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1.
Environ Sci Technol ; 2023 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-36608262

RESUMO

The distributed consensus mechanism is the backbone of the rapidly developing blockchain network. Blockchain platforms consume vast amounts of electricity based on the current consensus mechanism of Proof-of-Work (PoW). Here, we point out a different consensus mechanism named Proof-of-Stake (PoS) that can eliminate the extensive energy consumption of the current PoW-based blockchain. We comprehensively elucidate the current and projected energy consumption and carbon footprint of the PoW- and PoS-based Bitcoin and Ethereum blockchain platforms. The model of energy consumption of PoS-based Ethereum blockchain can lead the way toward the prediction of other PoS-based blockchain technologies in the future. With the widespread adoption of blockchain technology, if the current PoW mechanism continues to be employed, the carbon footprint of Bitcoin and Ethereum will push the global temperature above 1.5 °C in this century. However, a PoS-based blockchain can reduce the carbon footprint by 99% compared to the PoW mechanism. The small amount of carbon footprint from PoS-based blockchain could make blockchain an attractive technology in a carbon-constrained future. The study sheds light on the urgency of developing the PoS mechanism to solve the current sustainability problem of blockchain.

2.
Phys Chem Chem Phys ; 25(20): 13877-13891, 2023 May 24.
Artigo em Inglês | MEDLINE | ID: mdl-37183599

RESUMO

CO2 capture by primary or secondary amines has been a topic of great research interests for a century because of its industrial importance. Interest has grown even more, because of the need to eliminate CO2 emissions that lead to global warming. Experimental evidence shows that CO2 sorption by primary or secondary amines is accompanied by co-absorption of H2O. A quantitative analysis of such CO2-H2O co-absorption behavior is important for practical process design and theoretical understanding. Even though there is almost an experimental consensus that water enhances CO2 uptake capacity, an analytical model to explain this phenomenon is not well established. Instead, some empirical models such as the Toth model are used to describe the isotherm without accounting for the presence of water. Recently, we have demonstrated that the isotherm equation of CO2 sorption into strong-base anion exchange materials with quaternary ammonium can be derived from that of strong-base aqueous alkaline solutions by correcting for the drastic change in the water activity and by including an appropriate parameterization of the water activity terms. In this paper, we generalize this model from quaternary ammonium to primary, secondary and tertiary amines either in solutions or as functional groups in polymer resins. For primary, secondary and tertiary amines, the isotherm equation can be derived by extending that of a weak-base aqueous alkaline solution such as aqueous ammonia. The model has been validated using experimental data on CO2 sorption for aqueous ammonia from the literature. This general model even includes quaternary ammonium as a special limit. Hence, this general model offers a platform that can treat the isotherms of solid amines, aqueous amines and aqueous alkaline solutions in a unified manner.

3.
Phys Chem Chem Phys ; 24(35): 21061-21077, 2022 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-36017678

RESUMO

The understanding of the sorption/desorption kinetics is essential for practical applications of moisture-controlled CO2 sorption. We introduce an analytic model of the kinetics of moisture-controlled CO2 sorption and its interpretation in two limiting cases. In one case, chemical reaction kinetics on pore surfaces dominates, in the other case, diffusive transport through the sorbent defines the kinetics. We show that reaction kinetics, which is dominant in the first case, can be expressed as a linear combination of 1st and 2nd order kinetics in agreement with the static isotherm equation derived and validated in a previous paper. The interior transport kinetics can be described by non-linear diffusion equations. By combining all carbon species into a single equation, we can eliminate - in certain limits - the source terms associated with chemical reactions. In this case, the governing equation is . For a sorbent in a form of a flat sheet or a membrane, one can maintain the same functional form of a diffusion equation by introducing a generalized effective diffusivity DM that combines contributions from both surface chemical reaction kinetics and interior diffusive transport kinetics. Experimental data of transient CO2 flux in a preconditioned commercial anion exchange membrane fit well to the 1st order model as long as very dry states are avoided, validating the theory. The observed DM for a preconditioned commercial anion exchange membrane ranges from 6.6 × 10-14 to 7.1 × 10-14 m2 s-1 at 35 °C. These small values compared to typical ionic diffusivities imply a very slow kinetics, which will be the largest issue that needs to be addressed for practical application. The collected transient CO2 flux data are used to predict the magnitude of a continuous CO2 pumping flux in an active membrane that transports CO2 against a CO2 concentration gradient. The pumped CO2 flux is supported by water flux due to a water concentration gradient.

