WorldWideScience

Sample records for bypass operations facts

  1. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Science.gov (United States)

    ROBOT-ASSISTED MINIMALLY INVASIVE CORONARY ARTERY BYPASS SURGERY OPERATION PINNACLEHEALTH HARRISBURG HOSPITAL HARRISBURG, PA 00:00:08 ... Hospital campus. We are going to witness a robot-assisted minimally invasive coronary artery bypass surgery operation. ...

  2. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ROBOT-ASSISTED MINIMALLY INVASIVE CORONARY ARTERY BYPASS SURGERY OPERATION PINNACLEHEALTH HARRISBURG HOSPITAL HARRISBURG, PA 00:00:08 ... Hospital campus. We are going to witness a robot-assisted minimally invasive coronary artery bypass surgery operation. ...

  3. Special Operations - Myths and facts

    DEFF Research Database (Denmark)

    Jensen, Lars H. Ehrensvärd

    The brief addresses some of the myths, which have induced an institutional resistance at the political and military decision levels against understanding and considering special operations as a valuable strategic tool in contemporary and future conflict prevention, crisis management, and conflict...

  4. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... PINNACLEHEALTH HARRISBURG HOSPITAL HARRISBURG, PA 00:00:08 JOHN PENNOCK, MD: Welcome this evening to PinnacleHealth Harrisburg ... artery bypass surgery operation. My name is Dr. John Pennock. I'm going to introduce you shortly ...

  5. Percutaneous transluminal angioplasty after bypass operations on the lower extremities

    International Nuclear Information System (INIS)

    To prevent bypass thrombosis, percutaneous transluminal angioplasty (PTA) was performed on 32 stenoses in 25 patients following vascular surgery. Seventeen patients showed 23 stenoses at the level of the anastomoses or in the bypass itself; 8 patients exhibited 9 stenoses proximal or distal to the bypass. Twenty-two patients underwent successful PTA and showed an increase in the ankle/arm Doppler index from 0.38±0.13 to 0.76±0.11 after PTA. The long-term patency rates at 6, 12 and 24 months were 75%, 57% and 39%, respectively. The reason for three unsuccessful PTAs are discussed. (orig.)

  6. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... needs to be bypassed. So I feel more confident that I can go ahead and start taking ... more so as people become more familiar and confident with their skills. 00:39:31 JOHN PENNOCK, ...

  7. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... Harrisburg Hospital campus. We are going to witness a robot-assisted minimally invasive coronary artery bypass surgery ... you're starting to do and maybe give a little background on the patient's condition? 00:00: ...

  8. Controllability and Operability Analysis of Heat Exchanger Networks Including Bypasses

    OpenAIRE

    Hernández, S; Balcazar-López, L.; Sánchez-Márquez, J. A.; González-García, G.

    2010-01-01

    In this paper, the influence of bypasses in heat exchanger networks on theoretical control properties and closed-loop behavior was investigated. According to theoretical control properties obtained using the singular value decomposition technique, the presence of bypasses increases flexibility of the heat exchanger network. This result was corroborated using closed-loop dynamic simulations using a proportional integral controller and a proportional integral controller with dynamic estimati...

  9. Cycling firing method for bypass operation of bridge converters

    Science.gov (United States)

    Zabar, Zivan

    1982-01-01

    The bridge converter comprises a number of switching elements and an electronic logic system which regulated the electric power levels by controlling the firing, i.e., the initiation of the conduction period of the switching elements. Cyclic firing of said elements allows the direct current to bypass the alternating current system with high power factor and negligible losses.

  10. ROBOTIC ROUX-EN-Y GASTRIC BYPASS: OPERATIVE RESULTS IN 100 PATIENTS

    OpenAIRE

    DOMENE, Carlos Eduardo; VOLPE, Paula; HEITOR, Frederico A.

    2014-01-01

    Background Laparoscopic gastric bypass is gold-standard for morbid obesity treatment. Aim To describe the results of robotic gastric bypass for morbid obesity patients. Method Were operated on 100 morbidly obese patients through totally robotic gastric bypass between 2013 and 2014. They were 83% female. The age ranged from 20 to 65 years old (medium 48,5 years); the body mass index varied between 38-67 (medium 42,3 kg/cm2). The procedure was designed with 3 cm long gastric pouch, 1 m biliopan...

  11. Geschlechtsspezifische Aspekte psychosozialer Variablen bei aortokoronarer Bypass-Operation

    OpenAIRE

    Dunkel, Anne

    2012-01-01

    Following coronary artery bypass graft (CABG) surgery women display not only higher mortality rates, but also report more restrictions in terms of health-related quality of life (HRQoL). So far, the causes for this gender gap could not be fully explained by clinical variables. Therefore, the aim of the present study was to analyze the role of psychosocial variables during recovery following CABG. Six specific problems concerning perioperative gender differences in HRQoL, depression, social su...

  12. Randomised trial of endoscopic endoprosthesis versus operative bypass in malignant obstructive jaundice

    DEFF Research Database (Denmark)

    Andersen, J R; Sørensen, S M; Kruse, A;

    1989-01-01

    In patients with obstructive jaundice caused by malignant stricture of the extrahepatic bile duct we compared survival time, complication rates, hospitalisation requirements, and quality of life after palliation by endoscopic endoprosthesis or bypass surgery. During diagnostic endoscopic...... survival between treatment groups or randomisation groups. No differences were found when other variables were compared. We conclude, that palliation of obstructive jaundice in malignant bile duct obstruction with endoscopically introduced endoprosthesis is as effective as operative bypass....

  13. Improved red blood cell survival after cardiac operations with administration of urea during cardiopulmonary bypass

    International Nuclear Information System (INIS)

    The plasma hemoglobin and red blood cell survival (half-life of 51Cr) was studied in 48 patients undergoing single valve replacement or coronary artery bypass graft. Urea or placebo was administered during cardiopulmonary bypass in a prospective, randomized, double-blind manner to test the potential effect on mechanical hemolysis. The mean plasma hemoglobin level at the end of extracorporeal circulation was significantly lower in the urea-treated groups (coronary artery bypass 342 mg/L; valve replacement 364 mg/L) than in the control groups (coronary artery bypass 635 mg/L, valve replacement 518 mg/L. The half-life of 51Cr was significantly longer in the urea-treated patients (coronary artery bypass 18 days; valve replacement 16 days) than in the control groups (coronary artery bypass 12.4 days; valve replacement 12.7 days) but still below the normal reference value (29 +/- 4 days). The plasma hemoglobin returned to near normal values (50 mg/L) the day after operation (day 1) and remained low with no differences between control and urea-treated groups. The total blood hemoglobin was followed for 2 weeks after operation and showed significantly less anemia in the urea-treated group. The lowest mean blood hemoglobin level was noted between days 5 and 9-114 (coronary artery bypass) and 107 (valve replacement) gm/L in the urea-treated patients compared to 92.3 gm/L in the control subjects. The reduction in the severity of the anemia led to less transfusion in the urea-treated patients (approximately 0.5 unit/patient) than in the control subjects (approximately 1 unit/patient) between days 3 and 14

  14. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... shortly to Dr. Chris McCarty, who's in the operating room and has started the procedure. This procedure ... the procedure. So we'll go into the operating room to see Dr. McCarty. Hello Chris. 00: ...

  15. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... surgery operation. My name is Dr. John Pennock. I'm going to introduce you shortly to Dr. ... a large incision that would be made and I have a line drawn across here, just for ...

  16. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... just had heart surgery.” I just had no real appearance of being frail or just really wiped ... thing that allows us to operate through this real small incision is that we use the da ...

  17. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... with one other small incision up by the shoulder. So, what they're going to start doing ... Post-operatively, this patient will have very little pain. He'll be able to breathe better than ...

  18. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... blood supply to. He the went for heart catheterization, which revealed him to have 100 percent occlusion, ... means that it's an operating room and a catheterization lab all in the same place, so that ...

  19. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... thing that allows us to operate through this real small incision is that we use the da Vinci robot to take down the IMAs as far as, one, the right IMA is a free graft, which is now ...

  20. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... say about it. 00:27:56 PATIENT ON VIDEO: The discussion I had on how the operation – ... recovery was remarkable. 00:29:17 PATIENT ON VIDEO: So, my recovery time was – I'm still ...

  1. Magnesium sulphate and amiodarone prophylaxis for prevention of postoperative arrhythmia in coronary by-pass operations

    Directory of Open Access Journals (Sweden)

    Huysal Kagan

    2009-02-01

    Full Text Available Abstract Background The aim of this study was to investigate the use of prophylactic magnesium sulphate and amiodarone in treating arrhythmias that may occur following coronary bypass grafting operations. Methods The study population consisted of 192 consecutive patients who were undergoing coronary artery bypass grafting (CABG. Sixty-four patients were given 3 g of magnesium sulphate (MgSO4 [20 ml = 24.32 mEq/L Mg+2] in 100 cc of isotonic 0.9% solution over 2 hours intravenously at the following times: 12 hours prior to the operation, immediately following the operation, and on postoperative days 1, 2, and 3 (Group 1. Another group of 64 patients was given a preoperative infusion of amiodarone (1200 mg on first post-operative day (Group 2. After the operation amiodarone was administered orally at a dose of 600 mg/day. Sixty-four patients in group 3 (control group had 100 cc. isotonic 0.9% as placebo, during the same time periods. Results In the postoperative period, the magnesium values were significantly higher in Group 1 than in Group 2 for all measurements. The use of amiodarone for total arrhythmia was significantly more effective than prophylactic treatment with magnesium sulphate (p = 0.015. There was no difference between the two drugs in preventing supraventricular arrhythmia, although amiodarone significantly delayed the revealing time of atrial fibrillation (p = 0.026. Ventricular arrhythmia, in the form of ventricular extra systole, was more common in the magnesium prophylaxis group. The two groups showed no significant differences in other operative or postoperative measurements. No side effects of the drugs were observed. Conclusion Prophylactic use of magnesium sulphate and amiodarone are both effective at preventing arrhythmia that may occur following coronary by-pass operations. Magnesium sulphate should be used in prophylactic treatment since it may decrease arrhythmia at low doses. If arrhythmia should occur despite this

  2. Dangers of bypassing thermal overload relays in nuclear power plant motor operated valve circuits

    International Nuclear Information System (INIS)

    A situation may exist where a control circuit modification designed to enhance safety and reliability may actually jeopardize the integrity of the very system it is trying to protect. One such situation involves ac and dc Motor Operated Valve circuits in nuclear power plants which have been designed with their thermal overload protection bypassed or altogether eliminated. The purpose of this paper is to: (a) point out the dangers of this design Philosophy. (b) show that the thermal overload relay can play an important part in improving overall nuclear plant safety; (c) provide recommendations on the selection of thermal overload relays. 3 refs

  3. FACT -- Operation of the First G-APD Cherenkov Telescope

    CERN Document Server

    Bretz, T; Buß, J; Commichau, V; Djambazov, L; Dorner, D; Einecke, S; Eisenacher, D; Freiwald, J; Grimm, O; von Gunten, H; Haller, C; Hempfling, C; Hildebrand, D; Hughes, G; Horisberger, U; Knoetig, M L; Krähenbühl, T; Lustermann, W; Lyard, E; Mannheim, K; Meier, K; Mueller, S; Neise, D; Overkemping, A -K; Paravac, A; Pauss, F; Rhode, W; Röser, U; Stucki, J -P; Steinbring, T; Temme, F; Thaele, J; Vogler, P; Walter, R; Weitzel, Q

    2014-01-01

    Since more than two years, the First G-APD Cherenkov Telescope (FACT) is operating successfully at the Canary Island of La Palma. Apart from its purpose to serve as a monitoring facility for the brightest TeV blazars, it was built as a major step to establish solid state photon counters as detectors in Cherenkov astronomy. The camera of the First G-APD Cherenkov Telesope comprises 1440 Geiger-mode avalanche photo diodes (G-APD aka. MPPC or SiPM) for photon detection. Since properties as the gain of G-APDs depend on temperature and the applied voltage, a real-time feedback system has been developed and implemented. To correct for the change introduced by temperature, several sensors have been placed close to the photon detectors. Their read out is used to calculate a corresponding voltage offset. In addition to temperature changes, changing current introduces a voltage drop in the supporting resistor network. To correct changes in the voltage drop introduced by varying photon flux from the night-sky background...

  4. The study of neuropsychological alterations following coronary artery bypass operation as predicted by computed tomography scan of the brain

    Energy Technology Data Exchange (ETDEWEB)

    Iguchi, Atsushi; Sato, Kiyoharu (Sendai Tokushu-kai Hospital (Japan)); Sadahiro, Mitsuaki; Endo, Masato; Yokoyama, Hitoshi; Ohmi, Mikio

    1993-01-01

    The objective of this clinical study is to provide information regarding the association between coexistent cerebrovascular disease and neuropsychological abnormalities after coronary artery bypass operations. Computed tomography scan of the brain was performed in 104 patients pre-operatively, and their post-operative neuropsychological functions were evaluated. The patients were categorized as follows according to the CT findings. Seventy-three patients showed normal or slight cerebral cortical atrophy which usually seen in patients over fifty of age (group A). Sixteen showed moderate or severe cortical atrophy (group B). Fifteen patients demonstrated the characteristic findings of Binswanger type; severe white matter hypodensity especially in frontal horns and dilated ventricles (group C). Overt neuropsychological dysfunction was not observed in patients in groups A and B. Six patients in group C showed a combination of dementia, bizarre behavior, disorientation and gait dyspraxia following bypass operations. The pseudobulbar signs were also found in 3 patients. These clinical abnormalities persisted for six days to three weeks, and were most often reversible. Although the underlying mechanism of these deleterious alterations is not elucidated, the ischemic nature of the characteristic white matter lesions was highly suspected. The arteriosclerotic changes of the arteriole of the cerebral cortex and hypoperfusion during cardio-pulmonary bypass were supposed to be responsible. Therefore it was concluded that special attention should be focused on neurological evaluation for bypass surgery in group C patients. (author).

  5. The study of neuropsychological alterations following coronary artery bypass operation as predicted by computed tomography scan of the brain

    International Nuclear Information System (INIS)

    The objective of this clinical study is to provide information regarding the association between coexistent cerebrovascular disease and neuropsychological abnormalities after coronary artery bypass operations. Computed tomography scan of the brain was performed in 104 patients pre-operatively, and their post-operative neuropsychological functions were evaluated. The patients were categorized as follows according to the CT findings. Seventy-three patients showed normal or slight cerebral cortical atrophy which usually seen in patients over fifty of age (group A). Sixteen showed moderate or severe cortical atrophy (group B). Fifteen patients demonstrated the characteristic findings of Binswanger type; severe white matter hypodensity especially in frontal horns and dilated ventricles (group C). Overt neuropsychological dysfunction was not observed in patients in groups A and B. Six patients in group C showed a combination of dementia, bizarre behavior, disorientation and gait dyspraxia following bypass operations. The pseudobulbar signs were also found in 3 patients. These clinical abnormalities persisted for six days to three weeks, and were most often reversible. Although the underlying mechanism of these deleterious alterations is not elucidated, the ischemic nature of the characteristic white matter lesions was highly suspected. The arteriosclerotic changes of the arteriole of the cerebral cortex and hypoperfusion during cardio-pulmonary bypass were supposed to be responsible. Therefore it was concluded that special attention should be focused on neurological evaluation for bypass surgery in group C patients. (author)

  6. PREOPERATIVE THERAPY OF LOW-DOSE ASPIRIN IN INTERNAL MAMMARY ARTERY BYPASS OPERATIONS WITH AND WITHOUT LOW-DOSE APROTININ

    NARCIS (Netherlands)

    SCHONBERGER, JPAM; BREDEE, JJ; VANOEVEREN, W; VANZUNDERT, AAJ; VERKROOST, M; TERWOORST, J; BAVINCK, JH; BERREKLOUW, E; WILDEVUUR, CRH

    1993-01-01

    The effect of preoperative low-dose aspirin (1 mg/kg of body weight) and intraoperative low-dose aprotinin (2 million kallikrein inactivator units) treatment on perioperative blood loss and blood requirements in patients who undergo internal mammary artery bypass operations is unknown. Therefore, we

  7. Manpower development for safe operation of nuclear power plant. China. Main steam bypass system operation and maintenance. Task: 6.1.6. Technical report

    International Nuclear Information System (INIS)

    This mission concentrated on the Steam Bypass system of Qinshan Nuclear Power Plant. The system had experienced spurious opening of the bypass valves, disrupting the steam pressure control and the steam generator level control system. A series of commissioning type tests were defined which should allow the operators to revise the setpoints used in the control of the bypass system, and thus prevent spurious opening while maintaining the desired steam pressure control during power maneuvering. Training also included giving experience from other operating plants on aspects of steam and feedwater systems and components, especially as this experience affected maintenance or gave rise to problems. Steam generated maintenance experience is especially applicable, and a future mission is planned for an expert in this field. In addition other aspects of the Chinese nuclear program was assessed to guide future missions. This included assessment of operating procedures from an availability point of view

  8. Preoperative statin is associated with decreased operative mortality in high risk coronary artery bypass patients

    Directory of Open Access Journals (Sweden)

    Maher Thomas D

    2010-02-01

    Full Text Available Abstract Background Statins are widely prescribed to patients with atherosclerosis. A retrospective database analysis was used to examine the role of preoperative statin use in hospital mortality, for patients undergoing isolated coronary artery bypass grafting (CABG. Methods The study population comprised 2377 patients who had isolated CABG at Allegheny General Hospital between 2000 and 2004. Mean age of the patients was 65 ± 11 years (range 27 to 92 years. 1594 (67% were male, 5% had previous open heart procedures, and 4% had emergency surgery. 1004 patients (42% were being treated with a statin at the time of admission. Univariate, bivariate (Chi2, Fisher's Exact and Student's t-tests and multivariate (stepwise linear regression analyses were used to evaluate the association of statin use with mortality following CABG. Results Annual prevalence of preoperative statin use was similar over the study period and averaged 40%. Preoperative clinical risk assessment demonstrated a 2% risk of mortality in both the statin and non-statin groups. Operative mortality was 2.4% for all patients, 1.7% for statin users and 2.8% for non-statin users (p Conclusions Between 2000 and 2004 less than 50% of patients at this institution were receiving statins before admission for isolated CABG. A retrospective analysis of this cohort provides evidence that preoperative statin use is associated with lower operative mortality in high-risk patients.

  9. Changes in the cardiac muscle electric activity as a result of Coronary Artery Bypass Graft operation

    Science.gov (United States)

    Grajek, Magdalena; Krzyminiewski, Ryszard; Kalawski, Ryszard; Kulczak, Mariusz

    2008-01-01

    Many bioelectric signals have a complex internal structure that can be a rich source of information on the tissue or cell processes. The structure of such signals can be analysed in detail by applying digital methods of signal processing. Therefore, of substantial use in diagnosis of the coronary arterial disease is the method of digital enhancement of increasing signal resolution ECG (NURSE-ECG), permitting detection of temporary changes in the electric potentials in the cardiac muscle in the process of depolarisation. Thanks to the application of NURSE-ECG it has become possible to detect relatively small changes in the electric activity of particular fragments of the cardiac muscle undetectable by the standard ECG method, caused by ischemia, the effect of a drug or infarct. The aim of this study was to identify and analyse changes in the electric activity of the cardiac muscle as a result of the Coronary Artery Bypass Graft (CABG) operation. In this study the method of NURSE-ECG has been applied in order to identify and analyse changes in the electric activity of the cardiac muscle as a result of the CABG operation. In the study performed in cooperation of the Institute of Physics Adam Mickiewicz University and the Strus Hospital, Cardiac Surgery Ward, 37 patients with advanced coronary arterial disease were asked to participate. The patients were examined prior to the operation, on the day after the operation and two months after the operation and a year after the operation. The ECG recordings were subjected to a numerical procedure of resolution enhancement by a NURSE-ECG program to reveal the tentative changes in the electric potential of the cardiac muscle on its depolarisation. Results of the study have shown that the NURSE ECG method can be applied to monitor changes in the electric activity of the cardiac muscle occurring as a result of CABG operation. One the second day after the operation in the majority of patients (70%) a rapid decrease of the total

  10. Hyperhomocysteinämie bei Patienten mit koronarer Herzkrankheit vor aortokoronarer Bypass-Operation (CABG

    Directory of Open Access Journals (Sweden)

    Stanger O

    1999-01-01

    Full Text Available Erhöhte Plasmakonzentrationen der schwefelhaltigen Aminosäure Homocystein (Hcy wurden mit einer frühzeitigen Entwicklung arteriosklerotischer Gefäßveränderungen, thromboembolischer Komplikationen und schlechter Prognose der koronaren Herzkrankheit (KHK in Verbindung gebracht. Um das Vorkommen einer Hyperhomocysteinämie und die Wertigkeit des oralen Methionin-Belastungs-Tests (oMBT bei Patienten mit angiographisch nachgewiesener koronaren Herzkrankheit unmittelbar vor einer geplanten aortokoronaren Bypass-Operation (CABG zu untersuchen, wurde bei 150 KHK-Patienten und 80 gesunden Kontrollen nüchtern und 6 Stunden nach Methionin-Belastung totales Homocystein (tHcy im Plasma gemessen, ebenso u. a. Folsäure (Plasma und die Vitamine B6 und B12. Insgesamt hatten 32 % der Patienten eine Hyperhomocysteinämie. Die Höhe von Homocystein korrelierte dabei signifikant mit der Folsäure, ebenso der Anstieg unter Belastung und grenzwertig mit dem Body Mass Index (BMI. Ein solcher Zusammenhang konnte nicht für die Vitamine B6, B12 sowie Cholesterin, Triglyceride und Fibrinogen beobachtet werden. 37% der Patienten mit erhöhten Hcy-Werten wurden nur durch den Einsatz des oMBT erkannt. Daraus schließen wir, daß die Prävalenz einer Hyperhomocysteinämie in der untersuchten Patientengruppe im Vergleich zu einer gesunden Population sehr hoch ist. Der orale Methionin-Belastungs-Test stellt ein wichtiges Mittel zur Identifizierung von Patienten mit Hyperhomocysteinämie dar, dessen Einsatz den Aufwand rechtfertigt.

  11. Exploration of Syndrome Differentiation Patterns in Coronary Heart Disease Patients during Peri-Operative Stage of Coronary Artery Bypass Graft

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Objective: To explore the patterns of Syndrome Differentiation (SD) of coronary heart disease (CHD) patients in peri-operative stage of coronary artery bypass graft (CABG). Methods: One week after operation, thirty-seven CHD patients, who received CABG of internal mammary artery or great saphena vein under conventional general anesthesia with low or middle temperature extracorporeal circulation were differentiated as various syndromes, with the pre- or post-operational EKG, color Doppler echocardiography were done during and after operation. The hemodynamic parameters were monitored. Results: In the CHD patients, 64.9% were differentiated as Qi-Yin deficiency, 67.6% were complicated with phlegm syndrome and 62.2% with blood stasis, suggesting that Qi-deficiency, phlegm and stasis are the basic pathogenetic factors in patients with CABG. Moreover, the peri-operative syndrome was correlated with the condition of coronary artery lesion, heart and lung functions before operation, and the extracorporeal circulation time during the operation. Conclusion: TCM SD conducting in peri-operative stage might be useful in exploring the patterns of syndrome alteration which provided a basis for preventing peri-operative complications and elevating success rate of operation.

  12. Role magnesium in preventing post-operative atrial fibrillation after coronary artery bypass surgery

    International Nuclear Information System (INIS)

    To assess the role of 3 days of magnesium infusion after coronary artery bypass graft (CABG) surgery in preventing postoperative atrial fibrillation (AF). Prospective, randomized, non-blinded. All patients undergoing isolated, initial CABG surgery, and having sinus rhythm before surgery were alternatively randomized into the study or the control group. The exclusion criteria included: history of AF, implanted pacemaker, myocardial infarction postoperatively, use of left ventricular assist devices and renal failure. The patients in the study group received 10 mmol of magnesium sulphate (2.47 gm) dissolved in 100 ml of saline solution infused intravenously over 4 hours, for 3 days. The end point was development of AF for at least 15 minutes or more, or if an episode of AF had to be treated because of symptoms. A total of 220 patients were included in the study, 110 in each group. The incidence of AF was 9% in patients who received the three days of magnesium infusion. The patients without magnesium had an AF incidence of 23% (p<0.001). The hospital stay was also less in the treated group (p=0.055). A 3-days postoperative infusion of magnesium is safe and effective in reduction of possibly life-threatening AF, in patients undergoing primary coronary artery Bypass surgery. (author)

  13. Robotic totally endoscopic coronary artery bypass and catheter based coronary intervention in one operative session.

    Science.gov (United States)

    Bonatti, Johannes; Schachner, Thomas; Bonaros, Nikolaos; Laufer, Günther; Kolbitsch, Christian; Margreiter, Josef; Jonetzko, Patrycja; Pachinger, Otmar; Friedrich, Guy

    2005-06-01

    A 56-year-old male patient underwent robotically assisted totally endoscopic left internal mammary artery (LIMA) to left anterior descending artery (LAD) grafting. After protamine administration complete heart block developed in the patient. On intraoperative angiography the LIMA to LAD graft was perfectly patent but an acute occlusion of the right coronary artery (RCA) was noted. We performed an immediate on table percutaneous coronary angioplasty and stent placement to the RCA. The heart regained sinus rhythm and the wall motion abnormalities on the back wall of the heart resolved. No clinical symptoms indicating ongoing myocardial ischemia were noted postoperatively. This case demonstrates that a hybrid procedure of robotic totally endoscopic coronary artery bypass grafting and catheter based coronary intervention is feasible in one simultaneous session. PMID:15919329

  14. Efficacy of post-operative clopidogrel treatment in patients revascularized with coronary artery bypass grafting after myocardial infarction

    DEFF Research Database (Denmark)

    Sørensen, Rikke; Abildstrøm, Steen Z; Hansen, Peter R;

    2011-01-01

    OBJECTIVES: The objective of this study was to examine the clinical efficacy of clopidogrel treatment on death and recurrent myocardial infarction (MI) among MI patients revascularized by coronary artery bypass graft surgery (CABG). BACKGROUND: The benefit from post-operative clopidogrel in CABG...... surgery. Risk of death or recurrent MI, and of a combined end point of the 2, were assessed by cumulative incidence and Cox proportional hazards model. A propensity score-matched subgroup analysis was done. RESULTS: We included 3,545 patients, and of these, 957 (27.0%) were treated with clopidogrel after...... with clopidogrel, with no-clopidogrel as reference. By propensity score, of 945 patients with or without clopidogrel treatment who were matched, death or recurrent MI occurred in 38 (4.0%) patients with clopidogrel and 57 (6.0%) without clopidogrel (log-rank p = 0.05). Corresponding hazard ratio was 0...

  15. Design and Operation of FACT -- The First G-APD Cherenkov Telescope

    CERN Document Server

    Anderhub, H; Biland, A; Boccone, V; Braun, I; Bretz, T; Buß, J; Cadoux, F; Commichau, V; Djambazov, L; Dorner, D; Einecke, S; Eisenacher, D; Gendotti, A; Grimm, O; von Gunten, H; Haller, C; Hildebrand, D; Horisberger, U; Huber, B; Kim, K -S; Knoetig, M L; K"ohne, J H; Kr"ahenb"uhl, T; Krumm, B; Lee, M; Lorenz, E; Lustermann, W; Lyard, E; Mannheim, K; Meharga, M; Meier, K; Montaruli, T; Neise, D; Nessi-Tedaldi, F; Overkemping, A -K; Paravac, A; Pauss, F; Renker, D; Rhode, W; Ribordy, M; R"oser, U; Stucki, J -P; Schneider, J; Steinbring, T; Temme, F; Thaele, J; Tobler, S; Viertel, G; Vogler, P; Walter, R; Warda, K; Weitzel, Q; Z"anglein, M

    2013-01-01

    The First G-APD Cherenkov Telescope (FACT) is designed to detect cosmic gamma-rays with energies from several hundred GeV up to about 10 TeV using the Imaging Atmospheric Cherenkov Technique. In contrast to former or existing telescopes, the camera of the FACT telescope is comprised of solid-state Geiger-mode Avalanche Photodiodes (G-APD) instead of photomultiplier tubes for photo detection. It is the first full-scale device of its kind employing this new technology. The telescope is operated at the Observatorio del Roque de los Muchachos (La Palma, Canary Islands, Spain) since fall 2011. This paper describes in detail the design, construction and operation of the system, including hardware and software aspects. Technical experiences gained after one year of operation are discussed and conclusions with regard to future projects are drawn.

  16. Comparative analysis of operation in the regimes with by-pass of high pressure heat exchangers for two of the same power but different configuration steam turbine units

    Energy Technology Data Exchange (ETDEWEB)

    Savic, B.M.; Zivanovic, T. [Univ. of Belgrade (Yugoslavia). Faculty of Mechanical Engineering; Perkovic, B. [Electric Power Industry of Serbia, Belgrade (Yugoslavia). Power Generation and Transmission Dept.

    1999-11-01

    Additional power demands and some component failures at the high pressure heat exchangers system are two usual reasons for the operation in the regimes with by-pass of high pressure heat exchangers. This way the power output increase with the unchanged fresh steam rate could be very useful in practice because of its short-time response on electricity system demands, especially important in the circumstances of the steam boiler unavailability to produce the greater fresh steam rate and to retain such production for a longer period of time. Shortage of data about the operating conditions and operation costs for these regimes for two referent steam turbine units is certainly one of the important reasons for making this analysis. But, one comparative analysis of the operation in these regimes is yet more interesting having in mind that the reference units are practically of the same power, but different configurations. This analysis has been done on the basis of the regimes calculations for different variants of high pressure heat exchangers shut-off. The influences of the changes of cooling conditions in the condensers on the operating regimes with by-pass of high pressure heat exchangers have also been included. The potentially limiting factors during operation in the regimes with by-pass of high pressure heat exchangers have been discussed.

