if so, the integration domain can be extended to a simpler domain at the expense of keeping a single term in each orbit -- a technique known as the Rankin-Selberg method. Motivated by applications to BPS-saturated amplitudes, Angelantonj, Florakis and I have applied this technique to one-loop modular integrals where the integrand is the product of a Siegel-Narain theta function times a weakly, almost holomorphic modular form. I survey our main results, and take some steps in extending this method to genus greater than one.

  15. Waste Heat Recovery of a PEMFC System by Using Organic Rankine Cycle

    Directory of Open Access Journals (Sweden)

    Tianqi He

    2016-04-01

    Full Text Available In this study, two systems are brought forward to recover the waste heat of a proton exchange membrane fuel cell (PEMFC, which are named the organic Rankine cycle (ORC, and heat pump (HP combined organic Rankine cycle (HPORC. The performances of both systems are simulated on the platform of MATLAB with R123, R245fa, R134a, water, and ethanol being selected as the working fluid, respectively. The results show that, for PEMFC where operating temperature is constantly kept at 60 °C, there exists an optimum working temperature for each fluid in ORC and HPORC. In ORC, the maximal net power can be achieved with R245fa being selected as the working fluid. The corresponding thermal efficiency of the recovery system is 4.03%. In HPORC, the maximal net power can be achieved with water being selected in HP and R123 in ORC. The thermal efficiency of the recovery system increases to 4.73%. Moreover, the possibility of using ORC as the cooling system of PEMFC is also studied. The heat released from PEMFC stack is assumed to be wholly recovered by the ORC or HPORC system. The results indicate that the HPORC system is much more feasible for the cooling system of a PEMFC stack, since the heat recovery ability can be promoted due to the presence of HP.

  16. Affordable Rankine Cycle Waste Heat Recovery for Heavy Duty Trucks

    Energy Technology Data Exchange (ETDEWEB)

    Subramanian, Swami Nathan [Eaton Corporation

    2017-06-30

    Nearly 30% of fuel energy is not utilized and wasted in the engine exhaust. Organic Rankine Cycle (ORC) based waste heat recovery (WHR) systems offer a promising approach on waste energy recovery and improving the efficiency of Heavy-Duty diesel engines. Major barriers in the ORC WHR system are the system cost and controversial waste heat recovery working fluids. More than 40% of the system cost is from the additional heat exchangers (recuperator, condenser and tail pipe boiler). The secondary working fluid loop designed in ORC system is either flammable or environmentally sensitive. The Eaton team investigated a novel approach to reduce the cost of implementing ORC based WHR systems to Heavy-Duty (HD) Diesel engines while utilizing safest working fluids. Affordable Rankine Cycle (ARC) concept aimed to define the next generation of waste energy recuperation with a cost optimized WHR system. ARC project used engine coolant as the working fluid. This approach reduced the need for a secondary working fluid circuit and subsequent complexity. A portion of the liquid phase engine coolant has been pressurized through a set of working fluid pumps and used to recover waste heat from the exhaust gas recirculation (EGR) and exhaust tail pipe exhaust energy. While absorbing heat, the mixture is partially vaporized but remains a wet binary mixture. The pressurized mixed-phase engine coolant mixture is then expanded through a fixed-volume ratio expander that is compatible with two-phase conditions. Heat rejection is accomplished through the engine radiator, avoiding the need for a separate condenser. The ARC system has been investigated for PACCAR’s MX-13 HD diesel engine.

  17. Establishing the cut-off score for remission and severity-ranges on the Psychotic Depression Assessment Scale (PDAS)

    DEFF Research Database (Denmark)

    Østergaard, Søren D; Rothschild, Anthony J; Flint, Alastair J

    2016-01-01

    BACKGROUND: The Psychotic Depression Assessment Scale (PDAS) is a rating scale dedicated to the measurement of severity in psychotic depression (PD). The aim of this study was to establish the PDAS cut-off for remission of PD as well as PDAS score-ranges for mild, moderate, and severe PD...... on the PDAS and the severity-ranges for mild, moderate, and severe PD were defined using the Clinical Global Impression - Severity scale (CGI-S) as reference by means of pair-wise receiver operating characteristic (ROC) analyses. Subsequently, it was tested whether remission on the PDAS could separate...... the effects of Olanzapine+Sertraline vs. Olanzapine+Placebo through an intention-to-treat, mixed-effects logistic regression of the data from STOP-PD. RESULTS: According to the ROC analyses, the ideal cut-off for remission of PD was a PDAS total score moderate...

  18. Multiple regression models for the prediction of the maximum obtainable thermal efficiency of organic Rankine cycles

    DEFF Research Database (Denmark)

    Larsen, Ulrik; Pierobon, Leonardo; Wronski, Jorrit

    2014-01-01

    Much attention is focused on increasing the energy efficiency to decrease fuel costs and CO2 emissions throughout industrial sectors. The ORC (organic Rankine cycle) is a relatively simple but efficient process that can be used for this purpose by converting low and medium temperature waste heat ...

  19. Association of metabolic syndrome and change in Unified Parkinson's Disease Rating Scale scores.

    Science.gov (United States)

    Leehey, Maureen; Luo, Sheng; Sharma, Saloni; Wills, Anne-Marie A; Bainbridge, Jacquelyn L; Wong, Pei Shieen; Simon, David K; Schneider, Jay; Zhang, Yunxi; Pérez, Adriana; Dhall, Rohit; Christine, Chadwick W; Singer, Carlos; Cambi, Franca; Boyd, James T

    2017-10-24

    To explore the association between metabolic syndrome and the Unified Parkinson's Disease Rating Scale (UPDRS) scores and, secondarily, the Symbol Digit Modalities Test (SDMT). This is a secondary analysis of data from 1,022 of 1,741 participants of the National Institute of Neurological Disorders and Stroke Exploratory Clinical Trials in Parkinson Disease Long-Term Study 1, a randomized, placebo-controlled trial of creatine. Participants were categorized as having or not having metabolic syndrome on the basis of modified criteria from the National Cholesterol Education Program Adult Treatment Panel III. Those who had the same metabolic syndrome status at consecutive annual visits were included. The change in UPDRS and SDMT scores from randomization to 3 years was compared in participants with and without metabolic syndrome. Participants with metabolic syndrome (n = 396) compared to those without (n = 626) were older (mean [SD] 63.9 [8.1] vs 59.9 [9.4] years; p metabolic syndrome experienced an additional 0.6- (0.2) unit annual increase in total UPDRS ( p = 0.02) and 0.5- (0.2) unit increase in motor UPDRS ( p = 0.01) scores compared with participants without metabolic syndrome. There was no difference in the change in SDMT scores. Persons with Parkinson disease meeting modified criteria for metabolic syndrome experienced a greater increase in total UPDRS scores over time, mainly as a result of increases in motor scores, compared to those who did not. Further studies are needed to confirm this finding. NCT00449865. © 2017 American Academy of Neurology.

  20. The effect of rater training on scoring performance and scale-specific expertise amongst occupational therapists participating in a multicentre study

    DEFF Research Database (Denmark)

    Hansen, Tina; Elholm Madsen, Esben; Sørensen, Annette

    2016-01-01

    Gill Ingestive Skills Assessment (MISA) they observe, interpret and record occupational performance of dysphagic clients participating in a meal. This is a highly complex task, which might introduce unwanted variability in measurement scores. A 2-day rater training programme was developed and this builds...... of the training on scoring performance and scale-specific expertise amongst raters. METHOD: During 2 days of rater training, 81 occupational therapists (OTs) were qualified to observe and score dysphagic clients' mealtime performance according to the criteria of 36 MISA-items. The training effects were evaluated...... deficient mealtime performance appeared most difficult to score. The OTs scale-specific expertise improved significantly (knowledge: Z = -7.857, p performance when using the Danish MISA as well as their perceived...

  1. Gait and Glasgow Coma Scale scores can predict functional recovery in patients with traumatic brain injury☆

    Science.gov (United States)

    Bilgin, Sevil; Guclu-Gunduz, Arzu; Oruckaptan, Hakan; Kose, Nezire; Celik, Bülent

    2012-01-01

    Fifty-one patients with mild (n = 14), moderate (n = 10) and severe traumatic brain injury (n = 27) received early rehabilitation. Level of consciousness was evaluated using the Glasgow Coma Score. Functional level was determined using the Glasgow Outcome Score, whilst mobility was evaluated using the Mobility Scale for Acute Stroke. Activities of daily living were assessed using the Barthel Index. Following Bobath neurodevelopmental therapy, the level of consciousness was significantly improved in patients with moderate and severe traumatic brain injury, but was not greatly influenced in patients with mild traumatic brain injury. Mobility and functional level were significantly improved in patients with mild, moderate and severe traumatic brain injury. Gait recovery was more obvious in patients with mild traumatic brain injury than in patients with moderate and severe traumatic brain injury. Activities of daily living showed an improvement but this was insignificant except for patients with severe traumatic brain injury. Nevertheless, complete recovery was not acquired at discharge. Multiple regression analysis showed that gait and Glasgow Coma Scale scores can be considered predictors of functional outcomes following traumatic brain injury. PMID:25624828

  2. Clinical scoring scales in thyroidology: A compendium

    Directory of Open Access Journals (Sweden)

    Sanjay Kalra

    2011-01-01

    Full Text Available This compendium brings together traditional as well as contemporary scoring and grading systems used for the screening and diagnosis of various thyroid diseases, dysfunctions, and complications. The article discusses scores used to help diagnose hypo-and hyperthyroidism, to grade and manage goiter and ophthalmopathy, and to assess the risk of thyroid malignancy.

  3. Leptomeningeal collateral status predicts outcome after middle cerebral artery occlusion.

    Science.gov (United States)

    Madelung, C F; Ovesen, C; Trampedach, C; Christensen, A; Havsteen, I; Hansen, C K; Christensen, H

    2018-01-01

    Perfusion through leptomeningeal collateral vessels is a likely pivotal factor in the outcome of stroke patients. We aimed to investigate the effect of collateral status on outcome in a cohort of unselected, consecutive stroke patients with middle cerebral artery occlusion undergoing reperfusion therapy. This retrospectively planned analysis was passed on prospectively collected data from 187 consecutive patients with middle cerebral artery occlusion admitted within 4.5 hours to one center and treated with intravenous thrombolysis alone (N = 126), mechanical thrombectomy alone (N = 5), or both (N = 56) from May 2009 to April 2014. Non-contrast CT (NCCT) and computed tomography angiography (CTA) were provided on admission and NCCT repeated at 24 hours. Collateral status was assessed based on the initial CTA. Hemorrhagic transformation was evaluated on the 24-hour NCCT and according to European Cooperative Acute Stroke Study (ECASS) criteria. Modified Rankin Scale score was assessed at 90 days, and mortality at 1 year. At 90 days, median (IQR) modified Rankin Scale score in patients with poor collateral status was 4 (3-6) compared to 2 (1-4) in patients with good collateral status (P collateral status were less likely to achieve a good 90-day outcome (modified Rankin Scale score 0-2) (Adjusted odds ratio 0.27, 95% CI: 0.09-0.86). During the first year, 40.9% of patients with poor collateral status died vs 18.2% of the remaining population (P = .001). Leptomeningeal collateral status predicts functional outcome, mortality, and hemorrhagic transformation following middle cerebral artery occlusion. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  4. Associations between MMPI-2-RF validity scale scores and extra-test measures of personality and psychopathology.

    Science.gov (United States)

    Forbey, Johnathan D; Lee, Tayla T C; Ben-Porath, Yossef S; Arbisi, Paul A; Gartland, Diane

    2013-08-01

    The current study explored associations between two potentially invalidating self-report styles detected by the Validity scales of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), over-reporting and under-reporting, and scores on the MMPI-2-RF substantive, as well as eight collateral self-report measures administered either at the same time or within 1 to 10 days of MMPI-2-RF administration. Analyses were conducted with data provided by college students, male prisoners, and male psychiatric outpatients from a Veterans Administration facility. Results indicated that if either an over- or under-reporting response style was suggested by the MMPI-2-RF Validity scales, scores on the majority of the MMPI-2-RF substantive scales, as well as a number of collateral measures, were significantly affected in all three groups in the expected directions. Test takers who were identified as potentially engaging in an over- or under-reporting response style by the MMPI-2-RF Validity scales appeared to approach extra-test measures similarly regardless of when these measures were administered in relation to the MMPI-2-RF. Limitations and suggestions for future study are discussed.

  5. External validation of the ability of the DRAGON score to predict outcome after thrombolysis treatment

    DEFF Research Database (Denmark)

    Ovesen, Christian Aavang; Christensen, Anders; Nielsen, J K

    2013-01-01

    Easy-to-perform and valid assessment scales for the effect of thrombolysis are essential in hyperacute stroke settings. Because of this we performed an external validation of the DRAGON scale proposed by Strbian et al. in a Danish cohort. All patients treated with intravenous recombinant plasmino......Easy-to-perform and valid assessment scales for the effect of thrombolysis are essential in hyperacute stroke settings. Because of this we performed an external validation of the DRAGON scale proposed by Strbian et al. in a Danish cohort. All patients treated with intravenous recombinant...... and their modified Rankin Scale (mRS) was assessed after 3 months. Three hundred and three patients were included in the analysis. The DRAGON scale proved to have a good discriminative ability for predicting highly unfavourable outcome (mRS 5-6) (area under the curve-receiver operating characteristic [AUC-ROC]: 0...

  6. Simulation of a passive house coupled with a heat pump/organic Rankine cycle reversible unit

    DEFF Research Database (Denmark)

    Dumont, Olivier; Carmo, Carolina; Randaxhe, François

    2014-01-01

    This paper presents a dynamic model of a passive house located in Denmark with a large solar absorber, a horizontal ground heat exchanger coupled with a HP/ORC unit. The HP/ORC reversible unit is a module able to work as an Organic Rankine Cycle (ORC) or as a heat pump (HP). There are 3 possible ...... presents a higher global COP because the heat produced on the roof can heat the storage directly.......This paper presents a dynamic model of a passive house located in Denmark with a large solar absorber, a horizontal ground heat exchanger coupled with a HP/ORC unit. The HP/ORC reversible unit is a module able to work as an Organic Rankine Cycle (ORC) or as a heat pump (HP). There are 3 possible...... modes that need to be chosen optimally depending on the weather conditions, the heat demand and the temperature level of the storage. The ORC mode is activated, as long as the heat demand of the house is covered by the storage to produce electricity based upon the heat generated by the solar roof...

  7. Solar-powered Rankine heat pump for heating and cooling

    Science.gov (United States)

    Rousseau, J.

    1978-01-01

    The design, operation and performance of a familyy of solar heating and cooling systems are discussed. The systems feature a reversible heat pump operating with R-11 as the working fluid and using a motor-driven centrifugal compressor. In the cooling mode, solar energy provides the heat source for a Rankine power loop. The system is operational with heat source temperatures ranging from 155 to 220 F; the estimated coefficient of performance is 0.7. In the heating mode, the vapor-cycle heat pump processes solar energy collected at low temperatures (40 to 80 F). The speed of the compressor can be adjusted so that the heat pump capacity matches the load, allowing a seasonal coefficient of performance of about 8 to be attained.

  8. Preliminary design package for residential heating/cooling system: Rankine air conditioner redesign

    Science.gov (United States)

    1978-01-01

    A summary of the preliminary redesign and development of a marketable single family heating and cooling system is presented. The interim design and schedule status of the residential (3-ton) redesign, problem areas and solutions, and the definition of plans for future design and development activities were discussed. The proposed system for a single-family residential heating and cooling system is a single-loop, solar-assisted, hydronic-to-warm-air heating subsystem with solar-assisted domestic water heating and a Rankine-driven expansion air-conditioning subsystem.

  9. Thermal energy storage for organic Rankine cycle solar dynamic space power systems

    Science.gov (United States)

    Heidenreich, G. R.; Parekh, M. B.

    An organic Rankine cycle-solar dynamic power system (ORC-SDPS) comprises a concentrator, a radiator, a power conversion unit, and a receiver with a thermal energy storage (TES) subsystem which charges and discharges energy to meet power demands during orbital insolation and eclipse periods. Attention is presently given to the criteria used in designing and evaluating an ORC-SDPS TES, as well as the automated test facility employed. It is found that a substantial data base exists for the design of an ORC-SDPS TES subsystem.

  10. AN OBSERVATIONAL CLINICAL STUDY OF ASSESSING THE UTILITY OF PSS (POISON SEVERITY SCORE AND GCS (GLASGOW COMA SCALE SCORING SYSTEMS IN PREDICTING SEVERITY AND CLINICAL OUTCOMES IN OP POISONING

    Directory of Open Access Journals (Sweden)

    S. Chandrasekhar

    2017-05-01

    Full Text Available BACKGROUND Organophosphorus compound poisoning is the most common poisonings in India because of easy availability often requiring ICU care and ventilator support. Clinical research has indicated that respiratory failure is the most important cause of death due to organophosphorus poisoning. It results in respiratory muscle weakness, pulmonary oedema, respiratory depression, increased secretions and bronchospasm. These complications and death can be prevented with timely institution of ventilator support. MATERIALS AND METHODS Hundred consecutive patients admitted with a history of organophosphorus poisoning at Kurnool Medical College, Kurnool, were taken for study after considering the inclusion and exclusion criteria. Detailed history, confirmation of poisoning, examination and other than routine investigations, serum pseudocholinesterase and arterial blood gas analysis was done. The severity and clinical outcomes in OP poisoning is graded by PSS (poison severity score and GCS (Glasgow coma scale scoring systems. RESULTS This study was conducted in 100 patients with male preponderance. Majority of poisoning occurred in 21-30 age group (n=5. Most common compound consumed in our study was methyl parathion and least common was phosphoran. Slightly more than half of the patients consumed less than 50 mL of poison. 21 patients consumed between 50 to 100 mL. Distribution of poison severity score of patients studied showed 45 cases of grade 1 poisoning. 26 cases of grade 2 poisoning, 23 cases of grade 3 poisoning and 6 cases of grade 4 poisoning (death within first 24 hours. Distribution of GCS score of patients studied GCS scores were <10 in 25 patients at admission and 24 patients after 24 hours. GCS scores were ≥10 in 75 patients at admission and 76 patients after 24 hours. Poison severity score is not prognostic, but merely defines severity of OP poisoning at a given time. CONCLUSION Both Glasgow coma scale and poison severity scoring systems

  11. Reliability and validity of the new Tanaka B Intelligence Scale scores: a group intelligence test.

    Science.gov (United States)

    Uno, Yota; Mizukami, Hitomi; Ando, Masahiko; Yukihiro, Ryoji; Iwasaki, Yoko; Ozaki, Norio

    2014-01-01

    The present study evaluated the reliability and concurrent validity of the new Tanaka B Intelligence Scale, which is an intelligence test that can be administered on groups within a short period of time. The new Tanaka B Intelligence Scale and Wechsler Intelligence Scale for Children-Third Edition were administered to 81 subjects (mean age ± SD 15.2 ± 0.7 years) residing in a juvenile detention home; reliability was assessed using Cronbach's alpha coefficient, and concurrent validity was assessed using the one-way analysis of variance intraclass correlation coefficient. Moreover, receiver operating characteristic analysis for screening for individuals who have a deficit in intellectual function (an FIQIntelligence Scale IQ (BIQ) was 0.86, and the intraclass correlation coefficient with FIQ was 0.83. Receiver operating characteristic analysis demonstrated an area under the curve of 0.89 (95% CI: 0.85-0.96). In addition, the stratum-specific likelihood ratio for the BIQ≤65 stratum was 13.8 (95% CI: 3.9-48.9), and the stratum-specific likelihood ratio for the BIQ≥76 stratum was 0.1 (95% CI: 0.03-0.4). Thus, intellectual disability could be ruled out or determined. The present results demonstrated that the new Tanaka B Intelligence Scale score had high reliability and concurrent validity with the Wechsler Intelligence Scale for Children-Third Edition score. Moreover, the post-test probability for the BIQ could be calculated when screening for individuals who have a deficit in intellectual function. The new Tanaka B Intelligence Test is convenient and can be administered within a variety of settings. This enables evaluation of intellectual development even in settings where performing intelligence tests have previously been difficult.

  12. Exergoeconomic assessment and parametric study of a Gas Turbine-Modular Helium Reactor combined with two Organic Rankine Cycles

    International Nuclear Information System (INIS)

    Mohammadkhani, F.; Shokati, N.; Mahmoudi, S.M.S.; Yari, M.; Rosen, M.A.

    2014-01-01

    An exergoeconomic analysis is reported for a combined system with a net electrical output of 299 MW in which waste heat from a Gas Turbine-Modular Helium Reactor (GT-MHR) is utilized by two Organic Rankine Cycles (ORCs). A parametric study is also done to reveal the effects on the exergoeconomic performance of the combined system of such significant parameters as compressor pressure ratio, turbine inlet temperature, temperatures of evaporators, pinch point temperature difference in the evaporators and degree of superheat at the ORC (Organic Rankine Cycle) turbines inlet. Finally the combined cycle performance is optimized from the viewpoint of exergoeconomics. The results show that the precooler, the intercooler and the ORC condensers exhibit the worst exergoeconomic performance. For the overall system, the exergoeconomic factor, the capital cost rate and the exergy destruction cost rate are determined to be 37.95%, 6876 $/h and 11,242 $/h, respectively. Also, it is observed that the unit cost of electricity produced by the GT-MHR turbine increases with increasing GT-MHR turbine inlet temperature but decreases as the other above mentioned parameters increase. - Highlights: • An exergoeconomic analysis is performed for the GT-MHR/ORC (Organic Rankine Cycle) combined cycle. • The effects of decision parameters on the exergoeconomic performance are studied. • The highest exergy destructions occur in the precooler, intercooler and condenser. • Superheating the working fluid at the ORC turbine inlet is not necessary. • Thermodynamic and exergoeconomic optimal conditions differ from each other

  13. Advanced Rankine and Brayton cycle power systems: Materials needs and opportunities

    Science.gov (United States)

    Grisaffe, S. J.; Guentert, D. C.

    1974-01-01

    Conceptual advanced potassium Rankine and closed Brayton power conversion cycles offer the potential for improved efficiency over steam systems through higher operating temperatures. However, for utility service of at least 100,000 hours, materials technology advances will be needed for such high temperature systems. Improved alloys and surface protection must be developed and demonstrated to resist coal combustion gases as well as potassium corrosion or helium surface degradation at high temperatures. Extensions in fabrication technology are necessary to produce large components of high temperature alloys. Long time property data must be obtained under environments of interest to assure high component reliability.

  14. Advanced Rankine and Brayton cycle power systems - Materials needs and opportunities

    Science.gov (United States)

    Grisaffe, S. J.; Guentert, D. C.

    1974-01-01

    Conceptual advanced potassium Rankine and closed Brayton power conversion cycles offer the potential for improved efficiency over steam systems through higher operating temperatures. However, for utility service of at least 100,000 hours, materials technology advances will be needed for such high temperature systems. Improved alloys and surface protection must be developed and demonstrated to resist coal combustion gases as well as potassium corrosion or helium surface degradation at high temperatures. Extensions in fabrication technology are necessary to produce large components of high temperature alloys. Long-time property data must be obtained under environments of interest to assure high component reliability.

  15. Method of administration of PROMIS scales did not significantly impact score level, reliability, or validity

    DEFF Research Database (Denmark)

    Bjorner, Jakob B; Rose, Matthias; Gandek, Barbara

    2014-01-01

    OBJECTIVES: To test the impact of the method of administration (MOA) on score level, reliability, and validity of scales developed in the Patient Reported Outcomes Measurement Information System (PROMIS). STUDY DESIGN AND SETTING: Two nonoverlapping parallel forms each containing eight items from......, no significant mode differences were found and all confidence intervals were within the prespecified minimal important difference of 0.2 standard deviation. Parallel-forms reliabilities were very high (ICC = 0.85-0.93). Only one across-mode ICC was significantly lower than the same-mode ICC. Tests of validity...... questionnaire (PQ), personal digital assistant (PDA), or personal computer (PC) and a second form by PC, in the same administration. Method equivalence was evaluated through analyses of difference scores, intraclass correlations (ICCs), and convergent/discriminant validity. RESULTS: In difference score analyses...

  16. An automated four-point scale scoring of segmental wall motion in echocardiography using quantified parametric images

    International Nuclear Information System (INIS)

    Kachenoura, N; Delouche, A; Ruiz Dominguez, C; Frouin, F; Diebold, B; Nardi, O

    2010-01-01

    The aim of this paper is to develop an automated method which operates on echocardiographic dynamic loops for classifying the left ventricular regional wall motion (RWM) in a four-point scale. A non-selected group of 37 patients (2 and 4 chamber views) was studied. Each view was segmented according to the standardized segmentation using three manually positioned anatomical landmarks (the apex and the angles of the mitral annulus). The segmented data were analyzed by two independent experienced echocardiographists and the consensual RWM scores were used as a reference for comparisons. A fast and automatic parametric imaging method was used to compute and display as static color-coded parametric images both temporal and motion information contained in left ventricular dynamic echocardiograms. The amplitude and time parametric images were provided to a cardiologist for visual analysis of RWM and used for RWM quantification. A cross-validation method was applied to the segmental quantitative indices for classifying RWM in a four-point scale. A total of 518 segments were analyzed. Comparison between visual interpretation of parametric images and the reference reading resulted in an absolute agreement (Aa) of 66% and a relative agreement (Ra) of 96% and kappa (κ) coefficient of 0.61. Comparison of the automated RWM scoring against the same reference provided Aa = 64%, Ra = 96% and κ = 0.64 on the validation subset. Finally, linear regression analysis between the global quantitative index and global reference scores as well as ejection fraction resulted in correlations of 0.85 and 0.79. A new automated four-point scale scoring of RWM was developed and tested in a non-selected database. Its comparison against a consensual visual reading of dynamic echocardiograms showed its ability to classify RWM abnormalities.

  17. Do Multidimensional Pain Inventory scale score changes indicate risk of receiving sick leave benefits 1 year after a pain rehabilitation programme?

    DEFF Research Database (Denmark)

    Nyberg, Vanja E; Novo, Mehmed; Sjölund, Bengt H

    2011-01-01

    To study whether scale score changes in the Multidimensional Pain Inventory (MPI) can predict which persons disabled by pain will receive sick leave benefits 1 year after completing a pain rehabilitation programme.......To study whether scale score changes in the Multidimensional Pain Inventory (MPI) can predict which persons disabled by pain will receive sick leave benefits 1 year after completing a pain rehabilitation programme....

  18. Preliminary design package for residential heating/cooling system--Rankine air conditioner redesign

    Energy Technology Data Exchange (ETDEWEB)

    1978-12-01

    This report contains a summary of the preliminary redesign and development of a marketable single-family heating and cooling system. The objectives discussed are the interim design and schedule status of the Residential (3-ton) redesign, problem areas and solutions, and the definition of plans for future design and development activities. The proposed system for a single-family residential heating and cooling system is a single-loop, solar-assisted, hydronic-to-warm-air heating subsystem with solar-assisted domestic water heating and a Rankine-driven expansion air-conditioning subsystem.

  19. ALKASYS, Rankine-Cycle Space Nuclear Power System

    International Nuclear Information System (INIS)

    2001-01-01

    1 - Description of program or function: The program ALKASYS is used for the creation of design concepts of multimegawatt space power systems that employ potassium Rankine power conversion cycles. 2 - Method of solution: ALKASYS calculates performance and design characteristics and mass estimates for the major subsystems composing the total power system. Design and engineering performance characteristics are determined by detailed engineering procedures rather than by empirical algorithms. Mass estimates are developed using basic design principles augmented in some cases by empirical coefficients determined from the literature. The reactor design is based on a fast spectrum, metallic-clad rod fuel element containing UN pellets. 3 - Restrictions on the complexity of the problem: ALKASYS was developed primarily for the analysis of systems with electric power in the range from 1,000 to 25,000 kW(e) and full-power life from 1 to 10 years. The program should be used with caution in systems that are limited by heat flux (which might indicate need for extended surfaces on fuel elements) or criticality (which might indicate the need for other geometries or moderators)

  20. A Note on the Score Reliability for the Satisfaction with Life Scale: An RG Study

    Science.gov (United States)

    Vassar, Matt

    2008-01-01

    The purpose of the present study was to meta-analytically investigate the score reliability for the Satisfaction With Life Scale. Four-hundred and sixteen articles using the measure were located through electronic database searches and then separated to identify studies which had calculated reliability estimates from their own data. Sixty-two…

  1. Reliability and validity of the new Tanaka B Intelligence Scale scores: a group intelligence test.

    Directory of Open Access Journals (Sweden)

    Yota Uno

    Full Text Available OBJECTIVE: The present study evaluated the reliability and concurrent validity of the new Tanaka B Intelligence Scale, which is an intelligence test that can be administered on groups within a short period of time. METHODS: The new Tanaka B Intelligence Scale and Wechsler Intelligence Scale for Children-Third Edition were administered to 81 subjects (mean age ± SD 15.2 ± 0.7 years residing in a juvenile detention home; reliability was assessed using Cronbach's alpha coefficient, and concurrent validity was assessed using the one-way analysis of variance intraclass correlation coefficient. Moreover, receiver operating characteristic analysis for screening for individuals who have a deficit in intellectual function (an FIQ<70 was performed. In addition, stratum-specific likelihood ratios for detection of intellectual disability were calculated. RESULTS: The Cronbach's alpha for the new Tanaka B Intelligence Scale IQ (BIQ was 0.86, and the intraclass correlation coefficient with FIQ was 0.83. Receiver operating characteristic analysis demonstrated an area under the curve of 0.89 (95% CI: 0.85-0.96. In addition, the stratum-specific likelihood ratio for the BIQ≤65 stratum was 13.8 (95% CI: 3.9-48.9, and the stratum-specific likelihood ratio for the BIQ≥76 stratum was 0.1 (95% CI: 0.03-0.4. Thus, intellectual disability could be ruled out or determined. CONCLUSION: The present results demonstrated that the new Tanaka B Intelligence Scale score had high reliability and concurrent validity with the Wechsler Intelligence Scale for Children-Third Edition score. Moreover, the post-test probability for the BIQ could be calculated when screening for individuals who have a deficit in intellectual function. The new Tanaka B Intelligence Test is convenient and can be administered within a variety of settings. This enables evaluation of intellectual development even in settings where performing intelligence tests have previously been difficult.

  2. 2000-2010 Annual State-Scale Service and Domain Scores for Forecasting Well-Being from Service-Based Decisions

    Data.gov (United States)

    U.S. Environmental Protection Agency — 2000-2010 Annual State-Scale Service and Domain scores used to support the approach for forecasting EPA's Human Well-Being Index. A modeling approach was developed...

  3. Dataset of working conditions and thermo-economic performances for hybrid organic Rankine plants fed by solar and low-grade energy sources.

    Science.gov (United States)

    Scardigno, Domenico; Fanelli, Emanuele; Viggiano, Annarita; Braccio, Giacobbe; Magi, Vinicio

    2016-06-01

    This article provides the dataset of operating conditions of a hybrid organic Rankine plant generated by the optimization procedure employed in the research article "A genetic optimization of a hybrid organic Rankine plant for solar and low-grade energy sources" (Scardigno et al., 2015) [1]. The methodology used to obtain the data is described. The operating conditions are subdivided into two separate groups: feasible and unfeasible solutions. In both groups, the values of the design variables are given. Besides, the subset of feasible solutions is described in details, by providing the thermodynamic and economic performances, the temperatures at some characteristic sections of the thermodynamic cycle, the net power, the absorbed powers and the area of the heat exchange surfaces.

  4. Performance of a reversible heat pump/organic Rankine cycle unit coupled with a passive house to get a positive energy building

    DEFF Research Database (Denmark)

    Dumont, Olivier; Carmo, Carolina; Fontaine, Valentin

    2016-01-01

    This paper presents an innovative technology that can be used to deliver more renewable electricity production than the total electrical consumption of a building while covering the heat demand on a yearly basis. The technology concept uses a heat pump (HP), slightly modified to revert its cycle...... and generate electricity, coupled to a solar thermal collector roof. This reversible HP/organic Rankine cycle unit presents three operating modes: direct heating, HP and organic Rankine cycle. This work focuses on describing the dynamic model of the multi-component system followed by a techno-economic analysis......Wh/year and total electrical consumption of 2318 kWh/year) with a 138.8 m2 solar roof in Denmark....

  5. Relationship between family history of alcohol addiction, parents' education level, and smartphone problem use scale scores.

    Science.gov (United States)

    Beison, Ashley; Rademacher, David J

    2017-03-01

    Background and aims Smartphones are ubiquitous. As smartphones increased in popularity, researchers realized that people were becoming dependent on their smartphones. The purpose here was to provide a better understanding of the factors related to problematic smartphone use (PSPU). Methods The participants were 100 undergraduates (25 males, 75 females) whose ages ranged from 18 to 23 (mean age = 20 years). The participants completed questionnaires to assess gender, ethnicity, year in college, father's education level, mother's education level, family income, age, family history of alcoholism, and PSPU. The Family Tree Questionnaire assessed family history of alcoholism. The Mobile Phone Problem Use Scale (MPPUS) and the Adapted Cell Phone Addiction Test (ACPAT) were used to determine the degree of PSPU. Whereas the MPPUS measures tolerance, escape from other problems, withdrawal, craving, and negative life consequences, the ACPAT measures preoccupation (salience), excessive use, neglecting work, anticipation, lack of control, and neglecting social life. Results Family history of alcoholism and father's education level together explained 26% of the variance in the MPPUS scores and 25% of the variance in the ACPAT scores. The inclusion of mother's education level, ethnicity, family income, age, year in college, and gender did not significantly increase the proportion of variance explained for either MPPUS or ACPAT scores. Discussion and conclusions Family history of alcoholism and father's education level are good predictors of PSPU. As 74%-75% of the variance in PSPU scale scores was not explained, future studies should aim to explain this variance.

  6. Thermodynamic analysis and optimization of an integrated Rankine power cycle and nano-fluid based parabolic trough solar collector

    International Nuclear Information System (INIS)

    Toghyani, Somayeh; Baniasadi, Ehsan; Afshari, Ebrahim

    2016-01-01

    Highlights: • The performance of an integrated nano-fluid based solar Rankine cycle is studied. • The effect of solar intensity, ambient temperature, and volume fraction is evaluated. • The concept of Finite Time Thermodynamics is applied. • It is shown that CuO/oil nano-fluid has the best performance from exergy perspective. - Abstract: In this paper, the performance of an integrated Rankine power cycle with parabolic trough solar system and a thermal storage system is simulated based on four different nano-fluids in the solar collector system, namely CuO, SiO_2, TiO_2 and Al_2O_3. The effects of solar intensity, dead state temperature, and volume fraction of different nano-particles on the performance of the integrated cycle are studied using second law of thermodynamics. Also, the genetic algorithm is applied to optimize the net output power of the solar Rankine cycle. The solar thermal energy is stored in a two-tank system to improve the overall performance of the system when sunlight is not available. The concept of Finite Time Thermodynamics is applied for analyzing the performance of the solar collector and thermal energy storage system. This study reveals that by increasing the volume fraction of nano-particles, the exergy efficiency of the system increases. At higher dead state temperatures, the overall exergy efficiency is increased, and higher solar irradiation leads to considerable increase of the output power of the system. It is shown that among the selected nano-fluids, CuO/oil has the best performance from exergy perspective.

  7. Technology for industrial waste heat recovery by organic Rankine cycle systems

    Science.gov (United States)

    Cain, W. G.; Drake, R. L.; Prisco, C. J.

    1984-10-01

    The recovery of industrial waste heat and the conversion thereof to useful electric power by use of Rankine cycle systems is studied. Four different aspects of ORC technology were studied: possible destructive chemical reaction between an aluminum turbine wheel and R-113 working fluid under wheel-to-rotor rub conditions; possible chemical reaction between stainless steel or carbon steel and any of five different ORC working fluids under rotor-stator rub conditions; effects on electric generator properties of extended exposure to an environment of saturated R-113 vapor/fluid; and operational proof tests under laboratory conditions of two 1070 kW, ORC, R-113 hermetic turbogenerator power module systems.

  8. Comparison between regenerative organic Rankine cycle (RORC) and basic organic Rankine cycle (BORC) based on thermoeconomic multi-objective optimization considering exergy efficiency and levelized energy cost (LEC)

    International Nuclear Information System (INIS)

    Feng, Yongqiang; Zhang, Yaning; Li, Bingxi; Yang, Jinfu; Shi, Yang

    2015-01-01

    Highlights: • The thermoeconomic comparison of regenerative RORC and BORC is investigated. • The Pareto frontier solution with bi-objective compares with the corresponding single-objective solutions. • The three-objective optimization of the RORC and BORC is studied. • The RORC owns 8.1% higher exergy efficiency and 21.1% more LEC than the BORC under the Pareto-optimal solution. - Abstract: Based on the thermoeconomic multi-objective optimization by using non-dominated sorting genetic algorithm (NSGA-II), considering both thermodynamic performance and economic factors, the thermoeconomic comparison of regenerative organic Rankine cycles (RORC) and basic organic Rankine cycles (BORC) are investigated. The effects of five key parameters including evaporator outlet temperature, condenser temperature, degree of superheat, pinch point temperature difference and degree of supercooling on the exergy efficiency and levelized energy cost (LEC) are examined. Meanwhile, the Pareto frontier solution with bi-objective for maximizing exergy efficiency and minimizing LEC is obtained and compared with the corresponding single-objective solutions. Research demonstrates that there is a significant negative correlation between thermodynamic performance and economic factors. And the optimum exergy efficiency and LEC for the Pareto-optimal solution of the RORC are 55.97% and 0.142 $/kW h, respectively, which are 8.1% higher exergy efficiency and 21.1% more LEC than that of the BORC under considered condition. Highest exergy and thermal efficiencies are accompanied with lowest net power output and worst economic performance. Furthermore, taking the net power output into account, detailed investigation on the three-objective optimization for maximizing exergy efficiency, maximizing net power output and minimizing LEC is discussed

  9. Role of Acute Lesion Topography in Initial Ischemic Stroke Severity and Long-Term Functional Outcomes.

    Science.gov (United States)

    Wu, Ona; Cloonan, Lisa; Mocking, Steven J T; Bouts, Mark J R J; Copen, William A; Cougo-Pinto, Pedro T; Fitzpatrick, Kaitlin; Kanakis, Allison; Schaefer, Pamela W; Rosand, Jonathan; Furie, Karen L; Rost, Natalia S

    2015-09-01

    Acute infarct volume, often proposed as a biomarker for evaluating novel interventions for acute ischemic stroke, correlates only moderately with traditional clinical end points, such as the modified Rankin Scale. We hypothesized that the topography of acute stroke lesions on diffusion-weighted magnetic resonance imaging may provide further information with regard to presenting stroke severity and long-term functional outcomes. Data from a prospective stroke repository were limited to acute ischemic stroke subjects with magnetic resonance imaging completed within 48 hours from last known well, admission NIH Stroke Scale (NIHSS), and 3-to-6 months modified Rankin Scale scores. Using voxel-based lesion symptom mapping techniques, including age, sex, and diffusion-weighted magnetic resonance imaging lesion volume as covariates, statistical maps were calculated to determine the significance of lesion location for clinical outcome and admission stroke severity. Four hundred ninety subjects were analyzed. Acute stroke lesions in the left hemisphere were associated with more severe NIHSS at admission and poor modified Rankin Scale at 3 to 6 months. Specifically, injury to white matter (corona radiata, internal and external capsules, superior longitudinal fasciculus, and uncinate fasciculus), postcentral gyrus, putamen, and operculum were implicated in poor modified Rankin Scale. More severe NIHSS involved these regions, as well as the amygdala, caudate, pallidum, inferior frontal gyrus, insula, and precentral gyrus. Acute lesion topography provides important insights into anatomic correlates of admission stroke severity and poststroke outcomes. Future models that account for infarct location in addition to diffusion-weighted magnetic resonance imaging volume may improve stroke outcome prediction and identify patients likely to benefit from aggressive acute intervention and personalized rehabilitation strategies. © 2015 American Heart Association, Inc.

  10. Substantial improvements in large-scale redocking and screening using the novel HYDE scoring function

    Science.gov (United States)

    Schneider, Nadine; Hindle, Sally; Lange, Gudrun; Klein, Robert; Albrecht, Jürgen; Briem, Hans; Beyer, Kristin; Claußen, Holger; Gastreich, Marcus; Lemmen, Christian; Rarey, Matthias

    2012-06-01

    The HYDE scoring function consistently describes hydrogen bonding, the hydrophobic effect and desolvation. It relies on HYdration and DEsolvation terms which are calibrated using octanol/water partition coefficients of small molecules. We do not use affinity data for calibration, therefore HYDE is generally applicable to all protein targets. HYDE reflects the Gibbs free energy of binding while only considering the essential interactions of protein-ligand complexes. The greatest benefit of HYDE is that it yields a very intuitive atom-based score, which can be mapped onto the ligand and protein atoms. This allows the direct visualization of the score and consequently facilitates analysis of protein-ligand complexes during the lead optimization process. In this study, we validated our new scoring function by applying it in large-scale docking experiments. We could successfully predict the correct binding mode in 93% of complexes in redocking calculations on the Astex diverse set, while our performance in virtual screening experiments using the DUD dataset showed significant enrichment values with a mean AUC of 0.77 across all protein targets with little or no structural defects. As part of these studies, we also carried out a very detailed analysis of the data that revealed interesting pitfalls, which we highlight here and which should be addressed in future benchmark datasets.

  11. Extent of early ischemic changes on computed tomography (CT) before thrombolysis: prognostic value of the Alberta Stroke Program Early CT Score in ECASS II.

