Thermal and hydraulic performance of ZnO/EG based nanofluids in mini tubes of different diameters: An experimental investigation.

The present experimental study investigates the thermal and hydraulic performance of Ethylene Glycol (EG)-based ZnO nanofluids (NFs) in circular minichannel test sections, each of 330 mm in length and 1.0-2.0 mm inner diameters. The experiments were conducted under steady-state constant heat flux and laminar flow conditions. The stable ZnO/EG-based NFs were synthesized using a standard two-step method in varying nanoparticles (NPs) loadings (0.012-0.048 wt%). The morphological characteristics, crystal structure, and specific surface area (SSA) showed that the NPs were sized in nm, possessing excellent crystal structure and enhanced surface area. Thermal conductivity (TC) and viscosity (VC) of the NFs were examined in the 20-60 °C temperature range. Both TC and VC possessed an increasing trend with the rise in concentration of the NPs. However, with the temperature rise, TC increased while the VC decreased and vice versa. The highest enhancements in TC and VC were 14.38 % and 15.22 %, respectively, at 40 °C and 0.048 wt% of NPs loading. The highest enrichment recorded in the local and average heat transfer coefficient (HTC) were 14.80 % and 13.48% in a minichannel with 1.0 mm inner diameter, respectively. It was directly proportional to the NPs loading and volume flow rate of the NFs. The friction factor was also directly proportional to the test section's inner cross-sectional area, while the pressure gradient showed an inverse behavior. An inverse relationship was recorded for the volume flow rate of the NFs and vice versa. Maximum friction factor and the pressure drop for all three minichannel test sections were recorded as 34.58 % and 32.16 %, respectively. The well-known Shah correlation predicted the local and average HTC within ±15.0 %, while the friction factor and the pressure gradient were well predicted by the Darcy correlation within the ±10.0 % range.

Enhanced thermal conductivity of plasma generated ZnO-MgO based hybrid nanofluids: An experimental study.

Hybrid nanofluids (HNFs) of metallic oxide-based nanoparticles (NPs) have been prepared in different basefluids (BFs) employing the thermal plasma technique. NPs of ZnO-MgO were directly dispersed into pristine coolant, engine oil, distilled water (DW), and coconut oil. Plasma was generated between two identical electrodes applying 8.0 kV at the ambient conditions and proved economically viable in preparing stable HNFs. X-ray Diffractometry (XRD) showed ZnO and MgO NPs possessed hexagonal and cubic crystal structures, respectively. The band gap is calculated through UV-visible spectroscopy. The thermal conductivity (TC) of the HNFs has been measured using a thermal conductivity analyzer based on the transient hot wire method. The band gaps of pristine coolant and its HNFs were obtained to be 3.35 eV and 3.33 eV, respectively. In engine oil and its HNFs, band gaps of 3.16 eV and 3.02 eV have been extracted. There appears to be a slight reduction in band gap for coolant and engine oil-based HNFs. The band gap value of coconut oil-based HNFs was 4.05 eV, which showed a higher value than the pristine coconut oil-based HNFs (3.95 eV). The band gap calculated in the case of DW-based HNFs was 3.79 eV. TC of HNFs with volume concentration of 0.019 % for DW, 0.020 % for coolant, 0.016 % for engine oil, and 0.017 % for coconut oil were tested between 20 and 60 °C. An increase in TC was observed with the rise in temperature of the HNFs. Maximum increment in TC was observed at 60 °C for coolant-based HNFs, which was 19 %, followed by DW (18%), coconut oil (18%), and engine oil (16%), respectively. DW-based HNFs can be used as a coolant and optical filter for optoelectronics devices like photovoltaic cells for better performance. The study underscores precise control of NPs size as pivotal for band gap influence. HNFs hold promise as the next-gen heat transfer fluids (HTFs), revolutionizing thermal conductivity across industries. This research lays a firm foundation for plasma-synthesized HNFs' application in enhanced heat transfer and optoelectronic devices. Coolant-based HNFs excel in thermal conductivity, addressing heat transfer challenges.

Novel coiled hollow fiber module for high-performance membrane distillation.