  17. Theoretical Investigation of Operation Modes of MHD Generators for Energy-bypass Engines

    Institute of Scientific and Technical Information of China (English)

    Jingfeng Tang; Nan Li; Daren Yu

    2014-01-01

    A MHD generator with different arrangements of electromagnetic fields will lead the generator working in three modes.A quasi-one-dimensional approximation is used for the model of the MHD generator to analyze the inner mechanism of operation modes.For the MHD generator with a uniform constant magnetic field,a specific critical electric field Ecr is required to decelerate a supersonic entrance flow into a subsonic exit flow.Otherwise,the generator works in a steady mode with a larger electric field than Ecr in which a steady supersonic flow is provided at the exit,or the generator works in a choked mode with a smaller electric field than Ecr in which the supersonic entrance flow is choked in the channel.The detailed flow field characteristics in different operation modes are discussed,demonstrating the relationship of operation modes with electromagnetic fields.

  18. Bypass flow computations using a one-twelfth symmetric sector for normal operation in a 350 MWth prismatic VHTR

    International Nuclear Information System (INIS)

    Highlights: ► CFD calculations are made of bypass flow between graphite blocks in VHTR. ► Parameters varied include bypass gap width, heat generation and geometry. ► Bypass flow causes lateral temperature gradients in graphite block. ► Bypass flow causes increases in max fuel and coolant temperatures. ► Bypass flow causes large increase in outlet coolant temperature variation - Abstract: Significant uncertainty exists about the effects of bypass flow in a prismatic gas-cooled very high temperature reactor (VHTR). Bypass flow is the flow in the gaps between prismatic graphite blocks in the core. The gaps are present because of variations in graphite block construction, imperfect installation and expansion and shrinkage from thermal heating and neutron fluence. Calculations are performed using computational fluid dynamics (CFD) for flow of the helium coolant in the gap and coolant channels along with conjugate heat generation and heat transfer in the fuel compacts and core graphite. A commercial CFD code is used for all of the computations. A one-twelfth sector of a standard hexagonal block column is used for the CFD model because of its symmetry. Various scenarios are investigated including varying the gap width, varying the total heat generation between average and peak rates and varying the graphite block geometry to account for the effects of shrinkage caused by irradiation. The calculations are for a 350 MWth prismatic reactor. It is shown that the effect of increasing gap width, while maintaining the same total mass flow rate, causes increased maximum fuel temperature while providing significant cooling to the near-gap region. The maximum outlet coolant temperature variation is increased by the presence of gap flow and also by an increase in total heat generation. The effect of block shrinkage is actually to decrease maximum fuel temperature compared to a similar reference case.

  19. A NEW APPROACH TO SOLVING GENERAL ANAESTHESIA INDIVIDUALIZATION PROBLEM DURING SURGICAL OPERATIONS WITH CARDIOPULMONARY BYPASS

    Directory of Open Access Journals (Sweden)

    V. M. Magilevets

    2009-01-01

    Full Text Available The computerized system to control depth of anesthesia during surgical operation was developed in our research center. The depth of anesthesia is regulated by controlled intravenous infusion of propofol. The varied propofol rate is controlled by the closed-loop propofol system (CLPS with mean arterial pressure (MAP controller. MAP is used in the CLPS as input parameter and indicator of anesthesia depth. CLPS consists PC, invasive blood pressure (BP sensor and Graseby 3400 infusion pump. The C language computer program sets the propofol infusion rate based on empirical algorithm including proportional component to maintain the measured MAP more closely to the target MAP (85% of patient standard MAP. The propofol concentrations are calculated by Runge–Kutta’s method PK/PD model differential equations solving with Marsh’s microconstants and Kazama’s BIS effect site microconstant and age depended BP effect site microconstants every 30 s. The designed CLPS was effective and useful for anesthesia maintenance during open-heart surgery, especially for early extubation. 

  20. Transfusion-free arterial switch operation in a 1.7-kg premature neonate using a new miniature cardiopulmonary bypass system.

    Science.gov (United States)

    Huebler, Michael; Redlin, Matthias; Boettcher, Wolfgang; Koster, Andreas; Berger, Felix; Peters, Björn; Hetzer, Roland

    2008-01-01

    In cardiac surgery, the potentially detrimental effects of transfusions on patient outcome are increasingly appreciated. Therefore, at our institution there are continuing efforts to modify our surgical, perfusion, and blood management strategies with the aim of transfusion-free cardiac surgery even in neonates and small children. Stringent improvement of these strategies, particularly the downsizing of the cardiopulmonary bypass system, have now enabled a transfusion-free arterial switch operation in a 1700-gram prematurely born neonate. PMID:18598328

  1. Evaluations of topical application of tranexamic acid on post-operative blood loss in off-pump coronary artery bypass surgery

    OpenAIRE

    Habibollah Hosseini; Ali Akbar Rahimianfar; Mohammad Hassan Abdollahi; Mohammad Hossein Moshtaghiyoon; Mahdi Haddadzadeh; Asefeh Fekri; Kazem Barzegar; Fatemeh Rahimianfar

    2014-01-01

    Objective: One of the major complications of cardiac surgery is the presence of post-operative bleeding. The aim of the present study was to investigate the topical application of tranexamic acid in the pericardial cavity on post-operative bleeding in off-pump coronary artery bypass graft (CABG) surgery. Materials and Methods: This study was on 71 patients who underwent off-pump CABG. The anesthesia and surgery methods were the same for all patients. Patients were assigned to two equal groups...

  2. Cardiopulmonary bypass in pregnancy.

    Science.gov (United States)

    Pomini, F; Mercogliano, D; Cavalletti, C; Caruso, A; Pomini, P

    1996-01-01

    The cardiopathic patient can sustain acute heart failure during pregnancy. In such cases, if open heart operation is necessary to save the patient's life, the fetus could be seriously compromised after exposure to cardiopulmonary bypass. From 1958 to 1992, 69 reports of cardiac operations during pregnancy with the aid of cardiopulmonary bypass have been published. Maternal mortality was 2.9%. Embryofetal mortality was 20.2%. Examining only the last 40 patients, maternal and embryofetal mortality were 0.0% and 12.5%, respectively. Embryofetal mortality was 24.0% when hypothermia was used, compared with 0.0% while operating in normothermia. Maternal mortality did not change. The use of hypothermia during cardiopulmonary bypass provoked uterine contractions in several patients. Hypothermia decreases O2 exchange through the placenta. Pump flow and mean arterial pressure during cardiopulmonary bypass seem to be the most important parameters that influence fetal oxygenation. We speculate that cardiac operation is not a contraindication to pregnancy prolongation. PMID:8561577

  3. Analysis of operations and cyber security policies for a system of cooperating Flexible Alternating Current Transmission System (FACTS) devices.

    Energy Technology Data Exchange (ETDEWEB)

    Phillips, Laurence R.; Tejani, Bankim; Margulies, Jonathan; Hills, Jason L.; Richardson, Bryan T.; Baca, Micheal J.; Weiland, Laura

    2005-12-01

    Flexible Alternating Current Transmission Systems (FACTS) devices are installed on electric power transmission lines to stabilize and regulate power flow. Power lines protected by FACTS devices can increase power flow and better respond to contingencies. The University of Missouri Rolla (UMR) is currently working on a multi-year project to examine the potential use of multiple FACTS devices distributed over a large power system region in a cooperative arrangement in which the FACTS devices work together to optimize and stabilize the regional power system. The report describes operational and security challenges that need to be addressed to employ FACTS devices in this way and recommends references, processes, technologies, and policies to address these challenges.

  4. [Ultrafast-track Anesthesia (UFTA) in the Operating Room and the Anesthetic Management for Off-pump Coronary Artery Bypass (OPCAB)].

    Science.gov (United States)

    Shimosaka, Mika; Inoue, Motoki; Takahashi, Hisato; Takahashi, Masao; Miyajima, Keisuke; Ishikawa, Toshihiro; Hatada, Kazuyoshi

    2016-04-01

    Currently, the immediate extubation in the operating room is necessary for the patients undergoing off-pump coronary artery bypass (OPCAB). To achieve UFTA, anesthesiologists should control general anesthesia. We report the case series of UFTA for the patients undergone OPCAB at our hospital. Forty patients receiving OPCAB between April 2012 and April 2014 were retrospectively analyzed. We divided the patients into those extubated in the operating room (Extubation group) and those not (Intubation group). The extubation criteria included adequate revascularization, adequate hemostasis, ratio between Pa(O2) and FI(O2) more than 250, body temperature above 36 degrees C, stable hemodynamics without noradrenaline, without IABP, and normal postoperative chest X-ray. Twenty-three patients (70% of the scheduled and 20% of the emergency patients) were included in our criteria and could be extubated in the operating room. One patient was re-intubated due to asthma attack following extubation in the operating room. The sucess rate of immediate extubation was 95.7% by our criteria. There were no significant differences in age, sex, BMI, duration of anesthesia, and amount of hemorrhage between the 2 groups. We believe that UFTA for OPCAB patients may be possible under carefull decision by extubation criteria. PMID:27188100

  5. Axillobifemoral bypass grafting

    Directory of Open Access Journals (Sweden)

    Davidović Lazar B.

    2004-01-01

    occlusion was reported in four patients. As the cause of occlusion, the progression of occlusive disease of receptive artery was identified in three patients, while anastomotic neointimae hyperplasia of recipient artery was identified in one patient. Three patients died during the follow up period. As the cause of death, CVI was reported in two patients and malignancy of the urinary tract was fpund in one patient. The other complications were - artery angulation on the level of proximal anastomosis in one patient (Figure 1, false aneurysm in one patient, perigraft seroma in one patient and graft infection in three patients. Life table method has shown that cumulative rate of late graft patency is 80.39% after five years (Graph 1. DISCUSSION Our results were analyzed and compared with the results of the study on 283 patients who had undergone aortobifemoral bypass (AFF operation due to the aortoiliac occlusive disease. This study was completed in 1995 (18. The results showed that there was no statistically significant differences between AxFF and AFF group (p>0.05, considering early mortality rate and late graft patency (Graph 2. The review of mortality and late patency rate after AxFF bypass grafting in a world well known studies has shown the similar results (Table 1. CONCLUSION The authors suggest that axilobifemoral bypass is indicated when there are contraindications or difficulties to perform anatomic reconstruction due to the abdomen condition (infection, adhesion, comorbidity as well as in high risk patients with low life expectancy.

  6. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... as doctors use for this operation is “TECAB,” meaning “Totally Endoscopic Coronary Artery Bypass.” This procedure will ... make sure his vessels are able for bypass, meaning doing the CT angiograph for the peripheral arteries. ...

  7. Atrial fibrillation post cardiac bypass surgery

    OpenAIRE

    Mostafa, Ashraf; EL-Haddad, Mohamed A.; Shenoy, Maithili; Tuliani, Tushar

    2012-01-01

    Atrial fibrillation occurs in 5-40% patients after coronary artery bypass graft surgery. Atrial fibrillation increases mortality and morbidity in the post-operative period. We sought to conduct a comprehensive review of literature focusing on pathophysiology, risk factors, prevention and treatment of post coronary artery bypass graft atrial fibrillation.

  8. Reducing Bat Fatalities From Interactions with Operating Wind Turbines (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    Lawson, M.

    2013-11-01

    One of the biggest advantages of wind energy is that, overall, it has fewer negative impacts on the environment than fossil fuel-generated energy. Most professionals in the wind industry would like to reduce the impact of energy generation on plants, animals, and their habitats. This is why the industry is highly motivated to find out why migrating bats have unexpectedly high fatality rates near operating wind farms. New research has provided quantitative data that indicates barotrauma is not a major cause of bat deaths around operating turbines.

  9. Lepirudin as an alternative to "heparin allergy" during cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Parissis Haralabos

    2011-04-01

    Full Text Available Abstract A treatment strategy of a difficult and unusual problem is presented. We are reporting a case of a patient who had a documented allergy to heparin and required Cardiac surgery for an ASD closure. The anticoagulation regime used during cardiopulmonary bypass was lepirudin based. This report indicates that r-hirudin provides effective anticoagulation, however unless ECT is monitoring, post operative hemorrhage is encountered. Therefore this case is unique not only because of its rarity but also by the fact that it presents the caveats encountered when ECT is not available.

  10. Coronary Artery Bypass

    Science.gov (United States)

    ... to 3 days in the Intensive Care Unit (ICU). Life After Bypass After bypass surgery, your doctor will recommend that you join a cardiac rehabilitation program. These programs help you make lifestyle changes ...

  11. Drug Facts

    Medline Plus

    Full Text Available Easy-to-Read Drug Facts Search form Search Menu Home Drugs That People Abuse Alcohol Facts Cigarette and Tobacco Facts Cocaine (Coke, Crack) Facts Heroin (Smack, Junk) Facts Marijuana ( ...

  12. Cardiopulmonary bypass in pregnancy

    Directory of Open Access Journals (Sweden)

    Mukul Chandra Kapoor

    2014-01-01

    Full Text Available Cardiac surgery carried out on cardiopulmonary bypass (CPB in a pregnant woman is associated with poor neonatal outcomes although maternal outcomes are similar to cardiac surgery in non-pregnant women. Most adverse maternal and fetal outcomes from cardiac surgery during pregnancy are attributed to effects of CPB. The CPB is associated with utero-placental hypoperfusion due to a number of factors, which may translate into low fetal cardiac output, hypoxia and even death. Better maternal and fetal outcomes may be achieved by early pre-operative optimization of maternal cardiovascular status, use of perioperative fetal monitoring, optimization of CPB, delivery of a viable fetus before the operation and scheduling cardiac surgery on an elective basis during the second trimester.

  13. CITY OF SANTA FE V. KOMIS REVISITED: AN ANALYSIS OF THE ACTUAL IMPACTS OF CONSTRUCTION AND OPERATION OF THE SANTA FE BYPASS ON THE VALUE OF NEARBY REAL ESTATE

    International Nuclear Information System (INIS)

    The Santa Fe Bypass for transport of transuranic waste (TRU) to the Waste Isolation Pilot Plant (WIPP) near Carlsbad, New Mexico has been constructed and is operational (as of 2000). This paper presents a review of actual empirical data from the sales of real estate in the Santa Fe City/County area since the filing of the City of Santa Fe v. Komis lawsuit in 1988. The data analyzed covers the time period from 1989 through the last quarter of 2001

  14. CITY OF SANTA FE V. KOMIS REVISITED: AN ANALYSIS OF THE ACTUAL IMPACTS OF CONSTRUCTION AND OPERATION OF THE SANTA FE BYPASS ON THE VALUE OF NEARBY REAL ESTATE

    Energy Technology Data Exchange (ETDEWEB)

    Bentz, Dr. E. J., Jr.,; Bentz, C. B.; O' Hora, T. D.; Baepler, Dr. D.

    2003-02-27

    The Santa Fe Bypass for transport of transuranic waste (TRU) to the Waste Isolation Pilot Plant (WIPP) near Carlsbad, New Mexico has been constructed and is operational (as of 2000). This paper presents a review of actual empirical data from the sales of real estate in the Santa Fe City/County area since the filing of the City of Santa Fe v. Komis lawsuit in 1988. The data analyzed covers the time period from 1989 through the last quarter of 2001.

  15. Drug Facts

    Medline Plus

    Full Text Available ... People Abuse Alcohol Facts Cigarette and Tobacco Facts Cocaine (Coke, Crack) Facts Heroin (Smack, Junk) Facts Marijuana (Weed, ... and treatment. Watch Videos Information About Drugs Alcohol Cocaine Heroin Marijuana Meth Pain Medicines Tobacco Other Drugs ...

  16. Drug Facts

    Medline Plus

    Full Text Available ... People Abuse Alcohol Facts Cigarette and Tobacco Facts Cocaine (Coke, Crack) Facts Heroin (Smack, Junk) Facts Marijuana (Weed, Pot) ... and treatment. Watch Videos Information About Drugs Alcohol Cocaine Heroin Marijuana Meth Pain Medicines Tobacco Other Drugs ...

  17. Drug Facts

    Medline Plus

    Full Text Available ... Cigarette and Tobacco Facts Cocaine (Coke, Crack) Facts Heroin (Smack, Junk) Facts Marijuana (Weed, Pot) Facts Meth ( ... treatment. Watch Videos Information About Drugs Alcohol Cocaine Heroin Marijuana Meth Pain Medicines Tobacco Other Drugs You ...

  18. Drug Facts

    Medline Plus

    Full Text Available ... People Abuse Alcohol Facts Cigarette and Tobacco Facts Cocaine (Coke, Crack) Facts Heroin (Smack, Junk) Facts Marijuana ( ... and treatment. Watch Videos Information About Drugs Alcohol Cocaine Heroin Marijuana Meth Pain Medicines Tobacco Other Drugs ...

  19. Drug Facts

    Medline Plus

    Full Text Available ... Cocaine (Coke, Crack) Facts Heroin (Smack, Junk) Facts Marijuana (Weed, Pot) Facts Meth (Crank, Ice) Facts Pain ... Watch Videos Information About Drugs Alcohol Cocaine Heroin Marijuana Meth Pain Medicines Tobacco Other Drugs You can ...

  20. Patients undergoing elective coronary artery bypass grafting exhibit poor pre-operative intakes of fruit, vegetables, dietary fibre, fish and vitamin D.

    Science.gov (United States)

    Ruiz-Núñez, B; van den Hurk, G H A M; de Vries, J H M; Mariani, M A; de Jongste, M J L; Dijck-Brouwer, D A J; Muskiet, F A J

    2015-05-14

    CHD may ensue from chronic systemic low-grade inflammation. Diet is a modifiable risk factor for both, and its optimisation may reduce post-operative mortality, atrial fibrillation and cognitive decline. In the present study, we investigated the usual dietary intakes of patients undergoing elective coronary artery bypass grafting (CABG), emphasising on food groups and nutrients with putative roles in the inflammatory/anti-inflammatory balance. From November 2012 to April 2013, we approached ninety-three consecutive patients (80% men) undergoing elective CABG. Of these, fifty-five were finally included (84% men, median age 69 years; range 46-84 years). The median BMI was 27 (range 18-36) kg/m(2). The dietary intake items were fruits (median 181 g/d; range 0-433 g/d), vegetables (median 115 g/d; range 0-303 g/d), dietary fibre (median 22 g/d; range 9-45 g/d), EPA+DHA (median 0.14 g/d; range 0.01-1.06 g/d), vitamin D (median 4.9 μg/d; range 1.9-11.2 μg/d), saturated fat (median 13.1% of energy (E%); range 9-23 E%) and linoleic acid (LA; median 6.3 E%; range 1.9-11.3 E%). The percentages of patients with dietary intakes below recommendations were 62% (fruits; recommendation 200 g/d), 87 % (vegetables; recommendation 150-200 g/d), 73% (dietary fibre; recommendation 30-45 g/d), 91% (EPA+DHA; recommendation 0.45 g/d), 98% (vitamin D; recommendation 10-20 μg/d) and 13% (LA; recommendation 5-10 E%). The percentages of patients with dietary intakes above recommendations were 95% (saturated fat; recommendation < 10 E%) and 7% (LA). The dietary intakes of patients proved comparable with the average nutritional intake of the age- and sex-matched healthy Dutch population. These unbalanced pre-operative diets may put them at risk of unfavourable surgical outcomes, since they promote a pro-inflammatory state. We conclude that there is an urgent need for intervention trials aiming at rapid improvement of their diets to reduce peri-operative risks. PMID:25827177

  1. Clogging the enrichment bypass

    International Nuclear Information System (INIS)

    The issue that has come to be known as the bypass is the latest dispute in the continuing saga of uranium trade between the United States and the Commonwealth of Indepenent States. Bypass deals now being conducted by US utilities have drawn heavy criticism from the US Department of Commerce but are perfectly legal under the terms of the Suspension Agreements. Urged on by the United States Enrichment Corporation, the US DOC intends to stop, or at least severely restrict, bypass deals. Using a recent agreement with Kazakhstan as a case study, this article reviews the implications of such bypass deals

  2. Evaluation of retrospectively ECG-gated 4-row multidetector CT in patients planned for minimal invasive coronary artery bypass grafting; Die EKG-getriggerte 4-Zeilen-Spiral-CT des Herzens in der praeoperativen Bildgebung vor minimalinvasiver koronarer Bypass-Operation

    Energy Technology Data Exchange (ETDEWEB)

    Begemann, P.G.C.; Ittrich, H.; Koops, A.; Adam, G.; Weber, C. [Klinik und Poliklinik fuer Diagnostische und Interventionelle Radiologie, Radiologisches Zentrum, Universitaetsklinikum, Hamburg (Germany); Arnold, M.; Detter, C.; Boehm, D.H.; Reichenspurner, H. [Universitaetsklinikum Hamburg-Eppendorf, Herzzentrum, Herz und Gefaesschirurgie, Hamburg (Germany)

    2005-08-01

    Purpose: Minimal invasive direct coronary artery bypass grafting (MIDCAB) or off-pump coronary artery bypass grafting (OPCAB) on the beating heart with full or mini-sternotomy are becoming more common in coronary bypass surgery of the left anterior descending (LAD). In the decision, which surgical approach (MIDCAB, OPCAB or conventional surgery with cardiopulmonary bypass) will be best used, knowledge of the anatomical field is of major importance. The aim of the study was to evaluate retrospective ECG-gated 4-row multidetector CT (MDCT) in patients planned for MIDCAB as additional imaging to coronary angiography. Material and methods: The study included 25 consecutive patients. MSCT was performed as unenhanced (collimation 4 x 2.5 mm) and contrast-enhanced examination (140-170 ml, 300 mg Iodine/ml, collimation 4 x 1 mm). The evaluation included presence of LAD calcifications, distance of LAD and left internal mammarian artery (LIMA), coursek of LAD and LIMA, the presence or absence of bridging through myocardium or epicardial fat and the presence of pleural fibrosis. The MDCT results were correlated with intra-operative findings. Results: All MDCTs could be assessed with reference to the demands. In 20/25 operations, MDCT had direct influence as to the selection of the surgical approach (11 MIDCAB, 7 OPCAB with mini-sternotomy and 5 with full sternotomy, 2 conventional surgeries). The distance of LAD and LIMA varied from 0.9 to 4.5 cm in MDCT. As to calcifications, 3/25 correlated patients had calcifications and 10 patients had no calcifications in the middle LAD. Seven patients had intraoperative fibrosis of the vessel wall without calcification of the middle LAD, which could not be detected with MDCT. Another 5 patients had single calcified plaques in the middle LAD, 4 of these had a fibrosis of the vessel and 1 had a normal vessel at surgery. In these cases, the anastomosis was done between the calcified plaques. No myocardial bridging was detected by MDCT and

  3. Drug Facts

    Medline Plus

    Full Text Available ... Weed, Pot) Facts Meth (Crank, Ice) Facts Pain Medicine (Oxy, Vike) Facts Other Drugs of Abuse What ... About Drugs Alcohol Cocaine Heroin Marijuana Meth Pain Medicines Tobacco Other Drugs You can call 1-800- ...

  4. Drug Facts

    Medline Plus

    Full Text Available ... Search form Search Menu Home Drugs That People Abuse Alcohol Facts Cigarette and Tobacco Facts Cocaine (Coke, ... Pain Medicine (Oxy, Vike) Facts Other Drugs of Abuse What is Addiction? Do You or a Loved ...

  5. Drug Facts

    Medline Plus

    Full Text Available ... Drugs That People Abuse Alcohol Facts Cigarette and Tobacco Facts Cocaine (Coke, Crack) Facts Heroin (Smack, Junk) ... Drugs Alcohol Cocaine Heroin Marijuana Meth Pain Medicines Tobacco Other Drugs You can call 1-800-662- ...

  6. Bypass materials in vascular surgery

    Directory of Open Access Journals (Sweden)

    Willich, Stephan N.

    2006-03-01

    Full Text Available Introduction: Arteriosclerotic changes can lead to circulatory disturbances in various areas of the human vascular system. In addition to pharmacological therapy and the management of risk factors (e. g. hypertension, diabetes, lipid metabolism disorders, and lifestyle, surgical interventions also play an important role in the treatment of arteriosclerosis. Long-segment arterial occlusions, in particular, can be treated successfully with bypass sur-gery. A number of different materials are available for this type of operation, such as autologous vein or pros-thetic grafts comprised of polytetrafluoroethylene (PTFE or Dacron®. Prosthetic materials are used especially in the treatment of peripheral artery disease, such as in aortoiliac or femoropopliteal bypass surgery. The present report will thus focus on this area in order to examine the effectiveness of different bypass materials. Among the efforts being made to refine the newly introduced DRG system in Germany, analysing the different bypass materials used in vascular surgery is particularly important. Indeed, in its current version the German DRG system does not distinguish between bypass materials in terms of reimbursement rates. Differences in cost structures are thus of especial interest to hospitals in their budget calculations, whereas both private and statutory health insurance funds are primarily interested in long-term results and their costs. Objectives: The goal of this HTA is to compare the different bypass materials used in vascular surgery in terms of their medical efficiency and cost-effectiveness, as well as with regard to their ethical, social and legal implications. In addition, this report aims to point out the areas in which further medical, epidemiological and health economic research is still needed. Methods: Relevant publications were identified by means of a structured search of databases accessed through the German Institute of Medical Documentation and Information

  7. Magnetic resonance angiographic assessment after extracranial-intracranial bypass surgery.

    OpenAIRE

    Praharaj, S S; Coulthard, A; Gholkar, A; English, P; Mendelow, A D

    1996-01-01

    Extracranial-intracranial (EC-IC) bypass operation may be performed to augment the distal cerebral circulation. The bypass patency is usually assessed postoperatively with conventional cerebral angiography. Six patients are reported in whom the bypass patency was assessed using magnetic resonance angiography (MRA): Two had intracavernous carotid aneurysms, three had base of skull tumours encompassing the internal carotid artery, and one had occlusion of the right internal carotid artery with ...

  8. The experience of psychological nursing of cardiopulmonary bypass heart operation during perioperative period%体外循环心脏手术围手术期的心理护理体会

    Institute of Scientific and Technical Information of China (English)

    张玉梅; 范春兰; 韩萌萌

    2015-01-01

    目的:对体外循环心脏手术围术期的心理观察,有前瞻性和针对性的心理护理,从而及时治疗、预防心理行为异常的发生,使患者早日康复。方法通过术前强化系统脱敏、认知行为以及术后相应心理护理。结果45例手术患者无不良事件发生。结论心理护理能有效避免体外循环心脏手术围手术期的病人心理行为异常的发生。%Objective On the psychological observation of cardiopulmonary bypass heart operation during perioperative period,forward-looking and corresponding psychological nursing,and timely treatment,prevent abnormal psychological behavior, so that patients with early rehabilitation.Methods To strengthen the systematic desensitization, cognitive behavior and corresponding psychological nursing after surgery by preoperative.Results 45 cases of operation patients without adverse events.Conclusion Psychological nursing can occur in patients with psychological behavior effectively avoid cardiopulmonary bypass heart operation in perioperative period of abnormal.

  9. Bypassing damaged nervous tissue

    CERN Document Server

    Shneider, M N

    2016-01-01

    We show the principal ability of bypassing damaged demyelinated portions of nervous tissue, thereby restoring its normal function for the passage of action potentials. We carry out a theoretical analysis on the basis of the synchronization mechanism of action potential propagation along a bundle of neurons, proposed recently in [1]. And we discuss the feasibility of implement a bypass to restore damaged nervous tissue and creating an artificial neuron network.

  10. Coronary artery bypass surgery without cardiopulmonary bypass: short- and mid-term results.

    Science.gov (United States)

    Mishra, Y; Mehta, Y; Kohli, V M; Kohli, V; Mairal, M; Mishra, A; Bapna, R K; Trehan, N

    1997-01-01

    From March 1994 to April 1997, 433 patients had undergone coronary artery bypass grafting without cardiopulmonary bypass in our institute. Sixty-eight patients had various organ dysfunctions and/or aortic atheroma or calcification and were regarded as high risk for cardiopulmonary bypass. In 277 patients surgery was performed through midline sternotomy, while in 156 minithoracotomy approach was used. In 361 patients single coronary artery bypass grafting was done, and in 72 two-coronary arteries were bypassed. In 63 patients who had graftable vessels in anterior wall and diffusely diseased ungraftable vessels in posterolateral and/or inferior wall, transmyocardial laser revascularisation was also done along with coronary artery bypass grafting to achieve complete myocardial revascularisation. Nine patients in this series were also subjected to simultaneous carotid endarterectomy along with myocardial revascularisation. In two patients complementary percutaneous transluminal coronary angioplasty of left circumflex coronary artery was done five days after minithoracotomy and left internal mammary artery to left anterior descending coronary artery bypass grafting. Forty-two cases were extubated in operating room. Average blood loss was 260 ml. Six patients were reexplored for postoperative bleeding. Seven patients had perioperative myocardial infarction. One developed neurological complication. Hospital mortality was 2.3 percent (10/433 cases) and four deaths were due to malignant ventricular arrhythmias. Nine patients developed chest wound complications. Average hospital stay after operation was six days, 423 patients were discharged from hospital and all of them were asymptomatic. During three years follow-up (range 3 to 38 months) there were three known cardiac deaths. Ninety percent (391) patients reported to the follow-up clinic and 91 percent of them were angina-free. In patients who were subjected to transmyocardial laser revascularisation along with coronary

  11. Drug Facts

    Medline Plus

    Full Text Available ... form Search Menu Home Drugs That People Abuse Alcohol Facts Cigarette and Tobacco Facts Cocaine (Coke, Crack) ... addiction and treatment. Watch Videos Information About Drugs Alcohol Cocaine Heroin Marijuana Meth Pain Medicines Tobacco Other ...

  12. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... completely endoscopic coronary artery bypass grafting procedure using robotics. We call this operation a “TECAB,” “Totally Endoscopic ... scrub nurse, also a lot of experience with robotics now. And Dr. Atiq Rahman, fellow here for ...