4.
Phys Chem Chem Phys ; 24(24): 14763-14771, 2022 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-35678464

RESUMO

Moisture-controlled sorption of CO2, the basis for moisture-swing CO2 capture from air, is a novel phenomenon observed in strong-base anion exchange materials. Prior research has shown that Langmuir isotherms provide an approximate fit to moisture-controlled CO2 sorption isotherm data. However, this fit still lacks a governing equation derived from an analytic model. In this paper, we derive an analytic form for an isotherm equation from a bottom-up approach, starting with a fundamental theory for an alkali liquid. In the range of interest relevant to CO2 capture from air, an isotherm equation for an alkali liquid reduces to a simple analytic form with a single parameter, Keq. In the limit Keq ≫ 1, a 2nd order approximation simplifies to a Langmuir isotherm that, however, deviates from experimental data. The isotherm theory for an alkali liquid has been generalized to a strong-base anion exchange material. In a strong-base anion exchange material, water concentration inside a sorbent, [H2O], is not large enough to be regarded as constant, which allows us to extend Keq to Keq(AEM)eff = Keq(AEM) × [H2O]-n according to the law of mass action. The final isotherm formula has been validated by experimental data from the literature. For a moisture-controlled CO2 sorbent, Keq(AEM)eff varies significantly with moisture content of the sorbent. Depending on moisture level, the observed Keq(AEM)eff in a specific sorbent ranges from a few times to a few thousand times the value of Keq of a 2 mol L-1 alkali liquid.

5.
BMC Public Health ; 22(1): 24, 2022 01 06.
Artigo em Inglês | MEDLINE | ID: mdl-34991529

RESUMO

BACKGROUND: Psychosocial working conditions were previously analyzed using the first recruitment wave of the Gutenberg Health Study (GHS) cohort (n = 5000). We aimed to confirm the initial analysis using the entire GHS population at baseline (N = 15,010) and at the five-year follow-up. We also aimed to determine the effects of psychosocial working conditions at baseline on self-rated outcomes measured at follow-up. METHODS: At baseline, working GHS participants were assessed with either the Effort-Reward-Imbalance questionnaire (ERI) (n = 4358) or with the Copenhagen Psychosocial Questionnaire (COPSOQ) (n = 4322); participants still working after five years received the same questionnaire again (ERI n = 3142; COPSOQ n = 3091). We analyzed the association between working conditions and the outcomes job satisfaction, general health, burnout, and satisfaction with life at baseline, at follow-up and also prospectively from baseline to follow-up using linear regression models. We examined the outcome variance explained by the models (R2) to estimate the predictive performance of the questionnaires. RESULTS: The models' R2 was comparable to the original baseline analyses at both t0 and t1 (R2 range: ERI 0.10-0.43; COPSOQ 0.10-0.56). However, selected scales of the regression models sometimes changed between assessment times. The prospective analysis showed weaker associations between baseline working conditions and outcomes after five years (R2 range: ERI 0.07-0.19; COPSOQ 0.07-0.24). This was particularly true for job satisfaction. After adjusting for the baseline levels of the outcomes, fewer scales still explained some of the variance in the distribution of the outcome variables at follow-up. The models using only data from t0 or t1 confirmed the previous baseline analysis. We observed a loss of explained variance in the prospective analysis models. This loss was greatest for job satisfaction, suggesting that this outcome is most influenced by short-term working conditions. CONCLUSIONS: Both the COPSOQ and ERI instruments show good criterion validity and adequately predict contemporaneously measured self-reported measurements of health and (occupational) well-being. However, the COPSOQ provides a more detailed picture of working conditions and might be preferable for improvment strategies in workplaces. Additional prospective research with shorter follow-up times would be beneficial for estimating dose-response relationships.


