Distillation column control is widely explored in literature due to its complexity and importance in chemical and petrochemical industries. In this process, pressure represents one of the most important variables to b...Distillation column control is widely explored in literature due to its complexity and importance in chemical and petrochemical industries. In this process, pressure represents one of the most important variables to be controlled. However, there are few studies about how pressure affects the dynamic behavior of distillation columns and most research on distillation column control involve direct manipulation of cooling fluid through the condenser. Nevertheless, such an approach demands constant changes in cooling fluid flowrates that are commonly by the order of tons per hour, which can be difficult to work or even unfeasible in a real plant. Furthermore, this strategy is usually avoided, as it can cause fouling and corrosion acceleration. The hot-vapor bypass strategy fits well as a solution for these issues, eliminating the need to dynamically manipulate cooling fluid flowrates in the condensation unit. This work presents the modeling and simulation of a conventional distillation column for the separation of water and ethanol, in which a comparative study between a conventional pressure control and a control using hot-vapor bypass was performed. The main results were obtained through dynamic simulations which considered various disturbances in the feed stream, and demonstrated superior performance by the hot-vapor bypass system over the usual scheme proposed in literature, while evaluating the lntegral Absolute Error (IAE) norm as the control performance index.展开更多
Modern processing plants use a variety of control loop networks to deliver a finished product to the market.Such control loops,like control valves,are designed to keep process variables such as pressure,temperature,sp...Modern processing plants use a variety of control loop networks to deliver a finished product to the market.Such control loops,like control valves,are designed to keep process variables such as pressure,temperature,speed,flow,etc.within the appropriate operating range and to ensure a quality product is produced.All control valves have a bypass so that production can proceed if maintenance is needed for the control valve as part of the control loop.The important point is that in both operation and maintenance situations,the bypass valve and the control valve should have approximately the same flow capacity to provide nearly the same amount of pressure.This paper presents a case study in seawater service on the selection of manual bypass valves for a 16″control valve in class 150 and titanium material.A 16″butterfly valve of class 150 was chosen for the control valve bypass,which provided a much higher flow capacity than the control valve.In this paper,four solutions are recommended to achieve the same coefficient value(Cv)for the control and bypass valve.Using the reduced size butterfly valve could be the cheapest and best solution.On the other hand,selecting the same control valve for bypass line is the most expensive but maybe the most reliable solution.Using a flow orifice for throttling could be ranked as the second expensive option and the second reliable one.Selection of butterfly valve for throttling is the second cheapest option,but it has the least reliability.Different parameters such as space and weight saving,cost as well as reliability have been considered in evaluation of different solutions.展开更多
Considering the flexibility and controllability of heat exchanger networks (HENs), bypasses are widely used for effective control of process stream target temperatures. However, the optimal location for the bypass is ...Considering the flexibility and controllability of heat exchanger networks (HENs), bypasses are widely used for effective control of process stream target temperatures. However, the optimal location for the bypass is generally difficult to design with the trade-off between controllability and capital investments. In this paper, based on the steady-state model of heat exchanger networks the optimal bypass location was firstly selected by iteratively calculating the non-square Relative Gain Array (ns-RGA). To simplify the calculation process, rules of bypass selection were also proposed. In order to evaluate this method, then, the structural controllability of heat exchanger networks was analyzed. With both the consideration of the controllability and capital investments, the bypasses locations were finally selected. A case study on the HEN in Crude Distillation Unit was presented in which the ns-RGA and structural controllability were used to select bypasses and also to evaluate the results.展开更多