Membrane distillation (MD) scale-up is challenged by ineffective heat recovery and the temperature polarization effect. Direct contact membrane distillation (DCMD) modules suffer high thermal conduction losses due to feed flow direction along the length of the membrane, resulting in low thermal efficiency. We propose a novel module design named coiled hollow fiber (CHF) to decouple the flow direction from the membrane surface in hollow fiber (HF) DCMD. Experimental and computational analyses were employed to compare the performance of CHF and the conventional design. The CHF module design successfully mitigates the TP effect in HF DCMD, increasing the flux by 148 % and 163 % in cross-flow and localized heating (LH) modes, respectively. Moreover, CHF operated in LH mode exhibits the lowest energy consumption of all configurations (81 % decrease) compared to the conventional design. This novel module design represents a new pathway for efficient and highly performing DCMD module.

Airfoil-shaped filament feed spacer for improved filtration performance in water treatment.

Optimal spacer design enhances the filtration performance in spiral-wound modules by controlling the local hydrodynamics inside the filtration channel. A novel airfoil feed spacer design fabricated using 3D-printing technology is proposed in this study. The design is a ladder-shaped configuration with primary airfoil-shaped filaments facing the incoming feed flow. The airfoil filaments are reinforced by cylindrical pillars supporting the membrane surface. Laterally, all the airfoil filaments are connected by thin cylindrical filaments. The performances of the novel airfoil spacers are evaluated at Angle of Attack (AOA) of 10° (A-10 spacer) and 30° (A-30 spacer) and compared with commercial (COM) spacer. At fixed operating conditions, simulations indicate steady-state hydrodynamics inside the channel for A-10 spacer, while an unsteady state is found for A-30 spacer. Numerical wall shear stress for airfoil spacers is uniformly distributed and has a higher magnitude than the COM spacer. A-30 spacer design is the most efficient in ultrafiltration process with enhanced permeate flux (228%) and reduced specific energy consumption (23%) and biofouling development (74%) as characterized by Optical Coherence Tomography. Results systematically demonstrate the influential role of airfoil-shaped filaments for feed spacer design. Modifying AOA allows localized hydrodynamics to be effectively controlled according to the filtration type and operating conditions.

Onchycobacter anthropi Pyomyositis in Immunocompetent Patient: Case Report.

Introduction: Ochrobactrum anthropi is an unusual low virulence emerging pathogen that rarely causes orthopedic infection and its clinical picture is not well described. It usually causes infection in immunocompromised hosts with indwelling catheters or foreign bodies, such as the central venous catheters. Case Report: We reported a case of O. anthropi pyomyositis in a 22-year-old immunocompetent male patient not on any invasive procedure presented with raised temperature, left shoulder pain, and restriction of movements. Diagnosis was confirmed with the help of MRI and biopsy. He was successfully managed with surgical debridement and appropriate antibiotics. Conclusion: Our case highlights the ability of O. anthropi to cause pyomyositis in immunocompetent individuals and its relevance in the field of orthopaedic infection.

Unraveling a rare cause of spinal stenosis: Coexistent AL and ATTR amyloidosis involving the ligamentum flavum.

BACKGROUND: Amyloidosis is a protein misfolding disorder that leads to the deposition of beta-pleated sheets of a fibrillar derivative of various protein precursors. Identification of the type of precursor protein is integral in treatment decision-making. The presence of two different types of amyloid in the same patient is unusually rare, and there are no previous reports of two different types of amyloid deposition in the ligamentum flavum (LF) in the same patient. CASE DESCRIPTION: Here, we describe two patients with spinal stenosis who underwent laminectomies and were found to have AL and ATTR amyloid deposits in the LF. CONCLUSION: As the spine is becoming recognized as a site for ATTRwt amyloid deposition, patients undergoing spinal decompression surgery may potentially benefit from evaluation for amyloidosis in the LF.

Cyclophilin D Regulates the Nuclear Translocation of AIF, Cardiac Endothelial Cell Necroptosis and Murine Cardiac Transplant Injury.