Assuntos
Esgotamento Profissional , Satisfação no Emprego , Humanos , Recompensa , Estresse Psicológico/psicologia , Inquéritos e Questionários , Carga de Trabalho/psicologia , Local de Trabalho/psicologia
6.
Environ Sci Technol ; 54(8): 5102-5111, 2020 04 21.
Artigo em Inglês | MEDLINE | ID: mdl-32212696

RESUMO

This analysis investigates the cost of carbon capture from the US natural gas-fired electricity generating fleet comparing two technologies: postcombustion capture and direct air capture (DAC). Many of the existing natural gas combined cycle (NGCC) units are suitable for postcombustion capture. We estimated the cost of postcombustion retrofits and investigated the most important unit characteristics contributing to this cost. Units larger than 400 MW, younger than 14 years, more efficient than 45%, and with a utilization (capacity factor) higher than 0.5 were found to be the most promising for retrofit. Counterintuitively, DAC (which is usually not considered for point-source capture) may be cheaper in addressing emissions from nonretrofittable NGCC units. DAC can also address the residual emissions from retrofitted units. Moreover, the economic challenges of postcombustion capture for small natural gas-fired units with low utilization, such as gas turbines, make DAC look favorable for these units. After considering the cost of postcombustion capture for the entire natural gas-related emissions and incorporating the impact of learning-by-doing for both carbon capture technologies, our results show that DAC is the cheaper capture solution for at least 1/3 of all emissions.


Assuntos
Gás Natural , Centrais Elétricas , Dióxido de Carbono/análise , Carvão Mineral , Eletricidade
7.
Angew Chem Int Ed Engl ; 59(18): 6984-7006, 2020 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-31379037

RESUMO

The urgency to address global climate change induced by greenhouse gas emissions is increasing. In particular, the rise in atmospheric CO2 levels is generating alarm. Technologies to remove CO2 from ambient air, or "direct air capture" (DAC), have recently demonstrated that they can contribute to "negative carbon emission." Recent advances in surface chemistry and material synthesis have resulted in new generations of CO2 sorbents, which may drive the future of DAC and its large-scale deployment. This Review describes major types of sorbents designed to capture CO2 from ambient air and they are categorized by the sorption mechanism: physisorption, chemisorption, and moisture-swing sorption.

8.
J Chem Phys ; 149(16): 164708, 2018 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-30384735

RESUMO

Ion hydration is a fundamental process in many natural phenomena. This paper presents a quantitative analysis, based on atomistic modeling, of the behavior of ions and the impact of hydration in a novel CO2 sorbent. We explore moisture-driven CO2 sorbents focusing on diffusion of ions and the structure of ion hydration complexes forming inside water-laden resin structures. We show that the stability of the carbonate ion is reduced as the water content of the resin is lowered. As the hydration cloud of the carbonate ion shrinks, it becomes energetically favorable to split a remaining water molecule and form a bicarbonate ion plus a hydroxide ion. These two ions bind less water than a single, doubly charged carbonate ion. As a result, under relatively dry conditions, more OH- ions are available to capture CO2 than in the presence of high humidity. Local concentrations of dissolved inorganic carbon and water determine chemical equilibria. Reaction kinetics is then driven to a large extent by diffusion rates that allow water and anions to move through the resin structure. Understanding the basic mechanics of chemical equilibria and transport may help us to rationally design next-generation efficient moisture-driven CO2 sorbents.

