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- Grecu, I. S., et al.
(författare)
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URANS numerical simulations of pulsating flows considering streamwise pressure gradient on asymmetric diffuser
- 2022
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Ingår i: 31st IAHR Symposium on Hydraulic Machinery and Systems 26/06/2022 - 01/07/2022 Trondheim, Norway. - : Institute of Physics Publishing (IOPP).
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Konferensbidrag (refereegranskat)abstract
- The paper focuses on implementing the wall model developed by Manhart, in Reynolds Averaged Navier - Stokes (RANS) turbulence models used in the field of Computational Fluid Dynamics (CFD). This wall model considers the influence of the streamwise pressure gradient in addition to the existing wall models used in the usual CFD codes. In the present work, two RANS numerical simulations are carried out using the k-ω Shear Stress Transport (SST) turbulence model on an asymmetric diffuser geometry. One numerical simulation is carried out using the implementation of the Manhart wall model in the k-ω SST turbulence model, and the other numerical simulation is performed using the standard formulation of the k-ω SST turbulence model. The numerical simulations carried out using the Manhart wall model and the standard formulation of the k-ω SST are compared with experimental measurements made on the asymmetric diffuser experimental installation. The numerical simulations are carried out using a free, open-source CFD tool, Code_Saturne. The comparisons between numerical simulations and the experimental data are in good agreement in the boundary layer of the flow inside the diffuser. The Manhart wall model had a faster convergence resulting in a shorter simulation time.
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- Hiesmayr, M., et al.
(författare)
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Decreased food intake is a risk factor for mortality in hospitalised patients : the NutritionDay survey 2006
- 2009
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Ingår i: Clinical Nutrition. - : Elsevier BV. - 0261-5614 .- 1532-1983. ; 28:5, s. 484-491
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND & AIMS: Malnutrition is a known risk factor for the development of complications in hospitalised patients. We determined whether eating only fractions of the meals served is an independent risk factor for mortality. METHODS: The NutritionDay is a multinational one-day cross-sectional survey of nutritional factors and food intake in 16,290 adult hospitalised patients on January 19th 2006. The effect of food intake and nutritional factors on death in hospital within 30 days was assessed in a competing risk analysis. RESULTS: More than half of the patients did not eat their full meal provided by the hospital. Decreased food intake on NutritionDay or during the previous week was associated with an increased risk of dying, even after adjustment for various patient and disease related factors. Adjusted hazard ratio for dying when eating about a quarter of the meal on NutritionDay was 2.10 (1.53-2.89); when eating nothing 3.02 (2.11-4.32). More than half of the patients who ate less than a quarter of their meal did not receive artificial nutrition support. Only 25% patients eating nothing at lunch receive artificial nutrition support. CONCLUSION: Many hospitalised patients in European hospitals eat less food than provided as regular meal. This decreased food intake represents an independent risk factor for hospital mortality.
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- Jung, Christian, et al.
(författare)
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A comparison of very old patients admitted to intensive care unit after acute versus elective surgery or intervention
- 2019
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Ingår i: Journal of critical care. - : W B SAUNDERS CO-ELSEVIER INC. - 0883-9441 .- 1557-8615. ; 52, s. 141-148
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Tidskriftsartikel (refereegranskat)abstract
- Background: We aimed to evaluate differences in outcome between patients admitted to intensive care unit (ICU) after elective versus acute surgery in a multinational cohort of very old patients (80 years; VIP). Predictors of mortality, with special emphasis on frailty, were assessed.Methods: In total, 5063 VIPs were induded in this analysis, 922 were admitted after elective surgery or intervention, 4141 acutely, with 402 after acute surgery. Differences were calculated using Mann-Whitney-U test and Wilcoxon test. Univariate and multivariable logistic regression were used to assess associations with mortality.Results: Compared patients admitted after acute surgery, patients admitted after elective surgery suffered less often from frailty as defined as CFS (28% vs 46%; p < 0.001), evidenced lower SOFA scores (4 +/- 5 vs 7 +/- 7; p < 0.001). Presence of frailty (CFS >4) was associated with significantly increased mortality both in elective surgery patients (7% vs 12%; p = 0.01), in acute surgery (7% vs 12%; p = 0.02).Conclusions: VIPs admitted to ICU after elective surgery evidenced favorable outcome over patients after acute surgery even after correction for relevant confounders. Frailty might be used to guide clinicians in risk stratification in both patients admitted after elective and acute surgery.
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