Objective：To obtain early results of off-pump coronarE~ artery bypass grafting（OPCAB） in patients with significant left main coronary artery（LMCA） and triple vessels stenosis by comparing with those of a similar ...Objective：To obtain early results of off-pump coronarE~ artery bypass grafting（OPCAB） in patients with significant left main coronary artery（LMCA） and triple vessels stenosis by comparing with those of a similar group undergoing conventional coronary artery bypass surgery（CCAB）. Methods：Data for patients with significant LMCA and triple vessels stenosis who underwent CCAB or OPCAB were collected retrospectively between January 1999 and May 2006. Non-randomized, retrospective data analysis included demo- graphic and preoperative risk factors, operative details, clinical outcome and early follow-up. Results： The number of distal anastomo- sis and grafts varied from 3 to 6. The average number per patient was similar in the two groups （OPCAB group：3.76 ± 0.98, CCAB group：3.81 ± 1.02）. Thirty-day mortality occurred to one patient in the OPCAB group whereas two early deaths were observed in the CCAB group but did not reach statistical significance （P 〉 0.05）. The frequency of atrial fibrillation （AF）, IABP usage, mediastinitis, re-operation for bleeding （or tamponade） were similar in the two groups （P 〉 0.05）. Postoperative inotropic requirements, peak CKMB, ventilation time, blood loss, FFP, RBC transfusion need and the length of ICU-stay were all significantly lower in the OPCAB group compared with CCAB group（P 〈 0.05）.Conclusion： Significant LMCA and triple-vessel stenosis can safely and effectively undergo myocardial revascularization using OPCAB surgery. LMCA should no longer be seen as a contraindication to perform OPCAB grafting.展开更多
With net zero carbon emissions targets approaching over the next 20 to 30 years, the water industry must act now to develop energy efficient techniques and designs to reduce emissions and reduce the carbon footprint o...With net zero carbon emissions targets approaching over the next 20 to 30 years, the water industry must act now to develop energy efficient techniques and designs to reduce emissions and reduce the carbon footprint of water utility providers. There is also the potential for significant energy and therefore financial savings to be realised from the adoption of more energy efficient designs approaches. Water utility providers account for a significant proportion of national electricity consumption. The purpose of this research is to determine if, over the long term, opting for a larger diameter pipe at design stage can lead to significant financial and emissions savings for water utility providers when considering pumping mains. Pumping mains are widely used throughout the water and wastewater industry where a gravity solution is not possible. 72 hypothetical water main design scenarios were analysed and the long term financial and environmental impact of each hypothetical water main was assessed. It was found across all design scenarios that larger diameter water mains were capable of delivering the same rate of flow of smaller diameter pipes at a much reduced velocity and requiring reduced pumping power. It was concluded that pumped mains of larger diameters can ultimately be more energy efficient and cost effective over the long term when selected in favour of smaller diameter pumped mains in otherwise identical design scenarios.展开更多
Based on nuclear power plant(NPP) best-estimate transient analysis with RELAP5 / MOD3 code,the reactor point kinetics model in RELAP5 / MOD3 code is replaced by the two-group,3-D space and time dependent neutron kinet...Based on nuclear power plant(NPP) best-estimate transient analysis with RELAP5 / MOD3 code,the reactor point kinetics model in RELAP5 / MOD3 code is replaced by the two-group,3-D space and time dependent neutron kinetic model,and two-fluid model is replaced by drift flux model.A coupled three-dimensional physics and thermal-hydrodynamics model is used to develop its corresponding computing code,thus simulating natural circulation of single-phase flow for the PWR.In this paper,we report the forward and reverse flow distribution in the inverted U-tubes of the steam generator(SG) under some typical operating conditions in the natural circulation case, and analyze the influence of main coolant pump resistance on the forward and reverse flow distribution.The calculation results show that,the pressure drop between SG inlet and outlet plenum decreases,and the SG inlet and outlet mass flow decrease with an increased main coolant pump resistance,but net mass flux of reverse flow in inverted U-tubes,and the ratio of mass flow in all reverse flow tubes to that of main coolant pipeline increase, meanwhile,the secondary steam load is invariable in this process.展开更多