Objective: To evaluate the efficacy of Xuebijing Injection(血必净注射液, XBJ) on the lung injury induced by cardiopulmonary bypass(CPB). Methods: Fifty patients undergoing CPB were randomized to either the salin...Objective: To evaluate the efficacy of Xuebijing Injection(血必净注射液, XBJ) on the lung injury induced by cardiopulmonary bypass(CPB). Methods: Fifty patients undergoing CPB were randomized to either the saline group or XBJ group according to a random number table(25 cases in each group). The patients in the saline group received saline and patients in XBJ group received XBJ at 12 h prior to the operation, at the beginning of the operation, and at 12 h after the second injection. The PaO_2/Fi O2 at extubation 3 days post-operation, duration of ventilation in the intensive care unit(ICU), and lengths of stay in the ICU and hospital were recorded. The levels of inflammatory mediators including interleukin(IL)-1β, IL-8, IL-10, and C-reactive protein(CRP) in bronchoalveolar lavage fluid(BALF) and plasma were measured. The neutrophil count and elastase neutrophil elastase in BALF were also measured. In addition, adverse events were monitored. Results: The PaO-2/FiO_2 in the XBJ group was higher than that in the saline group from 12 to 72 h post-operation(all P〈0.05). The blood levels of IL-1β, IL-8, and CRP in the XBJ group from 12 to 72 h were all significantly lower than those in the saline group(all P〈0.05). In contrast, the level of the anti-inflammatory cytokine IL-10 was significantly higher in the XBJ group than in the saline group(P〈0.05). In addition, 4 patients presented with atelectasis in the saline group and none in the XBJ group. Ten patients experienced mild acute respiratory distress syndrome(ARDS) during hospitalization, and 5 patients with mild ARDS were in the XBJ group(P〈0.05). Conclusion: XBJ shows protective potential against lung injury in patients who undergo CPB surgery, possibly through the downregulation of inflammatory mediators, reduction in neutrophil infiltration, and upregulation of IL-10(Trial registry: Chi CTR-TRC-14004628).展开更多
AIM: To investigate which surgical techniques and perioperative regimens yielded the best survival rates for diabetic rats undergoing gastric bypass. METHODS: We performed Roux-en-Y gastric bypass with reserved gastri...AIM: To investigate which surgical techniques and perioperative regimens yielded the best survival rates for diabetic rats undergoing gastric bypass. METHODS: We performed Roux-en-Y gastric bypass with reserved gastric volume, a procedure in which gastrointestinal continuity was reestablished while excluding the entire duodenum and proximal jejunal loop. We observed the procedural success rate, long-term survival, and histopathological sequelae associated with a number of technical modifications. These included: use of anatomical markers to precisely identify Treitz's ligament; careful dissection along surgical planes; careful attention to the choice of regional transection sites; reconstruction using full-thickness anastomoses; use of a minimally invasive procedure with prohemostatic pretreatment and hemorrhage control; prevention of hypo-thermic damage; reduction in the length of the procedure; and accelerated surgical recovery using fast-track surgical modalities such as perioperative permissive underfeeding and goal-directed volume therapy. RESULTS: The series of modif ications we adopted reduced operation time from 110.02 ± 12.34 min to 78.39 ± 7.26 min (P < 0.01), and the procedural success rate increased from 43.3% (13/30) to 90% (18/20) (P < 0.01), with a long-term survival of 83.3% (15/18) (P < 0.01). CONCLUSION: Using a number of fast-track and damage control surgical techniques, we have successfully established a stable model of gastric bypass in diabetic rats.展开更多
Objective:To assess the effect of valerian root extract on the sleep quality of patients after coronary artery bypass graft(CABG)surgery.Methods:The patients who participated in this triple-blind clinical trial were s...Objective:To assess the effect of valerian root extract on the sleep quality of patients after coronary artery bypass graft(CABG)surgery.Methods:The patients who participated in this triple-blind clinical trial were selected by permuted block randomization.The participants were assigned to the valerian(n=36)and placebo(n=36)groups.The valerian group received 530 mg of valerian capsules for 30 nights after CABG surgery,and the placebo group received 530 mg of the placebo capsules containing wheat flour.The Pittsburgh Sleep Quality Index(PSQI),the prothrombin time(PT)and partial thromboplastin time(PTT)were assessed on four occasions,including the baseline,the 3 rd,14 th and 30 th days following intervention.Results:The odds ratio of worsened sleep quality significantly varied over time(the interaction of time and group)in the valerian group compared to the placebo group in various dimensions including total sleep quality(P=0.001),sleep latency(P<0.01),sleep duration(P=0.020),sleep efficiency(P=0.001)and daytime dysfunction(P=0.025).No significant difference was observed in the alterations of the odds ratio of PT in the two groups over time.(P=0.371).Conclusion:The consumption of oral valerian root extract over 30 nights could significantly improve the patients'sleep quality safely after CABG surgery.展开更多
