background: proposing a strategy for sellar reconstruction in endoscopic transsphenoidal transsellar approach for pituitary adenoma. methods: 240 patients with pituitary adenoma underwent pure endoscopic endonasal transsphenoidal surgery. intra-operative csf leaks were classified as grade 0, no observable leak grade 1, csf dripping through an arachnoid membrane defect of less than 1 mm and grad...

The purpose of this work is to precise and complete one recently proposed in the literature and relative to a general criterion to maximize the first law efficiency of irreversible heat engines. It is shown that the previous proposal seems to be a particular case. A new proposal has been developed for a Carnot irreversible thermomechanical heat engine at steady state associated to two infinite ...

In this paper, a comparison between two well-known finite time heat engine models is presented: the Carnot-like heat engine based on specific heat transfer laws between the cyclic system and the external heat baths and the Low-Dissipation model where irreversibilities are taken into account by explicit entropy generation laws. We analyze the mathematical relation between the natural variables o...

Introduction The major sources of body heat production are muscle activity, chemical reactions involving ATP synthesis and usage, coupled (oxidative phosphorylation) and uncoupled (proton leak) mitochondrial respiration. The cause of fever associated with sepsis has not been elucidated, particularly in sedated, ventilated patients who neither perform much voluntary skeletal muscle activity nor ...

The molecular origin of standard metabolic rate and thermogenesis in mammals is examined. It is pointed out that there are important differences and distinctions between the cellular reactions that 1) couple to oxygen consumption, 2) uncouple metabolism, 3) hydrolyze ATP, 4) control metabolic rate, 5) regulate metabolic rate, 6) produce heat, and 7) dissipate free energy. The quantitative contr...