    Science.gov (United States)

    Dzialowski, Imanuel; Hill, Michael D; Coutts, Shelagh B; Demchuk, Andrew M; Kent, David M; Wunderlich, Olaf; von Kummer, Rüdiger

    2006-04-01

    The significance of early ischemic changes (EICs) on computed tomography (CT) to triage patients for thrombolysis has been controversial. The Alberta Stroke Program Early CT Score (ASPECTS) semiquantitatively assesses EICs within the middle cerebral artery territory using a10-point grading system. We hypothesized that dichotomized ASPECTS predicts response to intravenous thrombolysis and incidence of secondary hemorrhage within 6 hours of stroke onset. Data from the European-Australian Acute Stroke Study (ECASS) II study were used in which 800 patients were randomized to recombinant tissue plasminogen activator (rt-PA) or placebo within 6 hours of symptom onset. We retrospectively assessed all baseline CT scans, dichotomized ASPECTS at 7, defined favorable outcome as modified Rankin Scale score 0 to 2 after 90 days, and secondary hemorrhage as parenchymal hematoma 1 (PH1) or PH2. We performed a multivariable logistic regression analysis and assessed for an interaction between rt-PA treatment and baseline ASPECTS score. We scored ASPECTS >7 in 557 and < or =7 in 231 patients. There was no treatment-by-ASPECTS interaction with dichotomized ASPECTS (P=0.3). This also applied for the 0- to 3-hour and 3- to 6-hour cohorts. However, a treatment-by-ASPECTS effect modification was seen in predicting PH (0.043 for the interaction term), indicating a much higher likelihood of thrombolytic-related parenchymal hemorrhage in those with ASPECTS < or =7. In ECASS II, the effect of rt-PA on functional outcome is not influenced by baseline ASPECTS. Patients with low ASPECTS have a substantially increased risk of thrombolytic-related PH.

  12. Experimental Comparison Of Working Fluids For Organic Rankine Cycle With Single-Screw Expander

    OpenAIRE

    Gusev, Sergei; Ziviani, Davide; Bell, Ian; De Paepe, Michel; van den Broek, Martijn

    2014-01-01

    This paper describes the behavior of an Organic Rankine Cycle (ORC) fed by a heat source with adaptable temperature and mass flow. For a suitable choice of working fluid, the setting of its evaporation pressure is crucial for the performance of an ORC installation. The higher the evaporation pressure, the higher the cycle efficiency on the one hand, but the lower the energy recovered from the heat source due to a higher outlet temperature on the other hand. An optimum has to be found to achie...

  13. Clinical study on HAT and SEDAN score scales and related risk factors for predicting hemorrhagic transformation following thrombolysis in acute ischemic stroke

    Directory of Open Access Journals (Sweden)

    Heng WEI

    2015-03-01

    Full Text Available Objective To investigate the value of HAT and SEDAN score scales in predicting hemorrhagic transformation (HT following the recombinant tissue-type plasminogen activator (rt-PA intravenous thrombolysis in acute ischemic stroke patients and risk factors affecting HT.  Methods A total of 143 patients with acute ischemic stroke underwent rt-PA intravenous thrombolysis within 4.50 h of onset and their clinical data were collected. According to head CT after thrombolysis, patients were divided into HT group (18 cases and non-HT group (125 cases. Single factor analysis was used to assess differences in HAT and SEDAN score scales and related risk factors of ischemic stroke in 2 groups, and further Logistic regression analysis was used to investigate independent predictors of HT. Receiver operating characteristic (ROC curve was used to evaluate the sensitivity and specificity of HAT and SEDAN score scales in predicting HT.  Results Univariate Logistic regression analysis showed that history of atrial fibrillation (AF, admission systolic blood pressure (SBP, admission blood glucose level, early low density of head CT, thrombolytic time window, National Institute of Health Stroke Scale (NIHSS, HAT and SEDAN scores were all risk factors for HT after thrombolysis (P < 0.05, for all. Multivariate Logistic regression analysis showed that history of AF (OR = 1.677, 95% CI: 1.332-2.111; P = 0.000, admission SBP (OR = 1.102, 95% CI: 1.009-1.204; P = 0.031, admission blood glucose level (OR = 1.870, 95% CI: 1.119-3.125; P = 0.017, thrombolysis time window (OR = 1.030, 95%CI: 1.009-1.052; P = 0.005, NIHSS score (OR = 1.574, 95%CI: 1.186-2.090; P = 0.002, HAT score (OR = 2.515, 95%CI: 1.273-4.970;P = 0.008 and SEDAN score (OR = 2.413, 95%CI: 1.123-5.185; P = 0.024 were risk factors for HT after thrombolysis. ROC curve analysis showed that HAT score could predict HT with 94.40% sensitivity and 41.60% specificity, and area under curve (AUC was 0.70. SEDAN

  14. Dataset of working conditions and thermo-economic performances for hybrid organic Rankine plants fed by solar and low-grade energy sources

    Directory of Open Access Journals (Sweden)

    Domenico Scardigno

    2016-06-01

    Full Text Available This article provides the dataset of operating conditions of a hybrid organic Rankine plant generated by the optimization procedure employed in the research article “A genetic optimization of a hybrid organic Rankine plant for solar and low-grade energy sources” (Scardigno et al., 2015 [1]. The methodology used to obtain the data is described. The operating conditions are subdivided into two separate groups: feasible and unfeasible solutions. In both groups, the values of the design variables are given. Besides, the subset of feasible solutions is described in details, by providing the thermodynamic and economic performances, the temperatures at some characteristic sections of the thermodynamic cycle, the net power, the absorbed powers and the area of the heat exchange surfaces.

  15. Conceptual design and analysis of a Dish-Rankine solar thermal power system

    Science.gov (United States)

    Pons, R. L.

    1980-08-01

    A Point Focusing Distributed Receiver (PFDR) solar thermal electric system which employs small Organic Rankine Cycle (ORC) engines is examined with reference to its projected technical/economic performance. With mass-produced power modules (about 100,000 per year), the projected life-cycle energy cost for an optimized no-storage system is estimated at 67 mills/kWh (Levelized Busbar Energy Cost) without the need for advanced development of any of its components. At moderate production rates (about 50 MWe/yr) system energy costs are competitive with conventional power generation systems in special remote-site types of applications.

  16. Relationship between family history of alcohol addiction, parents’ education level, and smartphone problem use scale scores

    Science.gov (United States)

    Beison, Ashley; Rademacher, David J.

    2017-01-01

    Background and aims Smartphones are ubiquitous. As smartphones increased in popularity, researchers realized that people were becoming dependent on their smartphones. The purpose here was to provide a better understanding of the factors related to problematic smartphone use (PSPU). Methods The participants were 100 undergraduates (25 males, 75 females) whose ages ranged from 18 to 23 (mean age = 20 years). The participants completed questionnaires to assess gender, ethnicity, year in college, father’s education level, mother’s education level, family income, age, family history of alcoholism, and PSPU. The Family Tree Questionnaire assessed family history of alcoholism. The Mobile Phone Problem Use Scale (MPPUS) and the Adapted Cell Phone Addiction Test (ACPAT) were used to determine the degree of PSPU. Whereas the MPPUS measures tolerance, escape from other problems, withdrawal, craving, and negative life consequences, the ACPAT measures preoccupation (salience), excessive use, neglecting work, anticipation, lack of control, and neglecting social life. Results Family history of alcoholism and father’s education level together explained 26% of the variance in the MPPUS scores and 25% of the variance in the ACPAT scores. The inclusion of mother’s education level, ethnicity, family income, age, year in college, and gender did not significantly increase the proportion of variance explained for either MPPUS or ACPAT scores. Discussion and conclusions Family history of alcoholism and father’s education level are good predictors of PSPU. As 74%–75% of the variance in PSPU scale scores was not explained, future studies should aim to explain this variance. PMID:28316252

  17. Thermodynamic analysis of a Rankine cycle applied on a diesel truck engine using steam and organic medium

    International Nuclear Information System (INIS)

    Katsanos, C.O.; Hountalas, D.T.; Pariotis, E.G.

    2012-01-01

    Highlights: ► ORC improves bsfc from 10.7% to 8.4% as engine load increases from 25% to 100%. ► Increasing ORC high pressure increases thermodynamic efficiency and power output. ► Operating at high pressure the ORC is favorable for the engine cooling system. ► The low temperature values of the ORC favors heat extraction from the EGR gas. ► The impact of the exhaust gas heat exchanger on engine backpressure is limited. - Abstract: A theoretical study is conducted to investigate the potential improvement of the overall efficiency of a heavy-duty truck diesel engine equipped with a Rankine bottoming cycle for recovering heat from the exhaust gas. To this scope, a newly developed thermodynamic simulation model has been used, considering two different working media: water and the refrigerant R245ca. As revealed from the analysis, due to the variation of exhaust gas temperature with engine load it is necessary to modify the Rankine cycle parameters i.e. high pressure and superheated vapor temperature. For this reason, a new calculation procedure is applied for the estimation of the optimum Rankine cycle parameters at each operating condition. The calculation algorithm is conducted by taking certain design criteria into account, such as the exhaust gas heat exchanger size and its pinch point requirement. From the comparative evaluation between the two working media examined, using the optimum configuration of the cycle for each operating condition, it has been revealed that the brake specific fuel consumption improvement ranges from 10.2% (at 25% engine load) to 8.5% (at 100% engine load) for R245ca and 6.1% (at 25% engine load) to 7.5% (at 100% engine load) for water.

  18. Education-stratified base-rate information on discrepancy scores within and between the Wechsler Adult Intelligence Scale--Third Edition and the Wechsler Memory Scale--Third Edition.

    Science.gov (United States)

    Dori, Galit A; Chelune, Gordon J

    2004-06-01

    The Wechsler Adult Intelligence Scale--Third Edition (WAIS-III; D. Wechsler, 1997a) and the Wechsler Memory Scale--Third Edition (WMS-III; D. Wechsler, 1997b) are 2 of the most frequently used measures in psychology and neuropsychology. To facilitate the diagnostic use of these measures in the clinical decision-making process, this article provides information on education-stratified, directional prevalence rates (i.e., base rates) of discrepancy scores between the major index scores for the WAIS-III, the WMS-III, and between the WAIS-III and WMS-III. To illustrate how such base-rate data can be clinically used, this article reviews the relative risk (i.e., odds ratio) of empirically defined "rare" cognitive deficits in 2 of the clinical samples presented in the WAIS-III--WMS-III Technical Manual (The Psychological Corporation, 1997). ((c) 2004 APA, all rights reserved)

  19. Evaluation of stratification factors and score-scales in clinical trials of treatment of clinical mastitis in dairy cows.

    Science.gov (United States)

    Hektoen, L; Ødegaard, S A; Løken, T; Larsen, S

    2004-05-01

    There is often a need to reduce sample size in clinical trials due to practical limitations and ethical considerations. Better comparability between treatment groups by use of stratification in the design, and use of continuous outcome variables in the evaluation of treatment results, are two methods that can be used in order to achieve this. In this paper the choice of stratification factors in trials of clinical mastitis in dairy cows is investigated, and two score-scales for evaluation of clinical mastitis are introduced. The outcome in 57 dairy cows suffering from clinical mastitis and included in a clinical trial comparing homeopathic treatment, placebo and a standard antibiotic treatment is investigated. The strata of various stratification factors are compared across treatments to determine which other factors influence outcome. The two score scales, measuring acute and chronic mastitis symptoms, respectively, are evaluated on their ability to differentiate between patients classified from clinical criteria as responders or non-responders to treatment. Differences were found between the strata of the factors severity of mastitis, lactation number, previous mastitis this lactation and bacteriological findings. These factors influence outcome of treatment and appear relevant as stratification factors in mastitis trials. Both score scales differentiated between responders and non-responders to treatment and were found useful for evaluation of mastitis and mastitis treatment.

  20. Conservative treatment of soft tissue sarcomas of the extremities. Functional evaluation with LENT-SOMA scales and the Enneking score; Traitement conservateur des sarcomes des tissus mous des membres. Evaluation du resultat fonctionnel selon l'echelle LENT-SOMA et le score de Enneking

    Energy Technology Data Exchange (ETDEWEB)

    Tawfiq, N.; Lagarde, P.; Thomas, L.; Kantor, G. [Institut Bergonie, Centre Regional de Lutte Contre le Cancer, Service de Radiotherapie, 33 - Bordeaux (France); Stockle, E. [Institut Bergonie, Centre Regional de Lutte Contre le Cancer, Service de Chirurgie, 33 - Bordeaux (France); Bui, B.N. [Institut Bergonie, Centre Regional de Lutte Contre le Cancer, Service d' Oncologie Medicale, 33 - Bordeaux (France)

    2000-12-01

    Objective. - The aim of this prospective study is the feasibility of late effects assessment by LENT-SOMA scales after conservative treatment of soft tissue sarcomas of the extremities and a comparison with the functional evaluation by the Enneking score. Patients and methods. - During the systematic follow-up consultations, a series of 32 consecutive patients was evaluated in terms of late effects by LENT SOMA scales and functional results by the Enneking score. The median time after treatment was 65 months. The treatment consisted of conservative surgery (all cases) followed by radiation therapy (29 cases), often combined with adjuvant therapy (12 concomitant radio-chemotherapy association cases out of 14). The assessment of the toxicity was retrospective for acute effects and prospective for the following late tissue damage: skin/subcutaneous tissues, muscles/soft tissues and peripheral nerves. Results. -According to the Enneking score, the global score for the overall series was high (24/30) despite four the scores zero for the psychological acceptance. According to LENT SOMA scales, a low rate of severe sequelae (grade 3-4) was observed. The occurrence of high-grade sequelae and their functional consequences were not correlated with quality of exeresis, dose of radiotherapy or use of concomitant chemotherapy. A complementarity was observed between certain factors of the Enneking score and some criteria of the LENTSOMA scales, especially of muscles/soft tissues. Conclusion. -The good quality of functional results was confirmed by the two mean scoring systems for late normal tissue damage. The routine use of LENT-SOMA seems to be more time consuming than the Enneking score (mean time of scoring: 1 3 versus five minutes). The LENT-SOMA scales are aimed at a detailed description of late toxicity and sequelae while the Enneking score provides a more global evaluation, including the psychological acceptance of treatment. The late effects assessment by the LENT

  1. Dynamic behavior of Rankine cycle system for waste heat recovery of heavy duty diesel engines under driving cycle

    International Nuclear Information System (INIS)

    Xie, Hui; Yang, Can

    2013-01-01

    Highlights: • Waste heat recovery behavior of the RCS during driving cycle was investigated. • Four operating modes were defined to describe the operating process of the RCS under driving cycle. • The operating mode switching is the crucial reason for on-road inefficiency. • The dry and isentropic fluids are superior to the wet ones on the adaptability to unsteady ExGE. • The effects of the vapor parameters on RCT-E and power mode percentage are opposite. - Abstract: The RCS (Rankine cycle system) used to recover the WHE (waste heat energy) from engines has been regarded as one of the most potential ways of achieving higher efficiency. However, it is of great challenge to keep the RCS still in good performance under driving cycle. This paper tries to reveal and explain its on-road inefficiency. The operating process of the RCS under driving cycle was analyzed in advance. Afterwards, four basic operating modes were defined, including startup mode, turbine turning mode, power mode and protection mode. Then, a RCS model was established and operating performances of the RCS under an actual driving cycle were discussed based on this model. The results indicate that the on-road RCS-E (Rankine cycle system efficiency) is as low as 3.63%, which is less than half of the design RCS-E (7.77%) at the rated operating point. Despite the inevitable vapor state fluctuation, it is the operating mode switching during the driving cycle that leads to the on-road inefficiency. Further investigations indicate that the expander safety temperature and its safety margin affected by the working fluids, designed superheat degree and evaporating pressure are the main factors determining the operating mode switching. Finally, the effects of the working fluids, designed superheat degree and evaporating pressure on the operating mode switching and RC (Rankine cycle) efficiencies were profoundly investigated. The study shows that the dry and isentropic fluids are superior to the wet

  2. External validation of the MRI-DRAGON score: early prediction of stroke outcome after intravenous thrombolysis.

    Science.gov (United States)

    Turc, Guillaume; Aguettaz, Pierre; Ponchelle-Dequatre, Nelly; Hénon, Hilde; Naggara, Olivier; Leclerc, Xavier; Cordonnier, Charlotte; Leys, Didier; Mas, Jean-Louis; Oppenheim, Catherine

    2014-01-01

    The aim of our study was to validate in an independent cohort the MRI-DRAGON score, an adaptation of the (CT-) DRAGON score to predict 3-month outcome in acute ischemic stroke patients undergoing MRI before intravenous thrombolysis (IV-tPA). We reviewed consecutive (2009-2013) anterior circulation stroke patients treated within 4.5 hours by IV-tPA in the Lille stroke unit (France), where MRI is the first-line pretherapeutic work-up. We assessed the discrimination and calibration of the MRI-DRAGON score to predict poor 3-month outcome, defined as modified Rankin Score >2, using c-statistic and the Hosmer-Lemeshow test, respectively. We included 230 patients (mean ±SD age 70.4±16.0 years, median [IQR] baseline NIHSS 8 [5]-[14]; poor outcome in 78(34%) patients). The c-statistic was 0.81 (95%CI 0.75-0.87), and the Hosmer-Lemeshow test was not significant (p = 0.54). The MRI-DRAGON score showed good prognostic performance in the external validation cohort. It could therefore be used to inform the patient's relatives about long-term prognosis and help to identify poor responders to IV-tPA alone, who may be candidates for additional therapeutic strategies, if they are otherwise eligible for such procedures based on the institutional criteria.

  3. External validation of the MRI-DRAGON score: early prediction of stroke outcome after intravenous thrombolysis.

    Directory of Open Access Journals (Sweden)

    Guillaume Turc

    Full Text Available The aim of our study was to validate in an independent cohort the MRI-DRAGON score, an adaptation of the (CT- DRAGON score to predict 3-month outcome in acute ischemic stroke patients undergoing MRI before intravenous thrombolysis (IV-tPA.We reviewed consecutive (2009-2013 anterior circulation stroke patients treated within 4.5 hours by IV-tPA in the Lille stroke unit (France, where MRI is the first-line pretherapeutic work-up. We assessed the discrimination and calibration of the MRI-DRAGON score to predict poor 3-month outcome, defined as modified Rankin Score >2, using c-statistic and the Hosmer-Lemeshow test, respectively.We included 230 patients (mean ±SD age 70.4±16.0 years, median [IQR] baseline NIHSS 8 [5]-[14]; poor outcome in 78(34% patients. The c-statistic was 0.81 (95%CI 0.75-0.87, and the Hosmer-Lemeshow test was not significant (p = 0.54.The MRI-DRAGON score showed good prognostic performance in the external validation cohort. It could therefore be used to inform the patient's relatives about long-term prognosis and help to identify poor responders to IV-tPA alone, who may be candidates for additional therapeutic strategies, if they are otherwise eligible for such procedures based on the institutional criteria.

  4. Quantifying Risk of Financial Incapacity and Financial Exploitation in Community-dwelling Older Adults: Utility of a Scoring System for the Lichtenberg Financial Decision-making Rating Scale.

    Science.gov (United States)

    Lichtenberg, Peter A; Gross, Evan; Ficker, Lisa J

    2018-06-08

    This work examines the clinical utility of the scoring system for the Lichtenberg Financial Decision-making Rating Scale (LFDRS) and its usefulness for decision making capacity and financial exploitation. Objective 1 was to examine the clinical utility of a person centered, empirically supported, financial decision making scale. Objective 2 was to determine whether the risk-scoring system created for this rating scale is sufficiently accurate for the use of cutoff scores in cases of decisional capacity and cases of suspected financial exploitation. Objective 3 was to examine whether cognitive decline and decisional impairment predicted suspected financial exploitation. Two hundred independently living, non-demented community-dwelling older adults comprised the sample. Participants completed the rating scale and other cognitive measures. Receiver operating characteristic curves were in the good to excellent range for decisional capacity scoring, and in the fair to good range for financial exploitation. Analyses supported the conceptual link between decision making deficits and risk for exploitation, and supported the use of the risk-scoring system in a community-based population. This study adds to the empirical evidence supporting the use of the rating scale as a clinical tool assessing risk for financial decisional impairment and/or financial exploitation.

  5. Energy efficiency analysis of Organic Rankine Cycles with scroll expanders for cogenerative applications

    International Nuclear Information System (INIS)

    Clemente, Stefano; Micheli, Diego; Reini, Mauro; Taccani, Rodolfo

    2012-01-01

    Highlights: ► We present an ORC model composed of a scroll 1D model and a cycle thermodynamic one. ► High-series production components from HVAC field are considered to reduce costs. ► Couplings of the micro-CHP with low-temperature heat sources are analyzed. ► Small and low-cost CHP systems with acceptable electrical efficiency are realizable. ► Higher electrical efficiency are possible modifying the scroll geometry. -- Abstract: Small scale Organic Rankine Cycle (ORC) systems has been the object of a large number of studies in the last decade, because of their suitability for energy recovery and cogenerative applications. The paper presents an ORC numerical model and its applications to two different case studies; the code has been obtained by combining a one-dimensional model of a scroll machine and a thermodynamic model of a whole ORC system. Series production components, such as scroll compressors, from HVAC field, have been first considered in order to reduce costs, because this is a critical issue for small scale energy recovery and cogeneration systems. The detailed model of the scroll machine is capable to calculate the performances of both a compressor and an expander, as function of the geometry of the device and of the working fluid. The model has been first tested and validated by comparing its outputs with experimental tests on a commercial scroll compressor, then used to calculate the working curves of commercial scroll machines originally designed as compressors in the HVAC field, but operating as expanders. The model of the expander has been then integrated in the thermodynamic model of the ORC system. A series of comparisons have been carried out in order to evaluate how the performances are influenced by cycle parameters, scroll geometry and working fluid for different applications. The results confirm the feasibility of small scale CHP systems with acceptable electrical efficiency, taking into account the low-temperature thermal source

  6. Performance Analysis of a Reciprocating Piston Expander and a Plate Type Exhaust Gas Recirculation Boiler in a Water-Based Rankine Cycle for Heat Recovery from a Heavy Duty Diesel Engine

    Directory of Open Access Journals (Sweden)

    Gunnar Latz

    2016-06-01

    Full Text Available The exhaust gas in an internal combustion engine provides favorable conditions for a waste-heat recovery (WHR system. The highest potential is achieved by the Rankine cycle as a heat recovery technology. There are only few experimental studies that investigate full-scale systems using water-based working fluids and their effects on the performance and operation of a Rankine cycle heat recovery system. This paper discusses experimental results and practical challenges with a WHR system when utilizing heat from the exhaust gas recirculation system of a truck engine. The results showed that the boiler’s pinch point necessitated trade-offs between maintaining adequate boiling pressure while achieving acceptable cooling of the EGR and superheating of the water. The expander used in the system had a geometric compression ratio of 21 together with a steam outlet timing that caused high re-compression. Inlet pressures of up to 30 bar were therefore required for a stable expander power output. Such high pressures increased the pump power, and reduced the EGR cooling in the boiler because of pinch-point effects. Simulations indicated that reducing the expander’s compression ratio from 21 to 13 would allow 30% lower steam supply pressures without adversely affecting the expander’s power output.

  7. Análise teórica da recuperação de calor para geração de energia em indústrias de cimento e cal utilizando o ciclo de Rankine orgânico

    Directory of Open Access Journals (Sweden)

    Ricardo Carrasco Carpio

    2015-06-01

    Full Text Available O presente trabalho consiste em uma apresentação do estado da arte do Ciclo Rankine Orgânico, um ciclo termodinâmico que usa um fluido orgânico como fluido de trabalho e que pode ser usado para recuperação de calor rejeitado em processos industriais, gerando assim energia elétrica para abastecer a própria indústria, o que consequentemente causa uma redução no custo de produção da empresa. São apresentados alguns fluidos orgânicos e alguns de seus parâmetros termodinâmicos.Palavras-chave: Cogeração. Ciclo Rankine Orgânico. Fluidos de Trabalho.ABSTRACTTheoretical analysis of heat recovery for power generation in cement and lime industries using the organic Rankine cycleThis work aims to present the state of the art of the Organic Rankine Cycle, a thermodynamic cycle that uses an organic fluid as a working fluid that can be used to recover the rejected heat in industrial processes, thus generating electricity to supply industry itself, which causes a reduction in the production cost of the company. It also presents some organic fluids and some of their thermodynamic parameters.Keywords: Cogeneration. Organic Rankine Cycle. Working Fluids.

  8. Simultaneous heat integration and techno-economic optimization of Organic Rankine Cycle (ORC) for multiple waste heat stream recovery

    International Nuclear Information System (INIS)

    Yu, Haoshui; Eason, John; Biegler, Lorenz T.; Feng, Xiao

    2017-01-01

    In the past decades, the Organic Rankine Cycle (ORC) has become a promising technology for low and medium temperature energy utilization. In refineries, there are usually multiple waste heat streams to be recovered. From a safety and controllability perspective, using an intermedium (hot water) to recover waste heat before releasing heat to the ORC system is more favorable than direct integration. The mass flowrate of the intermediate hot water stream determines the amount of waste heat recovered and the final hot water temperature affects the thermal efficiency of ORC. Both, in turn, exert great influence on the power output. Therefore, the hot water mass flowrate is a critical decision variable for the optimal design of the system. This study develops a model for techno-economic optimization of an ORC with simultaneous heat recovery and capital cost optimization. The ORC is modeled using rigorous thermodynamics with the concept of state points. The task of waste heat recovery using the hot water intermedium is modeled using the Duran-Grossmann model for simultaneous heat integration and process optimization. The combined model determines the optimal design of an ORC that recovers multiple waste heat streams in a large scale background process using an intermediate heat transfer stream. In particular, the model determines the optimal heat recovery approach temperature (HRAT), the utility load of the background process, and the optimal operating conditions of the ORC simultaneously. The effectiveness of this method is demonstrated with a case study that uses a refinery as the background process. Sensitivity of the optimal solution to the parameters (electricity price, utility cost) is quantified in this paper. - Highlights: • A new model for Organic Rankine cycle design optimization is presented. • Process heat integration and ORC are considered simultaneously. • Rigorous equation oriented models of the ORC are used for accurate results. • Impact of working

  9. A thermodynamic analysis of waste heat recovery from reciprocating engine power plants by means of Organic Rankine Cycles

    International Nuclear Information System (INIS)

    Uusitalo, Antti; Honkatukia, Juha; Turunen-Saaresti, Teemu; Larjola, Jaakko

    2014-01-01

    Organic Rankine Cycle (ORC) is a Rankine cycle using organic fluid as the working fluid instead of water and steam. The ORC process is a feasible choice in waste heat recovery applications producing electricity from relatively low-temperature waste heat sources or in applications having a rather low power output. Utilizing waste heat from a large high-efficiency reciprocating engine power plant with ORC processes is studied by means of computations. In addition to exhaust gas heat recovery, this study represents and discusses an idea of directly replacing the charge air cooler (CAC) of a large turbocharged engine with an ORC evaporator to utilize the charge air heat in additional power production. A thermodynamic analysis for ORCs was carried out with working fluids toluene, n-pentane, R245fa and cyclohexane. The effect of different ORC process parameters on the process performance are presented and analyzed in order to investigate the heat recovery potential from the exhaust gas and charge air. A simplified feasibility consideration is included by comparing the ratio of the theoretical heat transfer areas needed and the obtained power output from ORC processes. The greatest potential is related to the exhaust gas heat recovery, but in addition also the lower temperature waste heat streams could be utilized to boost the electrical power of the engine power plant. A case study for a large-scale gas-fired engine was carried out showing that the maximum power increase of 11.4% was obtained from the exhaust gas and 2.4% from the charge air heat. - Highlights: • Waste heat recovery potential of reciprocating engines was studied. • Thermodynamic optimization for ORCs was carried out with different fluids. • The utilization of exhaust gas and charge air heat is presented and discussed. • Simplified economic feasibility study was included in the analysis. • Power increase of 11.4% was obtained from exhaust gas and 2.4% from charge air

  10. Selection and optimization of pure and mixed working fluids for low grade heat utilization using organic Rankine cycles

    DEFF Research Database (Denmark)

    Andreasen, Jesper Graa; Larsen, Ulrik; Knudsen, Thomas

    2014-01-01

    We present a generic methodology for organic Rankine cycle optimization, where the working fluid is included as an optimization parameter, in order to maximize the net power output of the cycle. The method is applied on two optimization cases with hot fluid inlet temperatures at 120°C and 90°C. P...

  11. Reliable scar scoring system to assess photographs of burn patients.

    Science.gov (United States)

    Mecott, Gabriel A; Finnerty, Celeste C; Herndon, David N; Al-Mousawi, Ahmed M; Branski, Ludwik K; Hegde, Sachin; Kraft, Robert; Williams, Felicia N; Maldonado, Susana A; Rivero, Haidy G; Rodriguez-Escobar, Noe; Jeschke, Marc G

    2015-12-01

    Several scar-scoring scales exist to clinically monitor burn scar development and maturation. Although scoring scars through direct clinical examination is ideal, scars must sometimes be scored from photographs. No scar scale currently exists for the latter purpose. We modified a previously described scar scale (Yeong et al., J Burn Care Rehabil 1997) and tested the reliability of this new scale in assessing burn scars from photographs. The new scale consisted of three parameters as follows: scar height, surface appearance, and color mismatch. Each parameter was assigned a score of 1 (best) to 4 (worst), generating a total score of 3-12. Five physicians with burns training scored 120 representative photographs using the original and modified scales. Reliability was analyzed using coefficient of agreement, Cronbach alpha, intraclass correlation coefficient, variance, and coefficient of variance. Analysis of variance was performed using the Kruskal-Wallis test. Color mismatch and scar height scores were validated by analyzing actual height and color differences. The intraclass correlation coefficient, the coefficient of agreement, and Cronbach alpha were higher for the modified scale than those of the original scale. The original scale produced more variance than that in the modified scale. Subanalysis demonstrated that, for all categories, the modified scale had greater correlation and reliability than the original scale. The correlation between color mismatch scores and actual color differences was 0.84 and between scar height scores and actual height was 0.81. The modified scar scale is a simple, reliable, and useful scale for evaluating photographs of burn patients. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. Cross Racial Identity Scale (CRIS) scores and profiles in African American adolescents involved with the juvenile justice system.

    Science.gov (United States)

    Worrell, Frank C; Andretta, James R; Woodland, Malcolm H

    2014-10-01

    In this study, we examined the internal consistency and structural validity of Cross Racial Identity Scale (CRIS) scores in a sample of 477 African American adolescents who had been arrested in a city in the mid-Atlantic. Using cluster analysis, we also identified profiles of CRIS scores and compared adolescents with different profiles on Major Depressive Episode, Manic Episode, Generalized Anxiety Disorder, and Obsessive-Compulsive Disorder scores. Results indicated that CRIS subscale scores were reliable, and the 6-factor structure of the CRIS was supported. Five nigrescence profiles were identified: Miseducation-Pro-Black, Conflicted-Self-Hatred, Multiculturalist, Low Race Salience, and Conflicted-Anti-White. Individuals with Conflicted-Self-Hatred profiles reported significantly and meaningfully higher scores on the 4 syndromes than did their peers, and individuals with the Multiculturalist and Low Race Salience profiles reported the lowest scores. A greater percentage of individuals with Conflicted racial identity profiles had syndrome scores in the clinically significant range. The results of this study demonstrate that some of the nigrescence profiles found in college-age students generalize to adolescents. The implications of the findings for theory, research, and practice are discussed. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  13. Late effects of normal tissues (lent) scoring system: the soma scale

    International Nuclear Information System (INIS)

    Mornex, F.; Pavy, J.J.; Denekamp, J.

    1997-01-01

    Radiation tolerance of normal tissues remains the limiting factor for delivering tumoricidal dose. The late toxicity of normal tissues is the most critical element of an irradiation: somatic, functional and structural alterations occur during the actual treatment itself, but late effects manifest months to years after acute effects heal, and may progress with time. The optimal therapeutic ratio ultimately requires not only complete tumor clearance, but also minimal residual injury to surrounding vital normal tissues. The disparity between the intensity of acute and late effects and the inability to predict the eventual manifestation of late normal tissue injury has made radiation oncologists recognize the importance of careful patient follow-up. There is so far no uniform toxicity scoring system to compare several clinical studies in the absence of a 'common toxicity language'. This justifies the need to establish a precise evaluation system for the analysis of late effects of radiation on normal tissues. The SOMA/LENT scoring system results from an international collaboration. European Organization Treatment of Cancer (EORTC) and Radiation Therapy Oncology Group (RTOG) have created subcommittees with the aim of addressing the question of standardized toxic effects criteria. This effort appeared as a necessity to standardize and improve the data recording, to then describe and evaluate uniform toxicity at regular time intervals. The current proposed scale is not yet validated, and should be used cautiously. (authors)

  14. Model based control for waste heat recovery rankine cycle system in heavy duty trucks

    OpenAIRE

    Grelet, Vincent; Dufour, Pascal; Nadri, Madiha; Lemort, Vincent; Reiche, Thomas

    2015-01-01

    Driven by future emissions legislations and increase in fuel prices engine, gas heat recovering has recently attracted a lot of interest. In the past few years, a high number of studies have shown the interest of energy recovery Rankine based systems for heavy duty trucks engine compounding. Recent studies have brought a significant potential for such a system in a Heavy Duty (HD) vehicle, which can lead to a decrease in fuel consumption of about 5% [Wang et al. (2011)] and reduce engine emis...

  15. Design and optimisation of organic Rankine cycles for waste heat recovery in marine applications using the principles of natural selection

    DEFF Research Database (Denmark)

    Larsen, Ulrik; Pierobon, Leonardo; Haglind, Fredrik

    2013-01-01

    , boundary conditions, hazard levels and environmental concerns. A generally applicable methodology, based on the principles of natural selection, is presented and used to determine the optimum working fluid, boiler pressure and Rankine cycle process layout for scenarios related to marine engine heat...

  16. CT Angiography and Presentation NIH stroke Scale in Predicting TIA in Patients Presenting with Acute Stroke Symptoms.

    Science.gov (United States)

    Karaman, Bedriye; Selph, James; Burdine, Joselyn; Graham, Cole Blease; Sen, Souvik

    2013-11-08

    Patient candidacy for acute stroke intervention, is currently assessed using brain computed tomography angiography (CTA) evidence of significant stenosis/occlusion (SSO) with a high National Institutes of Health Stroke Scale (NIHSS) (>6). This study examined the association between CTA without significant stenosis/occlusion (NSSO) and lower NIHSS (≤ 6) with transient ischemic attack (TIA) and other good clinical outcomes at discharge. Patients presenting TIA, modified Rankin Score [mRS] ≤ 1, and home as the discharge disposition. Eighty-five patients received both an NIHSS at presentation and a CTA at 4.2 ± 2.2 hours from stroke symptom onset. Patients with NSSO on CTA as well as those with NIHSS≤6 had better outcomes at discharge (pTIA (pTIA. Addition of NIHSS ≤ 6 to NSSO on CTA proved to be a stronger independent predictor of TIA (Adjusted OR 18.7 95% CI: 3.5-98.9, p=0.001).

  17. An integrated optimization for organic Rankine cycle based on entransy theory and thermodynamics

    International Nuclear Information System (INIS)

    Li, Tailu; Fu, Wencheng; Zhu, Jialing

    2014-01-01

    The organic Rankine cycle has been one of the essential heat-work conversion technologies nowadays. Lots of effectual optimization methods are focused on the promotion of the system efficiency, which are mainly relied on engineering experience and numerical simulations rather than theoretical analysis. A theoretical integrated optimization method was established based on the entransy theory and thermodynamics, with the ratio of the net power output to the ratio of the total thermal conductance to the thermal conductance in the condenser as the objective function. The system parameters besides the optimal pinch point temperature difference were obtained. The results show that the mass flow rate of the working fluid is inversely proportional to the evaporating temperature. An optimal evaporating temperature maximizes the net power output, and the maximal net power output corresponds to the maximal entransy loss and the change points of the heat source outlet temperature and the change rates for the entropy generation and the entransy dissipation. Moreover, the net power output and the total thermal conductance are inversely proportional to the pinch point temperature difference, contradicting with each other. Under the specified condition, the optimal operating parameters are ascertained, with the optimal pinch point temperature difference of 5 K. - Highlights: • We establish an integrated optimization model for organic Rankine cycle. • The model combines the entransy theory with thermodynamics. • The maximal net power output corresponds to the maximal entransy loss. • The pinch point temperature difference is optimized to be 5 K

  18. Stand-Alone Solar Organic Rankine Cycle Water Pumping System and Its Economic Viability in Nepal

    OpenAIRE

    Suresh Baral; Kyung Chun Kim

    2015-01-01

    The current study presents the concept of a stand-alone solar organic Rankine cycle (ORC) water pumping system for rural Nepalese areas. Experimental results for this technology are presented based on a prototype. The economic viability of the system was assessed based on solar radiation data of different Nepalese geographic locations. The mechanical power produced by the solar ORC is coupled with a water pumping system for various applications, such as drinking and irrigation. The thermal ef...

  19. [Correlation between dental pulp demyelination degree and pain visual analogue scale scores data under acute and chronic pulpitis].

    Science.gov (United States)

    Korsantiia, N B; Davarashvili, X T; Gogiashvili, L E; Mamaladze, M T; Tsagareli, Z G; Melikadze, E B

    2013-05-01

    The aim of study is the analysis of pulp nerve fibers demyelination degree and its relationship with Visual Analogue Scale (VAS) score that may be measured as objective criteria. Material and methods of study. Step I: electron micrografs of dental pulp simples with special interest of myelin structural changes detected in 3 scores system, obtained from 80 patients, displays in 4 groups: 1) acute and 2) chronic pulpitis without and with accompined systemic deseases, 20 patients in each group. Dental care was realized in Kutaisi N1 Dental clinic. Step II - self-reported VAS used for describing dental pain. All data were performed by SPSS 10,0 version statistics including Spearmen-rank and Mann-Whitny coefficients for examine the validity between pulp demyelination degree and pain intensity in verbal, numbered and box scales. Researched Data were shown that damaged myelin as focal decomposition of membranes and Schwann cells hyperthrophia correspond with acute dental pain intensity as Spearman index reported in VAS numbered Scales, myelin and axoplasm degeneration as part of chronic gangrenous pulpitis disorders are in direct correlation with VAS in verbal, numbered and behavioral Rating Scales. In fact, all morphological and subjective data, including psychomotoric assessment of dental painin pulpitis may be used in dental practice for evaluation of pain syndrome considered personal story.

  20. Potassium Rankine cycle power conversion systems for lunar-Mars surface power

    International Nuclear Information System (INIS)

    Holcomb, R.S.

    1992-01-01

    The potassium Rankine cycle has good potential for application to nuclear power systems for surface power on the moon and Mars. A substantial effort on the development of the power conversion system was carried out in the 1960's which demonstrated successful operation of components made of stainless steel at moderate temperatures. This technology could be applied in the near term to produce a 360 kW(e) power system by coupling a stainless steel power conversion system to the SP-100 reactor. Improved performance could be realized in later systems by utilizing niobium or tantalum refractory metal alloys in the reactor and power conversion system. The design characteristics and estimated mass of power systems for each of three technology levels are presented in the paper

  1. Influence of working fluids on Organic Rankine Cycle for waste heat recovery applications

    Energy Technology Data Exchange (ETDEWEB)

    Struzyna, Ralf; Eifler, Wolfgang; Steinmill, Jens [Bochum Univ. (Germany). Lehrstuhl fuer Verbrennungsmotoren

    2012-11-01

    More than 50% of the energy contained in fuel is lost due to the loss of heat content to the exhaust gas, the cooling water or the charge air cooler medium. Therefore, one of the most promising attempts to further increase the efficiency of internal combustion engines is waste heat recovery by means of a combined process. The Organic Rankine Cycle (ORC) is a promising process for waste heat recovery systems. The main purpose is to identify suitable working fluids to achieve best system performance. Therefore an analysis of the influence of different working fluids on system output is required. (orig.)

  2. Design and optimization of a novel organic Rankine cycle with improved boiling process

    DEFF Research Database (Denmark)

    Andreasen, Jesper Graa; Larsen, U.; Knudsen, Thomas

    2015-01-01

    to improve the boiling process. Optimizations are carried out for eight hydrocarbon mixtures for hot fluid inlet temperatures at 120 °C and 90 °C, using a genetic algorithm to determine the cycle conditions for which the net power output is maximized. The most promising mixture is an isobutane....../pentane mixture which, for the 90 °C hot fluid inlet temperature case, achieves a 14.5% higher net power output than an optimized organic Rankine cycle using the same mixture. Two parameter studies suggest that optimum conditions for the organic split-cycle are when the temperature profile allows the minimum...

  3. DRAGON score predicts functional outcomes in acute ischemic stroke patients receiving both intravenous tissue plasminogen activator and endovascular therapy.

    Science.gov (United States)

    Wang, Arthur; Pednekar, Noorie; Lehrer, Rachel; Todo, Akira; Sahni, Ramandeep; Marks, Stephen; Stiefel, Michael F

    2017-01-01

    The DRAGON score, which includes clinical and computed tomographic (CT) scan parameters, predicts functional outcomes in ischemic stroke patients treated with intravenous tissue plasminogen activator (IV tPA). We assessed the utility of the DRAGON score in predicting functional outcome in stroke patients receiving both IV tPA and endovascular therapy. A retrospective chart review of patients treated at our institution from February 2009 to October 2015 was conducted. All patients with computed tomography angiography (CTA) proven large vessel occlusions (LVO) who underwent intravenous thrombolysis and endovascular therapy were included. Baseline DRAGON scores and modified Rankin Score (mRS) at the time of hospital discharge was calculated. Good outcome was defined as mRS ≤3. Fifty-eight patients with LVO of the anterior circulation were studied. The mean DRAGON score of patients on admission was 5.3 (range, 3-8). All patients received IV tPA and endovascular therapy. Multivariate analysis demonstrated that DRAGON scores ≥7 was associated with higher mRS ( P DRAGON scores ≤6. Patients with DRAGON scores of 7 and 8 on admission had a mortality rate of 3.8% and 40%, respectively. The DRAGON score can help predict better functional outcomes in ischemic stroke patients receiving both IV tPA and endovascular therapy. This data supports the use of the DRAGON score in selecting patients who could potentially benefit from more invasive therapies such as endovascular treatment. Larger prospective studies are warranted to further validate these results.