Ischemia-reperfusion injury (IRI) is an inevitable consequence of organ transplant procedure and associated with acute and chronic organ rejection in transplantation. IRI leads to various forms of programmed cell death, which worsens tissue damage and accelerates transplant rejection. We recently demonstrated that necroptosis participates in murine cardiac microvascular endothelial cell (MVEC) death and murine cardiac transplant rejection. However, MVEC death under a more complex IRI model has not been studied. In this study, we found that simulating IRI conditions in vitro by hypoxia, reoxygenation and treatment with inflammatory cytokines induced necroptosis in MVECs. Interestingly, the apoptosis-inducing factor (AIF) translocated to the nucleus during MVEC necroptosis, which is regulated by the mitochondrial permeability molecule cyclophilin D (CypD). Furthermore, CypD deficiency in donor cardiac grafts inhibited AIF translocation and mitigated graft IRI and rejection (n = 7; p = 0.002). Our studies indicate that CypD and AIF play significant roles in MVEC necroptosis and cardiac transplant rejection following IRI. Targeting CypD and its downstream AIF may be a plausible approach to inhibit IRI-caused cardiac damage and improve transplant survival.

Bioengineering Progress in Lung Assist Devices.

Artificial lung technology is advancing at a startling rate raising hopes that it would better serve the needs of those requiring respiratory support. Whether to assist the healing of an injured lung, support patients to lung transplantation, or to entirely replace native lung function, safe and effective artificial lungs are sought. After 200 years of bioengineering progress, artificial lungs are closer than ever before to meet this demand which has risen exponentially due to the COVID-19 crisis. In this review, the critical advances in the historical development of artificial lungs are detailed. The current state of affairs regarding extracorporeal membrane oxygenation, intravascular lung assists, pump-less extracorporeal lung assists, total artificial lungs, and microfluidic oxygenators are outlined.

Middle Ear "Adenoma": a Neuroendocrine Tumor with Predominant L Cell Differentiation.

This morphological and immunohistochemical study demonstrates that tumors currently known as "middle ear adenomas" are truly well-differentiated epithelial neuroendocrine tumors (NETs) composed of cells comparable to normal intestinal L cells, and therefore, these tumors resemble hindgut NETs. These tumors show consistent expression of glucagon, pancreatic polypeptide, PYY, and the transcription factor SATB2, as well as generic neuroendocrine markers and keratins. The same L cell markers are expressed by cells within the normal middle ear epithelium. These markers define a valuable immunohistochemical profile that can be used for differential diagnosis of middle ear neoplasms, particularly in distinguishing epithelial NETs from paragangliomas. The discovery of neuroendocrine cells expressing the same markers in non-neoplastic middle ear mucosa opens new areas of investigation into the physiology of the normal middle ear and the pathophysiology of middle ear disorders.

Novel hole-pillar spacer design for improved hydrodynamics and biofouling mitigation in membrane filtration.

Feed spacers are the critical components of any spiral-wound filtration module, dictating the filtration performance. Three spacer designs, namely a non-woven commercial spacer (varying filament cross-section), a symmetric pillar spacer, and a novel hole-pillar spacer (constant filament diameter) were studied using Direct Numerical Simulations (DNS), 3-D printed and subsequently experimentally tested in a lab-scale ultrafiltration set-up with high biofouling potential feed water at various feed pressures. Independent of the applied pressure, the novel hole-pillar spacer showed initially the lowest feed channel pressure drop, the lowest shear stress, and the highest permeate flux compared to the commercial and pillar spacers. Furthermore, less biofilm thickness development on membrane surface was visualized by Optical Coherent Tomography (OCT) imaging for the proposed hole-pillar spacer. At higher feed pressure, a thicker biofilm developed on membrane surface for all spacer designs explaining the stronger decrease in permeate flux at high pressure. The findings systematically demonstrated the role of various spacer designs and applied pressure on the performance of pre-treatment process, while identifying specific shear stress distribution guidelines for engineering a new spacer design in different filtration techniques.

Hole-Type Spacers for More Stable Shale Gas-Produced Water Treatment by Forward Osmosis.

An appropriate spacer design helps in minimizing membrane fouling which remains the major obstacle in forward osmosis (FO) systems. In the present study, the performance of a hole-type spacer (having holes at the filament intersections) was evaluated in a FO system and compared to a standard spacer design (without holes). The hole-type spacer exhibited slightly higher water flux and reverse solute flux (RSF) when Milli-Q water was used as feed solution and varied sodium chloride concentrations as draw solution. During shale gas produced water treatment, a severe flux decline was observed for both spacer designs due to the formation of barium sulfate scaling. SEM imaging revealed that the high shear force induced by the creation of holes led to the formation of scales on the entire membrane surface, causing a slightly higher flux decline than the standard spacer. Simultaneously, the presence of holes aided to mitigate the accumulation of foulants on spacer surface, resulting in no increase in pressure drop. Furthermore, a full cleaning efficiency was achieved by hole-type spacer attributed to the micro-jets effect induced by the holes, which aided to destroy the foulants and then sweep them away from the membrane surface.