9.
Environ Sci Technol ; 51(2): 1024-1034, 2017 01 17.
Artigo em Inglês | MEDLINE | ID: mdl-27935700

RESUMO

Most carbon capture and storage (CCS) envisions capturing CO2 from flue gas. Direct air capture (DAC) of CO2 has hitherto been deemed unviable because of the higher energy associated with capture at low atmospheric concentrations. We present a Life Cycle Assessment of coal-fired electricity generation that compares monoethanolamine (MEA)-based postcombustion capture (PCC) of CO2 with distributed, humidity-swing-based direct air capture (HS-DAC). Given suitable temperature, humidity, wind, and water availability, HS-DAC can be largely passive. Comparing energy requirements of HS-DAC and MEA-PCC, we find that the parasitic load of HS-DAC is less than twice that of MEA-PCC (60-72 kJ/mol versus 33-46 kJ/mol, respectively). We also compare other environmental impacts as a function of net greenhouse gas (GHG) mitigation: To achieve the same 73% mitigation as MEA-PCC, HS-DAC would increase nine other environmental impacts by on average 38%, whereas MEA-PCC would increase them by 31%. Powering distributed HS-DAC with photovoltaics (instead of coal) while including recapture of all background GHG, reduces this increase to 18%, hypothetically enabling coal-based electricity with net-zero life-cycle GHG. We conclude that, in suitable geographies, HS-DAC can complement MEA-PCC to enable CO2 capture independent of time and location of emissions and recapture background GHG from fossil-based electricity beyond flue stack emissions.


Assuntos
Carvão Mineral , Etanolamina , Eletricidade , Umidade , Centrais Elétricas
10.
Phys Chem Chem Phys ; 19(40): 27435-27441, 2017 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-28975183

RESUMO

The hydration of ions in nanoscale hydrated clusters is ubiquitous and essential in many physical and chemical processes. Here we show that the hydrolysis reaction is strongly affected by relative humidity. The hydrolysis of CO32- with n = 1-8 water molecules is investigated using an ab initio method. For n = 1-5 water molecules, all the reactants follow a stepwise pathway to the transition state. For n = 6-8 water molecules, all the reactants undergo a direct proton transfer to the transition state with overall lower activation free energy. The activation free energy of the reaction is dramatically reduced from 10.4 to 2.4 kcal mol-1 as the number of water molecules increases from 1 to 6. Meanwhile, the degree of hydrolysis of CO32- is significantly increased compared to the bulk water solution scenario. Incomplete hydration shells facilitate the hydrolysis of CO32- with few water molecules to be not only thermodynamically favorable but also kinetically favorable. We showed that the chemical kinetics is not likely to constrain the speed of CO2 air capture driven by the humidity-swing. Instead, the pore-diffusion of ions is expected to be the time-limiting step in the humidity driven CO2 air capture. The effect of humidity on the speed of CO2 air capture was studied by conducting a CO2 absorption experiment using IER with a high ratio of CO32- to H2O molecules. Our result is able to provide valuable insights into designing efficient CO2 air-capture sorbents.

11.
Chemistry ; 22(51): 18326-18330, 2016 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-27762459

RESUMO

A great deal of information exists concerning the hydration of ions in bulk water. Much less noticeable, but equally ubiquitous is the hydration of ions holding on to several water molecules in nanoscopic pores or in natural air at low relative humidity. Such hydration of ions with a high ratio of ions to water molecules (up to 1:1) are essential in determining the energetics of many physical and chemical systems. Herein, we present a quantitative analysis of the energetics of ion hydration in nanopores based on molecular modeling of a series of basic salts associated with different numbers of water molecules. The results show that the degree of hydrolysis of basic salts in the presence of a few water molecules is significantly different from that in bulk water. The reduced availability of water molecules promotes the hydrolysis of divalent and trivalent basic ions (S2- , CO32- , SO32- , HPO42- , SO42- , PO43- ), which produces lower valent ions (HS- , HCO3- , HSO3- , H2 PO4- , HSO4- , HPO42- ) and OH- ions. However, reducing the availability of water inhibits the hydrolysis of monovalent basic ions (CN- , HS- ). This finding sheds some light on a vast number of chemical processes in the atmosphere and on solid porous surfaces. The discovery has wide potential applications including designing efficient absorbents for acidic gases.

