Flat roofs renovation: a life cycle approach for environmental impact assessment and economic effectiveness

The high energy consumption caused by the building sector and the continuous growth and ageing of the existing housing stock show the importance of housing renovation to improve the quality of the environment. This research compares the environmental performance of flat roof systems (insulation, roofing membrane and covering layer) using Life Cycle Assessment (LCA). The aim is to give indications on how to improve the environmental performance of housing. This research uses a reference building located in the Netherlands and considers environmental impacts related to materials, energy consumption for heating and maintenance activities. It indicates impact scores for each material taking into account interconnections between the layers and between the different parts of the life cycle. It compares the environmental and economic performances of PV panels and of different materials and thermal resistance values for the insulation. These comparisons show that PV panels are convenient from an environmental and economic point of view. The same is true for the insulation layer, especially for materials as PIR (polyisocyanurate) and EPS (expanded polystyrene). It shows that energy consumption for heating causes a larger share of impact scores than production of the materials and maintenance activities. The insulation also causes larger impact scores comparing to roofing membrane and covering layer. The results show which materials are preferable for flat roof renovation and what causes the largest shares of impact. This gives indication to the roofers and to other stakeholders about how to reduce the environmental impact of the existing housing stock.

New applications of cork in building

Several types of prefabricated elements for partitions and extrados, which improve the similar systems presently in the market, are presented in this research. These elements, manufactured with cork and lightened plaster, can be classified in two well defined groups. The first group is formed by lightened plaster panels for partitions of dimensions 60 x 265 cm (width, height) and of 7cm and 10 cm thickness. In the second group, panels for extrados with the same dimensions are included but with a thickness of 9.5 and 5 cm, including the 3 cm thickness of the incorporated high density expanded polystyrene sheet.

Influencia de las condiciones de ejecución en la resistencia de anclajes en convencional y autocompactante