Clinical and histopathological principles for the diagnosis of a recurrent paraganglioma of the jugular foramen initially diagnosed as a middle ear adenoma: illustrative case.

BACKGROUND: Paragangliomas (PGLs) are rare neoplasms that may be associated with hereditary PGL syndromes and variable risk of metastasis. Middle ear adenomas are extremely rare tumors with no known hereditary predisposition and extremely low risk of metastasis. Although often easily differentiated, they may share clinical and pathological features that misdirect and confuse the diagnosis. OBSERVATIONS: The authors discussed a 35-year-old woman with left-sided hearing loss and bleeding from the external ear canal who presented to an outside hospital. She underwent resection of a middle ear and mastoid mass, initially diagnosed as a middle ear adenoma with neuroendocrine features, with later mastoidectomy and ligation of the sigmoid sinus with microsurgical excision of persistent tumor in the jugular foramen and temporal bone. Histopathologically, her tumor was vascular, composed of benign-appearing epithelioid cells with "salt and pepper" neuroendocrine chromatin arranged in vague nests. Lesional cells were GATA3-immunopositive, glucagon-negative, and succinate dehydrogenase-immunonegative, consistent with PGL rather than middle ear adenoma, and required further workup for hereditary PGL syndromes. LESSONS: This case demonstrates potential challenges in differentiating a PGL from a middle ear adenoma. The authors offer clinical, histopathological, and imaging principles to aid in diagnosis and workup.

Dead-end membrane distillation with localized interfacial heating for sustainable and energy-efficient desalination.

Membrane distillation (MD) has the high potential to circumvent conventional desalination limitations in treating highly saline brines. However, the performance of MD is limited by its low thermal efficiencyand temperature polarization (TP) effect. Consequently, the driving force decreases when heat loss increases.In this study, we propose to minimize TP through localized heating where the thin feed channel was heated uniformly at the membrane-liquid interface without changing the properties of the membrane.This concept was further improved by implementing a new dead-end MD configuration. Investigated for the first time,this configuration eliminated circulation heat losses, which cannot be realized in conventional MD due to a rapid temperature stratification. In addition, the accumulation of foulants on the membrane surface was successfully controlled by intermittent flushing. 3-Dimensional conjugate heat transfer modeling revealedmore uniform heat transfer and temperature gradient across the membrane due to the increased feed water temperature over a larger membrane area. The increase of water vapor flux (45%) and the reduction of heat lossobserved in the new dead-end concept led to a decrease of the specific energy consumption by 57%, corresponding to a gain output ratio increase of about 132 %, compared to a conventional bulk heating, while preserving membrane integrity. A conjugate heat transfer model was deployed in ANSYS-Fluent framework to elucidate on the mechanism of flux enhancement associated with the proposed technique. This study provides a framework for future sustainable MD developmentby maintaining a stable vapor flux while minimizing energy consumption.

Effect of localized hydrodynamics on biofilm attachment and growth in a cross-flow filtration channel.

Biofilm attachment and growth in membrane filtration systems are considerably influenced by the localized flow inside the feed channel. The present work aims to map the biofilm attachment/growth mechanism under varying flow conditions. Effect of varying clearance region (space between the spacer filament and membrane surface) on biofouling pattern is investigated by using three 3D-printed pillar spacers having different filament diameters of 340, 500, and 1000 µm while maintaining the same pillar orientation, diameter and height. Direct Numerical Simulations (DNS) and Optical Coherence Tomography (OCT) were carried out to accurately predict the local hydrodynamics behavior and in-situ monitor the biofilm formation. On spacer filaments, biofouling attachment is primarily observed in the regions where low and non-fluctuating shear stresses are present. Conversely, on membrane surface, highest biofouling attachment was observed under spacer filaments where high shear stresses are prevalent along with low clearance height. Furthermore, as filtration time progresses, the biofilm grows faster on the membrane in the center of spacer cells where low shear stress with steady hydrodynamics conditions are prevalent. The proposed hydrodynamics approach envisages a full spectrum of spacer design constraints that can lead to intrinsic biofilm mitigation while improving filtration performance of membranes based water treatment.