Objective: Vein graft quality control had been traditionally done for more than 20 years with a roller-pump flow measurement (RPFM) in our institute until off-pump coronary artery bypass grafting was introduced as the...Objective: Vein graft quality control had been traditionally done for more than 20 years with a roller-pump flow measurement (RPFM) in our institute until off-pump coronary artery bypass grafting was introduced as the standard technique of myocardial revascularization in the year 2009 in our institute. In this study, the RPFM method was compared with the Transit-time flow measurement (TTFM). Patients and Methods: From February to September 2005, 31 patients (5 females) undergoing CABG in our institute were included into the study. All the patients were operated with cardiopulmonary bypass. In those patients, 27 distal anastomoses were done with the left internal thoracic artery and 99 anastomoses were done with vein grafts. Those 99 vein graft were assessed both, with the RPFM method and TTFM method. Results: CABG could be safely performed in all cases. In all target vessels, the RPFM method overestimated bypass flow compared to the TTFM method, and simple linear regression revealed no correlation between the TTFM measurement and the RPFM measurement (r = 0.08, p = 0.21). There were two cases in which a graft problem could be detected only with TTFM method, even in our small patient cohort. Conclusion: The present study suggests that the TTFM method is clearly superior to the traditional RPFM method and we believe now that TTFM should be performed routinely in all CABG to improve patient care and quality of surgical results.展开更多
OBJECTIVE:To evaluate the efficacy of electroacupuncture(EA)intervention on myocardial protection and postoperative rehabilitation in patients undergoing cardiac surgery with cardiopulmonary bypass(CPB).METHODS:Eight ...OBJECTIVE:To evaluate the efficacy of electroacupuncture(EA)intervention on myocardial protection and postoperative rehabilitation in patients undergoing cardiac surgery with cardiopulmonary bypass(CPB).METHODS:Eight databases,including Pub Med,Embase,the Cochrane Library,Web of Science,Chinese Bio Medical Literature Database,China National Knowledge Infrastructure Database,Wanfang Data,China Science and Technology Journal Database,and two clinical trial registries,were searched.All randomized controlled trials(RCTs)related to EA intervention in cardiac surgery with CPB were collected.Based on the inclusion and exclusion criteria,two researchers independently screened articles and extracted data.After the quality evaluation,RevMan 5.3 software was used for analysis.RESULTS:Fourteen RCTs involving 836 patients were included.Compared with the control treatment,EA significantly increased the incidence of cardiac automatic rebeat after aortic unclamping[relative risk(RR)=1.15,95%confidence interval(CI)(1.01,1.31),P<0.05;moderate].Twenty-four hours after aortic unclamping,EA significantly increased the superoxide dismutase[standardized mean difference(SMD)=0.96,95%CI(0.32,1.61),P<0.05;low],and interleukin(IL)-2[SMD=1.33,95%CI(0.19,2.47),P<0.05;very low]expression levels and decreased the malondialdehyde[SMD=-1.62,95%CI(-2.15,-1.09),P<0.05;moderate],tumour necrosis factor-α[SMD=-1.28,95%CI(-2.37,-0.19),P<0.05;moderate],and cardiac troponin I[SMD=-1.09,95%CI(-1.85,-0.32),P<0.05;low]expression levels as well as the inotrope scores[SMD=-0.77,95%CI(-1.22,-0.31),P<0.05;high].There was no difference in IL-6 and IL-10 expression levels.The amount of intraoperative sedative[SMD=-0.31,95%CI(-0.54,-0.09),P<0.05;moderate]and opioid analgesic[SMD=-0.96,95%CI(-1.53,-0.38),P<0.05;low]medication was significantly lower in the EA group than in the control group.Moreover,the postoperative tracheal intubation time[SMD=-0.92,95%CI(-1.40,-0.45),P<0.05;low]and intensive care unit stay[SMD=-1.71,95%CI(-3.06,-0.36),P<0.05;low]were significantly shorter in the EA group than in the control group.There were no differences in the time to get out of bed for the first time,total days of antibiotic use after surgery,or postoperative hospital stay.No adverse reactions related to EA were reported in any of the included studies.CONCLUSIONS:In cardiac surgery with CPB,EA may be a safe and effective strategy to reduce myocardial ischaemia-reperfusion injury and speed up the recovery of patients after surgery.These findings must be interpreted with caution,as most of the evidence was of low or moderate quality.More RCTs with larger sample sizes and higher quality are needed to provide more convincing evidence.展开更多