  13. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... coronary artery bypass grafting procedure using robotics. We call this operation a “TECAB,” “Totally Endoscopic Coronary Artery ... see 2 the heart beating behind what we call the “pericardium,” the sack where the heart is ...

  14. Bypass Flow Study

    International Nuclear Information System (INIS)

    The purpose of the fluid dynamics experiments in the MIR (Matched Index of-Refraction) flow system at Idaho National Laboratory (INL) is to develop benchmark databases for the assessment of Computational Fluid Dynamics (CFD) solutions of the momentum equations, scalar mixing, and turbulence models for the flow ratios between coolant channels and bypass gaps in the interstitial regions of typical prismatic standard fuel element (SFE) or upper reflector block geometries of typical Modular High-temperature Gas-cooled Reactors (MHTGR) in the limiting case of negligible buoyancy and constant fluid properties. The experiments use Particle Image Velocimetry (PIV) to measure the velocity fields that will populate the bypass flow study database.

  15. Bypass Flow Study

    Energy Technology Data Exchange (ETDEWEB)

    Richard Schultz

    2011-09-01

    The purpose of the fluid dynamics experiments in the MIR (Matched Index of-Refraction) flow system at Idaho National Laboratory (INL) is to develop benchmark databases for the assessment of Computational Fluid Dynamics (CFD) solutions of the momentum equations, scalar mixing, and turbulence models for the flow ratios between coolant channels and bypass gaps in the interstitial regions of typical prismatic standard fuel element (SFE) or upper reflector block geometries of typical Modular High-temperature Gas-cooled Reactors (MHTGR) in the limiting case of negligible buoyancy and constant fluid properties. The experiments use Particle Image Velocimetry (PIV) to measure the velocity fields that will populate the bypass flow study database.

  16. The Best Bypass Surgery Trial

    DEFF Research Database (Denmark)

    Møller, Christian H; Jensen, Birte Østergaard; Gluud, Christian; Perko, Mario J; Lund, Jens T; Andersen, Lars Willy; Madsen, Jan Kyst; Hughes, Pia; Steinbrüchel, Daniel A

    2007-01-01

    Recent trials suggest that off-pump coronary artery bypass grafting (OPCAB) reduces the risk of mortality and morbidity compared with conventional coronary artery bypass grafting (CCAB) using cardiopulmonary bypass. Patients with a moderate- to high-risk of complications after CCAB may have addit...

  17. Aortic valve bypass

    DEFF Research Database (Denmark)

    Lund, Jens T; Jensen, Maiken Brit; Arendrup, Henrik; Ihlemann, Nikolaj

    2013-01-01

    In aortic valve bypass (AVB) a valve-containing conduit is connecting the apex of the left ventricle to the descending aorta. Candidates are patients with symptomatic aortic valve stenosis rejected for conventional aortic valve replacement (AVR) or transcatheter aortic valve implantation (TAVI...

  18. Bypassing AMPK Phosphorylation

    OpenAIRE

    Viollet, Benoit; Foretz, Marc; Schlattner, Uwe

    2014-01-01

    AMP-activated protein kinase (AMPK) functions as a signaling hub to balance energy supply with demand. Phosphorylation of activation loop Thr172 has been considered as an essential step in AMPK activation. In this issue of Chemistry & Biology, Scott and colleagues show that the small molecule direct AMPK activator, A-769662, bypasses this phosphorylation event, and acts synergistically with AMP on naive AMPK.

  19. A compliance monitoring program for use and operation of the Grasslands Bypass for drainage conveyance in the western San Joaquin Valley

    Energy Technology Data Exchange (ETDEWEB)

    Quinn, N.W.T.

    1995-11-01

    The Bureau of Reclamation (Reclamation) signed a Finding of No Significant Impact (FONSI) No. 92-02-MP dated October 18, 1991 and a Supplement to the FONSI No. 92-03-MP dated April 15, 1991, for use of a 19 mile segment of the San Luis Drain, renamed the Grasslands Bypass, to convey agricultural drainage waters to the San Joaquin River. An Environmental Assessment was prepared and published in support of the FONSI. On September 7, 1995 a Supplemental Environmental Assessment was prepared to update the original document to account for changes to the original project. These changes included a change to the point of entry to the Drain and an increase in the length of the Drain utilized by the Project from 19 to 28 miles. Environmental commitments and a schedule of fees for non-compliance with monthly and annual selenium load targets were also agreed upon for the current Project. Environmental documents preceding the FONSI outlined a monitoring program that obtained general and informal concurrence by technical staff of the participating agencies. A revised version of the proposed monitoring program was distributed by Reclamation for review and comment by the agencies in July 1992. A final monitoring plan document was issued in June 1993 and was subsequently approved by the Oversight Committee. This document includes substantial revisions to the existing June 1993 monitoring plan to reflect the compliance requirements of the current Project.

  20. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... Anthony Gonzalez, and welcome to South Miami Hospital. We’re here for a live webcast, a fully robotic gastric bypass, as I mentioned, we’re in the operating room at South Miami ...

  1. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... you a detailed account of how the operation works. During that time, I’d like to answer ... you’ll understand it. Basically, the gastric bypass works on two different principals for weight loss, one ...

  2. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... Health South Florida Miami, FL May 20, 2010 I am Dr. Anthony Gonzalez, and welcome to South ... live webcast, a fully robotic gastric bypass, as I mentioned, we’re in the operating room at ...

  3. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... operative procedure, the live procedure, you’ll understand it. Basically, the gastric bypass works on two different ... a small portion of the stomach and divide it from the rest of the stomach, and that’s ...

  4. Earthquake Facts

    Science.gov (United States)

    ... Us Earthquakes Hazards Data & Products Learn Monitoring Research Earthquake Facts The largest recorded earthquake in the United ... we know, there is no such thing as "earthquake weather" . Statistically, there is an equal distribution of ...

  5. Design and operating experience of the cryogenic system of the U.S. SCMS as incorporated into the bypass loop of the U-25 MHD generator facility

    International Nuclear Information System (INIS)

    The design features and accumulated operating experience, from a cryogenics point of view, of the United States Superconducting Magnet System (U.S. SCMS) are presented. The principal cryogenic system design parameters are enumerated. Details of the cryogenic aspects of magnetic system commissioning, standby mode, and operation with MHD generators are discussed. Included are system operation, problems encountered and corrective actions taken, and measured operating parameters which include liquid helium boiloff, cryostat pressure and level versus time, etc. The aspects of the transition between operation in the laboratory and in an MHD plant are elaborated

  6. Analysis and testing of electrorheological bypass dampers

    Science.gov (United States)

    Lindler, Jason E.; Wereley, Norman M.

    1998-06-01

    We experimentally validate nonlinear quasi-steady electrorheological (ER) and magnetorheological (MR) damper models, using an idealized Bingham plastic shear flow mechanism, for the flow mode of damper operation. An electrorheological valve or bypass damper was designed, and fabricated using predominantly commercial off-the-shelf hydraulic components. Both the hydraulic cylinder and the bypass duct have cylindrical geometry, and damping forces are developed in the annular bypass via Poiseuille (flow mode) flow. Damper models assume parallel plate geometry. Three nondimensional groups are used for damper analysis, namely, the Bingham number, Bi, the nondimensional plug thickness, (delta) , and the area coefficient defined as the ratio of the piston head area, A(rho ), to the cross-sectional area of the annular bypass, Ad. In the flow mode case, the damping coefficient, which is defined as the ratio of equivalent viscous damping of the Bingham plastic material, Ceq, to the Newtonian viscous damping, C, is a function of the nondimensional plug thickness only. The damper was tested using a mechanical damper dynamometer for sinusoidal stroke of 2 inches, over a range of frequencies below 0.63 Hz. The damping coefficient vs. nondimensional plug thickness diagram was experimentally validated using these data over a range of damper shaft velocities and applied electric field. Because the behaviors of ER and MR fluid are qualitatively similar, these ER damper modeling results may be extended to analysis of flow mode MR dampers.

  7. Dynamic Experimental Study of a Multi—bypass Pulse Tube Refrigerator with Two—bypass Tubes

    Institute of Scientific and Technical Information of China (English)

    YonglinJu; ChaoWang; 等

    1998-01-01

    A dynamic experimental apparatus to measure the instantaneous velocity and pressure in the multibypass pulse tube refrigerator(MPTR) was designed and constructed.Some important experimental results of the instantaneous measurements of the velocity and the pressure in the MPTR with twobypass tubes during actual operation are prsented.The effects of the middle-bypass version on the dynamic pressure and mass flow rate at the cold end of the pulse tube are ev aluated from experimental measurements.DC-flow phenomena are observed in this MPTR.The reasons of the multi-bypass version improved the performance of pulse tube refrigertor are given.

  8. Reptile Facts.

    Science.gov (United States)

    Steinheimer, Margaret

    1993-01-01

    Describes an award-winning bulletin board for introducing a unit on reptiles. This interactive bulletin board contains fun facts and counters common misconceptions about reptiles. Twelve true-false statements are hidden behind pull-up flaps. Four pictures ask students to identify the difference between often-confused animals. (PR)

  9. Drug Facts

    Medline Plus

    Full Text Available ... Health Drug Abuse Hurts Bodies Drug Abuse Hurts Brains Drug Abuse and Mental Health Problems Often Happen Together The Link Between Drug Abuse and HIV/AIDS Recovery & Treatment Drug Treatment Facts Does Drug Treatment Work? Types of Drug Treatment What Is a Relapse? ...

  10. Snack, Facts

    Science.gov (United States)

    Smith, Suzanne M.

    2005-01-01

    The American diet has undergone substantial changes, a fact that has negatively impacted the dental health of children. Primary prevention is the ideal method to address the current increased incidence of tooth decay. Educating kids, and their parents, about the qualities of snacks as well as the role of frequency of snacking could help to reduce…

  11. Normoxic and Hyperoxic Cardiopulmonary Bypass in Congenital Heart Disease

    OpenAIRE

    2014-01-01

    Cyanotic congenital heart disease comprises a diverse spectrum of anatomical pathologies. Common to all, however, is chronic hypoxia before these lesions are operated upon when cardiopulmonary bypass is initiated. A range of functional and structural adaptations take place in the chronically hypoxic heart, which, whilst protective in the hypoxic state, are deleterious when the availability of oxygen to the myocardium is suddenly improved. Conventional cardiopulmonary bypass delivers hyperoxic...

  12. Efficiency Biliopancreatic bypass surgery in bulimia nervosa

    OpenAIRE

    Yu I Yashkov; D K Bekuzarov; A V Nikol'skiy

    2008-01-01

    A clinical significance in the treatment of bulimia nervosa patients with morbid obesity had already been raised [10, 13], but we did not find publications on the effectiveness of bariatric surgery in these cases. There is also information about the possibility of applying the operation bilio-pancreatic bypass, effective in patients with morbid obesity with uncontrolled eating behavior for the treatment of patients with anorexia BILIM not suffering from morbid obesity. In this article the dat...

  13. Coronary Artery Bypass

    Directory of Open Access Journals (Sweden)

    Kadri Ceberut

    2011-01-01

    Full Text Available Ancient schwannoma is a rare variant of neural tumors though rarely seen in the thorax. The combination with coronary artery diseases is also rare. Here we describe a 66 year-old male who had undergone one-stage combined surgery for thoracic ancient schwannomas removal and coronary artery disease. The masses were, respectively, 13 cm in the middle mediastinum and 5 cm in diameter originating from the intercostal nerve. The tumors were successfully removed using sternotomy, and then a coronary artery bypass grafting was performed. Here we discuss this rare tumor in relation to the relevant literature.

  14. Description and theory of operation of the computer by-pass system for the NASA F-8 digital fly-by-wire control system

    Science.gov (United States)

    1978-01-01

    A triplex digital flight control system was installed in a NASA F-8C airplane to provide fail operate, full authority control. The triplex digital computers and interface circuitry process the pilot commands and aircraft motion feedback parameters according to the selected control laws, and they output the surface commands as an analog signal to the servoelectronics for position control of the aircraft's power actuators. The system and theory of operation of the computer by pass and servoelectronics are described and an automated ground test for each axis is included.

  15. Patients undergoing elective coronary artery bypass grafting exhibit poor pre-operative intakes of fruit, vegetables, dietary fibre, fish and vitamin D

    NARCIS (Netherlands)

    Ruiz-Nunez, B.; van den Hurk, G. H. A. M.; de Vries, J. H. M.; Mariani, M. A.; de Jongste, M. J. L.; Dijck-Brouwer, D. A. J.; Muskiet, F. A. J.

    2015-01-01

    CHD may ensue from chronic systemic low-grade inflammation. Diet is a modifiable risk factor for both, and its optimisation may reduce post-operative mortality, atrial fibrillation and cognitive decline. In the present study, we investigated the usual dietary intakes of patients undergoing elective

  16. Spiritual Bypass: A Preliminary Investigation

    Science.gov (United States)

    Cashwell, Craig S.; Glosoff, Harriet L.; Hammond, Cheree

    2010-01-01

    The phenomenon of spiritual bypass has received limited attention in the transpersonal psychology and counseling literature and has not been subjected to empirical inquiry. This study examines the phenomenon of spiritual bypass by considering how spirituality, mindfulness, alexithymia (emotional restrictiveness), and narcissism work together to…

  17. Variations in dietary intake after bypass surgery for obesity. Possible relation to development of fatty liver after jejunoileal bypass

    Energy Technology Data Exchange (ETDEWEB)

    Rogus, J.; Blumenthal, S.A.

    1981-01-01

    Consumption of nutrients and food energy was compared, with concomitant chemical and radiologic measurements of hepatic fat content, preoperatively and postoperatively in 25 patients who underwent gastric or jejunoileal bypass for obesity. Patients in the two operative groups ingested similar quantities of food before surgery. After surgery, caloric intake from all sources decreased in both groups but to a significantly greater extent in the gastric bypass patients. During the first six months postoperatively, the 13 gastric bypass patients showed no changes in hepatic fat content, whereas substantial increases in liver fat uniformly occurred in the 12 patients who had jejunoileal bypasses. It is suggested that dietary carbohydrate may have contributed to the accretion of liver fat in these 12 patients.

  18. DER 86: main facts

    International Nuclear Information System (INIS)

    This report presents the important facts among the studies carried out by the Direction des Etudes et Recherches (E.D.F.): new applications of electric power for customers, protection of environment, classical equipments for power plants and nuclear equipments, monitoring and control of power plants, electrical equipments, development and operation of electrical networks, informatics and office automation

  19. Main facts 1995

    International Nuclear Information System (INIS)

    This report presents the main facts of the studies carried out by the Direction des Etudes et Recherches (DER) of Electricite de France: new applications of electricity, classical and nuclear thermal power plants, electrical equipment, environment protection, monitoring and plants operations

  20. Bypass flow computations on the LOFA transient in a VHTR

    International Nuclear Information System (INIS)

    Bypass flow in the prismatic gas-cooled very high temperature reactor (VHTR) is not intentionally designed to occur, but is present in the gaps between graphite blocks. Previous studies of the bypass flow in the core indicated that the cooling provided by flow in the bypass gaps had a significant effect on temperature and flow distributions for normal operating conditions. However, the flow and heat transports in the core are changed significantly after a Loss of Flow Accident (LOFA). This study aims to study the effect and role of the bypass flow after a LOFA in terms of the temperature and flow distributions and for the heat transport out of the core by natural convection of the coolant for a 1/12 symmetric section of the active core which is composed of images and mirror images of two sub-region models. The two sub-region models, 9 × 1/12 and 15 × 1/12 symmetric sectors of the active core, are employed as the CFD flow models using computational grid systems of 70.2 million and 117 million nodes, respectively. It is concluded that the effect of bypass flow is significant for the initial conditions and the beginning of LOFA, but the bypass flow has little effect after a long period of time in the transient computation of natural circulation. -- Highlights: • Effect of with/without bypass flow through gaps between hexagonal blocks is studied. • Role of natural convection by the bypass flow after a loss of flow accident. • Two regions of the one-twelfth symmetric sector of the active core are in CFD models. • 70.2 million cell mesh employed for CFD computations with 15 and 9 × 1/12 sectors. • The reference model is based on modular high temperature gas-cooled reactor (MHTGR)

  1. Heart bypass surgery - minimally invasive

    Science.gov (United States)

    ... MIDCAB; Robot assisted coronary artery bypass; RACAB; Keyhole heart surgery ... To perform this surgery: The heart surgeon will make a 3- to 5-inch-long surgical cut in the left part of your chest between your ribs ...

  2. Simulation and Analysis of the bypass Influences on Tire Noise

    OpenAIRE

    Haichao Zhou; Guolin Wang; Jian Yang; Shizhou Ying

    2014-01-01

    It is a well-known scientific fact that circumferential groove exists great influence on tire noise. Increasing the void can help the rubber blocks to penetrate faster into the underlying water film and improve anti-skid performance, but which gives way to an increased air pumping noise. Therefore, the structure parameters of circumferential grooves play large influence on tire performance. The goal of this present study is using the bypass to change the grooves design and analysis the influe...

  3. Blood Facts and Statistics

    Science.gov (United States)

    ... About Blood > Blood Facts and Statistics Printable Version Blood Facts and Statistics Facts about blood needs Facts ... about American Red Cross Blood Services Facts about blood needs Every two seconds someone in the U.S. ...

  4. "Orpheus" cardiopulmonary bypass simulation system.

    Science.gov (United States)

    Morris, Richard W; Pybus, David A

    2007-12-01

    In this paper we describe a high-fidelity perfusion simulation system intended for use in the training and continuing education of perfusionists. The system comprises a hydraulic simulator, an electronic interface unit and a controlling computer with associated real-time computer models. It is designed for use within an actual operating theatre, or within a specialized simulation facility. The hydraulic simulator can be positioned on an operating table and physically connected to the circuit of the institutional heart-lung machine. The institutional monitoring system is used to display the arterial and central venous pressures, the ECG and the nasopharyngeal temperature using appropriate connections. The simulator is able to reproduce the full spectrum of normal and abnormal events that may present during the course of cardiopulmonary bypass. The system incorporates a sophisticated blood gas model that accurately predicts the behavior of a modern, hollow-fiber oxygenator. Output from this model is displayed in the manner of an in-line blood gas electrode and is updated every 500 msecs. The perfusionist is able to administer a wide variety of drugs during a simulation session including: vasoconstrictors (metaraminol, epinephrine and phenylephrine), a vasodilator (sodium nitroprusside), chronotropes (epinephrine and atropine), an inotrope (epinephrine) and modifiers of coagulation (heparin and protamine). Each drug has a pharmacokinetic profile based on a three-compartment model plus an effect compartment. The simulation system has potential roles in the skill training of perfusionists, the development of crisis management protocols, the certification and accreditation of perfusionists and the evaluation of new perfusion equipment and/or techniques. PMID:18293807

  5. Bypass Rewiring and Robustness of Complex Networks

    CERN Document Server

    Park, Junsang

    2016-01-01

    A concept of bypass rewiring is introduced and random bypass rewiring is analytically and numerically investigated with simulations. Our results show that bypass rewiring makes networks robust against removal of nodes including random failures and attacks. Especially, random bypass rewiring connects all nodes except the removed nodes on an even degree infinite network and makes the percolation threshold $0$ for arbitrary occupation probabilities. In our example, the even degree network is more robust than the original network with random bypass rewiring while the original network is more robust than the even degree networks without random bypass. We propose a greedy bypass rewiring algorithm which guarantees the maximum size of the largest component at each step, assuming which node will be removed next is unknown. The simulation result shows that the greedy bypass rewiring algorithm improves the robustness of the autonomous system of the Internet under attacks more than random bypass rewiring.

  6. BPA Facts

    Energy Technology Data Exchange (ETDEWEB)

    None

    2014-03-01

    The Bonneville Power Administration is a federal nonprofit power marketing administration based in the Pacific Northwest . Although BPA is part of the U .S . Department of Energy, it is self-funding and covers its costs by selling its products and services . BPA markets wholesale electrical power from 31 federal hydro projects in the Columbia River Basin, one nonfederal nuclear plant and several small nonfederal power plants . The dams are operated by the U .S . Army Corps of Engineers and the Bureau of Reclamation . About 30 percent of the electric power used in the Northwest comes from BPA . BPA’s resources — primarily hydroelectric — make its power nearly carbon free . BPA also operates and maintains about three- fourths of the high-voltage transmission in its service territory . BPA’s service territory includes Idaho, Oregon, Washington, western Montana and small parts of eastern Montana, California, Nevada, Utah and Wyoming . BPA promotes energy efficiency, renewable resources and new technologies that improve its ability to deliver on its mission . BPA also funds regional efforts to protect and enhance fish and wildlife populations affected by hydropower development in the Columbia River Basin . BPA is committed to public service and seeks to make its decisions in a manner that provides opportunities for input from stakeholders . In its vision statement, BPA dedicates itself to providing high system reliability, low rates consistent with sound business principles, environmental stewardship and accountability

  7. Minimally invasive coronary artery bypass grafting: initial Connecticut experience.

    Science.gov (United States)

    Tellides, G; Maragh, M R; Smith, J M; Kopf, G S; Ezekowitz, M; Remetz, M; Elefteriades, J A

    1997-03-01

    We report the initial Connecticut experience with minimally invasive coronary artery bypass grafting. This procedure allows bypass grafting to the left anterior descending coronary artery utilizing the internal mammary artery as the conduit. The procedure is minimally invasive because it is performed through a mini-thoracotomy incision in the fourth anterior intercostal space and it is conducted without the use of cardiopulmonary bypass. The procedure has been applied to 13 patients operated between February and October 1996. All but one patient selected were poor candidates for conventional coronary artery bypass surgery because of advanced age (6), chronic renal failure/dialysis/kidney transplant (4), redo status with vulnerable grafts (1), severe peripheral vascular disease (6), severe chronic obstructive pulmonary disease (4). All patients survived operation and were discharged in good condition. Mean postoperative intubation time was seven hours and mean hospital stay was 4.5 days despite the very high pre-existing comorbidity of these patients. All patients are alive at the current follow-up time. Two patients required a conventional bypass procedure for occlusion of the minimally invasive graft, the first because of diffuse disease in the target artery and the second attributable to the technical limitations of minimally invasive coronary artery bypass grafting; both tolerated the subsequent procedure well. All patients are now angina-free. All four grafts studied by routine postoperative angiography were widely patent. Routine post-operative exercise nuclear imaging was normal in an additional patient. This procedure of minimally invasive coronary artery bypass grafting offers significant advantages compared to the conventional bypass procedure (short hospital stay, quick recovery, and, especially, avoidance of cerebrovascular accidents caused by the heart-lung machine). This minimally invasive procedure is expected to apply to a growing percentage of

  8. Efficiency Biliopancreatic bypass surgery in bulimia nervosa

    Directory of Open Access Journals (Sweden)

    Yu I Yashkov

    2008-06-01

    Full Text Available A clinical significance in the treatment of bulimia nervosa patients with morbid obesity had already been raised [10, 13], but we did not find publications on the effectiveness of bariatric surgery in these cases. There is also information about the possibility of applying the operation bilio-pancreatic bypass, effective in patients with morbid obesity with uncontrolled eating behavior for the treatment of patients with anorexia BILIM not suffering from morbid obesity. In this article the data of clinical observation of a small sample of patients. As a result, the treatment of these patients found that severe nervous BILIM can be seen as a latent form of morbid obesity. The choice of treatment should depend not only on the initial body weight of the patient, but also on the severity of the nervous BILIM. Unsuccessful attempts at organized-balanced, conservative treatment of patients with severe bulimia nervosa may be considered a variant of surgical treatment, while bilio-pancreatic bypass surgery is considered as the most preferred operation, compared with the installation of the gastric balloon and others. All candidates for surgical treatment of obesity must identify clinical signs of bulimia nervosa, as this may influence the choice of method of operation. Further study of the role of hyperinsulinemia, secretion of ghrelin, leptin, intestinal peptide may contribute to the elucidation of the true causes of bulimia nervosa, probably has a similar origin with morbid obesity.

  9. Simulation and Analysis of the bypass Influences on Tire Noise

    Directory of Open Access Journals (Sweden)

    Haichao Zhou

    2014-01-01

    Full Text Available It is a well-known scientific fact that circumferential groove exists great influence on tire noise. Increasing the void can help the rubber blocks to penetrate faster into the underlying water film and improve anti-skid performance, but which gives way to an increased air pumping noise. Therefore, the structure parameters of circumferential grooves play large influence on tire performance. The goal of this present study is using the bypass to change the grooves design and analysis the influence of bypass on tire noise and offer the tire designer a better approach to improve tire comfort ability. By virtual of numerical simulation method, the influence of bypass structure parameters, such as the width of junction pipe, the volume of resonance cavity, on tire noise were analyzed in this study. The result shows that the circumferential grooves with bypass not only bring down pipe resonance noise of circumferential grooves but also decrease far-field radiated noise of tire. Besides, with a certain resonant cavity, the width of junction pipeline between the circumferential grooves and the resonance cavity plays an important role in the improvement of tire noise. Simulation results are in reasonable agreement with experimental results.

  10. Full turbine bypass system for nuclear power plant

    International Nuclear Information System (INIS)

    With the increase in the weight of electric power network, vigilant watch is kept on the toughness of nuclear power plants against disturbances on the side of the network. Basically speaking, it is desirable that reactors continue operation even in case the station is removed from the network due to an outside disturbance. In order to meet this requirement, the application of a full-load turbine bypass system for 1,100-MW-class nuclear power plants has been planned; the development of system components was advanced; the reliability of the full-load turbine bypass system was confirmed through simulation tests. The process of development is outlined here. (author)

  11. Technology Solutions Case Study: Preventing Thermal Bypass

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2012-10-01

    This project highlights the importance of continuous air barriers in full alignment with insulation to prevent thermal bypasses and achieve high energy performance, and recommends use of ENERGY STAR's Thermal Bypass Inspection Checklist.

  12. Nonselective digital subtraction angiography of aortocoronary bypasses

    International Nuclear Information System (INIS)

    Intra-arterial DSA was performed on 225 patients with a total of 552 coronary bypasses (515 aorto-coronary venous bypasses and 37 internal mammary artery bypasses). Four hundred and ninety-five bypasses were examined in the four weeks following surgery; of these, 428 (85.9%) were patent. Demonstration of the distal anastomosis was obtained in 40.4% of bypasses of the right anterior interventricular artery and in 36.1% of the right coronary artery, at least in their proximal parts. Bypasses of smaller branches showed filling in 12.8 to 19.2%. Because of the unsatisfactory demonstration of distal vessels by non-selective intra-arterial DSA, this method is suitable only for showing the patency of a bypass in the postoperative phase, but should not be used for investigating cardiac signs and symptoms following a bypass examination. (orig.)

  13. Multimodality imaging of coronary artery bypass grafts

    OpenAIRE

    Salm, Liesbeth Pauline

    2006-01-01

    This thesis describes multiple imaging modalities to examine coronary artery bypass grafts, and the research which was performed to further develop noninvasive imaging techniques to detect stenoses in native coronary arteries and bypass grafts in patients who experienced recurrent chest pain after coronary artery bypass grafting (CABG).

  14. Interventions in Infrainguinal Bypass Grafts

    International Nuclear Information System (INIS)

    The interventional radiologist plays an important role in the detection and prevention of infrainguinal bypass failure. Early detection and evaluation of flow-limiting lesions effectively preserve graft (venous bypass and polyester or expanded polytetrafluoroethylene bypass) patency by identifying stenoses before occlusion occurs. Delay in treatment of the at-risk graft may result in graft failure and a reduced chance of successful revascularization. For this reason, surveillance protocols form an important part of follow-up after infrainguinal bypass surgery. As well as having an understanding of the application of imaging techniques including ultrasound, MR angiography, CT angiography and digital subtraction angiography, the interventional radiologist should have detailed knowledge of the minimally invasive therapeutic options. Percutaneous transluminal angioplasty (PTA), or alternatively cutting balloon angioplasty, is the interventional treatment of choice in prevention of graft failure and occlusion. Further alternatives include metallic stent placement, fibrinolysis, and mechanical thrombectomy. Primary assisted patency rates following PTA can be up to 65% at 5 years. When the endovascular approach is unsuccessful, these therapeutic options are complemented by surgical procedures including vein patch revision, jump grafting, or placement of a new graft

  15. Clinical observation of gastric bypass in treatment of type 2 diabetes

    Institute of Scientific and Technical Information of China (English)

    PU Yong-dong; YANG Bo; HE Jiao-miao; WU You-jun; WANG Yi; L(U) Gang; ZHANG Bo; WANG Yue; LIU Wei-ping; WENG Jian-feng; LI Jing-quan; CAO Zhi-yu; WANG Li; HU Xiao; DONG Li-guo; LI Yue-min; ZHAO Hua-zhou; QIN Rong

    2012-01-01

    Background Roux-en-Y gastric bypass (GBP) is the main surgical procedure used in type 2 diabetes.The objective of this study was to evaluate the different types of GBP in treatment of type 2 diabetes.Methods Patients with type 2 diabetes were randomly divided into two groups:those who underwent gastrojejunal loop anastomosis bypass and those who underwent gastrojejunal Roux-en-Y bypass.Blood glucose alterations,operation time,and operation complicatiors were observed.Results Gastrojejunal loop anastomosis bypass and gastrojejunal Roux-en-Y bypass were both effective in the treatment of selected patients with type 2 diabetes.Compared with gastrojejunal Roux-en-Y bypass,gastrojejunal loop anastomosis bypass had the advantages of easier implementation,shorter operation time,and fewer operation complications.Conclusions Gastrojejunal loop anastomosis is effective in treatment of type 2 diabetes.It is safe,easy to implement,and worthy of clinical popularization.