A través de los años las estructuras de hormigón armado han ido aumentando su cuota de mercado, sustituyendo a las estructuras de fábrica de piedra o ladrillo y restándole participación a las estructuras metálicas. Uno de los primeros problemas que surgieron al ejecutar las estructuras de hormigón armado, era cómo conectar una fase de una estructura de este tipo a una fase posterior o a una modificación posterior. Hasta los años 80-90 las conexiones de una fase de una estructura de hormigón armado, con otra posterior se hacían dejando en la primera fase placas de acero con garrotas embebidas en el hormigón fresco o barras grifadas recubiertas de poliestireno expandido. Una vez endurecido el hormigón se podían conectar nuevas barras, para la siguiente fase mediante soldadura a la placa de la superficie o enderezando las barras grifadas, para embeberlas en el hormigón fresco de la fase siguiente. Estos sistemas requerían conocer la existencia y alcance de la fase posterior antes de hormigonar la fase previa. Además requerían un replanteo muy exacto y complejo de los elementos de conexión. Otro problema existente en las estructuras de hormigón era la adherencia de un hormigón fresco a un hormigón endurecido previamente, ya que la superficie de contacto de ambos hormigones suponía un punto débil, con una adherencia baja. A partir de los años 80, la industria química de la construcción experimentó un gran avance en el desarrollo de productos capaces de generar una buena adherencia sobre el hormigón endurecido. Este avance tecnológico tenía aplicación tanto en la adherencia del hormigón fresco sobre el hormigón endurecido, como en la adherencia de barras post-instaladas en agujeros de hormigón endurecido. Este sistema se denominó “anclajes adherentes de barras de acero en hormigón endurecido”. La forma genérica de ejecutarlos es hacer una perforación cilíndrica en el soporte de hormigón, con una herramienta especifica como un taladro, limpiar la perforación, llenarla del material adherente y finalmente introducir la barra de acero. Los anclajes adherentes se dividen en anclajes cementosos y anclajes químicos, siendo estos últimos los más habituales, fiables, resistentes y fáciles de ejecutar. El uso del anclaje adherente de barras de acero en hormigón endurecido se ha extendido por todo el espectro productivo, siendo muy habitual tanto en construcción de obras de hormigón armado de obra civil y edificación, como en obras industriales, instalaciones o fijación de elementos. La ejecución de un anclaje de una barra de acero en hormigón endurecido depende de numerosas variables, que en su conjunto, o de forma aislada pueden afectar de forma notable a la resistencia del anclaje. Nos referimos a variables de los anclajes, que a menudo no se consideran tales como la dirección de la perforación, la máquina de perforación y el útil de perforación utilizado, la diferencia de diámetros entre el diámetro del taladro y la barra, el tipo de material de anclaje, la limpieza del taladro, la humedad del soporte, la altura del taladro, etc. La utilización en los últimos años de los hormigones Autocompactables, añade una variable adicional, que hasta ahora apenas ha sido estudiada. En línea con lo apuntado, la presente tesis doctoral tiene como objetivo principal el estudio de las condiciones de ejecución en la resistencia de los anclajes en hormigón convencional y autocompactable. Esta investigación se centra principalmente en la evaluación de la influencia de una serie de variables sobre la resistencia de los anclajes, tanto en hormigón convencional como en un hormigón autocompactable. Para este estudio ha sido necesaria la fabricación de dos soportes de hormigón sobre los cuales desarrollar los ensayos. Uno de los bloques se ha fabricado con hormigón convencional y el otro con hormigón autocompactable. En cada pieza de hormigón se han realizado 174 anclajes con barras de acero, variando los parámetros a estudiar, para obtener resultados de todas las variables consideradas. Los ensayos a realizar en ambos bloques son exactamente iguales, para poder comparar la diferencia entre un anclaje en un soporte de hormigón con vibrado convencional (HVC) y un hormigón autocompactante (HAC). De cada tipo de ensayo deseado se harán dos repeticiones en la misma pieza. El ensayo de arrancamiento de las barras se realizara con un gato hidráulico hueco, con un sistema de instrumentación de lectura y registro de datos en tiempo real. El análisis de los resultados, realizado con una potente herramienta estadística, ha permitido determinar y evaluar numéricamente la influencia de los variables consideradas en la resistencia de los anclajes realizados. Así mismo ha permitido diferenciar los resultados obtenidos en los hormigones convencionales y autocompactantes, tanto desde el punto de vista de la resistencia mecánica, como de las deformaciones sufridas en el arrancamiento. Se define la resistencia mecánica de un anclaje, como la fuerza desarrollada en la dirección de la barra, para hacer su arrancamiento del soporte. De la misma forma se considera desplazamiento, a la separación entre un punto fijo de la barra y otro del soporte, en la dirección de la barra. Dichos puntos se determinan cuando se ha terminado el anclaje, en la intersección de la superficie plana del soporte, con la barra. Las conclusiones obtenidas han permitido establecer qué variables afectan a la ejecución de los anclajes y en qué cuantía lo hacen, así como determinar la diferencia entre los anclajes en hormigón vibrado convencional y hormigón autocompactante, con resultados muy interesantes, que permiten valorar la influencia de dichas variables. Dentro de las conclusiones podemos destacar tres grupos, que denominaremos como de alta influencia, baja influencia y sin influencia. En todos los casos hay que hacer el estudio en términos de carga y de desplazamiento. Podemos considerar como de alta influencia, en términos de carga las variables de máquina de perforación y el material de anclaje. En términos de desplazamiento podemos considerar de alta influencia además de la máquina de perforación y el material de anclaje, el diámetro del taladro, así como la limpieza y humedad del soporte. Podemos considerar de baja influencia, en términos de carga las variables de tipo de hormigón, dirección de perforación, limpieza y humedad del soporte. En términos de desplazamiento podemos considerar de baja influencia el tipo de hormigón y la dirección de perforación. Podemos considerar en el apartado de “sin influencia”, en términos de carga las variables de diámetro