Synchronization in parallel programs is a major performance bottleneck in multiprocessor systems. Shared data is protected by locks and a lot of time is spent on the competition arising at the lock hand-off. In order ...Synchronization in parallel programs is a major performance bottleneck in multiprocessor systems. Shared data is protected by locks and a lot of time is spent on the competition arising at the lock hand-off. In order to be serialized, requests to the same cache line can either be bounced (NACKed) or buffered in the coherence controller. In this paper, we focus mainly on systems whose coherence controllers buffer requests. In a lock hand-off, a burst of requests to the same line arrive at the coherence controller. During lock hand-off only the requests from the winning processor contribute to progress of the computation, since the winning processor is the only one that will advance the work. This key observation leads us to propose a hardware mechanism we call request bypassing, which allows requests from the winning processor to bypass the requests buffered in the coherence controller keeping the lock line. We present an inexpensive implementation of request bypassing that reduces the time spent on all the execution phases of a critical section (acquiring the lock, accessing shared data, and releasing the lock) and which, as a consequence, speeds up the whole parallel computation. This mechanism requires neither compiler or programmer support nor ISA or coherence protocol changes. By simulating a 32-processor system, we show that using request bypassing does not degrade but rather improves performance in three applications with low synchronization rates, while in those having a large amount of synchronization activity (the remaining four), we see reductions in execution time and in lock stall time ranging from 14% to 39% and from 52% to 7170, respectively. We compare request bypassing with a previously proposed technique called read combining and with a system that bounces requests, observing a significantly lower execution time with the bypassing scheme. Finally, we analyze the sensitivity of our results to some key hardware and software parameters.展开更多
The Birds Point-New Madrid Floodway(BP-NMF) and the Yolo Bypass, located on the Mississippi and Sacramento rivers, respectively, are agriculture areas that were once each part of vast wetlands but are now intermitte...The Birds Point-New Madrid Floodway(BP-NMF) and the Yolo Bypass, located on the Mississippi and Sacramento rivers, respectively, are agriculture areas that were once each part of vast wetlands but are now intermittently used for flood control. Here the similarity stops, the BP-NMF has been used to convey floodwaters only twice in nearly 80 years, while the Yolo Bypass is used for this purpose on average every other year. The consequences are greatly different. In 2011, the BP-NMF was activated through the explosive detonation of the 'fuse plug" portion of its levees, resulting in elevated property and economic damages, crop losses, and litigation. High-energy flows following the opening of the BP-NMF scour coarse sediment in the vicinity of the opening of the BP-NMF and deposit this material within the floodway, including on agricultural fields. In general the environment of much of the BP-NMF provides poor wildlife habitat. In contrast, the routine operation of Yolo Bypass is expected, avoids damage and litigation, supplies organic-rich sediment to fields, and provides good wildlife habitat. The difference between the two systems is attributed to a better approximation of natural conditions on the Yolo Bypass.展开更多
Turbofan engine intakes are designed to provide separation-free flow at the fan faceover a wide range of operating conditions. But at some off-design conditions, like at high flightspeeds and high angles of attack (Ao...Turbofan engine intakes are designed to provide separation-free flow at the fan faceover a wide range of operating conditions. But at some off-design conditions, like at high flightspeeds and high angles of attack (AoA), the aero engine intake may encounter flow separation.This boundary layer separation inside the nacelle inlet of an aircraft engine can lead to a largenumber of undesirable outcomes like reduction in fan efficiency, engine stall and high levels ofstress on the fan blades. Active flow control is a promising solution to reduce inlet boundarylayer separation and the associated fan-face flow distortion at such off-design conditions. Byblowing pressurized air into the intake near the separation point, the boundary layer is ener-gized and separation can be controlled. This study investigates the applicability of lip blowing,an active flow control technique, to control intake separation and flow distortion at the fan-face.First, intake separation was triggered in a 3D CFD model based on the NASA CommonResearch Model (CRM) using high AoA cases at cruise condition (Mach number 0.85, Massflow capture ratio w0.7) and the features of separated flow were analyzed. Thereafter, activeflow control was introduce to the intake in the form of two types of lip blowing, direct andpitched blowing. The efficacy of lip blowing at achieving separation control in an ultra highbypass ratio turbofan engine intake has been established through this study. The present paperalso examines the significance of blowing parameters like the type of blowing, blowing pres-sure ratio, and blowing slot dimension, at different angles of attack to identify the critical con-trol parameters. Our research successfully establishes proof of concept by demonstrating the feasibility of using lip blowing for separation control in aero-intakes, via numerical modelling.Furthermore, this study also provides crucial insights regarding the important variables to beconsidered for future experimental studies, and also for detailed studies covering a wider rangeof operating and blowing conditions.展开更多