  16. Flow quantification of the non-occlusive excimer laser-assisted EC-IC bypass

    International Nuclear Information System (INIS)

    Background. For six years, we used the excimer laser-assisted non-occlusive anastomosis technique for high-flow revascularization of the brain in patients with either nonclippable and noncoilable giant aneurysms of the internal carotid or basilar artery or progressive stroke associated with occlusive disease of the internal carotid artery. The aim of this study is to assess the blood flow capacity of this type of extra-intracranial bypass and its haemodynamic behavior over time. Methods. Twenty-six patients with a giant aneurysms and 8 patients with occlusive disease of the internal carotid artery were treated with the non-occlusive excimer laser assisted EC-IC bypass. Intra-operatively, direct measurements of flow in the EC-IC bypass were performed in all patients (Transonic Systems, Inc., Ithaca, NY). Postoperatively, follow up measurements of flow were performed with MR angiography in 14 patients with a giant aneurysm after occluding the internal carotid artery, and 7 patients with occlusive carotid disease. Results. The mean flow in the laser assisted bypasses in the group of patients with a giant aneurysm was 158 ml/min after ligation or balloon occlusion of the ICA. The mean flow of the laser assisted bypass in the group of patients with ICA occlusive disease was 130 ml/min. A comparison with data on flow capacity of conventional EC IC bypasses is made. A demonstrated increase of flow in the bypass during follow up is discussed from a haemodynamic point of view. Conclusions. The results of this study demonstrate that the flow capacity of the non-occluding excimer laser assisted bypass is much higher than the capacity of the conventional, more peripherally located conventional EC IC bypass, and should therefore be denoted as high-flow EC IC bypass. Consequently, this type of bypass can be a powerful and safe tool in new revascularization strategies. (author)

  17. Intraarterial digital subtraction angiography of aortofemoral bypasses

    International Nuclear Information System (INIS)

    In a retrospective study, 214 digital subtraction angiography (DSA) examinations of aortofemoral and femorocrural bypasses were reviewed. In 90% of cases intravenous DSA was diagnostic for aortofemoral bypasses, and in 95% of cases intrarterial DSA angiograms of excellent image quality were obtained. In 82% arterial stenoses proximal to the bypass, in 62% stenoses distal to the bypass, and in only 15% stenoses involving the bypass itself could be detected. In 54% the bypass was regularly perfused. In 26% a complete occlusion could be seen. All angiograms were obtained after infusion of the low-osmolar nonionic contrast medium Iopromide, 150mg/ml. All examinations were painless, and no heat-induced motion artifacts were registered. No disturbances of vital signs were observed. DSA with a nonionic low-osmolarity contrast medium (Iopromide) is a safe and reliable technique for the examination of all surgical aortofemoral bypasses

  18. Reoperations for occluded arterial bypasses in the lower limbs

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Background We reviewed the outcomes of reoperations for 29 patients (30 limbs) who had undergone occluded arterial bypass in the lower limbs from May 1996 to September 2005. Methods The 30 lower limbs of the 29 patients with arteriosclerotic obstruction received 44 reoperations, including thrombectomy alone (group T, 27) and inflow or outflow reconstruction plus thrombectomy (group C, 17). Among the 17 operations in group C, 17.6% (3/17) were inflow reconstructions involving the axillary-femoral (1), aorta-iliac (1) and aorta-femoral (1) arteries, and 76.4% (13/17) outflow reconstructions involving the femoral-popliteal bypass-tibial (8), femoral-tibial (1), femoral-popliteal bypass-popliteal arteries below the knee (2), and the femoral-popliteal bypass-tibial-peroneal trunk (2). One patient (1 limb) underwent both inflow and outflow reconstructions with an iliac arterial stent and a graft-popliteal anastomosis patch. Polytetrafluoroethylene (PTFE) grafts were used in the inflow or outflow reconstructions abve the knee. Autovenous grafts or autovenously combined PTFE grafts were used in the outflow reconstructions below the knee. Results The percentages of Fontaine stage III and IV before primary operation and reoperation were 60% (18/30) and 86.7% (26/30), respectively (P0.05). Among 42 reoperations, 19 failed within 1 month in groups T (16) and C (3) (P0.05). The rate of limb salvage was 64.29% (18/28). Conclusions The percentages of Fontaine stage III and IV before reoperation may be much higher than those before primary operation. Thrombectomy plus inflow/outflow reconstruction creates patency better than thrombectomy alone for re-occluded bypass.

  19. Mini cardiopulmonary bypass: Anesthetic considerations

    OpenAIRE

    Alsatli, Raed A.

    2012-01-01

    This review article is going to elaborate on the description, components, and advantages of mini-cardiopulmonary bypass (mini-CPB), with special reference to the anesthetic management and fast track anesthesia with mini-CPB. There are several clinical advantages of mini-CPB like, reduced inflammatory reaction to the pump, reduced need for allogenic blood transfusion and lower incidence of postoperative neurological complications. There are certainly important points that have to be considered...

  20. MR angiography and determination of the flow reserve after minimal invasive direct coronary artery bypass (MIDCAB) surgery of the left internal mammary arteria in comparison to the multidetector-row CT; MR-Angiographie und Flussreservenbestimmung nach minimalinvasiver direkter Koronararterien-Bypass(MIDCAB)-Operation der linken Arteria mammaria interna im Vergleich zur Mehrzeilen-CT

    Energy Technology Data Exchange (ETDEWEB)

    Stauder, N.I.; Fenchel, M.; Kuettner, A.; Kramer, U.; Claussen, C.D.; Miller, S. [Abt. Radiologische Diagnostik, Universitaetsklinik Tuebingen (Germany); Stauder, H.; Scheule, A.M. [Abt. Thorax-, Herz- und Gefaesschirurgie, Universitaetsklinik Tuebingen (Germany)

    2005-08-01

    Purpose: To evaluate graft patency, flow and flow reserve in patients with minimal invasive direct coronary artery bypass (MIDCAB) of internal mammary artery (IMA) grafts using a combined MR protocol with phase-contrast technique and MR angiography. Material and methods: At a 1.5T Magnetom Sonata (SIEMENS), 19 symptomatic (angina CCS I-III, intermittent thoracic discomfort, scar disorders) patients (59.9{+-}7.9 years old) with 19 left internal mammary artery (LIMA) grafts implanted in minimal invasive technique were examined 6.9{+-}1.5 years post surgery. Contrast enhanced MR angiography (TR 2.5 ms, TE 1 ms, flip angle 20 , spatial resolution 1.4 x 0.9 x 1.0 mm{sup 3}, breath hold technique, no ECG-triggering, 25 ml Gd-DTPA) was performed to assess bypass patency. Phase-contrast flow measurements with retrospective gating (TR 41 msec, TE 3.2 msec, flip angle 30 , spatial resolution 1.1 x 1.1 x 5 mm{sup 3}, temporal resolution 42 msec, venc 90 cm/sec) were applied in the IMA grafts at rest and after stress induction with dipyridamole (0.56 mg/kg/BW). For comparison, graft patency was evaluated by multidetector-row computed tomography (16-row CT). In 9 patients a selective catheter angiography was performed. Results: MIDCAB grafts were occluded in 4/19 patients. In 4 patients the anastomosis to LAD was highly stenotic (>70%) at MDCT (2 experienced investigators in consensus reading). In MRA 9 grafts could be delineated completely including the distal anastomosis to LAD (47%). In 9 patients the distal part could not be evaluated. In patients with patent grafts (MDCT), a significant improvement of graft flow (at rest 75.4{+-}33.3 ml/min; after stress 202.7{+-}49.6; P<0.002) and flow reserve (patent grafts 3.0{+-}1.1; stenotic grafts 1.5{+-}0.2, P<0.02; occluded grafts 0.9{+-}0.2, P<0.01) after stress induction was detected. Diastolic-to-systolic peak velocity ratios (D/S-PVR) at baseline were not significant between patent and stenotic grafts. Mean flow at baseline and

  1. Emergent cardiopulmonary bypass during pectus excavatum repair

    Directory of Open Access Journals (Sweden)

    Ryan Craner

    2013-01-01

    Full Text Available Pectus excavatum is a chest wall deformity that produces significant cardiopulmonary disability and is typically seen in younger patients. Minimally invasive repair of pectus excavatum or Nuss procedure has become a widely accepted technique for adult and pediatric patients. Although it is carried out through a thoracoscopic approach, the procedure is associated with a number of potential intraoperative and post-operative complications. We present a case of cardiac perforation requiring emergent cardiopulmonary bypass in a 29-year-old male with Marfan syndrome and previous mitral valve repair undergoing a Nuss procedure for pectus excavatum. This case illustrates the importance of vigilance and preparation by the surgeons, anesthesia providers as well as the institution to be prepared with resources to handle the possible complications. This includes available cardiac surgical backup, perfusionist support and adequate blood product availability.

  2. Current status of coronary artery bypass surgery

    Institute of Scientific and Technical Information of China (English)

    CHEN Xin

    2009-01-01

    @@ Surgical revascularization for atherosclerotic heart disease, also called coronary artery bypass grafting (CABG), was first performed in 1962, and is one of the great achievements in medicine. Relief of angina, improvement of exercise tolerance, and the realization of survival benefit have been documented.1 CABG has been used in multi-vessel disease and left main stenosis for over 40 years.2 In the last two decades the mortality of CABG has decreased to less than 2% despite an aging population with increased risk factors. However, percutaneous coronary intervention (PCI), especially with drug-eluting stents, has been challenging CABG, While PCI has improved, CABG has also progressed with better peri-operative management, a higher use of arterial grafting, off-pump surgery, and improved techniques with minimally invasive surgical options.3,4

  3. Epicardial ultrasound in coronary artery bypass surgery

    OpenAIRE

    Budde, R.P.J.

    2005-01-01

    Chapter 1 Coronary artery bypass surgery (CABG) is traditionally performed via a median sternotomy approach on cardiopulmonary bypass (arrested heart). Since the mid 1990ties, beating heart, minimally invasive and even totally endoscopic CABG are (re)explored. In all approaches to CABG, the surgeon may face several intraoperative difficulties: 1. Localization of the target coronary artery for bypass grafting. 2. Selection of the optimal anastomotic site on the target coronary artery. 3. Asses...

  4. Numerical simulation of an alternative to prevent hydrates formation in a bypass section

    Energy Technology Data Exchange (ETDEWEB)

    Almeida, Lucilla Coelho; Oliveira Junior, Joao Americo Aguirre; Fonte, Clarissa Bergman [Engineering Simulation and Scientific Software Ltda. (ESSS), Florianopolis, SC (Brazil); Silva, Fabricio Soares da; Moraes, Carlos Alberto Capela [Petroleo Brasileiro S.A. (PETROBRAS), Rio de Janeiro, RJ (Brazil)

    2012-07-01

    This work presents the use of Computational Fluid Dynamics to evaluate the feasibility of MEG (monoethylene glycol) injection as an alternative to prevent hydrate formation in a bypass section, present in an inlet module of a separation device of a subsea separation system. As the bypass section is open to the main pipeline, MEG will probably be dragged due to secondary flows generated by the main flow stream. The MEG removal rate is estimated, as well as the internal heat transfer between the currents and the heat loss to the external environment in order to estimate the temperature in the equipment. In a first step, the MEG removal was evaluated considering the heat transfer between the liquid phase (composed of water, oil and MEG) and the gas phase as well as the heat transfer by forced convection to the external environment. In a second step, the influence of a thermal insulation layer around the bypass line, reducing the heat loss to the external environment, was studied. Both simulations (with or without thermal insulation) showed the establishment of secondary flows in the open connection between the main line and bypass line, promoting the removal of MEG from the bypass section and enabling other components of the liquid phase and/or gas to enter in the bypass line. This MEG removal is faster when thermal isolation was considered, due to the fact that higher temperatures are established in the bypass, maintaining the liquid phase with lower densities and viscosities. With regard to temperature, the insulation was able to keep higher temperatures at the bypass line than those obtained without insulation, indicating that the combination of MEG injection and thermal insulation may be able to avoid the critical condition for hydrate formation. (author)

  5. The incidence of ureteral obstruction secondary to aorto-femoral bypass surgery. A prospective study

    DEFF Research Database (Denmark)

    Henriksen, L O; Mejdahl, Steen; Petersen, F; Tønnesen, Knud Henrik; Holstein, P E

    1988-01-01

    Hydronephrosis is reported to be an infrequent complication of aorto-femoral bypass operations. To define the true incidence of this complication, renography (131I-Hippuran) and renal scintigraphy (99 Technetium) were performed both pre- and postoperatively on 56 asymptomatic patients following s...... successful aortic reconstruction. No patient developed signs of ureteral obstruction. It is concluded that hydronephrosis is a rare complication to aorto-femoral bypass surgery and postoperative control is only indicated in patients with symptoms from the urinary tract....

  6. Outcome of Coronary Artery Bypass Grafts: Comparison between on Pump and off Pump

    OpenAIRE

    Rasoul Ibrahim Abdulrahman; Rezayat Parvizi

    2010-01-01

    The present study was undertaken to compare the in hospital results of coronary artery bypass graft (CABG) with (on pump) or without (off pump) cardiopulmonary bypass (CPB). Data were collected on all first-time isolated CABGs with saphenous vein and/or artery grafts at Shahid Madani Hospital in Tabriz-Iran, between 2006 and 2009. Age and clinical profile were marched between on pump and off pump group patients. Patients with concomitant cardiac operations or beating pump technique were exclu...

  7. Self-priming Hemodynamic Reservoir and Inline Flow Meter for a Cardiopulmonary Bypass Simulation

    OpenAIRE

    Raasch, David; Austin, Jon; Tallman, Richard

    2010-01-01

    Simulator exercises are used at Midwestern University to augment academic and laboratory training toward consolidating particular skills, increasing situation awareness, and preparing the student for practice within the team environment of an operating room. This paper describes an enhanced cardiopulmonary bypass simulator consisting of a self-priming hemodynamic reservoir that includes an inline flow meter. A typical cardiopulmonary bypass adult perfusion circuit was assembled using a roller...

  8. CULTURAL DIAGNOSIS AND BYPASSING; THE EFFECT ON SUCCESSFUL INTERNATIONALIZATION

    OpenAIRE

    Andrews Adugudaa Akolaa

    2012-01-01

    Globalization and its effect on business continue to propel firms to look beyond local markets for opportunities for market development and as a source of growth. However, Cultural differences in various markets continue to exert enormous pressure on international market operations as a result of cultural bypassing or misdiagnosis and this requires international marketers to undertake robust cultural analysis to ensure successful market servicing strategies. This paper reviews and discusses t...

  9. Efficacy of Intravenous Acetaminophen after Coronary Artery Bypass Graft Surgery

    OpenAIRE

    Leick AM; Ratliff PD; Shely RN; Lester WC; Short MR

    2015-01-01

    In recent years, a multimodal approach to post-operative pain control consisting of opioid and non-opioid agents administered simultaneously has been used to provide synergistic effects and reduce opioid-related adverse effects. This is a retrospective, cohort study involving coronary artery bypass graft surgery patients who received scheduled intravenous IV acetaminophen 1gm every 6 hours for 4 doses starting at surgery end time with opioids administered as needed versus opioids as monother...

  10. Obturator or "lateral" bypass in the management of infected vascular prostheses at the groin

    Directory of Open Access Journals (Sweden)

    Davidović Lazar B.

    2002-01-01

    above the knee popliteal artery in 4 subjects. After both types of reconstruction, extirpation of infected grafts from the groin was performed (Figure 2. The control examination was performed using physical and Doppler ultrasonographic examinations, one, 3, 6, 12 months, and then every year after the operation. In cases with suspected graft infection or thrombosis, control angography was also performed. One intraoperative perforation of the urinary bladder has been done accidentally during obturator bypass reconstruction. The mean follow-up period for patients with obturator bypasses was 2.3 years, while 2.1 years for patients with "lateral" bypasses. Comparing with "lateral" bypass, obturator bypass showed statistically significant lower (p < 0.05 30- day mortality and early graft infection rate, as well as statistically significant better early and total limb salvage rate. There were no statistically significant differences (p > 0.05 between obturator and "lateral" bypass procedures having in mind, late graft infection rate, as well as early and late graft patency (Figures 3 and 4. In cases with infected vascular prostheses in the groin, the authors recommend obturator bypass comparing with "lateral" bypass.

  11. Facts on Nirex

    International Nuclear Information System (INIS)

    This folder contains twelve two-page leaflets (fact sheets) which answer questions posed about UK NIREX Ltd, its operations and radioactive waste. NIREX (the Nuclear Industry Radioactive Waste Executive) is the organisation responsible for implementing the British Government's policy for the disposal of most low- and intermediate-level radioactive waste produced in the United Kingdom. The questions posed are; what is NIREX. What is radioactivity. What is radioactive waste. Radioactive waste, what are the options. What is a radioactive waste repository. Some aspects of such a repository are then explained - how engineered barriers work, how geological barriers work, how long can concrete last, how is the radioactive waste transported, how are repository sites identified. The last two leaflets consider why do we need research, and look at radioactive waste management worldwide. The answers are in non-technical language and are short. (UK)

  12. CPAP of 10 cmH2O during cardiopulmonary bypass followed by an alveolar recruitment manoeuvre does not improve post-bypass oxygenation compared to a recruitment manoeuvre alone in children.

    Science.gov (United States)

    Kim, J T; Na, H S; Kim, H S; Kim, C S; Kim, S D

    2010-03-01

    This randomised controlled study assessed whether continuous positive airway pressure (CPAP) of 10 cmH2O during cardiopulmonary bypass improves post-bypass oxygenation in children compared with no CPAP during bypass. We studied children with a ventricular septal defect. CPAP of 10 cmH2O was applied during bypass in the CPAP group (n=24), whereas the lungs were left deflated in the control group (n=20). In both groups, an alveolar recruitment maneuver was performed by applying positive pressure of 30 to 40 cmH2O for five seconds before weaning from bypass. Postoperative ventilation had the peak inflation pressure set to produce an expired tidal volume of 8 ml/kg with positive end expiratory pressure of 5 cmH2O. Arterial blood gas and haemodynamic measurements were performed at skin incision, five minutes after weaning from bypass, five minutes after chest closure and four hours after arrival in the intensive care unit. In four children CPAP was discontinued because it adversely affected the operating field. There was no difference in demographic characteristics, haemodynamic data, bypass time and operation time. No difference was observed between the groups with respect to pH, PaO2, P(A-a) DO2, PaCO2, and ETCO2 at each time. Variability in the data was greater than expected, leading to a decrease in the expected power of the study. CPAP at 10 cmH2O during bypass was not found to improve the post-bypass oxygenation as compared with leaving the lung deflated during bypass in children undergoing ventricular septal defect repair who had an alveolar recruitment maneuver at the end of bypass. PMID:20369762

  13. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... And the bypass vessel is the so-called “internal mammary artery.” That’s an artery, as opposed to ... you very much. -- while I’m preparing the internal mammary artery for bypass. Good. All right. We ...

  14. Epicardial ultrasound in coronary artery bypass surgery

    NARCIS (Netherlands)

    Budde, R.P.J.

    2005-01-01

    Chapter 1 Coronary artery bypass surgery (CABG) is traditionally performed via a median sternotomy approach on cardiopulmonary bypass (arrested heart). Since the mid 1990ties, beating heart, minimally invasive and even totally endoscopic CABG are (re)explored. In all approaches to CABG, the surgeo

  15. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... going to thread that up to the patient’s bypass graft using X-ray, and there you are. So what we’re going to do is manipulate this catheter into actually the artery that leads to the arm, the subclavian, which is where the bypass comes off. Let me just saw it for ...

  16. Early chest tube removal after coronary artery bypass graft surgery

    Directory of Open Access Journals (Sweden)

    Mohsen Mirmohammad-Sadeghi

    2009-01-01

    Full Text Available Background: There is no clear data about the optimum time for chest tube removal after coronary artery bypass surgery. Aim: The aim of this study was to assess the impact of the chest tube removal time following coronary artery bypass grafting surgery on the clinical outcome of the patients. Material and Methods: An analysis of data from 307 patients was performed. The patients were randomized into two groups: in group 1 (N=107 chest tubes were removed within the first 24 hours after surgery, whereas in group 2 (N=200, chest tubes were removed in the second 24 hours after surgery. Demographics, lactate and pH at the beginning, during and after the operation, creatinine, left ventricular ejection fraction, inotropic drugs administration, length of ICU stay, and mortality data were collected. Respiratory rate and pain level was assessed. Results: In these surgeries, the mean± standard deviation for the aortic clamping time was 49.18±17.59 minutes and cardiopulmonary bypass time was 78.39±25.12 minutes. The amount of heparin consumed by the second group was higher (P <0.001 which could be considered as an important factor in increasing the drainage time after the surgery (P =0.047. The pain level evaluated 24 hours post-operation was lower in the first group, and the difference in the pain level between the 2 groups evaluated 30 hours post-operation was significant (P=0.016. The mean time of intensive care unit stay was longer in the second group but it was not statistically significant. Conclusion: Early extracting of chest tubes after coronary artery bypass graft surgery when there is no significant drainage can lead to pain reduction and consuming oxygen is an effective measure after surgery toward healing; it doesn′t increase the risk of creation of plural effusion and pericardial effusion.

  17. CPR Facts and Stats

    Science.gov (United States)

    ... CPR & First Aid CPR Facts & Stats Why Learn CPR? Cardiac arrest – an electrical malfunction in the heart ... Alive” is a perfect match for this. About CPR & First Aid CPR Facts & Stats History of CPR ...

  18. Facts about Astigmatism

    Science.gov (United States)

    ... Information > Refractive Errors > Facts About Astigmatism Facts About Astigmatism This information was developed by the National Eye ... is the best person to answer specific questions. Astigmatism Defined What is astigmatism? Astigmatism is a common ...

  19. Structural Biology Fact Sheet

    Science.gov (United States)

    ... Home > Science Education > Structural Biology Fact Sheet Structural Biology Fact Sheet Tagline (Optional) Middle/Main Content Area What is structural biology? Structural biology is a field of science focused ...

  20. Facts about Presbyopia

    Science.gov (United States)

    ... Information > Refractive Errors > Facts About Presbyopia Facts About Presbyopia This information was developed by the National Eye ... is the best person to answer specific questions. Presbyopia Defined What is presbyopia? Presbyopia is a common ...

  1. Facts about Broken Bones

    Science.gov (United States)

    ... White House Lunch Recipes The Facts About Broken Bones KidsHealth > For Kids > The Facts About Broken Bones ... through the skin . continue What Happens When a Bone Breaks? It hurts to break a bone! It's ...

  2. Respirator Fact Sheet

    Science.gov (United States)

    ... Products NIOSH-Issued Publications Publication Types Alerts Current Intelligence Bulletins Criteria Documents Fact Sheets Health Hazard Evaluations ( ... using gas mask and escape respirators. At the end of this Fact Sheet, you will find a ...

  3. High Blood Pressure Facts

    Science.gov (United States)

    ... Heart Disease Cholesterol Salt Million Hearts® WISEWOMAN High Blood Pressure Facts Recommend on Facebook Tweet Share Compartir ... facts about high blood pressure [PDF-255K] . High Blood Pressure in the United States About 70 million ...

  4. Meningitis Myths and Facts

    Science.gov (United States)

    ... Diseases Infographic Prevention and Control of Meningococcal Disease Meningitis Myths and Facts Myth: Meningococcal disease is easy ... infected person, such as shaking hands. Fact: Meningococcal meningitis is spread through air droplets and direct contact ...

  5. Cholesterol Facts and Statistics

    Science.gov (United States)

    ... Blood Pressure Salt Million Hearts® WISEWOMAN Program High Cholesterol Facts Recommend on Facebook Tweet Share Compartir As ... the facts about high cholesterol [PDF-281K] . High Cholesterol in the United States 73.5 million adults ( ...

  6. Facts About Pink Eye

    Science.gov (United States)

    ... Conjunctivitis) > Facts About Pink Eye Facts About Pink Eye Pink eye is one of the most common ... depends on the underlying cause. What is pink eye? Pink eye, also known as conjunctivitis, involves inflammation ...

  7. Drug Facts: Anabolic Steroids

    Science.gov (United States)

    ... Share Print Home » Publications » DrugFacts » Anabolic Steroids DrugFacts: Anabolic Steroids Email Facebook Twitter Revised March 2016 What are anabolic steroids? Anabolic steroids are synthetic variations of the male ...

  8. Utilising cardiopulmonary bypass for cancer surgery. Malignancy-induced protein C deficiency and thrombophilia.

    LENUS (Irish Health Repository)

    Marshall, C

    2012-02-03

    Cardiopulmonary bypass has evolved over the last 30 years. It is an important tool for the cardiac surgeon today and also has applications in non-cardiac operations such as surgery to extract tumours. Such patients undergoing surgery for cancer may be at an increased risk of a thromboembolic event post surgery, due to disturbances in the normal clotting pathway leading to hypercoagulability. One such disturbance is malignancy-induced Protein C deficiency. A deficiency of Protein C can cause hypercoagulabitity. Recent studies have examined cardiopulmonary bypass and inherited Protein C deficiency. However, surgery for cancer patients with a malignancy-induced Protein C deficiency involving cardiopulmonary bypass has not been reported. Surgery using CPB in these patients may result in increased morbidity and mortality. The objective of this article is to review the literature in order to discuss the occurrence, the aetiology and possible management of cancer patients with malignancy-induced Protein C deficiencies that require cardiopulmonary bypass for their surgery.

  9. Laparoscopic gastric bypass to robotic gastric bypass: time and cost commitment involved in training and transitioning an academic surgical practice.

    Science.gov (United States)

    Lyn-Sue, Jerome R; Winder, Josh S; Kotch, Shannon; Colello, Jacob; Docimo, Salvatore

    2016-06-01

    The Roux-en-Y gastric bypass is the gold standard procedure for weight loss. This relatively complex procedure has excellent outcomes when performed via laparoscopy. The advent of the DaVinci robotic platform has been a technological advancement. Our goal is to provide information regarding the cost, time commitment, and advantages of transitioning an LRYGB program to an RRYGB program in an academic setting. We retrospectively reviewed the last 25 laparoscopic gastric bypass procedures and the first 25 robotic gastric bypass procedures performed by a single surgeon. We compared clinical outcomes and focused on time and hospital cost during this transition phase. There was no significant demographic difference between the groups. The mean age was 41.7 (RRYGB) years vs 43.4 (LRYGM) years. The mean BMI were similar between groups, 45.3 vs 46.5 kg/m(2) for RRYGB and LRYGB. No anastomotic leaks or mortalities were noted. There was one anastomotic stricture in both groups. Excess weight loss was similar in both groups at 1 year. There was a significant increase in operative time with RRYGB, mean 241 min vs mean 174 min (p = 0.0005). Operative time fell by 25 min after the first 10 cases. The hospital cost was also increased with RRYGB mean $5922 vs $4395 (p = 0.03). Transitioning from a laparoscopic to a robotic practice can be done safely, however, the initial operative times were longer and the hospital cost was higher for robotic gastric bypass. We hope in the future that these will decrease after overcoming the learning and as the technology becomes widespread. PMID:26983848

  10. Surgical treatment of 82 patients with diabetic lower limb ischemia by distal arterial bypass

    Institute of Scientific and Technical Information of China (English)

    GU Yong-quan; WANG Zhong-gao; ZHANG Jian; QI Li-xing; YU Heng-xi; LI Jian-xin; LI Xue-feng; GUO Lian-rui; LUO Tao; CUI Shi-jun

    2007-01-01

    Background Diabetic lower limb ischemia is a serious complication of diabetes mellitus.This study was conducted to investigate the effectiveness of distal arterial bypass treatment in diabetic patients with lower limb ischemia. Methods From July 2000 to July 2004, 96 lower limbs of 82 diabetic patients (type 2) with severe lower limb ischemia were treated in Xuan Wu Hospital. Arterial bypass with femoro-popliteal polytetrafluoroethylene (PTFE) and graft-tibial autologous grafts was performed on 311 limbs (32.3%). Popliteal-tibial artery bypass alone was performed on 22 limbs (22.9%). Combined iliac artery stenting, femoro-popliteal artery PTFE graft bypass, and graft-tibial artery autologous graft bypass was performed on 12 limbs (12.5%), and femoro-tibial artery graft bypass was performed on 10 limbs (10.4%). Popliteal-tibial-pedal artery graft bypass was performed on 7 limbs (7.3%). Results Arterial grafts in 92 limbs of 79 patients were patent on discharge. Three patients with 4 ischemic limbs (3.7%)died of respiratory failure 12 hours, 3 days and 7 days after operation respectively. Early operation success rate was 96.3% (79/82). Graft patency rate of patients on discharge was 95.8% (92/96). The short-term total effectiveness rate was 83.3% (80/96). Foot ulcer healing rate was 35.7% (10/28). 97.4% (75/77) patients were followed up for a mean of 13.5 months. The long-term total effective rate was 80.7% (71/88). The total amputation rate was 4.5% (4/88). Mortality was 4.5%. The total graft patency rate was 90.9% (80/88).Conclusion In the treatment of diabetic foot, distal lower limb arterial bypass can help to avoid amputation or lower the amputation level, and may promote foot ulcer healing and improve patient's quality of life.

  11. Factors influencing early results of femoro-femoral crossover bypass

    Directory of Open Access Journals (Sweden)

    Đorić Predrag

    2011-01-01

    Full Text Available Introduction. Femoro-femoral crossover bypass is an extraanatomic reconstruction used for revascularization of lower limb with contralatateral femoral artery as an inflow vessel, and the graft placed in the suprapubic region. We perform this procedure when anatomic reconstruction is not possible or is contraindicated. Objective. To analyze the influence of different risk factors on early patency of femoro-femoral crossover bypass. Methods. This retrospective study analyzed the results of 88 femoro-femoral bypass grafting during an 11-year period. There were 66 (75% males and 22 (25% females of average age 64.93 years (42-79 years. In 76 patients the operations were performed due to critical limb ischemia. Revascularization was urgent in 12 patients, while 76 patients were elective. Dacron prosthesis was used in 81 patients, while PTFE was used in 7 patients. Statistical analysis was made by logistic regression. Results. During hospitalisation the graft remained patent in 82 patients, and graft thrombosis occurred in 6 patients. Limb salvage rate was 90.91%. Early morbidity rate (within the first post-operative month was 13.64%, while early mortality rate was 4.55%. Using logistic regression we established that early graft patency was statistically more significant in males (p<0.05. Age (p=0.07 and hypertension (p=0.08 appeared to be predicting influence of the graft patency on the border of the accepted statistical significance level. Conclusion. Femoro-femoral crossover bypass is a good alternative for revascularization in high risk patients for standard anatomic reconstructions due to comorbid conditions or local problems.