de perforación y altura del taladro. En términos de desplazamiento podemos considerar como “sin influencia” la variable de altura del taladro. Podemos afirmar que las diferencias entre los valores de carga aumentan de forma muy importante en términos de desplazamiento. ABSTRACT Over the years the concrete structures have been increasing their market share, replacing the masonry structures of stone or brick and subtracting as well the participation of the metallic structures. One of the first problems encountered in the implementing of the reinforced concrete structures was connecting a phase structure of this type at a later stage or a subsequent amendment. Until the 80s and 90s the connections of one phase of a reinforced concrete structure with a subsequent first phase were done by leaving the steel plates embedded in the fresh concrete using hooks or bent bars coated with expanded polystyrene. Once the concrete had hardened new bars could be connected to the next stage by welding them to the surface plate or by straightening the bent bars to embed them in the fresh concrete of the next phase. These systems required a previous knowledge of the existence and scope of the subsequent phase before concreting the previous one. They also required a very precise and complex rethinking of the connecting elements. Another existing problem in the concrete structures was the adhesion of a fresh concrete to a previously hardened concrete, since the contact surface of both concretes leaded to a weak point with low adherence. Since the 80s, the chemicals construction industry experienced a breakthrough in the development of products that generate a good grip on the concrete. This technological advance had its application both in the grip on one hardened fresh concrete and in the adhesion of bar post-installed in holes of hardened concrete. This system was termed as adherent anchors of steel bars in hardened concrete. The generic way of executing this system is by firstly drilling a cylindrical hole in the concrete support using a specific tool such as a drill. Then, cleaning the bore and filling it with bonding material to lastly, introduce the steel bar. These adherent anchors are divided into cement and chemical anchors, the latter being the most common, reliable, durable and easy to run. The use of adhesive anchor of steel bars in hardened concrete has spread across the production spectrum turning itself into a very common solution in both construction of reinforced concrete civil engineering and construction, and industrial works, installations and fixing elements as well. The execution of an anchor of a steel bar in hardened concrete depends on numerous variables which together or as a single solution may significantly affect the strength of the anchor. We are referring to variables of anchors which are often not considered, such as the diameter difference between the rod and the bore, the drilling system, cleansing of the drill, type of anchor material, the moisture of the substrate, the direction of the drill, the drill’s height, etc. During recent years, the emergence of self-compacting concrete adds an additional variable which has hardly been studied so far. According to mentioned this thesis aims to study the main performance conditions in the resistance of conventional and self-compacting concrete anchors. This research is primarily focused on the evaluation of the influence of several variables on the strength of the anchoring, both in conventional concrete and self-compacting concrete. In order to complete this study it has been required the manufacture of two concrete supports on which to develop the tests. One of the blocks has been manufactured with conventional concrete and the other with self-compacting concrete. A total of 174 steel bar anchors have been made in each one of the concrete pieces varying the studied parameters in order to obtain results for all variables considered. The tests to be performed on both blocks are exactly the same in order to compare the difference between an anchor on a stand with vibrated concrete (HVC) and a self-compacting concrete (SCC). Each type of test required two repetitions in the same piece. The pulling test of the bars was made with a hollow jack and with an instrumentation system for reading and recording data in real time. The use of a powerful statistical tool in the analysis of the results allowed to numerically determine and evaluate the influence of the variables considered in the resistance of the anchors made. It has likewise enabled to differentiate the results obtained in the self-compacting and conventional concretes, from both the outlook of the mechanical strength and the deformations undergone by uprooting. The mechanical strength of an anchor is defined as the strength undergone in a direction of the bar to uproot it from the support. Likewise, the movement is defined as the separation between a fixed point of the bar and a fixed point from the support considering the direction of the bar. These points are only determined once the anchor is finished, with the bar, at the intersection in the flat surface of the support. The conclusions obtained have established which variables affect the execution of the anchors and in what quantity. They have also permitted to determine the difference between the anchors in vibrated concrete and selfcompacting concrete with very interesting results that also allow to assess the influence of these mentioned variables. Three groups are highlighted among the conclusions called high influence, low influence and no influence. In every case is necessary to perform the study in terms of loading and movement. In terms of loading, there are considered as high influence two variables: drilling machinery and anchorage material. In terms of movement, there are considered as high influence the drilling diameter and the cleaning and moisture of the support, besides the drilling machinery and the anchorage material. Variables such as type of concrete, drilling direction and cleaning and moisture of the support are considered of low influence in terms of load. In terms of movement, the type of concrete and the direction of the drilling are considered variables of low influence. Within the no influence section in terms of loading, there are included the diameter of the drilling and the height of the drill. In terms of loading, the height of the drill is considered as a no influence variable. We can affirm that the differences among the loading values increase significantly in terms of movement.