  4. Present status of severe head injured patients with an admission glasgow coma scale score of 3 based on the Japan neurotrauma data bank

    International Nuclear Information System (INIS)

    Uzura, Masahiko

    2011-01-01

    Severe head injured patients presenting with Glasgow Coma Scale (GCS) score of 3 have been hesitated to treat aggressively. We analyzed present status of patients with GCS score of 3 from the Project 2004 in the Japan Neurotrauma Data Bank. Among 1,101 cases registered, 805 cases with GCS score of 8 or less on admission. Of those, 215 cases with GCS score of 3 were classified the survival group (51 cases) and the dead group (164 cases) and compared each group. These results showed that the characteristics associated with favorable outcome including absence of cardiopulmonary arrest, no abnormality of pupil findings, stable condition of respiration and circulation, serum glucose level (less than 184 mg/dl), absence of initial CT findings including skull base fracture, pneumocephalus and subarachnoid hemorrhage, no serious extracranial injures including Injury Severity Scale score of less than 25, critic al care including intracranial pressure monitoring and temperature management. We suggest that it is important to treat brain and systemic problems aggressively in severe head injured patients with GCS score of 3. (author)

  5. Selection of appropriate working fluids for Rankine cycles used for recovery of heat from exhaust gases of ICE in heavy-duty series hybrid electric vehicles

    International Nuclear Information System (INIS)

    Jung, Daebong; Park, Sungjin; Min, Kyoungdoug

    2015-01-01

    Recently, the waste heat recovery system is studied for application in vehicles to improve fuel economy. Especially, Rankine cycle is representative and attractive technology as waste heat recovery system. In order to maximize efficiency of Rankine cycle in the vehicle application, selection of optimal working fluid is important. Thus, in this study, thermodynamic analysis with consideration of practical operating condition was conducted to find out optimal working fluids. Thermodynamic efficiency, recovery efficiency, and overall cycle efficiency were adopted to estimate Rankine cycle performance. In order to reflect practical operating condition on the analysis, limitations due to working fluid physical properties and components specifications are taken into account. 5 working fluids including dry and wet fluid were used to estimate efficiency. Consequently, R245fa which shows high efficiency and environment-friendly is suggested as optimal working fluid in vehicle application. - Highlights: • 5 different working fluids were analyzed in respect of hybrid electric vehicle waste heat recovery system. • Real world operational conditions and limits are applied. • Optimal heating temperature of each working fluid show different trend. • R245fa is preferable among other fluids due to its high efficiency and impact on environment

  6. Stroke rehabilitation at home before and after discharge reduced disability and improved quality of life: a randomised controlled trial.

    Science.gov (United States)

    Rasmussen, Rune Skovgaard; Østergaard, Ann; Kjær, Pia; Skerris, Anja; Skou, Christina; Christoffersen, Jane; Seest, Line Skou; Poulsen, Mai Bang; Rønholt, Finn; Overgaard, Karsten

    2016-03-01

    To evaluate if home-based rehabilitation of inpatients improved outcome compared to standard care. Interventional, randomised, safety/efficacy open-label trial. University hospital stroke unit in collaboration with three municipalities. Seventy-one eligible stroke patients (41 women) with focal neurological deficits hospitalised in a stroke unit for more than three days and in need of rehabilitation. Thirty-eight patients were randomised to home-based rehabilitation during hospitalization and for up to four weeks after discharge to replace part of usual treatment and rehabilitation services. Thirty-three control patients received treatment and rehabilitation following usual guidelines for the treatment of stroke patients. Ninety days post-stroke the modified Rankin Scale score was the primary endpoint. Other outcome measures were the modified Barthel-100 Index, Motor Assessment Scale, CT-50 Cognitive Test, EuroQol-5D, Body Mass Index and treatment-associated economy. Thirty-one intervention and 30 control patients completed the study. Patients in the intervention group achieved better modified Rankin Scale score (Intervention median = 2, IQR = 2-3; Control median = 3, IQR = 2-4; P=0.04). EuroQol-5D quality of life median scores were improved in intervention patients (Intervention median = 0.77, IQR = 0.66-0.79; Control median = 0.66, IQR = 0.56 - 0.72; P=0.03). The total amount of home-based training in minutes highly correlated with mRS, Barthel, Motor Assessment Scale and EuroQol-5D™ scores (P-values ranging from Prehabilitation reduced disability and increased quality of life. Compared to standard care, home-based stroke rehabilitation was more cost-effective. © The Author(s) 2015.

  7. Multi-Objective Optimization of Organic Rankine Cycle Power Plants Using Pure and Mixed Working Fluids

    Directory of Open Access Journals (Sweden)

    Jesper G. Andreasen

    2016-04-01

    Full Text Available For zeotropic mixtures, the temperature varies during phase change, which is opposed to the isothermal phase change of pure fluids. The use of such mixtures as working fluids in organic Rankine cycle power plants enables a minimization of the mean temperature difference of the heat exchangers, which is beneficial for cycle performance. On the other hand, larger heat transfer surface areas are typically required for evaporation and condensation when zeotropic mixtures are used as working fluids. In order to assess the feasibility of using zeotropic mixtures, it is, therefore, important to consider the additional costs of the heat exchangers. In this study, we aim at evaluating the economic feasibility of zeotropic mixtures compared to pure fluids. We carry out a multi-objective optimization of the net power output and the component costs for organic Rankine cycle power plants using low-temperature heat at 90 ∘ C to produce electrical power at around 500 kW. The primary outcomes of the study are Pareto fronts, illustrating the power/cost relations for R32, R134a and R32/R134a (0.65/0.35 mole . The results indicate that R32/R134a is the best of these fluids, with 3.4 % higher net power than R32 at the same total cost of 1200 k$.

  8. Analysis of Low Temperature Organic Rankine Cycles for Solar Applications

    Science.gov (United States)

    Li, Yunfei

    The present work focuses on Organic Rankine Cycle (ORC) systems and their application to low temperature waste heat recovery, combined heat and power as well as off-grid solar power generation applications. As CO_2 issues come to the fore front and fossil fuels become more expensive, interest in low grade heat recovery has grown dramatically in the past few years. Solar energy, as a clean, renewable, pollution-free and sustainable energy has great potential for the use of ORC systems. Several ORC solutions have been proposed to generate electricity from low temperature sources. The ORC systems discussed here can be applied to fields such as solar thermal, biological waste heat, engine exhaust gases, small-scale cogeneration, domestic boilers, etc. The current work presents a thermodynamic and economic analysis for the use of ORC systems to convert solar energy or low exergy energy to generate electrical power. The organic working fluids investigated here were selected to investigate the effect of the fluid saturation temperature on the performance of ORCs. The working fluids under investigation are R113, R245fa, R123, with boiling points between 40°C and 200°C at pressures from 10 kPa to 10 MPa. Ambient temperature air at 20oC to 30oC is utilized as cooling resource, and allowing for a temperature difference 10°C for effective heat transfer. Consequently, the working fluids are condensed at 40°C. A combined first- and second-law analysis is performed by varying some system independent parameters at various reference temperatures. The present work shows that ORC systems can be viable and economical for the applications such as waste heat use and off-grid power generation even though they are likely to be more expensive than grid power.

  9. Performance analyses of geothermal organic Rankine cycles with selected hydrocarbon working fluids

    International Nuclear Information System (INIS)

    Liu, Qiang; Duan, Yuanyuan; Yang, Zhen

    2013-01-01

    ORC (organic Rankine cycles) are promising systems for conversion of low temperature geothermal energy to electricity. The thermodynamic performance of the ORC with a wet cooling system is analyzed here using hydrocarbon working fluids driven by geothermal water from 100 °C to 150 °C and reinjection temperatures not less than 70 °C. The hydrocarbon working fluids are butane (R600), isobutane (R600a), pentane (R601), isopentane (R601a) and hexane. For each fluid, the ORC net power output first increases and then decreases with increasing turbine inlet temperature. The turbine inlet parameters are then optimized for the maximum power output. The ORC net power output increases as the condensation temperature decreases but the circulating pump power consumption increases especially for lower condensation temperatures at higher cooling water flow rates. The optimal condensation temperatures for the maximum plant power output are 29.45–29.75 °C for a cooling water inlet temperature of 20 °C and a pinch point temperature difference of 5 °C in the condenser. The maximum power is produced by an ORC using R600a at geothermal water inlet temperatures higher than 120 °C, followed by R245fa and R600 for reinjection temperatures not less than 70 °C. R600a also has the highest plant exergetic efficiency with the lowest turbine size factor. - Highlights: • ORC (organic Rankine cycles) using geothermal water from 100 to 150 °C and reinjection temperatures not less than 70 °C are analyzed. • Condensation temperatures optimized to maximize the plant power output. • An IHE (internal heat exchanger) gives higher plant power at low geothermal water temperatures and high reinjection temperatures. • ORC performance optimized considering the condensation and reinjection temperature. • R600a gives the best performance at the optimal turbine operating parameters

  10. Analysis and optimization of the low-temperature solar organic Rankine cycle (ORC)

    International Nuclear Information System (INIS)

    Delgado-Torres, Agustin M.; Garcia-Rodriguez, Lourdes

    2010-01-01

    Solar thermal driven reverse osmosis desalination is a promising renewable energy-driven desalination technology. A joint use of the solar thermal powered organic Rankine cycle (ORC) and the desalination technology of less energy consumption, reverse osmosis (RO), makes this combination interesting in some scarce water resource scenarios. However, prior to any practical experience with any new process, a comprehensive and rigorous theoretical study must be done in order to assess the performance of the new technology or combination of existing technologies. The main objective of the present paper is the expansion of the theoretical analysis done by the authors in previous works to the case in which the thermal energy required by a solar ORC is supplied by means of stationary solar collectors. Twelve substances are considered as working fluids of the ORC and four different models of stationary solar collectors (flat plate collectors, compound parabolic collectors and evacuated tube collectors) are also taken into account. Operating conditions of the solar ORC that minimizes the aperture area needed per unit of mechanical power output of the solar cycle are determined for every working fluid and every solar collector. The former is done considering a direct vapour generation configuration of the solar cycle and also the configuration with water as heat transfer fluid flowing inside the solar collector. This work is part of the theoretical analysis of the solar thermal driven seawater and brackish water reverse osmosis desalination technology. Nevertheless, the supplied information can be also used for the assessment of different applications of the solar ORC. In that case, results presented in this paper can be useful in techno-economic analysis, selection of working fluids of the Rankine cycle, sizing of systems and assessment of solar power cycle configuration.

  11. A Stent-Retrieving into an Aspiration Catheter with Proximal Balloon (ASAP) Technique: A Technique of Mechanical Thrombectomy.

    Science.gov (United States)

    Goto, Shunsaku; Ohshima, Tomotaka; Ishikawa, Kojiro; Yamamoto, Taiki; Shimato, Shinji; Nishizawa, Toshihisa; Kato, Kyozo

    2018-01-01

    The best technique for the first attempt at mechanical thrombectomy for acute ischemic stroke is a still matter of debate. In this study, we evaluate the efficacy of a stent-retrieving into an aspiration catheter with proximal balloon (ASAP) technique that uses a series of thrombus extraction by withdrawing the stent retriever into the aspiration catheter and continuous aspiration from the aspiration catheter at the first attempt. We performed a retrospective analysis of 42 consecutive patients with acute ischemic stroke caused by occlusions in the anterior circulation who were treated with the ASAP technique at our institution. Preoperative patient characteristic, including age, thrombus location, Alberta Stroke Program Early CT Score, National Institutions of Health Stroke Scale, and time from onset to puncture; postoperative Thrombolysis in Cerebral Infarction score; modified Rankin Scale score after 3 months; time from puncture to recanalization; the number of passes to achieve recanalization; and procedural complications, including intracranial hemorrhage, embolization to new territory, and distal embolization, were assessed. A Thrombolysis in Cerebral Infarction score of 2B or 3 was achieved in 40/42 patients (95.2%). Average time from puncture to the final recanalization was 21.5 minutes. Recanalization was achieved in a single attempt in 31 patients (77.5%). Embolization to new territory was observed in only 2 patients (4.8%); no patient developed distal embolization or intracranial hemorrhage including asymptomatic subarachnoid hemorrhage. Thirty-two patients (76.2%) achieved modified Rankin Scale scores of 0-2 at 3 months postoperatively. Our ASAP technique showed fast recanalization, minimal complications, and good clinical outcomes in this case series. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Sensitivity and Specificity of the Coma Recovery Scale--Revised Total Score in Detection of Conscious Awareness.

    Science.gov (United States)

    Bodien, Yelena G; Carlowicz, Cecilia A; Chatelle, Camille; Giacino, Joseph T

    2016-03-01

    To describe the sensitivity and specificity of Coma Recovery Scale-Revised (CRS-R) total scores in detecting conscious awareness. Data were retrospectively extracted from the medical records of patients enrolled in a specialized disorders of consciousness (DOC) program. Sensitivity and specificity analyses were completed using CRS-R-derived diagnoses of minimally conscious state (MCS) or emerged from minimally conscious state (EMCS) as the reference standard for conscious awareness and the total CRS-R score as the test criterion. A receiver operating characteristic curve was constructed to demonstrate the optimal CRS-R total cutoff score for maximizing sensitivity and specificity. Specialized DOC program. Patients enrolled in the DOC program (N=252, 157 men; mean age, 49y; mean time from injury, 48d; traumatic etiology, n=127; nontraumatic etiology, n=125; diagnosis of coma or vegetative state, n=70; diagnosis of MCS or EMCS, n=182). Not applicable. Sensitivity and specificity of CRS-R total scores in detecting conscious awareness. A CRS-R total score of 10 or higher yielded a sensitivity of .78 for correct identification of patients in MCS or EMCS, and a specificity of 1.00 for correct identification of patients who did not meet criteria for either of these diagnoses (ie, were diagnosed with vegetative state or coma). The area under the curve in the receiver operating characteristic curve analysis is .98. A total CRS-R score of 10 or higher provides strong evidence of conscious awareness but resulted in a false-negative diagnostic error in 22% of patients who demonstrated conscious awareness based on CRS-R diagnostic criteria. A cutoff score of 8 provides the best balance between sensitivity and specificity, accurately classifying 93% of cases. The optimal total score cutoff will vary depending on the user's objective. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  13. Working Fluid Stability in Large-Scale Organic Rankine Cycle-Units Using Siloxanes—Long-Term Experiences and Fluid Recycling

    Directory of Open Access Journals (Sweden)

    Tobias G. Erhart

    2016-05-01

    Full Text Available The results in this work show the influence of long-term operation on the decomposition of working fluids in eight different organic rankine cycle (ORC power plants (both heat-led and electricity-led in a range of 900 kW el to 2 MW el . All case study plants are using octamethyltrisiloxane (MDM as a working fluid; the facilities are between six to 12 years old. Detailed analyses, including the fluid distribution throughout the cycle, are conducted on one system. All presented fluid samples are analyzed via head space gas chromatography mass spectrometry (HS-GC-MS. Besides the siloxane composition, the influence of contaminants, such as mineral oil-based lubricants (and their components, is examined. In most cases, the original working fluid degrades to fractions of siloxanes with a lower boiling point (low boilers and fractions with a higher boiling point (high boilers. As a consequence of the analyses, a new fluid recycling and management system was designed and tested in one case study plant (Case Study #8. Pre-post comparisons of fluid samples prove the effectiveness of the applied methods. The results show that the recovery of used working fluid offers an alternative to the purchase of fresh fluid, since operating costs can be significantly reduced. For large facilities, the prices for new fluid range from € 15 per liter (in 2006 to € 22 per liter (in 2013, which is a large reinvestment, especially in light of filling volumes of 4000 liters to 7000 liters per unit. Using the aforementioned method, a price of € 8 per liter of recovered MDM can be achieved.

  14. Predictors of Good Outcome After Endovascular Therapy for Vertebrobasilar Occlusion Stroke.

    Science.gov (United States)

    Bouslama, Mehdi; Haussen, Diogo C; Aghaebrahim, Amin; Grossberg, Jonathan A; Walker, Gregory; Rangaraju, Srikant; Horev, Anat; Frankel, Michael R; Nogueira, Raul G; Jovin, Tudor G; Jadhav, Ashutosh P

    2017-12-01

    Endovascular therapy is increasingly used in acute ischemic stroke treatment and is now considered the gold standard approach for selected patient populations. Prior studies have demonstrated that eventual patient outcomes depend on both patient-specific factors and procedural considerations. However, these factors remain unclear for acute basilar artery occlusion stroke. We sought to determine prognostic factors of good outcome in acute posterior circulation large vessel occlusion strokes treated with endovascular therapy. We reviewed our prospectively collected endovascular databases at 2 US tertiary care academic institutions for patients with acute posterior circulation strokes from September 2005 to September 2015 who had 3-month modified Rankin Scale documented. Baseline characteristics, procedural data, and outcomes were evaluated. A good outcome was defined as a 90-day modified Rankin Scale score of 0 to 2. The association between clinical and procedural parameters and functional outcome was assessed. A total of 214 patients qualified for the study. Smoking status, creatinine levels, baseline National Institutes of Health Stroke Scale score, anesthesia modality (conscious sedation versus general anesthesia), procedural length, and reperfusion status were significantly associated with good outcomes in the univariate analysis. Multivariate logistic regression indicated that only smoking (odds ratio=2.61; 95% confidence interval, 1.23-5.56; P =0.013), low baseline National Institutes of Health Stroke Scale score (odds ratio=1.09; 95% confidence interval, 1.04-1.13; P <0.0001), and successful reperfusion status (odds ratio=10.80; 95% confidence interval, 1.36-85.96; P =0.025) were associated with good outcome. In our retrospective case series, only smoking, low baseline National Institutes of Health Stroke Scale score, and successful reperfusion status were associated with good outcome in patients with posterior circulation stroke treated with endovascular

  15. Study of toluene rotary fluid management device and shear flow condenser performance for a space-based organic Rankine power system

    Science.gov (United States)

    Havens, Vance; Ragaller, Dana

    1988-01-01

    Management of two-phase fluid and control of the heat transfer process in microgravity is a technical challenge that must be addressed for an orbital Organic Rankine Cycle (ORC) application. A test program was performed in 1-g that satisfactorily demonstrated the two-phase management capability of the rotating fluid management device (RFMD) and shear-flow condenser. Operational tests of the RFMD and shear flow condenser in adverse gravity orientations, confirmed that the centrifugal forces in the RFMD and the shear forces in the condenser were capable of overcoming gravity forces. In a microgravity environment, these same forces would not have to compete against gravity and would therefore be dominant. The specific test program covered the required operating range of the Space Station Solar Dynamic Rankine Cycle power system. Review of the test data verified that: fluid was pumped from the RFMD in all attitudes; subcooled states in the condenser were achieved; condensate was pushed uphill against gravity; and noncondensible gases were swept through the condenser.

  16. Seeing the Forest for the Trees: Prevalence of Low Scores on the Wechsler Intelligence Scale for Children, Fourth Edition (WISC-IV)

    Science.gov (United States)

    Brooks, Brian L.

    2010-01-01

    Low scores across a battery of tests are common in healthy people and vary by demographic characteristics. The purpose of the present article was to present the base rates of low scores for the Wechsler Intelligence Scale for Children, fourth edition (WISC-IV; D. Wechsler, 2003). Participants included 2,200 children and adolescents between 6 and…

  17. Thermodynamic analysis of an organic rankine cycle using a tubular solar cavity receiver

    International Nuclear Information System (INIS)

    Loni, R.; Kasaeian, A.B.; Mahian, O.; Sahin, A.Z.

    2016-01-01

    Highlights: • A non-regenerative Organic Rankine Cycle has been analyzed. • R113, R601, R11, R141b, Ethanol and Methanol were used as the working fluid. • A parabolic dish concentrator with a square prismatic cavity receiver was used. • Thermal efficiency, second law efficiency, and net power output were analyzed. - Abstract: In this study, a non-regenerative Organic Rankine Cycle (ORC) has been thermodynamically analyzed under superheated conditions, constant evaporator pressure of 2.5 MPa, and condenser temperature of 300 K. R113, R601, R11, R141b, Ethanol and Methanol were employed as the working fluid. A parabolic dish concentrator with a square prismatic tubular cavity receiver was used as the heat source of the ORC system. The effects of the tube diameter, the cavity depth, and the solar irradiation on the thermodynamic performance of the selected working fluid were investigated. Some thermodynamic parameters were analyzed in this study. These thermodynamic parameters included the thermal efficiency, second law efficiency, total irreversibility, availability ratio, mass flow rate, and net power output. The results showed that, among the selected working fluids, methanol had the highest thermal efficiency, net power output, second law efficiency, and availability ratio in the range of turbine inlet temperature (TIT) considered. On the other hand, methanol had the smallest total irreversibility in the same range of TIT. The results showed also that mass flow rate and consequently the net power output increased for higher solar irradiation, smaller tube diameter, and for the case of cubical cavity receiver (i.e. cavity depth h equal to the receiver aperture side length a).

  18. Bottoming micro-Rankine cycles for micro-gas turbines

    International Nuclear Information System (INIS)

    Invernizzi, Costante; Iora, Paolo; Silva, Paolo

    2007-01-01

    This paper investigates the possibility of enhancing the performances of micro-gas turbines through the addition of a bottoming organic Rankine cycle which recovers the thermal power of the exhaust gases typically available in the range of 250-300 o C. The ORC cycles are particularly suitable for the recovery of heat from sources at variable temperatures, and for the generation of medium to small electric power. With reference to a micro-gas turbine with a size of about 100 kWe, a combined configuration could increase the net electric power by about 1/3, yielding an increase of the electrical efficiency of up to 40%. A specific analysis of the characteristics of different classes of working fluids is carried out in order to define a procedure to select the most appropriate fluid, capable of satisfying both environmental (ozone depletion potential, global warming potential) and technical (flammability, toxicity, fluid critical temperature and molecular complexity) concerns. Afterwards, a thermodynamic analysis is performed to ascertain the most favourable cycle thermodynamic conditions, from the point of view of heat recovery. Furthermore, a preliminary design of the ORC turbine (number of stages, outer diameter and rotational speed) is carried out

  19. A Novel Organic Rankine Cycle System with Improved Thermal Stability and Low Global Warming Fluids

    Directory of Open Access Journals (Sweden)

    Panesar Angad S

    2014-07-01

    Full Text Available This paper proposes a novel Organic Rankine Cycle (ORC system for long haul truck application. Rather than typical tail pipe heat recovery configurations, the proposed setup exploits the gaseous streams that are already a load on the engine cooling module. The system uses dual loops connected only by the Exhaust Gas Recirculation (EGR stream. A water blend study is conducted to identify suitable mixtures for the High Temperature (HT loop, while the Low Temperature (LT loop utilises a Low Global Warming (GWP Hydrofluoroether.

  20. Multi-objective optimization of organic Rankine cycle power plants using pure and mixed working fluids

    DEFF Research Database (Denmark)

    Andreasen, Jesper Graa; Kærn, Martin Ryhl; Pierobon, Leonardo

    2015-01-01

    For zeotropic mixtures, the temperature varies during phase change, which is opposed to the isothermalphase change of pure fluids. The use of such mixtures as working fluids in organic Rankine cyclepower plants enables a minimization of the mean temperature difference of the heat exchangers whenthe...... minimum pinch point temperature difference is kept fixed. A low mean temperature differencemeans low heat transfer irreversibilities, which is beneficial for cycle performance, but it also results inlarger heat transfer surface areas. Moreover, the two-phase heat transfer coefficients for zeotropic...

  1. The Use of Quality Control and Data Mining Techniques for Monitoring Scaled Scores: An Overview. Research Report. ETS RR-12-20

    Science.gov (United States)

    von Davier, Alina A.

    2012-01-01

    Maintaining comparability of test scores is a major challenge faced by testing programs that have almost continuous administrations. Among the potential problems are scale drift and rapid accumulation of errors. Many standard quality control techniques for testing programs, which can effectively detect and address scale drift for small numbers of…

  2. Acute imaging does not improve ASTRAL score's accuracy despite having a prognostic value.

    Science.gov (United States)

    Ntaios, George; Papavasileiou, Vasileios; Faouzi, Mohamed; Vanacker, Peter; Wintermark, Max; Michel, Patrik

    2014-10-01

    The ASTRAL score was recently shown to reliably predict three-month functional outcome in patients with acute ischemic stroke. The study aims to investigate whether information from multimodal imaging increases ASTRAL score's accuracy. All patients registered in the ASTRAL registry until March 2011 were included. In multivariate logistic-regression analyses, we added covariates derived from parenchymal, vascular, and perfusion imaging to the 6-parameter model of the ASTRAL score. If a specific imaging covariate remained an independent predictor of three-month modified Rankin score>2, the area-under-the-curve (AUC) of this new model was calculated and compared with ASTRAL score's AUC. We also performed similar logistic regression analyses in arbitrarily chosen patient subgroups. When added to the ASTRAL score, the following covariates on admission computed tomography/magnetic resonance imaging-based multimodal imaging were not significant predictors of outcome: any stroke-related acute lesion, any nonstroke-related lesions, chronic/subacute stroke, leukoaraiosis, significant arterial pathology in ischemic territory on computed tomography angiography/magnetic resonance angiography/Doppler, significant intracranial arterial pathology in ischemic territory, and focal hypoperfusion on perfusion-computed tomography. The Alberta Stroke Program Early CT score on plain imaging and any significant extracranial arterial pathology on computed tomography angiography/magnetic resonance angiography/Doppler were independent predictors of outcome (odds ratio: 0·93, 95% CI: 0·87-0·99 and odds ratio: 1·49, 95% CI: 1·08-2·05, respectively) but did not increase ASTRAL score's AUC (0·849 vs. 0·850, and 0·8563 vs. 0·8564, respectively). In exploratory analyses in subgroups of different prognosis, age or stroke severity, no covariate was found to increase ASTRAL score's AUC, either. The addition of information derived from multimodal imaging does not increase ASTRAL score

  3. Solarstrom rund um die Uhr: Solarstrom mit Organic Rankine Cycle / erhöhte Solarausbeute / Fraunhofer UMSICHT

    OpenAIRE

    Schmidt, Mirjam; Hunstock, Björn; Bülten, Björn

    2013-01-01

    In einem Gastbeitrag beschäftigen sich die beiden Diplom-Ingenieure Björn Hunstock und Björn Bülten - beide wissenschaftliche Mitarbeiter des Fraunhofer-Instituts für Umwelt-, Sicherheits- und Energietechnik UMSICHT - mit solarthermisch angetriebenen Kraftwerken auf Basis der Organic Rankine Cycle (ORC) Technologie. Sie erläutern, in welchen Fällen und aus welchen Gründen diese als Alternative zu Photovoltaik-Anlagen in Betracht gezogen werden sollten. Sie wagen einen Vergleich der beiden Te...

  4. External validation of the ability of the DRAGON score to predict outcome after thrombolysis treatment.

    Science.gov (United States)

    Ovesen, C; Christensen, A; Nielsen, J K; Christensen, H

    2013-11-01

    Easy-to-perform and valid assessment scales for the effect of thrombolysis are essential in hyperacute stroke settings. Because of this we performed an external validation of the DRAGON scale proposed by Strbian et al. in a Danish cohort. All patients treated with intravenous recombinant plasminogen activator between 2009 and 2011 were included. Upon admission all patients underwent physical and neurological examination using the National Institutes of Health Stroke Scale along with non-contrast CT scans and CT angiography. Patients were followed up through the Outpatient Clinic and their modified Rankin Scale (mRS) was assessed after 3 months. Three hundred and three patients were included in the analysis. The DRAGON scale proved to have a good discriminative ability for predicting highly unfavourable outcome (mRS 5-6) (area under the curve-receiver operating characteristic [AUC-ROC]: 0.89; 95% confidence interval [CI] 0.81-0.96; pDRAGON scale provided good discriminative capability (AUC-ROC: 0.89; 95% CI 0.78-1.0; p=0.003) for highly unfavourable outcome. We confirmed the validity of the DRAGON scale in predicting outcome after thrombolysis treatment. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Malingering in Toxic Exposure. Classification Accuracy of Reliable Digit Span and WAIS-III Digit Span Scaled Scores

    Science.gov (United States)

    Greve, Kevin W.; Springer, Steven; Bianchini, Kevin J.; Black, F. William; Heinly, Matthew T.; Love, Jeffrey M.; Swift, Douglas A.; Ciota, Megan A.

    2007-01-01

    This study examined the sensitivity and false-positive error rate of reliable digit span (RDS) and the WAIS-III Digit Span (DS) scaled score in persons alleging toxic exposure and determined whether error rates differed from published rates in traumatic brain injury (TBI) and chronic pain (CP). Data were obtained from the files of 123 persons…

  6. Energy and exergy analysis of an organic Rankine for power generation from waste heat recovery in steel industry

    International Nuclear Information System (INIS)

    Kaşka, Önder

    2014-01-01

    Highlights: • Analysis of a waste heat driven Organic Rankine Cycle (ORC). • Irreversibility determination of subcomponents in ORC. • Using pinch point analysis in the evaporator of ORC. • Calculating energy and exergy efficiency for two different actual cases. • Optimum net power output for ORC. - Abstract: Energy, in conjunction with exergy, analysis of a waste heat driven Organic Rankine Cycle (ORC) is performed. Using actual plant data, performance of the cycle and pinpoint sites of primary exergy destruction are assessed. Furthermore, variations of energy and exergy efficiencies of the system with evaporator/condenser pressures, superheating and subcooling are illustrated. It is observed from the analysis that, the energy and exergy efficiencies of the system are 10.2%; 48.5% and 8.8%; 42.2%, respectively, for two different actual cases. Exergy destruction of subcomponents is also quantified. The components with greater exergy destructions to lower one can be listed as evaporator, turbine, condenser and pump. Evaporation pressure has significant effect on both energy and exergy efficiencies. Pinch-point analysis is, also performed to determine effects of heat exchange process, in the evaporator, on the net power production

  7. Outcome After Radiosurgery for Brain Metastases in Patients With Low Karnofsky Performance Scale (KPS) Scores

    International Nuclear Information System (INIS)

    Chernov, Mikhail F.; Nakaya, Kotaro; Izawa, Masahiro; Hayashi, Motohiro; Usuba, Yuki; Kato, Koichi; Muragaki, Yoshihiro; Iseki, Hiroshi; Hori, Tomokatsu; Takakura, Kintomo

    2007-01-01

    Purpose: The objective of this retrospective study was evaluation of the outcome after stereotactic radiosurgery (SRS) in patients with intracranial metastases and poor performance status. Methods and Materials: Forty consecutive patients with metastatic brain tumors and Karnofsky performance scale (KPS) scores ≤50 (mean, 43 ± 8; median, 40) treated with SRS were analyzed. Poor performance status was caused by presence of intracranial metastases in 28 cases (70%) and resulted from uncontrolled extracerebral disease in 12 (30%). Results: Survival after SRS varied from 3 days to 11.5 months (mean, 3.8 ± 2.9 months; median, 3.3 months). Survival probability constituted 0.50 ± 0.07 at 3 months and 0.20 ± 0.05 at 6 months posttreatment. Cause of low KPS score (p = 0.0173) and presence of distant metastases beside the brain (p = 0.0308) showed statistically significant associations with overall survival in multivariate Cox proportional hazards regression analysis. Median survival was 6.0 months if low KPS score was caused by cerebral disease and distant metastases in regions beyond the brain were absent, 3.3 months if low KPS score was caused by cerebral disease and distant metastases in regions beyond the brain were present, and 1.0 month if poor performance status resulted from extracerebral disease. Conclusions: Identification of the cause of low KPS score (cerebral vs. extracerebral) in patients with metastatic brain tumor(s) may be important for prediction of the outcome after radiosurgical treatment. If poor patient performance status without surgical indications is caused by intracranial tumor(s), SRS may be a reasonable treatment option

  8. Image subsampling and point scoring approaches for large-scale marine benthic monitoring programs

    Science.gov (United States)

    Perkins, Nicholas R.; Foster, Scott D.; Hill, Nicole A.; Barrett, Neville S.

    2016-07-01

    Benthic imagery is an effective tool for quantitative description of ecologically and economically important benthic habitats and biota. The recent development of autonomous underwater vehicles (AUVs) allows surveying of spatial scales that were previously unfeasible. However, an AUV collects a large number of images, the scoring of which is time and labour intensive. There is a need to optimise the way that subsamples of imagery are chosen and scored to gain meaningful inferences for ecological monitoring studies. We examine the trade-off between the number of images selected within transects and the number of random points scored within images on the percent cover of target biota, the typical output of such monitoring programs. We also investigate the efficacy of various image selection approaches, such as systematic or random, on the bias and precision of cover estimates. We use simulated biotas that have varying size, abundance and distributional patterns. We find that a relatively small sampling effort is required to minimise bias. An increased precision for groups that are likely to be the focus of monitoring programs is best gained through increasing the number of images sampled rather than the number of points scored within images. For rare species, sampling using point count approaches is unlikely to provide sufficient precision, and alternative sampling approaches may need to be employed. The approach by which images are selected (simple random sampling, regularly spaced etc.) had no discernible effect on mean and variance estimates, regardless of the distributional pattern of biota. Field validation of our findings is provided through Monte Carlo resampling analysis of a previously scored benthic survey from temperate waters. We show that point count sampling approaches are capable of providing relatively precise cover estimates for candidate groups that are not overly rare. The amount of sampling required, in terms of both the number of images and

  9. Multiple Score Comparison: a network meta-analysis approach to comparison and external validation of prognostic scores

    Directory of Open Access Journals (Sweden)

    Sarah R. Haile

    2017-12-01

    Full Text Available Abstract Background Prediction models and prognostic scores have been increasingly popular in both clinical practice and clinical research settings, for example to aid in risk-based decision making or control for confounding. In many medical fields, a large number of prognostic scores are available, but practitioners may find it difficult to choose between them due to lack of external validation as well as lack of comparisons between them. Methods Borrowing methodology from network meta-analysis, we describe an approach to Multiple Score Comparison meta-analysis (MSC which permits concurrent external validation and comparisons of prognostic scores using individual patient data (IPD arising from a large-scale international collaboration. We describe the challenges in adapting network meta-analysis to the MSC setting, for instance the need to explicitly include correlations between the scores on a cohort level, and how to deal with many multi-score studies. We propose first using IPD to make cohort-level aggregate discrimination or calibration scores, comparing all to a common comparator. Then, standard network meta-analysis techniques can be applied, taking care to consider correlation structures in cohorts with multiple scores. Transitivity, consistency and heterogeneity are also examined. Results We provide a clinical application, comparing prognostic scores for 3-year mortality in patients with chronic obstructive pulmonary disease using data from a large-scale collaborative initiative. We focus on the discriminative properties of the prognostic scores. Our results show clear differences in performance, with ADO and eBODE showing higher discrimination with respect to mortality than other considered scores. The assumptions of transitivity and local and global consistency were not violated. Heterogeneity was small. Conclusions We applied a network meta-analytic methodology to externally validate and concurrently compare the prognostic properties

  10. Selection of Optimum Working Fluid for Organic Rankine Cycles by Exergy and Exergy-Economic Analyses

    Directory of Open Access Journals (Sweden)

    Kamyar Darvish

    2015-11-01

    Full Text Available The thermodynamic performance of a regenerative organic Rankine cycle that utilizes low temperature heat sources to facilitate the selection of proper organic working fluids is simulated. Thermodynamic models are used to investigate thermodynamic parameters such as output power, and energy efficiency of the ORC (Organic Rankine Cycle. In addition, the cost rate of electricity is examined with exergo-economic analysis. Nine working fluids are considered as part of the investigation to assess which yields the highest output power and exergy efficiency, within system constraints. Exergy efficiency and cost rate of electricity are used as objective functions for system optimization, and each fluid is assessed in terms of the optimal operating condition. The degree of superheat and the pressure ratio are independent variables in the optimization. R134a and iso-butane are found to exhibit the highest energy and exergy efficiencies, while they have output powers in between the systems using other working fluids. For a source temperature was equal to 120 °C, the exergy efficiencies for the systems using R134a and iso-butane are observed to be 19.6% and 20.3%, respectively. The largest exergy destructions occur in the boiler and the expander. The electricity cost rates for the system vary from 0.08 USD/kWh to 0.12 USD/kWh, depending on the fuel input cost, for the system using R134a as a working fluid.

  11. Selecting working fluids in an organic Rankine cycle for power generation from low temperature heat sources

    Directory of Open Access Journals (Sweden)

    Fredy Vélez

    2014-01-01

    Full Text Available Este trabajo presenta un estudio termodinámico realizado sobre el uso de fuentes de calor de baja temperatura para la generaci ón de energía a través de un ciclo Rankin e subcrítico con fluidos de trabajo orgánicos. Un análisis d el estado del arte de esta tecn ología muestra como línea de investigación abierta, la selección del fluido de trabajo, pues hasta ahora, no existe un fluido que satisfaga t odos los aspectos medioambientales y técnicos a tener en cuenta en estos ciclos. Por ello, se ha desarrollado una serie de simulaciones que permiten estudiar el comportamiento del ciclo Rankine con difer entes configuraciones y fluidos (húmedo, seco e isoentrópico, permitiendo con ello observar de qué manera influyen cambios ta nto en esos tipos de fluidos utilizados (refrigerantes, hidroca rburos y agua, como de condiciones de temperatura, presión, flujo, etc. , sobre la eficiencia total del ciclo. Con el trabajo realizado se demuestra la viabilidad de este tipo de proceso en la recuperación de calore s en la industria y/o aprovechamiento de fuentes renovables de baja y media temperatura para la producción de energía eléctrica.

  12. Comparative performance analysis of low-temperature Organic Rankine Cycle (ORC) using pure and zeotropic working fluids

    International Nuclear Information System (INIS)

    Aghahosseini, S.; Dincer, I.

    2013-01-01

    In this paper, a comprehensive thermodynamic analysis of the low-grade heat source Organic Rankine Cycle (ORC) is conducted and the cycle performance is analyzed and compared for different pure and zeotropic-mixture working fluids. The comparative performance evaluation of the cycle using a combined energy and exergy analysis is carried out by sensitivity assessment of the cycle certain operating parameters such as efficiency, flow rate, irreversibility, and heat input requirement at various temperatures and pressures. The environmental characteristics of the working fluids such as toxicity, flammability, ODP and GWP are studied and the cycle CO 2 emission is compared with different fuel combustion systems. R123, R245fa, R600a, R134a, R407c, and R404a are considered as the potential working fluids. Results from this analysis provide valuable insight into selection of the most suitable working fluids for power generating application at different operating conditions with a minimal environmental impact. -- Highlights: ► Combined energy and exergy analysis is conducted for Organic Rankine Cycle. ► Comparative assessment is performed for different pure and zeotropic working fluids. ► Exergy and energy efficiency, cycle irreversibility, and required external heat are analyzed. ► Toxicity, flammability, ODP and GWP of considered working fluids are studied. ► Environmental benefits of the renewable/waste heat-based ORC are investigated

  13. Rankine cycle generators using geothermal fluids. Final progress report

    Energy Technology Data Exchange (ETDEWEB)

    1981-01-01

    The Rankine Cycle generator was delivered and installed at Gila Hot Springs. Trial runs were made at that time, using Freon 12 as the expansion fluid. These tests showed that the boiler capacity was inadequate. It could not extract enough heat to generate sufficient volumes of Freon gas at the heat and pressure necessary to operate the system at an acceptable level. Increasing and decreasing the flow of hot water had a direct influence on efficiency, but it was not a linear relationship. Added amounts of hot water increased the power very little, but raised the water temperature at the discharge point. This implied that the heat exchange capacity of the boiler was saturated. The reverse was found in the condenser system. There was little increase in pressure of the condenser when we switched from static to run mode. Efficiency was maintained even when the cold water flow was reduced as much as 40%. The tests using Freon 12 resulted in the conclusion that the boiler volume needs to be increased and/or the configuration changed to radically increase its efficiency.

  14. Biogas Engine Waste Heat Recovery Using Organic Rankine Cycle

    Directory of Open Access Journals (Sweden)

    Alberto Benato

    2017-03-01

    Full Text Available Italy is a leading country in the biogas sector. Energy crops and manure are converted into biogas using anaerobic digestion and, then, into electricity using internal combustion engines (ICEs. Therefore, there is an urgent need for improving the efficiency of these engines taking the real operation into account. To this purpose, in the present work, the organic Rankine cycle (ORC technology is used to recover the waste heat contained in the exhaust gases of a 1 MWel biogas engine. The ICE behavior being affected by the biogas characteristics, the ORC unit is designed, firstly, using the ICE nameplate data and, then, with data measured during a one-year monitoring activity. The optimum fluid and the plant configuration are selected in both cases using an “in-house” optimization tool. The optimization goal is the maximization of the net electric power while the working fluid is selected among 115 pure fluids and their mixtures. Results show that a recuperative ORC designed using real data guarantees a 30% higher net electric power than the one designed with ICE nameplate conditions.

  15. Multi-Objective Optimization of Organic Rankine Cycle Power Plants Using Pure and Mixed Working Fluids

    DEFF Research Database (Denmark)

    Andreasen, Jesper Graa; Kærn, Martin Ryhl; Pierobon, Leonardo

    2016-01-01

    , which is beneficial for cycle performance. On the other hand, larger heat transfer surface areas are typically required for evaporation and condensation when zeotropic mixtures are used as working fluids. In order to assess the feasibility of using zeotropic mixtures, it is, therefore, important......For zeotropic mixtures, the temperature varies during phase change, which is opposed to the isothermal phase change of pure fluids. The use of such mixtures as working fluids in organic Rankine cycle power plants enables a minimization of the mean temperature difference of the heat exchangers...

  16. Analisa Efisiensi Siklus Rankine Pada Sistem Pembangkit Tenaga Uap di PT. Pertamina (PERSERO) Refinery Unit IV Cilacap

    OpenAIRE

    Rahman, Fajril Ar

    2015-01-01

    Thermodynamic analysis was conducted to determine the thermal efficiency of the cycle Steam Power Plant. Rankine cycle is a thermodynamic basic principles that are commonly used to determine the performance and efficiency of a power plant. On Steam Generating System PT. Pertamina (Persero) RU IV Cilacap thermodynamic analysis has been conducted to determine the thermal efficiency and fuel use for different loading conditions. Thermodynamic analysis was done by determining the condition of the...

