Data engineering for tracking chemicals and releases at industrial end-of-life activities.

Performing risk evaluation is necessary to determine whether a chemical substance presents an unreasonable risk of injury to human health or the environment across its life cycle stages. Data gathering, reconciliation, and management for supporting risk evaluation are time-consuming and challenging, especially for end-of-life (EoL) activities due to the need for proper reporting and traceability. A data engineering framework using publicly-available databases to track chemicals in waste streams generated by industrial activities and transferred to other facilities across different U.S. locations for waste management is implemented. The analysis tracks chemicals in waste streams generated at industrial processes and handling at off-site facilities and then estimates releases from EoL activities. The final product of this effort is a framework that identifies a set of chemical, activity, and industry sector categories as well as hazardous waste flows, emission factors, and uncertainty indicators to describe EoL activities. This framework helps to identify EoL exposure scenarios that would otherwise not be evaluated. As a case study, methylene chloride, one of the first ten chemicals to undergo risk evaluation under the amended U.S. Toxic Substances Control Act, was evaluated with results highlighting potential additional exposure scenarios.

Using heat to kill SARS-CoV-2.

The current coronavirus pandemic has reached global proportions and requires unparalleled collective and individual efforts to slow its spread. One critically important issue is the proper sterilization of physical objects that have been contaminated by the virus. Here, we review the currently existing literature on thermal inactivation of coronavirus (SARS-CoV-2) and present preliminary guideless on temperatures and exposure durations required to sterilize. We also compare these temperatures/exposure durations with potential household appliances that may be thought capable of performing sterilization.

Purpose-Driven Reconciliation of Approaches to Estimate Chemical Releases.

A framework is presented to address the toolbox of chemical release estimation methods available for manufacturing processes. Although scientists and engineers often strive for increased accuracy, the development of fit-for-purpose release estimates can speed results that could otherwise delay decisions important to protecting human health and the environment. A number of release estimation approaches are presented, with the newest using decision trees for regression and prediction. Each method is evaluated in a case study for cumene production to study the reconciliation of data quality concerns and requirements for time, resources, training, and knowledge. The evaluation of these decision support criteria and the lessons learned are used to develop a purpose-driven framework for estimating chemical releases.

Treatment of critical hand ischemia via orbital atherectomy and focal force balloon angioplasty: A mini-review.

Calcified lesions in below-the-elbow (BTE) arteries are common in patients with diabetes or end-stage renal disease and can lead to critical hand ischemia (CHI). Treatment of calcified lesions with atherectomy has proved useful in the lower extremities, however, atherectomy in the upper extremities and especially BTE, is not typically considered due to the small vessel size. We review and discuss these studies along with other CHI-related articles and also present a case of a severely calcified ulnar artery lesion treated with orbital atherectomy and plain Chocolate balloon angioplasty.

Tissue burns due to contact between a skin surface and highly conducting metallic media in the presence of inter-tissue boiling.

A numerical-based model was developed and implemented to determine the spatial and temporal temperature distributions within skin tissue resulting from thermal contact with a heated and high thermal conductivity metallic medium. In the presence of wet tissue, boiling is likely to occur, thereby affecting the probability of inducing burns. This investigation deals with how contact between a hot, highly conductive metallic material and skin gives rise to burns. In particular, the study focuses on the likelihood that metals typically used in cooking or industrial applications may cause burns. Insofar as the surfaces under consideration are above the boiling temperature of water, a mathematical model including phase change was developed. That model allowed different thermophysical properties to be respectively employed for dry and wet tissues. Multiple processes and their governing parameters were investigated to assess their impact on burn severity, including the temperature of the metal, the duration of contact, the contact resistance between the surface and the skin, the temperature range over which phase change occurred, and the cooling environment after the exposure. It was discovered that the most important parameters are the surface temperature and exposure duration. The other conditions/parameters had lesser impacts on the results.

Use of multi-lumen catheters to preserve injected stem cell viability and injectant dispersion.

Infusion catheters, when used with balloons, are susceptible to compression of the catheter lumen. A consequence is that shear stress is increased in the fluid that passes through the lumen. When the injected fluid contains viable cells, hemolysis of the cells can result. This study investigates the effect of a new injection catheter design which is intended to resist the deleterious effect of balloon compression on cell viability for various flowrates, balloon pressures, and fluid viscosity values. Two types of catheters were employed for the study; a standard single-lumen device and a newly designed multi-lumen alternate. Experimental and numerical simulations show that for a single-lumen injection catheter, balloon pressures in excess of 7-8atm have the potential for causing hemolysis for flows of approximately 1-4ml/min. The critical balloon pressure is dependent on the viscosity of the cell-carrying fluid and the injectant flowrate. Higher injection rates and viscosities lead to lower threshold balloon pressures. The results show a sharp rise in cell death when pressures rose above approximately 7atm. On the other hand, the multi-lumen design was shown to resist hemolysis for all tested and simulated balloon pressures and flowrates up to 10ml/min. Experimental results confirmed the numerical findings that hemolysis-causing shear stress was not found with the multi-lumen, up to 12atm. This study indicates that a pressure-resistant multi-lumen catheter better preserves cell viability compared to the standard.