矿井下常常存在地下水渗积问题,通过控制主泵出水压力,能够有效地排除积水,保持井下环境相对干燥,增强煤矿地下环境的安全性。但由于矿井下的透水后压力负荷通常是不确定的,单纯以压力为传感信号的主泵排水控制的稳定性会受到较大影响,...矿井下常常存在地下水渗积问题,通过控制主泵出水压力,能够有效地排除积水,保持井下环境相对干燥,增强煤矿地下环境的安全性。但由于矿井下的透水后压力负荷通常是不确定的,单纯以压力为传感信号的主泵排水控制的稳定性会受到较大影响,当前排水多以人工观测为主,排水控制智能化实现难度较大。提出一种扬程特性关联下矿井主泵排水智能控制方法。分析矿井下大功率变频式主泵的扬程特性(H-Q),获取变频式主泵排水压力和扬程特性(H-Q)之间的关系。利用这一关系作为传感信号,采用解耦补偿器和神经网络,利用神经网络在线调整比例、积分和微分(proportional integral derivative,PID)控制参数,组建大功率变频式主泵出水压力智能控制器,实现泵出水压力智能控制。通过实验分析证明,研究方法应用后在22 s左右矿井主泵达到最佳状态,过程中产生的相对误差均在0.5%以下。在多次迭代控制下,所提方法的控制延误始终低于0.1 ms。展开更多
基金This work was supported by the Fund of Social Development in Jiangsu province(NO:BS2006013)
文摘Objective：To obtain early results of off-pump coronarE~ artery bypass grafting（OPCAB） in patients with significant left main coronary artery（LMCA） and triple vessels stenosis by comparing with those of a similar group undergoing conventional coronary artery bypass surgery（CCAB）. Methods：Data for patients with significant LMCA and triple vessels stenosis who underwent CCAB or OPCAB were collected retrospectively between January 1999 and May 2006. Non-randomized, retrospective data analysis included demo- graphic and preoperative risk factors, operative details, clinical outcome and early follow-up. Results： The number of distal anastomo- sis and grafts varied from 3 to 6. The average number per patient was similar in the two groups （OPCAB group：3.76 ± 0.98, CCAB group：3.81 ± 1.02）. Thirty-day mortality occurred to one patient in the OPCAB group whereas two early deaths were observed in the CCAB group but did not reach statistical significance （P 〉 0.05）. The frequency of atrial fibrillation （AF）, IABP usage, mediastinitis, re-operation for bleeding （or tamponade） were similar in the two groups （P 〉 0.05）. Postoperative inotropic requirements, peak CKMB, ventilation time, blood loss, FFP, RBC transfusion need and the length of ICU-stay were all significantly lower in the OPCAB group compared with CCAB group（P 〈 0.05）.Conclusion： Significant LMCA and triple-vessel stenosis can safely and effectively undergo myocardial revascularization using OPCAB surgery. LMCA should no longer be seen as a contraindication to perform OPCAB grafting.
文摘With net zero carbon emissions targets approaching over the next 20 to 30 years, the water industry must act now to develop energy efficient techniques and designs to reduce emissions and reduce the carbon footprint of water utility providers. There is also the potential for significant energy and therefore financial savings to be realised from the adoption of more energy efficient designs approaches. Water utility providers account for a significant proportion of national electricity consumption. The purpose of this research is to determine if, over the long term, opting for a larger diameter pipe at design stage can lead to significant financial and emissions savings for water utility providers when considering pumping mains. Pumping mains are widely used throughout the water and wastewater industry where a gravity solution is not possible. 72 hypothetical water main design scenarios were analysed and the long term financial and environmental impact of each hypothetical water main was assessed. It was found across all design scenarios that larger diameter water mains were capable of delivering the same rate of flow of smaller diameter pipes at a much reduced velocity and requiring reduced pumping power. It was concluded that pumped mains of larger diameters can ultimately be more energy efficient and cost effective over the long term when selected in favour of smaller diameter pumped mains in otherwise identical design scenarios.
文摘Based on nuclear power plant(NPP) best-estimate transient analysis with RELAP5 / MOD3 code,the reactor point kinetics model in RELAP5 / MOD3 code is replaced by the two-group,3-D space and time dependent neutron kinetic model,and two-fluid model is replaced by drift flux model.A coupled three-dimensional physics and thermal-hydrodynamics model is used to develop its corresponding computing code,thus simulating natural circulation of single-phase flow for the PWR.In this paper,we report the forward and reverse flow distribution in the inverted U-tubes of the steam generator(SG) under some typical operating conditions in the natural circulation case, and analyze the influence of main coolant pump resistance on the forward and reverse flow distribution.The calculation results show that,the pressure drop between SG inlet and outlet plenum decreases,and the SG inlet and outlet mass flow decrease with an increased main coolant pump resistance,but net mass flux of reverse flow in inverted U-tubes,and the ratio of mass flow in all reverse flow tubes to that of main coolant pipeline increase, meanwhile,the secondary steam load is invariable in this process.
文摘矿井下常常存在地下水渗积问题,通过控制主泵出水压力,能够有效地排除积水,保持井下环境相对干燥,增强煤矿地下环境的安全性。但由于矿井下的透水后压力负荷通常是不确定的,单纯以压力为传感信号的主泵排水控制的稳定性会受到较大影响,当前排水多以人工观测为主,排水控制智能化实现难度较大。提出一种扬程特性关联下矿井主泵排水智能控制方法。分析矿井下大功率变频式主泵的扬程特性(H-Q),获取变频式主泵排水压力和扬程特性(H-Q)之间的关系。利用这一关系作为传感信号,采用解耦补偿器和神经网络,利用神经网络在线调整比例、积分和微分(proportional integral derivative,PID)控制参数,组建大功率变频式主泵出水压力智能控制器,实现泵出水压力智能控制。通过实验分析证明,研究方法应用后在22 s左右矿井主泵达到最佳状态,过程中产生的相对误差均在0.5%以下。在多次迭代控制下,所提方法的控制延误始终低于0.1 ms。