  17. Comparing Canadian and American normative scores on the Wechsler Adult Intelligence Scale-Fourth Edition.

    Science.gov (United States)

    Harrison, Allyson G; Armstrong, Irene T; Harrison, Laura E; Lange, Rael T; Iverson, Grant L

    2014-12-01

    Psychologists practicing in Canada must decide which set of normative data to use for the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV). The purpose of this study was to compare the interpretive effects of applying American versus Canadian normative systems in a sample of 432 Canadian postsecondary-level students who were administered the WAIS-IV as part of an evaluation for a learning disability, attention-deficit hyperactivity disorder, or other mental health problems. Employing the Canadian normative system yielded IQ, Index, and subtest scores that were systematically lower than those obtained using the American norms. Furthermore, the percentage agreement in normative classifications, defined as American and Canadian index scores within five points or within the same classification range, was between 49% and 76%. Substantial differences are present between the American and Canadian WAIS-IV norms. Clinicians should consider carefully the implications regarding which normative system is most appropriate for specific types of evaluations. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  18. Organic Rankine Kilowatt Isotope Power System. Final phase I report

    International Nuclear Information System (INIS)

    1978-01-01

    On 1 August 1975 under Department of Energy Contract EN-77-C-02-4299, Sundstrand Energy Systems commenced development of a Kilowatt Isotope Power System (KIPS) directed toward satisfying the higher power requirements of satellites of the 1980s and beyond. The KIPS is a 238 PuO 2 fueled organic Rankine cycle turbine power system which will provide design output power in the range of 500 to 2000 W/sub (e)/ with a minimum of system changes. The principal objectives of the Phase 1 development effort were to: conceptually design a flight system; design a Ground Demonstration System (GDS) that is prototypic of the flight system in order to prove the feasibility of the flight system design; fabricate and assemble the GDS; and performance and endurance test the GDS using electric heaters in lieu of the isotope heat source. Results of the work performed under the Phase 1 contract to 1 July 1978 are presented

  19. Higher stress scores for female medical students measured by the Kessler Psychological Distress Scale (K10 in Pakistan

    Directory of Open Access Journals (Sweden)

    Khadija Qamar

    2014-10-01

    Full Text Available The aim of this study was to determine the stress level of medical students and the relationship between stress and academic year. A cross-sectional, descriptive study was conducted at an undergraduate medical school with a five-year curriculum, in Pakistan, from January 2014 to April 2014. Medical students in the first four years were included in the study. The Kessler Psychological Distress Scale (K10, a self-administered questionnaire, was distributed to the students. A total of 445 medical students completed the questionnaire. The average stress score was 19.61 (SD = 6.76 with a range from 10 to 43. Stress was experienced by 169 students (41.7%. The scores of female students were higher than scores of males, indicating a higher stress level (P = 0.011. The relationship between stress and academic year was insignificant (P = 0.392.

  20. Long-term outcome of a multidisciplinary concept of spinal dural arteriovenous fistulae treatment

    International Nuclear Information System (INIS)

    Sherif, Camillo; Gruber, Andreas; Bavinzski, Gerhard; Standhardt, Harald; Widhalm, Georg; Knosp, Engelbert; Gibson, Daniel; Richling, Bernd

    2008-01-01

    The optimal treatment of spinal dural arteriovenous fistulae (SDAVF) remains controversial and long-term follow-up data, especially data from multidisciplinary treatment, are rarely available. Thus, long-term outcomes following a multidisciplinary approach to the treatment of SDAVF were investigated. The investigation included 26 patients with SDAVF treated at the authors' department over a 15-year period including a follow-up of more than 2 years. The treatment strategy when occlusion of the draining vein could be achieved was to embolize the fistula with Histoacryl, with surgery reserved for those patients unsuitable for embolization. Posttreatment angiography followed by MRI was performed in all patients. Clinical follow-up was performed using the gait and micturition Aminoff-Logue scale scores and the modified Rankin scale score. Embolization was performed in 19 patients (73.1%), and direct surgery in 7 patients (26.9%). Follow-up angiography (at a mean of 21.7 months) showed occlusion of the SDAVF in 24 patients (92.3%). Of the 19 embolized patients, 2 (10.5%) developed recurrence secondary to insufficient occlusion of the SDAVF draining vein, and one of these two patients underwent re-embolization and one re-operation. No negative effects of SDAVF recurrence on the final clinical outcome were identified in either patient. MRI after angiography (at a mean of 91.5 months) demonstrated occlusion of all SDAVFs. After a mean clinical follow-up of 103.4 months there was a statistically significant improvement in both the modified Rankin scale score and the Aminoff-Logue gait scale score (P < 0.05). The present multidisciplinary study showed for the first time that embolization leads to stable neuroradiological results and favourable clinical outcomes even for very long follow-up times of more than 100 months. Microsurgery remains the treatment of choice when safe embolization of the draining vein cannot be achieved. (orig.)

  1. Alberta Stroke Program Early CT Score applied to CT angiography source images is a strong predictor of futile recanalization in acute ischemic stroke

    International Nuclear Information System (INIS)

    Kawiorski, Michal M.; Alonso de Lecinana, Maria; Martinez-Sanchez, Patricia; Fuentes, Blanca; Sanz-Cuesta, Borja E.; Marin, Begona; Ruiz-Ares, Gerardo; Diez-Tejedor, Exuperio; Garcia-Pastor, Andres; Diaz-Otero, Fernando; Calleja, Patricia; Lourido, Daniel; Vicente, Agustina; Fandino, Eduardo; Sierra-Hidalgo, Fernando

    2016-01-01

    Reliable predictors of poor clinical outcome despite successful revascularization might help select patients with acute ischemic stroke for thrombectomy. We sought to determine whether baseline Alberta Stroke Program Early CT Score (ASPECTS) applied to CT angiography source images (CTA-SI) is useful in predicting futile recanalization. Data are from the FUN-TPA study registry (ClinicalTrials.gov; NCT02164357) including patients with acute ischemic stroke due to proximal arterial occlusion in anterior circulation, undergoing reperfusion therapies. Baseline non-contrast CT and CTA-SI-ASPECTS, time-lapse to image acquisition, occurrence, and timing of recanalization were recorded. Outcome measures were NIHSS at 24 h, symptomatic intracranial hemorrhage, modified Rankin scale score, and mortality at 90 days. Futile recanalization was defined when successful recanalization was associated with poor functional outcome (death or disability). Included were 110 patients, baseline NIHSS 17 (IQR 12; 20), treated with intravenous thrombolysis (IVT; 45 %), primary mechanical thrombectomy (MT; 16 %), or combined IVT + MT (39 %). Recanalization rate was 71 %, median delay of 287 min (225; 357). Recanalization was futile in 28 % of cases. In an adjusted model, baseline CTA-SI-ASPECTS was inversely related to the odds of futile recanalization (OR 0.5; 95 % CI 0.3-0.7), whereas NCCT-ASPECTS was not (OR 0.8; 95 % CI 0.5-1.2). A score ≤5 in CTA-SI-ASPECTS was the best cut-off to predict futile recanalization (sensitivity 35 %; specificity 97 %; positive predictive value 86 %; negative predictive value 77 %). CTA-SI-ASPECTS strongly predicts futile recanalization and could be a valuable tool for treatment decisions regarding the indication of revascularization therapies. (orig.)

  2. Alberta Stroke Program Early CT Score applied to CT angiography source images is a strong predictor of futile recanalization in acute ischemic stroke

    Energy Technology Data Exchange (ETDEWEB)

    Kawiorski, Michal M.; Alonso de Lecinana, Maria [Hospital Universitario La Paz, IdiPAZ, Universidad Autonoma de Madrid, Madrid (Spain); Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala de Henares, Madrid (Spain); Martinez-Sanchez, Patricia; Fuentes, Blanca; Sanz-Cuesta, Borja E.; Marin, Begona; Ruiz-Ares, Gerardo; Diez-Tejedor, Exuperio [Hospital Universitario La Paz, IdiPAZ, Universidad Autonoma de Madrid, Madrid (Spain); Garcia-Pastor, Andres; Diaz-Otero, Fernando [Hospital Universitario Gregorio Maranon, IiSGM, Universidad Complutense de Madrid, Madrid (Spain); Calleja, Patricia [Hospital Universitario 12 de Octubre, Universidad Autonoma de Madrid, Madrid (Spain); Lourido, Daniel; Vicente, Agustina; Fandino, Eduardo [Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala de Henares, Madrid (Spain); Sierra-Hidalgo, Fernando [Hospital Universitario 12 de Octubre, Universidad Autonoma de Madrid, Madrid (Spain); Hospital Universitario Infanta Leonor, Universidad Complutense de Madrid, Madrid (Spain)

    2016-05-15

    Reliable predictors of poor clinical outcome despite successful revascularization might help select patients with acute ischemic stroke for thrombectomy. We sought to determine whether baseline Alberta Stroke Program Early CT Score (ASPECTS) applied to CT angiography source images (CTA-SI) is useful in predicting futile recanalization. Data are from the FUN-TPA study registry (ClinicalTrials.gov; NCT02164357) including patients with acute ischemic stroke due to proximal arterial occlusion in anterior circulation, undergoing reperfusion therapies. Baseline non-contrast CT and CTA-SI-ASPECTS, time-lapse to image acquisition, occurrence, and timing of recanalization were recorded. Outcome measures were NIHSS at 24 h, symptomatic intracranial hemorrhage, modified Rankin scale score, and mortality at 90 days. Futile recanalization was defined when successful recanalization was associated with poor functional outcome (death or disability). Included were 110 patients, baseline NIHSS 17 (IQR 12; 20), treated with intravenous thrombolysis (IVT; 45 %), primary mechanical thrombectomy (MT; 16 %), or combined IVT + MT (39 %). Recanalization rate was 71 %, median delay of 287 min (225; 357). Recanalization was futile in 28 % of cases. In an adjusted model, baseline CTA-SI-ASPECTS was inversely related to the odds of futile recanalization (OR 0.5; 95 % CI 0.3-0.7), whereas NCCT-ASPECTS was not (OR 0.8; 95 % CI 0.5-1.2). A score ≤5 in CTA-SI-ASPECTS was the best cut-off to predict futile recanalization (sensitivity 35 %; specificity 97 %; positive predictive value 86 %; negative predictive value 77 %). CTA-SI-ASPECTS strongly predicts futile recanalization and could be a valuable tool for treatment decisions regarding the indication of revascularization therapies. (orig.)

  3. Design and experimental investigation of a 1 kW organic Rankine cycle system using R245fa as working fluid for low-grade waste heat recovery from steam

    International Nuclear Information System (INIS)

    Muhammad, Usman; Imran, Muhammad; Lee, Dong Hyun; Park, Byung Sik

    2015-01-01

    Highlights: • A 1 kW organic Rankine cycle test rig for waste heat recovery was investigated for net electric power output. • Low grade steam (1–3 bar) was used directly in evaporator as heat source. • Effect of superheating of working fluid on system performance was studied. • The maximum electric power output and thermal efficiency is 1016 W and 5.75% respectively. - Abstract: This work presents an experimental investigation of a small scale (1 kW range) organic Rankine cycle system for net electrical power output ability, using low-grade waste heat from steam. The system was designed for waste steam in the range of 1–3 bar. After the organic Rankine cycle system was designed and thermodynamic simulation was performed, equipment selection and construction of test rig was carried out. R245fa was used as working fluid, a scroll type expansion directly coupled with electrical generator produced a maximum electrical power output of 1.016 kW with 0.838 kW of net electrical power output. The thermal efficiency of the system was 5.64%, net efficiency was 4.66% and expander isentropic efficiency was 58.3% at maximum power output operation point. Maximum thermal efficiency was 5.75% and maximum expander isentropic efficiency obtained was 77.74% during the experiment. Effect of superheating of working fluid at expander inlet was also investigated which show that an increase in the degree of superheating by 1 °C reduces thermal efficiency of system by 0.021% for current system. The results indicated that the measured electric power output and enthalpy determined power output (after accounting for isentropic efficiency) differed by 40%. Similarly, the screw pump converted 42.25% of electric power to the enthalpy determined pumping power delivered to the working fluid. Both expander and screw pump were losing power in electric and mechanical losses (generator/motor) presenting a need of further development of these components for better efficiency. Heat loss in

  4. Hydrogen production using the waste heat of Benchmark pressurized Molten carbonate fuel cell system via combination of organic Rankine cycle and proton exchange membrane (PEM) electrolysis

    International Nuclear Information System (INIS)

    Nami, Hossein; Akrami, Ehsan; Ranjbar, Faramarz

    2017-01-01

    Highlights: • Waste heat of the Benchmark system recovered using an ORC. • An integrated system is proposed to produce power and hydrogen. • The effects of some decision parameters on the produced hydrogen have investigated. - Abstract: Energy and exergy analyses are carried out for hydrogen production via combination of Benchmark system and organic Rankine cycle (ORC) coupled with a proton exchange membrane electrolyzer. A parametric study is reported and effects of such organic Rankine cycle significant variables as evaporator temperature, pinch point temperature difference in the evaporator and degree of superheat at the ORC turbine inlet on the rate of produced hydrogen, sustainability index, overall exergy efficiency and organic Rankine cycle net produced power are investigated. It is observed that the rate of produced hydrogen and overall exergy efficiency of the proposed combined system take the maximum value to change in the evaporator temperature. Also, it is revealed that increasing the pinch point temperature difference in the evaporator decreases the rate of produced hydrogen and the overall exergy efficiency of the system. Furthermore, the effects on the rate of produced hydrogen and the overall exergy efficiency of the degree of superheat at the ORC turbine inlet are the same as the effect of pinch point temperature difference.

  5. Minnesota multiphasic personality inventory-2 restructured form (MMPI-2-RF) scale score differences in bariatric surgery candidates diagnosed with binge eating disorder versus BMI-matched controls.

    Science.gov (United States)

    Marek, Ryan J; Ben-Porath, Yossef S; Ashton, Kathleen; Heinberg, Leslie J

    2014-04-01

    Binge Eating Disorder (BED) is among the most common psychiatric disorders in bariatric surgery candidates. The Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF) is a broadband, psychological test that includes measures of emotional and behavioral dysfunction, which have been associated with BED behaviors in bariatric surgery candidates; however these studies have lacked appropriate controls. In the current study, we compared MMPI-2-RF scale scores of bariatric surgery patients diagnosed with BED (BED+) with BMI-matched controls without BED (BED-). Three-hundred and seven BED+ participants (72.64% female and 67.87% Caucasian; mean BMI of 51.36 kg/m(2) [SD = 11.94]) were drawn from a large, database (N = 1304). Three-hundred and seven BED- participants were matched on BMI and demographics (72.64% female, 68.63% Caucasian, and mean BMI of 51.30 kg/m(2) [SD = 11.70]). The BED+ group scored significantly higher on measures of Demoralization, Low Positive Emotions, and Dysfunctional Negative Emotions and scored lower on measures of Antisocial Behaviors, reflecting behavioral constraint. Optimal T-Score cutoffs were below the traditional 65 T score for several MMPI-2-RF scales. MMPI-2-RF externalizing measures also added incrementally to differentiating between the groups beyond the Binge Eating Scale (BES). BED+ individuals produced greater elevations on a number of MMPI-2-RF internalizing scales and externalizing scales. Use of the test in conjunction with a clinical interview and other self-report data can further aid the clinician in guiding patients to appropriate treatment to optimize outcome. Copyright © 2013 Wiley Periodicals, Inc.

  6. Recall of false memories in individuals scoring high in schizotypy: memory distortions are scale specific.

    Science.gov (United States)

    Saunders, Jo; Randell, Jordan; Reed, Phil

    2012-06-01

    Previous research has indicated abnormal semantic activation in individuals scoring higher in schizotypy. In the current experiment, semantic activation was examined by using the Deese-Roediger-McDermott paradigm of false memories. Participants were assessed for schizotypy using the Oxford-Liverpool Inventory of Feelings (OLIFE). Participants studied lists of semantically related words in which a critical and highly associated word was absent. Participants then recalled the list. Participants high in Unusual Experiences and Cognitive Disorganization recalled more critical non-presented words, weakly related studied words, and fewer studied words than participants who scored low on these measures. Previous research using the cognitive-perceptual factor of the Schizotypy Personality Questionnaire found reduced false memories, while the Unusual Experiences subscale of the OLIFE was associated with more false memories. Both scales cover similar unusual perceptual experiences and it is unclear why they led to divergent results. The findings suggest that subtypes of schizotypy are associated with abnormal semantic activation. Copyright © 2011 Elsevier Ltd. All rights reserved.

  7. Wechsler Adult Intelligence Scale-Third Edition short form for index and IQ scores in a psychiatric population.

    Science.gov (United States)

    Christensen, Bruce K; Girard, Todd A; Bagby, R Michael

    2007-06-01

    An eight-subtest short form (SF8) of the Wechsler Adult Intelligence Scale, Third Edition (WAIS-III), maintaining equal representation of each index factor, was developed for use with psychiatric populations. Data were collected from a mixed inpatient/outpatient sample (99 men and 101 women) referred for neuropsychological assessment. Psychometric analyses revealed an optimal SF8 comprising Vocabulary, Similarities, Arithmetic, Digit Span, Picture Completion, Matrix Reasoning, Digit Symbol Coding, and Symbol Search, scored by linear scaling. Expanding on previous short forms, the current SF8 maximizes the breadth of information and reduces administration time while maintaining the original WAIS-III factor structure. (c) 2007 APA, all rights reserved

  8. Pattern analysis of total item score and item response of the Kessler Screening Scale for Psychological Distress (K6 in a nationally representative sample of US adults

    Directory of Open Access Journals (Sweden)

    Shinichiro Tomitaka

    2017-02-01

    Full Text Available Background Several recent studies have shown that total scores on depressive symptom measures in a general population approximate an exponential pattern except for the lower end of the distribution. Furthermore, we confirmed that the exponential pattern is present for the individual item responses on the Center for Epidemiologic Studies Depression Scale (CES-D. To confirm the reproducibility of such findings, we investigated the total score distribution and item responses of the Kessler Screening Scale for Psychological Distress (K6 in a nationally representative study. Methods Data were drawn from the National Survey of Midlife Development in the United States (MIDUS, which comprises four subsamples: (1 a national random digit dialing (RDD sample, (2 oversamples from five metropolitan areas, (3 siblings of individuals from the RDD sample, and (4 a national RDD sample of twin pairs. K6 items are scored using a 5-point scale: “none of the time,” “a little of the time,” “some of the time,” “most of the time,” and “all of the time.” The pattern of total score distribution and item responses were analyzed using graphical analysis and exponential regression model. Results The total score distributions of the four subsamples exhibited an exponential pattern with similar rate parameters. The item responses of the K6 approximated a linear pattern from “a little of the time” to “all of the time” on log-normal scales, while “none of the time” response was not related to this exponential pattern. Discussion The total score distribution and item responses of the K6 showed exponential patterns, consistent with other depressive symptom scales.

  9. Organic Rankine cycle saves energy and reduces gas emissions for cement production

    International Nuclear Information System (INIS)

    Wang, Huarong; Xu, Jinliang; Yang, Xufei; Miao, Zheng; Yu, Chao

    2015-01-01

    We investigated ORCs (organic Rankine cycles) integrated with typical China cement production line. The dry air at the kiln cooler outlet with the temperature of 220 °C was the waste heat. The fluids of hexane, isohexane, R601, R123 and R245fa were selected for ORCs based on the critical temperature criterion. The developed ORC verified the thermodynamics analysis. The NPV (net present value) and PBP (payback period) methods were applied to evaluate the economic performance. The LCA (life cycle assessment) was applied to evaluate the environment impacts. ORCs could generate 67,85,540–81,21,650 kWh electricity per year, equivalent to save 2035–2436 tons standard coal and reduce 7743–9268 tons CO 2 emission, for a 4000 t/d cement production line. ORCs reduced gas emissions of CO 2 by 0.62–0.74%, SO 2 by 3.83–4.59% and NO x by 1.36–1.63%. The PBP (payback period) was 2.74–3.42 years. The ORCs had the reduction ratios of EIL (environment impact load) by 1.49–1.83%, GWP (global warming potential) by 0.74–0.92%, AP (acidification potential) by 2.34–2.84%, EP (eutrophication potential) by 0.96–1.22% and HTP (human toxicity potential) by 2.38–2.89%. The ORC with R601 as the fluid had the best economic performance and significant gas emission reductions. ORCs had good economic performance and reduce the gas emissions. - Highlights: • Organic Rankine Cycles were integrated with the cement production line. • Five organic fluids were used as the working fluids for ORCs. • Thermal, economic and gas emission performances were analyzed. • R601 was the best fluid for ORC with the heat source temperature of 220 °C. • ORCs had good economic and gas emission reduction performances

  10. Thermodynamic analysis of an Organic Rankine Cycle (ORC) based on industrial data

    International Nuclear Information System (INIS)

    Tumen Ozdil, N. Filiz; Segmen, M. Rıdvan; Tantekin, Atakan

    2015-01-01

    In this study, thermodynamic analysis of an Organic Rankine Cycle (ORC) is presented in a local power plant that is located southern of Turkey. The system that is analyzed includes an evaporator, a turbine, a condenser, a pump and a generator as components. System components are analyzed separately using actual plant data and performance cycle. The relationship between pinch point and exergy efficiency is observed. As the pinch point temperature decreases, the exergy efficiency increases due to low exergy destruction rate. The energy and exergy efficiencies of the ORC are calculated as 9.96% and 47.22%, respectively for saturated liquid form which is the real condition. In order to show the effect of the water phase of the evaporator inlet, exergy destruction and exergy efficiencies of components and overall system are calculated for different water phases. The exergy efficiency of the ORC is calculated as 41.04% for water mixture form which has quality 0.3. On the other hand, it is found as 40.29% for water mixture form which has quality 0.7. Lastly, it is calculated as 39.95% for saturated vapor form. Moreover, exergy destruction rates of the system are 520.01 kW for saturated liquid form, 598.39 kW for water mixture form which has quality 0.3, 609.5 kW for water mixture form which has quality 0.7 and 614.63 kW for saturated vapor form. The analyses show that evaporator has important effect on the system efficiency in terms of exergy rate. The evaporator is investigated particularly in order to improve the performance of the overall system. - Highlights: • Energy and exergy analysis of an Organic Rankine Cycle (ORC). • The main reasons of the irreversibility in the ORC. • Determination of exergy efficiency for the different water phases in the evaporator inlet. • Determination of the effect of the ambient temperature on ORC efficiency.

  11. Multi-objective optimization of organic Rankine cycles for waste heat recovery: Application in an offshore platform

    DEFF Research Database (Denmark)

    Pierobon, Leonardo; Nguyen, Tuong-Van; Larsen, Ulrik

    2013-01-01

    This paper aims at finding the optimal design of MW-size organic Rankine cycles by employing the multi-objective optimization with the genetic algorithm as the optimizer. We consider three objective functions: thermal efficiency, total volume of the system and net present value. The optimization...... for acetone. Other promising working fluids are cyclohexane, hexane and isohexane. The present methodology can be utilized in waste heat recovery applications where a compromise between performance, compactness and economic revenue is required. © 2013 Elsevier Ltd. All rights reserved....

  12. Integrated working fluid-thermodynamic cycle design of organic Rankine cycle power systems for waste heat recovery

    DEFF Research Database (Denmark)

    Cignitti, Stefano; Andreasen, Jesper Graa; Haglind, Fredrik

    2017-01-01

    recovery. Inthis paper, an organic Rankine cycle process and its pure working fluid are designed simultaneously forwaste heat recovery of the exhaust gas from a marine diesel engine. This approach can overcome designissues caused by the high sensitivity between the fluid and cycle design variables......Today, some established working fluids are being phased out due to new international regulations on theuse of environmentally harmful substances. With an ever-increasing cost to resources, industry wants toconverge on improved sustainability through resource recovery, and in particular waste heat...

  13. Test results of an organic Rankine-cycle power module for a small community solar thermal power experiment

    Science.gov (United States)

    Clark, T. B.

    1985-01-01

    The organic Rankine-cycle (ORC) power conversion assembly was tested. Qualification testing of the electrical transport subsystem was also completed. Test objectives were to verify compatibility of all system elements with emphasis on control of the power conversion assembly, to evaluate the performance and efficiency of the components, and to validate operating procedures. After 34 hours of power generation under a wide range of conditions, the net module efficiency exceeded 18% after accounting for all parasitic losses.

  14. Validation of the Hindi version of National Institute of Health Stroke Scale.

    Science.gov (United States)

    Prasad, Kameshwar; Dash, Deepa; Kumar, Amit

    2012-01-01

    To determine the reliability and validity of the National Institute of Health Stroke Scale (NIHSS) with the Hindi and Indian adaptation of items 9 and 10. NIHSS items 9 and 10 were modified and culturally adapted at All India Institute of Medical Sciences (AIIMS) and the resulting version was termed as Hindi version (HV-NIHSS). HV-NIHSS was applied by two independent investigators on 107 patients with stroke. Inter-observer agreement and intra-class correlation coefficients were calculated. The predictive validity of the HV-NIHSS was calculated using functional outcome after three months in the form of modified Rankin Scale (mRS) and Barthel Index (BI). The study included 107 patients of stroke recruited from a tertiary referral hospital at Delhi between November 1, 2009, and October 1, 2010; the mean age of these patients was 56.26±13.84 years and 65.4% of them had suffered ischemic stroke. Inter-rater reliability was high between the two examiners, with Pearson's r ranging from 0.72 to 0.99 for the 15 items on the Scale. Intra-class correlation coefficient for the total score was 0.995 (95% CI-0.993-0.997). Concurrent construct validity was established between HV-NIHSS and baseline Glasgow Coma Scale, with a high correlation (Spearman coefficient = -0.863, P<.001). Predictive validity was also established with BI at three months (Spearman's rho: -0.829, P<.001) and with mRS at three months (Spearman's rho: 0.851, P<0.001). This study shows that a Hindi language version of the NIHSS developed at AIIMS appears reliable and valid when applied to a Hindi-speaking population.

  15. Thermal Stability of Hexamethyldisiloxane (MM for High-Temperature Organic Rankine Cycle (ORC

    Directory of Open Access Journals (Sweden)

    Markus Preißinger

    2016-03-01

    Full Text Available The design of efficient Organic Rankine Cycle (ORC units for the usage of industrial waste heat at high temperatures requires direct contact evaporators without intermediate thermal oil circuits. Therefore, the thermal stability of high-temperature working fluids gains importance. In this study, the thermal degradation of hexamethyldisiloxane (MM is investigated in an electrically heated tube. Qualitative results concerning remarks on degradation products as well as quantitative results like the annual degradation rate are presented. It is shown that MM is stable up to a temperature of 300 °C with annual degradation rates of less than 3.5%. Furthermore, the break of a silicon–carbon bond can be a main chemical reaction that influences the thermal degradation. Finally, it is discussed how the results may impact the future design of ORC units.

  16. The London handicap scale: a re-evaluation of its validity using standard scoring and simple summation

    OpenAIRE

    Jenkinson, C.; Mant, J.; Carter, J.; Wade, D.; Winner, S.

    2000-01-01

    OBJECTIVE—To assess the validity of the London handicap scale (LHS) using a simple unweighted scoring system compared with traditional weighted scoring
METHODS—323 patients admitted to hospital with acute stroke were followed up by interview 6 months after their stroke as part of a trial looking at the impact of a family support organiser. Outcome measures included the six item LHS, the Dartmouth COOP charts, the Frenchay activities index, the Barthel index, and the hospital...

  17. Energetic and financial investigation of a stand-alone solar-thermal Organic Rankine Cycle power plant

    International Nuclear Information System (INIS)

    Tzivanidis, Christos; Bellos, Evangelos; Antonopoulos, Kimon A.

    2016-01-01

    Highlights: • A stand-alone solar driven Organic Rankine Cycle is optimized parametrically. • The system is optimized energetically and financially. • Nine working fluids are tested with cyclohexane to be the most suitable. • A collecting area of 25,000 m"2 parabolic trough collectors is the optimum solution. • The maximum IRR is 13.46% and the payback period is about 9 years. - Abstract: The use of solar thermal energy for electricity production is a clean and sustainable way to cover the increasing energy needs of our society. The most mature technology for capturing solar energy in high temperature levels is the parabolic trough collectors (PTC). In this study, an Organic Rankine Cycle (ORC) coupled with PTC is analyzed parametrically in order to be optimized financially and energetically. The first step is the thermodynamic investigation of the ORC by using various working fluids. The second step is the energetic and financial investigation of the total system which includes the solar field, the storage tank and the ORC module. By testing many combinations of collecting areas and storage tank volumes, finally cyclohexane proved to be the most suitable working fluid for producing 1 MW_e_l with PTC. Specifically, in the optimum situation a solar field of 25,000 m"2 with storage tank of about 300 m"3 leads to a payback period of 9 years and to an internal rate of return (IRR) equal to 13.46%. Moreover, an economic comparison for different commercial collectors is presented, with Eurotrough ET-150 being the financially optimum solution for this case study.

  18. Technology Development Program for an Advanced Potassium Rankine Power Conversion System Compatible with Several Space Reactor Designs

    Energy Technology Data Exchange (ETDEWEB)

    Yoder, G.L.

    2005-10-03

    This report documents the work performed during the first phase of the National Aeronautics and Space Administration (NASA), National Research Announcement (NRA) Technology Development Program for an Advanced Potassium Rankine Power Conversion System Compatible with Several Space Reactor Designs. The document includes an optimization of both 100-kW{sub e} and 250-kW{sub e} (at the propulsion unit) Rankine cycle power conversion systems. In order to perform the mass optimization of these systems, several parametric evaluations of different design options were investigated. These options included feed and reheat, vapor superheat levels entering the turbine, three different material types, and multiple heat rejection system designs. The overall masses of these Nb-1%Zr systems are approximately 3100 kg and 6300 kg for the 100- kW{sub e} and 250-kW{sub e} systems, respectively, each with two totally redundant power conversion units, including the mass of the single reactor and shield. Initial conceptual designs for each of the components were developed in order to estimate component masses. In addition, an overall system concept was presented that was designed to fit within the launch envelope of a heavy lift vehicle. A technology development plan is presented in the report that describes the major efforts that are required to reach a technology readiness level of 6. A 10-year development plan was proposed.

  19. Predicting SF-6D utility scores from the Oswestry disability index and numeric rating scales for back and leg pain.

    Science.gov (United States)

    Carreon, Leah Y; Glassman, Steven D; McDonough, Christine M; Rampersaud, Raja; Berven, Sigurd; Shainline, Michael

    2009-09-01

    Cross-sectional cohort. The purpose of this study is to provide a model to allow estimation of utility from the Short Form (SF)-6D using data from the Oswestry Disability Index (ODI), Back Pain Numeric Rating Scale (BPNRS), and the Leg Pain Numeric Rating Scale (LPNRS). Cost-utility analysis provides important information about the relative value of interventions and requires a measure of utility not often available from clinical trial data. The ODI and numeric rating scales for back (BPNRS) and leg pain (LPNRS), are widely used disease-specific measures for health-related quality of life in patients with lumbar degenerative disorders. The purpose of this study is to provide a model to allow estimation of utility from the SF-6D using data from the ODI, BPNRS, and the LPNRS. SF-36, ODI, BPNRS, and LPNRS were prospectively collected before surgery, at 12 and 24 months after surgery in 2640 patients undergoing lumbar fusion for degenerative disorders. Spearman correlation coefficients for paired observations from multiple time points between ODI, BPNRS, and LPNRS, and SF-6D utility scores were determined. Regression modeling was done to compute the SF-6D score from the ODI, BPNRS, and LPNRS. Using a separate, independent dataset of 2174 patients in which actual SF-6D and ODI scores were available, the SF-6D was estimated for each subject and compared to their actual SF-6D. In the development sample, the mean age was 52.5 +/- 15 years and 34% were male. In the validation sample, the mean age was 52.9 +/- 14.2 years and 44% were male. Correlations between the SF-6D and the ODI, BPNRS, and LPNRS were statistically significant (P < 0.0001) with correlation coefficients of 0.82, 0.78, and 0.72, respectively. The regression equation using ODI, BPNRS,and LPNRS to predict SF-6D had an R of 0.69 and a root mean square error of 0.076. The model using ODI alone had an R of 0.67 and a root mean square error of 0.078. The correlation coefficient between the observed and estimated

  20. Quantification of errors in ordinal outcome scales using shannon entropy: effect on sample size calculations.

    Science.gov (United States)

    Mandava, Pitchaiah; Krumpelman, Chase S; Shah, Jharna N; White, Donna L; Kent, Thomas A

    2013-01-01

    Clinical trial outcomes often involve an ordinal scale of subjective functional assessments but the optimal way to quantify results is not clear. In stroke, the most commonly used scale, the modified Rankin Score (mRS), a range of scores ("Shift") is proposed as superior to dichotomization because of greater information transfer. The influence of known uncertainties in mRS assessment has not been quantified. We hypothesized that errors caused by uncertainties could be quantified by applying information theory. Using Shannon's model, we quantified errors of the "Shift" compared to dichotomized outcomes using published distributions of mRS uncertainties and applied this model to clinical trials. We identified 35 randomized stroke trials that met inclusion criteria. Each trial's mRS distribution was multiplied with the noise distribution from published mRS inter-rater variability to generate an error percentage for "shift" and dichotomized cut-points. For the SAINT I neuroprotectant trial, considered positive by "shift" mRS while the larger follow-up SAINT II trial was negative, we recalculated sample size required if classification uncertainty was taken into account. Considering the full mRS range, error rate was 26.1%±5.31 (Mean±SD). Error rates were lower for all dichotomizations tested using cut-points (e.g. mRS 1; 6.8%±2.89; overall pdecrease in reliability. The resultant errors need to be considered since sample size may otherwise be underestimated. In principle, we have outlined an approach to error estimation for any condition in which there are uncertainties in outcome assessment. We provide the user with programs to calculate and incorporate errors into sample size estimation.

  1. Estudio de un vórtice de Rankine con velocidad axial discontinua en un tubo infinito

    OpenAIRE

    Gonzalez, R; Vigh, C.D

    2016-01-01

    En este trabajo se muestra que un vórtice de Rankine confinado con flujo axial uniforme, posee sólo modos neutros aun cuando la velocidad axial sea discontinua en la interfase rotacional-irrotacional. Esta discontinuidad produce un curvamiento de las ramas inferiores de la relación de dispersión de tal forma que cortan al eje del número de onda con pendiente negativa, es decir velocidad de grupo negativa. Este resultado apoya la idea original de que el fenómeno de Vortex Breakdown se podría e...

  2. Applying the principles of thermoeconomics to the organic Rankine Cycle for low temperature waste heat recovery

    International Nuclear Information System (INIS)

    Xiao, F.; Lilun, Q.; Changsun, S.

    1989-01-01

    In this paper, thermoeconomic principle is used to study the selection of working fluids and the option of the cycle parameters in the organic Rankine cycle of low temperature waste heat recovery. The parameter ξ, the product of the ratio of waste heat recovery and real cycle thermal efficiency, is suggested as a unified thermodynamic criterion for the selection of the working fluids. The mathematical expressions are developed to determine the optimal boiling temperature and the optimal pin point temperature difference in the heat recovery exchanger by way of thermoeconomic principle

  3. Performance of an organic Rankine cycle with multicomponent mixtures

    International Nuclear Information System (INIS)

    Chaitanya Prasad, G.S.; Suresh Kumar, C.; Srinivasa Murthy, S.; Venkatarathnam, G.

    2015-01-01

    There is a renewed interest in ORC (organic Rankine cycle) systems for power generation using solar thermal energy. Many authors have studied the performance of ORC with different pure fluids as well as binary zeotropic mixtures in order to improve the thermal efficiency. It has not been well appreciated that zeotropic mixtures can also be used to reduce the size and cost of an ORC system. The main objective of this paper is to present mixtures that help reduce the cost while maintaining high thermal efficiency. The proposed method also allows us to design an optimum mixture for a given expander. This new approach is particularly beneficial for designing mixtures for small ORC systems operating with solar thermal energy. A number of examples are presented to demonstrate this concept. - Highlights: • The performance of an ORC operating with different zeotropic multicomponent mixtures is presented. • A thermodynamic method is proposed for the design of multicomponent mixtures for ORC power plants. • High exergy efficiency as well as high volumetric expander work can be achieved with appropriate mixtures. • The method allows design of mixtures that can be used with off-the-shelf positive displacement expanders

  4. Long-Term Stability of Scores on the Wechsler Intelligence Scale for Children-Fourth Edition in Children with Learning Disabilities

    Science.gov (United States)

    Lander, Jenny

    2010-01-01

    The present investigation explored the stability of scores on the Wechsler Intelligence Scale for Children-IV (WISC-IV) over approximately a three-year period. Previous research has suggested that some children with Learning Disabilities (LD) do not demonstrate long-term stability of intelligence. Legally, school districts are no longer required…

  5. www.common-metrics.org: a web application to estimate scores from different patient-reported outcome measures on a common scale.

    Science.gov (United States)

    Fischer, H Felix; Rose, Matthias

    2016-10-19

    Recently, a growing number of Item-Response Theory (IRT) models has been published, which allow estimation of a common latent variable from data derived by different Patient Reported Outcomes (PROs). When using data from different PROs, direct estimation of the latent variable has some advantages over the use of sum score conversion tables. It requires substantial proficiency in the field of psychometrics to fit such models using contemporary IRT software. We developed a web application ( http://www.common-metrics.org ), which allows estimation of latent variable scores more easily using IRT models calibrating different measures on instrument independent scales. Currently, the application allows estimation using six different IRT models for Depression, Anxiety, and Physical Function. Based on published item parameters, users of the application can directly estimate latent trait estimates using expected a posteriori (EAP) for sum scores as well as for specific response patterns, Bayes modal (MAP), Weighted likelihood estimation (WLE) and Maximum likelihood (ML) methods and under three different prior distributions. The obtained estimates can be downloaded and analyzed using standard statistical software. This application enhances the usability of IRT modeling for researchers by allowing comparison of the latent trait estimates over different PROs, such as the Patient Health Questionnaire Depression (PHQ-9) and Anxiety (GAD-7) scales, the Center of Epidemiologic Studies Depression Scale (CES-D), the Beck Depression Inventory (BDI), PROMIS Anxiety and Depression Short Forms and others. Advantages of this approach include comparability of data derived with different measures and tolerance against missing values. The validity of the underlying models needs to be investigated in the future.

  6. Utilization of waste heat from GT-MHR for power generation in organic Rankine cycles

    International Nuclear Information System (INIS)

    Yari, Mortaza; Mahmoudi, S.M.S.

    2010-01-01

    The gas turbine-modular helium reactor (GT-MHR) is currently being developed by an international consortium. In this power plant, circulating helium that has to be compressed in a single or two successive stages cools the reactor core. For thermodynamic reasons, these compression stages require pre-cooling of the helium to about 26 deg. C through the use of intercooler and pre-cooler in which water is used to cool the helium. Considerable thermal energy (∼300 MWth) is thus dissipated in these components. This thermal energy is then rejected to a heat sink. For different designs, the temperature ranges of the helium in the intercooler and pre-cooler could be about 100 and 150 deg. C, respectively. These are ideal energy sources to be used in an organic Rankine cycles for power generation. This study examines the performance of a gas-cooled nuclear power plant with closed Brayton cycle (CBC) combined with two organic Rankine cycles (ORC). More attention was paid to the irreversibilities generated in the combined cycle. Individual models are developed for each component through applications of the first and second laws of thermodynamics. The effects of the turbine inlet temperature, compressor pressure ratio, evaporator temperature and temperature difference in the evaporator on the first- and second-law efficiencies and on the exergy destruction rate of the combined cycle were studied. Finally the combined cycle was optimized thermodynamically using the EES (Engineering Equation Solver) software. Based on identical operating conditions, a comparison between the GT-MHR/ORC and a simple GT-MHR cycle is also made. It was found that both the first- and second-law efficiencies of GT-MHR/ORC cycle are about 3%-points higher than that of the simple GT-MHR cycle. Also, the exergy destruction rate for GT-MHR/ORC cycle is about 5% lower than that of the GT-MHR cycle.

  7. Organic Rankine cycle - review and research directions in engine applications

    Science.gov (United States)

    Panesar, Angad

    2017-11-01

    Waste heat to power conversion using Organic Rankine Cycles (ORC) is expected to play an important role in CO2 reductions from diesel engines. Firstly, a review of automotive ORCs is presented focusing on the pure working fluids, thermal architectures and expanders. The discussion includes, but is not limited to: R245fa, ethanol and water as fluids; series, parallel and cascade as architectures; dry saturated, superheated and supercritical as expansion conditions; and scroll, radial turbine and piston as expansion machines. Secondly, research direction in versatile expander and holistic architecture (NOx + CO2) are proposed. Benefits of using the proposed unconventional approaches are quantified using Ricardo Wave and Aspen HYSYS for diesel engine and ORC modelling. Results indicate that, the implementation of versatile piston expander tolerant to two-phase and using cyclopentane can potentially increase the highway drive cycle power by 8%. Furthermore, holistic architecture offering complete utilisation of charge air and exhaust recirculation heat increased the performance noticeably to 5% of engine power at the design point condition.

  8. New scoring methodology improves the sensitivity of the Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog) in clinical trials.

    Science.gov (United States)

    Verma, Nishant; Beretvas, S Natasha; Pascual, Belen; Masdeu, Joseph C; Markey, Mia K

    2015-11-12

    As currently used, the Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog) has low sensitivity for measuring Alzheimer's disease progression in clinical trials. A major reason behind the low sensitivity is its sub-optimal scoring methodology, which can be improved to obtain better sensitivity. Using item response theory, we developed a new scoring methodology (ADAS-CogIRT) for the ADAS-Cog, which addresses several major limitations of the current scoring methodology. The sensitivity of the ADAS-CogIRT methodology was evaluated using clinical trial simulations as well as a negative clinical trial, which had shown an evidence of a treatment effect. The ADAS-Cog was found to measure impairment in three cognitive domains of memory, language, and praxis. The ADAS-CogIRT methodology required significantly fewer patients and shorter trial durations as compared to the current scoring methodology when both were evaluated in simulated clinical trials. When validated on data from a real clinical trial, the ADAS-CogIRT methodology had higher sensitivity than the current scoring methodology in detecting the treatment effect. The proposed scoring methodology significantly improves the sensitivity of the ADAS-Cog in measuring progression of cognitive impairment in clinical trials focused in the mild-to-moderate Alzheimer's disease stage. This provides a boost to the efficiency of clinical trials requiring fewer patients and shorter durations for investigating disease-modifying treatments.

  9. Rankine cycle condenser pressure control using an energy conversion device bypass valve

    Science.gov (United States)

    Ernst, Timothy C; Nelson, Christopher R; Zigan, James A

    2014-04-01

    The disclosure provides a waste heat recovery system and method in which pressure in a Rankine cycle (RC) system of the WHR system is regulated by diverting working fluid from entering an inlet of an energy conversion device of the RC system. In the system, an inlet of a controllable bypass valve is fluidly coupled to a working fluid path upstream of an energy conversion device of the RC system, and an outlet of the bypass valve is fluidly coupled to the working fluid path upstream of the condenser of the RC system such that working fluid passing through the bypass valve bypasses the energy conversion device and increases the pressure in a condenser. A controller determines the temperature and pressure of the working fluid and controls the bypass valve to regulate pressure in the condenser.

