RESUMO
The ideal method of providing tranexamic acid (TXA) for decreasing hemoglobin drop after TKA is still controversial. In this clinical trial, 200 patients were randomly allocated to four groups. In group 1,500 mg TXA was administered intravenously. In group 2, the joint irrigated with 3 g of TXA in 100 cc of saline. In group 3, 1.5 g of TXA was injected through the drain. Group 4 did not take TXA. Albeit all methods had a statistical effect on hemoglobin drop, drainage and number of transfused units when compared to controls, but intravenous injection of TXA seems to be much more effective in terms of reducing hemoglobin drop and transfused units; and what's more TXA injection by drain is more effective regarding to reducing postoperative drainage.
Assuntos
Antifibrinolíticos/administração & dosagem , Artroplastia do Joelho/efeitos adversos , Perda Sanguínea Cirúrgica/prevenção & controle , Hemoglobinas/metabolismo , Ácido Tranexâmico/administração & dosagem , Idoso , Transfusão de Sangue , Drenagem/métodos , Feminino , Humanos , Injeções Intra-Articulares , Injeções Intravenosas , Masculino , Pessoa de Meia-Idade , Cloreto de Sódio/administração & dosagem , Resultado do TratamentoRESUMO
This study conducted an evaluation of the corrosion behavior of an aluminum alloy utilized in the Isfahan Miniature Neutron Source Reactor (MNSR). The component analyzed, dry channel (DC), had been exposed to radiation for 12 years in a water environment within the reactor pool since its installation. To determine the effect of radiation on the corrosion of the LT-21 aluminum alloy used in the DC, different parts of the pipe were sampled and various tests were performed. These tests included mechanical strengths (impact, and micro-hardening), XRD, TEM, SEM-EDS, and potentiodynamic polarization (PDP). The parameters measured included corrosion potential, corrosion rate, changes in microscopic structure, and mechanical properties of the aluminum alloy along the entire length of the DC. The neutron and gamma dose distribution along the height of the DC, which was 540 cm, was calculated to determine the correlation between the dose distribution and observed corrosion. The study found that the corrosion mechanisms were complex and resulted from the simultaneous presence of the DC in the pool water and radiation from the reactor core. The observed results are presented and discussed in this study.