The effect of anaesthesia on flank incisional pain: infiltration versus intercostal nerve block, a comparative study.

The object of this study is to determine which local wound analgesic option is superior, local anaesthetic infiltration or intercostal nerve block, by combined local anaesthetic agents (0.5% bupivacaine + 2% lidocaine) and to detect which option can best alleviate the post-operative pain management and significantly prolong the time to the first rescue analgesic requirement and the total consumption of opioids in the first post-operative 72 hrs. The medical records of 1458 patients who underwent flank incision procedures by two different surgeons in our institute were retrospectively reviewed. Each surgeon used a different type of local incisional pain management; the first one used infiltration of flank incision routinely, the second surgeon used an intercostal block with all his patients. These elective procedures were carried out in our Urology Centre between June 2007 and June 2019. The duration of follow-up was from the recovery transfer until the end of the third post-operative day. Patients were divided into two groups: group 1 (729 patients-infiltration of flank incision) and group 2 (729 patients-intercostal nerve block). Patients were aged between 19-78 years. No significant differences were seen regarding the demographic data between both groups, P > 0.05. On the other hand, there were significant differences between group 1 and group 2 according to the mean visual analogue scale score (lower in group 1, P < 0.05), the total mean analgesic requirements during the first post-operative 72 hrs (lower in group 1, P < 0.05) and the time to the first analgesic demand (higher in group 1, P < 0.05). There were no statistically significant differences in post-operative complications between both groups, P > 0.05. The infiltration of flank incision with combined local anaesthetic agents (0.5% Bupivacaine + 2% lidocaine) is more effective in alleviating post-operative pain, decreasing total analgesic consumption during the first post-operative 72 hrs and prolonging the time required for the first rescue opioid.

Persistant Mullerian duct syndrome with intra-abdominal seminoma.

Persistent Mullerian duct syndrome (PMDS) is a rare form of male pseudohermaphroditism; it is defined by the presence of the Mullerian duct derivatives (the uterus, the fallopian tubes, and the upper vagina) in genotypically and phenotypically males. Seminoma is the most common type of testicular tumor in the third and fourth decade of life. We report a case of intra-abdominal seminoma in a patient with bilateral undescended testes and persistent Mullerian duct syndrome.

Energy efficient 3D printed column type feed spacer for membrane filtration.

Modification of the feed spacer design significantly influences the energy consumption of membrane filtration processes. This study developed a novel column type feed spacer with the aim to reduce the specific energy consumption (SEC) of the membrane based water filtration system. The proposed spacer increases the clearance between the filament and the membrane (reducing the spacer filament diameter) while keeping the same flow channel thickness as compared to a standard non-woven symmetric spacer. Since the higher clearance reduces the flow unsteadiness, column type nodes were added in the spacer structure as additional vortex shading bodies. Fluid flow behaviour in the channel for this spacer was numerically simulated by 3D CFD studies and then compared with the standard spacer. The numerical results showed that the proposed spacer substantially reduced the pressure drop, shear stress at the constriction region and shortened the dead zone. Finally, these findings were confirmed experimentally by investigating the filtration performances using the 3D printed prototypes of these spacers in a lab-scale filtration module. It is observed that the column spacer reduced the pressure drop by three times and doubled the specific water flux. 2D OCT (Optical Coherence Tomography) scans of the membrane surface acquired after the filtration revealed much lower biomass accumulation using the proposed spacer. Consequently, the SEC for the column spacer was found about two folds lower than the standard spacer.

Management of Idiopathic Retroperitoneal Fibrosis, a Retrospective Study at Prince Hussein Urology and Organ transplantation center (PHUO), Jordan.

