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Shen Y, Zhong X. Related factors of perioperative low body temperature and incidence of postoperative shivering in patients undergoing complex percutaneous nephrolithotomy and the effect analysis of composite insulation nursing intervention. Heliyon 2024; 10:e32126. [PMID: 38868031 PMCID: PMC11168386 DOI: 10.1016/j.heliyon.2024.e32126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2024] [Revised: 05/26/2024] [Accepted: 05/28/2024] [Indexed: 06/14/2024] Open
Abstract
This study aimed to analyze the factors associated with intraoperative hypothermia and postoperative shivering rates in patients undergoing complex percutaneous nephrolithotomy (PCNL) and investigate the effects of combined insulation nursing intervention. A total of 168 patients were included, with 103 patients in the control (Ctrl) group receiving routine care and 65 patients in the nursing (Nur) group receiving combined insulation nursing intervention measures. General information, surgical data, temperature, intraoperative hypothermia incidence, postoperative shivering, and complication rates were statistically analyzed between the two groups. Patient temperature, blood pressure, and blood gas indicators including pH value, bicarbonate, and lactate levels were recorded at admission (T0), before anesthesia (T1), 30 min after spinal-epidural combined anesthesia (T2), 60 min (T3), 90 min (T4), 120 min (T5), and postoperatively (T6). The results demonstrated that the average intraoperative temperature of patients in the Nur group was significantly higher than that of the Ctrl group (P < 0.001), and their incidence of hypothermia was significantly lower than that of the Ctrl group (P < 0.01). Additionally, the Nur group exhibited shorter recovery time (18.36 ± 3.58 min), extubation time (28.01 ± 3.12 min), and length of hospital stay (8.45 ± 2.14 days) compared to the Ctrl group (P < 0.05). The incidence of postoperative shivering was 4.62 %, significantly lower than that of the Ctrl group (P < 0.001). Multifactorial analysis revealed that age ≥60 years, stone diameter ≥3.0 cm, irrigation volume ≥3000 mL, nursing intervention measures, and surgical duration were the main factors influencing the occurrence of intraoperative hypothermia. Age ≥60 years, nursing intervention measures, surgical duration, and intraoperative temperature<36 °C are identified as major risk factors for postoperative shivering. This indicates that specialized nursing care and combined insulation nursing intervention measures in patients undergoing complex percutaneous nephrolithotomy contribute to reducing the incidence of intraoperative hypothermia and postoperative shivering. It is recommended to promptly address the risk factors associated with hypothermia and shivering during and after surgery to mitigate the risk of perioperative complications.
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Affiliation(s)
- Yangxi Shen
- Operation center, The University of Hongkong-Shenzhen Hospital, Shenzhen City, 518000, China
| | - Xin Zhong
- Urology Surgery, Shenzhen smaii medical center, Shenzhen City, 518000, China
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Fernandes RA, Ferreira N, Lopes S, Santos J, Bento Pereira N, Ferreira NO, Nunes L, Martins JM, Carvalho LH. Development of an Innovative Lightweight Composite Material with Thermal Insulation Properties Based on Cardoon and Polyurethane. Polymers (Basel) 2023; 16:137. [PMID: 38201802 PMCID: PMC10780395 DOI: 10.3390/polym16010137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 12/22/2023] [Accepted: 12/29/2023] [Indexed: 01/12/2024] Open
Abstract
The search for innovative and sustainable solutions to improve the energy efficiency of the construction industry has been a hot topic for researchers due to the tremendous impact of insulator materials in the thermal comfort of buildings. In the present work, an innovative lightweight composite material with thermal insulation properties was developed, for the first time, by using cardoon particles and polyurethane. The formulation of the composite material was optimized in terms of cardoon fraction and the polyol/isocyanate ratio, to achieve the best compromise between internal bond (IB) strength and thickness swelling (TS). The best performing composite was PU75-CP45, with 45 wt% of cardoon particles and 75% of isocyanate, achieving an IB of 0.41 MPa and a TS of 5.3%. Regarding insulation properties, the PU75-CP45 composite material exhibits a promising performance when compared to conventional construction industry materials by tuning its thickness. Additionally, the composite material presented very low emissions of volatile organic compounds and formaldehyde (bellow to legislation levels) and high resistance to biological degradation.
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Affiliation(s)
- Raquel A. Fernandes
- ARCP Colab—Rede de Competências em Polímeros, Rua Júlio de Matos, 828/882, 4200-355 Porto, Portugal; (R.A.F.); (N.F.); (S.L.); (J.S.)
