Background End stage renal disease (ESRD) is emerging as a major health issues across developing countries with limited access and awareness about the importance of exercises in daily life. People on prolong hemodialysis has difficulty in performing their activities of daily living (ADL). Loss of muscle mass is inevitable among patients on hemodialysis that leads to morbidity and mortality. Exercise is feasible during dialysis and can enhance quality of life. Increase in aerobic endurance by various combined protocol of aerobic and resistive exercises can improve compliance to regular exercise that underlines the theme of present study. Methods A total of 31 participants were recruited during November 2019 to February 2020, after screening of 65 participants for selection criteria from Indraprastha Apollo Hospital’s dialysis unit. The average age of the participants was 52.36 ± 11.56 years. A single-blinded, pre-test–post-test quasi-experimental clinical trial for intradialytic exercise program involving lower limb ergometer and resistance training for lower limbs and non-fistula hand for 24 sessions, in 3 months, twice a week was conducted. Results The exercise program was well tolerated and all patients completed it. Aerobic and resistance intradialytic exercises (IDE) had a positive effect on maximal oxygen consumption (VO2 Max), quality of life (SF 36), and sleep quality (PSQI). IDE showed statistically significant difference from pre- to post-intervention for maximal oxygen consumption, quality of life boosting their sleep quality. Conclusions IDE found to benefit the patient and results showed a significant improvement in maximal oxygen consumption, sleep quality, quality of life and fatigue over a span of 12 weeks. Trial registration CTRI, CTRI/2019/08/020848. Registered on 22 August 2019.
The current study reports the modeling and experimental study of a novel Bank type earth air heat exchanger for both hot and humid and hot and dry weather of Ferozepur. The air has been flown through the bank in the induced mode in which uniform flow is achieved through all parallel pipes. The experimental work was followed by systematically designing experiments using the reduced quartic model of the full factorial designing technique. The earth's undisturbed temperature was 28°C at a depth of 2 m below the earth's surface at the place of study. The present study is better than the earlier reported shapes because the dry bulb temperature has moved down to 29.8°C . The 2-factor as well as 3-factor interactions were studied. The desirability for hot and dry weather ranges from 0.813 to 1.00, and for hot and humid weather ranges from 0.603 to 0.736.
The airflow in earth‐air heat exchangers with different types of flow was examined at various inlet velocities. The results show that there is a significant variation in the mass flow rate of air through the holes for both induced and forced flow. The mass flow rate ranges from 0.013 to 0.119 kg s−1 for forced flow and from 0.018 to 0.128 kg s−1 for induced flow at a velocity of 4.1 m s−1. In contrast, the variation in the mass flow rate through the pipes is significant only for forced flow and almost negligible for induced flow. The mass flow rate ranges from 0.029 to 0.054 kg s−1 for forced flow and from 0.043 to 0.045 kg s−1 for induced flow at the same velocity, indicating that induced flow may be a valuable method for optimizing the earth‐air heat exchanger performance.
The present study reports air-based novel energy saving compact bank type earth air heat exchanger system (EAHE) (having only 25m2 area) fabricated from Polyvinylchloride pipes of nominal diameter 0.203 mm (8 inches) for inlet and outlet headers and main pipes and 0.150 mm (6 inches nominal diameter) for branched pipes, which is installed in Shaheed Bhagat Singh State University, Ferozepur in Punjab state, India (North West border area of India) and studied for the duration from April to August 2021 using the full factorial design with four inlet variables at multilevel to find a model equation between inlet and outlet variables, i.e., heat exchanger effectiveness and achieved temperature difference. An induced airflow mode has been used to provide near-uniform flow through all corresponding pipes of symmetrical-shaped earth air heat exchangers. The values of Dry bulb temperature (DBT) and wet bulb temperature (WBT) have been measured for air inlet, for air outlet, as well as for ambient air using resistance temperature detectors (RTD) installed at the requisite locations. Earth's undisturbed temperature (EUT) was also noted by installing RTD at a depth of 2 m, and the average measured value of EUT is found to be 28.5°C. The current system has imparted the temperature difference variation from 0.4 oC to 9.4 oC, and the effectiveness varied from 0.16 to 0.82 during the whole season. This system could give a cooling potential of 0.0523 kJ/s to 1.587 kJ/s using a mass flow rate of 0.163 kg/s.Experiments have been designed methodically to apply the full factorial technique. Most favorable parameters have been found for hot and dry and hot and humid weather. The current study is novel in terms of significantly improving the effectiveness of EAHE and addressing the central issue of space limitation in urban areas.
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