Local liquid holdups and hysteresis in a 2-D packed bed using X-ray radiography

An X-ray visualization technique has been used for the quantitative determination of local liquid holdups distribution and liquid holdup hysteresis in a nonwetting two-dimensional (2-D) packed bed. A medical diagnostic X-ray unit has been used to image the local holdups in a 2-D cold model having a random packing of expanded polystyrene beads. An aqueous barium chloride solution was used as a fluid to achieve good contrast on X-ray images. To quantify the local liquid holdup, a simple calibration technique has been developed that can be used for most of the radiological methods such as gamma ray and neutron radiography. The global value of total liquid holdup, obtained by X-ray method, has been compared with two conventional methods: drainage and tracer response. The X-ray technique, after validation, has been used to visualize and quantify, the liquid hysteresis phenomena in a packed bed. The liquid flows in preferred paths or channels that carry droplets/rivulets of increasing size and number as the liquid flow rate is increased. When the flow is reduced, these paths are retained and the higher liquid holdup that persists in these regions leads to the holdup hysteresis effect. Holdup in some regions of the packed bed may be an order of magnitude higher than average at a particular flow rate. (c) 2005 American Institute of Chemical Engineers

Effect of explosive mixture on quality of explosive welds of copper to aluminium

The aim of this research is to investigate the influence of explosive ratio and type of sensitizer on the quality of explosive welds between copper and aluminium alloy plates. The welds were performed on a partially overlapping joint configuration using an emulsion explosive (EE) with two different sensitizers, hollow glass microspheres (HGMS) and expanded polystyrene spheres (EPS). Welds with an improved surface were achieved by using the HGMS sensitizer. A higher wave amplitude was registered in welds produced with the EPS sensitizer. In turn, the dimension of the molten pockets was influenced by the explosive ratio, increasing in size with increases in the values of this parameter. The intermetallic content of these zones varied according to the sensitizer type. Unlike the CuAl2 phase, the Cu-richer phases CuAl and Cu9Al4 were only identified in welds performed using the EPS sensitizer. An increase in hardness was observed at the interface of all welds, which resulted from both the presence of intermetallic phases and the plastic deformation of the materials promoted by the impact. This effect was most evident on the aluminium alloy side. All the welds had a greater strength than copper, i.e. the weakest material of the joint. (C) 2016 Elsevier Ltd. All rights reserved.

Mitigation of Train-Induced waves by resonant filled-trench (RFT)

The increase of railways near the urban areas is a significant cause of discomfort for inhabitants due to train-induced vibration and noise. Vibration characteristics can vary widely according to the train type: for high-speed trains, if train speed becomes comparable to the ground wave speed, the vibration level becomes significant; for freight trains, due to their heavier weight and lower speed, the vibration amplitudes are greater and propagate at a more considerable distance from the track; for urban tramways, although the vibration amplitude is relatively low, they can have a negative structural effect on the closest buildings [51]. Therefore, to dampen the vibration level, it is possible to carry out some interventions both on the track and the transmission path. This thesis aims to propose and numerically investigate a novel method to dampen the train-induced vibrations along the transmission path. The method is called "resonant filled-trench (RFT)" and consists of a combination of expanded polystyrene (EPS) geofoam to stabilize the trench wall against the collapse and drowned cylindrical embedded inclusions inside the geofoam, which act as a resonator, reflector, and attenuator. By means of finite element simulations, we show that up to 50% higher attenuation than the open trench is achievable after overcoming the resonance frequency of the inclusion, i.e., 35Hz, which covers the frequency contents of the train-induced vibration. Moreover, depending on the filling material used for the inclusions, trench depth can be reduced up to 17% compared to the open trench showing the same screening performance as the open trench. Also, an RFT with DS inclusion installed in dense sand soil shows a high hindrance performance (i.e., IL≥6dB) when the trench depth is larger than 0.5λ_R while it is 0.6λ_R for the open trench.

