Gate-to-grave assessment of plastic from recycling to manufacturing of TENG: a comparison between India and Singapore.

This study assesses the viability of recycled plastic-based triboelectric nanogenerators (TENGs) for sustainable energy harvesting in India and Singapore, concurrently examining plastic waste management. Using material flow analysis and life cycle assessment, the findings revealed that in Singapore, waste-to-energy incineration has a lower environmental impact than landfilling and mechanical recycling, attributed to natural gas usage. In India, recycling offsets impacts from incineration and landfilling, contributing to a lower net environmental impact. Economic performance of a TENG module from PET recyclates showed a 20% carbon footprint reduction when scaling up from lab to industrial "freeze-drying" processes. Key challenges in TENG manufacturing processes are also assessed for future development. This research highlights the potential of recycled plastic-based TENGs in sustainable energy and waste management.

Roadmap to sustainable plastic waste management: a focused study on recycling PET for triboelectric nanogenerator production in Singapore and India.

This study explores the implications of plastic waste and recycling management on recyclates for manufacturing clean-energy harvesting devices. The focus is on a comparative analysis of using recycled polyethylene terephthalate (PET) for triboelectric nanogenerator (TENG) production, in two densely populated Asian countries of large economies, namely Singapore and India. Of the total 930,000 tonnes of plastic waste generated in Singapore in 2019, only 4% were recycled and the rest were incinerated. In comparison, India yielded 8.6 million tonnes of plastic waste and 70% were recycled. Both countries have strict recycling goals and have instituted different waste and recycling management regulations. The findings show that the waste policies and legislations, responsibilities and heterogeneity in collection systems and infrastructure of the respective country are the pivotal attributes to successful recycling. Challenges to recycle plastic include segregation, adulterants and macromolecular structure degradation which could influence the recyclate properties and pose challenges for manufacturing products. A model was developed to evaluate the economic value and mechanical potential of PET recyclate. The model predicted a 30% loss of material performance and a 65% loss of economic value after the first recycling cycle. The economic value depreciates to zero with decreasing mechanical performance of plastic after multiple recycling cycles. For understanding how TENG technology could be incorporated into the circular economy, a model has estimated about 20 million and 7300 billion pieces of aerogel mats can be manufactured from the PET bottles disposed in Singapore and India, respectively which were sufficient to produce small-scale TENG devices for all peoples in both countries.

Is it possible to treat aorto-esophageal fistula with endovascular management?

Management of aorto-esophageal fistula has no consensus, currently. Aorto-esophageal fistula remains a life-threatening condition and has high mortality and morbidity rates. Endovascular therapy is a favorable choice for thoracic aortic disease, in recent years. We present our experience initially managed with endovascular therapy, but there was a re-hemorrhage event with suboptimal results. Aortic bypass surgery and plastic surgery of the esophagus have been performed, subsequently. The aorto-esophageal fistula was finally resolved by surgical management. We conclude that endovascular therapy is a reasonable method for aorto-esophageal fistula in the acute hemorrhagic phase, but early treatment of an erosive esophagus is suggested to avoid further morbidity.

Selective cerebral perfusion with 4-branch graft total aortic arch replacement: outcomes in 12 patients.

BACKGROUND: Aortic arch reconstruction is associated with high neurological morbidity. Our purpose is to describe our experience using a 4-branched graft and selective antegrade brain perfusion (SABP) for total aortic arch replacement (TAR). METHODS: We retrospectively reviewed the medical records of 12 patients who received TAR, with or without ascending aorta replacement, with a 4-branched graft for Stanford type A dissection (n = 9) or aortic arch aneurysm (n = 3). In all patients surgery was performed with deep hypothermic circulatory arrest (DHCA) with or without retrograde brain perfusion, and selective antegrade brain perfusion (SABP) via the subclavian artery or axillary artery. RESULTS: There were 8 males and 4 females with an average age of 63.14 years. Emergent operations were performed in 9 patients with acute type A aortic dissections. Of all 12 patients, 2 deaths occurred and 1 patient experienced lower extremity paraplegia resulting in an in-hospital mortality rate of 16.6% and a permanent neurological deficit rate of 8.3%. CONCLUSIONS: The use of a 4-branched graft, hypothermic circulatory arrest, and SABP is a useful operative method for aortic arch replacement with acceptable morbidity and mortality.