Coupling Computer-Aided Process Simulation and Estimations of Emissions and Land Use for Rapid Life Cycle Inventory Modeling.

A methodology is described for developing a gate-to-gate life cycle inventory (LCI) of a chemical manufacturing process to support the application of life cycle assessment in the design and regulation of sustainable chemicals. The inventories were derived by first applying process design and simulation to develop a process flow diagram describing the energy and basic material flows of the system. Additional techniques developed by the United States Environmental Protection Agency for estimating uncontrolled emissions from chemical processing equipment were then applied to obtain a detailed emission profile for the process. Finally, land use for the process was estimated using a simple sizing model. The methodology was applied to a case study of acetic acid production based on the Cativa process. The results reveal improvements in the qualitative LCI for acetic acid production compared to commonly used databases and top-down methodologies. The modeling techniques improve the quantitative LCI results for inputs and uncontrolled emissions. With provisions for applying appropriate emission controls, the proposed method can provide an estimate of the LCI that can be used for subsequent life cycle assessments.

Mining Available Data from the United States Environmental Protection Agency to Support Rapid Life Cycle Inventory Modeling of Chemical Manufacturing.

Demands for quick and accurate life cycle assessments create a need for methods to rapidly generate reliable life cycle inventories (LCI). Data mining is a suitable tool for this purpose, especially given the large amount of available governmental data. These data are typically applied to LCIs on a case-by-case basis. As linked open data becomes more prevalent, it may be possible to automate LCI using data mining by establishing a reproducible approach for identifying, extracting, and processing the data. This work proposes a method for standardizing and eventually automating the discovery and use of publicly available data at the United States Environmental Protection Agency for chemical-manufacturing LCI. The method is developed using a case study of acetic acid. The data quality and gap analyses for the generated inventory found that the selected data sources can provide information with equal or better reliability and representativeness on air, water, hazardous waste, on-site energy usage, and production volumes but with key data gaps including material inputs, water usage, purchased electricity, and transportation requirements. A comparison of the generated LCI with existing data revealed that the data mining inventory is in reasonable agreement with existing data and may provide a more-comprehensive inventory of air emissions and water discharges. The case study highlighted challenges for current data management practices that must be overcome to successfully automate the method using semantic technology. Benefits of the method are that the openly available data can be compiled in a standardized and transparent approach that supports potential automation with flexibility to incorporate new data sources as needed.

Comprehensive method to predict and quantify scald burns from beverage spills.

A comprehensive study was performed to quantify the risk of burns from hot beverage spills. The study was comprised of three parts. First, experiments were carried out to measure the cooling rates of beverages in a room-temperature environment by natural convection and thermal radiation. The experiments accounted for different beverage volumes, initial temperatures, cooling period between the time of service and the spill, the material which comprised the cup, the presence or absence of a cap and the presence or absence of an insulating corrugated paper sleeve. Among this list, the parameters which most influenced the temperature variation was the presence or absence of a cover or cap, the volume of the beverage and the duration of the cooling period. The second step was a series of experiments that provided temperatures at the surface of skin or skin surrogate after a spill. The experiments incorporated a single layer of cotton clothing and the exposure duration was 30 s. The outcomes of the experiments were used as input to a numerical model which calculated the temperature distribution and burn depth within tissue. Last was the implementation of the numerical model and a catalogue of burn predictions for various beverage volumes, beverage service temperatures, and durations between beverage service and spill. It is hoped that this catalogue can be used by both beverage industries and consumers to reduce the threat of burn injuries. It can also be used by treating medical professionals who can quickly estimate burn depths following a spill incident.

Alterations of Blood Flow Through Arteries Following Atherectomy and the Impact on Pressure Variation and Velocity.