The Synthesis of Macrocyclic Polystyrene by Sequential Atom Transfer Radical Reactions

A method for the production of macrocyclic polystyrene via ring closing of a linear !,"-dibrominated polystyrene by an Atom Transfer Radical Coupling (ATRC) reaction is described. The dibrominated polystyrene chain was produced from two simultaneous atom transfer radical polymerizations (ATRPs) originating from a dibrominated benzal bromide initiator. To ensure the retention of the halogen end groups polymerization was allowed to proceed to less than 50% conversion. Using this precursor in an intramolecular ATRC (ring closing) reaction was found to yield in excess of 90% cyclic product based on refractive index-gel permeation chromatography (GPC) analysis. The cyclic architecture of the polymer was verified by GPC, Nuclear Magnetic Resonance (NMR), and mass spectrometry analysis. The utility of this method has been expanded by the addition of 2-methyl-2-nitrosopropane to the coupling reaction, which allows for the coupling to proceed at a faster rate and to yield macrocycles with incorporated alkoxyamine functionality. The alkoxyamine functionality allows for degradation of the cycles at high temperatures (>125° C) and we hypothesize that it may allow the macrocycles to act as a macroinitiator for a ring expansion polymerization in future studies.

X-ray diffraction characterisation of expanded austenite and ferrite in plasma nitrided stainless steels

The S phase, known as expanded austenite, is formed on the surfaces of austenitic stainless steels that are nitrided under low temperature plasma. A similar phase was observed for nitrided ferritic stainless steels and was designed as expanded ferrite or ferritic S phase. The authors treated samples of austenitic AISI 304L and AISI 316L and ferritic AISI 409 stainless steels by plasma nitriding at different temperatures and then studied the structural, morphological, chemical and corrosion characteristics of the modified layers by X-ray diffraction, scanning electron microscopy/energy dispersive spectroscopy and electrochemical tests. For both austenitic AISI 304L and AISI 316L stainless steels, the results showed that a hard S phase layer was formed on the surfaces, promoting an anodic polarisation curve displacement to higher current density values that depend on the plasma nitriding temperature. A layer having a high amount of nitrogen was formed on the ferritic AISI 409 stainless steel. X-ray diffraction measurements indicated high strain states for the modified layers formed on the three stainless steels, being more pronounced for the ferritic S phase.

Biohydrogen production in anaerobic fluidized bed reactors: Effect of support material and hydraulic retention time

This study evaluated two different support materials (polystyrene and expanded clay) for biohydrogen production in an anaerobic fluidized bed reactor (AFBR) treating synthetic wastewater containing glucose (4000 mg L(-1)). The AFBRs contained either polystyrene (R1) or expanded clay (R2) as support materials were inoculated with thermally pre-treated anaerobic sludge and operated at a temperature of 30 degrees C and a pH of approximately 5.5. The AFBRs were operated with a range of hydraulic retention times (HRTs) between 1 and 8 h. For R1 with an HRT of 2 h, the maximum hydrogen yield (HY) was 1.90 mol H(2) mol(-1) glucose, with 0.805 mg of biomass (as total volatile solids, or TVS) attached to each g of polystyrene. For R2 operated at an HRT of 2 h, the maximum HY was 2.59 mol H(2) moll glucose, with 1.100 mg of attached biomass (as TVS) g(-1) expanded clay. The highest hydrogen production rates (HPR) were 0.95 and 1.21 L h(-1) L(-1) for R1 and R2, respectively, using an HRT of 1 h. The H(2) content increased from 16-47% for R1 and from 22-51% for R2. No methane was detected in the biogas produced throughout the period of AFBR operation. These results show that the values of HY, HPR, H(2) content, and g of attached biomass g(-1) support material were all higher for AFBRs containing expanded clay than for reactors containing polystyrene. (C) 2010 Professor T. Nejat Veziroglu. Published by Elsevier Ltd. All rights reserved.

