To set out the second in a series of guidelines on the treatment of urolithiasis by the International Alliance of Urolithiasis that concerns retrograde intrarenal surgery (RIRS), with the aim of providing a clinical framework for urologists performing RIRS.
Materials and MethodsAfter a comprehensive search of RIRS-related literature published between 1 January 1964 and 1 October 2021 from the PubMed database, systematic review and assessment were performed to inform a series of recommendations, which were graded using modified GRADE methodology. Additionally, quality of evidence was classified using a modification of the Oxford Centre for Evidence-Based Medicine Levels of Evidence system. Finally, related comments were provided.
ResultsA total of 36 recommendations were developed and graded that covered the following topics: indications and contraindications; preoperative imaging; preoperative ureteric stenting; preoperative medications; peri-operative antibiotics; management of antithrombotic therapy; anaesthesia; patient positioning; equipment; lithotripsy; exit strategy; and complications.
ConclusionThe series of recommendations regarding RIRS, along with the related commentary and supporting documentation, offered here should help provide safe and effective performance of RIRS.
Purpose
This paper aims to propose using polylactic acid (PLA) as an alternative to nanocomposites in additive manufacturing processes in fusion deposition modelling (FDM) systems and describe its thermal and rheological conditions with multi-wall carbon nanotube (PLA/MWCNT) and halloysite nanotube (PLA/HNT) composites for possible applications in additive manufacturing processes.
Design/methodology/approach
PLA/MWCNTs and PLA/HNTs were obtained through fusion in a co-rotating twin-screw extruder. PLA was mixed with different percentages of MWCNTs and HNTs at concentrations of 0.5 Wt.%, 0.75 Wt.% and 1 Wt.%. Differential scanning calorimetry (DSC) and capillary rheometry were used to characterise these products, together with an analysis of the melt flow index (MFI).
Findings
The DSC data revealed that the nanocomposites had a glass transition temperature Tg = 65 ± 2°C and a melting temperature Tm = 169 ± 1°C. The crystallisation temperature of PLA/MWCNTs and PLA/HNTs was between 107 ± 2°C and 129°C, respectively. The viscosity data of PLA/MWCNTs and PLA/HNTs obtained by capillary rheometry indicated that the viscosity of the materials is the same as that of neat PLA. These results were confirmed by the higher fluidity index in the MFI analysis.
Originality/value
This paper presents an alternative for the applications of nanocomposites in additive manufacturing processes in FDM systems.
• Pyrolysis of bioplastics waste may offer an alternative waste treatment option, allowing the recovery of resources. Bioplastics have taken special interest in the industry. They could be an alternative to conventional petroleumbased plastics. Polylactic acid (PLA) is a bioplastic that has gained big interest during the last two decades. Pyrolysis of bioplastics waste may be economically and environmentally attractive. In order to obtain optimal energy recovery with an appropriate composition of emitted products, pyrolysis treatment has to ensure the adequate conditions. In this work, the thermal degradation of PLA was studied by pyrolysis coupled with gas chromatography and mass spectrometry detection. The test conditions allowed to identify and quantify the major compounds produced during thermal degradation of PLA.
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