  10. Parametric optimization and range analysis of Organic Rankine Cycle for binary-cycle geothermal plant

    International Nuclear Information System (INIS)

    Wang, Xing; Liu, Xiaomin; Zhang, Chuhua

    2014-01-01

    Highlights: • Optimal level constitution of parameters for ORC system was obtained. • Order of system parameters’ sensitivity to the performance of ORC was revealed. • Evaporating temperature had significant effect on performance of ORC system. • Superheater had little effect on performance of ORC system. - Abstract: In this study, a thermodynamic model of Organic Rankine Cycle (ORC) system combined with orthogonal design is proposed. The comprehensive scoring method was adopted to obtain a comprehensive index to evaluate both of the thermodynamic performance and economic performance. The optimal level constitution of system parameters which improves the thermodynamic and economic performance of ORC system is provided by analyzing the result of orthogonal design. The range analysis based on orthogonal design is adopted to determine the sensitivity of system parameters to the net power output of ORC system, thermal efficiency, the SP factor of radial inflow turbine, the power decrease factor of the pump and the total heat transfer capacity. The results show that the optimal level constitution of system parameters is determined as the working fluid of R245fa, the super heating temperature of 10 °C, the pinch temperature difference in evaporator and condenser of 5 °C, the evaporating temperature of 65 °C, the isentropic efficiency for the pump of 0.75 and the isentropic efficiency of radial inflow turbine of 0.85. The order of system parameters’ sensitivity to the comprehensive index of orthogonal design is evaporating temperature > isentropic efficiency of radial inflow turbine > the working fluid > the pinch temperature difference of the evaporator and the condenser > isentropic efficiency of cycle pump > the super heating temperature. This study provides useful references for selecting main controlled parameters in the optimal design of ORC system

  11. Oxidation of mine tailings from Rankin Inlet, Nunavut, at subzero temperatures

    Energy Technology Data Exchange (ETDEWEB)

    Meldrum, J. L.; Jamieson, H. E.; Dyke, L. D.

    2001-10-01

    An experiment was undertaken to determine if encapsulation in permafrost of acid-generating sulphidic tailings from a Ni-Cu mine on the shores of Hudson Bay in Nunavut will maintain the tailings and their saline pore water in a chemically inert state. The experiment involved collection of tailings material and pore water samples three years after burial, followed by long-term thermal monitoring. Tailings were studied at temperatures between +30 degrees C and -10 degrees C. Oxygen consumption was measured directly to determine the effect of low temperatures on oxidation rate. Significant oxidation was observed at +30 degrees C, which was substantially reduced at lower temperatures. At -10 degrees C oxygen consumption was below the detection limit. The highest measured oxygen flux correlated with a temperature increase of one degree C, which is consistent with exothermic sulphide oxidation reactions. The experiment showed that freezing in Rankin Inlet is progressing and tailings will be ice-bonded approximately 15 years after burial. 30 refs., 3 tabs. 6 figs.

  12. Analysis of zeotropic mixtures used in high-temperature Organic Rankine cycle

    International Nuclear Information System (INIS)

    Dong, Bensi; Xu, Guoqiang; Cai, Yi; Li, Haiwang

    2014-01-01

    Highlights: • Using mixtures leads to an efficiency increase compared to pure fluids. • MM/MDM (0.4/0.6) produces optimal cycle efficiency. • Lower temperature gradients of heat source and sink give rise to higher cycle efficiency. • Condensation step shows more effect than evaporation step on cycle efficiency. - Abstract: The paper investigates the performance of high-temperature Organic Rankine cycle (ORC) with zeotropic mixtures as working fluid. A numerical model, which has been validated by comparing with the published data, is developed to predict the first law thermal efficiency of the cycle. The effects of mixture concentration, temperature gradient of the heat transfer fluid, pinch temperature difference, pressure ratio, and condensation pressure on the first law efficiency are presented firstly using a purposely designed program, and then the suitable conditions for the described ORC are suggested based on the results of the simulation. It is demonstrated that the use of zeotropic mixtures leads to an efficiency increase compared to pure fluids

  13. Development of a computer code for a regenerative Rankine cycle analysis

    International Nuclear Information System (INIS)

    Wi, Myung Hwan; Kim, Seong O; Choi, Seok Ki; Kim, Jin Hwan

    2005-01-01

    A regenerative Rankine cycle can increase the thermal efficiency of a steam system without increasing the steam pressure and temperature. The regenerative process involves heating the feedwater on its return trip to the steam generator by extracting steam at various stages of the turbine and transferring the energy to the feedwater via a feedwater heater. Some real plants use more than five feedwater heaters to enhance the cycle efficiency. However, the optimum number of feedwater heaters required is determined by balancing the efficiency improvement against the capital investment for a given cycle. In the present study, the computer code, TAOPCS, for the thermodynamic analysis of a regenerative steam cycle was developed to optimally design and accurately analyze the behavior of the power conversion system of Korea Advance Liquid Metal Reactor (KALIMER). In order to understand the functions and the characteristics of the code, the main features of the TAPCS were described and the example results are presented in this paper

  14. Nutech functional score: A novel scoring system to assess spinal cord injury patients.

    Science.gov (United States)

    Shroff, Geeta; Barthakur, Jitendra Kumar

    2017-06-26

    To develop a new scoring system, nutech functional scores (NFS) for assessing the patients with spinal cord injury (SCI). The conventional scale, American Spinal Injury Association's (ASIA) impairment scale is a measure which precisely describes the severity of the SCI. However, it has various limitations which lead to incomplete assessment of SCI patients. We have developed a 63 point scoring system, i . e ., NFS for patients suffering with SCI. A list of symptoms either common or rare that were found to be associated with SCI was recorded for each patient. On the basis of these lists, we have developed NFS. These lists served as a base to prepare NFS, a 63 point positional (each symptom is sub-graded and get points based on position) and directional (moves in direction BAD → GOOD) scoring system. For non-progressive diseases, 1, 2, 3, 4, 5 denote worst, bad, moderate, good and best (normal), respectively. NFS for SCI has been divided into different groups based on the affected part of the body being assessed, i . e ., motor assessment (shoulders, elbow, wrist, fingers-grasp, fingers-release, hip, knee, ankle and toe), sensory assessment, autonomic assessment, bed sore assessment and general assessment. As probability based studies required a range of (-1, 1) or at least the range of (0, 1) to be useful for real world analysis, the grades were converted to respective numeric values. NFS can be considered as a unique tool to assess the improvement in patients with SCI as it overcomes the limitations of ASIA impairment scale.

  15. Potential of organic Rankine cycle using zeotropic mixtures as working fluids for waste heat recovery

    International Nuclear Information System (INIS)

    Li, You-Rong; Du, Mei-Tang; Wu, Chun-Mei; Wu, Shuang-Ying; Liu, Chao

    2014-01-01

    The performance of the ORC (organic Rankine cycle) systems using zeotropic mixtures as working fluids for recovering waste heat of flue gas from industrial boiler is examined on the basis of thermodynamics and thermo-economics under different operating conditions. In order to explore the potential of the mixtures as the working fluids in the ORC, the effects of various mixtures with different components and composition proportions on the system performance have been analyzed. The results show that the compositions of the mixtures have an important effect on the ORC system performance, which is associated with the temperature glide during the phase change of mixtures. From the point of thermodynamics, the performance of the ORC system is not always improved by employing the mixtures as the working fluids. The merit of the mixtures is related to the restrictive conditions of the ORC, different operating conditions results in different conclusions. At a fixed pinch point temperature difference, the small mean heat transfer temperature difference in heat exchangers will lead to a larger heat transfer area and the larger total cost of the ORC system. Compared with the ORC with pure working fluids, the ORC with the mixtures presents a poor economical performance. - Highlights: • Organic Rankine cycle system with the mixture working fluids for recovering waste heat is analyzed. • The performance of the mixture-fluid ORC is related to temperature glide in phase change of mixture working fluids. • The relative merit of the mixture working fluids depends on the restrictive operation conditions of the ORC. • The ORC with mixture working fluid presents a poor economical performance compared with the pure working fluid case

  16. Quasi-dynamic model for an organic Rankine cycle

    International Nuclear Information System (INIS)

    Bamgbopa, Musbaudeen O.; Uzgoren, Eray

    2013-01-01

    Highlights: • Study presents a simplified transient modeling approach for an ORC under variable heat input. • The ORC model is presented as a synthesis of its models of its sub-components. • The model is compared to benchmark numerical simulations and experimental data at different stages. - Abstract: When considering solar based thermal energy input to an organic Rankine cycle (ORC), intermittent nature of the heat input does not only adversely affect the power output but also it may prevent ORC to operate under steady state conditions. In order to identify reliability and efficiency of such systems, this paper presents a simplified transient modeling approach for an ORC operating under variable heat input. The approach considers that response of the system to heat input variations is mainly dictated by the evaporator. Consequently, overall system is assembled using dynamic models for the heat exchangers (evaporator and condenser) and static models of the pump and the expander. In addition, pressure drop within heat exchangers is neglected. The model is compared to benchmark numerical and experimental data showing that the underlying assumptions are reasonable for cases where thermal input varies in time. Furthermore, the model is studied on another configuration and mass flow rates of both the working fluid and hot water and hot water’s inlet temperature to the ORC unit are shown to have direct influence on the system’s response

  17. Thermodynamic analysis of a simple Organic Rankine Cycle

    International Nuclear Information System (INIS)

    Javanshir, Alireza; Sarunac, Nenad

    2017-01-01

    Thermodynamic performance (thermal efficiency and net power output) of a simple subcritical and supercritical Organic Rankine Cycle (ORC) was analyzed over a range of operating conditions for a number of working fluids to determine the effect of operating parameters on cycle performance and select the best working fluid. The results show that for an ORC operating with a dry working fluid, thermal efficiency decreases with an increase in the turbine inlet temperature (TIT) due to the convergence of the isobaric lines with temperature. The results also show that efficiency of an ORC operating with isentropic working fluids is higher compared to the dry and wet fluids, and working fluids with higher specific heat capacity provide higher cycle net power output. New expressions for thermal efficiency of a subcritical and supercritical simple ORC are proposed. For a subcritical ORC without the superheat, thermal efficiency is expressed as a function of the Figure of Merit (FOM), while for the superheated subcritical ORC thermal efficiency is given in terms of the modified Jacob number. For the supercritical ORC, thermal efficiency is expressed as a function of dimensionless temperature. - Highlights: • Analyzing thermodynamic performance of ORC over a range of operating conditions. • Selecting the best working fluid suitable for a simple ORC. • Proposing new expressions for thermal efficiency of a simple ORC.

  18. Preliminary Design and Simulation of a Turbo Expander for Small Rated Power Organic Rankine Cycle (ORC

    Directory of Open Access Journals (Sweden)

    Roberto Capata

    2014-11-01

    Full Text Available Nowadays, the Organic Rankine Cycle (ORC system, which operates with organic fluids, is one of the leading technologies for “waste energy recovery”. It works as a conventional Rankine Cycle but, as mentioned, instead of steam/water, an organic fluid is used. This change allows it to convert low temperature heat into electric energy where required. Large numbers of studies have been carried out to identify the most suitable fluids, system parameters and the various configurations. In the present market, most ORC systems are designed and manufactured for the recovery of thermal energy from various sources operating at “large power rating” (exhaust gas turbines, internal combustion engines, geothermal sources, large melting furnaces, biomass, solar, etc.; from which it is possible to produce a large amount of electric energy (30 kW ÷ 300 kW. Such applications for small nominal power sources, as well as the exhaust gases of internal combustion engines (car sedan or town, ships, etc. or small heat exchangers, are very limited. The few systems that have been designed and built for small scale applications, have, on the other hand, different types of expander (screw, scroll, etc.. These devices are not adapted for placement in small and restricted places like the interior of a conventional car. The aim of this work is to perform the preliminary design of a turbo-expander that meets diverse system requirements such as low pressure, small size and low mass flow rates. The expander must be adaptable to a small ORC system utilizing gas of a diesel engine or small gas turbine as thermal source to produce 2–10 kW of electricity. The temperature and pressure of the exhaust gases, in this case study (400–600 °C and a pressure of 2 bar, imposes a limit on the use of an organic fluid and on the net power that can be produced. In addition to water, fluids such as CO2, R134a and R245fa have been considered. Once the operating fluids has been chosen

  19. Standardized Total Average Toxicity Score: A Scale- and Grade-Independent Measure of Late Radiotherapy Toxicity to Facilitate Pooling of Data From Different Studies

    Energy Technology Data Exchange (ETDEWEB)

    Barnett, Gillian C., E-mail: gillbarnett@doctors.org.uk [University of Cambridge Department of Oncology, Oncology Centre, Cambridge (United Kingdom); Cancer Research-UK Centre for Genetic Epidemiology and Department of Oncology, Strangeways Research Laboratories, Cambridge (United Kingdom); West, Catharine M.L. [School of Cancer and Enabling Sciences, Manchester Academic Health Science Centre, University of Manchester, Christie Hospital, Manchester (United Kingdom); Coles, Charlotte E. [University of Cambridge Department of Oncology, Oncology Centre, Cambridge (United Kingdom); Pharoah, Paul D.P. [Cancer Research-UK Centre for Genetic Epidemiology and Department of Oncology, Strangeways Research Laboratories, Cambridge (United Kingdom); Talbot, Christopher J. [Department of Genetics, University of Leicester, Leicester (United Kingdom); Elliott, Rebecca M. [School of Cancer and Enabling Sciences, Manchester Academic Health Science Centre, University of Manchester, Christie Hospital, Manchester (United Kingdom); Tanteles, George A. [Department of Clinical Genetics, University Hospitals of Leicester, Leicester (United Kingdom); Symonds, R. Paul [Department of Cancer Studies and Molecular Medicine, University Hospitals of Leicester, Leicester (United Kingdom); Wilkinson, Jennifer S. [University of Cambridge Department of Oncology, Oncology Centre, Cambridge (United Kingdom); Dunning, Alison M. [Cancer Research-UK Centre for Genetic Epidemiology and Department of Oncology, Strangeways Research Laboratories, Cambridge (United Kingdom); Burnet, Neil G. [University of Cambridge Department of Oncology, Oncology Centre, Cambridge (United Kingdom); Bentzen, Soren M. [University of Wisconsin, School of Medicine and Public Health, Department of Human Oncology, Madison, WI (United States)

    2012-03-01

    Purpose: The search for clinical and biologic biomarkers associated with late radiotherapy toxicity is hindered by the use of multiple and different endpoints from a variety of scoring systems, hampering comparisons across studies and pooling of data. We propose a novel metric, the Standardized Total Average Toxicity (STAT) score, to try to overcome these difficulties. Methods and Materials: STAT scores were derived for 1010 patients from the Cambridge breast intensity-modulated radiotherapy trial and 493 women from University Hospitals of Leicester. The sensitivity of the STAT score to detect differences between patient groups, stratified by factors known to influence late toxicity, was compared with that of individual endpoints. Analysis of residuals was used to quantify the effect of these covariates. Results: In the Cambridge cohort, STAT scores detected differences (p < 0.00005) between patients attributable to breast volume, surgical specimen weight, dosimetry, acute toxicity, radiation boost to tumor bed, postoperative infection, and smoking (p < 0.0002), with no loss of sensitivity over individual toxicity endpoints. Diabetes (p = 0.017), poor postoperative surgical cosmesis (p = 0.0036), use of chemotherapy (p = 0.0054), and increasing age (p = 0.041) were also associated with increased STAT score. When the Cambridge and Leicester datasets were combined, STAT was associated with smoking status (p < 0.00005), diabetes (p = 0.041), chemotherapy (p = 0.0008), and radiotherapy boost (p = 0.0001). STAT was independent of the toxicity scale used and was able to deal with missing data. There were correlations between residuals of the STAT score obtained using different toxicity scales (r > 0.86, p < 0.00005 for both datasets). Conclusions: The STAT score may be used to facilitate the analysis of overall late radiation toxicity, from multiple trials or centers, in studies of possible genetic and nongenetic determinants of radiotherapy toxicity.

  20. Eleven Years of Data on the Jefferson Scale of Empathy-Medical Student Version (JSE-S): Proxy Norm Data and Tentative Cutoff Scores.

    Science.gov (United States)

    Hojat, Mohammadreza; Gonnella, Joseph S

    2015-01-01

    This study was designed to provide typical descriptive statistics, score distributions and percentile ranks of the Jefferson Scale of Empathy-Medical Student version (JSE-S) of male and female medical school matriculants to serve as proxy norm data and tentative cutoff scores. The participants were 2,637 students (1,336 women and 1,301 men) who matriculated at Sidney Kimmel (formerly Jefferson) Medical College between 2002 and 2012, and completed the JSE at the beginning of medical school. Information extracted from descriptive statistics, score distributions and percentile ranks for male and female matriculants were used to develop proxy norm data and tentative cutoff scores. The score distributions of the JSE tended to be moderately skewed and platykurtic. Women obtained a significantly higher mean score (116.2 ± 9.7) than men (112.3 ± 10.8) on the JSE-S (t2,635 = 9.9, p norm data. The tentative cutoff score to identify low scorers was ≤ 95 for men and ≤ 100 for women. Our findings provide norm data and cutoff scores for admission decisions under certain conditions and for identifying students in need of enhancing their empathy. © 2015 S. Karger AG, Basel.

  1. Extent of hypoattenuation on CT angiography source images in basilar artery occlusion: prognostic value in the Basilar Artery International Cooperation Study.

    Science.gov (United States)

    Puetz, Volker; Khomenko, Andrei; Hill, Michael D; Dzialowski, Imanuel; Michel, Patrik; Weimar, Christian; Wijman, Christine A C; Mattle, Heinrich P; Engelter, Stefan T; Muir, Keith W; Pfefferkorn, Thomas; Tanne, David; Szabo, Kristina; Kappelle, L Jaap; Algra, Ale; von Kummer, Ruediger; Demchuk, Andrew M; Schonewille, Wouter J

    2011-12-01

    The posterior circulation Acute Stroke Prognosis Early CT Score (pc-ASPECTS) quantifies the extent of early ischemic changes in the posterior circulation with a 10-point grading system. We hypothesized that pc-ASPECTS applied to CT angiography source images predicts functional outcome of patients in the Basilar Artery International Cooperation Study (BASICS). BASICS was a prospective, observational registry of consecutive patients with acute symptomatic basilar artery occlusion. Functional outcome was assessed at 1 month. We applied pc-ASPECTS to CT angiography source images of patients with CT angiography for confirmation of basilar artery occlusion. We calculated unadjusted and adjusted risk ratios (RRs) of pc-ASPECTS dichotomized at ≥8 versus <8. Primary outcome measure was favorable outcome (modified Rankin Scale scores 0-3). Secondary outcome measures were mortality and functional independence (modified Rankin Scale scores 0-2). Of 158 patients included, 78 patients had a CT angiography source images pc-ASPECTS≥8. Patients with a pc-ASPECTS≥8 more often had a favorable outcome than patients with a pc-ASPECTS<8 (crude RR, 1.7; 95% CI, 0.98-3.0). After adjustment for age, baseline National Institutes of Health Stroke Scale score, and thrombolysis, pc-ASPECTS≥8 was not related to favorable outcome (RR, 1.3; 95% CI, 0.8-2.2), but it was related to reduced mortality (RR, 0.7; 95% CI, 0.5-0.98) and functional independence (RR, 2.0; 95% CI, 1.1-3.8). In post hoc analysis, pc-ASPECTS dichotomized at ≥6 versus <6 predicted a favorable outcome (adjusted RR, 3.1; 95% CI, 1.2-7.5). pc-ASPECTS on CT angiography source images independently predicted death and functional independence at 1 month in the CT angiography subgroup of patients in the BASICS registry.

  2. The Safety and Feasibility of Image-Guided BrainPath-Mediated Transsulcul Hematoma Evacuation: A Multicenter Study.

    Science.gov (United States)

    Labib, Mohamed A; Shah, Mitesh; Kassam, Amin B; Young, Ronald; Zucker, Lloyd; Maioriello, Anthony; Britz, Gavin; Agbi, Charles; Day, J D; Gallia, Gary; Kerr, Robert; Pradilla, Gustavo; Rovin, Richard; Kulwin, Charles; Bailes, Julian

    2017-04-01

    Subcortical injury resulting from conventional surgical management of intracranial hemorrhage may counteract the potential benefits of hematoma evacuation. To evaluate the safety and potential benefits of a novel, minimally invasive approach for clot evacuation in a multicenter study. The integrated approach incorporates 5 competencies: (1) image interpretation and trajectory planning, (2) dynamic navigation, (3) atraumatic access system (BrainPath, NICO Corp, Indianapolis, Indiana), (4) extracorporeal optics, and (5) automated atraumatic resection. Twelve neurosurgeons from 11 centers were trained to use this approach through a continuing medical education-accredited course. Demographical, clinical, and radiological data of patients treated over 2 years were analyzed retrospectively. Thirty-nine consecutive patients were identified. The median Glasgow Coma Scale (GCS) score at presentation was 10 (range, 5-15). The thalamus/basal ganglion regions were involved in 46% of the cases. The median hematoma volume and depth were 36 mL (interquartile range [IQR], 27-65 mL) and 1.4 cm (IQR, 0.3-2.9 cm), respectively. The median time from ictus to surgery was 24.5 hours (IQR, 16-66 hours). The degree of hematoma evacuation was ≥90%, 75% to 89%, and 50% to 74% in 72%, 23%, and 5.0% of the patients, respectively. The median GCS score at discharge was 14 (range, 8-15). The improvement in GCS score was statistically significant ( P < .001). Modified Rankin Scale data were available for 35 patients. Fifty-two percent of those patients had a modified Rankin Scale score of ≤2. There were no mortalities. The approach was safely performed in all patients with a relatively high rate of clot evacuation and functional independence. Copyright © 2016 by the Congress of Neurological Surgeons

  3. A study of organic working fluids of an organic Rankine cycle for solar concentrating power plant

    International Nuclear Information System (INIS)

    Saifaoui, D.; Elmaanaoui, Y.; Faik, A.

    2014-01-01

    This work is a comparative study between four different configurations of an organic Rankine cycle (ORC) in order to find the configuration that gives the best performances. This study also made a comparison between seven organic fluids used as working fluids in the four ORC configurations. These fluids are all hydrocarbons. Then we made a parametric analysis of the results obtained in this first part. In a second part, we developed the binary mixtures of the seven pure hydrocarbons with the NIST software REFPROP 9 and we used them in our four ORC configurations. The obtained results are given and discussed. (author)

  4. Conversion between mini-mental state examination, montreal cognitive assessment, and dementia rating scale-2 scores in Parkinson's disease.

    Science.gov (United States)

    van Steenoven, Inger; Aarsland, Dag; Hurtig, Howard; Chen-Plotkin, Alice; Duda, John E; Rick, Jacqueline; Chahine, Lama M; Dahodwala, Nabila; Trojanowski, John Q; Roalf, David R; Moberg, Paul J; Weintraub, Daniel

    2014-12-01

    Cognitive impairment is one of the earliest, most common, and most disabling non-motor symptoms in Parkinson's disease (PD). Thus, routine screening of global cognitive abilities is important for the optimal management of PD patients. Few global cognitive screening instruments have been developed for or validated in PD patients. The Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Dementia Rating Scale-2 (DRS-2) have been used extensively for cognitive screening in both clinical and research settings. Determining how to convert the scores between instruments would facilitate the longitudinal assessment of cognition in clinical settings and the comparison and synthesis of cognitive data in multicenter and longitudinal cohort studies. The primary aim of this study was to apply a simple and reliable algorithm for the conversion of MoCA to MMSE scores in PD patients. A secondary aim was to apply this algorithm for the conversion of DRS-2 to both MMSE and MoCA scores. The cognitive performance of a convenience sample of 360 patients with idiopathic PD was assessed by at least two of these cognitive screening instruments. We then developed conversion scores between the MMSE, MoCA, and DRS-2 using equipercentile equating and log-linear smoothing. The conversion score tables reported here enable direct and easy comparison of three routinely used cognitive screening assessments in PD patients. © 2014 International Parkinson and Movement Disorder Society.

  5. Clinical and radiologic features and their relationships with neurofunctional scores in patients with acute cerebellar infarct

    Directory of Open Access Journals (Sweden)

    Hasan Huseyin Kozak

    2016-01-01

    Full Text Available Background: Cerebellar infarct is a rare condition with very nonspecific clinical features. The aim of this study was to assess the full spectrum of the clinical characteristics, neuroimaging findings and neurofunctional analyses of cerebellar infarction, and the relationship between them. Materials and Methods: Data were collected from 59 patients admitted to our department during an 8-year period. We retrospectively analyzed the relationship between demographic characteristics, clinical symptomatology, etiological factors, functional condition, vascular distribution, frequency of subcortical white matter lesions (WMLs, and concomitant lesion outside the cerebellum in patients with acute cerebellar infarct (ACI at time of admission. Results: The mean age in our series was 65.2 years, with most being male (57.6%. The posterior inferior cerebellar (PICA artery was the most commonly affected territory at 62.7%. There was concomitant lesion outside the cerebellum in 45.7%. The main etiology in PICA was cardioembolism. While mean National Institutes of Health Stroke Scale on admission was 2.08 ± 1.67 in study group, modified Rankin Scale (mRS on admission was detected to be mRS1 (n: 44, 74.5% and mRS2 (n: 12, 20.3% most frequently. Fourteen (35% patients were detected to be in Fazekas stage 0; 11 (27.5% patients in Fazekas stage 1; 6 (15% patients in Fazekas stage 2; and 9 (22.5% patients in Fazekas stage 3. Conclusion: Cerebellar infarct is very heterogeneous. The other cerebral area infarcts which accompany ACI negatively affect neurologic functional scores. Although it is difficult to detect the relationship between WMLs and neurologic functional severity, timely detection of risk factors and their modulation may be associated with prevention and treatability of WMLs, and this may be one of the important points for prevention of stroke-related disability.

  6. Stroke rehabilitation at home before and after discharge reduced disability and improved quality of life

    DEFF Research Database (Denmark)

    Rasmussen, Rune Skovgaard; Østergaard, Ann; Kjær, Pia

    2016-01-01

    part of usual treatment and rehabilitation services. Thirty-three control patients received treatment and rehabilitation following usual guidelines for the treatment of stroke patients. MAIN MEASURES: Ninety days post-stroke the modified Rankin Scale score was the primary endpoint. Other outcome...... score (Intervention median = 2, IQR = 2-3; Control median = 3, IQR = 2-4; P=0.04). EuroQol-5D™ quality of life median scores were improved in intervention patients (Intervention median = 0.77, IQR = 0.66-0.79; Control median = 0.66, IQR = 0.56 - 0.72; P=0.03). The total amount of home-based training...... and increased quality of life. Compared to standard care, home-based stroke rehabilitation was more cost-effective....

  7. Organic Rankine cycle unit for waste heat recovery on ships (PilotORC)

    DEFF Research Database (Denmark)

    Haglind, Fredrik; Montagud, Maria E. Mondejar; Andreasen, Jesper Graa

    The project PilotORC was aimed at evaluating the technical and economic feasibility of the use of organic Rankine cycle (ORC) units to recover low-temperature waste heat sources (i.e. exhaust gases, scavenge air, engine cooling system, and lubricant oil system) on container vessels. The project...... included numerical simulations and experimental tests on a 125 kW demonstration ORC unit that utilizes the waste heat of the main engine cooling system on board one of Mærsk's container vessels. During the design of the demonstration ORC unit, different alternatives for the condenser were analyzed in order...... of using ORC units for maritime applications, and the relevance of this technology for new-building projects. Firstly, an evaluation of the waste heat resources available on board Mærsk containers fleet, and an estimation of the potential energy recovery by means of the ORC technology was performed...

  8. Control system to a Rankine cycle with a Tesla turbine using arduino

    International Nuclear Information System (INIS)

    Medeiros, Josenei G.; Guimaraes, Lamartine F.; Placco, Guilherme M.

    2013-01-01

    The thermal Rankine cycle is a thermodynamic cycle which converts heat in energy. This cycle occurs in steady state, in other words the cycle is a closed loop circuit with continuous feedback, which guarantees the reuse process one energy transformed in the various stages of the cycle. This cycle is used to drive a turbine type TESLA designed for the system. The objective of this work is to create the control and automation of this cycle using an micro-controlled system with Arduino that will hold the collection of sensors and the system will act to maintain the balance of the cycle causing it to behave continuously and with less interference from human operation for maintenance. Data will be collected and further processed, where it will display all the sensors and the situation of the actuators involved. Using Arduino system ensures the stability and reliability with a low cost of implementation

  9. Control system to a Rankine cycle with a Tesla turbine using arduino

    Energy Technology Data Exchange (ETDEWEB)

    Medeiros, Josenei G., E-mail: joseneigodoi@yahoo.com.br [Faculdade de Tecnologia Sao Francisco (FATESF), Jacarei, SP (Brazil); Guimaraes, Lamartine F.; Placco, Guilherme M., E-mail: guimarae@ieav.cta.br, E-mail: placco@ieav.cta.br [Instituto de Estudos Avancados (ENU/IEAv/DCTA), Sao Jose dos Campos, SP (Brazil). Departamento de Energia Nuclear

    2013-07-01

    The thermal Rankine cycle is a thermodynamic cycle which converts heat in energy. This cycle occurs in steady state, in other words the cycle is a closed loop circuit with continuous feedback, which guarantees the reuse process one energy transformed in the various stages of the cycle. This cycle is used to drive a turbine type TESLA designed for the system. The objective of this work is to create the control and automation of this cycle using an micro-controlled system with Arduino that will hold the collection of sensors and the system will act to maintain the balance of the cycle causing it to behave continuously and with less interference from human operation for maintenance. Data will be collected and further processed, where it will display all the sensors and the situation of the actuators involved. Using Arduino system ensures the stability and reliability with a low cost of implementation.

  10. Inclusion of Highest Glasgow Coma Scale Motor Component Score in Mortality Risk Adjustment for Benchmarking of Trauma Center Performance.

    Science.gov (United States)

    Gomez, David; Byrne, James P; Alali, Aziz S; Xiong, Wei; Hoeft, Chris; Neal, Melanie; Subacius, Harris; Nathens, Avery B

    2017-12-01

    The Glasgow Coma Scale (GCS) is the most widely used measure of traumatic brain injury (TBI) severity. Currently, the arrival GCS motor component (mGCS) score is used in risk-adjustment models for external benchmarking of mortality. However, there is evidence that the highest mGCS score in the first 24 hours after injury might be a better predictor of death. Our objective was to evaluate the impact of including the highest mGCS score on the performance of risk-adjustment models and subsequent external benchmarking results. Data were derived from the Trauma Quality Improvement Program analytic dataset (January 2014 through March 2015) and were limited to the severe TBI cohort (16 years or older, isolated head injury, GCS ≤8). Risk-adjustment models were created that varied in the mGCS covariates only (initial score, highest score, or both initial and highest mGCS scores). Model performance and fit, as well as external benchmarking results, were compared. There were 6,553 patients with severe TBI across 231 trauma centers included. Initial and highest mGCS scores were different in 47% of patients (n = 3,097). Model performance and fit improved when both initial and highest mGCS scores were included, as evidenced by improved C-statistic, Akaike Information Criterion, and adjusted R-squared values. Three-quarters of centers changed their adjusted odds ratio decile, 2.6% of centers changed outlier status, and 45% of centers exhibited a ≥0.5-SD change in the odds ratio of death after including highest mGCS score in the model. This study supports the concept that additional clinical information has the potential to not only improve the performance of current risk-adjustment models, but can also have a meaningful impact on external benchmarking strategies. Highest mGCS score is a good potential candidate for inclusion in additional models. Copyright © 2017 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  11. The efficiency of parameter estimation of latent path analysis using summated rating scale (SRS) and method of successive interval (MSI) for transformation of score to scale

    Science.gov (United States)

    Solimun, Fernandes, Adji Achmad Rinaldo; Arisoesilaningsih, Endang

    2017-12-01

    Research in various fields generally investigates systems and involves latent variables. One method to analyze the model representing the system is path analysis. The data of latent variables measured using questionnaires by applying attitude scale model yields data in the form of score, before analyzed should be transformation so that it becomes data of scale. Path coefficient, is parameter estimator, calculated from scale data using method of successive interval (MSI) and summated rating scale (SRS). In this research will be identifying which data transformation method is better. Path coefficients have smaller varieties are said to be more efficient. The transformation method that produces scaled data and used in path analysis capable of producing path coefficients (parameter estimators) with smaller varieties is said to be better. The result of analysis using real data shows that on the influence of Attitude variable to Intention Entrepreneurship, has relative efficiency (ER) = 1, where it shows that the result of analysis using data transformation of MSI and SRS as efficient. On the other hand, for simulation data, at high correlation between items (0.7-0.9), MSI method is more efficient 1.3 times better than SRS method.

  12. Conversion Between Mini-Mental State Examination, Montreal Cognitive Assessment, and Dementia Rating Scale-2 Scores in Parkinson’s Disease

    Science.gov (United States)

    van Steenoven, Inger; Aarsland, Dag; Hurtig, Howard; Chen-Plotkin, Alice; Duda, John E.; Rick, Jacqueline; Chahine, Lama M.; Dahodwala, Nabila; Trojanowski, John Q.; Roalf, David R.; Moberg, Paul J.; Weintraub, Daniel

    2015-01-01

    Cognitive impairment is one of the earliest, most common, and most disabling non-motor symptoms in Parkinson’s disease (PD). Thus, routine screening of global cognitive abilities is important for the optimal management of PD patients. Few global cognitive screening instruments have been developed for or validated in PD patients. The Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Dementia Rating Scale-2 (DRS-2) have been used extensively for cognitive screening in both clinical and research settings. Determining how to convert the scores between instruments would facilitate the longitudinal assessment of cognition in clinical settings and the comparison and synthesis of cognitive data in multicenter and longitudinal cohort studies. The primary aim of this study was to apply a simple and reliable algorithm for the conversion of MoCA to MMSE scores in PD patients. A secondary aim was to apply this algorithm for the conversion of DRS-2 to both MMSE and MoCA scores. The cognitive performance of a convenience sample of 360 patients with idiopathic PD was assessed by at least two of these cognitive screening instruments. We then developed conversion scores between the MMSE, MoCA, and DRS-2 using equipercentile equating and log-linear smoothing. The conversion score tables reported here enable direct and easy comparison of three routinely used cognitive screening assessments in PD patients. PMID:25381961

  13. Impact of body mass index on outcome in stroke patients treated with intravenous thrombolysis

    OpenAIRE

    Gensicke, H.; Wicht, A.; Bill, O.; Zini, A.; Costa, P.; Kagi, G.; Stark, R.; Seiffge, D. J.; Traenka, C.; Peters, N.; Bonati, L. H.; Giovannini, G.; De Marchis, G. M.; Poli, L.; Polymeris, A.

    2016-01-01

    Abstract: Background and purposeThe impact of body mass index (BMI) on outcome in stroke patients treated with intravenous thrombolysis (IVT) was investigated. MethodsIn a multicentre IVT-register-based observational study, BMI with (i) poor 3-month outcome (i.e. modified Rankin Scale scores 3-6), (ii) death and (iii) symptomatic intracranial haemorrhage (sICH) based on criteria of the ECASS II trial was compared. BMI was used as a continuous and categorical variable distinguishing normal wei...

  14. Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV) processing speed scores as measures of noncredible responding: The third generation of embedded performance validity indicators.

    Science.gov (United States)

    Erdodi, Laszlo A; Abeare, Christopher A; Lichtenstein, Jonathan D; Tyson, Bradley T; Kucharski, Brittany; Zuccato, Brandon G; Roth, Robert M

    2017-02-01

    Research suggests that select processing speed measures can also serve as embedded validity indicators (EVIs). The present study examined the diagnostic utility of Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV) subtests as EVIs in a mixed clinical sample of 205 patients medically referred for neuropsychological assessment (53.3% female, mean age = 45.1). Classification accuracy was calculated against 3 composite measures of performance validity as criterion variables. A PSI ≤79 produced a good combination of sensitivity (.23-.56) and specificity (.92-.98). A Coding scaled score ≤5 resulted in good specificity (.94-1.00), but low and variable sensitivity (.04-.28). A Symbol Search scaled score ≤6 achieved a good balance between sensitivity (.38-.64) and specificity (.88-.93). A Coding-Symbol Search scaled score difference ≥5 produced adequate specificity (.89-.91) but consistently low sensitivity (.08-.12). A 2-tailed cutoff on the Coding/Symbol Search raw score ratio (≤1.41 or ≥3.57) produced acceptable specificity (.87-.93), but low sensitivity (.15-.24). Failing ≥2 of these EVIs produced variable specificity (.81-.93) and sensitivity (.31-.59). Failing ≥3 of these EVIs stabilized specificity (.89-.94) at a small cost to sensitivity (.23-.53). Results suggest that processing speed based EVIs have the potential to provide a cost-effective and expedient method for evaluating the validity of cognitive data. Given their generally low and variable sensitivity, however, they should not be used in isolation to determine the credibility of a given response set. They also produced unacceptably high rates of false positive errors in patients with moderate-to-severe head injury. Combining evidence from multiple EVIs has the potential to improve overall classification accuracy. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  15. Exergy analysis of parabolic trough solar collectors integrated with combined steam and organic Rankine cycles

    International Nuclear Information System (INIS)

    Al-Sulaiman, Fahad A.

    2014-01-01

    Highlights: • As the solar irradiation increases, the exergetic efficiency increases. • The R134a combined cycle has best exergetic performance, 26%. • The R600a combined cycle has the lowest exergetic efficiency, 20%. • The main source of exergy destruction is the solar collector. • There is an exergetic improvement potential of 75% in the systems considered. - Abstract: In this paper, detailed exergy analysis of selected thermal power systems driven by parabolic trough solar collectors (PTSCs) is presented. The power is produced using either a steam Rankine cycle (SRC) or a combined cycle, in which the SRC is the topping cycle and an organic Rankine cycle (ORC) is the bottoming cycle. Seven refrigerants for the ORC were examined: R134a, R152a, R290, R407c, R600, R600a, and ammonia. Key exergetic parameters were examined: exergetic efficiency, exergy destruction rate, fuel depletion ratio, irreversibility ratio, and improvement potential. For all the cases considered it was revealed that as the solar irradiation increases, the exergetic efficiency increases. Among the combined cycles examined, the R134a combined cycle demonstrates the best exergetic performance with a maximum exergetic efficiency of 26% followed by the R152a combined cycle with an exergetic efficiency of 25%. Alternatively, the R600a combined cycle has the lowest exergetic efficiency, 20–21%. This study reveals that the main source of exergy destruction is the solar collector where more than 50% of inlet exergy is destructed, or in other words more than 70% of the total destructed exergy. In addition, more than 13% of the inlet exergy is destructed in the evaporator which is equivalent to around 19% of the destructed exergy. Finally, this study reveals that there is an exergetic improvement potential of 75% in the systems considered

  16. Evidence for the Psychometric Validity, Internal Consistency and Measurement Invariance of Warwick Edinburgh Mental Well-being Scale Scores in Scottish and Irish Adolescents.

    Science.gov (United States)

    McKay, Michael T; Andretta, James R

    2017-09-01

    Mental well-being is an important indicator of current, but also the future health of adolescents. The 14-item Warwick Edinburgh Mental Well-being Scale (WEMWBS) has been well validated in adults world-wide, but less work has been undertaken to examine the psychometric validity and internal consistency of WEMWBS scores in adolescents. In particular, little research has examined scores on the short 7-item version of the WEMWBS. The present study used two large samples of school children in Scotland and Northern Ireland and found that for both forms of the WEMWBS, scores were psychometrically valid, internally consistent, factor saturated, and measurement invariant by country. Using the WEMWBS full form, males reported significantly higher scores than females, and Northern Irish adolescents reported significantly higher scores than their Scottish counterparts. Last, the lowest overall levels of well-being were observed among Scottish females. Copyright © 2017. Published by Elsevier B.V.

  17. Performance study of a twin-screw expander used in a geothermal organic Rankine cycle power generator

    International Nuclear Information System (INIS)

    Tang, Hao; Wu, Huagen; Wang, Xiaolin; Xing, Ziwen

    2015-01-01

    The ORC (organic Rankine cycle) system is an effective technology to generate electricity from low temperature heat sources. The twin-screw expander is a key component that is commonly used in the small-to-medium capacity ORC system to convert thermal energy into work. In this paper, the performance of a twin-screw expander is theoretically and experimentally studied. A mathematical model is developed and subsequently validated using experimental data. The effect of several important factors including expander speed, suction pressure and inlet superheat on the expander performance is investigated. Results indicate that the expander speed and suction pressure have large influences on the expander performance, while the inlet superheat has relatively small effect. The isentropic efficiency of the expander decreases from 0.88 to 0.6 and the expander volumetric efficiency decreases from 0.88 to 0.7 as the expander rotational speed increases from 1250 to 6000 rpm. The results further show that the expander volumetric efficiency decreases from 0.91 to 0.85 as the expander suction pressure increases from 0.33 to 0.47 MPa. Furthermore, the energy conversion efficiency of the studied ORC system using the twin-screw expander is as high as 7.5% under the site conditions. - Highlights: • Performance of a twin-screw expander used in an ORC (organic Rankine cycle) system was studied. • A thermodynamic model was developed for this purpose and experimentally validated. • Effect of several key factors on the expander performance was investigated. • Suction pressure has a large influence on the expander performance. • Twin-screw expanders can be operated with a wide range of heat source temperatures.

  18. Working fluid selection for organic Rankine cycles - Impact of uncertainty of fluid properties

    DEFF Research Database (Denmark)

    Frutiger, Jerome; Andreasen, Jesper Graa; Liu, Wei

    2016-01-01

    of processmodels and constraints 2) selection of property models, i.e. Penge Robinson equation of state 3)screening of 1965 possible working fluid candidates including identification of optimal process parametersbased on Monte Carlo sampling 4) propagating uncertainty of fluid parameters to the ORC netpower output......This study presents a generic methodology to select working fluids for ORC (Organic Rankine Cycles)taking into account property uncertainties of the working fluids. A Monte Carlo procedure is described as a tool to propagate the influence of the input uncertainty of the fluid parameters on the ORC....... The net power outputs of all the feasible working fluids were ranked including their uncertainties. The method could propagate and quantify the input property uncertainty of the fluidproperty parameters to the ORC model, giving an additional dimension to the fluid selection process. In the given analysis...

  19. Comparative investigation of working fluids for an organic Rankine cycle with geothermal water

    Directory of Open Access Journals (Sweden)

    Liu Yan-Na

    2015-06-01

    Full Text Available In this paper, the thermodynamic investigation on the use of geothermal water (130 °C as maximum for power generation through a basic Rankine has been presented together with obtained main results. Six typical organic working fluids (i.e., R245fa, R141b, R290, R600, R152a, and 134a were studied with modifying the input pressure and temperature to the turbine. The results show that there are no significant changes taking place in the efficiency for these working fluids with overheating the inlet fluid to the turbine, i.e., efficiency is a weak function of temperature. However, with the increasing of pressure ratio in the turbine, the efficiency rises more sharply. The technical viability is shown of implementing this type of process for recovering low temperature heat resource.