  12. In situ bypass og diabetes

    DEFF Research Database (Denmark)

    Jensen, Leif Panduro; Schroeder, T V; Lorentzen, J E

    1993-01-01

    From 1986 through to 1990 a total of 483 in situ bypass procedures were performed in 444 patients. Preoperative risk-factors were equally distributed among diabetic (DM) and non-diabetic (NDM) patients, except for smoking habits (DM:48%, NDM:64%, p = 0.002) and cardiac disease (DM:45%, NDM:29%, p...... = 0.005). Critical limb-ischaemia was more often present in diabetic than non-diabetic patients (DM:57%, NDM:36%, p = 0.0002). Diabetic patients had a significantly lower distal anastomosis than non-diabetic patients (p = 0.00001). There were no differences among diabetic and non-diabetic patients...... regarding three years primary and secondary patency (58% and 64% respectively), and regarding major amputations. However, the rate of minor amputations was higher in insulin-dependent compared with non-insulin-dependent diabetics, who in turn had a higher rate than non-diabetics (p

  13. Perioperative considerations in a sickle cell patient undergoing cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Monish S Raut

    2014-01-01

    Full Text Available An 11-year-old child, a known case of sickle cell anaemia with a history suggestive of sickling crisis in the past was scheduled for surgical pulmonary valvotomy. Pre-operative blood transfusion and hydroxyurea were administered. Pre-operative blood transfusion is indicated in sickle cell disease patients to raise the haematocrit level and lower sickle haemoglobin (HbS levels. Before the start of cardiopulmonary bypass (CPB, exchange transfusion was performed to reduce HbS level and raise adult haemoglobin level. Hypothermia was prevented by employing normothermic CPB.

  14. Secondary coolant purification system with demineralizer bypass

    International Nuclear Information System (INIS)

    Apparatus and method are provided for a nuclear stream supply system for adequately controlling the chemistry of the secondary coolant. The invention includes means for the addition of volatile chemicals, a full flow condensate demineralizer, continuous blowdown capability, radiation detection means, a condensate demineralizer bypass line, and an auxiliary demineralizer bypass line, and an auxiliary demineralizer sized to handle full blowdown flow. The auxiliary demineralizer is cut into the system and the steam generator feedwater flow is bypassed around the full flow condensate demineralizer whenever radioactivity is detected in the secondary coolant

  15. Modulation method of scroll compressor based on suction gas bypass

    International Nuclear Information System (INIS)

    The air conditioners and heat pumps tend to work in much mild environments and part load situations rather than provide the rated full capacity under severe rated testing conditions. Both the capacity and inner compression ratio of the compressor should be regulated according to the working condition for higher energy efficiency and occupants’ comfort. A potential modulating technology of the scroll compressor, suction gas bypass, is investigated in this paper. The principle and operation method are illuminated and the adaptability is validated by experiments and simulations. As a conclusion, an appropriate suction gas bypass can reduce the inner compression loss of the scroll compressor under over compression conditions, enhance the system COP and also largely decrease the heating/cooling capacity of the refrigeration/heat pump system. - Highlights: ► Suction gas bypass (SGB) is an effective regulating method of scroll compressor. ► SGB reduces the inner compression loss under over compression conditions. ► SGB largely decreases the heating/cooling capacity of the refrigeration system.

  16. EC-IC bypass for cavernous carotid aneurysms: An initial experience with twelve patients

    Science.gov (United States)

    Menon, G.; Jayanand, Sudhir; Krishnakumar, K.; Nair, S.

    2014-01-01

    Aims: Need for performing a bypass procedure prior to parent artery occlusion in patients with good cerebral vascular reserve is controversial. We analyze our experience of 12 giant internal carotid artery aneurysms treated with extracranial-intracranial (EC-IC) bypass and proximal artery occlusion. Materials and Methods: Retrospective analysis of the case records of all complex carotid aneurysms operated in our institute since January 2009. Results: The study included eleven cavernous carotid aneurysms and one large fusiform cervical carotid aneurysm reaching the skull base. Preoperative assessment of cerebral vascular reserve was limited to Balloon test occlusion with hypotensive challenge. Eleven patients who successfully completed a Balloon test occlusion (BTO) underwent low flow superficial temporal artery to middle cerebral artery (STA-MCA) bypass, while one patient with a failed BTO underwent a high flow bypass using a saphenous vein graft. Parent artery ligation was performed in all patients following the bypass procedure. Check angiogram revealed thrombosis of the aneurysm in all patients with a graft patency rate of 81.8%. We had one operative mortality, probably related to a leak from the anastomotic site. The only patient who had a high flow bypass developed contralateral hemispheric infarcts and remained vegetative. All the other patients had a good recovery and with a Glasgow outcome score of 5 at last follow-up. Conclusion: We feel that combining EC-IC bypass prior to parent vessel occlusion helps in reducing the risk of post operative ischemic complications especially in situations where a complete mandated cerebral blood flow studies are not feasible. PMID:25126123

  17. Your diet after gastric bypass surgery

    Science.gov (United States)

    ... low-fat or nonfat hard cheeses, cottage cheese, milk, and yogurt. After gastric bypass surgery, your body will not absorb some important vitamins and minerals. You will need to take these vitamins and ...

  18. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... perfect bypass. We are often asked how you learn this. Important question. Hours and hours of suturing ... OR-Live” makes it easy for you to learn more. Just click on the “Request information” button ...

  19. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... Artery Bypass June 10, 2009 Welcome to the University of Maryland Medical Center in Baltimore, where you ... to Maryland. Welcome to Baltimore. Welcome to the University of Maryland Medical Center here in OR-26. ...

  20. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... on for coronary surgery. A very durable bypass running here and supplying the chest wall with blood. ... case the branch, the typical branch that is running between the two heart chambers is located more ...

  1. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... is pulsating behind the fascia. Here is some muscle. Here we have the apex or tip of ... tissue. It then turns into the transverse thoracic muscle here. This bypass vessel has an extremely long ...

  2. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... sure that we preserve this bypass vessel very well in order to achieve this. So I go ... French quick-draw Venus cardiac visions cannula as well, which will draw back, go to the heart- ...

  3. Types of Coronary Artery Bypass Grafting

    Science.gov (United States)

    ... best option for you based on your needs. Traditional Coronary Artery Bypass Grafting Traditional CABG is used when at least one major ... Grafting This type of CABG is similar to traditional CABG because the chest bone is opened to ...

  4. Exhaust gas bypass valve control for thermoelectric generator

    Science.gov (United States)

    Reynolds, Michael G; Yang, Jihui; Meisner, Greogry P.; Stabler, Francis R.; De Bock, Hendrik Pieter Jacobus; Anderson, Todd Alan

    2012-09-04

    A method of controlling engine exhaust flow through at least one of an exhaust bypass and a thermoelectric device via a bypass valve is provided. The method includes: determining a mass flow of exhaust exiting an engine; determining a desired exhaust pressure based on the mass flow of exhaust; comparing the desired exhaust pressure to a determined exhaust pressure; and determining a bypass valve control value based on the comparing, wherein the bypass valve control value is used to control the bypass valve.

  5. Phrenic Nerve Injury during Coronary Artery Bypass

    OpenAIRE

    Guinn, Gene A.; Beall, Arthur C.; Lamki, Neela; Heibig, Jacques; Thornby, John

    1990-01-01

    After coronary artery bypass, some patients have diaphragmatic elevation, usually on the left side. To test our hypothesis that this phenomenon is due to phrenic nerve injury resulting from either 1) dissection of the proximal portion of the left internal mammary artery or 2) topical cooling of the heart with icy slush, we performed the following 2-part study. First, we reviewed our hospital records of 99 coronary artery bypass patients, 55 of whom had received left internal mammary artery gr...

  6. Perioperative risk factors for prolonged mechanical ventilation and tracheostomy in women undergoing coronary artery bypass graft with cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Zahra S Faritous

    2011-01-01

    Full Text Available Background: Prolonged mechanical ventilation is an important recognized complication occurring during cardiovascular surgery procedures. This study was done to assess the perioperative risk factors related to postoperative pulmonary complications and tracheostomy in women undergoing coronary artery bypass graft with cardiopulmonary bypass. Methods: It was a retrospective study on 5,497 patients, including 31 patients with prolonged ventilatory support and 5,466 patients without it; from the latter group, 350 patients with normal condition (extubated in 6-8 hours without any complication were selected randomly. Possible perioperative risk factors were compared between the two groups using a binary logistic regression model. Results: Among the 5,497 women undergoing coronary artery bypass graft (CABG, 31 women needed prolonged mechanical ventilation (PMV, and 15 underwent tracheostomy. After logistic regression, 7 factors were determined as being independent perioperative risk factors for PMV. Discussion: Age ≥70 years old, left ventricular ejection fraction (LVEF ≤30%, preexisting respiratory or renal disease, emergency or re-do operation and use of preoperative inotropic agents are the main risk factors determined in this study on women undergoing CABG.

  7. Infertility Fact Sheet

    Science.gov (United States)

    ... Home > ePublications > Our ePublications > Infertility fact sheet ePublications Infertility fact sheet This information in Spanish (en español) ... to the fallopian tube instead of the uterus. Gamete intrafallopian transfer (GIFT) involves transferring eggs and sperm into the ...

  8. An experimental study of nerve bypass graft

    Institute of Scientific and Technical Information of China (English)

    XU Jie; LI Xue-shi

    2008-01-01

    Objective: To study the use of a nerve "bypass" graft as a possible alternative to neurolysis or segmental resection with interposition grafting in the treatment of neuroma-in-continuity. Methods: A sciatic nerve crush injury model was established in the Sprague-Dawley rat by compression with a straight hemostatic forceps. Epineurial windows were created proximal and distal to the injury site. An 8-mm segment of radial nerve was harvested and coaptated to the sciatic nerve at the epineurial window sites proximal and distal to the compressed segment (bypass group). A sciatic nerve crush injury without bypass served as a control. Nerve conduction studies were performed over an 8-week period. Sciatic nerves were then harvested and studied under transmission electron microscopy. Myelinated axon counts were obtained. Results: Nerve conduction velocity was significantly faster in the bypass group than in the control group at 8 weeks (63.57 m/s±5.83 m/s vs. 54.88 m/s±4.79m/s, P<0.01). Myelinated axon counts in distal segments were found more in the experimental sciatic nerve than in the control sciatic nerve. Significant axonal growth was noted in the bypass nerve segment itself. Conclusion: Nerve bypass may serve to augment peripheral axonal growth while avoiding further loss of the native nerve.

  9. Do Statins Reduce Atrial Fibrillation After Coronary Artery Bypass Grafting?

    Directory of Open Access Journals (Sweden)

    Anil Paturi MD

    2011-07-01

    Full Text Available Background Atrial Fibrillation (AF is a common postoperative complication after coronary artery bypass grafting. There is contradictory evidence as to whether pre-operative statin use lowers the incidence of postoperative AF. This study aimed to assess whether pre operative statin therapy prevents the post-operative AF. Methods In this retrospective cohort study we used a propensity score–matching analysis to evaluate the effect of preoperative treatment with statins on postoperative atrial fibrillation. There were 427 matched pairs of patients. Primary outcome was the incidence of postoperative AF. Secondary outcomes were 30 day mortality, stroke, myocardial infarction and length of hospital stay Results The incidence of postoperative AF was not different in the statin users compared with the nonusers (123, 28.1%, versus 127, 29.7%, respectively; p = 0.764. The 30 day mortality (6, 1.4%, versus 8, 1.9%; p = 0.590, stroke (10, 2.3%, versus 8, 1.9%; p = 0.634, myocardial infarction (2, 0.5%, versus 0, 0.0%; p = 0.499 and length of hospital stay in days (11.8 ± 9.0, versus 11.9 ± 9.3; p = 0.544 did not differ significantly between the two groups. Conclusions In a propensity-matched cohort of patients undergoing coronary bypass surgery, we could not demonstrate that preoperative statins were protective for the development of post operative atrial fibrillation.

  10. Myth vs. Fact: Adrenal Fatigue

    Science.gov (United States)

    ... Hormones and Health › Myth vs Fact › Adrenal Fatigue Myth vs. Fact Adrenal Fatigue January 2015 Download PDFs ... science. This fact sheet was created to address myths about adrenal fatigue and to provide facts on ...

  11. Simple hyperaemia test as a screening method in the postoperative surveillance of infrainguinal in situ vein bypasses

    DEFF Research Database (Denmark)

    Nielsen, Tina G; Sillesen, H; Schroeder, T V

    1995-01-01

    follow-up. CONCLUSIONS: Single point waveform analysis of vein bypass velocity profile at rest and during reactive hyperaemia is a simple screening method providing diagnostic and prognostic information which may be of value in the postoperative surveillance of infrainguinal vein bypasses........ The optimal value of the waveform parameters for discrimination between bypasses with and without evidence of stenoses was determined by receiver operating characteristics (ROC) analysis. MAIN RESULTS: Complete Duplex scanning of the entire graft revealed an increase in the peak systolic velocity by a...

  12. Brain microvascular function during cardiopulmonary bypass

    Energy Technology Data Exchange (ETDEWEB)

    Sorensen, H.R.; Husum, B.; Waaben, J.; Andersen, K.; Andersen, L.I.; Gefke, K.; Kaarsen, A.L.; Gjedde, A.

    1987-11-01

    Emboli in the brain microvasculature may inhibit brain activity during cardiopulmonary bypass. Such hypothetical blockade, if confirmed, may be responsible for the reduction of cerebral metabolic rate for glucose observed in animals subjected to cardiopulmonary bypass. In previous studies of cerebral blood flow during bypass, brain microcirculation was not evaluated. In the present study in animals (pigs), reduction of the number of perfused capillaries was estimated by measurements of the capillary diffusion capacity for hydrophilic tracers of low permeability. Capillary diffusion capacity, cerebral blood flow, and cerebral metabolic rate for glucose were measured simultaneously by the integral method, different tracers being used with different circulation times. In eight animals subjected to normothermic cardiopulmonary bypass, and seven subjected to hypothermic bypass, cerebral blood flow, cerebral metabolic rate for glucose, and capillary diffusion capacity decreased significantly: cerebral blood flow from 63 to 43 ml/100 gm/min in normothermia and to 34 ml/100 gm/min in hypothermia and cerebral metabolic rate for glucose from 43.0 to 23.0 mumol/100 gm/min in normothermia and to 14.1 mumol/100 gm/min in hypothermia. The capillary diffusion capacity declined markedly from 0.15 to 0.03 ml/100 gm/min in normothermia but only to 0.08 ml/100 gm/min in hypothermia. We conclude that the decrease of cerebral metabolic rate for glucose during normothermic cardiopulmonary bypass is caused by interruption of blood flow through a part of the capillary bed, possibly by microemboli, and that cerebral blood flow is an inadequate indicator of capillary blood flow. Further studies must clarify why normal microvascular function appears to be preserved during hypothermic cardiopulmonary bypass.

  13. Superficial temporal artery to proximal posterior cerebral artery bypass through the anterior temporal approach

    Directory of Open Access Journals (Sweden)

    Satoru Takeuchi

    2015-01-01

    Full Text Available Background: The superficial temporal artery (STA to proximal posterior cerebral artery (PCA (P2 segment bypass is one of the most difficult procedures to perform because the proximal PCA is located deep and high within the ambient cistern. STA to proximal PCA bypass is usually performed through a subtemporal approach or posterior transpetrosal approach, and rarely through a transsylvian approach. The aim of this study was to describe the operative technique of STA to proximal PCA bypass through a modified transsylvian approach (anterior temporal approach. Methods: STA to proximal PCA bypass was performed through an anterior temporal approach in three patients with intracranial aneurysm. We describe the details of the surgical technique. Results: The STA was successfully anastomosed to the proximal PCA in all cases. One patient suffered hemiparesis and aphasia due to infarction in the anterior thalamoperforating artery territory. Conclusions: STA to proximal PCA bypass can be performed through an anterior temporal approach in selected patients. We recommend that every precaution, including complete hemostasis, placement of cellulose sponges beneath the recipient artery to elevate the site of the anastomosis, and placement of a continuous drainage tube at the bottom of the operative field to avoid blood contamination during the anastomosis, should be taken to shorten the temporary occlusion time.

  14. Bypass Pigging of Subsea Pipelines Suffering Wax Deposition

    OpenAIRE

    Galta, Tore

    2014-01-01

    Which criteria to pay attention to is important when finding the optimal pigging frequency. This thesis illustrates the forces acting on a bypass pig in operation. Expressions for both the frictional force and wax removal force have been presented. Results presented in this thesis show that the frictional forces are much higher than the forces for wax removal. The most important factor for the contact forces for a cleaning pig seems to be due to the oversize of the discs. However, it is diffi...

  15. [Dealing with surgical complications after bariatric gastric bypass surgery].

    Science.gov (United States)

    Schlesinger, Nis Hallundbæk; Naver, Lars

    2013-11-25

    The subject of this article is surgical complications to Roux-en-Y-gastric bypass and how to deal with them. The article addresses doctors, who are on duty in hospitals without bariatric surgery and who often deal with this patient category in the acute situation. Managing complications is challenging due to both the patient's physiognomy and the wide-ranged change in anatomy. The article gives a review of the literature and hands-on-recommendations for treating anastomotic leak, post-operative bleeding, internal herniation, bowel obstruction and biliary complications. PMID:24629437

  16. Evaluation of orthotopic liver transplantation with no veno-venous bypass

    Institute of Scientific and Technical Information of China (English)

    黄东胜; 郑树森; 吴健; 梁廷波; 王伟林; 沈岩; 张珉

    2002-01-01

    To assess the feasibility and outcome of orthotopic liver transplantation(OLT) with no veno-venous bypass(v-v hypass)in adult patients.Methods:Between 1999 and 2001 ,43 adult patients underwent OLT with v-v bypass,33 with no v-v bypass.The operation time,anhepatic time,amount of blood loss,amount of blood transfusion,ICU stay days of the two groups were compared.renal function and gastrointestinal function in the two groups were examined.Results:There was no significant difference in mean serum creatinine on day 3 and gas discharge time in patients with v-v bypass or not.With no v-v hypass,the average operation time was 5.7±1.3 hours,anhepatic time was 64±13 minutes,median amount of blood loss in operation was 4000±820mL,median amount of blood transfused intracperatively was 4650±910mL,median ICU stay was 5.7 days;all those were lower or shorter than those with v-v hypass.and these differences betweent the two groups had statistical significances.Conclusion:OLT with no v-v bypass is safe and can be performed in the majority of adult patients.The practice of liver transplantation with no v-v hypass is associated with shorter total operation time.shorter anhepatic time,lower blood product ussege,and shorter ICU stay compared with standard technique of OLT with routine use of v-v bypass.

  17. 胃旁路术对2型糖尿病大鼠脂肪组织胰岛素受体β及胰岛素受体底物-1表达的影响%Effect of gastric bypass operation on expressions of adipic insulin receptor and insulin receptor substrate-1 in rats with type 2 diabetes mellitus

    Institute of Scientific and Technical Information of China (English)

    徐键; 林杉; 尹家俊

    2015-01-01

    Objective To investigate the expressions of adipic insulin receptor β (IR-β) and insulin receptor substrate-1 (IRS-1) after gastric bypass (GBP) operation in spontaneous rats with type 2 diabetes mellitus (GK rats) and to elucidate the mechanisms of GBP in improving insulin resistance. Methods Thirty male GK rats aged 8 weeks were randomly divided into 3 groups according to the table of random number:the operation group (GBP, 10 rats), the sham operation group (the same sites were cut off as GBP and end to end anastomosis was performed in site, 10 rats) and the diet pairing group (the same kind and weight dieting as the operation group, 10 rats), besides 10 male SD rats aged 8 weeks were used as blank control group (free eating and drinking). Four weeks before and after operation, levels of fasting blood glucose (FPG) and fasting insulin (FINS) were measured, HOMA-IR was calculated respectively, and compared among 4 groups. Then rats were decapitated to retrieve the omentum. Expressions of adipic IR-βand IRS-1 protein were detected by Western blot. Results Compared with the preoperative levels, the FPG and HOMA-IR decreased significantly 4 weeks after surgery in operation group [(5.13±0.22) vs. (11.73±0.37) mmol/L, 2.16± 0.18 vs. 5.10±0.29, P0.05). FINS showed no obvious change in these 4 groups after operation(all P>0.05). Expressions of IR-β and IRS-1 were significantly higher in operation group than those in other 3 groups 4 weeks after the operation (all P0.05);而假手术组和饮食配对组较术前无显著变化(均P>0.05);术后4周手术组IR-β及IRS-1表达量均明显高于其他3组(均P<0.05)。结论胃旁路术能上调2型糖尿病大鼠胰岛素信号转导通路中IR-β及IRS-1的表达,改善脂肪组织胰岛素抵抗,提高胰岛素的敏感性。

  18. Investigation on the Core Bypass Flow in a Very High Temperature Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Hassan, Yassin

    2013-10-22

    Uncertainties associated with the core bypass flow are some of the key issues that directly influence the coolant mass flow distribution and magnitude, and thus the operational core temperature profiles, in the very high-temperature reactor (VHTR). Designers will attempt to configure the core geometry so the core cooling flow rate magnitude and distribution conform to the design values. The objective of this project is to study the bypass flow both experimentally and computationally. Researchers will develop experimental data using state-of-the-art particle image velocimetry in a small test facility. The team will attempt to obtain full field temperature distribution using racks of thermocouples. The experimental data are intended to benchmark computational fluid dynamics (CFD) codes by providing detailed information. These experimental data are urgently needed for validation of the CFD codes. The following are the project tasks: • Construct a small-scale bench-top experiment to resemble the bypass flow between the graphite blocks, varying parameters to address their impact on bypass flow. Wall roughness of the graphite block walls, spacing between the blocks, and temperature of the blocks are some of the parameters to be tested. • Perform CFD to evaluate pre- and post-test calculations and turbulence models, including sensitivity studies to achieve high accuracy. • Develop the state-of-the art large eddy simulation (LES) using appropriate subgrid modeling. • Develop models to be used in systems thermal hydraulics codes to account and estimate the bypass flows. These computer programs include, among others, RELAP3D, MELCOR, GAMMA, and GAS-NET. Actual core bypass flow rate may vary considerably from the design value. Although the uncertainty of the bypass flow rate is not known, some sources have stated that the bypass flow rates in the Fort St. Vrain reactor were between 8 and 25 percent of the total reactor mass flow rate. If bypass flow rates are on the

  19. HRSA Data Fact Sheets

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Health Resources and Services Administration (HRSA) Data Fact Sheets provide summary data about HRSA’s activities in each Congressional District, County, State,...

  20. Medications: Myths Versus Facts

    Science.gov (United States)

    ... High Blood Pressure Tools & Resources Stroke More Medications: Myths Versus Facts Updated:Aug 30,2016 Taking medication ... Association volunteer. Here are some of the top myths about taking cardiovascular medication: I feel OK, so ...

  1. NF Facts and Statistics

    Science.gov (United States)

    ... Registry Learn About NF Facts & Statistics NF1 NF2 Schwannomatosis About Us Foundation News & Events Employment Opportunities About ... classified into three distinct types; NF1, NF2 and schwannomatosis. They are caused by different genes, located on ...

  2. CMS Fast Facts

    Data.gov (United States)

    U.S. Department of Health & Human Services — CMS has developed a new quick reference statistical summary on annual CMS program and financial data. CMS Fast Facts includes summary information on total program...

  3. Ovarian Cancer Fact Sheet

    Science.gov (United States)

    ... widgets/current/fahc.html/ Search Share Embed Ovarian cancer fact sheet Ovarian cancer is cancer that begins in the ovaries. ... make female hormones and produce a woman's eggs. Ovarian cancer is a serious cancer that is more ...

  4. Facts about Type 2

    Medline Plus

    Full Text Available ... Risk Alert Day Diabetes Basics Home Symptoms Diagnosis America's Diabetes Challenge Type 1 Type 2 Facts About ... more deaths a year than breast cancer and AIDS combined. Your gift today will help us get ...

  5. Biodiesel Basics (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2014-06-01

    This fact sheet provides a brief introduction to biodiesel, including a discussion of biodiesel blends, which blends are best for which vehicles, where to buy biodiesel, how biodiesel compares to diesel fuel in terms of performance, how biodiesel performs in cold weather, whether biodiesel use will plug vehicle filters, how long-term biodiesel use may affect engines, biodiesel fuel standards, and whether biodiesel burns cleaner than diesel fuel. The fact sheet also dismisses the use of vegetable oil as a motor fuel.

  6. Study of transient turbine shot without bypass in a BWR

    International Nuclear Information System (INIS)

    The study and analysis of operational transients are important for predicting the behavior of a system to short-terms events and the impact that would cause this transition. For the nuclear industry these studies are indispensable due to economic, environmental and social impacts that could result in an accident during the operation of a nuclear reactor. In this paper the preparation, simulation and analysis of results of a turbine shot transient, which is not taken into operation the bypass is presented. The study is realized for a BWR of 2027 MWt, to an intermediate cycle life and using the computer code Simulate-3K a depressurization stage of the vessel is created which shows the response of other security systems and gives a coherent prediction to the event presented type. (Author)

  7. Fact Finding Nuclear Energy; Fact Finding Kernenergie

    Energy Technology Data Exchange (ETDEWEB)

    Scheepers, M.J.J.; Seebregts, A.J.; Lako, P. [ECN-Beleidsstudies, Petten (Netherlands); Blom, F.J.; Van Gemert, F. [Sociaal-Economische Raad SER, Den Haag (Netherlands)

    2007-09-15

    Facts and figures on nuclear energy are presented to enable a discussion on the role of nuclear power in the transition to a sustainable energy supply for the Netherlands. The following issues are presented: Nuclear technology, safety and security (including non-proliferation and protection against terrorism); Environmental aspects (including greenhouse gas emissions of the nuclear energy lifecycle); Nuclear power and the power market (including impact of nuclear power on electricity market prices); Economic aspects (including costs of nuclear power and external costs and benefits); Policy issues (including sustainable development); Social acceptance of nuclear energy; Knowledge infrastructure for nuclear energy in the Netherlands; and Nuclear power in long term energy scenarios for the Netherlands and Europe. Using two long-term energy scenarios the report also presents a social impact analysis of an increasing share of nuclear power in the Dutch electricity supply. [Dutch] In dit onderzoek zijn feiten en gegevens over kernenergie verzameld op basis van bestaande inzichten en een veelheid aan literatuur (fact finding). Voor technologische expertise heeft ECN zich laten bijstaan door de Nucleair Research and consultancy Group (NRG). Op basis van de fact-finding studie bereidt de SER een advies voor over de rol van kernenergie in de toekomstige nationale elektriciteitsproductie. In de eerste acht hoofdstukken worden feiten en gegevens gepresenteerd over verschillende onderwerpen die bij kernenergie van belang zijn. In Hoofdstuk 2 wordt de kernenergietechnologie beschreven, inclusiefde veiligheid van kernenergie besproken, omdat die nauw met de technologie samenhangt. Hierbij gaat het om de technische veiligheid van de installaties, maar ook om beveiliging tegen misbruik van technologie en nucleair materiaal, waaronder beveiliging tegen terrorisme. De milieuaspecten door radioactiviteit en door emissies van kooldioxide die met het gebruik van kernenergie samenhangen

  8. Pancreaticoduodenectomy in Patients with a History of Roux-en Y Gastric Bypass Surgery

    Directory of Open Access Journals (Sweden)

    Jeffrey M Hardacre

    2009-03-01

    Full Text Available Context Roux-en Y gastric bypass surgery is the most common operation for treatment of morbid obesity. The approach to pancreaticoduodenal resection in patients with a history of Roux-en Y gastric bypass is not well described. Case reports Pancreaticoduodenal resection was performed in two patients with distal bile duct strictures, with a past history of Roux-en Y gastric bypass. In both cases the remnant stomach, distal bile duct, duodenum and pancreas were excised. The biliopancreatic limb was divided close to the ligament of Treitz and brought up into the supracolic compartment in a retromesenteric manner and pancreatic and biliary anastomoses performed. The previous enteroenterostomy and gastrojejunal anastomoses were left intact. Both patients had an uncompleted post-operative recovery. The mean operating time was 6.5 hours and mean estimated blood loss was 525 mL. They were discharged home by days 6 and 7 post-operatively. Conclusions Pancreaticoduodenal resection can be successfully performed following Roux-en Y gastric bypass with en-bloc excision of the remnant stomach, with the pancreas and bile duct anastomosed to the divided biliopancreatic limb.

  9. Microbubbles detection during cardiopulmonary bypass with transoesophageal echocardiography: a case report

    OpenAIRE

    Zanatta, Paolo; Bosco, Enrico; Salandin, Valeria; Salvador, Loris; Valfrè, Carlo; Sorbara, Carlo

    2008-01-01

    Introduction Microembolic signals are usually detected with transcranial doppler during cardiac surgery. This report focuses on suggesting the transesophageal echocardiography as a different diagnostic approach to detect microemboli during cardiopulmonary bypass. Case presentation A 58 year old male patient, caucasian race, was operated on video assisted minimally invasive mitral valve repair using right minithoracotomy approach. His past medical history included an uncontrolled hypertension,...