基金the Conselho Nacional de Desenvolvimento Científico e Tecnológico(CNPq)for financial support for this work
文摘Distillation column control is widely explored in literature due to its complexity and importance in chemical and petrochemical industries. In this process, pressure represents one of the most important variables to be controlled. However, there are few studies about how pressure affects the dynamic behavior of distillation columns and most research on distillation column control involve direct manipulation of cooling fluid through the condenser. Nevertheless, such an approach demands constant changes in cooling fluid flowrates that are commonly by the order of tons per hour, which can be difficult to work or even unfeasible in a real plant. Furthermore, this strategy is usually avoided, as it can cause fouling and corrosion acceleration. The hot-vapor bypass strategy fits well as a solution for these issues, eliminating the need to dynamically manipulate cooling fluid flowrates in the condensation unit. This work presents the modeling and simulation of a conventional distillation column for the separation of water and ethanol, in which a comparative study between a conventional pressure control and a control using hot-vapor bypass was performed. The main results were obtained through dynamic simulations which considered various disturbances in the feed stream, and demonstrated superior performance by the hot-vapor bypass system over the usual scheme proposed in literature, while evaluating the lntegral Absolute Error (IAE) norm as the control performance index.
文摘Modern processing plants use a variety of control loop networks to deliver a finished product to the market.Such control loops,like control valves,are designed to keep process variables such as pressure,temperature,speed,flow,etc.within the appropriate operating range and to ensure a quality product is produced.All control valves have a bypass so that production can proceed if maintenance is needed for the control valve as part of the control loop.The important point is that in both operation and maintenance situations,the bypass valve and the control valve should have approximately the same flow capacity to provide nearly the same amount of pressure.This paper presents a case study in seawater service on the selection of manual bypass valves for a 16″control valve in class 150 and titanium material.A 16″butterfly valve of class 150 was chosen for the control valve bypass,which provided a much higher flow capacity than the control valve.In this paper,four solutions are recommended to achieve the same coefficient value(Cv)for the control and bypass valve.Using the reduced size butterfly valve could be the cheapest and best solution.On the other hand,selecting the same control valve for bypass line is the most expensive but maybe the most reliable solution.Using a flow orifice for throttling could be ranked as the second expensive option and the second reliable one.Selection of butterfly valve for throttling is the second cheapest option,but it has the least reliability.Different parameters such as space and weight saving,cost as well as reliability have been considered in evaluation of different solutions.
基金Supported by the National Natural Science Foundation of China (21006127), the National Basic Research Program of China (2012CB720500) and the Science Foundation of China University of Petroleum, Beijing (YJRC-2011-11).
文摘Considering the flexibility and controllability of heat exchanger networks (HENs), bypasses are widely used for effective control of process stream target temperatures. However, the optimal location for the bypass is generally difficult to design with the trade-off between controllability and capital investments. In this paper, based on the steady-state model of heat exchanger networks the optimal bypass location was firstly selected by iteratively calculating the non-square Relative Gain Array (ns-RGA). To simplify the calculation process, rules of bypass selection were also proposed. In order to evaluate this method, then, the structural controllability of heat exchanger networks was analyzed. With both the consideration of the controllability and capital investments, the bypasses locations were finally selected. A case study on the HEN in Crude Distillation Unit was presented in which the ns-RGA and structural controllability were used to select bypasses and also to evaluate the results.