12.
Angew Chem Int Ed Engl ; 55(12): 4026-9, 2016 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-26914978

RESUMO

Water confined in nanoscopic pores is essential in determining the energetics of many physical and chemical systems. Herein, we report a recently discovered unconventional, reversible chemical reaction driven by water quantities in nanopores. The reduction of the number of water molecules present in the pore space promotes the hydrolysis of CO3(2-) to HCO3(-) and OH(-). This phenomenon led to a nano-structured CO2 sorbent that binds CO2 spontaneously in ambient air when the surrounding is dry, while releasing it when exposed to moisture. The underlying mechanism is elucidated theoretically by computational modeling and verified by experiments. The free energy of CO3 (2-) hydrolysis in nanopores reduces with a decrease of water availability. This promotes the formation of OH(-), which has a high affinity to CO2 . The effect is not limited to carbonate/bicarbonate, but is extendable to a series of ions. Humidity-driven sorption opens a new approach to gas separation technology.

13.
Proc Natl Acad Sci U S A ; 109(33): 13156-62, 2012 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-22843674

RESUMO

CO(2) capture and storage (CCS) has the potential to develop into an important tool to address climate change. Given society's present reliance on fossil fuels, widespread adoption of CCS appears indispensable for meeting stringent climate targets. We argue that for conventional CCS to become a successful climate mitigation technology--which by necessity has to operate on a large scale--it may need to be complemented with air capture, removing CO(2) directly from the atmosphere. Air capture of CO(2) could act as insurance against CO(2) leaking from storage and furthermore may provide an option for dealing with emissions from mobile dispersed sources such as automobiles and airplanes.


Assuntos
Ar/análise , Dióxido de Carbono/análise , Recuperação e Remediação Ambiental/métodos , Custos e Análise de Custo , Recuperação e Remediação Ambiental/economia
14.
Environ Sci Technol ; 48(1): 811-8, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24274391

RESUMO

To mitigate anthropogenically induced climate change and ocean acidification, net carbon dioxide emissions to the atmosphere must be reduced. One proposed option is underground CO2 disposal. Large-scale injection of CO2 into the Earth's crust requires an understanding of the multiphase flow properties of high-pressure CO2 displacing brine. We present laboratory-scale core flooding experiments designed to measure CO2 endpoint relative permeability for CO2 displacing brine at in situ pressures, salinities, and temperatures. Endpoint drainage CO2 relative permeabilities for liquid and supercritical CO2 were found to be clustered around 0.4 for both the synthetic and natural media studied. These values indicate that relative to CO2, water may not be strongly wetting the solid surface. Based on these results, CO2 injectivity will be reduced and pressure-limited reservoirs will have reduced disposal capacity, though area-limited reservoirs may have increased capacity. Future reservoir-scale modeling efforts should incorporate sensitivity to relative permeability. Assuming applicability of the experimental results to other lithologies and that the majority of reservoirs are pressure limited, geologic carbon sequestration would require approximately twice the number of wells for the same injectivity.


Assuntos
Dióxido de Carbono/química , Sequestro de Carbono , Sais/química , Fenômenos Geológicos , Permeabilidade , Pressão , Temperatura , Transdutores
15.
Environ Sci Technol ; 47(13): 7521-9, 2013 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-23745611

RESUMO

Reducing atmospheric CO2 using a combination of air capture and offshore geological storage can address technical and policy concerns with climate mitigation. Because CO2 mixes rapidly in the atmosphere, air capture could operate anywhere and in principle reduce CO2 to preindustrial levels. We investigate the Kerguelen plateau in the Indian Ocean, which offers steady wind resources, vast subseafloor storage capacities, and minimal risk of economic damages or human inconvenience and harm. The efficiency of humidity swing driven air capture under humid and windy conditions is tested in the laboratory. Powered by wind, we estimate ∼75 Mt CO2/yr could be collected using air capture and sequestered below seafloor or partially used for synfuel. Our analysis suggests that Kerguelen offers a remote and environmentally secure location for CO2 sequestration using renewable energy. Regional reservoirs could hold over 1500 Gt CO2, sequestering a large fraction of 21st century emissions.