  10. Scintigraphic assessment of focal platelet accumulations following infrainguinal bypass surgery in humans

    DEFF Research Database (Denmark)

    Nielsen, Tina G; Hesse, B; Eiberg, J; Rabøl, A; Folke, M; Schroeder, T V

    1997-01-01

    28 patients undergoing in situ vein (n = 24), composite vein-polytetrafluoroethylene (PTFE) (n = 1) or PTFE (n = 3) bypass surgery, assumed vascular injuries were recorded intraoperatively. Autologous indium-111-labelled platelets were injected into the inflow artery immediately after restoration of...... antiplatelet therapy or vein graft diameter. Only 2 of the 20 intragraft platelet depositions occurred in areas where intra-operative vascular injury was suspected. In the composite graft and the PTFE grafts, diffuse activity was observed throughout the entire bypass. In conclusion, focal activity...

  11. Dynamic Cerebral Autoregulation after Cardiopulmonary Bypass

    DEFF Research Database (Denmark)

    Christiansen, Claus Behrend; Berg, Ronan M G; Plovsing, Ronni;

    2016-01-01

    Background Cerebral hemodynamic disturbances in the peri- or postoperative period may contribute to postoperative cognitive dysfunction (POCD) in patients undergoing coronary artery bypass grafting (CABG) with cardiopulmonary bypass (CPB). We therefore examined dynamic cerebral autoregulation (d......CA) post-CPB and changes in neurocognitive function in patients that had undergone CABG. Materials and Methods We assessed dCA by transfer function analysis of spontaneous oscillations between arterial blood pressure and middle cerebral artery blood flow velocity measured by transcranial Doppler ultrasound...

  12. Laparoscopic Revision of an Omega Loop Gastric Bypass to Treat Afferent Loop Syndrome.

    Science.gov (United States)

    Kassir, Radwan; Blanc, Pierre; Lointier, Patrice; Breton, Christophe; Debs, Tarek; Tiffet, Olivier

    2015-10-01

    The omega loop gastric bypass (OLGB) has become a very commonly performed bariatric procedure because of the advantages it carries over the Roux en Y gastric bypass (RYGBP). However, mini gastric bypass is a misnomer, as this procedure is more malabsorptive than the RYGBP. Recently, it is called single or one anastomosis gastric bypass. The omega loop procedure is associated with a risk of afferent loop syndrome, a known complication of the Billroth II (Finsterer) operation. This rare complication of the OLGB can be debilitating, serious, and deadly. Afferent loop syndrome should be suspected in case of malabsorption syndrome with chronic diarrhea, steatorrhea, iron-deficiency anemia, edema, emaciation, and osteomalacia and also in case of simple biological anomalies such as macrocytosis or megaloblastic anemia. The diagnosis can be confirmed by measuring bacterial overgrowth, although this requires a jejunal aspirate performed during endoscopy with jejunal intubation. A microbial population of more than 106 organisms per milliliter of aspirate is pathological. Afferent loop syndrome is encountered less frequently now that the number of gastrectomies has dropped. Yet, with the omega loop bypass procedure becoming more common, surgeons must again be made aware of this potential complication. PMID:26210192

  13. Crural Bypass for Critical Lower Limb Ischemia with Omniflow II Prosthesis.

    Science.gov (United States)

    Dünschede, Friedrich; Stabrauskaite, Justina; Weisser, Gerhard; Espinola-Klein, Christine; Dorweiler, Bernhard; Vahl, Christian-Friedrich

    2016-06-01

    Background Reports about the use of the Omniflow II prosthesis (Bio Nova International, Victoria, Australia) in a crural position in patients with critical lower limb ischemia are rare. Methods All crural bypass operations were registered in a database. Primary end points of the study were amputation-free survival, limb salvage, and long-term patency. Results From January 2007 to December 2012, we implanted 27 Omniflow II prostheses in the crural position for critical lower limb ischemia. Of these, 12 crural bypasses were conducted with adjuvant distal arteriovenous fistula as a means to increase bypass flow in the presence of severely impaired intraoperative runoff or revision for early failure. Fifteen Omniflow II prosthesis bypasses were performed in the crural position without fistula. Overall, two patients died postoperatively. The limb salvage rate was 92% in the fistula group compared with 60% in the nonfistula group after a median observation time of 19 months in patients getting Omniflow prosthesis bypasses. Conclusion Omniflow II prosthesis in patients with critical lower limb ischemia and absence of sufficient autologous vein is durable. Moreover, the use of adjuvant distal arteriovenous fistula may increase the chance of limb salvage in this group of patients. PMID:26291743

  14. 21 CFR 870.4350 - Cardiopulmonary bypass oxygenator.

    Science.gov (United States)

    2010-04-01

    ... bypass oxygenator. (a) Identification. A cardiopulmonary bypass oxygenator is a device used to exchange gases between blood and a gaseous environment to satisfy the gas exchange needs of a patient during...

  15. Coronary Artery Bypass Graft Surgery (Beyond the Basics)

    Science.gov (United States)

    ... for people with coronary heart disease is called "percutaneous coronary intervention" (PCI), or "stenting." This involves using a flexible ... artery disease: Coronary artery bypass graft surgery versus percutaneous coronary intervention Coronary artery bypass grafting in patients with cerebrovascular ...

  16. Nursing care for the patient after femoral popliteal bypass grafting

    Institute of Scientific and Technical Information of China (English)

    Guo Xiaohui

    2003-01-01

    Objective: To share my knowledge, regarding the nursing care for the patients after femoral popliteal bypass grafting, with my Chinese colleagues who have never been abroad. Methods: From August 1998 to September 2002, five patients (including 1 female and 4 male) were summarized retrospectively on postoperative care by assessment, nursing implementation and evaluation. Results: All patients were followed up for 3 to 6 months. The results were evaluated as follows: patient's condition and the function of the operated leg were improved. The leg pain was released. The peripheral pulses were present and strong. The color, temperature and sensation of the skin were normal. None of further complications was noted. Conclusion: For Nursing the patient after femoral popliteal bypass grafting, the nurses should focus their attention on the circulatory status of the operated leg, anticoagulant therapy and signs of bleeding from the graft site. Meanwhile, provide a quiet、comfortable and safety environment for the patient. Asall of these are the main points of the postoperative care. A good nursing careoffer to a patient not only can ease the patient's physical suffering, but alsocan avoid some complications occurring.

  17. CLINICAL ADVANTAGES OF TOTAL CAVOPULMONARY ANASTOMOSIS WITHOUT CARDIOPULMONARY BYPASS

    Institute of Scientific and Technical Information of China (English)

    Jun-min Chu; Qing-yu Wu; Jian-ping Xu

    2005-01-01

    Objective To evaluate surgical methods and results of extracardiac conduit total cavopulmonary anastomosis (ECTCPA) without cardiopulmonary bypass (CPB).Methods From May 2000 to April 2003, 11 patients with functional univentricle underwent off-pump EC-TCPA (noCPB group). Their postoperative outcome was retrospectively compared with a 17-patient group who underwent EC-TCPA with cardiopulmonary bypass (CPB group) over a concurrent time period.Results There was 1 operative death in no-CPB group and 2 in CPB group; early postoperative hemodynamics appeared to significantly improve in no-CPB group. Blood and platelet transfusions decreased and blood plasma transfusion significantly lowered in no-CPB group compared with CPB group (P = 0.036). Postoperative courses of patients in no-CPB group were smooth and event free, and extubation time was substantially short. Intensive cares unit stay (P=0.04) and hospital stay (P= 0.02) postoperation were significantly shorter, hospital costs were significantly reduced (P= 0.004) in no-CPB group compared with CPB group.Conclusions EC-TCPA without use of CPB is not a difficult procedure; the procedure results in improvement in postoperative hemodynamics, and decreased use of blood and blood products. It is a more efficient operation with more short recovery time and reduced hospital stay.

  18. Determination of required delay time following reactor shutdown prior to actuation of LOFT ECCS Bypass

    Energy Technology Data Exchange (ETDEWEB)

    Carmichael, C.F.

    1977-04-22

    The results of calculations are presented for the decay time required prior to LOFT ECCS shutdown bypass actuation following a reactor shutdown. These calculations are based on a LOCA occurring during hot shutdown which would void the core. Based on an operator response time of 20 minutes to manually establish ECC flow, the reactor decay time was calculated to prevent the fuel cladding temperature from exceeding 1100/sup 0/F. Results show that 211 hours are required following normal reactor shutdown from 55 MW reactor power before ECCS shutdown bypass actuation can be allowed if the reactor is not in cold shutdown condition. One hundred (100) seconds are required following a LOCE before ECCS shutdown bypass actuation can be allowed.

  19. Low prevalence of significant carotid artery disease in Iranian patients undergoing elective coronary artery bypass

    Directory of Open Access Journals (Sweden)

    Karimi Fatemeh

    2007-01-01

    Full Text Available Abstract Background Coronary artery bypass grafting ranks as one of the most frequent operations worldwide. The presence of carotid artery stenosis may increase the stroke rate in the perioperative period. Routine preoperative noninvasive assessment of the carotid arteries are recommended in many institutions to reduce the stroke rate. Methods 271 consecutive patients undergoing coronary artery bypass grafting at Shaheed Madani hospital of Tabriz, Iran (age, 58.5 Y; 73.1% male underwent preoperative ultrasonography for assessment of carotid artery wall thickness. Results Plaque in right common, left common, right internal and left internal carotid arteries was detected in 4.8%, 7.4%, 43.2% and 42.1% of patients respectively. 5 patients (1.8% had significant ( Conclusion Consecutive Iranian patients undergoing elective coronary artery bypass surgery show a very low prevalence of significant carotid artery disease.

  20. Facts in artifacts

    Directory of Open Access Journals (Sweden)

    P R Bindhu

    2013-01-01

    Full Text Available Examination of microscopic sections of animal tissues reveals facts which are not always related to its normal histology or pathology. Processing of tissue specimens consists of lengthy procedures from the stage of surgical removal to the stained and mounted microscopic sections. Defects are common in tissue sections as a result of faulty procedures. These defects are referred to as artifacts. They lead to misinterpretation of histopathological diagnosis but at times they throw limelight into diagnosis. This paper attempts to put together all the facts regarding the various artifacts that are encountered in histopathology.

  1. Energy Facts, 1992

    Energy Technology Data Exchange (ETDEWEB)

    1993-10-29

    Energy Facts, organized by energy source, is a compilation of energy data providing a reference to a broad range of domestic and international energy data, for the general public as well as the technical community. This report is designed especially for the business person, government worker, or student who needs a quick reference to major facts about energy. Each table of statistics appears on the opposite page from a corresponding graphic. The graphic has a point of interest rather than a title across the top.

  2. Obstructive and enteropathic syndromes after jejunoileal bypass surgery

    International Nuclear Information System (INIS)

    Small bowel bypass procedures for morbid obesity have been associated with many postoperative complications. With the use of the Scott procedure, the bypassed or excluded small bowel segment has recently been the focus of 2 syndromes - 'bypass enteritis' and 'defunctioned bowel syndrome'. We describe these postoperative complications and present their significant radiologic features. (orig.)

  3. Obstructive and enteropathic syndromes after jejunoileal bypass surgery

    Energy Technology Data Exchange (ETDEWEB)

    Karasick, D.; Karasick, S.

    1981-05-15

    Small bowel bypass procedures for morbid obesity have been associated with many postoperative complications. With the use of the Scott procedure, the bypassed or excluded small bowel segment has recently been the focus of 2 syndromes - 'bypass enteritis' and 'defunctioned bowel syndrome'. We describe these postoperative complications and present their significant radiologic features.

  4. Outcomes after off-pump coronary bypass surgery

    NARCIS (Netherlands)

    Dijk, Diederik van

    2002-01-01

    The complications associated with in coronary artery bypass surgery (CABG) using cardiopulmonary bypass (CPB) have led to a renewed interest in coronary bypass surgery on the beating heart. The primary objective of the Octopus Study was to compare cognitive outcome between patients randomized to off

  5. 21 CFR 870.4390 - Cardiopulmonary bypass pump tubing.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cardiopulmonary bypass pump tubing. 870.4390... bypass pump tubing. (a) Identification. A cardiopulmonary bypass pump tubing is polymeric tubing which is used in the blood pump head and which is cyclically compressed by the pump to cause the blood to...

  6. 21 CFR 870.4240 - Cardiopulmonary bypass heat exchanger.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cardiopulmonary bypass heat exchanger. 870.4240... bypass heat exchanger. (a) Identification. A cardiopulmonary bypass heat exchanger is a device, consisting of a heat exchange system used in extracorporeal circulation to warm or cool the blood...

  7. 21 CFR 870.4250 - Cardiopulmonary bypass temperature controller.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cardiopulmonary bypass temperature controller. 870... Cardiopulmonary bypass temperature controller. (a) Identification. A cardiopulmonary bypass temperature controller is a device used to control the temperature of the fluid entering and leaving a heat exchanger....

  8. Brain Aneurysm Statistics and Facts

    Science.gov (United States)

    ... Statistics and Facts A- A A+ Brain Aneurysm Statistics and Facts An estimated 6 million people in ... Understanding the Brain Warning Signs/ Symptoms Brain Aneurysm Statistics and Facts Seeking Medical Attention Risk Factors Aneurysm ...

  9. NASA Facts, Solar Cells.

    Science.gov (United States)

    National Aeronautics and Space Administration, Washington, DC.

    The design and function of solar cells as a source of electrical power for unmanned space vehicles is described in this pamphlet written for high school physical science students. The pamphlet is one of the NASA Facts Science Series (each of which consists of four pages) and is designed to fit in the standard size three-ring notebook. Review…

  10. Fingertip Facts 2010

    Science.gov (United States)

    Shumway, Larry K.

    2010-01-01

    This paper offers facts and figures on Utah's education status for 2010. This paper contains the following: (1) Core CRT Language Arts Testing, 2009; (2) Core CRT Mathematics Testing, 2009; (3) 2009 Public Education General Fund--Funding by Source and Expenditures by Function; (4) 2009-10 Public School Enrollment Demographics; (5) Public Schools…

  11. Facts about Type 2

    Medline Plus

    Full Text Available ... from Diabetes Forecast® magazine: lp-type-2, In this section Diabetes Basics Type 2 Facts About Type ... ensureArray(data.submitSurveyResponse.errors); $.each(surveyErrors, function () { if (this.errorField) { $('input[name="' + this.errorField + '"]').closest('.form-group') . ...

  12. Facts about Vitamin K

    Science.gov (United States)

    Facts about Vitamin K 1 R. Elaine Turner and Wendy J. Dahl 2 FCS8666 Why do we need vitamin K? Vitamin K is one of the fat-soluble vitamins. It ... that are needed for normal blood clotting. Vitamin K is also needed for making important bone proteins. ...

  13. Trauma Facts for Educators

    Science.gov (United States)

    National Child Traumatic Stress Network, 2008

    2008-01-01

    This paper offers facts which can help educators deal with children undergoing trauma. These include: (1) One out of every 4 children attending school has been exposed to a traumatic event that can affect learning and/or behavior; (2) Trauma can impact school performance; (3) Trauma can impair learning; (4) Traumatized children may experience…

  14. Facts about Type 2

    Medline Plus

    Full Text Available ... Advisor Tools To Know Your Risk Alert Day Diabetes Basics Home Symptoms Diagnosis America's Diabetes Challenge Type 1 Type 2 Facts About Type ... Find Us On Facebook Twitter Pinterest Youtube Instagram Diabetes Stops Here ... You at Risk? Diagnosis Lower Your Risk Risk Test Alert Day Prediabetes ...

  15. Main facts 1993

    International Nuclear Information System (INIS)

    This report presents the main facts of the studies carried out by the Direction des Etudes et Recherches (DER) of Electricite de France: new applications of electricity, classical and nuclear thermal power plants, electrical equipment, environment protection, network analysis, information and informatic equipment

  16. Pseudomonas - Fact Sheet

    OpenAIRE

    Public Health Agency

    2012-01-01

    Fact sheet on Pseudomonas, including:What is Pseudomonas?What infections does it cause?Who is susceptible to pseudomonas infection?How will I know if I have pseudomonas infection?How can Pseudomonas be prevented from spreading?How can I protect myself from Pseudomonas?How is Pseudomonas infection treated?

  17. Facts about Down Syndrome

    Science.gov (United States)

    ... Us Information For... Media Policy Makers Facts about Down Syndrome Language: English Español (Spanish) Recommend on Facebook Tweet ... with Down syndrome. View charts » What is Down Syndrome? Down syndrome is a condition in which a ...

  18. Fact Sheet on Stress

    Science.gov (United States)

    ... items) NIMH (7 items) Share Fact Sheet on Stress Download PDF Download ePub Q&A on Stress for Adults: How it affects your health and ... to avoid more serious health effects. What is stress? Stress can be defined as the brain's response ...

  19. Facts about Birth Defects

    Science.gov (United States)

    ... Us Information For... Media Policy Makers Facts about Birth Defects Language: English Español (Spanish) Recommend on Facebook Tweet ... having a baby born without a birth defect. Birth Defects Are Common Every 4 ½ minutes, a baby ...

  20. Ethanol Basics (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2015-01-01

    Ethanol is a widely-used, domestically-produced renewable fuel made from corn and other plant materials. More than 96% of gasoline sold in the United States contains ethanol. Learn more about this alternative fuel in the Ethanol Basics Fact Sheet, produced by the U.S. Department of Energy's Clean Cities program.

  1. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... bypass graft to the LAD. We have a real long-term option. 4 So again, this is under T guidance. Anesthesia tells me that I am in the descending thoracic aorta. That means I’m on the right track. Once that is done then we sequentially ...

  2. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... is in place right now. There’s usually some slack or redundancy in the balloon once we initially ... go on bypass, and then it’s without any slack in the right position, and we can inflate ...

  3. Phlegmonous Gastritis Following Coronary Bypass Surgery

    OpenAIRE

    Radhi, J; Kamouna, M; Nyssen, J.

    1999-01-01

    Phlegmonous gastritis is a rare, rapidly progressive and potentially fatal gastric bacterial infection. A case of phlegmonous gastritis following a coronary bypass surgery is described. This condition was not diagnosed premortem due to the nonspecific nature of the gastrointestinal symptoms. Upper gastrointestinal endoscopy may be of value in establishing the diagnosis in emergencies with culture of gastric aspirate and biopsy.

  4. Is a fully heparin-bonded cardiopulmonary bypass circuit superior to a standard cardiopulmonary bypass circuit?

    OpenAIRE

    Mahmood, Sarah; Bilal, Haris; Zaman, Mahvash; Tang, Augustine

    2012-01-01

    A best-evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was ‘Is a fully heparin bonded cardiopulmonary bypass circuit superior to a standard cardiopulmonary bypass circuit?’ Altogether more than 792 papers were found using the reported search, of which 13 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of...

  5. 儿童非紫绀型先心病体外循环术后急性肾损伤相关危险因素分析%Risk factors for acute kidney injury after cardiopulmonary bypass operation in children with non cyanotic congenital heart disease

    Institute of Scientific and Technical Information of China (English)

    温昱鹏; 常诚; 王仲伦; 郑捷

    2015-01-01

    目的 探讨儿童非紫绀型先天性心脏病体外循环(CPB)心脏手术后急性肾损伤(AKI)的发病情况及相关危险因素.方法 回顾性分析2012年5月—2014年5月行CPB心脏手术的患儿150例,根据术后是否发生AKI分为AKI组29例和非AKI组121例.收集患儿性别、年龄、基础血肌酐值等相关临床资料,比较2组间临床指标的差异,并采用多因素Logistic回归分析AKI发生的相关危险因素.结果 全组无死亡,组间比较分析显示年龄、肺炎和(或)心衰史、基础血肌酐值、基础尿酸值、体质量、CPB时间、主动脉阻断时间、术后输血量、机械通气时间及低血压差异有统计学意义.Logistic回归分析显示,年龄(≤1岁)、肺炎和(或)心衰史、CPB时间(>40 min)、主动脉阻断时间(>30 min)是CPB术后发生AKI的危险因素.结论 选择儿童手术的最佳年龄、积极预防术前并发症、缩短CPB和主动脉阻断时间对预防AKI的发生有重要作用.%Objective To investigate the incidence and risk factors of acute kidney injury (AKI) after cardiopulmonary bypass(CRB) in children with non cyanotic congenital heart disease. Methods A total of 150 children who underwent cardiopulmonary bypass operation from 2012 May to 2014 May were analyzed retrospectively. The patients were divided into two groups:AKI group (n=29) and non AKI group (n=121). Clinical data were collected and compared between two groups, including gender, age and baseline serum creatinine level. Multivariate Logistic regression analysis was used to evaluate the risk factors for AKI after operation. Results There was no death in the 150 cases. Comparison between groups, there were significant differences in age, history of heart failure and (or)pneumonia, baseline serum creatinine level, baseline uric acid, body mass, CPB) time, aortic clamping time, mechanical ventilation time, postoperative transfusion and hypotension. Multivariate Logistic regression analysis

  6. A case report and brief review of the literature on bilateral retinal infarction following cardiopulmonary bypass for coronary artery bypass grafting

    Directory of Open Access Journals (Sweden)

    Trethowan Brian A

    2011-11-01

    Full Text Available Abstract Postoperative visual loss is a devastating perioperative complication. The commonest aetiologies are anterior ischaemic optic neuropathy (AION, posterior ischaemic optic neuropathy (PION, and central retinal artery occlusion (CRAO. These appear to be related to certain types of operation, most commonly spinal and cardiac bypass procedures; with the rest divided between: major trauma causing excessive blood loss; head/neck and nasal or sinus surgery; major vascular procedures (aortic aneurysm repair, aorto-bifemoral bypass; general surgery; urology; gynaecology; liposuction; liver transplantation and duration of surgery. The non-surgical risk factors are multifactorial: advanced age, prolonged postoperative anaemia, positioning (supine v prone, alteration of venous drainage of the retina, hypertension, smoking, atherosclerosis, hyperlipidaemia, diabetes, hypercoagulability, hypotension, blood loss and large volume resuscitation. Other important cardiac causes are septic emboli from bacterial endocarditis and emboli caused by atrial myxomata. The majority of AION cases occur during CPB followed by head/neck surgery and prone spine surgery. CPB is used to allow coronary artery bypass grafting on a motionless heart. It has many side-effects and complications associated with its use and we report here a case of bilateral retinal infarction during routine coronary artery bypass grafting in a young male patient with multiple risk factors for developing this complication despite steps to minimise its occurrence.

  7. Concentrating Solar Power Fact Sheet

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-12-01

    This fact sheet is an overview of the Concentrating Solar Power (CSP) subprogram at the U.S. Department of Energy SunShot Initiative. CSP is a dispatchable, renewable energy option that uses mirrors to focus and concentrate sunlight onto a receiver, from which a heat transfer fluid carries the intense thermal energy to a power block to generate electricity. CSP systems can store solar energy to be used when the sun is not shining. It will help meet the nation’s goal of making solar energy fully cost-competitive with other energy sources by the end of the decade. Worldwide, CSP activity is rapidly scaling, with approximately 10 gigawatts (GW) in various stages of operation or development. In the United States alone, nearly 2 GW of CSP are in operation.

  8. Mechanism for esophagus-jejunum stent bypass in the treatment of type 2 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Suo-lin FU

    2012-09-01

    Full Text Available Objective To observe the effect of endoscopic esophagus-jejunum covered stent bypass on the treatment of type 2 diabetes mellitus (T2DM, and analyze the mechanism thereof. Methods Five obese Beagle dog models of T2DM underwent endoscopic esophagus-jejunum covered stent bypass to serve as operation group, and five normal Beagle dogs as control group receive endoscopy and exploratory laparotomy. The T2DM indices of both groups, including fast plasma glucose (FPG level, fast insulin (FINS level, intravenous glucose tolerance test-2h plasma glucose (IVGTT-2h PG and IVGTT-2h FINS, were determined regularly before operation and 4, 8 and 12 weeks after operation. The insulin resistance index (HOMA-IR and the function of islet β-cell (HOMA-β were calculated with Homeostasis Model Assessment. The levels of gastric inhibitory polypeptide (GIP and glucagon-like peptide-1(GLP-1 were also determined. Results Four weeks after operation, FPG, FINS, IVGTT-2h PG, and IVGTT-2h FINS all decreased significantly in operation group (P 0.05. The HOMA-IR index declined distinctly and HOMA-β index ascended obviously in operation group 4 weeks after operation (P 0.05. The level of GIP lowered significantly (P 0.05. Conclusion T2DM may be treated with esophagus-jejunum covered stent bypass effectively and safely, and the mechanism thereof might be related to the changes in gastrointestinal hormones.

  9. Mixmaster: fact and belief

    International Nuclear Information System (INIS)

    We consider the dynamics towards the initial singularity of Bianchi type IX vacuum and orthogonal perfect fluid models with a linear equation of state. Surprisingly few facts are known about the 'Mixmaster' dynamics of these models, while at the same time most of the commonly held beliefs are rather vague. In this paper, we use Mixmaster facts as a base to build an infrastructure that makes it possible to sharpen the main Mixmaster beliefs. We formulate explicit conjectures concerning (i) the past asymptotic states of type IX solutions and (ii) the relevance of the Mixmaster/Kasner map for generic past asymptotic dynamics. The evidence for the conjectures is based on a study of the stochastic properties of this map in conjunction with dynamical systems techniques. We use a dynamical systems formulation, since this approach has so far been the only successful path to obtain theorems, but we also make comparisons with the 'metric' and Hamiltonian 'billiard' approaches.

  10. Facts controllers in power transmission and distribution

    CERN Document Server

    Padiyar, KR

    2007-01-01

    About the Book: The emerging technology of Flexible AC Transmission System (FACTS) enables planning and operation of power systems at minimum costs, without compromising security. This is based on modern high power electronic systems that provide fast controllability to ensure ''flexible'' operation under changing system conditions. This book presents a comprehensive treatment of the subject by discussing the operating principles, mathematical models, control design and issues that affect the applications. The concepts are explained often with illustrative examples and case studies. In partic

  11. Biomolecular Science (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2012-04-01

    A brief fact sheet about NREL Photobiology and Biomolecular Science. The research goal of NREL's Biomolecular Science is to enable cost-competitive advanced lignocellulosic biofuels production by understanding the science critical for overcoming biomass recalcitrance and developing new product and product intermediate pathways. NREL's Photobiology focuses on understanding the capture of solar energy in photosynthetic systems and its use in converting carbon dioxide and water directly into hydrogen and advanced biofuels.

  12. Smoking: know the facts

    OpenAIRE

    Public Health Agency

    2015-01-01

    This leaflet outlines the health and financial benefits of stopping smoking. It provides key facts on the health dangers associated with smoking, information on second-hand smoke, information on the dangers of smoking to babies, and contact details for help and support available. It also lists the various forms of nicotine replacement therapy (NRT) and non-nicotine medications available.This poster highlights some of the main health and financial benefits of stopping smoking. An associated A5...

  13. FACTS BRIEF: TEXAS TAXES

    OpenAIRE

    Jones, Lonnie L.; Judith I. Stallman; Ay en TANYERI-ABUR

    1997-01-01

    This fact book provides: (1) a basic enumeration and explanation of the general taxes that make up the bulk of state and local tax revenues in Texas, (2) an evaluation of the impact of each major tax on efficiency, competitiveness, administrative simplicity, adequacy, and equity, and (3) a glossary of commonly used terms and concepts relating to taxation and public revenue. No attempt is made, herein, to present the numerous user fees, licenses, and other charges that may be imposed by state ...

  14. Anesthesia for off-pump coronary artery bypass surgery

    Directory of Open Access Journals (Sweden)

    Thomas M Hemmerling

    2013-01-01

    Full Text Available The evolution of techniques and knowledge of beating heart surgery has led anesthesia toward the development of new procedures and innovations to promote patient safety and ensure high standards of care. Off-pump coronary artery bypass (OPCAB surgery has shown to have some advantages compared to on-pump cardiac surgery, particularly the reduction of postoperative complications including systemic inflammation, myocardial injury, and cerebral injury. Minimally invasive surgery for single vessel OPCAB through a limited thoracotomy incision can offer the advantage of further reduction of complications. The anesthesiologist has to deal with different issues, including hemodynamic instability and myocardial ischemia during aorto-coronary bypass grafting. The anesthesiologist and surgeon should collaborate and plan the best perioperative strategy to provide optimal care and ensure a rapid and complete recovery. The use of high thoracic epidural analgesia and fast-track anesthesia offers particular benefits in beating heart surgery. The excellent analgesia, the ability to reduce myocardial oxygen consumption, and the good hemodynamic stability make high thoracic epidural analgesia an interesting technique. New scenarios are entering in cardiac anesthesia: ultra-fast-track anesthesia with extubation in the operating room and awake surgery tend to be less invasive, but can only be performed on selected patients.

  15. Bypass ZVS-PWM High-Frequency Inverter for Induction Heating

    Science.gov (United States)

    Shoji, Hiroyuki; Uruno, Junpei; Isogai, Masayuki

    In this paper, we present a novel circuit topology for achieving thezero-voltage switching (ZVS) operation in a high-frequency inverter. The output power of the inverter is regulated over a wide range using a pulse widthmodulation (PWM) technique and by connecting a bypass circuit to a conventional single-ended push-pull (SEPP) high-frequency inverter for induction heating. All the switching devices of the proposed inverter are operated in the ZVS mode.

  16. Does Off-pump Coronary Artery Bypass Reduce the Prevalence of Atrial Fibrillation?

    OpenAIRE

    Khosrow Hashemzadeh; Marjan Dehdilani; Mahnaz Dehdilani

    2013-01-01

    Introduction: To examine whether or not off-pump CABG (Coronary Artery Bypass Reduce) reduces the incidence of AF after cardiac surgery. Methods: The study was carried out in 939 consecutive coronary artery disease patients with sinus rhythm from which 383 patients underwent off-pump CABG, and 556 patients were operated through on-pump CABG. All patients were monitored postoperatively during intensive care unit (ICU) stay. Then, the incidence and predictive risk factors of post operative A...