  20. Uncertainty assessment of equations of state with application to an organic Rankine cycle

    DEFF Research Database (Denmark)

    Frutiger, Jerome; Bell, Ian; O’Connell, John P.

    2017-01-01

    Evaluations of equations of state (EoS) should include uncertainty. This study presents a genericmethod to analyse EoS from a detailed uncertainty analysis of the mathematical form and the dataused to obtain EoS parameter values. The method is illustrated by comparison of Soave–Redlich–Kwong (SRK......) cubic EoS with perturbed-chain statistical associating fluid theory (PC-SAFT) EoS for anorganic Rankine cycle (ORC) for heat recovery to power fromthe exhaust gas of a marine diesel engineusing cyclopentane as working fluid. Uncertainties of the EoS input parameters including......Evaluations of equations of state (EoS) should include uncertainty. This study presents a genericmethod to analyse EoS from a detailed uncertainty analysis of the mathematical form and the dataused to obtain EoS parameter values. The method is illustrated by comparison of Soave–Redlich–Kwong (SRK...

  1. Working fluid selection for organic Rankine cycles - Impact of uncertainty of fluid properties

    DEFF Research Database (Denmark)

    Frutiger, Jerome; Andreasen, Jesper Graa; Liu, Wei

    2016-01-01

    This study presents a generic methodology to select working fluids for ORC (Organic Rankine Cycles)taking into account property uncertainties of the working fluids. A Monte Carlo procedure is described as a tool to propagate the influence of the input uncertainty of the fluid parameters on the ORC...... modeloutput, and provides the 95%-confidence interval of the net power output with respect to the fluid property uncertainties. The methodology has been applied to a molecular design problem for an ORCusing a low-temperature heat source and consisted of the following four parts: 1) formulation...... of processmodels and constraints 2) selection of property models, i.e. Penge Robinson equation of state 3)screening of 1965 possible working fluid candidates including identification of optimal process parametersbased on Monte Carlo sampling 4) propagating uncertainty of fluid parameters to the ORC netpower output...

  2. Uncertainty Assessment of Equations of State with Application to an Organic Rankine Cycle

    DEFF Research Database (Denmark)

    Frutiger, Jerome; Bell, Ian; O’Connell, John P.

    2017-01-01

    Evaluations of equations of state (EoS) with application to process systems should include uncertainty analysis. A generic method is presented for determining such uncertainties from both the mathematical formand the data for obtaining EoS parameter values. The method is implemented for the Soave......–Redlich–Kwong (SRK), the Peng-Robinson (PR) cubic EoS, and the perturbed-chain statistical associating fluid theory (PCSAFT) EoS, as applied to an organic Rankine cycle (ORC) power system to recover heat from the exhaust gas of a marine diesel engine with cyclopentane as the working fluid. Uncertainties of the Eo......S input parameters, including their corresponding correlation structure, are quantified from the data using a bootstrap method. A Monte Carlo procedure propagates parameter input uncertainties onto the process output. Regressions have been made of the three cubic EoS parameters from both critical point...

  3. Comparison of a Novel Organic-Fluid Thermofluidic Heat Converter and an Organic Rankine Cycle Heat Engine

    Directory of Open Access Journals (Sweden)

    Christoph J.W. Kirmse

    2016-06-01

    Full Text Available The Up-THERM heat converter is an unsteady, two-phase thermofluidic oscillator that employs an organic working fluid, which is currently being considered as a prime-mover in small- to medium-scale combined heat and power (CHP applications. In this paper, the Up-THERM heat converter is compared to a basic (sub-critical, non-regenerative organic Rankine cycle (ORC heat engine with respect to their power outputs, thermal efficiencies and exergy efficiencies, as well as their capital and specific costs. The study focuses on a pre-specified Up-THERM design in a selected application, a heat-source temperature range from 210 °C to 500 °C and five different working fluids (three n-alkanes and two refrigerants. A modeling methodology is developed that allows the above thermo-economic performance indicators to be estimated for the two power-generation systems. For the chosen applications, the power output of the ORC engine is generally higher than that of the Up-THERM heat converter. However, the capital costs of the Up-THERM heat converter are lower than those of the ORC engine. Although the specific costs (£/kW of the ORC engine are lower than those of the Up-THERM converter at low heat-source temperatures, the two systems become progressively comparable at higher temperatures, with the Up-THERM heat converter attaining a considerably lower specific cost at the highest heat-source temperatures considered.

  4. Experimental and thermodynamic analysis of a bottoming Organic Rankine Cycle (ORC) of gasoline engine using swash-plate expander

    International Nuclear Information System (INIS)

    Galindo, J.; Ruiz, S.; Dolz, V.; Royo-Pascual, L.; Haller, R.; Nicolas, B.; Glavatskaya, Y.

    2015-01-01

    Highlights: • An experimental analysis of an ORC is presented and applied to a gasoline engine. • 28 Steady-state operating points have been tested to evaluate expander performance. • Optimum points have been used to analyze power balances and cycle efficiencies. - Abstract: This paper deals with the experimental testing of an Organic Rankine Cycle (ORC) integrate in a 2 liter turbocharged gasoline engine using ethanol as working fluid. The main components of the cycle are a boiler, a condenser, a pump and a swash-plate expander. Five engine operating points have been tested, they correspond to a nominal heat input into the boiler of 5, 12, 20, 25 and 30 kW. With the available bill of material based on prototypes, power balances and cycles efficiencies were estimated, obtaining a maximum improvement in the ICE mechanical power and an expander shaft power of 3.7% and 1.83 kW respectively. A total of 28 steady-state operating points were measured to evaluate performance of the swash-plate expander prototype. Operating parameters of the expander, such as expander speed and expansion ratio, were shifted. The objective of the tests is to master the system and understand physical parameters influence. The importance of each parameter was analyzed by fixing all the parameters, changing each time one specific value. In these sensitivity studies, maximum ideal and real Rankine efficiency value of 19% and 6% were obtained respectively

  5. Organic Rankine cycle – review and research directions in engine applications

    Directory of Open Access Journals (Sweden)

    Panesar Angad

    2017-01-01

    Full Text Available Waste heat to power conversion using Organic Rankine Cycles (ORC is expected to play an important role in CO2 reductions from diesel engines. Firstly, a review of automotive ORCs is presented focusing on the pure working fluids, thermal architectures and expanders. The discussion includes, but is not limited to: R245fa, ethanol and water as fluids; series, parallel and cascade as architectures; dry saturated, superheated and supercritical as expansion conditions; and scroll, radial turbine and piston as expansion machines. Secondly, research direction in versatile expander and holistic architecture (NOx + CO2 are proposed. Benefits of using the proposed unconventional approaches are quantified using Ricardo Wave and Aspen HYSYS for diesel engine and ORC modelling. Results indicate that, the implementation of versatile piston expander tolerant to two-phase and using cyclopentane can potentially increase the highway drive cycle power by 8%. Furthermore, holistic architecture offering complete utilisation of charge air and exhaust recirculation heat increased the performance noticeably to 5% of engine power at the design point condition.

  6. Panel cutting method: new approach to generate panels on a hull in Rankine source potential approximation

    Directory of Open Access Journals (Sweden)

    Hee-Jong Choi

    2011-12-01

    Full Text Available In the present study, a new hull panel generation algorithm, namely panel cutting method, was developed to predict flow phenomena around a ship using the Rankine source potential based panel method, where the iterative method was used to satisfy the nonlinear free surface condition and the trim and sinkage of the ship was taken into account. Numerical computations were performed to investigate the validity of the proposed hull panel generation algorithm for Series 60 (CB=0.60 hull and KRISO container ship (KCS, a container ship designed by Maritime and Ocean Engineering Research Institute (MOERI. The computational results were validated by comparing with the existing experimental data.

  7. Panel cutting method: new approach to generate panels on a hull in Rankine source potential approximation

    Science.gov (United States)

    Choi, Hee-Jong; Chun, Ho-Hwan; Park, Il-Ryong; Kim, Jin

    2011-12-01

    In the present study, a new hull panel generation algorithm, namely panel cutting method, was developed to predict flow phenomena around a ship using the Rankine source potential based panel method, where the iterative method was used to satisfy the nonlinear free surface condition and the trim and sinkage of the ship was taken into account. Numerical computations were performed to investigate the validity of the proposed hull panel generation algorithm for Series 60 (CB=0.60) hull and KRISO container ship (KCS), a container ship designed by Maritime and Ocean Engineering Research Institute (MOERI). The computational results were validated by comparing with the existing experimental data.

  8. A study of the effect of a visual arts-based program on the scores of Jefferson Scale for Physician Empathy.

    Science.gov (United States)

    Yang, Kuang-Tao; Yang, Jen-Hung

    2013-10-25

    The effect of visual arts interventions on development of empathy has not been quantitatively investigated. A study was conducted on the effect of a visual arts-based program on the scores of the Jefferson Scale for Physician Empathy (JSPE). A total of 110 clerks (n = 92) and first-year postgraduate residents (PGY1s) (n = 18) participating in the program were recruited into this study. The 4-hr program covered the subjects of learning to interpret paintings, interpreting paintings relating to medicine, illness and human suffering, the related-topics of humanitarianism and the other humanities fields and values and meaning. The JSPE was completed at the beginning (pretest) and the end (posttest) of the program. There was no significant difference between the pretest and posttest JSPE scores. The average of the scores for the pretest was lower in the subgroup of PGY1s than the subgroup of clerks (p = 0.0358). An increased but not significantly mean posttest JESPE score was noted for the subgroup of PGY1s. Neither the females nor the males had higher posttest JSPE scores than the pretest scores. Although using a structured visual arts-based program as an intervention may be useful to enhance medical students' empathy, our results failed to show a positive effect on the JSPE Scores for a group of clerks and PGY1s. This suggests that further experimental studies are needed if quantitative evaluation of the effectiveness of visual-arts based programs on empathy is to be investigated.

  9. Endovascular Mechanical Thrombectomy in Large-Vessel Occlusion Ischemic Stroke Presenting with Low National Institutes of Health Stroke Scale: Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Griessenauer, Christoph J; Medin, Caroline; Maingard, Julian; Chandra, Ronil V; Ng, Wyatt; Brooks, Duncan Mark; Asadi, Hamed; Killer-Oberpfalzer, Monika; Schirmer, Clemens M; Moore, Justin M; Ogilvy, Christopher S; Thomas, Ajith J; Phan, Kevin

    2018-02-01

    Mechanical thrombectomy has become the standard of care for management of most large vessel occlusion (LVO) strokes. When patients with LVO present with minor stroke symptomatology, no consensus on the role of mechanical thrombectomy exists. A systematic review and meta-analysis were performed to identify studies that focused on mechanical thrombectomy, either as a standalone treatment or with intravenous tissue plasminogen activator (IV tPA), in patients with mild strokes with LVO, defined as a baseline National Institutes of Health Stroke Scale score ≤5 at presentation. Data on methodology, quality criteria, and outcome measures were extracted, and outcomes were compared using odds ratio as a summary statistic. Five studies met the selection criteria and were included. When compared with medical therapy without IV tPA, mechanical thrombectomy and medical therapy with IV tPA were associated with improved 90-day modified Rankin Scale (mRS) score. Among medical patients who were not eligible for IV tPA, those who underwent mechanical thrombectomy were more likely to experience good 90-day mRS than those who were not. There was no significant difference in functional outcome between mechanical thrombectomy and medical therapy with IV tPA, and no treatment subgroup was associated with intracranial hemorrhage or death. In patients with mild strokes due to LVO, mechanical thrombectomy and medical therapy with IV tPA led to better 90-day functional outcome. Mechanical thrombectomy plays an important role in the management of these patients, particularly in those not eligible for IV tPA. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Examining the reliability of ADAS-Cog change scores.

    Science.gov (United States)

    Grochowalski, Joseph H; Liu, Ying; Siedlecki, Karen L

    2016-09-01

    The purpose of this study was to estimate and examine ways to improve the reliability of change scores on the Alzheimer's Disease Assessment Scale, Cognitive Subtest (ADAS-Cog). The sample, provided by the Alzheimer's Disease Neuroimaging Initiative, included individuals with Alzheimer's disease (AD) (n = 153) and individuals with mild cognitive impairment (MCI) (n = 352). All participants were administered the ADAS-Cog at baseline and 1 year, and change scores were calculated as the difference in scores over the 1-year period. Three types of change score reliabilities were estimated using multivariate generalizability. Two methods to increase change score reliability were evaluated: reweighting the subtests of the scale and adding more subtests. Reliability of ADAS-Cog change scores over 1 year was low for both the AD sample (ranging from .53 to .64) and the MCI sample (.39 to .61). Reweighting the change scores from the AD sample improved reliability (.68 to .76), but lengthening provided no useful improvement for either sample. The MCI change scores had low reliability, even with reweighting and adding additional subtests. The ADAS-Cog scores had low reliability for measuring change. Researchers using the ADAS-Cog should estimate and report reliability for their use of the change scores. The ADAS-Cog change scores are not recommended for assessment of meaningful clinical change.

  11. Impact of baseline Diabetic Retinopathy Severity Scale scores on visual outcomes in the VIVID-DME and VISTA-DME studies.

    Science.gov (United States)

    Staurenghi, Giovanni; Feltgen, Nicolas; Arnold, Jennifer J; Katz, Todd A; Metzig, Carola; Lu, Chengxing; Holz, Frank G

    2017-10-19

    To evaluate intravitreal aflibercept versus laser in subgroups of patients with baseline Diabetic Retinopathy Severity Scale (DRSS) scores ≤43, 47, and ≥53 in VIVID-DME and VISTA-DME. Patients with diabetic macular oedema were randomised to receive intravitreal aflibercept 2 mg every 4 weeks (2q4), intravitreal aflibercept 2 mg every 8 weeks after five initial monthly doses (2q8), or macular laser photocoagulation at baseline with sham injections at every visit. These post hoc analyses evaluate outcomes based on baseline DRSS scores in patients in the integrated dataset. The 2q4 and 2q8 treatment groups were also pooled. 748 patients had a baseline DRSS score based on fundus photographs (≤43, n=301; 47, n=153; ≥53, n=294). At week 100, the least squares mean difference between treatment groups (effect of intravitreal aflibercept above that of laser, adjusting for baseline best-corrected visual acuity) was 8.9 (95% CI 5.99 to 11.81), 9.7 (95% CI 5.54 to 13.91), and 11.0 (95% CI 7.96 to 14.1) letters in those with baseline DRSS scores ≤43, 47, and ≥53, respectively. The proportions of patients with ≥2 step DRSS score improvement were greater in the intravitreal aflibercept group versus laser, respectively, for those with baseline DRSS scores of ≤43 (13% vs 5.9%), 47 (25.8% vs 4.5%), and ≥53 (64.5% vs 28.4%). Regardless of baseline DRSS score, functional outcomes were superior in intravitreal aflibercept-treated patients, demonstrating consistent treatment benefit across various baseline levels of retinopathy. NCT01331681 and NCT01363440, Post-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  12. The Tobacco Control Scale: a new scale to measure country activity.

    Science.gov (United States)

    Joossens, L; Raw, M

    2006-06-01

    To quantify the implementation of tobacco control policies at country level using a new Tobacco Control Scale and to report initial results using the scale. A questionnaire sent to correspondents in 30 European countries, using a scoring system designed with the help of a panel of international tobacco control experts. The 30 countries are ranked by their total score on the scale out of a maximum possible score of 100. Only four countries (Ireland, United Kingdom, Norway, Iceland) scored 70 or more, with an eight point gap (most differences in scores are small) to the fifth country, Malta, on 62. Only 13 countries scored above 50, 11 of them from the European Union (EU), and the second largest points gap occurs between Denmark on 45 and Portugal on 39, splitting the table into three groups: 70 and above, 45 to 62, 39 and below. Ireland had the highest overall score, 74 out of 100, and Luxembourg was bottom with 26 points. However even Ireland, much praised for their ban on smoking in public places, did not increase tobacco taxes in 2005, for the first time since 1995. Although the Tobacco Control Scale has limitations, this is the first time such a scale has been developed and applied to so many countries. We hope it will be useful in encouraging countries to strengthen currently weak areas of their tobacco control policy.

  13. The use of test scores from large-scale assessment surveys: psychometric and statistical considerations

    Directory of Open Access Journals (Sweden)

    Henry Braun

    2017-11-01

    Full Text Available Abstract Background Economists are making increasing use of measures of student achievement obtained through large-scale survey assessments such as NAEP, TIMSS, and PISA. The construction of these measures, employing plausible value (PV methodology, is quite different from that of the more familiar test scores associated with assessments such as the SAT or ACT. These differences have important implications both for utilization and interpretation. Although much has been written about PVs, it appears that there are still misconceptions about whether and how to employ them in secondary analyses. Methods We address a range of technical issues, including those raised in a recent article that was written to inform economists using these databases. First, an extensive review of the relevant literature was conducted, with particular attention to key publications that describe the derivation and psychometric characteristics of such achievement measures. Second, a simulation study was carried out to compare the statistical properties of estimates based on the use of PVs with those based on other, commonly used methods. Results It is shown, through both theoretical analysis and simulation, that under fairly general conditions appropriate use of PV yields approximately unbiased estimates of model parameters in regression analyses of large scale survey data. The superiority of the PV methodology is particularly evident when measures of student achievement are employed as explanatory variables. Conclusions The PV methodology used to report student test performance in large scale surveys remains the state-of-the-art for secondary analyses of these databases.

  14. Thermodynamic analysis of an integrated solid oxide fuel cell cycle with a rankine cycle

    International Nuclear Information System (INIS)

    Rokni, Masoud

    2010-01-01

    Hybrid systems consisting of solid oxide fuel cells (SOFC) on the top of a steam turbine (ST) are investigated. The plants are fired by natural gas (NG). A desulfurization reactor removes the sulfur content in the fuel while a pre-reformer breaks down the heavier hydro-carbons. The pre-treated fuel enters then into the anode side of the SOFC. The remaining fuels after the SOFC stacks enter a burner for further burning. The off-gases are then used to produce steam for a Rankine cycle in a heat recovery steam generator (HRSG). Different system setups are suggested. Cyclic efficiencies up to 67% are achieved which is considerably higher than the conventional combined cycles (CC). Both adiabatic steam reformer (ASR) and catalytic partial oxidation (CPO) fuel pre-reformer reactors are considered in this investigation.

  15. Using Raters from India to Score a Large-Scale Speaking Test

    Science.gov (United States)

    Xi, Xiaoming; Mollaun, Pam

    2011-01-01

    We investigated the scoring of the Speaking section of the Test of English as a Foreign Language[TM] Internet-based (TOEFL iBT[R]) test by speakers of English and one or more Indian languages. We explored the extent to which raters from India, after being trained and certified, were able to score the TOEFL examinees with mixed first languages…

  16. CD163 promotes hematoma absorption and improves neurological functions in patients with intracerebral hemorrhage

    Directory of Open Access Journals (Sweden)

    Wen-jing Xie

    2016-01-01

    Full Text Available Clinical outcomes are positively associated with hematoma absorption. The monocyte-macrophage scavenger receptor, CD163, plays an important role in the metabolism of hemoglobin, and a soluble form of CD163 is present in plasma and other tissue fluids; therefore, we speculated that serum CD163 affects hematoma absorption after intracerebral hemorrhage. Patients with intracerebral hemorrhage were divided into high- and low-level groups according to the average CD163 level (1,977.79 ± 832.91 ng/mL. Compared with the high-level group, the low-level group had a significantly slower hematoma absorption rate, and significantly increased National Institutes of Health Stroke Scale scores and modified Rankin Scale scores. These results suggest that CD163 promotes hematoma absorption and the recovery of neurological function in patients with intracerebral hemorrhage.

  17. CHIMES-I: sub-group analyzes of the effects of NeuroAiD according to baseline brain imaging characteristics among patients randomized in the CHIMES study.

    Science.gov (United States)

    Navarro, Jose C; Chen, Christopher Li Hsian; Lagamayo, Pedro Danilo J; Geslani, Melodia B; Eow, Gaik Bee; Poungvarin, Niphon; de Silva, Asita; Wong, Lawrence K S; Venketasubramanian, N

    2013-08-01

    The clinical effects of neuroprotective and/or neurorestorative therapies may vary according to location and size of the ischemic injury. Imaging techniques can be useful in stratifying patients for trials that may be beneficial against particular ischemic lesion characteristics. To test the hypothesis that the efficacy of NeuroAiD compared with placebo in improving functional outcome and reducing neurological deficit in patients with cerebral infarction of intermediate severity varies between sub-groups of patients randomized in the main Chinese Medicine Neuroaid Efficacy on Stroke study when categorized according to baseline imaging characteristics. This is a retrospective cohort sub-group analysis of patients who participated in the main Chinese Medicine Neuroaid Efficacy on Stroke study, a multicenter, double-blind, placebo-controlled trial that recruited 1100 patients within 72 h of ischemic stroke onset with National Institutes of Health Stroke Scale 6-14 and were randomized to either NeuroAiD or placebo taken four capsules three times daily for three months. Review of the baseline images to classify the acute stroke lesions in terms of size, location, and extent of involvement will be performed retrospectively by two readers who will remain blinded as to treatment allocation and outcomes of the subjects. The primary efficacy end-point in the main Chinese Medicine Neuroaid Efficacy on Stroke study is the modified Rankin Scale grades at three-months. Secondary efficacy end-points are the National Institutes of Health Stroke Scale score at three-months; difference of National Institutes of Health Stroke Scale scores between baseline and 10 days and between baseline and three-months; difference of National Institutes of Health Stroke Scale sub-scores between baseline and 10 days and between baseline and three-months; modified Rankin Scale at 10 days, one-month, and three-months; Barthel index at three-months; and Mini Mental State Examination at 10 days and

  18. Potential reduction of carbon dioxide emissions from the use of electric energy storage on a power generation unit/organic Rankine system

    International Nuclear Information System (INIS)

    Mago, Pedro J.; Luck, Rogelio

    2017-01-01

    Highlights: • A power generation organic Rankine cycle with electric energy storage is evaluated. • The potential carbon dioxide emissions reduction of the system is evaluated. • The system performance is evaluated for a building in different climate zones. • The system emissions and cost are compared with those of conventional systems. • Use of carbon emissions cap and trade programs on the system is evaluated. - Abstract: This paper evaluates the potential carbon dioxide emissions reduction from the implementation of electric energy storage to a combined power generation unit and an organic Rankine cycle relative to a conventional system that uses utility gas for heating and utility electricity for electricity needs. Results indicate that carbon dioxide emission reductions from the operation of the proposed system are directly correlated to the ratio of the carbon dioxide emission conversion factor for electricity to that of the fuel. The location where the system is installed also has a strong influence on the potential of the proposed system to save carbon dioxide emissions. Finally, it is shown that by using carbon emissions cap and trade programs, it is possible to establish a frame of reference to compare/exchange operational cost gains with carbon dioxide emission reductions/gains.

  19. Engine Load Effects on the Energy and Exergy Performance of a Medium Cycle/Organic Rankine Cycle for Exhaust Waste Heat Recovery

    Directory of Open Access Journals (Sweden)

    Peng Liu

    2018-02-01

    Full Text Available The Organic Rankine Cycle (ORC has been proved a promising technique to exploit waste heat from Internal Combustion Engines (ICEs. Waste heat recovery systems have usually been designed based on engine rated working conditions, while engines often operate under part load conditions. Hence, it is quite important to analyze the off-design performance of ORC systems under different engine loads. This paper presents an off-design Medium Cycle/Organic Rankine Cycle (MC/ORC system model by interconnecting the component models, which allows the prediction of system off-design behavior. The sliding pressure control method is applied to balance the variation of system parameters and evaporating pressure is chosen as the operational variable. The effect of operational variable and engine load on system performance is analyzed from the aspects of energy and exergy. The results show that with the drop of engine load, the MC/ORC system can always effectively recover waste heat, whereas the maximum net power output, thermal efficiency and exergy efficiency decrease linearly. Considering the contributions of components to total exergy destruction, the proportions of the gas-oil exchanger and turbine increase, while the proportions of the evaporator and condenser decrease with the drop of engine load.

  20. Space reactor/organic Rankine conversion - A near-term state-of-the-art solution

    Science.gov (United States)

    Niggemann, R. E.; Lacey, D.

    The use of demonstrated reactor technology with organic Rankine cycle (ORC) power conversion can provide a low cost, minimal risk approach to reactor-powered electrical generation systems in the near term. Several reactor technologies, including zirconium hydride, EBR-II and LMFBR, have demonstrated long life and suitability for space application at the operating temperature required by an efficient ORC engine. While this approach would not replace the high temperature space reactor systems presently under development, it could be available in a nearer time frame at a low and predictable cost, allowing some missions requiring high power levels to be flown prior to the availability of advanced systems with lower specific mass. Although this system has relatively high efficiency, the heat rejection temperature is low, requiring a large radiator on the order of 3.4 sq m/kWe. Therefore, a deployable heat pipe radiator configuration will be required.

  1. Translation and validation of the new version of the Knee Society Score - The 2011 KS Score - into Brazilian Portuguese.

    Science.gov (United States)

    Silva, Adriana Lucia Pastore E; Croci, Alberto Tesconi; Gobbi, Riccardo Gomes; Hinckel, Betina Bremer; Pecora, José Ricardo; Demange, Marco Kawamura

    2017-01-01

    Translation, cultural adaptation, and validation of the new version of the Knee Society Score - The 2011 KS Score - into Brazilian Portuguese and verification of its measurement properties, reproducibility, and validity. In 2012, the new version of the Knee Society Score was developed and validated. This scale comprises four separate subscales: (a) objective knee score (seven items: 100 points); (b) patient satisfaction score (five items: 40 points); (c) patient expectations score (three items: 15 points); and (d) functional activity score (19 items: 100 points). A total of 90 patients aged 55-85 years were evaluated in a clinical cross-sectional study. The pre-operative translated version was applied to patients with TKA referral, and the post-operative translated version was applied to patients who underwent TKA. Each patient answered the same questionnaire twice and was evaluated by two experts in orthopedic knee surgery. Evaluations were performed pre-operatively and three, six, or 12 months post-operatively. The reliability of the questionnaire was evaluated using the intraclass correlation coefficient (ICC) between the two applications. Internal consistency was evaluated using Cronbach's alpha. The ICC found no difference between the means of the pre-operative, three-month, and six-month post-operative evaluations between sub-scale items. The Brazilian Portuguese version of The 2011 KS Score is a valid and reliable instrument for objective and subjective evaluation of the functionality of Brazilian patients who undergo TKA and revision TKA.

  2. From Rasch scores to regression

    DEFF Research Database (Denmark)

    Christensen, Karl Bang

    2006-01-01

    Rasch models provide a framework for measurement and modelling latent variables. Having measured a latent variable in a population a comparison of groups will often be of interest. For this purpose the use of observed raw scores will often be inadequate because these lack interval scale propertie....... This paper compares two approaches to group comparison: linear regression models using estimated person locations as outcome variables and latent regression models based on the distribution of the score....

  3. Hybrid gas turbine–organic Rankine cycle for seawater desalination by reverse osmosis in a hydrocarbon production facility

    International Nuclear Information System (INIS)

    Eveloy, Valérie; Rodgers, Peter; Qiu, Linyue

    2015-01-01

    Highlights: • Seawater reverse osmosis driven by hybrid gas turbine–organic Rankine power cycle. • High ambient air and seawater temperatures, and high seawater salinity. • Energy–exergy analysis of power and desalination systems for six organic fluids. • Economic viability of waste heat recovery in subsidized utility pricing context. - Abstract: Despite water scarcity, the use of industrial waste heat for seawater desalination has been limited in the Middle East to date. This study evaluates the technical and economic feasibility of integrating on-site gas turbine power generation and reverse osmosis equipment for the production of both electricity and fresh water in a coastal hydrocarbon production facility. Gas turbine exhaust gas waste heat is recovered using an intermediate heat transfer fluid and fed to an organic Rankine cycle evaporator, to generate mechanical power to drive the reverse osmosis high pressure pump. Six candidate organic working fluids are evaluated, namely toluene, benzene, cyclohexane, cyclopentane, n-pentane and R245fa. Thermodynamic and desalination performance are assessed in the harsh climatic and salinity conditions of the Arabian Gulf. The performance metrics considered incorporate electric power and permeate production, thermal and exergy efficiency, specific energy consumption, system size, and permeate quality. Using toluene in the bottoming power cycle, a gain in power generation efficiency of approximately 12% is achieved relative to the existing gas turbine cycle, with an annual average of 2260 m"3/h of fresh water produced. Depending upon the projected evolution of local water prices, the investment becomes profitable after two to four years, with an end-of-life net present value of 220–380 million USD, and internal rate of return of 26–48%.

  4. Study of mixtures based on hydrocarbons used in ORC (Organic Rankine Cycle) for engine waste heat recovery

    International Nuclear Information System (INIS)

    Shu, Gequn; Gao, Yuanyuan; Tian, Hua; Wei, Haiqiao; Liang, Xingyu

    2014-01-01

    For high temperature ORC (Organic Rankine Cycle) used in engine waste heat recovery, it's very critical to select a high temperature working fluid. HCs (Hydrocarbons) usually have excellent cycle performance, but the flammability limits their practical application. Considering that some retardants can be used to suppress flammability, the paper presents an application of mixtures based on hydrocarbons blending with refrigerant retardants to engine waste heat ORC. Three pure hydrocarbons (cyclopentane, cyclohexane, benzene) and two retardants (R11, R123) are selected for combination. Thermal efficiency and exergy loss are selected as the main objective functions. Based on thermodynamic model, the effects of retardants mass fraction, evaporation temperature and IHE (internal heat exchanger) are investigated. Results show that zeotropic mixtures do have higher thermal efficiency and lower exergy loss than pure fluids, at a certain mixture ratio. There exists the OMR (optimal mixture ratio) for different mixtures, and it changes with the evaporation temperature. When adding IHE to system, cycle performance could be obviously improved, and for benzene/R11 (0.7/0.3), the efficiency growth is about 7.12%∼9.72%. Using it, the maximum thermal efficiency of the system can achieve 16.7%, and minimum exergy loss is only 30.76 kW. - Highlights: • A theoretical analysis of Organic Rankine Cycle for engine exhaust heat recovery is proposed. • Mixtures based on hydrocarbons as working fluids have been suggested. • Effects of the IHE (internal heat exchanger) on ORC system are investigated. • OMR (Optimal mixture ratio) changes with the evaporation temperature. • Using the system, maximum thermal efficiency can achieve 16.7%

  5. BOAS与ASTRAL评分预测急性缺血性脑卒中患者3月不良预后的价值%BOAS vs ASTRAL Score in Predicting the 3-month Unfavorable Outcome of Acute Ischemic Stroke

    Institute of Scientific and Technical Information of China (English)

    龙胤希

    2015-01-01

    Objective To study the clinical values of the Bologna Outcome Algorithm for Stroke (BOAS) and the Acute Stroke Registry and Analysis of Lausanne (ASTRAL)Score in evaluating 3-month unfavorable outcome after Acute Ischemic Stroke (AIS). Methods The clinical data and of 305 consecutive patients with AIS admit ed from January 2013 to April 2014 were col ected in this research. Al patients were evaluated according to BOAS Score and ASTRAL Score criteria. Areas under the curve were calculated to quantify the prognostic value and compared with the values between BOAS and ASTRAL Score in predicting. Unfavorable outcome was assessed as a modified Rankin Scale score >2 at 3 months. Calibration was assessed by comparing predicted and observed probability of unfavorable outcome using Pearson correlation coef icient.Results Al patients appeared functional disability (modified Rankin score> 2) or the death of a poor prognosis 115 cases (37.7%) within 3 months.The AUC of BOAS and ASTRAL Score for 3 months were 0.859( =0.000,95%CI:0.804-0.914)and 0.812( =0.000,95%CI:0.750~0.875)respectively.Conclusion BOAS and ASTRAL score assessment of acute ischemic stroke patients with poor prognosis three months have bet er predictive value, is conducive to clinical decision making.%目的比较博洛尼亚卒中结局算法(BOAS)与洛桑卒中评分(ASTRAL)评估急性缺血性脑卒中(AIS)患者3个月不良预后的预测价值。方法收集2013年1月~2014年4月我院305例急性缺血性脑卒中患者的临床资料,比较BOAS与ASTRAL评分预测缺血性脑卒中的3个月的不良预后,并绘制受试工作者特征曲线下面积(AUC),以卒中后3个月的死亡率或功能残障(改良Rankin评分>2分为不良预后),应用Pearson相关分析评估实际与预期结局事件的关联程度。结果全组患者3个月出现功能残障(改良Rankin评分>2)或死亡的不良预后有115例(37.7%);BOAS和ASTRAL评分预测3

  6. Sequence analysis of annually normalized citation counts: an empirical analysis based on the characteristic scores and scales (CSS) method.

    Science.gov (United States)

    Bornmann, Lutz; Ye, Adam Y; Ye, Fred Y

    2017-01-01

    In bibliometrics, only a few publications have focused on the citation histories of publications, where the citations for each citing year are assessed. In this study, therefore, annual categories of field- and time-normalized citation scores (based on the characteristic scores and scales method: 0 = poorly cited, 1 = fairly cited, 2 = remarkably cited, and 3 = outstandingly cited) are used to study the citation histories of papers. As our dataset, we used all articles published in 2000 and their annual citation scores until 2015. We generated annual sequences of citation scores (e.g., [Formula: see text]) and compared the sequences of annual citation scores of six broader fields (natural sciences, engineering and technology, medical and health sciences, agricultural sciences, social sciences, and humanities). In agreement with previous studies, our results demonstrate that sequences with poorly cited (0) and fairly cited (1) elements dominate the publication set; sequences with remarkably cited (3) and outstandingly cited (4) periods are rare. The highest percentages of constantly poorly cited papers can be found in the social sciences; the lowest percentages are in the agricultural sciences and humanities. The largest group of papers with remarkably cited (3) and/or outstandingly cited (4) periods shows an increasing impact over the citing years with the following orders of sequences: [Formula: see text] (6.01%), which is followed by [Formula: see text] (1.62%). Only 0.11% of the papers ( n  = 909) are constantly on the outstandingly cited level.

  7. Performance analysis of organic Rankine cycles using different working fluids

    Directory of Open Access Journals (Sweden)

    Zhu Qidi

    2015-01-01

    Full Text Available Low-grade heat from renewable or waste energy sources can be effectively recovered to generate power by an organic Rankine cycle (ORC in which the working fluid has an important impact on its performance. The thermodynamic processes of ORCs using different types of organic fluids were analyzed in this paper. The relationships between the ORC’s performance parameters (including evaporation pressure, condensing pressure, outlet temperature of hot fluid, net power, thermal efficiency, exergy efficiency, total cycle irreversible loss, and total heat-recovery efficiency and the critical temperatures of organic fluids were established based on the property of the hot fluid through the evaporator in a specific working condition, and then were verified at varied evaporation temperatures and inlet temperatures of the hot fluid. Here we find that the performance parameters vary monotonically with the critical temperatures of organic fluids. The values of the performance parameters of the ORC using wet fluids are distributed more dispersedly with the critical temperatures, compared with those of using dry/isentropic fluids. The inlet temperature of the hot fluid affects the relative distribution of the exergy efficiency, whereas the evaporation temperature only has an impact on the performance parameters using wet fluid.

  8. Internal Combustion Engine (ICE) bottoming with Organic Rankine Cycles (ORCs)

    International Nuclear Information System (INIS)

    Vaja, Iacopo; Gambarotta, Agostino

    2010-01-01

    This paper describes a specific thermodynamic analysis in order to efficiently match a vapour cycle to that of a stationary Internal Combustion Engine (ICE). Three different working fluids are considered to represent the main classes of fluids, with reference to the shape of the vapour lines in the T-s diagram: overhanging, nearly isoentropic and bell shaped. First a parametric analysis is conducted in order to determine optimal evaporating pressures for each fluid. After which three different cycles setups are considered: a simple cycle with the use of only engine exhaust gases as a thermal source, a simple cycle with the use of exhaust gases and engine cooling water and a regenerated cycle. A second law analysis of the cycles is performed, with reference to the available heat sources. This is done in order to determine the best fluid and cycle configuration to be employed, the main parameters of the thermodynamic cycles and the overall efficiency of the combined power system. The analysis demonstrates that a 12% increase in the overall efficiency can be achieved with respect to the engine with no bottoming; nevertheless it has been observed that the Organic Rankine Cycles (ORCs) can recover only a small fraction of the heat released by the engine through the cooling water.

  9. Exergetic Analysis of an Integrated Tri-Generation Organic Rankine Cycle

    Directory of Open Access Journals (Sweden)

    Ratha Z. Mathkor

    2015-08-01

    Full Text Available This paper reports on a study of the modelling, validation and analysis of an integrated 1 MW (electrical output tri-generation system energized by solar energy. The impact of local climatic conditions in the Mediterranean region on the system performance was considered. The output of the system that comprised a parabolic trough collector (PTC, an organic Rankine cycle (ORC, single-effect desalination (SED, and single effect LiBr-H2O absorption chiller (ACH was electrical power, distilled water, and refrigerant load. The electrical power was produced by the ORC which used cyclopentane as working fluid and Therminol VP-1 was specified as the heat transfer oil (HTO in the collectors with thermal storage. The absorption chiller and the desalination unit were utilize the waste heat exiting from the steam turbine in the ORC to provide the necessary cooling energy and drinking water respectively. The modelling, which includes an exergetic analysis, focuses on the performance of the solar tri-generation system. The simulation results of the tri-generation system and its subsystems were produced using IPSEpro software and were validated against experimental data which showed good agreement. The tri-generation system was able to produce about 194 Ton of refrigeration, and 234 t/day distilled water.

  10. Intelligence Score Profiles of Female Juvenile Offenders

    Science.gov (United States)

    Werner, Shelby Spare; Hart, Kathleen J.; Ficke, Susan L.

    2016-01-01

    Previous studies have found that male juvenile offenders typically obtain low scores on measures of intelligence, often with a pattern of higher scores on measures of nonverbal relative to verbal tasks. The research on the intelligence performance of female juvenile offenders is limited. This study explored the Wechsler Intelligence Scale for…

  11. Performance analysis a of solar driven organic Rankine cycle using multi-component working fluids

    DEFF Research Database (Denmark)

    Baldasso, E.; Andreasen, J. G.; Modi, A.

    2015-01-01

    suitable control strategy and both the overall annual production and the average solar to electrical efficiency are estimated with an annual simulation. The results suggest that the introduction of binary working fluids enables to increase the solar system performance both in design and part-load operation....... cycle. The purpose of this paper is to optimize a low temperature organic Rankine cycle tailored for solar applications. The objective of the optimization is the maximization of the solar to electrical efficiency and the optimization parameters are the working fluid and the turbine inlet temperature...... and pressure. Both pure fluids and binary mixtures are considered as possible working fluids and thus one of the primary aims of the study is to evaluate whether the use of multi-component working fluids might lead to increased solar to electrical efficiencies. The considered configuration includes a solar...

  12. Questionário específico para sintomas do joelho "Lysholm Knee Scoring Scale": tradução e validação para a língua portuguesa Specific questionnaire for knee symptoms - the "Lysholm Knee Scoring Scale": translation and validation into Portuguese

    Directory of Open Access Journals (Sweden)

    Maria Stella Peccin

    2006-01-01

    Full Text Available As doenças do joelho apresentam conseqüências variadas para a função e a qualidade de vida do indivíduo. Para traduzir, validar e verificar as propriedades de medida do questionário específico para sintomas do joelho "Lysholm Knee Scoring Scale" para a língua portuguesa, selecionamos, por conveniência, 50 pacientes (29 homens e 21 mulheres, média de idade 38,7 anos com lesão de joelho (lesão meniscal, lesão do ligamento cruzado anterior, condromalácia ou artrose. A reprodutibilidade e a concordância ordinal inter e intra-entrevistador foram excelentes (alfa = 0,9. A concordância nominal inter-entrevistadores foi boa (Kappa = 0,7 e intra-entrevistador, excelente (Kappa = 0,8. No processo de validação, correlacionamos o questionário Lysholm com a escala numérica da dor (r=-0,6; p=0,001 e com o índice de Lequesne (r= -0,8; p=0,001. As correlações entre o Lysholm e a avaliação global da saúde pelo paciente e pelo terapeuta apresentaram-se fracas e não significantes. As correlações entre o questionário Lysholm e o SF-36 foram significantes nos aspectos físicos (r = 0,4; p = 0,04, de dor (r = 0,5; p = 0,001 e de capacidade funcional (r = 0,7; p = 0,0001. Concluímos que a tradução e adaptação cultural do "Lysholm knee scoring scale" para o nosso idioma apresentou reprodutibilidade e validade em pacientes com lesão meniscal, lesão do ligamento cruzado anterior, condromalácia ou artrose do joelho.Knee diseases present variable consequences for an individual’s function and quality of life. For the purposes of translating, validating and checking the measurement properties of the specific questionnaire for knee symptoms - the "Lysholm Knee Scoring Scale" - into Portuguese, we selected, for convenience, 50 patients (29 males and 21 females, mean age = 38.7 years with knee injuries (meniscal injury, anterior cruciate ligament injury, chondromalacia or arthrosis. Reproducibility and ordinal consistency inter- and

  13. Optimization of the ship type using waveform by means of Rankine source method; Rankine source ho ni yoru hakei wo mochiita funagata saitekika ni tsuite

    Energy Technology Data Exchange (ETDEWEB)

    Hirayama, A; Eguchi, T [Mitsui Engineering and Shipbuilding Co. Ltd., Tokyo (Japan)

    1996-04-10

    Among the numerical calculation methods for steady-state wave-making problems, the panel shift Rankine source (PSRS) method has the advantages of rather precise determination of wave pattern of practical ship types, and short calculation period. The wave pattern around the hull was calculated by means of the PSRS method. The waveform analysis was carried out for the wave, to obtain an amplitude function of the original ship type. Based on the amplitude function, a ship type improvement method aiming at the optimization of ship type was provided using a conditional calculus of variation. A Series 60 (Cb=0.6) ship type was selected for the ship type improvement, to apply this technique. It was suggested that optimum design can be made for reducing the wave making resistance by means of this method. For the improvement of Series 60 ship type using this method, a great degree of reduction in the wave making resistance was recognized from the results of numerical waveform analysis. It was suggested that the ship type improvement aiming at the reduction of wave-making resistance can be made in shorter period and by smaller labor compared with the method using a waveform analysis of cistern tests. 5 refs., 9 figs.