Assuntos
Dióxido de Carbono/química , Sequestro de Carbono , Adsorção , Ar , Poluição do Ar/prevenção & controle , Fenômenos Geológicos , Oceano Índico , Resinas Sintéticas/química , Vento
16.
Phys Chem Chem Phys ; 15(2): 504-14, 2013 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-23172123

RESUMO

An ideal chemical sorbent for carbon dioxide capture from ambient air (air capture) must have a number of favourable properties, such as environmentally benign behaviour, a high affinity for CO(2) at very low concentration (400 ppm), and a low energy cost for regeneration. The last two properties seem contradictory, especially for sorbents employing thermal swing adsorption. On the other hand, thermodynamic analysis shows that the energy cost of an air capture device need only be slightly larger than that of a flue gas scrubber. The moisture swing separation process studied in this paper provides a novel approach to low cost CO(2) capture from air. The anionic exchange resin sorbent binds CO(2) when dry and releases it when wet. A thermodynamic model with coupled phase and chemical equilibria is developed to study the complex H(2)O-CO(2)-resin system. The moisture swing behaviour is compatible with hydration energies changing with the activity of water on the resin surfaces. This activity is in turn set by the humidity. The rearrangement of hydration water on the resin upon the sorption of a CO(2) molecule is predicted as a function of the humidity and temperature. Using water as fuel to drive the moisture swing enables an economical, large-scale implementation of air capture. By generating CO(2) with low partial pressures, the present technology has implications for in situ CO(2) utilizations which require low pressure CO(2) gas rather than liquid CO(2).

17.
Environ Sci Technol ; 45(15): 6670-5, 2011 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-21688825

RESUMO

An amine-based anion exchange resin dispersed in a flat sheet of polypropylene was prepared in alkaline forms so that it would capture carbon dioxide from air. The resin, with quaternary ammonium cations attached to the polymer structure and hydroxide or carbonate groups as mobile counterions, absorbs carbon dioxide when dry and releases it when wet. In ambient air, the moist resin dries spontaneously and subsequently absorbs carbon dioxide. This constitutes a moisture induced cycle, which stands in contrast to thermal pressure swing based cycles. This paper aims to determine the isothermal performance of the sorbent during such a moisture swing. Equilibrium experiments show that the absorption and desorption process can be described well by a Langmuir isothermal model. The equilibrium partial pressure of carbon dioxide over the resin at a given loading state can be increased by 2 orders of magnitude by wetting the resin.


Assuntos
Ar/análise , Dióxido de Carbono/química , Umidade , Absorção , Adsorção , Microscopia Eletrônica de Varredura , Modelos Químicos , Temperatura
18.
Eur Radiol ; 20(5): 1073-8, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-19915850

RESUMO

OBJECTIVES: To compare two-dimensional (2D) and three-dimensional (3D) computed tomography (CT) measurements of ablation zones (AZs) related to the shaft of two different large-volume monopolar multi-tined expandable electrodes. METHODS: Percutaneous radiofrequency (RF) ablation was performed in 12 pigs (81.6 +/- 7.8 kg) using two electrodes (LeVeen 5 cm, Rita XL 5 cm; n = 6 in each group). Contrast-enhanced CT with the electrode shaft in place evaluated the AZ. The largest sphere centred on the electrode shaft within the AZ was calculated (1) based on the 2D axial CT image in the plane of the shaft assuming rotational symmetry of the AZ and (2) using prototype software and the 3D volume data of the AZ measured with CT. RESULTS: The mean largest diameter of a sphere centred on the electrode shaft was always smaller using the 3D data of the AZ than using 2D CT measurements assuming rotational symmetry of the AZ (3D vs 2D): LeVeen 18.2 +/- 4.8 mm; 24.5 +/- 3.1 mm; p = 0.001; Rita XL 20.0 +/- 3.7 mm; 28.8 +/- 4.9 mm; p = 0.0002. All AZ showed indentations around the tines. CONCLUSIONS: Two-dimensional CT measurements assuming rotational symmetry of the AZ overestimate the largest ablated sphere centred on the electrode shaft compared with 3D CT measurements.