  17. Quasi-steady Bingham plastic analysis of an electrorheological flow mode bypass damper with piston bleed

    Science.gov (United States)

    Lindler, Jason; Wereley, Norman M.

    2003-06-01

    We present an improved experimental validation of our nonlinear quasi-steady electrorheological (ER) and magnetorheological damper analysis, using an idealized Bingham plastic shear flow mechanism, for the flow mode of damper operation with leakage effect. To validate the model, a double-acting ER valve or bypass damper was designed and fabricated. Both the hydraulic cylinder and the bypass duct have cylindrical geometry, and damping forces are developed in the annular bypass via Poiseuille flow. The ER fluid damper contains a controlled amount of leakage around the piston head. The leakage allows ER fluid to flow from one side of the piston head to the opposite side without passing through the ER bypass. For this flow mode damper, the damping coefficient, defined as the ratio of equivalent viscous damping of the Bingham plastic material, Ceq, to the Newtonian viscous damping, C, is a function of the non-dimensional plug thickness only. The damper was tested for varying conditions of applied electric field and frequency using a mechanical damper dynamometer. In this analysis, the leakage damping coefficient with incorporated leakage effects, predict the amount of energy dissipated for a complete cycle of the piston rod. Measured force verses displacement cycles for multiple frequencies and electric fields validate the ability of the non-dimensional groups and the leakage damping coefficient to predict the damping levels for an ER bypass damper with leakage. Based on the experimental validation of the model using these data, the Bingham plastic analysis is shown to be an effective tool for the analysis-based design of double-acting ER bypass dampers.

  18. Plug Detector Bypass Breaker Guard

    Energy Technology Data Exchange (ETDEWEB)

    Horton, Joel Richard (Maryville, TN); Dearstone, Robert Link (Powell, TN)

    2000-01-01

    A method and apparatus wherein the apparatus is a container having an inner chamber, an inlet, an outlet, a breaker assembly having at least one blade within the inner chamber of the container and a motor for driving the blade. Material is supplied to the inner chamber of the container through the inlet of the container and the breaker assembly is operated to reduce any clumped material into unclumped material which is then dispensed from the container through the outlet of the container.

  19. Leptomeningeal contrast enhancement in moyamoya: its potential role in postoperative assessment of circulation through the bypass

    International Nuclear Information System (INIS)

    Leptomeningeal contrast enhancement (LMCE) is one of the MRI features of moyamoya. Its clinical significance, however, is not elucidated. Our purpose was to characterise LMCE on MRI and to evaluate its role in the assessment of circulation through a surgically established bypass in moyamoya. We studied 16 patients with idiopathic moyamoya (seven males, nine females, includingt four children, aged 7 to 54 years, mean 24 years) who underwent T1-weighted MRI before and after intravenous contrast medium. The presence of LMCE, its intensity and anatomical distribution, catheter angiographic findings, and relation of LMCE to the bypass surgery were assessed. More LMCE was seen in the cerebrum in most patients with moyamoya than in normal controls. LMCE in the brain stem and cerebellum was minimal, similar to that seen in the controls. LMCE was less prominent following surgery than before operation or in patients who did not undergo surgery. In three patients examined both before and after operation LMCE became less prominent following bypass surgery. As LMCE becomes less prominent after ''effective'' bypass surgery, this may be used for evaluation of effectiveness of surgery in moyamoya. (orig.)

  20. Leptomeningeal contrast enhancement in moyamoya: its potential role in postoperative assessment of circulation through the bypass

    Energy Technology Data Exchange (ETDEWEB)

    Komiyama, M.; Nakajima, H.; Nishikawa, M.; Yasui, T. [Dept. of Neurosurgery, Osaka City General Hospital (Japan); Kitano, S.; Sakamoto, H. [Dept. of Paediatric Neurosurgery, Osaka City General Hospital (Japan)

    2001-01-01

    Leptomeningeal contrast enhancement (LMCE) is one of the MRI features of moyamoya. Its clinical significance, however, is not elucidated. Our purpose was to characterise LMCE on MRI and to evaluate its role in the assessment of circulation through a surgically established bypass in moyamoya. We studied 16 patients with idiopathic moyamoya (seven males, nine females, includingt four children, aged 7 to 54 years, mean 24 years) who underwent T1-weighted MRI before and after intravenous contrast medium. The presence of LMCE, its intensity and anatomical distribution, catheter angiographic findings, and relation of LMCE to the bypass surgery were assessed. More LMCE was seen in the cerebrum in most patients with moyamoya than in normal controls. LMCE in the brain stem and cerebellum was minimal, similar to that seen in the controls. LMCE was less prominent following surgery than before operation or in patients who did not undergo surgery. In three patients examined both before and after operation LMCE became less prominent following bypass surgery. As LMCE becomes less prominent after ''effective'' bypass surgery, this may be used for evaluation of effectiveness of surgery in moyamoya. (orig.)

  1. In situ cephalic vein bypasses from axillary to the brachial artery after catheterization injuries.

    Science.gov (United States)

    Hudorovic, Narcis; Lovricevic, Ivo; Ahel, Zaky

    2010-07-01

    The need to bypass to the brachial artery is rare. Over a five-year period, 16 patients had suffered iatrogenic post-catheterization injuries of the upper extremity. We have performed 16 bypasses, in 16 patients, mean age was 65 years (range 47-75), to the brachial artery originating from an artery proximal to the shoulder joint. In all cases, the axillary artery was the donor artery. All bypasses were created by using the cephalic vein with the in situ technique and distal anastomoses were made to a distance-free section of brachial artery. No operative mortality, neurological complications or major upper-extremity amputation was associated with the procedure. Life-long-conduit analysis showed 75% patency in the five-year period. After iatrogenic post-catheterization trauma of arterial system of upper extremity, bypasses from axillary to brachial artery with the cephalic vein with the in situ technique is a safe operation with satisfactory long-term patency. PMID:20395248

  2. CT perfusion assessment of Moyamoya syndrome before and after direct revascularization (superficial temporal artery to middle cerebral artery bypass)

    International Nuclear Information System (INIS)

    To evaluate the utility of CT perfusion (CTP) for the assessment of superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis in patients with Moyamoya syndrome (MMS). Twenty-four consecutive MMS patients, who underwent unilateral STA-MCA bypass surgery, received CTP before and after surgery. The relative perfusion parameter values of surgical hemispheres before treatment were compared with post-treatment values. All patients underwent CT angiography (CTA) before and after surgery in order to confirm the patency of bypass. The follow-up CTA after surgery clearly demonstrated 20 (20/24, 83.3 %) bypass arteries, whereas four (16.7 %) bypass arteries were occluded or very small. Postoperative rMTT and rTTP values (P < 0.05) of the surgical side were significantly lower than pre-operation. In patients (n = 20) with bypass patency, postoperative rCBF, rMTT and rTTP values (P < 0.05) of the surgical side were significantly improved. However, the differences of all parameters were not significant (P > 0.05) in the patients (n = 4) without bypass patency after revascularization. This study demonstrates that CTP can provide a crucial quantitative assessment of cerebral haemodynamic changes in MMS before and after STA-MCA anastomosis. (orig.)

  3. CT perfusion assessment of Moyamoya syndrome before and after direct revascularization (superficial temporal artery to middle cerebral artery bypass)

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Yueqin [Hospital of Qingdao University, Department of Radiology, Qingdao (China); Hospital of Jining Medical College, CT Department, Jining (China); Xu, Wenjian [Hospital of Qingdao University, Department of Radiology, Qingdao (China); Guo, Xiang; Shi, Zhitao; Sun, Zhanguo; Wang, Jiehuan [Hospital of Jining Medical College, CT Department, Jining (China); Gao, Lingyun [Hospital of Jining Medical College, MR Department, Jining (China); Jin, Feng [Hospital of Jining Medical College, Department of Neurosurgery, Jining (China); Chen, Weijian; Yang, Yunjun [Hospital of Wenzhou Medical University, Department of Radiology, Wenzhou (China)

    2016-01-15

    To evaluate the utility of CT perfusion (CTP) for the assessment of superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis in patients with Moyamoya syndrome (MMS). Twenty-four consecutive MMS patients, who underwent unilateral STA-MCA bypass surgery, received CTP before and after surgery. The relative perfusion parameter values of surgical hemispheres before treatment were compared with post-treatment values. All patients underwent CT angiography (CTA) before and after surgery in order to confirm the patency of bypass. The follow-up CTA after surgery clearly demonstrated 20 (20/24, 83.3 %) bypass arteries, whereas four (16.7 %) bypass arteries were occluded or very small. Postoperative rMTT and rTTP values (P < 0.05) of the surgical side were significantly lower than pre-operation. In patients (n = 20) with bypass patency, postoperative rCBF, rMTT and rTTP values (P < 0.05) of the surgical side were significantly improved. However, the differences of all parameters were not significant (P > 0.05) in the patients (n = 4) without bypass patency after revascularization. This study demonstrates that CTP can provide a crucial quantitative assessment of cerebral haemodynamic changes in MMS before and after STA-MCA anastomosis. (orig.)

  4. Spacecraft Radiator Freeze Protection Using a Regenerative Heat Exchanger with Bypass Setpoint Temperature Control

    Science.gov (United States)

    Ungar, Eugene K.

    2008-01-01

    Spacecraft radiators are sized for their maximum heat load in their warmest thermal environment, but must operate at reduced heat loads and in colder environments. For systems where the radiator environment can be colder than the working fluid freezing temperature, radiator freezing becomes an issue. Radiator freezing has not been a major issue for the Space Shuttle and the International Space Station (ISS) active thermal control systems (ATCSs) because they operate in environments that are warm relative to the freezing point of their external coolants (Freon-21 and ammonia, respectively). For a vehicle that lands at the Lunar South Pole, the design thermal environment is 215K, but the radiator working fluid must also be kept from freezing during the 0 K sink of transit. A radiator bypass flow control design such as those used on the Space Shuttle and ISS requires more than 30% of the design heat load to avoid radiator freezing during transit - even with a very low freezing point working fluid. By changing the traditional ATCS architecture to include a regenerating heat exchanger inboard of the radiator and by using a regenerator bypass flow control valve to maintain system setpoint, the required minimum heat load can be reduced by more than half. This gives the spacecraft much more flexibility in design and operation. The present work describes the regenerator bypass ATCS setpoint control methodology. It includes analytical results comparing the performance of this system to the traditional radiator bypass system. Finally, a summary of the advantages of the regenerator bypass system are presented.

  5. Plug Detector Bypass Breaker Guard

    Energy Technology Data Exchange (ETDEWEB)

    Horton, J.R.; Dearstone, R.L.

    2000-05-23

    A method and apparatus are disclosed wherein the apparatus is a container having an inner chamber, an inlet, an outlet, a breaker assembly having at least one blade within the inner chamber of the container and a motor for driving the blade. Material is supplied to the inner chamber of the container through the inlet of the container and the breaker assembly is operated to reduce any clumped material into unclumped material which is then dispensed from the container through the outlet of the container.

  6. Insulation fact sheet

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-08-01

    Electricity bills, oil bills, gas bills - all homeowners pay for one or more of these utilities, and wish they paid less. Often many of us do not really know how to control or reduce our utility bills. We resign ourselves to high bills because we think that is the price we have to pay for a comfortable home. We encourage our children to turn off the lights and appliances, but may not recognize the benefits of insulating the attic. This publication provides facts relative to home insulation. It discusses where to insulate, what products to use, the decision making process, installation options, and sources of additional information.

  7. Analysis of the force exercised in pipes by accumulation of water in the head stock of turbine bypass

    International Nuclear Information System (INIS)

    The head stock and valves of turbine bypass allow canalize the main vapor coming from the reactor toward the condenser, without carrying out work in the turbo-generator. In this work is assumed that is accumulates condensed in the head stock during a time period in which the bypass system does not operate. For operation maneuvers, the opening of the bypass is demanded, for what the accumulated water is suddenly dragged by the vapor to high pressure coming from the reactor toward the condenser, which operates to inferior pressures to the atmospheric. The generated flow produces a mechanical effort in the lines and its supports. By means of the RELAP5 code the bypass system is modeled, the discharge transitory to the condenser is simulated and the speeds of the mixture water/vapor are calculated. Processing the exit of RELAP5 the mechanical effort that is subjected the pipe is calculated, and the study is complemented with a sensibility analysis to the quantity of stored water in the volume of the bypass head stock. (Author)

  8. Analgesic Treatment in Laparoscopic Gastric Bypass Surgery

    DEFF Research Database (Denmark)

    Andersen, Lars P H; Werner, Mads U; Rosenberg, Jacob;

    2014-01-01

    This review aimed to present an overview of the randomized controlled trials investigating analgesic regimens used in laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery. Literature search was performed in PubMed and EMBASE databases in August 2013 in accordance to PRISMA guidelines. The...... literature search identified nine studies eligible for inclusion. The administration of nonsteroidal anti-inflammatory drugs, local anesthetics (intraperitoneally or subfascially/subcutaneously), transversus abdominis plane block, dexmedetomidine, and ketamine may improve analgesia compared to placebo...

  9. Conduits for Coronary Bypass: Vein Grafts

    OpenAIRE

    Barner, Hendrick B.; Farkas, Emily A.

    2012-01-01

    The saphenous vein has been the principal conduit for coronary bypass grafting from the beginning, circa 1970. This report briefly traces this history and concomitantly presents one surgeons experience and personal views on use of the vein graft. As such it is not exhaustive but meant to be practical with a modest number of references. The focus is that of providing guidance and perspective which may be at variance with that of others and recognizing that there may be many ways to accomplish ...

  10. Conduits for Coronary Bypass: Internal Thoracic Artery

    OpenAIRE

    Barner, Hendrick B.

    2012-01-01

    This second report in the series on coronary artery bypass presents the authors experience and personal views on the internal thoracic artery (ITA) which date to 1966. There has been a very gradual evolution in the acceptance of this conduit which was initially compared with the saphenous vein and viewed as an improbable alternative to it. As is common with concepts and techniques which are 'outside the box' there was skepticism and criticism of this new conduit which was more difficult and t...

  11. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... Most people rotate through and they do fine. Robotic surgery requires a little bit of expertise and ... physician assistant is [Aaron Murstoka]. Head nurse of robotics is [Sara Harrick]. And the rest of these ...

  12. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... distributing blood supply to. He the went for heart catheterization, which revealed him to have 100 percent ... the artery on the front surface of the heart. And his left anterior descending, which is really ...

  13. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... open-heart surgery, you would use a heart team. Most people rotate through and they do fine. ... newer concept of hybrid revascularization where the cardiologist manages one or two vessels and the surgeon manages ...

  14. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... that you need to be a proficient off-pump surgeon, meaning a beating heart surgeon. To me, ... circumflex vessel. Here, we're doing this off-pump, using a stabilizing technique and I have the ...

  15. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... The plan for this patient, however, is to use the da Vinci, which is this machine that ... have to, conventional open-heart surgery, you would use a heart team. Most people rotate through and ...

  16. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... a little bit more tricky and difficult to learn because obviously taking down the right IMA I was taking it down just like you would through an open incision, medially to laterally. But here you're ...

  17. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... to his family physician, who did a stress test, which was markedly abnormal, especially in what we ... around while that individual was still in intensive care. I had friends of mine visit me in ...

  18. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... as you can imagine, this is a big advantage over the big sternotomy incision that can be ... 59:44 CHRIS MCCARTY, MD: Yeah. Okay. Thankfully technology keeps working with us, so we have this ...

  19. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... I'm freeing up the vein and this white vessel here is actually the artery. 00:24: ... going to the circumflex artery, which is the white straight line underneath. Off. That tells me that ...

  20. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... and maybe give a little background on the patient's condition? 00:00:58 CHRIS MCCARTY, MD: Sure. ... just for me, to help topography on the patient. So we would normally go through this incision. ...

  1. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... years, helping me to do what is my dream, not necessarily their dream, but my dream to do this for patients. So, here we ... across them because I'm also worried about injury to the artery as I do that. So ...

  2. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... tremendous amount of fat, so just to get orientation again, remember I took the fat away from ... cognizant. Now the bulldog also helps to keep orientation of your IMA, because as you can see, ...

  3. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... MCCARTY, MD: It's funny. You don't – your senses take over in a different way. What used ... have much feel – You don't have the sensation of pull, you have the visual sensation of ...

  4. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... if you can. Okay. Yup, much better. Oh! Hold on a minute. And it really helps to ... fine dexterity. Now thankfully you're able to hold your hand still on the instrument so that ...

  5. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... other ports in here. That's right. The whole time that you're doing the robotic portion, you ... I need to have both at the same time if you can. Okay. Yup, much better. Oh! ...

  6. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... have a little bit more length and it protects the patient as well from any adverse effects, potentially, of infection. The vein does help to protect the sternum. So as you can see, there's ...

  7. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... some chest pain. He went to his family physician, who did a stress test, which was markedly ... this for patients. So, here we go. My physician assistant is [Aaron Murstoka]. Head nurse of robotics ...

  8. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... MD: That's getting into the newer concept of hybrid revascularization where the cardiologist manages one or two ... patient to have a combination procedure or a hybrid. But those will need to be done when ...

  9. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... by Saturday of that week, four or five days later, I really feel like I do now. Although I was certainly under the doctor's advice to take it easy and let nature take its course and heal, but I began the following week to work from my home. I have a profession that ...

  10. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... we go through the sternum and there's a large incision that would be made and I have ... venous branches. You can see it's a fairly large branch here that's coming off of the vein, ...

  11. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... go. My physician assistant is [Aaron Murstoka]. Head nurse of robotics is [Sara Harrick]. And the rest ... people become more familiar and confident with their skills. 00:39:31 JOHN PENNOCK, MD: Now, this ...

  12. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... down. Aaron put in a [Schnitt] instrument or something so that I could visualize the plane that ... that pleural surface so that you've got something to grasp onto as you're dissecting out ...

  13. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... and I are going to be doing a dance, as well as [Sara], for the next couple ... 59:44 CHRIS MCCARTY, MD: Yeah. Okay. Thankfully technology keeps working with us, so we have this ...

  14. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... and it's got a fair amount of fatty tissue within it as well, but I think we' ... electrocoagulation machine that coagulates as it dissects the tissue away, so that you don't see any ...

  15. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... as his left anterior descending. Because his lesion set is on the left side, he's an ideal ... open-heart surgery, you would use a heart team. Most people rotate through and they do fine. ...

  16. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... my loops for doing the anastomoses, or for standard conventional surgery, are four and a half power. ... left IMA down. This is really the more standard technique is to just take a left-sided ...

  17. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... then putting the patient on the heart-lung machine in order to do your anastomoses. It kind of defeats the whole purpose. So the learning curve is very, very steep. I would say ...

  18. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... went to his family physician, who did a stress test, which was markedly abnormal, especially in what ... across them because I'm also worried about injury to the artery as I do that. So ...

  19. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... MD: Now, this time you're going to leave the [unintelligible] attached. 00:39:36 CHRIS MCCARTY, ... internal mammary artery distally. We're going to leave it attached proximally to the subclavian artery. We' ...

  20. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... be cognizant of that as well. 00:20:42 JOHN PENNOCK, MD: For the non-cardiac surgeons ... the artery will come fairly freely. 00:23:42 JOHN PENNOCK, MD: We're mostly looking at ...

  1. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... MD: Well, I think that at this point, looking at his, it definitely looks like it's a ... 23:42 JOHN PENNOCK, MD: We're mostly looking at veins right now, is that correct? 00: ...

  2. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... JOHN PENNOCK, MD: That's getting into the newer concept of hybrid revascularization where the cardiologist manages one ... in and see this when it's a closed product and see what your thoughts are. 01:14: ...

  3. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... a profession that allows me with a good computer line and a telephone, I can pretty much ... your left IMA. Here's the – this is the part that was a little bit more tricky and ...

  4. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... is now taking her place at the royal seat of the da Vinci device, where she's going ... be interested in this, it's really important to cover up the anastomosis with the pericardial fat overlying ...

  5. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... than two-millimeter vessel. It looks like a good size vessel. The thing that's very nice about this procedure is that ... 00:32:01 JOHN PENNOCK, MD: It looks good. 00:32:16 CHRIS ... all the way across the proximal side obviously. Why don't you give me another ...

  6. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... be able to tell that the one arm acts like a forceps, the one she just picked that fat up with there. The other one acts like a Bovie electrocoagulation machine that coagulates as ...

  7. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... The blood flow that goes down that artery rises from the takeoff of the mammary artery from ... able to fluoresce the dye on a low-level laser camera. Okay, good. I think we've ...

  8. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... this. Okay, now let's try to get a U-clip in. A U-clip is a nice little [unintelligible] device. It ... more easily robotically. Could I please have the U-clip? Okay. Now if you could get me ...

  9. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... fair amount of fatty tissue within it as well, but I think we'll be able to work around that. It comes down ... up above the heart. You always have to be cognizant of that as well. 00:20:42 JOHN PENNOCK, MD: For the ...

  10. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... around while that individual was still in intensive care. I had friends of mine visit me in ... and then I will be able to take care of that bleeding, because it's not very harsh ...

  11. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... a profession that allows me with a good computer line and a telephone, I can pretty much ... take a left-sided artery down. It's not super common to take both IMAs down but I' ...

  12. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... 59:44 CHRIS MCCARTY, MD: Yeah. Okay. Thankfully technology keeps working with us, so we have this ... artery. Now we're going to use new technology that we were one of the first to ...

  13. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... people who have circumflex and left anterior descending disease, or people who might have a very stentable ... Or, even if you've got triple vessel disease and you think you've got a right ...

  14. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... like the belly where the abdominal wall can increase to accommodate what needs to be done there. ... Oh! Hold on a minute. And it really helps to get all of this fat down to ...

  15. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... line drawn across here, just for me, to help topography on the patient. So we would normally ... is two- dimensional, so it's really going to help us to be able to see all surfaces ...

  16. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... PENNOCK, MD: Chris, how would you describe the learning curve for using this device in cardiac surgery? ... re a proficient mitral valve surgeon, that the learning curve is quite as steep as it is ...

  17. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... and I are going to be doing a dance, as well as [Sara], for the next couple ... see the robotic arms move electronically. It's quite modern. 00:12:21 CHRIS MCCARTY, MD: And it's ...

  18. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... the pleura is coming really up and butting against the space I'm working in, but we' ... have occluded because the grafts are right up against the pleural wall, because your graft is laying ...

  19. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... it's not very harsh bleeding. Okay. 00:53:40 JOHN PENNOCK, MD: That's just to keep it ... keep that though. You know that. 00:59:40 JOHN PENNOCK, MD: Well, once the anastomoses are ...

  20. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... course and heal, but I began the following week to work from my home. I have a profession that ... pretty much work anywhere. I went back to work from home on a limited basis the first week and by the second week I was working ...

  1. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... chest to help decrease the volume of the lung, allow the heart to be pushed away so that we can work and do what we need to in a ... is to create just a hole that you work in. You have to go all the way down and make ... right here you can see the right lung coming up and down into our area. Still ...

  2. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... Novadaq who thought of using a very old dye, that's flourescein dye, that used to be used in Swan-Ganz ... in and we're able to fluoresce the dye on a low-level laser camera. Okay, good. ...

  3. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... need to be a proficient off-pump surgeon, meaning a beating heart surgeon. To me, I don' ... sure that we have all of the arteries, meaning the left IMA and the right IMA ready ...

  4. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... So we're talking a magnification of 10 power and my loops for doing the anastomoses, or ... standard conventional surgery, are four and a half power. So there's a huge change in the amount ...

  5. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... went to his family physician, who did a stress test, which was markedly abnormal, especially in what ... to be able to see all surfaces and work in the chest very comfortably, which is usually ...

  6. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... port access? Well here it is. The purple mark is really just to keep the orientation of ... really means nothing more than that. So I mark it so that I know exactly how it's ...

  7. Robot-Assisted Minimally Invasive Coronary Artery Bypass Surgery Operation

    Medline Plus

    Full Text Available ... which was markedly abnormal, especially in what we call the lateral wall, or where the circumflex artery ... front surface of the heart is what we call atretic, or very small for him. He was ...

  8. Atypical complications of gastric bypass surgery

    International Nuclear Information System (INIS)

    Although gastric bypass surgery continues to grow in popularity for weight loss and weight maintenance in the morbidly obese, there has been little attention given to the imaging of complications associated with these surgeries. The purpose of our study is to demonstrate the variety of gastric bypass surgery complications that can be identified radiographically, with attention to the more unusual complications. This study was performed with institutional Internal Review Board approval. We performed a 5-year retrospective review of all patients who had undergone gastric bypass surgery, had complications of the surgery, and had studies performed in our department to image these complications. These studies consisted of contrast fluoroscopy and CT. We identified the more common complications of anastomotic stenoses and anastomotic leaks. We also identified six unusual complications as follow: (1) internal herniation through the small bowel mesentery, (2) internal herniation through the transverse mesocolon, (3) external herniation through the abdominal wall incision, (4) enterocutaneous fistulas, (5) antiperistaltic construction of the Roux-en-Y, and (6) incorrect anstomoses of the Roux limbs resulting in a Roux-en-O configuration. Our findings show that a thorough understanding of expected postoperative bowel configuration is essential in the evaluation of these patients. In addition, fluoroscopic evaluation should assess not only anatomy, but also motility

  9. Vein harvesting and techniques for infrainguinal bypass.

    Science.gov (United States)

    Albäck, Anders; Saarinen, Eva; Venermo, Maarit

    2016-04-01

    In order to achieve good long term results after bypass surgery, alongside with good inflow and outflow arteries, the bypass graft material also has an important role. The best patency and limb salvage rates are achieved with autologous vein. If great saphenous vein is not available, acceptable long-term results can be achieved with arm veins and lesser saphenous vein. The quality and size of the vein are important. A small-caliber vein, increased wall thickness, postphlebitic changes and varicosities are associated with a risk of early failure. Preoperative vein mapping with ultrasound reduces readmissions and postoperative surgical site infections. During the mapping, the vein to be used and its main tributaries are marked with a permanent marker pen. To reduce wound complication rates we recommend bridged incisions in vein harvesting. Endoscopic vein harvesting seems to have no benefit compared to open techniques in lower limb bypasses, and has been associated with higher risk of primary patency loss at one year. With deep tunneling of the graft the problems caused by wound infection can be avoided. PMID:26837257

  10. Patient's Perception About Coronary Artery Bypass Grafting

    Directory of Open Access Journals (Sweden)

    Kelminda Maria Bulhões Mendonça

    2015-10-01

    Full Text Available ABSTRACT OBJECTIVE: The diagnosis of coronary artery disease referred for heart surgery has an important psychological component. The purpose of this study was to access the difficulties experienced by individuals awaiting coronary artery bypass grafting and to determine strategies that facilitate adaptation to a new lifestyle, modified by the disease. METHODS: A qualitative, exploratory study involving patients admitted to a university teaching hospital in the city of Salvador, Bahia, Brazil, awaiting coronary artery bypass grafting. Semi-structured interviews were performed in accordance with a previously defined script based on the study objective. Each transcription was read in its entirety to verify the representativeness, homogeneity and pertinence of the data obtained (pre-analysis, followed by separation of categories of analysis. RESULTS: The descriptions of this study show that patients admitted to the completion of coronary artery bypass grafting experience a wide range of psychological difficulties, considering that surgery acquires interpretations that vary according to individuals' subjectivity. The patients recognized the benefit of being able to discuss their feelings as a means of diminishing their fear and anxiety. CONCLUSION: Helping patients find resources to confront more positively the daily hospitalization is an important aspect for the health care professionals who assist them. This goal can be achieved through modification of the biomedical model of care for a biopsychosocial view. The investment of time and attention is of fundamental importance and aims to overcome existing deficiencies that interfere with the outcome of patients after cardiac surgery.

  11. Water: Facts without Myths

    Directory of Open Access Journals (Sweden)

    Marc Henry

    2009-08-01

    Full Text Available Among all the chemical substances available in the universe, water, with its deceptively simple formula H2O, is the most discussed subject either in science or in philosophy [1]. If you are not convinced by this affirmation, a little experiment at no cost may help you change your mind. Just open your favorite web browser and type the word “water” in any search engine. When I have done that using Google, the number of hits was about 682,000,000 (please do not try to read all the pages. In fact, the only words that seem to beat water at this little game are “air” (770,000,000 hits with Google and 3,120,000,000 with Yahoo, and “food” (689,000,000 hits with Google and 3,820,000,000 with Yahoo. Of course this should not be a surprise, as breathing, eating, drinking just mean that you are a living entity. In fact extending the water search to “eau” (French, “wasser” (German, “agua” (Spanish, Portuguese and “acqua” (Italian leads to 978,900,000 hits under Google and 3,426,000,000 hits under Yahoo, showing now that water is about as important as food. After all, as everybody knows, “water is life”, and do we really have to read about one billion documents to know at least what water really is? [...

  12. Reinforcing Power Grid Transmission with FACTS Devices

    CERN Document Server

    Frolov, Vladimir; Chertkov, Misha

    2013-01-01

    We explore optimization methods for planning the placement, sizing and operations of Flexible Alternating Current Transmission System (FACTS) devices installed into the grid to relieve congestion created by load growth or fluctuations of intermittent renewable generation. We limit our selection of FACTS devices to those that can be represented by modification of the inductance of the transmission lines. Our master optimization problem minimizes the $l_1$ norm of the FACTS-associated inductance correction subject to constraints enforcing that no line of the system exceeds its thermal limit. We develop off-line heuristics that reduce this non-convex optimization to a succession of Linear Programs (LP) where at each step the constraints are linearized analytically around the current operating point. The algorithm is accelerated further with a version of the cutting plane method greatly reducing the number of active constraints during the optimization, while checking feasibility of the non-active constraints post...

