Because Foster Wheeler North America Corp. (hereinafter “Foster Wheeler”) is supplying and supporting pulverized fuel (PF) boilers producing steam with higher temperatures and pressures, increasing emphasis must be given to potential sources of corrosion and deposition. Further, because Foster Wheeler is developing projects involving cofiring of biomass fuels (e.g., wood waste, agricultural materials) with coals from a variety of sources, again corrosion and deposition must be thoroughly investigated. Chlorine frequently is identified as a significant source of corrosion and deposition, both from coal and from biomass, and in PF boilers. Given the pressures to advance to higher steam pressures and temperatures, an investigation of the consequences of chlorine was undertaken. This investigation was designed to highlight the potential for corrosion risks associated with once-through units and advanced cycles. This research took the form of a detailed literature investigation to evaluate chlorine in solid fuels: coals of various ranks and origins, biomass fuels of a variety of types, petroleum cokes, and blends of the above. The investigation focused upon an extensive literature review for papers, book chapters, and other documents dating back largely to 1991. The issues addressed focused upon depositionslagging and foulingand corrosion. Issues such as mercury control facilitation, or HCl emissions, are not considered in this review. It is recognized that chlorine can facilitate mercury capture by influencing the oxidation state of mercury (see, e.g., Pavlish et al., Fuel Process. Technol. 82 (2/3), 89−165; Senior et al., Fuel Process. Technol. 63 (2/3), 187−213; and Senior, Sadler, and Sarofim, Preprints: Division of Fuel Chemistry, American Chemical Society 50 (1), 295−298). This, however, is outside the focus of this analysis. Municipal solid waste, and its derivatives, are also not included in this review. Issues with municipal waste tend to focus on formation of polychlorinated dioxins and furans (see, e.g., Everaert, Chemosphere 46, 439−448), again outside the considerations of this review. The focus is strictly corrosion and deposition. To address the deposition and corrosion issues, this review evaluates the following considerations: concentrations of chlorine in available solid fuels including various coals and biomass fuels, forms of chlorine in those fuels, and reactionsincluding reactivitiesof chlorine in such fuels. The assessment includes consideration of alkali metals and alkali earth elements as they react with, and to, the chlorine and other elements (e.g., sulfur) in the fuel and in the gaseous products of combustion. The assessment also includes other factors of combustion: for example, combustion conditions including excess O2 and combustion temperatures. It also considers analyses conducted at all levels: theoretical calculations, bench scale laboratory data and experiments, pilot plant experiments, and full scale plant experience. Case studies and plant surveys form a significant considerat...
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The safety and efficacy of preoperative weight loss before elective nonbariatric surgery is controversial. We evaluated the effect of planned surgical delay for a preoperative weight loss trial in hernia repairs. Four hundred and fourteen patients undergoing elective hernia repair between July 2008 and May 2012 at a Level 1B VA Medical Center were identified. Included patients were divided into two groups: those who underwent immediate hernia repair (nontrial) and those who underwent weight loss trial before hernia repair (TRIAL). Twenty-two patients were categorized in the TRIAL group, and 392 in nontrial. Time from surgical evaluation to operation was longer in the TRIAL vs nontrial group (226 days vs 113 days, P = 0.001). Outcome measures were similar between groups. Net change in body mass index (BMI) was -2.2 per cent in TRIAL vs -0.86 per cent in nontrial patients (P = 0.440). Of the TRIAL patients, ten obtained a poor result (<3% decreased BMI), nine a moderate result (3–10% decreased BMI), and three a good result (>10% decreased BMI). Weight loss trials in elective hernia patients appear to be safe, although they result in significant delay to surgery and confer no difference in postoperative outcomes. Thus, efficacy of preoperative weight loss trials may be limited.
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