Assuntos
Ablação por Cateter/instrumentação , Fígado/diagnóstico por imagem , Fígado/cirurgia , Tomografia Computadorizada por Raios X/métodos , Algoritmos , Animais , Meios de Contraste , Eletrodos , Imageamento Tridimensional , Masculino , Interpretação de Imagem Radiográfica Assistida por Computador , Sus scrofa
19.
J Vasc Interv Radiol ; 21(4): 452-8, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20189412

RESUMO

PURPOSE: To compare the effects of a one-session procedure (ie, diagnostic angiography immediately followed by intervention) versus a two-session procedure (ie, diagnostic angiography and intervention in two separate sessions) on interventional therapy in patients with peripheral arterial occlusive disease (PAOD). MATERIALS AND METHODS: Interventional therapy was performed immediately after diagnostic angiography in one session in 228 patients (group 1) and in a chronologically separate, later session in another 43 patients (group 2). The retrospectively captured parameters were Fontaine stage, TransAtlantic InterSociety Consensus II criteria, angiographic severity, type, technical success and complication rates, examination times, volume of contrast media, radiation exposure, and fluoroscopy time for intervention. RESULTS: There were no between-group differences in clinical and interventional parameters. In group 1 there were 340 interventions performed, and there were 61 in group 2 with an interval before intervention of 1-55 days. The groups showed comparable success rates (92.6% vs 91.8%; P = .79) and complication rates (5.7% vs 4.65%; P = 1.0). The examination times were similar at 82.6 minutes +/- 40.5 and 91.3 minutes +/- 69.9, respectively (P = .92). Volume of contrast media (301.7 mL +/- 81.3 vs 459.2 mL +/- 123.7) and radiation exposure (140.5 Gy/cm(2) +/- 152.1 vs 304.7 Gy/cm(2) +/- 217.4) were significantly lower in group 1 (P < .001 each). Fluoroscopy times trended lower in group 1. CONCLUSIONS: In patients with PAOD, interventional therapy of iliac and femoropopliteal artery lesions performed in the same session as diagnostic angiography yields technical success and complication rates comparable to those seen with a two-session procedure, but is associated with significantly less contrast media use and radiation exposure.


Assuntos
Angioplastia com Balão/estatística & dados numéricos , Arteriopatias Oclusivas/diagnóstico por imagem , Arteriopatias Oclusivas/cirurgia , Radiografia Intervencionista/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Arteriopatias Oclusivas/epidemiologia , Estudos de Coortes , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Estudos Retrospectivos , Fatores de Tempo , Resultado do Tratamento
20.
Emerg Radiol ; 17(2): 103-8, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19826844

RESUMO

Multidetector computed tomography (MDCT) is especially suited for emergency diagnostics in multiple trauma patients. The objectives of this study were to investigate the types and frequencies of injuries associated with tram accidents in pedestrians. Eighteen consecutive pedestrian patients with multiple traumas after tram accidents were evaluated with MDCT in our Level I Trauma Center. The mean age in our patient cohort was 36.9 years with a range from 14-92 years. There was a trend for accident events occurring more commonly during the winter months in middle-aged men, often under the influence of alcohol. Patients were divided into two groups with unilateral or complex injury patterns. In both groups, leading diagnoses were head (83.3%) and thorax injuries (66.6%). Abdominal injuries (44.4%) were less common and mainly found in the complex injuries group. The most serious injuries occurred in the complex injuries group when the victim was caught under or between tramcars. A wide range of injuries is associated with tram accidents in pedestrians, which can be classified into two main injury patterns, unilateral and complex. The life-limiting injuries in this setting involved the head with a mortality rate of 22.2% (four patients) in our cohort.


Assuntos
Acidentes de Trânsito , Fraturas Ósseas/diagnóstico por imagem , Sistema Musculoesquelético/lesões , Tomografia Computadorizada por Raios X , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Caminhada , Adulto Jovem
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