OBJECTIVE The effect of insulin-like growth factor-1 (IGF-1) on energy expenditure and protein and glucose metabolism in a group of patients with thermal injury was determined. SUMMARY BACKGROUND DATA Accelerated protein catabolism is a constant feature of the hypermetabolic response to thermal injury. Insulin-like growth factor-1 has been reported to minimize protein catabolism and normalize...

BACKGROUND AND OBJECTIVES Severe burns result in a hypermetabolic state that is associated with increased morbidity and mortality. We reviewed the literature to determine if there is strong evidence that short-term β-blockers reduce the hypermetabolic state or mortality and length of stay (LOS) compared with no therapy in patients with severe burns. METHODS A literature search of PubMed, Emba...

Accurate prediction of pollutant emissions from turbulent combustion around complex geometries is of great practical interest. Here, an industrial furnace with rich-burn/quick-quench/lean-burn combustion for NOx reduction is simulated. Large eddy simulation (LES) is employed as the simulation tool since it outperforms Reynolds-Averaged-Navier-Stokes (RANS) simulations in capturing large-scale u...

In this multidisciplinary study a geared open rotor configuration is assessed and compared to an ultra high bypass ratio geared turbofan engine. Both designs assume a 2020 entry into service level of technology. The specific thrust level for minimizing block fuel and the resulting engine emissions for a given mission is sought. The tool used contains models that effectively capture: engine perf...

The purpose of this paper is to discuss the benefits generated from the application of lean tools in banking services. We will highlight on challenges, advantages, and principal success factors for lean implementation. As financial markets are experiencing changes so it’s mandatory to create a streamlined bank to meet the new expectations in a timely manner while continuing to lower operational...

conclusions these findings suggest that lean mass was the most important predictor of bmd in both genders. physical activity appears to positively impact on lean mass and needs to be considered in physical education and health-enhancing programs in iranian school children. background body weight is made up of lean and fat mass and both are involved in growth and development. impression of these...

background recognizing the significant impact of wait times for care for individuals with complex chronic conditions, we applied a lean methodology, namely – an adaptation of value stream mapping (vsm) to meet the needs of people with multiple chronic conditions and to improve wait times without additional resources or funding.   methods over an 18-month time period, staff applied a patient-cen...

This paper explores the effects of root-mean-square turbulence fluctuation velocity (u?) and ignition energy (Eig) on an kernel delay time (?delay) lean premixed n-butane/air spherical flames with effective Lewis number Le ? 2.1 >> 1. Experiments are conducted in a dual-chamber, fan-stirred cruciform burner capable generating near-isotropic negligible mean velocities using pair cantilever...

This paper deals with the optimization of the catalytic convertor for CNG Lean burn Engine based on BS4 compliances. In addition to the present catalytic convertor the work is carried out for the optimization of catalytic convertor and also to meet the BS4 compliance and also to reduced cost for the same. In this project we have prepared the samples with some variation in the substrate with res...

The potential applications of new graphitic materials, including carbon nanotubes and carbonized spheres, is limited by both the cost of production and the difficulties of organizing them into final geometries. We have developed a simple, low temperature (ca. 500 C) novel technology based on our discovery that in certain lean burn combustion environments graphite will grow rapidly (>1 graphene ...