  14. Wechsler Intelligence Scale for Children 4th edition-Chinese version index scores in Taiwanese children with attention-deficit/hyperactivity disorder.

    Science.gov (United States)

    Yang, Pinchen; Cheng, Chung-Ping; Chang, Chen-Lin; Liu, Tai-Ling; Hsu, Hsiu-Yi; Yen, Cheng-Fang

    2013-02-01

    The Wechsler Intelligence Scale for Children 4th edition-Chinese version (WISC-IV-Chinese) has been in clinical use in Taiwan since 2007. Research is needed to determine how the WISC-IV, modified from its earlier version, will affect its interpretation in clinical practice in a Mandarin-speaking context. We attempted to use WISC-IV-Chinese scores to identify the cognitive strengths and weaknesses in 334 Taiwanese children with attention-deficit/hyperactivity disorder (ADHD). Comparison of cognitive profiles of WISC-IV-Chinese scores between subtypes of ADHD was also performed. The results indicated that the four-factor model of the WISC-IV-Chinese fitted well for Taiwanese children with ADHD. The profiles showed that performance in the index score of the Processing Speed Index was the weakness domain for the Taiwanese children with ADHD, as confirmed by two different kinds of analytic methods. Cognitive profile analysis of ADHD subtypes revealed children with inattentive subtypes to have a greater weakness in processing speed performance. The implications of the profiles of the index scores on the WISC-IV-Chinese version for Taiwanese children with ADHD were explored. © 2013 The Authors. Psychiatry and Clinical Neurosciences © 2013 Japanese Society of Psychiatry and Neurology.

  15. Continued validation of the Multidimensional Perfectionism Scale.

    Science.gov (United States)

    Clavin, S L; Clavin, R H; Gayton, W F; Broida, J

    1996-06-01

    Scores on the Multidimensional Perfectionism Scale have been correlated with measures of obsessive-compulsive tendencies for women, so the validity of scores on this scale for 41 men was examined. Scores on the Perfectionism Scale were significantly correlated (.47-.03) with scores on the Maudsley Obsessive-Compulsive Inventory.

  16. Leak detectors for organic Rankine cycle power plants: On-line and manual methods

    Science.gov (United States)

    Robertus, R. J.; Pool, K. H.; Kindle, C. H.; Sullivan, R. G.; Shannon, D. W.; Pierce, D. D.

    1984-10-01

    Two leak detector systems were designed, built, and tested at a binary-cycle (organic Rankine cycle) geothermal plant. One system is capable of detecting water in hydrocarbon streams down to 100 ppm liquid water ion liquid isobutane. The magnitude of the leak is estimated from the frequency at which solenoid-operated valve opens and closes. The second system can detect the presence of isobutane on water or brine streams down to 2 ppm liquid isobutane in liquid water or brine. The unit first cools the liquid stream if necessary then reduces the pressure in an expansion chamber so the hydrocarbon will vaporize. In brine streams flashed CO2 carries the hydrocarbon to a non-dispersive infrared analyzer (NDIR). The NDIR was modified to be highly selective for isobutane. One can estimate the size of a leak knowing the total gas-to-liquid ratio entering the leak detection system and the concentration of hydrocarbon in the gas phase.

  17. Experimental performance of a piston expander in a small- scale organic Rankine cycle

    Science.gov (United States)

    Oudkerk, J. F.; Dickes, R.; Dumont, O.; Lemort, V.

    2015-08-01

    Volumetric expanders are suitable for more and more applications in the field of micro- and small-scale power system as waster heat recovery or solar energy. This paper present an experimental study carried out on a swatch-plate piston expander. The expander was integrated into an ORC test-bench using R245fa. The performances are evaluated in term of isentropic efficiency and filling factor. The maximum efficiency and power reached are respectively 53% and 2 kW. Inside cylinder pressure measurements allow to compute mechanical efficiency and drown P-V diagram. A semi-empirical simulation model is then proposed, calibrated and used to analyse the different sources of losses.

  18. Predictors of intensive care unit admission and mortality in patients with ischemic stroke: investigating the effects of a pulmonary rehabilitation program.

    Science.gov (United States)

    Güngen, Belma Doğan; Tunç, Abdulkadir; Aras, Yeşim Güzey; Gündoğdu, Aslı Aksoy; Güngen, Adil Can; Bal, Serdar

    2017-07-11

    The aim of this study was to investigate the predictors of intensive care unit (ICU) admission and mortality among stroke patients and the effects of a pulmonary rehabilitation program on stroke patients. This prospective study enrolled 181 acute ischemic stroke patients aged between 40 and 90 years. Demographical characteristics, laboratory tests, diffusion-weighed magnetic resonance imaging (DWI-MRI) time, nutritional status, vascular risk factors, National Institute of Health Stroke Scale (NIHSS) scores and modified Rankin scale (MRS) scores were recorded for all patients. One-hundred patients participated in the pulmonary rehabilitation program, 81 of whom served as a control group. Statistically, one- and three-month mortality was associated with NIHSS and MRS scores at admission and three months (pstroke patients. We believe that a pulmonary rehabilitation program, in addition to general stroke rehabilitation programs, can play a critical role in improving survival and functional outcomes. NCT03195907 . Trial registration date: 21.06.2017 'Retrospectively registered'.

  19. The responsiveness of the International Prostate Symptom Score, Incontinence Impact Questionnaire-7 and Depression, Anxiety and Stress Scale-21 in patients with lower urinary tract symptoms.

    Science.gov (United States)

    Choi, Edmond P H; Chin, Weng Yee; Lam, Cindy L K; Wan, Eric Y F

    2015-08-01

    To examine the responsiveness of a combined symptom severity and health-related quality of life measure, condition-specific health-related quality of life measure and mental health measure in patients with lower urinary tract symptoms. To establish the responsiveness of measures that accurately capture the change in health status of patients is crucial before any longitudinal studies can be appropriately planned and evaluated. Prospective longitudinal observational study. 402 patients were surveyed at baseline and 1-year using the International Prostate Symptom Score, the Incontinence Impact Questionnaire-7 and Depression, Anxiety and Stress Scales-21. The internal and external responsiveness were assessed. Surveys were conducted from March 2013-July 2014. In participants with improvements, the internal responsiveness for detecting positive changes was satisfactory in males and females for all scales, expect for the Depression subscale. The health-related quality of life question of the International Prostate Symptom Score was more externally responsive than the Incontinence Impact Questionnaire-7. The International Prostate Symptom Score and Anxiety and Stress subscales were more responsive in males than in females. The symptom questions of the International Prostate Symptom Score and Anxiety and Stress subscales were not externally responsive in females. The health-related quality of life question of the International Prostate Symptom Score outperformed the Incontinence Impact Questionnaire-7 in both males and females, in terms of external responsiveness. © 2015 John Wiley & Sons Ltd.

  20. Influence of Deep Breathing on Heart Rate Variability in Parkinson's Disease: Co-relation with Severity of Disease and Non-Motor Symptom Scale Score.

    Science.gov (United States)

    Bidikar, Mukta Pritam; Jagtap, Gayatri J; Chakor, Rahul T

    2014-07-01

    Dysautonomia and non-motor symptoms (NMS) in Parkinson's disease (PD) are frequent, disabling and reduce quality of life of patient. There is a paucity of studies on autonomic dysfunction in PD in Indian population. The study aimed to evaluate autonomic dysfunction in PD patients and co-relate the findings with severity of PD and Non-Motor Symptoms Scale (NMSS) score. We evaluated autonomic function in 30 diagnosed patients of PD (age 55-70 years) and 30 healthy age-matched controls by 3 min deep breathing test (DBT). NMSS was used to identify non-motor symptoms and Hoehn and Yahr (HY) Scale to grade severity of PD. The DBT findings were co-related with severity of PD (HY staging) and NMSS score. DBT was found to be abnormal in 40% while it was on borderline in 33.3% of PD patients. There was a statistically significant difference (psymptom. A negative co-relation was found between results of deep breathing test and clinical severity of disease and NMSS score. Abnormalities of autonomic function and NMS were integral and present across all the stages of PD patients. Early recognition and treatment of these may decrease morbidity and improve quality of life of PD patients.

  1. Scoring best-worst data in unbalanced many-item designs, with applications to crowdsourcing semantic judgments.

    Science.gov (United States)

    Hollis, Geoff

    2018-04-01

    Best-worst scaling is a judgment format in which participants are presented with a set of items and have to choose the superior and inferior items in the set. Best-worst scaling generates a large quantity of information per judgment because each judgment allows for inferences about the rank value of all unjudged items. This property of best-worst scaling makes it a promising judgment format for research in psychology and natural language processing concerned with estimating the semantic properties of tens of thousands of words. A variety of different scoring algorithms have been devised in the previous literature on best-worst scaling. However, due to problems of computational efficiency, these scoring algorithms cannot be applied efficiently to cases in which thousands of items need to be scored. New algorithms are presented here for converting responses from best-worst scaling into item scores for thousands of items (many-item scoring problems). These scoring algorithms are validated through simulation and empirical experiments, and considerations related to noise, the underlying distribution of true values, and trial design are identified that can affect the relative quality of the derived item scores. The newly introduced scoring algorithms consistently outperformed scoring algorithms used in the previous literature on scoring many-item best-worst data.

  2. Thermal-Economic Modularization of Small, Organic Rankine Cycle Power Plants for Mid-Enthalpy Geothermal Fields

    Directory of Open Access Journals (Sweden)

    Yodha Y. Nusiaputra

    2014-07-01

    Full Text Available The costs of the surface infrastructure in mid-enthalpy geothermal power systems, especially in remote areas, could be reduced by using small, modular Organic Rankine Cycle (ORC power plants. Thermal-economic criteria have been devised to standardize ORC plant dimensions for such applications. We designed a modular ORC to utilize various wellhead temperatures (120–170 °C, mass flow rates and ambient temperatures (−10–40 °C. A control strategy was developed using steady-state optimization, in order to maximize net power production at off-design conditions. Optimum component sizes were determined using specific investment cost (SIC minimization and mean cashflow (MCF maximization for three different climate scenarios. Minimizing SIC did not yield significant benefits, but MCF proved to be a much better optimization function.

  3. Sizing models and performance analysis of volumetric expansion machines for waste heat recovery through organic Rankine cycles on passenger cars

    OpenAIRE

    Guillaume, Ludovic; Legros, Arnaud; Quoilin, Sylvain; Declaye, Sébastien; Lemort, Vincent

    2013-01-01

    This paper aims at helping designers of waste heat recovery organic (or non-organic) Rankine cycles on internal combustion engines to best select the expander among the piston, scroll and screw machines, and the working fluids among R245fa, ethanol and water. The first part of the paper presents the technical constraints inherent to each machine through a state of the art of the three technologies. The second part of the paper deals with the modeling of such expanders. Finally, in the last pa...

  4. Modeling and analysis of the disk MHD generator component of a gas core reactor/MHD Rankine cycle space power system

    International Nuclear Information System (INIS)

    Welch, G.E.; Dugan, E.T.; Lear, W.E. Jr.; Appelbaum, J.G.

    1990-01-01

    A gas core nuclear reactor (GCR)/disk magnetohydrodynamic (MHD) generator direct closed Rankine space power system concept is described. The GCR/disk MHD generator marriage facilitates efficient high electric power density system performance at relatively high operating temperatures. The system concept promises high specific power levels, on the order of 1 kW e /kg. An overview of the disk MHD generator component magnetofluiddynamic and plasma physics theoretical modeling is provided. Results from a parametric design analysis of the disk MHD generator are presented and discussed

  5. Correlation of Social Network Attributes with Individuals’ Score on Bipolar Spectrum Diagnostic Scale

    Directory of Open Access Journals (Sweden)

    Amir Momeni Boroujeni

    2012-12-01

    Full Text Available Bipolar Spectrum Disorders include a variety of mood disorders from bipolar II disorder to conditions characterized by hyperthymic mood states. It has been suggested that psychosocial factors also play an important role in bipolar disorders, in this study we have used social network analysis in order to better understand the social positions of those affected by bipolar spectrum disorders.Methods and Materials: In this cross sectional study 90 individuals within a bounded network were included and studied by using a standard questionnaire for bipolar spectrum disorder scale (BSDS and a sociometric questionnaire for analyzing the social network of those individuals.Results: This study showed that BSDS score is significantly correlated with the Bonacich power of the participants (P= 0.009 as well as with their Outdegree Strength (P= 0.013.Discussion:The results of this study show that there is interplay between social attributes and Bipolar Spectrum Disorders. This emphasizes the need for understanding the role of social networks and performing further research into quantifying social aspects of psychiatric disorders.

  6. Correlation of Social Network Attributes with Individuals’ Score on Bipolar Spectrum Diagnostic Scale

    Directory of Open Access Journals (Sweden)

    Amir Momeni Boroujeni

    2012-09-01

    Full Text Available Introduction: Bipolar Spectrum Disorders include a variety of mood disorders from bipolar II disorder to conditions characterized by hyperthymic mood states. It has been suggested that psychosocial factors also play an important role in bipolar disorders, in this study we have used social network analysis in order to better understand the social positions of those affected by bipolar spectrum disorders. Methods: In this cross sectional study 90 individuals within a bounded network were included and studied by using a standard questionnaire for bipolar spectrum disorder scale (BSDS and a sociometric questionnaire for analyzing the social network of those individuals.Results: This study showed that BSDS score is signi.cantly correlated with the Bonacich power of the participants (P= 0.009 as well as with their Outdegree Strength (P= 0.013.Discussion: The results of this study show that there is interplay between social attributes and Bipolar Spectrum Disorders. This emphasizes the need for understanding the role of social networks and performing further research into quantifying social aspects of psychiatric disorders.

  7. The Performance of the Upper Limb scores correlate with pulmonary function test measures and Egen Klassifikation scores in Duchenne muscular dystrophy.

    Science.gov (United States)

    Lee, Ha Neul; Sawnani, Hemant; Horn, Paul S; Rybalsky, Irina; Relucio, Lani; Wong, Brenda L

    2016-01-01

    The Performance of the Upper Limb scale was developed as an outcome measure specifically for ambulant and non-ambulant patients with Duchenne muscular dystrophy and is implemented in clinical trials needing longitudinal data. The aim of this study is to determine whether this novel tool correlates with functional ability using pulmonary function test, cardiac function test and Egen Klassifikation scale scores as clinical measures. In this cross-sectional study, 43 non-ambulatory Duchenne males from ages 10 to 30 years and on long-term glucocorticoid treatment were enrolled. Cardiac and pulmonary function test results were analyzed to assess cardiopulmonary function, and Egen Klassifikation scores were analyzed to assess functional ability. The Performance of the Upper Limb scores correlated with pulmonary function measures and had inverse correlation with Egen Klassifikation scores. There was no correlation with left ventricular ejection fraction and left ventricular dysfunction. Body mass index and decreased joint range of motion affected total Performance of the Upper Limb scores and should be considered in clinical trial designs. Copyright © 2016 Elsevier B.V. All rights reserved.

  8. Efficacy of Surgery Combined with Autologous Bone Marrow Stromal Cell Transplantation for Treatment of Intracerebral Hemorrhage

    Directory of Open Access Journals (Sweden)

    Jianxin Zhu

    2015-01-01

    Full Text Available Bone marrow stromal cells (BMSCs may differentiate into nerve cells under a certain condition; however, the clinical application for treating nervous system disease remains unclear. The aim is to assess the safety profile, feasibility, and effectiveness of surgery combined with autologous BMSCs transplantation for treating ICH. 206 ICH patients who had received surgical procedure were divided into transplantation (n=110 or control group (n=96. For transplantation group, BMSCs were injected into the perihemorrhage area in the base ganglia through an intracranial drainage tube 5.5 (3.01–6.89 days after surgery, followed by a second injection into the subarachnoid space through lumbar puncture 4 weeks later. Neurologic impairment and daily activities were assessed with National Institute Stroke Scale (NIHSS, Barthel index, and Rankin scale before transplantation and 6 months and 12 months after transplantation. Our results revealed that, compared with control group, NIHSS score and Rankin scale were both significantly decreased but Barthel index was increased in transplantation group after 6 months. Interestingly, no significant difference was observed between 12 months and 6 months. No transplantation-related adverse effects were investigated during follow-up assessments. Our findings suggest that surgery combined with autologous BMSCs transplantation is safe for treatment of ICH, providing short-term therapeutic benefits.

  9. A comparison of intraoperative morphine sulfate and methadone hydrochloride on postoperative visual analogue scale pain scores and narcotic requirements.

    Science.gov (United States)

    Laur, D F; Sinkovich, J; Betley, K

    1995-02-01

    Morphine sulfate and methadone hydrochloride exhibit very different half-lives but are described as having an analgesic potency of one. The use of a drug like methadone may provide prolonged and constant analgesia in the perioperative setting. This double-blinded investigation used methadone and morphine intraoperatively and measured pain scores and narcotic requirements in the first 24 hours postoperatively. Thirty American Society of Anesthesiology (ASA) patients, physical status I through III, between the ages of 18 to 65 years were scheduled for orthopedic surgery and randomly assigned to receive morphine or methadone at 0.30 mg/kg. Fifteen patients received morphine and fifteen patients received methadone. There was no significant difference between the two groups in terms of age, height, weight, and ASA status. No statistically significant difference was observed among the two groups between the amount of analgesic requirements postoperatively or in the visual analogue scale pain score.

  10. Sodium fast reactors energy conversion systems. Na-CO2 interaction. Comparison with Na-water interaction of conventional water Rankine cycle

    International Nuclear Information System (INIS)

    Latge, Christian; Simon, Nicole

    2006-01-01

    The Sodium Fast Reactor is a very promising candidate for the development of Fast Neutron Reactors. It is well known owing to its wide development since the 1950's, throughout all countries involved in the development of nuclear power plants. The development of Sodium-cooled fast neutron reactors is possible due to its very attractive sodium, nuclear, physical and even some of its chemical properties. Nevertheless, the operational feedback has shown that the concept has several drawbacks: difficulties for In-Service Inspection and Repair operations due to the sodium opacity and possible detrimental effects of its reactivity with air and water when the heat conversion is performed with a conventional Rankine cycle. Moreover, the various design projects have shown some difficulties in enhancing its competitiveness with regards to existing NPPs without any new innovative options, i.e. the possibility of suppressing the intermediate circuits and/or the development of an optimized energy conversion system. The Supercritical CO 2 Brayton Cycle option for the energy conversion has been widely suggested because of its high thermodynamic efficiency (over 40%), its potential compactness of the Balance Of Plant equipment due to the small-sized turbo machinery system, and for its applicability to both Direct or Indirect Cycle (Na, PbBi, He) assuming the hypothesis that the Supercritical CO 2 -Na interaction has less serious potential consequences than sodium-water consequences in the conventional Rankine cycle. Within the framework of the SMFR (Small Modular Fast Reactor) project, developed jointly by Argonne National Laboratory (ANL-USA), the 'Commissariat a l'Energie Atomique' (CEA) and Japan Atomic Energy Agency (JAEA, formerly Japan Nuclear Cycle development), this option has been selected and investigated. This paper deals with the study of the interaction between Na and CO 2 , based on a literature review: the result of this study will allow the definition of R and D

  11. Acute MRI changes in progressive ischemic stroke

    DEFF Research Database (Denmark)

    Kalowska, E.; Rostrup, E.; Rosenbaum, S.

    2008-01-01

    as a permanent decrease of >or=3 Scandinavian Stroke Scale (SSS) points for speech or >or=2 SSS points for consciousness or >or=2 SSS points for limb strength, when assessed at baseline compared to the day after admission and daily during the following week. Patients were followed up on day 90 and assessed using...... the modified Rankin Scale, Barthel Index and SSS score. Patients with and without SIP were compared using both clinical and MRI data obtained on admission, on day 7 and after 3 months. RESULTS: Fifteen patients (37%) developed SIP. Increased DWI lesion volume on day 7 in all strokes was associated with SIP...... (chi(2), p = 0.005). All lacunar infarcts with a DWI volume >1.5 cm(3) at baseline (4 patients) developed SIP (p SSS scores with severer symptoms than non-SIP patients (p Udgivelsesdato: 2008...

  12. Effect of Age on Glasgow Coma Scale in Patients with Moderate and Severe Traumatic Brain Injury: An Approach with Propensity Score-Matched Population

    Directory of Open Access Journals (Sweden)

    Cheng-Shyuan Rau

    2017-11-01

    Full Text Available Background: The most widely used methods of describing traumatic brain injury (TBI are the Glasgow Coma Scale (GCS and the Abbreviated Injury Scale (AIS. Recent evidence suggests that presenting GCS in older patients may be higher than that in younger patients for an equivalent anatomical severity of TBI. This study aimed to assess these observations with a propensity-score matching approach using the data from Trauma Registry System in a Level I trauma center. Methods: We included all adult patients (aged ≥20 years old with moderate to severe TBI from 1 January 2009 to 31 December 2016. Patients were categorized into elderly (aged ≥65 years and young adults (aged 20–64 years. The severity of TBI was defined by an AIS score in the head (AIS 3‒4 and 5 indicate moderate and severe TBI, respectively. We examined the differences in the GCS scores by age at each head AIS score. Unpaired Student’s t- and Mann–Whitney U-tests were used to analyze normally and non-normally distributed continuous data, respectively. Categorical data were compared using either the Pearson chi-square or two-sided Fisher’s exact tests. Matched patient populations were allocated in a 1:1 ratio according to the propensity scores calculated using NCSS software with the following covariates: sex, pre-existing chronic obstructive pulmonary disease, systolic blood pressure, hemoglobin, sodium, glucose, and alcohol level. Logistic regression was used to evaluate the effects of age on the GCS score in each head AIS stratum. Results: The study population included 2081 adult patients with moderate to severe TBI. These patients were categorized into elderly (n = 847 and young adults (n = 1234: each was exclusively further divided into three groups of patients with head AIS of 3, 4, or 5. In the 162 well-balanced pairs of TBI patients with head AIS of 3, the elderly demonstrated a significantly higher GCS score than the young adults (14.1 ± 2.2 vs. 13.1 ± 3

  13. Organic Rankine Cycle for Residual Heat to Power Conversion in Natural Gas Compressor Station. Part II: Plant Simulation and Optimisation Study

    Science.gov (United States)

    Chaczykowski, Maciej

    2016-06-01

    After having described the models for the organic Rankine cycle (ORC) equipment in the first part of this paper, this second part provides an example that demonstrates the performance of different ORC systems in the energy recovery application in a gas compressor station. The application shows certain specific characteristics, i.e. relatively large scale of the system, high exhaust gas temperature, low ambient temperature operation, and incorporation of an air-cooled condenser, as an effect of the localization in a compressor station plant. Screening of 17 organic fluids, mostly alkanes, was carried out and resulted in a selection of best performing fluids for each cycle configuration, among which benzene, acetone and heptane showed highest energy recovery potential in supercritical cycles, while benzene, toluene and cyclohexane in subcritical cycles. Calculation results indicate that a maximum of 10.4 MW of shaft power can be obtained from the exhaust gases of a 25 MW compressor driver by the use of benzene as a working fluid in the supercritical cycle with heat recuperation. In relation to the particular transmission system analysed in the study, it appears that the regenerative subcritical cycle with toluene as a working fluid presents the best thermodynamic characteristics, however, require some attention insofar as operational conditions are concerned.

  14. Further validation of the Indecisiveness Scale.

    Science.gov (United States)

    Gayton, W F; Clavin, R H; Clavin, S L; Broida, J

    1994-12-01

    Scores on the Indecisiveness Scale have been shown to be correlated with scores on measures of obsessive-compulsive tendencies and perfectionism for women. This study examined the validity of the Indecisiveness Scale with 41 men whose mean age was 21.1 yr. Indecisiveness scores were significantly correlated with scores on measures of obsessive-compulsive tendencies and perfectionism. Also, undeclared majors had a significantly higher mean on the Indecisiveness Scale than did declared majors.

  15. Preliminary analysis of compound systems based on high temperature fuel cell, gas turbine and Organic Rankine Cycle

    Science.gov (United States)

    Sánchez, D.; Muñoz de Escalona, J. M.; Monje, B.; Chacartegui, R.; Sánchez, T.

    This article presents a novel proposal for complex hybrid systems comprising high temperature fuel cells and thermal engines. In this case, the system is composed by a molten carbonate fuel cell with cascaded hot air turbine and Organic Rankine Cycle (ORC), a layout that is based on subsequent waste heat recovery for additional power production. The work will credit that it is possible to achieve 60% efficiency even if the fuel cell operates at atmospheric pressure. The first part of the analysis focuses on selecting the working fluid of the Organic Rankine Cycle. After a thermodynamic optimisation, toluene turns out to be the most efficient fluid in terms of cycle performance. However, it is also detected that the performance of the heat recovery vapour generator is equally important, what makes R245fa be the most interesting fluid due to its balanced thermal and HRVG efficiencies that yield the highest global bottoming cycle efficiency. When this fluid is employed in the compound system, conservative operating conditions permit achieving 60% global system efficiency, therefore accomplishing the initial objective set up in the work. A simultaneous optimisation of gas turbine (pressure ratio) and ORC (live vapour pressure) is then presented, to check if the previous results are improved or if the fluid of choice must be replaced. Eventually, even if system performance improves for some fluids, it is concluded that (i) R245fa is the most efficient fluid and (ii) the operating conditions considered in the previous analysis are still valid. The work concludes with an assessment about safety-related aspects of using hydrocarbons in the system. Flammability is studied, showing that R245fa is the most interesting fluid also in this regard due to its inert behaviour, as opposed to the other fluids under consideration all of which are highly flammable.

  16. Examining the Impact of Unscorable Item Responses on the Validity and Interpretability of MMPI-2/MMPI-2-RF Restructured Clinical (RC) Scale Scores

    Science.gov (United States)

    Dragon, Wendy R.; Ben-Porath, Yossef S.; Handel, Richard W.

    2012-01-01

    This article examined the impact of unscorable item responses on the psychometric validity and practical interpretability of scores on the Restructured Clinical (RC) Scales of the Minnesota Multiphasic Personality Inventory-2/Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2/MMPI-2-RF). In analyses conducted with five…

  17. Dynamic tests and adaptive control of a bottoming organic Rankine cycle of IC engine using swash-plate expander

    International Nuclear Information System (INIS)

    Torregrosa, A.; Galindo, J.; Dolz, V.; Royo-Pascual, L.; Haller, R.; Melis, J.

    2016-01-01

    Highlights: • An experimental testing of a bottoming Rankine Cycle is presented and applied to a 2 l turbocharged gasoline engine. • Both stationary and transient tests were performed, including the NEDC cycle. • Indicated diagrams of the swash-plate expander during these transients were presented and analyzed. - Abstract: This paper deals with the experimental testing of a bottoming Organic Rankine Cycle (ORC) integrate in a 2 l turbocharged gasoline engine using ethanol as working fluid. The main components of the cycle are a boiler, a condenser, a pump and a swash-plate expander. Both steady and transient tests were performed in three engine operating points to understand the behavior and inertia of the system. Pressure-Volume diagram during these transients were presented and analyzed. Operating parameters of the expander, such as expander speed and boiler power, were shifted. The objective of these tests is to understand the inertia of the system and to have a robust control in all the possible transient tests. New European Driving Cycle was tested with and without the expander because it is supposed to represent the typical usage of a car in Europe. It was used to validate the control of the ORC in realistic dynamic conditions of the engine. The importance of each parameter was analyzed by fixing all the parameters, changing each time one specific value. The main result of this paper is that using a slightly simple and robust control based on adaptive PIDs, the two dynamic effects of an ORC could be taken into account, i.e. high inertia effects (boiler and condenser) and low inertia effects (pump and volumetric expander).

  18. Experimental investigation on a small pumpless ORC (organic rankine cycle) system driven by the low temperature heat source

    International Nuclear Information System (INIS)

    Gao, P.; Wang, L.W.; Wang, R.Z.; Jiang, L.; Zhou, Z.S.

    2015-01-01

    A small pumpless ORC (organic rankine cycle) system with different scroll expanders modified from compressors of the automobile air-conditioner is established, and the refrigerant R245fa is chosen as the working fluid. Different hot water temperatures of 80, 85, 90 and 95 °C are employed to drive the pumpless ORC system. Experimental results show that a maximum shaft power of 361.0 W is obtained under the hot water temperature of 95 °C, whereas the average shaft power is 155.8 W. The maximum energy efficiency of 2.3% and the maximum exergy efficiency of 12.8% are obtained at the hot water temperature of 90 °C. Meanwhile a test rig for investigating the mechanical loss of the scroll expander is established. The torque caused by the internal mechanical friction of the expander is about 0.4 N m. Additionally, another scroll expander with a displacement of 86 ml/r is also employed to investigate how scroll expander displacement influences the performance of the pumpless ORC system. Finally, the performance of the pumpless ORC system is compared with that of the conventional ORC system, and experimental results show that the small pumpless ORC system has more advantages for the low-grade heat recovery. - Highlights: • A small pumpless ORC (organic rankine cycle) system is established, and different scroll expanders are tested. • The maximum energy and exergy efficiency are 2.3% and 12.8% respectively. • A maximum shaft power of 361.0 W is obtained under the heat source temperature of 95 °C. • The small pumpless ORC system has characteristics of the high efficiency.

  19. Cluster-Randomized, Crossover Trial of Head Positioning in Acute Stroke.

    Science.gov (United States)

    Anderson, Craig S; Arima, Hisatomi; Lavados, Pablo; Billot, Laurent; Hackett, Maree L; Olavarría, Verónica V; Muñoz Venturelli, Paula; Brunser, Alejandro; Peng, Bin; Cui, Liying; Song, Lily; Rogers, Kris; Middleton, Sandy; Lim, Joyce Y; Forshaw, Denise; Lightbody, C Elizabeth; Woodward, Mark; Pontes-Neto, Octavio; De Silva, H Asita; Lin, Ruey-Tay; Lee, Tsong-Hai; Pandian, Jeyaraj D; Mead, Gillian E; Robinson, Thompson; Watkins, Caroline

    2017-06-22

    The role of supine positioning after acute stroke in improving cerebral blood flow and the countervailing risk of aspiration pneumonia have led to variation in head positioning in clinical practice. We wanted to determine whether outcomes in patients with acute ischemic stroke could be improved by positioning the patient to be lying flat (i.e., fully supine with the back horizontal and the face upwards) during treatment to increase cerebral perfusion. In a pragmatic, cluster-randomized, crossover trial conducted in nine countries, we assigned 11,093 patients with acute stroke (85% of the strokes were ischemic) to receive care in either a lying-flat position or a sitting-up position with the head elevated to at least 30 degrees, according to the randomization assignment of the hospital to which they were admitted; the designated position was initiated soon after hospital admission and was maintained for 24 hours. The primary outcome was degree of disability at 90 days, as assessed with the use of the modified Rankin scale (scores range from 0 to 6, with higher scores indicating greater disability and a score of 6 indicating death). The median interval between the onset of stroke symptoms and the initiation of the assigned position was 14 hours (interquartile range, 5 to 35). Patients in the lying-flat group were less likely than patients in the sitting-up group to maintain the position for 24 hours (87% vs. 95%, P<0.001). In a proportional-odds model, there was no significant shift in the distribution of 90-day disability outcomes on the global modified Rankin scale between patients in the lying-flat group and patients in the sitting-up group (unadjusted odds ratio for a difference in the distribution of scores on the modified Rankin scale in the lying-flat group, 1.01; 95% confidence interval, 0.92 to 1.10; P=0.84). Mortality within 90 days was 7.3% among the patients in the lying-flat group and 7.4% among the patients in the sitting-up group (P=0.83). There were

  20. ECONOMICS AND FEASIBILITY OF RANKINE CYCLE IMPROVEMENTS FOR COAL FIRED POWER PLANTS

    Energy Technology Data Exchange (ETDEWEB)

    Richard E. Waryasz; Gregory N. Liljedahl

    2004-09-08

    ALSTOM Power Inc.'s Power Plant Laboratories (ALSTOM) has teamed with the U.S. Department of Energy National Energy Technology Laboratory (DOE NETL), American Electric Company (AEP) and Parsons Energy and Chemical Group to conduct a comprehensive study evaluating coal fired steam power plants, known as Rankine Cycles, equipped with three different combustion systems: Pulverized Coal (PC), Circulating Fluidized Bed (CFB), and Circulating Moving Bed (CMB{trademark}). Five steam cycles utilizing a wide range of steam conditions were used with these combustion systems. The motivation for this study was to establish through engineering analysis, the most cost-effective performance potential available through improvement in the Rankine Cycle steam conditions and combustion systems while at the same time ensuring that the most stringent emission performance based on CURC (Coal Utilization Research Council) 2010 targets are met: > 98% sulfur removal; < 0.05 lbm/MM-Btu NO{sub x}; < 0.01 lbm/MM-Btu Particulate Matter; and > 90% Hg removal. The final report discusses the results of a coal fired steam power plant project, which is comprised of two parts. The main part of the study is the analysis of ten (10) Greenfield steam power plants employing three different coal combustion technologies: Pulverized Coal (PC), Circulating Fluidized Bed (CFB), and Circulating Moving Bed (CMB{trademark}) integrated with five different steam cycles. The study explores the technical feasibility, thermal performance, environmental performance, and economic viability of ten power plants that could be deployed currently, in the near, intermediate, and long-term time frame. For the five steam cycles, main steam temperatures vary from 1,000 F to 1,292 F and pressures from 2,400 psi to 5,075 psi. Reheat steam temperatures vary from 1,000 F to 1,328 F. The number of feedwater heaters varies from 7 to 9 and the associated feedwater temperature varies from 500 F to 626 F. The main part of the

  1. Confidence Scoring of Speaking Performance: How Does Fuzziness become Exact?

    Science.gov (United States)

    Jin, Tan; Mak, Barley; Zhou, Pei

    2012-01-01

    The fuzziness of assessing second language speaking performance raises two difficulties in scoring speaking performance: "indistinction between adjacent levels" and "overlap between scales". To address these two problems, this article proposes a new approach, "confidence scoring", to deal with such fuzziness, leading to "confidence" scores between…

  2. Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome

    Directory of Open Access Journals (Sweden)

    Gianise Toboliski Bongiorni

    Full Text Available ABSTRACT Objective To assess, by Rankin scale, the functional disability of patients who had a malignant middle cerebral artery (MCA ischemic stroke, who underwent decompressive craniotomy (DC within the first 30 days. Methods A cross-sectional study in a University hospital. Between June 2007 and December 2014, we retrospectively analyzed the records of all patients submitted to DC due to a malignant MCA infarction. The mortality rate was defined during the hospitalization period. The modified outcome Rankin score (mRS was measured 30 days after the procedure, for stratification of the quality of life. Results The DC mortality rate was 30% (95% CI 14.5 to 51.9 for the 20 patients reported. The mRS 30 days postoperatively was ≥ 4 [3.3 to 6] for all patients thereafter. Conclusion DC is to be considered a real alternative for the treatment of patients with a malignant ischemic MCA infarction.

  3. Evaluating observer agreement of scoring systems for foot integrity and footrot lesions in sheep

    Directory of Open Access Journals (Sweden)

    Foddai Alessandro

    2012-05-01

    Full Text Available Abstract Background A scoring scale with five ordinal categories is used for visual diagnosis of footrot in sheep and to study its epidemiology and control. More recently a 4 point ordinal scale has been used by researchers to score foot integrity (wall and sole horn damage in sheep. There is no information on observer agreement using either of these scales. Observer agreement for ordinal scores is usually estimated by single measure values such as weighted kappa or Kendall’s coefficient of concordance which provide no information where the disagreement lies. Modeling techniques such as latent class models provide information on both observer bias and whether observers have different thresholds at which they change the score given. In this paper we use weighted kappa and located latent class modeling to explore observer agreement when scoring footrot lesions (using photographs and videos and foot integrity (using post mortem specimens in sheep. We used 3 observers and 80 photographs and videos and 80 feet respectively. Results Both footrot and foot integrity scoring scales were more consistent within observers than between. The weighted kappa values between observers for both footrot and integrity scoring scales ranged from moderate to substantial. There was disagreement between observers with both observer bias and different thresholds between score values. The between observer thresholds were different for scores 1 and 2 for footrot (using photographs and videos and for all scores for integrity (both walls and soles. The within observer agreement was higher with weighted kappa values ranging from substantial to almost perfect. Within observer thresholds were also more consistent than between observer thresholds. Scoring using photographs was less variable than scoring using video clips or feet. Conclusions Latent class modeling is a useful method for exploring components of disagreement within and between observers and this information could

  4. Utilisation of diesel engine waste heat by Organic Rankine Cycle

    International Nuclear Information System (INIS)

    Kölsch, Benedikt; Radulovic, Jovana

    2015-01-01

    In this paper, three different organic liquids were investigated as potential working fluids in an Organic Rankine Cycle. Performance of Methanol, Toluene and Solkatherm SES36 was modelled in an ORC powered by a diesel engine waste heat. The ORC model consists of a preheater, evaporator, superheater, turbine, pump and two condensers. With variable maximum cycle temperatures and high cycle pressures, the thermal efficiency, net power output and overall heat transfer area have been evaluated. Methanol was found to have the best thermal performance, but also required the largest heat transfer area. While Toluene achieved lower thermal efficiency, it showed great work potential at high pressures and relatively low temperatures. Our model identified the risks associated with employing these fluids in an ORC: methanol condensing during the expansion and toluene not sufficiently superheated at the turbine inlet, which can compromise the cycle operation. The best compromise between the size of heat exchanger and thermodynamic performance was found for Methanol ORC at intermediate temperatures and high pressures. Flammability and toxicity, however, remain the obstacles for safe implementation of both fluids in ORC systems. - Highlights: • ORC powered by diesel-engine waste heat was developed. • Methanol, Toluene and Solkatherm were considered as working fluids. • Methanol was selected due to the best overall thermal performance. • Optimal cycle operating parameters and heat exchanger area were evaluated

  5. Comparison of IMP-SPECT findings to subtest scores of Wechsler intelligence adult Scale-Revised in temporal lobe epilepsy patients

    Energy Technology Data Exchange (ETDEWEB)

    Kan, Rumiko; Uejima, Masahiko; Kaneko, Yuko; Miyamoto, Yuriko; Watabe, Manabu; Takahashi, Ruriko; Niwa, Shin-ichi; Shishido, Fumio [Fukushima Medical Coll. (Japan)

    1998-02-01

    In this study, 40 temporal lobe epilepsy patients were assessed, using the Laterality Index (LI) of ROI values in IMP-SPECT findings, Wechsler adult intelligence Scale-Revised (WAIS-R) and subtest scores. LIs of the frontal, temporal and occipital lobes were calculated as follows: the ROI values on the right side were subtracted from those on the left, and the results was divided by the sum of the ROI values on the right and left sides. The individual subtest scores on WAIS-R were standardized by all evaluation scores in order to exclude the influence of differences in intelligence level as much as possible. The results were as follows: there was a positive correlation (r=0.74, p<0.001) between LI values and the performance in Arithmetic in the left temporal lobe hypoperfusion group. And there was a positive correlation (r=0.50, p<0.02) between LI values and the performance in Vocabulary in the left temporal lobe hypoperfusion group. In the right occipital lobe hypoperfusion group, there was a negative correlation (r=-O.44, p

  6. Comparison of IMP-SPECT findings to subtest scores of Wechsler intelligence adult Scale-Revised in temporal lobe epilepsy patients

    International Nuclear Information System (INIS)

    Kan, Rumiko; Uejima, Masahiko; Kaneko, Yuko; Miyamoto, Yuriko; Watabe, Manabu; Takahashi, Ruriko; Niwa, Shin-ichi; Shishido, Fumio

    1998-01-01

    In this study, 40 temporal lobe epilepsy patients were assessed, using the Laterality Index (LI) of ROI values in IMP-SPECT findings, Wechsler adult intelligence Scale-Revised (WAIS-R) and subtest scores. LIs of the frontal, temporal and occipital lobes were calculated as follows: the ROI values on the right side were subtracted from those on the left, and the results was divided by the sum of the ROI values on the right and left sides. The individual subtest scores on WAIS-R were standardized by all evaluation scores in order to exclude the influence of differences in intelligence level as much as possible. The results were as follows: there was a positive correlation (r=0.74, p<0.001) between LI values and the performance in Arithmetic in the left temporal lobe hypoperfusion group. And there was a positive correlation (r=0.50, p<0.02) between LI values and the performance in Vocabulary in the left temporal lobe hypoperfusion group. In the right occipital lobe hypoperfusion group, there was a negative correlation (r=-O.44, p< O.05) between LI values and the performance in Coding. It is suggested that decreased blood flow areas detected by SPECT might influence brain function. (author)

  7. The Reverse of Social Anxiety Is Not Always the Opposite: The Reverse-Scored Items of the Social Interaction Anxiety Scale Do Not Belong

    Science.gov (United States)

    Rodebaugh, Thomas L.; Woods, Carol M.; Heimberg, Richard G.

    2007-01-01

    Although well-used and empirically supported, the Social Interaction Anxiety Scale (SIAS) has a questionable factor structure and includes reverse-scored items with questionable utility. Here, using samples of undergraduates and a sample of clients with social anxiety disorder, we extend previous work that opened the question of whether the…

  8. Classifying and Standardizing Panfacial Trauma With a New Bony Facial Trauma Score.

    Science.gov (United States)

    Casale, Garrett G A; Fishero, Brian A; Park, Stephen S; Sochor, Mark; Heltzel, Sara B; Christophel, J Jared

    2017-01-01

    The practice of facial trauma surgery would benefit from a useful quantitative scale that measures the extent of injury. To develop a facial trauma scale that incorporates only reducible fractures and is able to be reliably communicated to health care professionals. A cadaveric tissue study was conducted from October 1 to 3, 2014. Ten cadaveric heads were subjected to various degrees of facial trauma by dropping a fixed mass onto each head. The heads were then imaged with fine-cut computed tomography. A Bony Facial Trauma Scale (BFTS) for grading facial trauma was developed based only on clinically relevant (reducible) fractures. The traumatized cadaveric heads were then scored using this scale as well as 3 existing scoring systems. Regression analysis was used to determine correlation between degree of incursion of the fixed mass on the cadaveric heads and trauma severity as rated by the scoring systems. Statistical analysis was performed to determine correlation of the scores obtained using the BFTS with those of the 3 existing scoring systems. Scores obtained using the BFTS were not correlated with dentition (95% CI, -0.087 to 1.053; P = .08; measured as absolute number of teeth) or age of the cadaveric donor (95% CI, -0.068 to 0.944; P = .08). Facial trauma scores. Among all 10 cadaveric specimens (9 male donors and 1 female donor; age range, 41-87 years; mean age, 57.2 years), the facial trauma scores obtained using the BFTS correlated with depth of penetration of the mass into the face (odds ratio, 4.071; 95% CI, 1.676-6.448) P = .007) when controlling for presence of dentition and age. The BFTS scores also correlated with scores obtained using 3 existing facial trauma models (Facial Fracture Severity Scale, rs = 0.920; Craniofacial Disruption Score, rs = 0.945; and ZS Score, rs = 0.902; P trauma scales. Scores obtained using the BFTS were not correlated with dentition (odds ratio, .482; 95% CI, -0.087 to 1.053; P = .08; measured

  9. Validation of the Simplified Motor Score in patients with traumatic ...

    African Journals Online (AJOL)

    Background. This study used data from a large prospectively entered database to assess the efficacy of the motor score (M score) component of the Glasgow Coma Scale (GCS) and the Simplified Motor Score (SMS) in predicting overall outcome in patients with traumatic brain injury (TBI). Objective. To safely and reliably ...