文摘Objective: To evaluate the efficacy of Xuebijing Injection(血必净注射液, XBJ) on the lung injury induced by cardiopulmonary bypass(CPB). Methods: Fifty patients undergoing CPB were randomized to either the saline group or XBJ group according to a random number table(25 cases in each group). The patients in the saline group received saline and patients in XBJ group received XBJ at 12 h prior to the operation, at the beginning of the operation, and at 12 h after the second injection. The PaO_2/Fi O2 at extubation 3 days post-operation, duration of ventilation in the intensive care unit(ICU), and lengths of stay in the ICU and hospital were recorded. The levels of inflammatory mediators including interleukin(IL)-1β, IL-8, IL-10, and C-reactive protein(CRP) in bronchoalveolar lavage fluid(BALF) and plasma were measured. The neutrophil count and elastase neutrophil elastase in BALF were also measured. In addition, adverse events were monitored. Results: The PaO-2/FiO_2 in the XBJ group was higher than that in the saline group from 12 to 72 h post-operation(all P〈0.05). The blood levels of IL-1β, IL-8, and CRP in the XBJ group from 12 to 72 h were all significantly lower than those in the saline group(all P〈0.05). In contrast, the level of the anti-inflammatory cytokine IL-10 was significantly higher in the XBJ group than in the saline group(P〈0.05). In addition, 4 patients presented with atelectasis in the saline group and none in the XBJ group. Ten patients experienced mild acute respiratory distress syndrome(ARDS) during hospitalization, and 5 patients with mild ARDS were in the XBJ group(P〈0.05). Conclusion: XBJ shows protective potential against lung injury in patients who undergo CPB surgery, possibly through the downregulation of inflammatory mediators, reduction in neutrophil infiltration, and upregulation of IL-10(Trial registry: Chi CTR-TRC-14004628).
基金Supported by Scientific Research Fund of Heilongjiang Provincial Education Department, No. 11541200Harbin Medical University First Affi liated Hospital, No. 2007098
文摘AIM: To investigate which surgical techniques and perioperative regimens yielded the best survival rates for diabetic rats undergoing gastric bypass. METHODS: We performed Roux-en-Y gastric bypass with reserved gastric volume, a procedure in which gastrointestinal continuity was reestablished while excluding the entire duodenum and proximal jejunal loop. We observed the procedural success rate, long-term survival, and histopathological sequelae associated with a number of technical modifications. These included: use of anatomical markers to precisely identify Treitz's ligament; careful dissection along surgical planes; careful attention to the choice of regional transection sites; reconstruction using full-thickness anastomoses; use of a minimally invasive procedure with prohemostatic pretreatment and hemorrhage control; prevention of hypo-thermic damage; reduction in the length of the procedure; and accelerated surgical recovery using fast-track surgical modalities such as perioperative permissive underfeeding and goal-directed volume therapy. RESULTS: The series of modif ications we adopted reduced operation time from 110.02 ± 12.34 min to 78.39 ± 7.26 min (P < 0.01), and the procedural success rate increased from 43.3% (13/30) to 90% (18/20) (P < 0.01), with a long-term survival of 83.3% (15/18) (P < 0.01). CONCLUSION: Using a number of fast-track and damage control surgical techniques, we have successfully established a stable model of gastric bypass in diabetic rats.
基金Supported by the Research and Technology Deputy of Lorestan University of Medical Sciences(No.A-10-1510-4)。
文摘Objective:To assess the effect of valerian root extract on the sleep quality of patients after coronary artery bypass graft(CABG)surgery.Methods:The patients who participated in this triple-blind clinical trial were selected by permuted block randomization.The participants were assigned to the valerian(n=36)and placebo(n=36)groups.The valerian group received 530 mg of valerian capsules for 30 nights after CABG surgery,and the placebo group received 530 mg of the placebo capsules containing wheat flour.The Pittsburgh Sleep Quality Index(PSQI),the prothrombin time(PT)and partial thromboplastin time(PTT)were assessed on four occasions,including the baseline,the 3 rd,14 th and 30 th days following intervention.Results:The odds ratio of worsened sleep quality significantly varied over time(the interaction of time and group)in the valerian group compared to the placebo group in various dimensions including total sleep quality(P=0.001),sleep latency(P<0.01),sleep duration(P=0.020),sleep efficiency(P=0.001)and daytime dysfunction(P=0.025).No significant difference was observed in the alterations of the odds ratio of PT in the two groups over time.(P=0.371).Conclusion:The consumption of oral valerian root extract over 30 nights could significantly improve the patients'sleep quality safely after CABG surgery.