Anaerobic fluidized bed reactor with expanded clay as support for hydrogen production through dark fermentation of glucose

This study evaluated hydrogen production in an anaerobic fluidized bed reactor (AFBR) fed with glucose-based synthetic wastewater. Particles of expanded clay (2.8-3.35 mm) were used as a support material for biomass immobilization. The reactor was operated with hydraulic retention times (HRT) ranging from 8 to 1 h. The hydrogen yield production increased from 1.41 to 2.49 mol H(2) Mol(-1) glucose as HRT decreased from 8 to 2 h. However, when HRT was 1 h, there was a slight decrease to 2.41 mol H(2) Mol(-1) glucose. The biogas produced was composed of H(2) and CO(2), and the H(2) content increased from 8% to 35% as HRT decreased. The major soluble metabolites during H(2) fermentation were acetic acid (HAc) and butyric acid (HBu), accounting for 36.1-53.3% and 37.7-44.9% of total soluble metabolites, respectively. Overall, the results demonstrate the potential of using expanded clay as support material for hydrogen production in AFBRs. (c) 2008 International Association for Hydrogen Energy. Published by Elsevier Ltd. All rights reserved.

Photodegradation of Thermodegraded Polypropylene/High-Impact Polystyrene Blends: Mechanical Properties

The influence of the addition of high-impact polystyrene (HIPS) on polypropylene (PP) photodegradation was studied with blends obtained by extrusion with and without styrene-butadiene-styrene (SBS) copolymer (10 wt % with respect to the dispersed phase). The concentrations of HIPS ranged from 10 to 30 wt %. The blends and pure materials were exposed for periods of up to 15 weeks of UV irradiation; their mechanical properties (tensile and impact), fracture surface, and melt flow indices were monitored. After 3 weeks of UV exposure, all of the materials presented mechanical properties of the same order of magnitude. However, for times of exposure greater than 3 weeks, an increasing concentration of HIPS resulted in a better photostability of PP. These results were explained in light of morphological observations. This increase of photostability was even greater when SBS was added to the blends. It was more difficult to measure the melt flow index of the binary PP/HIPS blends than that of PP for low concentrations of HIPS; this was most likely due to energy transfer between the blend domains during photodegradation. This phenomenon was not observed for the ternary blends. (C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 120: 770-779, 2011

Photooxidative behavior of polystyrene-montmorillonite nanocomposites

The weathering behavior of polystyrene and polystyrene-montmorillonite composites containing 2.5, 5.0, and 7.5 wt% of montmorillonite (MMT) was investigated. Samples were exposed to UV radiation for periods of up to similar to 12 weeks and their molecular weight, chemical changes, and mechanical properties were monitored as a function of time. The addition of MMT was shown to improve the photostability of all composites investigated, probably because of a screen effect against UV radiation and barrier effect against diffusion of oxygen promoted by the silicate layers of MMT. Scanning electron microscopy of fracture surfaces of degraded samples showed that there is a degraded layer near the surface that provided a recovery of tensile strength of the samples.

Cytokine expanded myeloid precursors function as regulatory antigen presenting cells and induce tolerance through IL-10 producing regulatory T cells

The initiation of graft vs. host disease (GVHD) after stem cell transplantation is dependent on direct antigen presentation by host antigen presenting cells (APC) while the effect of indirect antigen presentation by donor APC is unknown. We have studied the role of indirect antigen presentation in allogenic responses by adding populations of cytokine-expanded donor APC to haematopoietic grafts that would otherwise induce lethal GVHD. Progenipoietin-1 (a synthetic G-CSF/Flt-3 L molecule) and G-CSF expanded myeloid DC, plasmacytoid DC and a novel granulocyte-monocyte precursor population (GM) that differentiate into class IIpos, CD80/CD86pos, CD40neg APC during GVHD. Whereas addition of plasmacytoid and myeloid donor DC augmented GVHD, GM cells induced transplant tolerance via MHC class II restricted generation of IL-10-secreting regulatory T cells. Thus a population of cytokine expanded granulocyte-monocyte precursors function as regulatory antigen presenting cells, suggesting that G-CSF derivatives may have application in disorders characterised by a loss of self-tolerance.

