Handling Water Leaking on The Turbine Pit ULPLTA Bakaru due to Damage of the Guide Vane Part using Automatic Method with Motorized Valve

The Bakaru PLTA is the largest hydroelectric power plant in South Sulawesi with a capacity of 126 MW. To generate that much power, a lot of water is required, therefore, the Bakaru hydropower dam is designed to be able to accommodate a lot of water. In operation, the Bakaru hydropower plant consists of 2 units. However, not all units operate normally, such as unit 2. In unit 2, there is a leak that occurs in the Turbine Pit. This leak is caused by abrasion of the u-packing guide vane. With a leak in the turbine pit, more approaches are needed to dispose of the water in the turbine pit to the pit drainage. Which later developed into an infusion system that utilizes gravity to discharge water from the turbine pit in basement 2 to the drainage pit in basement 3. However, in its development, it turns out that the volume of water discharged cannot be controlled so that, it can cause a condition where one day the infusion hose does not flow and causes an increase in the water level in the turbine pit. This rise in the level of the turbine pit is dangerous for the unit. This is because water can enter the breathing hole of the bearing turbine tank and contaminate the oil so the bearing temperature is high and causes a trip or in the worst case, causing equipment damage. However, in reality, using an infusion system using human labor is still often constrained in terms of time efficiency, consistency and cost. Because every time this activity is carried out, the workers who do it are not always the same person and scheduled. Therefore the efficiency is still low. The purpose of this study was to determine the optimal method of handling the increase in water level in the turbine pit so that unit trips do not occur caused by the increase in the water level in the turbine pit. Finally, it is interesting to discuss and find a solution by relocating the handling of leaks by "using an automatic method with a motorized valve by installing a Motorized Valve on the Turbine Pit, so there are financial and non-financial benefits to be obtained. From the results of using the automatic method with a motorized valve, the results obtained are faster cycle times for handling leaks in the turbine pit so there is no stop unit due to leakage disturbances in the turbine pit.

Efficacy and safety of remimazolam besylate versus propofol during hysteroscopy: single-centre randomized controlled trial

Background Remimazolam besylate is a newer benzodiazepine with characteristics of quick onset of effects, short maintenance and recovery times without accumulation in tissues. This trial was conducted to confirm the efficacy and safety of remimazolam besylate versus propofol during hysteroscopy. Methods Patients undergoing hysteroscopy were randomly assigned to either the remimazolam (Group R) or the propofol group (Group P). Group R was administered an induction dose of 0.2 mg/kg and a maintenance dosage of 1.0 mg/kg/h. In Group P, propofol was started at 1.5–2.0 mg/kg and then maintained at 3.0–6.0 mg/kg/h. After remimazolam besylate or propofol induction, remifentanil was infused using a target-controlled infusion system with a target concentration of 1.5 ng/ml and titrated during the procedure. The incidence rates of injection pain, low oxygen saturation (SpO2) and adverse effects in both groups were compared. Results Eighty-two patients were included in this study. The incidence of adverse events in Group R (3.7%) was significantly lower than that in Group P (36.6%) (p < 0.001). The incidence of injection pain in Group P (80.5%) was much higher than that in Group R (2.4%) (p < 0.001). The incidence of other adverse events, such as low SpO2, bradycardia, and hypotension in Group R was lower than that in Group P (p < 0.05). Conclusions Remimazolam besylate proves to be a safer alternative for anesthesia during hysteroscopy. Moreover, adverse events caused by propofol, such as low SpO2 and injection pain, are largely avoided. Trial registration This study was approved by the Clinical Research Ethics Committee of Mengcheng County No. 1 People’s Hospital (2020MYL20003) and registered at http://www.chictr.org.cn (15/09/2020, ChiCTR-2000038252). The study protocol followed the CONSORT guidelines. The study protocol was performed in the relevant guidelines.

Quantitative assessment of infusion pump-mediated haemolysis in feline packed red blood cell transfusions

Objectives Haemolysis caused by the use of peristaltic infusion pumps (PIPs) has been described in human and canine packed red blood cells (pRBCs). The aim of this study was to evaluate the effects of two different linear PIPs on the haemolysis of feline pRBC units stored for a long time. Methods Feline pRBC units stored with adenine, dextrose, mannitol and sodium chloride (SAGM) were manufactured. After 35–42 days of storage at 2–4°C, a line administration system with a 180 µm filter was attached to every pRBC bag, the system was drained by gravity alone (8 drops/min) and a 1.3 ml sample was collected (G). A NIKI V4 pump was then used at a flow rate of 25 ml/h, the flow was stopped when the infusion system was filled with blood coming from the infusion pump and another 1.3 ml sample was collected (NK). Finally, an Infusomat FmS pump was evaluated, collecting another 1.3 ml sample (IM). Packed cell volume (PCV) was measured in all samples by microhaematocrit centrifugation, total haemoglobin (HGB) was measured using a specific haemoglobin analyser and, after centrifugation, free HGB was determined by spectrophotometry. The percentage of haemolysis was calculated. Friedman’s test was used to compare the samples. Results Fifteen feline pRBC units were evaluated. The average degree of haemolysis for sample G (gravity-assisted) was 1.12%. Comparison of the degree of gravity-assisted haemolysis with haemolysis in PIP NK (1.13%) and IM (1.14%) samples revealed no significant differences, with differences of only 0.01% and 0.02%, respectively. Conclusions and relevance The results of this study demonstrate that the use of two common PIPs in veterinary hospitals does not produce levels of haemolysis that are significantly different than that caused by gravity alone during transfusion of feline pRBCs at a rate of 25 ml/h.

Digital droplet infusion

A low-cost portable digital droplet infusion system can be modularized and implemented for high-precision infusion drug delivery.