文摘Objective: Vein graft quality control had been traditionally done for more than 20 years with a roller-pump flow measurement (RPFM) in our institute until off-pump coronary artery bypass grafting was introduced as the standard technique of myocardial revascularization in the year 2009 in our institute. In this study, the RPFM method was compared with the Transit-time flow measurement (TTFM). Patients and Methods: From February to September 2005, 31 patients (5 females) undergoing CABG in our institute were included into the study. All the patients were operated with cardiopulmonary bypass. In those patients, 27 distal anastomoses were done with the left internal thoracic artery and 99 anastomoses were done with vein grafts. Those 99 vein graft were assessed both, with the RPFM method and TTFM method. Results: CABG could be safely performed in all cases. In all target vessels, the RPFM method overestimated bypass flow compared to the TTFM method, and simple linear regression revealed no correlation between the TTFM measurement and the RPFM measurement (r = 0.08, p = 0.21). There were two cases in which a graft problem could be detected only with TTFM method, even in our small patient cohort. Conclusion: The present study suggests that the TTFM method is clearly superior to the traditional RPFM method and we believe now that TTFM should be performed routinely in all CABG to improve patient care and quality of surgical results.
基金the National Natural Science Foundation of China:Mechanism of Protective Effect of Acupoint Preconditioning on Myocardial Mitochondria and Energy Metabolism in Rats with Bupivacaine Toxicity(No.81760892)。
文摘OBJECTIVE:To evaluate the efficacy of electroacupuncture(EA)intervention on myocardial protection and postoperative rehabilitation in patients undergoing cardiac surgery with cardiopulmonary bypass(CPB).METHODS:Eight databases,including Pub Med,Embase,the Cochrane Library,Web of Science,Chinese Bio Medical Literature Database,China National Knowledge Infrastructure Database,Wanfang Data,China Science and Technology Journal Database,and two clinical trial registries,were searched.All randomized controlled trials(RCTs)related to EA intervention in cardiac surgery with CPB were collected.Based on the inclusion and exclusion criteria,two researchers independently screened articles and extracted data.After the quality evaluation,RevMan 5.3 software was used for analysis.RESULTS:Fourteen RCTs involving 836 patients were included.Compared with the control treatment,EA significantly increased the incidence of cardiac automatic rebeat after aortic unclamping[relative risk(RR)=1.15,95%confidence interval(CI)(1.01,1.31),P<0.05;moderate].Twenty-four hours after aortic unclamping,EA significantly increased the superoxide dismutase[standardized mean difference(SMD)=0.96,95%CI(0.32,1.61),P<0.05;low],and interleukin(IL)-2[SMD=1.33,95%CI(0.19,2.47),P<0.05;very low]expression levels and decreased the malondialdehyde[SMD=-1.62,95%CI(-2.15,-1.09),P<0.05;moderate],tumour necrosis factor-α[SMD=-1.28,95%CI(-2.37,-0.19),P<0.05;moderate],and cardiac troponin I[SMD=-1.09,95%CI(-1.85,-0.32),P<0.05;low]expression levels as well as the inotrope scores[SMD=-0.77,95%CI(-1.22,-0.31),P<0.05;high].There was no difference in IL-6 and IL-10 expression levels.The amount of intraoperative sedative[SMD=-0.31,95%CI(-0.54,-0.09),P<0.05;moderate]and opioid analgesic[SMD=-0.96,95%CI(-1.53,-0.38),P<0.05;low]medication was significantly lower in the EA group than in the control group.Moreover,the postoperative tracheal intubation time[SMD=-0.92,95%CI(-1.40,-0.45),P<0.05;low]and intensive care unit stay[SMD=-1.71,95%CI(-3.06,-0.36),P<0.05;low]were significantly shorter in the EA group than in the control group.There were no differences in the time to get out of bed for the first time,total days of antibiotic use after surgery,or postoperative hospital stay.No adverse reactions related to EA were reported in any of the included studies.CONCLUSIONS:In cardiac surgery with CPB,EA may be a safe and effective strategy to reduce myocardial ischaemia-reperfusion injury and speed up the recovery of patients after surgery.These findings must be interpreted with caution,as most of the evidence was of low or moderate quality.More RCTs with larger sample sizes and higher quality are needed to provide more convincing evidence.