A Prospective Study of Conventional and Expanded Coagulation Indices in Predicting Ulcer Bleeding After Variceal Band Ligation

BACKGROUND & AIMS: There is controversy over whether coagulation status predicts bleeding caused by ulceration after esophageal varices band ligation (EVL). METHODS: EVL was performed for primary (n = 45) or secondary (n = 105) prophylaxis in 150 patients with cirrhosis (Child A, n = 74, 49%; Child B, n = 42, 28%; Child C, n = 34, 23%). International normalized ratio (INR) and platelet counts were assessed in all. In 92 patients, levels of factor V, fibrinogen, D-dimer, protein C and protein S, von Willebrand factor, and thromboelastography (TEG) were assessed. Platelet count < 50 x 10(3)/mm(3) and INR > 1.5 were considered high-risk cutoff for bleeding. Conversely, platelet count >= 50 x 10(3)/mm(3) with INR <= 1.5 were safe cutoffs. RESULTS: Overall, 11 patients (7.3%) had post-EVL ulcer bleeding. Bleeding occurred in S patients with Child A/B (4.3%) and 6 patients with Child C (17%) (P = .0174 for Child A/B versus Child C). Eight patients with bleeding were among the 110 below the cutoff for INR and platelet count, whereas only 3 of the patients with bleeding were among the 40 patients with purported high-risk values (P = 1.0). Among the 92 patients with expanded coagulation tests, bleeding occurred in S. There was no difference in any of the coagulation parameters, including overall TEG patterns, between patients who did and did nor bleed. CONCLUSIONS: Post-EVL ulcer bleeding was associated with Child C status but not with conventional or expanded coagulation indices in cirrhotic patients without renal failure or infection undergoing elective EVL. These results call into question the common use of prophylactic procoagulants in the elective setting.

Time course of haemodynamic, respiratory and inflammatory disturbances induced by experimental acute pulmonary polystyrene microembolism

Background and objective The time course of cardiopulmonary alterations after pulmonary embolism has not been clearly demonstrated and nor has the role of systemic inflammation on the pathogenesis of the disease. This study aimed to evaluate over 12 h the effects of pulmonary embolism caused by polystyrene microspheres on the haemodynamics, lung mechanics and gas exchange and on interleukin-6 production. Methods Ten large white pigs (weight 35-42 kg) had arterial and pulmonary catheters inserted and pulmonary embolism was induced in five pigs by injection of polystyrene microspheres (diameter similar to 300 mu mol l(-1)) until a value of pulmonary mean arterial pressure of twice the baseline was obtained. Five other animals received only saline. Haemodynamic and respiratory data and pressure-volume curves of the respiratory system were collected. A bronchoscopy was performed before and 12 h after embolism, when the animals were euthanized. Results The embolism group developed hypoxaemia that was not corrected with high oxygen fractions, as well as higher values of dead space, airway resistance and lower respiratory compliance levels. Acute haemodynamic alterations included pulmonary arterial hypertension with preserved systemic arterial pressure and cardiac index. These derangements persisted until the end of the experiments. The plasma interleukin-6 concentrations were similar in both groups; however, an increase in core temperature and a nonsignificant higher concentration of bronchoalveolar lavage proteins were found in the embolism group. Conclusion Acute pulmonary embolism induced by polystyrene microspheres in pigs produces a 12-h lasting hypoxaemia and a high dead space associated with high airway resistance and low compliance. There were no plasma systemic markers of inflammation, but a higher central temperature and a trend towards higher bronchoalveolar lavage proteins were found. Eur J Anaesthesiol 27:67-76 (C) 2010 European Society of Anaesthesiology.