Simulations were made of the pressure and velocity fields throughout an artery before and after removal of plaque using orbital atherectomy plus adjunctive balloon angioplasty or stenting. The calculations were carried out with an unsteady computational fluid dynamic solver that allows the fluid to naturally transition to turbulence. The results of the atherectomy procedure leads to an increased flow through the stenotic zone with a coincident decrease in pressure drop across the stenosis. The measured effect of atherectomy and adjunctive treatment showed decrease the systolic pressure drop by a factor of 2.3. Waveforms obtained from a measurements were input into a numerical simulation of blood flow through geometry obtained from medical imaging. From the numerical simulations, a detailed investigation of the sources of pressure loss was obtained. It is found that the major sources of pressure drop are related to the acceleration of blood through heavily occluded cross sections and the imperfect flow recovery downstream. This finding suggests that targeting only the most occluded parts of a stenosis would benefit the hemodynamics. The calculated change in systolic pressure drop through the lesion was a factor of 2.4, in excellent agreement with the measured improvement. The systolic and cardiac-cycle-average pressure results were compared with measurements made in a multi-patient study treated with orbital atherectomy and adjunctive treatment. The agreements between the measured and calculated systolic pressure drop before and after the treatment were within 3%. This excellent agreement adds further confidence to the results. This research demonstrates the use of orbital atherectomy to facilitate balloon expansion to restore blood flow and how pressure measurements can be utilized to optimize revascularization of occluded peripheral vessels.

Estimating the time and temperature relationship for causation of deep-partial thickness skin burns.

The objective of this study is to develop and present a simple procedure for evaluating the temperature and exposure-time conditions that lead to causation of a deep-partial thickness burn and the effect that the immediate post-burn thermal environment can have on the process. A computational model has been designed and applied to predict the time required for skin burns to reach a deep-partial thickness level of injury. The model includes multiple tissue layers including the epidermis, dermis, hypodermis, and subcutaneous tissue. Simulated exposure temperatures ranged from 62.8 to 87.8°C (145-190°F). Two scenarios were investigated. The first and worst case scenario was a direct exposure to water (characterized by a large convection coefficient) with the clothing left on the skin following the exposure. A second case consisted of a scald insult followed immediately by the skin being washed with cool water (20°C). For both cases, an Arrhenius injury model was applied whereby the extent and depth of injury were calculated and compared for the different post-burn treatments. In addition, injury values were compared with experiment data from the literature to assess verification of the numerical methodology. It was found that the clinical observations of injury extent agreed with the calculated values. Furthermore, inundation with cool water decreased skin temperatures more quickly than the clothing insulating case and led to a modest decrease in the burn extent.

Rationalization of thermal injury quantification methods: application to skin burns.

Classification of thermal injury is typically accomplished either through the use of an equivalent dosimetry method (equivalent minutes at 43 °C, CEM43 °C) or through a thermal-injury-damage metric (the Arrhenius method). For lower-temperature levels, the equivalent dosimetry approach is typically employed while higher-temperature applications are most often categorized by injury-damage calculations. The two methods derive from common thermodynamic/physical chemistry origins. To facilitate the development of the interrelationships between the two metrics, application is made to the case of skin burns. This thermal insult has been quantified by numerical simulation, and the extracted time-temperature results served for the evaluation of the respective characterizations. The simulations were performed for skin-surface exposure temperatures ranging from 60 to 90 °C, where each surface temperature was held constant for durations extending from 10 to 110 s. It was demonstrated that values of CEM43 at the basal layer of the skin were highly correlated with the depth of injury calculated from a thermal injury integral. Local values of CEM43 were connected to the local cell survival rate, and a correlating equation was developed relating CEM43 with the decrease in cell survival from 90% to 10%. Finally, it was shown that the cell survival/CEM43 relationship for the cases investigated here most closely aligns with isothermal exposure of tissue to temperatures of ~50 °C.

Surrogate human tissue temperatures resulting from misalignment of antenna and implant during recharging of a neuromodulation device.

OBJECTIVES: A synergistic experimental and numerical investigation has provided quantitative information on the response of surrogate human tissue temperatures to misalignment of the implant and antenna of neuromodulation devices during recharging. MATERIALS AND METHODS: The experimental phase of the work provided information on the rates of heat transfer from the implant and the antenna to their respective surroundings. The heat transfer data were used as input to a biothermal model from which tissue temperature distributions were obtained. RESULTS: It was found that misalignment increases tissue temperatures compared with those for the aligned case for all of the investigated devices. These increases ranged from 0.5°C to 5.3°C. CONCLUSION: Notwithstanding these increases, the lowest temperatures were attained by the Restore Ultra device for all operating conditions. The temperature levels achieved by the Precision Plus and Eon Mini devices were found to be greater than those for the Restore Ultra but their relative rankings depend on the thermal boundary conditions and the duration of the recharging period. The foregoing rank ordering was validated by a sensitivity study in which the heat transfer data inputted to the numerical simulation was varied systematically. The aforementioned comparisons correspond with identical recharging periods for all of the devices.

Particle Trajectories and Agglomeration/Accumulation in Branching Arteries subjected to Orbital Atherectomy.