基金supported in part by Spanish Government and European ERDF under Grant Nos. TIN2007-66423, TIN2010-21291-C02-01 and TIN2007-60625gaZ:T48 research group (Arag'on Government and European ESF)+1 种基金Consolider CSD2007-00050 (Spanish Government)HiPEAC-2 NoE (European FP7/ICT 217068)
文摘Synchronization in parallel programs is a major performance bottleneck in multiprocessor systems. Shared data is protected by locks and a lot of time is spent on the competition arising at the lock hand-off. In order to be serialized, requests to the same cache line can either be bounced (NACKed) or buffered in the coherence controller. In this paper, we focus mainly on systems whose coherence controllers buffer requests. In a lock hand-off, a burst of requests to the same line arrive at the coherence controller. During lock hand-off only the requests from the winning processor contribute to progress of the computation, since the winning processor is the only one that will advance the work. This key observation leads us to propose a hardware mechanism we call request bypassing, which allows requests from the winning processor to bypass the requests buffered in the coherence controller keeping the lock line. We present an inexpensive implementation of request bypassing that reduces the time spent on all the execution phases of a critical section (acquiring the lock, accessing shared data, and releasing the lock) and which, as a consequence, speeds up the whole parallel computation. This mechanism requires neither compiler or programmer support nor ISA or coherence protocol changes. By simulating a 32-processor system, we show that using request bypassing does not degrade but rather improves performance in three applications with low synchronization rates, while in those having a large amount of synchronization activity (the remaining four), we see reductions in execution time and in lock stall time ranging from 14% to 39% and from 52% to 7170, respectively. We compare request bypassing with a previously proposed technique called read combining and with a system that bounces requests, observing a significantly lower execution time with the bypassing scheme. Finally, we analyze the sensitivity of our results to some key hardware and software parameters.
文摘The Birds Point-New Madrid Floodway(BP-NMF) and the Yolo Bypass, located on the Mississippi and Sacramento rivers, respectively, are agriculture areas that were once each part of vast wetlands but are now intermittently used for flood control. Here the similarity stops, the BP-NMF has been used to convey floodwaters only twice in nearly 80 years, while the Yolo Bypass is used for this purpose on average every other year. The consequences are greatly different. In 2011, the BP-NMF was activated through the explosive detonation of the 'fuse plug" portion of its levees, resulting in elevated property and economic damages, crop losses, and litigation. High-energy flows following the opening of the BP-NMF scour coarse sediment in the vicinity of the opening of the BP-NMF and deposit this material within the floodway, including on agricultural fields. In general the environment of much of the BP-NMF provides poor wildlife habitat. In contrast, the routine operation of Yolo Bypass is expected, avoids damage and litigation, supplies organic-rich sediment to fields, and provides good wildlife habitat. The difference between the two systems is attributed to a better approximation of natural conditions on the Yolo Bypass.
文摘Turbofan engine intakes are designed to provide separation-free flow at the fan faceover a wide range of operating conditions. But at some off-design conditions, like at high flightspeeds and high angles of attack (AoA), the aero engine intake may encounter flow separation.This boundary layer separation inside the nacelle inlet of an aircraft engine can lead to a largenumber of undesirable outcomes like reduction in fan efficiency, engine stall and high levels ofstress on the fan blades. Active flow control is a promising solution to reduce inlet boundarylayer separation and the associated fan-face flow distortion at such off-design conditions. Byblowing pressurized air into the intake near the separation point, the boundary layer is ener-gized and separation can be controlled. This study investigates the applicability of lip blowing,an active flow control technique, to control intake separation and flow distortion at the fan-face.First, intake separation was triggered in a 3D CFD model based on the NASA CommonResearch Model (CRM) using high AoA cases at cruise condition (Mach number 0.85, Massflow capture ratio w0.7) and the features of separated flow were analyzed. Thereafter, activeflow control was introduce to the intake in the form of two types of lip blowing, direct andpitched blowing. The efficacy of lip blowing at achieving separation control in an ultra highbypass ratio turbofan engine intake has been established through this study. The present paperalso examines the significance of blowing parameters like the type of blowing, blowing pres-sure ratio, and blowing slot dimension, at different angles of attack to identify the critical con-trol parameters. Our research successfully establishes proof of concept by demonstrating the feasibility of using lip blowing for separation control in aero-intakes, via numerical modelling.Furthermore, this study also provides crucial insights regarding the important variables to beconsidered for future experimental studies, and also for detailed studies covering a wider rangeof operating and blowing conditions.