Search

Summary: In the existent paper, the performance of thermal storage hybrid buildings exploiting the latent heat of phase change materials (PCMs) for thermal refrigeration and heating of the contemporary period has been investigated. The conventional buildings consume a large amount of electricity, primarily for the heating and cooling applications. Electricity generation primarily relies on coal‐based thermal power plants. The emissions from these establishments pose a serious threat to the environment. Moreover, conventional heating/cooling units rely on exorbitant energy cost. The usage of any kind of thermal storage system is an efficacious way of stockpiling thermal energy and utilizing it when needed. This paper gives a comprehensive overview of the available thermal storage units incorporating PCMs. The various segments of the buildings, viz, ceiling, window, wall, and floor have been analyzed in details. The results are quite promising in terms of load reduction and overall energy saving. Indoor surface temperature reduction of up to 7oC has been achieved. The energy saving of up to 40% can be realized by employing PCM. A comprehensive list of the PCMs is also tried to build up for end users according to their temperature requirement. [ABSTRACT FROM AUTHOR]

Background: We reviewed the long-term results of surgery for discrete subaortic membrane (SubAM) from a single institute.Methods: A retrospective review of medical records of all patients (n = 146) who underwent resection of a SubAM for discrete subaortic stenosis between 1990 and 2015 at the All India Institute of Medical Sciences, New Delhi, India was undertaken.Results: Median age at surgery was 9.0 years (9 months-47 years). There was one early death. Preoperative peak left ventricular outflow tract (LVOT) Doppler gradient was 83.4 ± 26.2 mmHg (range: 34-169 mmHg). On preoperative echocardiography, aortic regurgitation (AR) was absent in 69 (47.3%), mild in 35 (24%), moderate in 30 (20.5%), and severe in 12 (8.2%). After surgery, the LVOT gradient was reduced to 15.1 ± 6.2 mmHg (P < 0.001). Fourteen patients (9.6%) who had residual/recurrent significant gradients are currently being followed-up or awaiting surgery. There was improvement in AR for operated patients with freedom from AR of 92.6 ± 0.03% at 15 years. Kaplan-Meier survival at 25 years was 93.0 ± 3.9% (95% confidence interval: 79.6, 97.7). Freedom from re-operation at 25 years was 96.9 ± 1.8%.Conclusions: Long-term results of surgery for discrete SubAM are good. Resection of the membrane along with septal myectomy decreases the risk of recurrence. [ABSTRACT FROM AUTHOR]

The Korsakoff syndrome is defined as “an abnormal mental state in which memory and learning are affected out of all proportion to other cognitive functions in an otherwise alert and responsive patient.” Confabulation refers to false or erroneous memories arising, not deliberately, in the context of a neurological amnesia and is often thought of as pathognomonic of the Korsakoff syndrome. Although the exact pathophysiology is unknown, various studies have identified brain lesions in the thalami, mammillary bodies, and frontal cortex. We report a case of a 68-year-old male presenting with acute altered mental status on July 16, 2015. The neuropsychological dysfunctions included prominent Korsakoff’s syndrome, which became apparent when the altered mental status resolved. Amnesia was accompanied by prominent confabulation, disorientation, and lack of insight into his own disability. Neuroradiological data indicated that the intralaminar and dorsomedial nuclei in bilateral thalami were infarcted by occlusion of the artery of Percheron. We believe that ours is one of few reported cases of Korsakoff syndrome in a patient with infarction involving the territory of the artery of Percheron. We conclude that bilateral thalamic lesions could cause Korsakoff’s syndrome and the intralaminar and dorsomedial nuclei might be important structures in the pathogenesis of confabulation. [ABSTRACT FROM AUTHOR]