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Introduction: The use of peri-articular (PA) tranexamic acid (TXA) and its efficacy in comparison with intra-articular (IA) tranexamic acid has not been well explored in literature. This retrospective cohort study aims to compare the effects of IA and PA TXA with analgesic components in reducing blood loss and improving immediate post-operative pain relief and functional outcomes in unilateral primary total knee replacement (TKA) patients. Methods: 63 patients who underwent a unilateral primary total knee replacement procedure were divided into 2 groups: 42 patients in the IA TXA delivery group, 21 patients in the PA TXA group. 1g of TXA was utilized for all patients. All patients had pericapsular infiltration consisting of 0.5ml of Adrenaline, 0.4ml of Morphine, 1g of Vancomycin, 1ml of Ketorolac and 15ml of Ropivacaine. Outcomes for blood loss, and surrogate markers for immediate functional recovery were measured. Results: 54.0% of the patients were female, 46.0% male. The mean drop in post-operative Hb levels in the PA and IA group was 2.0g/dL and 1.6 g/dL respectively, and statistically insignificant (p=0.10). The mean HCT drop in the PA and IA group was 6.1% and 5.3% respectively and statistically insignificant (p=0.58). The POD 1 and discharge day flexion angles, POD 1 and POD 2 VAS scores, gait distance on discharge, and length of hospitalization stay were largely similar in both groups. Conclusion: Our study shows that both IA and PA TXA with analgesic components are equally efficient in reducing blood loss and improving immediate postoperative pain relief and functional outcomes.

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a b s t r a c tWith growing concerns about environmental pollution caused by automobiles, biofuels containing oxygen -also known as oxygenates -are being researched very rigorously. In this article, we have inspected the use of isopropanol/gasoline blends, as fuel in a 4 -cylinder Spark Ignition engine with Multi-Point Fuel Injection System. Isopropanol was mixed with Unleaded Gasoline in proportions of 10, 20 and 30% by volume (IPA10, IPA20 and IPA30). It is found that with the use of isopropanol/gasoline blends in Spark Ignition Engine, Brake Thermal Efficiency and NOx emissions increased whereas carbon monoxide and hydrocarbon emissions decreased. When the spark timing was retarded by 2 degrees, it was found that isopropanol/gasoline blends emitted lower NOx emissions than those at original spark timing. Isopropanol blends also increased the in-cylinder pressure values and heat release rate values. Ó 2016 Karabuk University. Publishing services by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).