- LEPABE—Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, s/n, 4200-465 Porto, Portugal;
- AliCE—Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
| | - Nuno Ferreira
- ARCP Colab—Rede de Competências em Polímeros, Rua Júlio de Matos, 828/882, 4200-355 Porto, Portugal; (R.A.F.); (N.F.); (S.L.); (J.S.)
| | - Sandro Lopes
- ARCP Colab—Rede de Competências em Polímeros, Rua Júlio de Matos, 828/882, 4200-355 Porto, Portugal; (R.A.F.); (N.F.); (S.L.); (J.S.)
| | - Jorge Santos
- ARCP Colab—Rede de Competências em Polímeros, Rua Júlio de Matos, 828/882, 4200-355 Porto, Portugal; (R.A.F.); (N.F.); (S.L.); (J.S.)
- LEPABE—Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, s/n, 4200-465 Porto, Portugal;
- AliCE—Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
| | - Nelson Bento Pereira
- CICon—Center for Innovation in Construction, Zona Industrial de Sabroso de Aguiar-Lote 2B, 5450-371 Vila Pouca de Aguiar, Portugal;
- CEPAT—Center for Heritage Studies, Avenida do Conde 5643, 4465-097 São Mamede de Infesta, Portugal;
| | - Nuno Oliveira Ferreira
- CEPAT—Center for Heritage Studies, Avenida do Conde 5643, 4465-097 São Mamede de Infesta, Portugal;
- Secundino Queirós Construction, Avenida Lopes de Oliveira 29, 5450-140 Pedras Salgadas, Portugal
| | - Lina Nunes
- LNEC—Laboratório Nacional de Engenharia Civil, Structures Department, Av. do Brasil, 101, 1700-066 Lisbon, Portugal;
| | - Jorge M. Martins
- LEPABE—Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, s/n, 4200-465 Porto, Portugal;
- AliCE—Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
- DEMad—Department of Wood Engineering, Instituto Politécnico de Viseu, Campus Politécnico de Repeses, 3504-510 Viseu, Portugal
| | - Luisa H. Carvalho
- LEPABE—Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, s/n, 4200-465 Porto, Portugal;
- AliCE—Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
- DEMad—Department of Wood Engineering, Instituto Politécnico de Viseu, Campus Politécnico de Repeses, 3504-510 Viseu, Portugal
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Bahar A, Hamami AEA, Benmahiddine F, Belhabib S, Belarbi R, Guessasma S. The Thermal and Mechanical Behaviour of Wood-PLA Composites Processed by Additive Manufacturing for Building Insulation. Polymers (Basel) 2023; 15:3056. [PMID: 37514446 PMCID: PMC10385560 DOI: 10.3390/polym15143056] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 07/06/2023] [Accepted: 07/12/2023] [Indexed: 07/30/2023] Open
Abstract
This study was aimed at considering the potential of wood-based composites processed using additive manufacturing as insulators in the building sector. A polylactic acid blend with 30% wood particles was used as a feedstock material in fused filament technology. Its thermal and mechanical properties were determined for various processing conditions, including printing temperature and infill rate. The results showed a minor contraction in its tensile performance as a result of the printing process. The printing temperature had a negligible effect on its stiffness and a limited influence on the other engineering constants, such as the tensile strength and ultimate stress. The thermal properties of printed structures have been found to significantly depend on the infill rate. Although the tested 3D printed wood-PLA material exhibited good thermal properties, which were tuneable using the printing conditions, its performance was still 38% to 57% lower compared to insulators such as the glass wool of the synthetic foams used in the building sector.
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Affiliation(s)
- Anis Bahar
- Department of Mechanical Engineering, IUT Nantes, Nantes Université, Oniris, CNRS, GEPEA, UMR 6144, F-44000 Nantes, France
- INRAE, UR1268 Biopolymères Interactions Assemblages, F-44300 Nantes, France
- LaSIE, UMR 7356 CNRS-La Rochelle Université, Avenue Michel Crépeau, CEDEX 01, F-17042 La Rochelle, France
| | - Ameur El Amine Hamami
- LaSIE, UMR 7356 CNRS-La Rochelle Université, Avenue Michel Crépeau, CEDEX 01, F-17042 La Rochelle, France
| | - Ferhat Benmahiddine
- LaSIE, UMR 7356 CNRS-La Rochelle Université, Avenue Michel Crépeau, CEDEX 01, F-17042 La Rochelle, France
- Builders Lab, Builders Ecole d'Ingénieurs, ComUE NU, 1 Rue Pierre et Marie Curie, F-14610 Epron, France
| | - Sofiane Belhabib
- Department of Mechanical Engineering, IUT Nantes, Nantes Université, Oniris, CNRS, GEPEA, UMR 6144, F-44000 Nantes, France
| | - Rafik Belarbi
- LaSIE, UMR 7356 CNRS-La Rochelle Université, Avenue Michel Crépeau, CEDEX 01, F-17042 La Rochelle, France
- Department of Architecture, Canadian University Dubai, City Walk, Dubai P.O. Box 415053, United Arab Emirates
| | - Sofiane Guessasma
- INRAE, UR1268 Biopolymères Interactions Assemblages, F-44300 Nantes, France
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