BACKGROUND: The transport of particles in surrogate and actual arterial geometries has been investigated synergistically by experimentation and numerical simulation. The motivating application for this work is orbital atherectomy which spawns a particle cloud in the process of debulking plaque from arterial walls. METHODS: Paired simulations and experiments were performed to prove the capability of the simulation model to predict both fluid and particle motions in branched arterial geometries. The verified model was then employed to predict the pattern of fluid flow in an actual multi-branched arterial geometry, including the flowrates passing through each of the individual branches. These predictions are in very good agreement with experimental data. Focus was then shifted to the issues of particle agglomeration within the flowing fluid and particle accumulation on the vessel walls. Once again, a synergistic approach was used. Flow visualization was employed to track the particle motions and to identify possible particle agglomeration within the fluid. RESULTS AND CONCLUSIONS: Accumulation of particles on walls was identified by measuring size distributions of effluent and residue within the artery. Scanning Electron Microscopy (SEM) evaluation showed evidence of a size-based sorting as the particles passed through vessels. It was found that plaque-facsimile particles resisted particle-particle agglomeration. They also did not accumulate to the wall of the facsimile artery. In addition, simulations showed that if particle-wall accumulation were to occur, it would be limited to very small regions in the artery branches.

Optimal techniques with the Diamondback 360° System achieve effective results for the treatment of peripheral arterial disease.

The Diamondback 360® Orbital PAD System (DB360) is a novel orbital atherectomy system for the treatment of calcified lower extremity lesions associated with peripheral arterial disease (PAD). This percutaneous, endovascular system incorporates the use of centrifugal force and differential sanding to modify plaque morphologies. The mechanism of differential sanding discriminates between compliant arterial tissue and diseased fibro-calcific or calcific plaque. An eccentrically mounted diamond-coated crown orbits at high speeds and removes a thin layer of calcific plaque with each pass of the crown. The crown creates a more concentric, smooth vessel lumen with increased diameter, increased lesion compliance and improved blood flow while protecting the vessel media. As a result, the risk for post-procedure thrombus formation and potential for restenosis may be reduced. The risk of intra-procedural events (slow flow, hemolysis, spasm and pain) may be reduced due to the design of this orbital sanding system along with proper technique. Extensive benchtop, in vivo, and clinical testing has confirmed these results and is presented within this paper. In addition, guidelines for selecting the most appropriate crown size and type (solid versus classic) and step-by-step procedural technique and pharmacology information are presented. The DB360 System provides a safe, efficacious, and cost-effective endovascular method for PAD treatment. Careful understanding of procedural methods, use of pharmacological drugs, and understanding of device operation contributes to improved treatment success.

Numerical simulation of a BPH thermal therapy--a case study involving TUMT.

The use of numerical simulation as a means to predict the outcome of transurethral microwave thermotherapy (TUMT) is set forth in detail. The simulation was carried out as a case study of a specific TUMT procedure. The selection of the case study was based on the availability of extensive medical records which documented an extraordinary application of TUMT. Predictions were made of the time-varying temperature patterns within the prostate, the bladder, the sphincter, the pelvic floor, and the fat and connective tissue which envelop these organs. These temperature patterns provided the basis of maps which highlighted those locations where necrosis occurred. An injury integral was used to predict the extent of the necrotic tissue produced by the therapy. It was found that, for the specific case being considered, necrosis occurred not only within the prostate but also extended to the neck of the bladder and to the fatty tissue. A special feature of the simulation was the accounting of the liquid-to-vapor phase change of the interstitial water. The vapor generated by the phase change is believed to significantly enlarge the region of necrosis. By the same token, the vapor pressure is expected to cause motion of the high-temperature liquid to deep-tissue regions. The damage predicted by the numerical simulation was compared, in detail, with post-operative medical examinations and found to be corroborated.

Numerical simulation of the urine flow in a stented ureter.

When a stent is implanted in a blocked ureter, the urine passing from the kidney to the bladder must traverse a very complicated flow path. That path consists of two parallel passages, one of which is the bore of the stent and the other is the annular space between the external surface of the stent and the inner wall of the ureter. The flow path is further complicated by the presence of numerous pass-through holes that are deployed along the length of the stent. These holes allow urine to pass between the annulus and the bore. Further complexity in the pattern of the urine flow occurs because the coiled "pig tails," which hold the stent in place, contain multiple ports for fluid ingress and egress. The fluid flow in a stented ureter has been quantitatively analyzed here for the first time using numerical simulation. The numerical solutions obtained here fully reveal the details of the urine flow throughout the entire stented ureter. It was found that in the absence of blockages, most of the pass-through holes are inactive. Furthermore, only the port in each coiled pig tail that is nearest the stent proper is actively involved in the urine flow. Only in the presence of blockages, which may occur due to encrustation or biofouling, are the numerous pass-through holes activated. The numerical simulations are able to track the urine flow through the pass-through holes as well as adjacent to the blockages. The simulations are also able to provide highly accurate results for the kidney-to-bladder urine flow rate. The simulation method presented here constitutes a powerful new tool for rational design of ureteral stents in the future.