  10. Performance analysis of solar parabolic trough collectors driven combined supercritical CO2 and organic Rankine cycle

    Directory of Open Access Journals (Sweden)

    Harwinder Singh

    2018-06-01

    Full Text Available In this paper, attempts have been made on the detailed energy and exergy analysis of solar parabolic trough collectors (SPTCs driven combined power plant. The combination of supercritical CO2 (SCO2 cycle and organic Rankine cycle (ORC integrated with SPTCs has been used to produce power, in which SCO2 cycle and ORC are arranged as a topping and bottoming cycle. Five organic working fluids like R134a, R1234yf, R407c, R1234ze, and R245fa were selected for a low temperature bottoming ORC. Five key exergetic parameters such as exergetic efficiency, exergy destruction rate, fuel depletion ratio, irreversibility ratio, and improvement potential were also examined. It was revealed that exergetic and thermal efficiency of all the combined cycles enhances as the direct normal irradiance increases from 0.5 kW/m2 to 0.95 kW/m2. As can be seen, R407c combined cycle has the maximum exergetic as well as thermal efficiency which is around 78.07% at 0.95 kW/m2 and 43.49% at 0.95 kW/m2, respectively. Alternatively, the R134a and R245fa combined cycle yields less promising results with the marginal difference in their performance. As inferred from the study that SCO2 turbine and evaporator has a certain amount of exergy destruction which is around 9.72% and 8.54% of the inlet exergy, and almost 38.10% of the total exergy destruction in case of R407c combined cycle. Moreover, the maximum amount of exergy destructed by the solar collector field which is more than 25% of the solar inlet exergy and around 54% of the total destructed exergy. Finally, this study concludes that R407c combined cycle has a minimum fuel depletion ratio of 0.2583 for a solar collector and possess the highest power output of 3740 kW. Keywords: Supercritical CO2cycle, Organic Rankine cycle, Exergetic performance, SPTCs, Organic fluids

  11. Quantification of errors in ordinal outcome scales using shannon entropy: effect on sample size calculations.

    Directory of Open Access Journals (Sweden)

    Pitchaiah Mandava

    Full Text Available OBJECTIVE: Clinical trial outcomes often involve an ordinal scale of subjective functional assessments but the optimal way to quantify results is not clear. In stroke, the most commonly used scale, the modified Rankin Score (mRS, a range of scores ("Shift" is proposed as superior to dichotomization because of greater information transfer. The influence of known uncertainties in mRS assessment has not been quantified. We hypothesized that errors caused by uncertainties could be quantified by applying information theory. Using Shannon's model, we quantified errors of the "Shift" compared to dichotomized outcomes using published distributions of mRS uncertainties and applied this model to clinical trials. METHODS: We identified 35 randomized stroke trials that met inclusion criteria. Each trial's mRS distribution was multiplied with the noise distribution from published mRS inter-rater variability to generate an error percentage for "shift" and dichotomized cut-points. For the SAINT I neuroprotectant trial, considered positive by "shift" mRS while the larger follow-up SAINT II trial was negative, we recalculated sample size required if classification uncertainty was taken into account. RESULTS: Considering the full mRS range, error rate was 26.1%±5.31 (Mean±SD. Error rates were lower for all dichotomizations tested using cut-points (e.g. mRS 1; 6.8%±2.89; overall p<0.001. Taking errors into account, SAINT I would have required 24% more subjects than were randomized. CONCLUSION: We show when uncertainty in assessments is considered, the lowest error rates are with dichotomization. While using the full range of mRS is conceptually appealing, a gain of information is counter-balanced by a decrease in reliability. The resultant errors need to be considered since sample size may otherwise be underestimated. In principle, we have outlined an approach to error estimation for any condition in which there are uncertainties in outcome assessment. We

  12. Flow boiling heat transfer and pressure drop characteristics of R134a, R1234yf and R1234ze in a plate heat exchanger for organic Rankine cycle units

    DEFF Research Database (Denmark)

    Zhang, Ji; Desideri, Adriano; Kærn, Martin Ryhl

    2017-01-01

    . This paper is aimed at obtaining flow boiling heat transfer and pressure drop characteristics in a plate heat exchanger under the working conditions prevailing in the evaporator of organic Rankine cycle units. Two hydrofluoroolefins R1234yf and R1234ze, and one hydrofluorocarbon R134a, were selected...... as the working fluids. The heat transfer coefficients and pressure drops of the three working fluids were measured with varying saturation temperatures, mass fluxes, heat fluxes and outlet vapour qualities, which range from 60°C to 80°C, 86 kg/m2 s to 137 kg/m2 s, 9.8 kW/m2 to 36.8 kW/m2 and 0.5 to 1...... developed that are more suitable for evaporation in organic Rankine cycles. The experimental results indicate that heat transfer coefficients are strongly dependent upon the heat flux and saturation temperature. Moreover, the results suggest better thermal-hydraulic performance for R1234yf than the other...

  13. Parametric analyses of summative scores may lead to conflicting inferences when comparing groups: A simulation study.

    Science.gov (United States)

    Khan, Asaduzzaman; Chien, Chi-Wen; Bagraith, Karl S

    2015-04-01

    To investigate whether using a parametric statistic in comparing groups leads to different conclusions when using summative scores from rating scales compared with using their corresponding Rasch-based measures. A Monte Carlo simulation study was designed to examine between-group differences in the change scores derived from summative scores from rating scales, and those derived from their corresponding Rasch-based measures, using 1-way analysis of variance. The degree of inconsistency between the 2 scoring approaches (i.e. summative and Rasch-based) was examined, using varying sample sizes, scale difficulties and person ability conditions. This simulation study revealed scaling artefacts that could arise from using summative scores rather than Rasch-based measures for determining the changes between groups. The group differences in the change scores were statistically significant for summative scores under all test conditions and sample size scenarios. However, none of the group differences in the change scores were significant when using the corresponding Rasch-based measures. This study raises questions about the validity of the inference on group differences of summative score changes in parametric analyses. Moreover, it provides a rationale for the use of Rasch-based measures, which can allow valid parametric analyses of rating scale data.

  14. ORACLE Stroke Study: Opinion Regarding Acceptable Outcome Following Decompressive Hemicraniectomy for Ischemic Stroke.

    Science.gov (United States)

    Honeybul, Stephen; Ho, Kwok M; Blacker, David W

    2016-08-01

    There continues to be considerable interest in the use of decompressive hemicraniectomy in the management of malignant cerebral artery infarction; however, concerns remain about long-term outcome. To assess opinion on consent and acceptable outcome among a wide range of healthcare workers. Seven hundred seventy-three healthcare workers at the 2 major public neurosurgical centers in Western Australia participated. Participants were asked to record their opinion on consent and acceptable outcome based on the modified Rankin Score (mRS). The evidence for clinical efficacy of the procedure was presented, and participants were then asked to reconsider their initial responses. Of the 773 participants included in the study, 407 (52.7%) initially felt that they would provide consent for a decompressive craniectomy as a lifesaving procedure, but only a minority of them considered an mRS score of 4 or 5 an acceptable outcome (for mRS score ≤4, n = 67, 8.7%; for mRS score = 4, n = 57, 7.4%). After the introduction of the concept of the disability paradox and the evidence for the clinical efficacy of decompressive craniectomy, more participants were unwilling to accept decompressive craniectomy (18.1% vs 37.8%), but at the same time, more were willing to accept an mRS score ≤4 as an acceptable outcome (for mRS score ≤4, n = 92, 11.9%; for mRS score = 4, n = 79, 10.2%). Most participants felt survival with dependency to be unacceptable. However, many would be willing to provide consent for surgery in the hopes that they may survive with some degree of independence. DESTINY, Decompressive Surgery for the Treatment of Malignant Infarction of the Middle Cerebral ArterymRS, modified Rankin Scale.

  15. Stroke acute management with urgent risk-factor assessment and improvement (SAMURAI) rt-PA registry. General results and subanalyses

    International Nuclear Information System (INIS)

    Toyoda, Kazunori; Koga, Masatoshi; Shiokawa, Yoshiaki

    2010-01-01

    Stroke Acute Management with Urgent Risk-factor Assessment and Improvement [SAMURAI] rt-PA Registry is a multicenter retrospective observational study from 10 Japanese stroke centers. A total of 600 patients (223 women, 72±12 years old) treated with intravenous alteplase (0.6 mg/kg) were studied. Symptomatic intracerebral hemorrhage within 36 hours with ≥4 point-increase from the baseline National Institutes of Health (NIH) Stroke Scale score developed in 8 patients (1.3%, 95% confidence interval (CI) 0.7-2.6%). At 3 months, 199 patients (33.2%, 29.5-37.0%) had a modified Rankin Scale (mRS) score ≤1. Analysis of 399 patients with a premorbid mRS score ≤1 who met the criteria of the European license (≤80 years old, an initial NIHSS score ≤24, etc.) showed that 40.6% (35.9-45.5%) had a 3-month mRS ≤1. In the subanalyses from this registry, early ischemic change on diffusion-weighted imaging assessed by the Alberta Stroke Programme Early CT Score, as well as reduced estimated glomerular filtration rate, was associated with early intracerebral hemorrhage and 3-month outcomes of patients. (author)

  16. Stroke acute management with urgent risk-factor assessment and improvement (SAMURAI) rt-PA registry. General results and subanalyses

    Energy Technology Data Exchange (ETDEWEB)

    Toyoda, Kazunori; Koga, Masatoshi [National Cerebral and Cardiovascular Center, Suita, Osaka (Japan); Shiokawa, Yoshiaki [Kyorin Univ., School of Medicine, Mitaka, Tokyo (Japan)

    2010-11-15

    Stroke Acute Management with Urgent Risk-factor Assessment and Improvement [SAMURAI] rt-PA Registry is a multicenter retrospective observational study from 10 Japanese stroke centers. A total of 600 patients (223 women, 72{+-}12 years old) treated with intravenous alteplase (0.6 mg/kg) were studied. Symptomatic intracerebral hemorrhage within 36 hours with {>=}4 point-increase from the baseline National Institutes of Health (NIH) Stroke Scale score developed in 8 patients (1.3%, 95% confidence interval (CI) 0.7-2.6%). At 3 months, 199 patients (33.2%, 29.5-37.0%) had a modified Rankin Scale (mRS) score {<=}1. Analysis of 399 patients with a premorbid mRS score {<=}1 who met the criteria of the European license ({<=}80 years old, an initial NIHSS score {<=}24, etc.) showed that 40.6% (35.9-45.5%) had a 3-month mRS {<=}1. In the subanalyses from this registry, early ischemic change on diffusion-weighted imaging assessed by the Alberta Stroke Programme Early CT Score, as well as reduced estimated glomerular filtration rate, was associated with early intracerebral hemorrhage and 3-month outcomes of patients. (author)

  17. Comparison of different iterative schemes for ISPH based on Rankine source solution

    Directory of Open Access Journals (Sweden)

    Xing Zheng

    2017-07-01

    Full Text Available Smoothed Particle Hydrodynamics (SPH method has a good adaptability for the simulation of free surface flow problems. There are two forms of SPH. One is weak compressible SPH and the other one is incompressible SPH (ISPH. Compared with the former one, ISPH method performs better in many cases. ISPH based on Rankine source solution can perform better than traditional ISPH, as it can use larger stepping length by avoiding the second order derivative in pressure Poisson equation. However, ISPH_R method needs to solve the sparse linear matrix for pressure Poisson equation, which is one of the most expensive parts during one time stepping calculation. Iterative methods are normally used for solving Poisson equation with large particle numbers. However, there are many iterative methods available and the question for using which one is still open. In this paper, three iterative methods, CGS, Bi-CGstab and GMRES are compared, which are suitable and typical for large unsymmetrical sparse matrix solutions. According to the numerical tests on different cases, still water test, dam breaking, violent tank sloshing, solitary wave slamming, the GMRES method is more efficient than CGS and Bi-CGstab for ISPH method.

  18. Real-Time Optimization of Organic Rankine Cycle Systems by Extremum-Seeking Control

    Directory of Open Access Journals (Sweden)

    Andres Hernandez

    2016-05-01

    Full Text Available In this paper, the optimal operation of a stationary sub-critical 11 kW el organic Rankine cycle (ORC unit for waste heat recovery (WHR applications is investigated, both in terms of energy production and safety conditions. Simulation results of a validated dynamic model of the ORC power unit are used to derive a correlation for the evaporating temperature, which maximizes the power generation for a range of operating conditions. This idea is further extended using a perturbation-based extremum seeking (ES algorithm to identify online the optimal evaporating temperature. Regarding safety conditions, we propose the use of the extended prediction self-adaptive control (EPSAC approach to constrained model predictive control (MPC. Since it uses input/output models for prediction, it avoids the need for state estimators, making it a suitable tool for industrial applications. The performance of the proposed control strategy is compared to PID-like schemes. Results show that EPSAC-MPC is a more effective control strategy, as it allows a safer and more efficient operation of the ORC unit, as it can handle constraints in a natural way, operating close to the boundary conditions where power generation is maximized.

  19. ORC-mall scale power plant

    Energy Technology Data Exchange (ETDEWEB)

    Jokinen, T. [Helsinki Univ. of Technology, Otaniemi (Finland). Lab. of Electromechanics

    1998-12-31

    In the conversion of low temperature heat into electricity, the greatest efficiency is obtained by using a Rankine cycle. The Organic Rankine cycle (ORC) is a Rankine cycle where an organic fluid is used instead of water as the working fluid. In the conventional ORC-solution, an axial turbine drives a standard generator through a high-speed gearbox. The system includes a separate feed pump, vacuum pump, lubrication system and requires several saft seals. The seals of the turbine have a limited working life in particular due to the high speed required. Thus, the entire present conventional ORC-plant is rather complicated and requires maintenance. To avoid these problems, a project was initiated at the Lappeenranta University of Technology to develop a high-speed, process fluid lubricated turbogenerator-feed pump as the prime mover of the ORC. The project has been continued in co-operation with the Helsinki University of Technology under the NEMO 2 program, the main goal being to build a demonstration power plant and to commercialise the project. The goals of the project were: (1) to model the ORC process, turbogenerator, and inverter, (2) to simulate the power plant in different normal and abnormal states, (3) to assess the advantages and disadvantages of various control systems, (4) to study network disturbances such as voltage and current harmonics and to research ways of reducing these disturbances, (5) to optimise heat exchanging surfaces and process parameters, and (6) to participate in the design of the demonstration power plant

  20. Selection of cooling fluid for an organic Rankine cycle unit recovering heat on a container ship sailing in the Arctic region

    DEFF Research Database (Denmark)

    Suárez de la Fuente, Santiago; Larsen, Ulrik; Pierobon, Leonardo

    2017-01-01

    As Arctic sea ice coverage declines it is expected that marine traffic could increase in this northern region due to shorter routes. Navigating in the Arctic offers opportunities and challenges for waste heat recovery systems (WHRS). Lower temperatures require larger heating power on board, hence...... air as coolant. This paper explores the use of two different coolants, air and seawater, for an organic Rankine cycle (ORC) unit using the available waste heat in the scavenge air system of a container ship navigating in Arctic Circle. Using a two-step single objective optimisation process, detailed...

  1. Model of the expansion process for R245fa in an Organic Rankine Cycle (ORC)

    International Nuclear Information System (INIS)

    Luján, J.M.; Serrano, J.R.; Dolz, V.; Sánchez, J.

    2012-01-01

    An Organic Rankine Cycle (ORC) is considered as one of the most environmental-friendly ways to convert different kinds of low temperature energies, i.e. solar, geothermal, biomass and thermal energy of exhaust gases into electrical energy. Two important facts about the ORC must be considered: An organic fluid is selected as the working fluid and a high expansion ratio is usually presented in the machinery due to thermodynamic and efficiency factors. In the past, the pre-design of turbomachinery has been based on the usage of ideal fluid laws, but the real gas effects have a significant influence in the ORC working condition, due to its proximity to the saturation vapor line. In this article, the Equations of State (EoS) (Ideal gas, Redlich-Kwong-Soave and Peng–Robinson) have been evaluated in a typical ORC expansion in order to observe the inaccuracies of the ideal gas model with different thermodynamic variables. Finally an isothermal process followed by an isochoric process is proposed to reproduce the thermodynamic process of the organic fluid expansion by means of simpler equations. In the last point of this paper, several examples of this expansion process have been calculated, in order to analyze the proposed methodologies. It has been concluded that in typical expansion process of ORC (2.5 MPa-0.1 MPa and 1.6MPa-0.1 MPa), the PR and RKS equations show deviations between 6% and 8% in specific energy. These deviations are very low compared with the ideal gas equation whose deviations are above 100%. - Highlights: ► Evaluate the ideal gas behaviour of R245fa in typical working conditions of an Organic Rankine Cycle (ORC). ► Compare the ideal behaviour with other simple equations of state for real gas. ► Decide which equation of state has the highest precision in typical working conditions of an ORC. ► Derive the most important thermodynamic variables in each equation of state and decide the most accurate equation. ► Evaluate the speci c output

  2. Combined Turbine and Cycle Optimization for Organic Rankine Cycle Power Systems—Part A: Turbine Model

    Directory of Open Access Journals (Sweden)

    Andrea Meroni

    2016-04-01

    Full Text Available Axial-flow turbines represent a well-established technology for a wide variety of power generation systems. Compactness, flexibility, reliability and high efficiency have been key factors for the extensive use of axial turbines in conventional power plants and, in the last decades, in organic Rankine cycle power systems. In this two-part paper, an overall cycle model and a model of an axial turbine were combined in order to provide a comprehensive preliminary design of the organic Rankine cycle unit, taking into account both cycle and turbine optimal designs. Part A presents the preliminary turbine design model, the details of the validation and a sensitivity analysis on the main parameters, in order to minimize the number of decision variables in the subsequent turbine design optimization. Part B analyzes the application of the combined turbine and cycle designs on a selected case study, which was performed in order to show the advantages of the adopted methodology. Part A presents a one-dimensional turbine model and the results of the validation using two experimental test cases from literature. The first case is a subsonic turbine operated with air and investigated at the University of Hannover. The second case is a small, supersonic turbine operated with an organic fluid and investigated by Verneau. In the first case, the results of the turbine model are also compared to those obtained using computational fluid dynamics simulations. The results of the validation suggest that the model can predict values of efficiency within ± 1.3%-points, which is in agreement with the reliability of classic turbine loss models such as the Craig and Cox correlations used in the present study. Values similar to computational fluid dynamics simulations at the midspan were obtained in the first case of validation. Discrepancy below 12 % was obtained in the estimation of the flow velocities and turbine geometry. The values are considered to be within a

  3. The comparison of modified early warning score and Glasgow coma ...

    African Journals Online (AJOL)

    Introduction: The purpose of this study is to assess and compare the discriminatory ability of the Glasgow coma scale (GCS)‑age‑systolic blood pressure (GAP) score and modified early warning scoring system (mEWS) score for 4‑week mortality, for the patients being in the triage category 1 and 2 who refer to Emergency ...

  4. Scoring systems of severity in patients with multiple trauma.

    Science.gov (United States)

    Rapsang, Amy Grace; Shyam, Devajit Chowlek

    2015-04-01

    Trauma is a major cause of morbidity and mortality; hence severity scales are important adjuncts to trauma care in order to characterize the nature and extent of injury. Trauma scoring models can assist with triage and help in evaluation and prediction of prognosis in order to organise and improve trauma systems. Given the wide variety of scoring instruments available to assess the injured patient, it is imperative that the choice of the severity score accurately match the application. Even though trauma scores are not the key elements of trauma treatment, they are however, an essential part of improvement in triage decisions and in identifying patients with unexpected outcomes. This article provides the reader with a compendium of trauma severity scales along with their predicted death rate calculation, which can be adopted in order to improve decision making, trauma care, research and in comparative analyses in quality assessment. Copyright © 2013 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.

  5. Design and development of an automotive propulsion system utilizing a Rankine cycle engine (water based fluid). Final report

    Energy Technology Data Exchange (ETDEWEB)

    Demler, R.L.

    1977-09-01

    Under EPA and ERDA sponsorship, SES successfully designed, fabricated and tested the first federally sponsored steam powered automobile. The automobile - referred to as the simulator - is a 1975 Dodge Monaco standard size passenger car with the SES preprototype Rankine cycle automotive propulsion system mounted in the engine compartment. In the latter half of 1975, the simulator successfully underwent test operations at the facilities of SES in Watertown, Massachusetts and demonstrated emission levels below those of the stringent federally established automotive requirements originally set for implementation by 1976. The demonstration was accomplished during testing over the Federal Driving Cycle on a Clayton chassis dynamometer. The design and performance of the vehicle are described.

  6. Exergy and economic analysis of organic rankine cycle hybrid system utilizing biogas and solar energy in rural area of China

    DEFF Research Database (Denmark)

    Zhao, Chunhua; Zheng, Siyu; Zhang, Ji

    2017-01-01

    circuits. The cogeneration supplied the power to the air-condition in summer condition and hot water, which is heated in the condenser, in winter condition. The system performance under the subcritical pressures has been assessed according to the energy-exergy and economic analysis with the organic working......℃. The exergy efficiency of organic Rankine cycle (ORC) system increases from 35.2% to 38.2%. Moreover, an economic analysis of the system is carried out. The results demonstrate that the profits generated from the reduction of biogas fuel and electricity consumption can lead to a significant saving, resulting...

  7. Application of the FOUR Score in Intracerebral Hemorrhage Risk Analysis.

    Science.gov (United States)

    Braksick, Sherri A; Hemphill, J Claude; Mandrekar, Jay; Wijdicks, Eelco F M; Fugate, Jennifer E

    2018-06-01

    The Full Outline of Unresponsiveness (FOUR) Score is a validated scale describing the essentials of a coma examination, including motor response, eye opening and eye movements, brainstem reflexes, and respiratory pattern. We incorporated the FOUR Score into the existing ICH Score and evaluated its accuracy of risk assessment in spontaneous intracerebral hemorrhage (ICH). Consecutive patients admitted to our institution from 2009 to 2012 with spontaneous ICH were reviewed. The ICH Score was calculated using patient age, hemorrhage location, hemorrhage volume, evidence of intraventricular extension, and Glasgow Coma Scale (GCS). The FOUR Score was then incorporated into the ICH Score as a substitute for the GCS (ICH Score FS ). The ability of the 2 scores to predict mortality at 1 month was then compared. In total, 274 patients met the inclusion criteria. The median age was 73 years (interquartile range 60-82) and 138 (50.4%) were male. Overall mortality at 1 month was 28.8% (n = 79). The area under the receiver operating characteristic curve was .91 for the ICH Score and .89 for the ICH Score FS . For ICH Scores of 1, 2, 3, 4, and 5, 1-month mortality was 4.2%, 29.9%, 62.5%, 95.0%, and 100%. In the ICH Score FS model, mortality was 10.7%, 26.5%, 64.5%, 88.9%, and 100% for scores of 1, 2, 3, 4, and 5, respectively. The ICH Score and the ICH Score FS predict 1-month mortality with comparable accuracy. As the FOUR Score provides additional clinical information regarding patient status, it may be a reasonable substitute for the GCS into the ICH Score. Copyright © 2018 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  8. Reference Values for the Marx Activity Rating Scale in a Young Athletic Population: History of Knee Ligament Injury Is Associated With Higher Scores.

    Science.gov (United States)

    Cameron, Kenneth L; Peck, Karen Y; Thompson, Brandon S; Svoboda, Steven J; Owens, Brett D; Marshall, Stephen W

    2015-01-01

    Activity-related patient-reported outcome measures are an important component of assessment after knee ligament injury in young and physically active patients; however, normative data for most activity scales are limited. To present reference values by sex for the Marx Activity Rating Scale (MARS) within a young and physically active population while accounting for knee ligament injury history and sex. Cross-sectional study. Level 2. All incoming freshman entering a US Service Academy in June of 2011 were recruited to participate in this study. MARS was administered to 1169 incoming freshmen (203 women) who consented to participate within the first week of matriculation. All subjects were deemed healthy and medically fit for military service on admission. Subjects also completed a baseline questionnaire that asked for basic demographic information and injury history. We calculated means with standard deviations, medians with interquartile ranges, and percentiles for ordinal and continuous variables, and frequencies and proportions for dichotomous variables. We also compared median scores by sex and history of knee ligament injury using the Kruskal-Wallis test. MARS was the primary outcome of interest. The median MARS score was significantly higher for men when compared with women (χ(2) = 13.22, df = 1, P MARS scores between men and women (χ(2) = 0.47, df = 1, P = 0.493) who reported a history of injury. Overall, median MARS scores were significantly higher among those who reported a history of knee ligament injury when compared with those who did not (χ(2) = 9.06, df = 1, P = 0.003). Assessing activity as a patient-reported outcome after knee ligament injury is important, and reference values for these instruments need to account for the influence of prior injury and sex. © 2015 The Author(s).

  9. Design and simulation of a prototype of a small-scale solar CHP system based on evacuated flat-plate solar collectors and Organic Rankine Cycle

    International Nuclear Information System (INIS)

    Calise, Francesco; D’Accadia, Massimo Dentice; Vicidomini, Maria; Scarpellino, Marco

    2015-01-01

    Highlights: • A novel small scale solar power plant was designed and simulated. • The system is based on evacuated solar thermal collectors and an ORC system. • An average electric efficiency of 10% was found for the ORC. • The efficiency of solar collectors was found to be high in summer (>50%). • Pay-back periods lower than 5 years were estimated, in case of public funding. - Abstract: This paper presents a dynamic simulation model of a novel prototype of a 6 kW e solar power plant. The system is based on the coupling of innovative solar thermal collectors with a small Organic Rankine Cycle (ORC), simultaneously producing electric energy and low temperature heat. The novelty of the proposed system lies in the solar collector field, which is based on stationary evacuated flat-plate solar thermal collectors capable to achieve the operating temperatures typical of the concentrating solar thermal collectors. The solar field consists of about 73.5 m 2 of flat-plate evacuated solar collectors, heating a diathermic oil up to a maximum temperature of 230 °C. A diathermic oil storage tank is employed in order to mitigate the fluctuations due to the variability of solar energy availability. The hot diathermic oil exiting from the tank passes through an auxiliary gas-fired burner which provides eventual additional thermal energy. The inlet temperature of the diathermic oil entering the ORC system varies as a function of the availability of solar energy, also determining an oscillating response of the ORC. The ORC was simulated in Engineering Equation Solver (EES), using zero-dimensional energy and mass balances. The ORC model was subsequently implemented in a more general TRNSYS model, including all the remaining components of the system. The model was used to evaluate the energy and economic performance of the solar CHP system under analysis, in different climatic conditions. The results show that the efficiency of the ORC does not significantly vary during the

  10. Validation of the FOUR Score (Spanish Version) in acute stroke: an interobserver variability study.

    Science.gov (United States)

    Idrovo, Luis; Fuentes, Blanca; Medina, Josmarlin; Gabaldón, Laura; Ruiz-Ares, Gerardo; Abenza, María José; Aguilar-Amat, María José; Martínez-Sánchez, Patricia; Rodríguez, Luis; Cazorla, Rubén; Martínez, Marta; Tafur, Alfonso; Wijdicks, Eelco F M; Diez-Tejedor, Exuperio

    2010-01-01

    Methods to assess impaired consciousness in acute stroke typically include the Glasgow Coma Scale (GCS), but the verbal component has limitations in aphasic or intubated patients. The FOUR (Full Outline of UnResponsiveness) score, a new coma scale, evaluates 4 components: eye and motor responses, brainstem reflexes and respiration. We aimed to study the interobserver variability of the FOUR score in acute stroke patients. We prospectively enrolled consecutive patients with acute stroke admitted from February to July 2008 to the stroke unit of our Neurology Department. Patients were evaluated by neurology residents and nurses using the FOUR score and the GCS. For both scales, we obtained paired and total weighted kappa values (Kw) and intraclass correlation coefficients (ICC). NIH stroke scale was also recorded on admission. We obtained a total of 75 paired evaluations in 60 patients (41 cerebral infarctions, 15 cerebral hemorrhages and 4 transient ischemic attacks). Thirty-three (55%) patients were alert, 17 (28.3%) drowsy and 10 (16.7%) stuporous or comatose. The overall rater agreement was excellent in the FOUR score (Kw 0.93; 95% CI 0.89-0.97) with an ICC of 0.94 (95% CI 0.91-0.96) and in the GCS (Kw 0.96; 95% CI 0.94-0.98) with an ICC of 0.96 (95% CI 0.93-0.97). A good correlation was found between the FOUR score and the GCS (rho 0.83; p FOUR score and the NIH stroke scale (rho -0.78; p FOUR score is a reliable scale for evaluating the level of consciousness in acute stroke patients, showing a good correlation with the GCS and the NIH stroke scale. Copyright 2010 S. Karger AG, Basel.

  11. ITC Guidelines on Quality Control in Scoring, Test Analysis, and Reporting of Test Scores

    Science.gov (United States)

    Allalouf, Avi

    2014-01-01

    The Quality Control (QC) Guidelines are intended to increase the efficiency, precision, and accuracy of the scoring, analysis, and reporting process of testing. The QC Guidelines focus on large-scale testing operations where multiple forms of tests are created for use on set dates. However, they may also be used for a wide variety of other testing…

  12. Managing missing scores on the Roland Morris Disability Questionnaire

    DEFF Research Database (Denmark)

    Kent, Peter; Lauridsen, Henrik Hein

    2011-01-01

    Study Design: Analysis of Roland Morris Disability Questionnaire (RMDQ) and Oswestry Disability Index (Oswestry) responses.Objectives: To determine the prevalence of unanswered questions on the RMDQ23 (23-item RMDQ version) and Oswestry questionnaires. To determine if managing RMDQ23 missing data...... fully completed RMDQ23 and matching Oswestry questionnaire sets. Raw sum scores were calculated, and questions systematically dropped. At each stage, sum scores were converted to a score on a 0-100 scale and the error calculated. Wilcoxon Tests were used to compare the magnitude of the error scores...

  13. Calculation of wave resistance by using Kochin function in the Rankine source method; Rankinsosuho ni okeru kochin kansu wo mochiita zoha teiko keisan

    Energy Technology Data Exchange (ETDEWEB)

    Yasukawa, H [Mitsubishi Heavy Industries, Ltd., Tokyo (Japan)

    1997-10-01

    In order to avoid negative wave resistance (which is physically incomprehensible) generated in calculating wave resistance by using the Rankine source method, a proposal was made on a wave resistance calculation method using the Kochin function which describes behavior of speed potential in regions far apart from a hull. The Baba`s condition was used as a free surface condition for the speed potential which expresses wave motions around a hull. This has allowed a new Kochin function which uses as unknown the speed potential on the hull surface and the free surface near the hull to be defined and combined with the Rankine source method. A comparison was made between the calculated values for wave resistance, hull subsidence and trim change of an ore transporting vessel (SR107 type of ship) in a fully loaded condition and the result of water tank tests. The wave resistance values derived from pressure integration have all become negative when the Froude number is from 0.1 to 0.2, while no negative resistance has appeared in the calculations by using the Kochin function, but the result has agreed with that of the water tank tests. Accuracy of the calculations at low speeds was improved. The trim change in the calculations was slightly smaller than that in the water tank tests. The subsidence showed a good agreement. 7 refs., 1 fig.

  14. Rating scale for psychogenic nonepileptic seizures: scale development and clinimetric testing.

    Science.gov (United States)

    Cianci, Vittoria; Ferlazzo, Edoardo; Condino, Francesca; Mauvais, Hélène Somma; Farnarier, Guy; Labate, Angelo; Latella, Maria Adele; Gasparini, Sara; Branca, Damiano; Pucci, Franco; Vazzana, Francesco; Gambardella, Antonio; Aguglia, Umberto

    2011-06-01

    Our aim was to develop a clinimetric scale evaluating motor phenomena, associated features, and severity of psychogenic nonepileptic seizures (PNES). Sixty video/EEG-recorded PNES induced by suggestion maneuvers were evaluated. We examined the relationship between results from this scale and results from the Clinical Global Impression (CGI) scale to validate this technique. Interrater reliabilities of the PNES scale for three raters were analyzed using the AC1 statistic, Kendall's coefficient of concordance (KCC), and intraclass correlation coefficients (ICCs). The relationship between the CGI and PNES scales was evaluated with Spearman correlations. The AC1 statistic demonstrated good interrater reliability for each phenomenon analyzed (tremor/oscillation, tonic; clonic/jerking, hypermotor/agitation, atonic/akinetic, automatisms, associated features). KCC and the ICC showed moderate interrater agreement for phenomenology, associated phenomena, and total PNES scores. Spearman's correlation of mean CGI score with mean total PNES score was 0.69 (Pscale described here accurately evaluates the phenomenology of PNES and could be used to assess and compare subgroups of patients with PNES. Copyright © 2011 Elsevier Inc. All rights reserved.

  15. The relation of putamen nucleus 6-[18F]fluoro-L-m-tyrosine uptake to total Unified Parkinson's Disease Rating Scale scores

    International Nuclear Information System (INIS)

    Buchy, R.

    2002-01-01

    The contribution of dopaminergic deficiency in the striatum to the severity of locomotor disability in Parkinson's disease has been consistently shown with 6-[ 18 F]fluoro-L-DOPA in positron emission tomography. Recently, 6-[ 18 F]fluoro-L-m-tyrosine, an alternative tracer with similar distribution kinetics has been used to facilitate data analysis. Locomotor disability in Parkinson's disease can be measured using the Unified Parkinson's Disease Rating Scale. The Unified Parkinson's Disease Rating Scale was used in conjunction with 6-[ 18 F]fluoro-L-m-tyrosine -PET to clinically examine a group of five Parkinson's disease patients. An inverse relation similar to that previously demonstrated with 6-[ 18 F]fluoro-L-DOPA was found between the putamen nucleus 6-[ 18 F]fluoro-L-m-tyrosine influx constant and Unified Parkinson's Disease Rating Scale score. This finding suggests that like 6-[ 18 F]fluoro-L-m-tyrosine can be used to accurately measure the degree of locomotor disability caused by Parkinson's disease. (author)

  16. Risk score to predict gastrointestinal bleeding after acute ischemic stroke.

    Science.gov (United States)

    Ji, Ruijun; Shen, Haipeng; Pan, Yuesong; Wang, Penglian; Liu, Gaifen; Wang, Yilong; Li, Hao; Singhal, Aneesh B; Wang, Yongjun

    2014-07-25

    Gastrointestinal bleeding (GIB) is a common and often serious complication after stroke. Although several risk factors for post-stroke GIB have been identified, no reliable or validated scoring system is currently available to predict GIB after acute stroke in routine clinical practice or clinical trials. In the present study, we aimed to develop and validate a risk model (acute ischemic stroke associated gastrointestinal bleeding score, the AIS-GIB score) to predict in-hospital GIB after acute ischemic stroke. The AIS-GIB score was developed from data in the China National Stroke Registry (CNSR). Eligible patients in the CNSR were randomly divided into derivation (60%) and internal validation (40%) cohorts. External validation was performed using data from the prospective Chinese Intracranial Atherosclerosis Study (CICAS). Independent predictors of in-hospital GIB were obtained using multivariable logistic regression in the derivation cohort, and β-coefficients were used to generate point scoring system for the AIS-GIB. The area under the receiver operating characteristic curve (AUROC) and the Hosmer-Lemeshow goodness-of-fit test were used to assess model discrimination and calibration, respectively. A total of 8,820, 5,882, and 2,938 patients were enrolled in the derivation, internal validation and external validation cohorts. The overall in-hospital GIB after AIS was 2.6%, 2.3%, and 1.5% in the derivation, internal, and external validation cohort, respectively. An 18-point AIS-GIB score was developed from the set of independent predictors of GIB including age, gender, history of hypertension, hepatic cirrhosis, peptic ulcer or previous GIB, pre-stroke dependence, admission National Institutes of Health stroke scale score, Glasgow Coma Scale score and stroke subtype (Oxfordshire). The AIS-GIB score showed good discrimination in the derivation (0.79; 95% CI, 0.764-0.825), internal (0.78; 95% CI, 0.74-0.82) and external (0.76; 95% CI, 0.71-0.82) validation cohorts

  17. Development of a Facebook Addiction Scale.

    Science.gov (United States)

    Andreassen, Cecilie Schou; Torsheim, Torbjørn; Brunborg, Geir Scott; Pallesen, Ståle

    2012-04-01

    The Bergen Facebook Addiction Scale (BFAS), initially a pool of 18 items, three reflecting each of the six core elements of addiction (salience, mood modification, tolerance, withdrawal, conflict, and relapse), was constructed and administered to 423 students together with several other standardized self-report scales (Addictive Tendencies Scale, Online Sociability Scale, Facebook Attitude Scale, NEO-FFI, BIS/BAS scales, and Sleep questions). That item within each of the six addiction elements with the highest corrected item-total correlation was retained in the final scale. The factor structure of the scale was good (RMSEA = .046, CFI = .99) and coefficient alpha was .83. The 3-week test-retest reliability coefficient was .82. The scores converged with scores for other scales of Facebook activity. Also, they were positively related to Neuroticism and Extraversion, and negatively related to Conscientiousness. High scores on the new scale were associated with delayed bedtimes and rising times.

  18. Differences in pain measures by mini-mental state examination scores of residents in aged care facilities: examining the usability of the Abbey pain scale-Japanese version.

    Science.gov (United States)

    Takai, Yukari; Yamamoto-Mitani, Noriko; Ko, Ayako; Heilemann, Marysue V

    2014-03-01

    The validity and reliability of the Abbey Pain Scale-Japanese version (APS-J) have been examined. However, the range of cognitive levels for which the APS-J can be accurately used in older adults has not been investigated. This study aimed to examine the differences between total/item scores of the APS-J and Mini-Mental State Examination (MMSE) scores of residents in aged care facilities who self-reported the presence or absence of pain. This descriptive study included 252 residents in aged care facilities. Self-reported pain, MMSE scores, and item/total APS-J scores for pain intensity were collected. The MMSE scores were used to create four groups on the basis of the cognitive impairment level. Self-reports of pain and the APS-J scores were compared with different MMSE score groups. The total APS-J score for pain intensity as well as scores for individual items such as "vocalization" and "facial expression" were significantly higher in those who reported pain than in those reporting no pain across all MMSE groups. The total APS-J score and item scores for "vocalization," "change in body language," and "behavioral changes" showed significant differences in the four MMSE groups. Pain intensity tended to be overestimated by the APS-J, especially among those with low MMSE scores. The APS-J can be used to assess pain intensity in residents despite their cognitive levels. However, caution is required when using it to compare scores among older adults with different cognitive capacity because of the possibility of overestimation of pain among residents with low cognitive capacity. Copyright © 2014 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  19. The relationship of the Reynolds Intellectual Assessment Scales and the Wechsler Adult Intelligence Scale-Third Edition.

    Science.gov (United States)

    Smith, Billy L; McChristian, Chrystal L; Smith, Teresa D; Meaux, Julie

    2009-08-01

    The purpose of this study was to compare scores on the Reynolds Intellectual Assessment Scales (RIAS) with scores on the Wechsler Adult Intelligence Scale-Third Edition (WAIS-III) in a group of college students diagnosed with a Learning Disability, Attention-Deficit Hyperactivity Disorder (ADHD), or a combination of the two. The RIAS Composite Index score was significantly higher than the WAIS-III Full Scale IQ, although scores on both tests were in the average range. Correlations between the two tests were significant on all measures. Male students were significantly higher than female students on both the RIAS Composite Index and on the WAIS-III Full Scale IQ. Although the ADHD group was higher on IQ than the Learning Disabled and combined disorder groups on all IQ measures, no significant differences were found.

  20. Revised scoring and improved reliability for the Communication Patterns Questionnaire.

    Science.gov (United States)

    Crenshaw, Alexander O; Christensen, Andrew; Baucom, Donald H; Epstein, Norman B; Baucom, Brian R W

    2017-07-01

    The Communication Patterns Questionnaire (CPQ; Christensen, 1987) is a widely used self-report measure of couple communication behavior and is well validated for assessing the demand/withdraw interaction pattern, which is a robust predictor of poor relationship and individual outcomes (Schrodt, Witt, & Shimkowski, 2014). However, no studies have examined the CPQ's factor structure using analytic techniques sufficient by modern standards, nor have any studies replicated the factor structure using additional samples. Further, the current scoring system uses fewer than half of the total items for its 4 subscales, despite the existence of unused items that have content conceptually consistent with those subscales. These characteristics of the CPQ have likely contributed to findings that subscale scores are often troubled by suboptimal psychometric properties such as low internal reliability (e.g., Christensen, Eldridge, Catta-Preta, Lim, & Santagata, 2006). The present study uses exploratory and confirmatory factor analyses on 4 samples to reexamine the factor structure of the CPQ to improve scale score reliability and to determine if including more items in the subscales is warranted. Results indicate that a 3-factor solution (constructive communication and 2 demand/withdraw scales) provides the best fit for the data. That factor structure was confirmed in the replication samples. Compared with the original scales, the revised scales include additional items that expand the conceptual range of the constructs, substantially improve reliability of scale scores, and demonstrate stronger associations with relationship satisfaction and sensitivity to change in therapy. Implications for research and treatment are discussed. (PsycINFO Database Record (c) 2017 APA, all rights reserved).