INTRODUCTION: to study the presentation, clinical course, laboratoryresults, imaging findings, medical and urological treatments ofidiopathic retroperitoneal fibrosis at our institution. METHODS: Between January 2006 and December 2017, medical recordsand operatives' notes of 116 patients with idiopathic retroperitonealfibrosis (IPRF) were reviewed retrospectively. Diagnosis was doneby clinical and radiological imaging that fulfilled a strict criterion.All patients were initiated on Prednisolone 60 mg for two months,and reduced until reaching 10 mg daily, with a total duration of24 months in the responding patients. Renal drainage was done incases of obstructed kidneys. To assess response, both laboratoryresults and imaging studies at initiation and after 4 months werereviewed and compared. RESULTS: Of 116 patients diagnosed with IRPF, eighty five (73.3%)were male and thirty one (26.7%) female, with mean ± SD age atpresentation was (50.5 ± 10.6) years. 79% of the patients complaintof abdominal and low back pain, 27% uremic symptoms, 10.3% hada new onset of hypertension, 3.4% presented with anejaculation,and 13.8% were totally asymptomatic. Uretric obstruction hadbeen resolved in 132 ureters after a mean of 152 days of treatment.Almost 30 % reduction in the fibrotic mass size was achieved in82 % of patients. CONCLUSION: Glucocorticoids is the the mainstay of treatment. Therenal function tests, of the vast majority of patients, normalizedwith treatment. Relapse may occur, so a follow-up over a longperiod of time is required. A high index of suspicion is neededfor diagnosis in asymptomatic patients.

Evaluating the potential of superhydrophobic nanoporous alumina membranes for direct contact membrane distillation.

HYPOTHESIS: Direct contact membrane distillation (DCMD) processes exploit water-repellant membranes to desalt warm seawaters by allowing only water vapor to transport across. While perfluorinated membranes/coatings are routinely used for DCMD, their vulnerability to abrasion, heat, and harsh chemicals necessitates alternatives, such as ceramics. Herein, we systematically assess the potential of ceramic membranes consisting of anodized aluminum oxide (AAO) for DCMD. EXPERIMENTS: We rendered AAO membranes superhydrophobic to accomplish the separation of hot salty water (343 K, 0.7 M NaCl) and cold deionized water (292 K) and quantified vapor transport. We also developed a multiscale model based on computational fluid dynamics, conjugate heat transfer, and the kinetic theory of gases to gain insights into our experiments. FINDINGS: The average vapor fluxes, J, across three sets of AAO membranes with average nanochannel diameters (and porosities) centered at 80 nm (32%), 100 nm (37%), and 160 nm (57%) varied by < 25%, while we had expected them to scale with the porosities. Our multiscale simulations unveiled how the high thermal conductivity of the AAO membranes reduced the effective temperature drive for the mass transfer. Our results highlight the limitations of AAO membranes for DCMD and might advance the rational development of desalination membranes.

Fouling resilient perforated feed spacers for membrane filtration.

The improvement of feed spacers with optimal geometry remains a key challenge for spiral-wound membrane systems in water treatment due to their impact on the hydrodynamic performance and fouling development. In this work, novel spacer designs are proposed by intrinsically modifying cylindrical filaments through perforations. Three symmetric perforated spacers (1-Hole, 2-Hole, and 3-Hole) were in-house 3D-printed and experimentally evaluated in terms of permeate flux, feed channel pressure drop and membrane fouling. Spacer performance is characterized and compared with standard no perforated (0-Hole) design under constant feed pressure and constant feed flow rate. Perforations in the spacer filaments resulted in significantly lowering the net pressure drop across the spacer filled channel. The 3-Hole spacer was found to have the lowest pressure drop (50%-61%) compared to 0-Hole spacer for various average flow velocities. Regarding permeate flux production, the 0-Hole spacer produced 5.7 L m-2.h-1 and 6.6 L m-2.h-1 steady state flux for constant pressure and constant feed flow rate, respectively. The 1-Hole spacer was found to be the most efficient among the perforated spacers with 75% and 23% increase in permeate production at constant pressure and constant feed flow, respectively. Furthermore, membrane surface of 1-Hole spacer was found to be cleanest in terms of fouling, contributing to maintain higher permeate flux production. Hydrodynamic understanding of these perforated spacers is also quantified by performing Direct Numerical Simulation (DNS). The performance enhancement of these perforated spacers is attributed to the formation of micro-jets in the spacer cell that aided in producing enough unsteadiness/turbulence to clean the membrane surface and mitigate fouling phenomena. In the case of 1-Hole spacer, the unsteadiness intensity at the outlet of micro-jets and the shear stress fluctuations created inside the cells are higher than those observed with other perforated spacers, resulting in the cleanest membrane surface.