  13. Cirurgia de revascularização do miocárdio usando apenas tomografia computadorizada como angiograma pré-operatório Cirugía de revascularización del miocardio usando sólo tomografía computada como angiograma preoperatorio Coronary artery bypass using only computed tomography as pre-operative angiogram

    Directory of Open Access Journals (Sweden)

    Diego Felipe Gaia

    2009-09-01

    Full Text Available A cirurgia de revascularização do miocárdio (CRM é um procedimento bem estabelecido com indicações atuais precisas. O advento e a disseminação dessa técnica foram possíveis após a introdução do angiograma coronário. Embora muitos métodos de avaliação tenham evoluído nos últimos anos, nenhum conseguiu substituir o angiograma coronário invasivo como exame pré-operatório. A tomografia computadorizada (TC emergiu como uma alternativa ao angiograma coronário invasivo. O presente relato descreve dois casos de CRM realizadas usando-se apenas a TC como técnica de avaliação anatômica das artérias coronárias pré-operatória.La cirugía de revascularización del miocardio (CRM es un procedimiento bien establecido con indicaciones actuales precisas. El advenimiento y la divulgación de esta técnica fueron posibles después de la introducción del angiograma coronario. Aunque muchos métodos de evaluación hayan evolucionados en los últimos años, ninguno ha conseguido sustituir al angiograma coronario invasivo como examen preoperatorio. La tomografía computada (TC surgió como una alternativa al angiograma coronario invasivo. El presente informe describe dos casos de CRM realizadas usando sólo la TC como técnica de evaluación anatómica de las arterias coronarias preoperatoria.Coronary artery bypass graft (CABG is a well established procedure with current precise indications. The advent and spread of this technique was possible after the introduction of the coronary angiogram. Although many evaluation methods have been developed in the past years, to date, none have been able to replace the invasive coronary angiogram as a pre-operative exam. Computed tomography angiography (CTA has emerged as an alternative to invasive coronary angiogram. In this report we describe two CABG cases that were performed using only this technique as a pre-operative anatomic coronary arteries evaluation.

  14. Main facts 1995; Faits marquants 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-11-01

    This report presents the main facts of the studies carried out by the Direction des Etudes et Recherches (DER) of Electricite de France: new applications of electricity, classical and nuclear thermal power plants, electrical equipment, environment protection, monitoring and plants operations.

  15. D.E.R. 85: main facts

    International Nuclear Information System (INIS)

    This report presents the important facts among the studies carried out by the ''Direction des Etudes et Recherches'' (E.D.F.): new applications of electric power for customers, protection of environment, classical equipments for power plants and nuclear equipments, monitoring and control of power plants, electrical equipments, development and operation of electrical networks, informatics and office automation

  16. The bypass solution as a capacity enhancing measure in connecting biogas plants to the grid; Die Bypass-Loesung als kapazitaetserhoehende Massnahme beim Netzanschluss von Biogasanlagen

    Energy Technology Data Exchange (ETDEWEB)

    Grassmann, Nils [PwC Legal AG, Frankfurt am Main (Germany). Bereich Energierecht in der Region Sued; Reinhardt, Anja [PwC Legal AG, Muenchen (Germany)

    2012-07-01

    In spite of repeated amendments to the laws governing the connection of biogas plants to the grid there still remain unresolved disputes in practice. A significant issue in this regard concerns what is referred to as the bypass solution, where a connection to the general supply grid of the receiving grid operator is created and at the same time technical equipment is installed which provides a connection to an upstream grid to which biogas can be backfed in times of low grid load. The Upper Regional Court of Duesseldorf classifies constellations of this kind as a combined grid connection to two different grids. It argues that since the legislature has provided no regulations on this constellation there can be no legitimate right to obtaining a connection of this configuration. However, this line of argumentation does not appear compelling. The meaning and purpose of Articles 31 ff. of the Gas Network Access Ordinance and the wording of the relevant norms both speak in favour of considering bypass solutions as capacity-enhancing measures. The receiving (downstream) grid operator would then be obliged, under the general requirements, to create a grid connection and to draw the bypass solution into consideration as a special means of backfeeding. This would provide legal certainty for all involved and allow technically meaningful solutions to be implemented.

  17. Prediction of bypass flows in HTR-PM by the flow network method

    International Nuclear Information System (INIS)

    The high temperature gas-cooled reactor is moderated by many graphite bricks. Gaps between graphite reflectors are possible flow paths that some fraction of cold helium may directly enter the hot plenum without being heated, which is a kind of bypass flow. The ratio of the bypass flows to the total flow is a key factor related to the peak fuel temperature in the normal operation of the reactor. Gaps are widely distributed in three dimensional structures, thus building proper flow network is the practical means to describe all the main flow and bypass flow paths by assigning proper nodes and links of the flow network. Graphically illustrated in the V power simulator platform, a preliminary flow network was built for the main flow and bypass flow paths. As the resistance performances of all flow paths determined by empirical formulas or CFD tools, the flow network was solved to show the effects of total mass flow rate, outlet pressure as well as the gap size on the mass flow distributions. (author)

  18. Effect of acetylcysteine on adaptation of intestinal smooth muscle after small bowel bypass

    International Nuclear Information System (INIS)

    The authors have postulated that the adaptive changes in function and structure of bypassed segments of small bowel are due in part to the change in intestinal contents following operation. The purpose of these experiments was to determine if a mucolytic agent could alter the adaptation. Rats were anesthetized and a 70% jejunoileal bypass was performed. The bypassed segments then were perfused with either saline or acetylcysteine for 3-12 days. Then, either intestinal transit was determined using Cr-51, or segments were taken for morphometric analysis. Transit, as assessed by the geometric center, was increased 32% by acetylcysteine treatment. Treatment also caused a decrease in hypertrophy of the muscularis. Muscle wet weight, muscle cross-sectional area, and muscle layer thickness all were significantly less in those animals infused with acetyl-cysteine. No decreases in hypertrophy were seen in the in-continuity segments. These data indicate that alterations in intestinal content can affect the course of adaptation of intestinal muscle in response to small bowel bypass

  19. Psychoacoustics Facts and Models

    CERN Document Server

    Fastl, Hugo

    2007-01-01

    Psychoacoustics – Facts and Models offers a unique, comprehensive summary of information describing the processing of sound by the human hearing system. It includes quantitative relations between sound stimuli and auditory perception in terms of hearing sensations, for which quantitative models are given, as well as an unequalled collection of data on the human hearing system as a receiver of acoustic information. In addition, many examples of the practical application of the results of basic research in fields such as noise control, audiology, or sound quality engineering are detailed. The third edition includes an additional chapter on audio-visual interactions and applications, plus more on applications throughout. Reviews of previous editions have characterized it as "an essential source of psychoacoustic knowledge," "a major landmark ," and a book that "without doubt will have a long-lasting effect on the standing and future evolution of this scientific domain."

  20. Soft Costs Fact Sheet

    Energy Technology Data Exchange (ETDEWEB)

    None

    2016-05-01

    This fact sheet is an overview of the systems integration subprogram at the U.S. Department of Energy SunShot Initiative. Soft costs can vary significantly as a result of a fragmented energy marketplace. In the U.S., there are 18,000 jurisdictions and 3,000 utilities with different rules and regulations for how to go solar. The same solar equipment may vary widely in its final installation price due to process and market variations across jurisdictions, creating barriers to rapid industry growth. SunShot supports the development of innovative solutions that enable communities to build their local economies and establish clean energy initiatives that meet their needs, while at the same time creating sustainable solar market conditions.

  1. Photovoltaics Fact Sheet

    Energy Technology Data Exchange (ETDEWEB)

    None

    2016-02-01

    This fact sheet is an overview of the Photovoltaics (PV) subprogram at the U.S. Department of Energy SunShot Initiative. The U.S. Department of Energy (DOE)’s Solar Energy Technologies Office works with industry, academia, national laboratories, and other government agencies to advance solar PV, which is the direct conversion of sunlight into electricity by a semiconductor, in support of the goals of the SunShot Initiative. SunShot supports research and development to aggressively advance PV technology by improving efficiency and reliability and lowering manufacturing costs. SunShot’s PV portfolio spans work from early-stage solar cell research through technology commercialization, including work on materials, processes, and device structure and characterization techniques.

  2. Systems Integration Fact Sheet

    Energy Technology Data Exchange (ETDEWEB)

    None

    2016-06-01

    This fact sheet is an overview of the Systems Integration subprogram at the U.S. Department of Energy SunShot Initiative. The Systems Integration subprogram enables the widespread deployment of safe, reliable, and cost-effective solar energy technologies by addressing the associated technical and non-technical challenges. These include timely and cost-effective interconnection procedures, optimal system planning, accurate prediction of solar resources, monitoring and control of solar power, maintaining grid reliability and stability, and many more. To address the challenges associated with interconnecting and integrating hundreds of gigawatts of solar power onto the electricity grid, the Systems Integration program funds research, development, and demonstration projects in four broad, interrelated focus areas: grid performance and reliability, dispatchability, power electronics, and communications.

  3. Use the Nutrition Facts Label

    Science.gov (United States)

    ... Features Spokespeople News Archive eNewsletters Calendar Use the Nutrition Facts Label You can help your family eat ... to some of their favorite foods. Use the Nutrition Facts label found on food packages to make ...

  4. Foot Health Facts for Athletes

    Science.gov (United States)

    ... Health Facts for Athletes Text Size Print Bookmark Foot Health Facts for Athletes From the repeated pounding ... sports injuries. Prompt evaluation and treatment by a foot and ankle surgeon is important because sometimes that “ ...

  5. Brain Aneurysm Statistics and Facts

    Science.gov (United States)

    ... Brain Aneurysm Statistics and Facts Seeking Medical Attention Pediatric Aneurysms Brain Aneurysm Causes and Risk Factors Family History ... Brain Aneurysm Statistics and Facts Seeking Medical Attention Pediatric Aneurysms Brain Aneurysm Causes and Risk Factors Family History ...

  6. Renal tubular acidosis secondary to jejunoileal bypass for morbid obesity

    DEFF Research Database (Denmark)

    Schaffalitzky de Muckadell, O B; Ladefoged, Jens; Thorup, Jørgen Mogens

    1985-01-01

    Renal handling of acid and base was studied in patients with persistent metabolic acidosis 3-9 years after jejunoileal bypass for morbid obesity. Excretion of acid was studied before and after intravenous infusion of NH4Cl and excretion of bicarbonate after infusion of NaHCO3. Bypass patients...... groups. Fractional loss of bicarbonate in urine was higher in controls than in bypass patients. The renal impairment is classified as distal renal tubular acidosis....

  7. Outcomes after off-pump coronary bypass surgery

    OpenAIRE

    van Dijk, Diederik

    2002-01-01

    The complications associated with in coronary artery bypass surgery (CABG) using cardiopulmonary bypass (CPB) have led to a renewed interest in coronary bypass surgery on the beating heart. The primary objective of the Octopus Study was to compare cognitive outcome between patients randomized to off-pump or on-pump CABG. In chapter 2, the literature suggesting that CABG may impair cognitive function is systematically reviewed and chapter 3 describes in detail the rationale and design of the O...

  8. Extra-intracranial standard bypass in the elderly

    DEFF Research Database (Denmark)

    Sandow, Nora; von Weitzel-Mudersbach, Paul; Rosenbaum, Sverre;

    2013-01-01

    Patients with chronic atherosclerotic vessel occlusion and cerebrovascular hemodynamic insufficiency may benefit from extra-intracranial (EC-IC) bypass surgery. Due to demographic changes, an increasing number of elderly patients presents with cerebrovascular hemodynamic insufficiency. So far......, little data for EC-IC bypass surgery in elderly patients suffering occlusive cerebrovascular disease are available. We therefore designed a retrospective study to address the question whether EC-IC bypass is a safe and efficient treatment in a patient cohort ≥70 years....

  9. Non-invasive assessment of coronary artery bypass grafts - an update; Koronare Bypassdiagnostik mit CT und MRT - eine Bestandsaufnahme

    Energy Technology Data Exchange (ETDEWEB)

    Kreitner, K.F.; Ehrhard, K.; Kunz, R.P.; Oberholzer, K.; Mildenberger, P.; Thelen, M. [Klinik und Poliklinik fuer Radiologie der Johannes Gutenberg-Univ. Mainz (Germany); Abegunewardene, N.; Horstick, G. [2. Medizinische Klinik und Poliklinik der Johannes Gutenberg-Univ. Mainz (Germany); Hake, U. [Klinik und Poliklinik fuer Herz-Thorax- und Gefaesschirurgie der Johannes Gutenberg-Univ. Mainz (Germany)

    2004-08-01

    The limited lifetime and the correlation between graft occlusion and recurring symptoms underline the need for repeated imaging of coronary artery bypass grafts. CT and MRI allow for noninvasive imaging of coronary bypasses with high accuracies concerning the patency of these vessels. Multidetector CT seem to be the CT technique of choice, especially after the introduction of 16 slice CT scanners for morphologic assessment of coronary artery bypass grafts. Compared with MRI, CT is a robust technique for assessment of cardiac anastomoses, native coronary arteries, anf for the detection of graft stenoses. MRI, however, is able to deliver functional information about the grafts and the recipient coronary arteries by determining the coronary flow reserve. Furthermore, it can be integrated in a multiparametric MR examination protocol. The follow-up of asymptomatic patients can primarily be done by these non-invasive techniques as nearly every third patient reveals an asymptomatic bypass occlusion 5 years after operation. Furthermore, patients with atypical complaints after the operation may undergo non-invasive imaging as long as documented patency of the bypass averts coronary angiography. Patients with recurrent angina pectoris and/or myocardial ischemia discovered by other cardiologic tests have to undergo coronary angiography. (orig.)

  10. John Searle on Institutional Facts

    Directory of Open Access Journals (Sweden)

    m Abdullahi

    2010-09-01

    Here we argue that the essence of institutional facts is status functions. Humans recognize these functions which contain a set of deontic powers through collective intentionality. Therefore, institutional facts are ontologically subjective and epistemologically objective. Nevertheless, objectivity of institutional facts totally depends on language which itself is a fundamental institution for other institutions.

  11. Comparative study of the protective effect using hypothermic cardiopulmonary bypass and normothermic cardiopulmonary bypass

    Institute of Scientific and Technical Information of China (English)

    HAN Pei-li; FU Qing-lin; ZHANG Xin-zhong; ZHANG-Jie; QIN Yuan-xu; CUI Yu

    2007-01-01

    Objective To explore the detrimental influence of normothermic and hypothermic cardiopulmonary by-pass during open - heart surgery on immunity function,cytokines and complements. Methods Forty patients with con-genital or rheumatic heart disease were randomized to receive the two strategies: normothermie CPB (study group) andhypothermic CPB (control group) ,20 cases in each group. Venous blood samples were collected at each time points ofpreoperation, end of CPB, day 1,4,7,14 postoperatively to examine the plasma level of IL - 2, TNF - α, C3, C4, IgG,IgM, IgA, CD3, CD4, CD8. Results IL -2 in both groups decreased significantly at day 1,4, and returned to normal atday 7 postoperatively. IL - 2 in control group was significantly lower than that in study group postoperatively. TNF - α intwo groups was all higher at time points of end of CPB,day 1,4 postoperatively;in study group,it returned to normallevel at day 7 postoperatively, whereas in control group, it was still higher at day 7 postoperatively than that before oper-ation ,and returned to normal at day 14 postoperatively. C3 in study group was significantly lower at time points of endof CPB,day 1,7 postoperatively than that in control group;C3 in both groups was all higher at time points of end ofCPB, day 1,4 postoperatively;in study group, it returned to normal level at day 7 postoperatively, whereas in controlgroup,it was still higher at day 7 postoperatively than that before operation and returned to normal at day 14 postopera-tively. CA in study group at time points of end of CPB, day 1 postoperatively was significantly lower than that in controlgroup;C4 in both groups was all lower at time points of end of CPB, day 1,4 postoperatively than that before operation.The results showed that IgA after operation in both groups was significantly lower than that before operation, and re-turned to normal at day 7 postoperatively;IgA in study group at day 1 postoperatively was higher than that in controlgroup. IgG in

  12. Jejunioleal Bypass Procedures in Morbid Obesity: Preoperative Psychological Findings

    Science.gov (United States)

    Webb, Warren W.; And Others

    1976-01-01

    Seventy patients who averaged 155 percent overweight and requested jejunioleal bypass surgery as a treatment intervention for morbid obesity were studied preoperatively for prominent psychological characteristics. (Author)

  13. Hormonal and metabolic responses of fetal lamb during cardiopulmonary bypass

    Institute of Scientific and Technical Information of China (English)

    苏肇伉; 周成斌; 张海波; 祝忠群

    2003-01-01

    Objective To study the hormonal and metabolic responses of fetal lamb during cardiopulmonary bypass.Methods Six pregnant ewes underwent fetal cardiopulmonary bypasses with artificial oxygenators and roller pumps for 30 minutes, which maintained the blood gas value at the fetal physiological level. The fetal blood pressure, heart rate, pH value and blood lactate levels were monitored. The levels of catecholamine, cortisol and insulin were measured pre-bypass and then again 30 minutes later. The blood glucose and free fatty acid levels were monitored continuously during the bypass. Fetal hepatic PAS staining was also carried out.Results There were no changes before and during the bypass in fetal blood pressure, heart rate and blood gas. However, pH values decreased and blood lactate levels increased (P<0.05). The fetal catecholamine and cortisol levels increased significantly (P<0.01), while the levels of insulin did not change. The blood glucose and free fatty acid levels increased at the beginning of the bypass (P<0.01), and then gradually slowed down during the bypass. The fetal hepatic PAS staining showed that hepatic glycogen was consumed in large amounts. After 30 minutes of bypass, the fetal lamb would not survive more than 1 hour.Conclusion The fetal lamb has a strong negative reaction to cardiopulmonary bypass.

  14. Cardiac Bypass Pump Flow Management via NIRS Monitoring

    OpenAIRE

    Macnab, Andrew J.; Gagnon, Roy E.; Gagnon, Faith A.; Blackstock, Derek; LeBlanc, Jacques G.

    2003-01-01

    During cardiac surgery, bypass pumps rely on pressure monitors to evaluate flow. We studied whether it would be possible to optimize pump flow by monitoring changes in cerebral cytochrome a,a3 using NIRS to maintain cyt redox status at its pre-bypass level. Method: 18 healthy 7–45 kg swine were placed on bypass for repeated cycles of cooling and re-warming from 36 to 15 to 36°C in 3°C steps. Between each cycle, the swine's bypass pump blood flow rate was adjusted to restore cytochrome redox s...

  15. Obstetrical and neonatal outcomes in women following gastric bypass

    DEFF Research Database (Denmark)

    Berlac, Janne Foss; Skovlund, Charlotte Wessel; Lidegaard, Ojvind

    2014-01-01

    OBJECTIVE: To assess obstetrical and neonatal outcomes in women following gastric bypass, compared with adipose women without surgery and with a normal weight control population. DESIGN: Historical controlled cohort study. SETTING: Denmark. POPULATION: All women undergoing gastric bypass during the...... period 1996-2011, and subsequently giving birth. METHODS AND MAIN OUTCOME MEASURES: Obstetrical and neonatal outcomes in women without gastric bypass matched on age, parity, plurality, year, and body mass index, and normal weight women. RESULTS: In 415 women giving birth after gastric bypass we found...

  16. Heart Rate Variability after Off-Pump versus On-Pump Coronary Artery Bypass Graft Surgery

    OpenAIRE

    Dusko Cerovec; Franjo Baborski; Valentina Slivnjak; Nenad Lakusic

    2009-01-01

    Background. It is known that after coronary artery bypass graft surgery (CABG) heart rate variability (HRV) becomes significantly decreased with a gradual recovery in a few months after surgery. However, literature data about the impact of the off-pump CABG on postoperative HRV are not complete. Therefore, the aim of this study was to analyze postoperative value of HRV in CABG patients operated on with off-pump versus on-pump coronary surgery. Methods. This study included 206 consecutive pati...

  17. AEA Technologies Battery Cell By-pass Device Activation: An Update

    Science.gov (United States)

    Keys, Denney; Rao, Gopalakrishna M.; Sullivan, David; Wannemacher, Harry; Day, John H. (Technical Monitor)

    2001-01-01

    The objectives are to: (1) Verify the Performance of AEA Cell Bypass Protection Device (CBPD) under simulated EOS-Aqua/Aura flight hardware configuration; (2) Assess the Safety of the hardware under an inadvertent firing of CBPD switch, as well as the closing of CBPD switch under simulated high cell impedance; and (3) Confirm that the mode of operation of CBPD switch is the formation of a continuous low impedance path (a homogeneous low melting point alloy).

  18. Does Off-pump Coronary Artery Bypass Reduce the Prevalence ofAtrial Fibrillation?

    OpenAIRE

    Hashemzadeh, Khosrow; Dehdilani, Marjan; Dehdilani, Mahnaz

    2013-01-01

    Introduction: To examine whether or not off-pump CABG (Coronary Artery Bypass Reduce) reduces the incidence of AF after cardiac surgery. Methods: The study was carried out in 939 consecutive coronary artery disease patients with sinus rhythm from which 383 patients underwent off-pump CABG, and 556 patients were operated through on-pump CABG. All patients were monitored postoperatively during intensive care unit (ICU) stay. Then, the incidence and predictive risk factors of post opera...

  19. Hemodynamics Simulation of Stenosed Coronary Bypass Graft

    Institute of Scientific and Technical Information of China (English)

    LIU You-jun; QIAO Aike; DU Jian-jun

    2005-01-01

    By means of FEM, the physiological blood flow in coronary bypass graft is simulated. The stenosis in coronary artery is involved in the graft model,and the deformation of graft end to allow the surgical suture with a smaller diameter coronary is taken into consideration. The flow pattern, secondary flow and wall shear stress in the vicinity of anastomosis are analyzed. It is shown that a zone of low wall stress and high wall stress gradient exists downstream the toe. The floor opposed to the anastomosis is an area of high wall stress and high wall stress gradient. Both the toe downstream and the anastomosis bottom floor are prone to intimal hyperplasia.

  20. Flow characteristics in narrowed coronary bypass graft

    Science.gov (United States)

    Bernad, S. I.; Bosioc, A.; Bernad, E. S.; Petre, I.; Totorean, A. F.

    2016-06-01

    Tortuous saphenous vein graft (SVG) hemodynamics was investigated using computational fluid dynamics (CFD) techniques. Computed tomography (CT) technology is used for non-invasive bypass graft assessment 7 days after surgery. CT investigation shown two regions with severe shape remodelling first is an elbow type contortion and second is a severe curvature with tortuous area reduction. In conclusion, the helical flow induced by vessel torsion may stabilize the blood flow in the distal part of the SVG, reducing the flow disturbance and suppressing the flow separation, but in the distal end of the graft, promote the inflammatory processes in the vessels.

  1. Work on the Geneva motorway bypass

    CERN Multimedia

    État de Genève, DCTI, Direction du génie civil

    2006-01-01

    Work on the airport section of the Geneva motorway bypass is continuing and will require the temporary closure of two sliproads allowing traffic to make a U-turn near the airport and the Palexpo exhibition centre. The sliproads on the French and Lausanne sides will be closed until autumn 2006. U-turns will still be possible via clearly marked deviations. For further information: www.autoroute-aeroport.ch We would like to thank you in advance for your understanding. Civil Engineering Department, DCTI, State of Geneva

  2. Impossible Airway Requiring Venovenous Bypass for Tracheostomy

    Directory of Open Access Journals (Sweden)

    Johnathan Gardes

    2012-01-01

    Full Text Available The elective surgical airway is the definitive management for a tracheal stenotic lesion that is not a candidate for tracheal resection, or who has failed multiple-tracheal dilations. This case report details the management of a patient who has failed an elective awake tracheostomy secondary to the inability to be intubated as well as severe scar tissue at the surgical site. A combination of regional anesthesia and venovenous bypass is used to facilitate the surgical airway management of this patient. Cerebral oximetry and a multidisciplinary team approach aid in early detection of an oxygenation issue, as well as the emergent intervention that preserved this patient’s life.

  3. Indications and Outcomes of Prophylactic and Therapeutic Extracranial-to-intracranial Arterial Bypass for Cerebral Revascularization

    Directory of Open Access Journals (Sweden)

    Emre Gazyakan, MD, MSc

    2015-04-01

    Conclusions: The collaboration of neurosurgeons and plastic surgeons in performing EC-IC bypass can result in excellent outcomes with a high bypass patency rate and few complications, particularly for prophylactic EC-IC bypass.

  4. Impact of the different operation methods on the early rehabilitation of patients after coronary artery bypass grafting%不同手术方式对冠状动脉旁路移植术后患者早期康复的影响

    Institute of Scientific and Technical Information of China (English)

    谭瑾瑜; 陈崇伟

    2012-01-01

    目的:通过对冠状动脉旁路移植术(CABG)患者实施心脏停跳(on-pump)CABG或心脏不停跳(off-pump)CABG,评估两种手术方式对患者术后早期康复的影响.方法:将60例患者随机分为on-pump CABG组及off-pump CABG组各30例.比较两组患者术前临床资料和主要手术危险因素、术后ICU早期护理观察指标和并发症.结果:两组患者术前临床资料及主要手术危险因素比较差异无统计学意义(P>0.05);两组患者术后器械通气时间、拔管后进食时间、引流量、输血量、入住ICU时间比较差异有统计学意义(P<0.05);两组患者术后呼吸系统并发症比较差异有统计学意义(P<0.05).on-pump CABG组术后因并发肺部感染、呼吸衰竭在住院期间死亡1例.结论:off-pump CABG具有术后出血少、输血少、拔管早、进食早、并发症少、恢复快等优势,值得临床推广.%To evaluate the impact of on-pump and off 0- pump coronary artery bypass grafting { CABG } on the early rehabilitation of patients after the operation. Methods :60 patients were randomly divided into the on - pump CABG group and off- pump CABG group{ 30 cases in each group}. The preoperative clinical data,main risk factors of operation,postoperative nursing observation on ICU index and complications were compared between the two groups. R esults: The differences in the comparison of preoperative clinical data am main risk factors of operation were not statistically significant between the two groups { P > 0. 05 };there were statistically significant differences in the comparison of the postoperative ventilation time, eating time after extubation, drainage and transfusion volume,the length oi stay in ICU between the two groups ( P < 0. 05 }; the comparison of postoperative respiratory complications was significantly different between the two groups { P < 0. 05 }. One patient in the on - pump CABG group died of respiratory failure due to postoperative pulmonary infection

  5. Clinical evaluation of cardiovascular influence of tooth extraction in patients after coronary artery bypass graft operation under electrocardiographic monitoring%174例冠状动脉旁路移植术后患者心电监护下拔牙的临床观察

    Institute of Scientific and Technical Information of China (English)

    项天庆; 段向青; 宣玮; 余兰; 吕亚林

    2015-01-01

    Objective:To evaluate the safety of tooth extraction in patients after coronary artery bypass graft (CABG) operation under local anesthesia with 4% articaine hydrochloride with 1∶100000 epinephrine.Methods:A total of 174 patients requiring tooth extraction under local infiltration anesthesia or nerve block anesthesia with 1-3 capsules of articaine were enrolled in this study. The following hemodynamic parameters were observed during the operation at 5 different moments: systolic blood pressure(SBP), diastolic blood pressure(DBP), heart rate(HR), the electrocardiogram changes, rate pressure product(RPP), pressure rate quotient(RPQ) and the symptoms were also involved in estimation.Results:160 patients completed the operation and 14 patients were dropped due to elevated blood pressure, arrhythmia, chest pain, et al. SBP was increased significantly during injection of anesthetic solution (P=0.038) and tooth extraction (P=0.012); RPP was also ascended significantly during tooth extraction(P=0.025). No statistical changes were observed with DBP, HR and RPQ at any different moments.Conclusion:Most patients after CABG could finish tooth extraction under electrocardiographic monitoring; the procedure was safe by means of careful preparation and gentle performance.%目的:评估拔牙手术对冠状动脉旁路移植(CABG)术后患者心血管系统的影响。方法:174例冠状动脉旁路移植术后患者复方阿替卡因注射液(必兰)局部麻醉,心电监护下拔除患牙,记录静息状态下(T0)、麻药注射过程中(T1)、麻药注射后5min(T2)、拔牙术中(T3)及拔牙术后5min(T4)收缩压、舒张压、心率等血流动力学参数、心电图变化和患者症状体征,计算心率-收缩压乘积(RPP)和平均动脉压心率商(PRQ)。结果:160例患者完成拔牙手术,14例患者因收缩压持续升高、频发室性早搏、心绞痛等原因终止拔牙手术。结论:大多数基础病变控制良好的CABG术后患者可

  6. 21 CFR 870.4420 - Cardiopulmonary bypass cardiotomy return sucker.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cardiopulmonary bypass cardiotomy return sucker. 870.4420 Section 870.4420 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Surgical Devices § 870.4420 Cardiopulmonary bypass cardiotomy...

  7. 46 CFR 56.20-20 - Valve bypasses.

    Science.gov (United States)

    2010-10-01

    ... (incorporated by reference; see 46 CFR 56.01-2). (b) Pipe for bypasses should be at least Schedule 80 seamless... 46 Shipping 2 2010-10-01 2010-10-01 false Valve bypasses. 56.20-20 Section 56.20-20 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING PIPING SYSTEMS AND...

  8. Reverse bias protected solar array with integrated bypass battery

    Science.gov (United States)

    Landis, Geoffrey A (Inventor)

    2012-01-01

    A method for protecting the photovoltaic cells in a photovoltaic (PV) array from reverse bias damage by utilizing a rechargeable battery for bypassing current from a shaded photovoltaic cell or group of cells, avoiding the need for a bypass diode. Further, the method mitigates the voltage degradation of a PV array caused by shaded cells.

  9. Incidence of major amputations, bypass procedures and percutaneous transluminal angioplasties (PTA) in the treatment of peripheral arterial occlusive disease in a German referral center 1996-2003

    International Nuclear Information System (INIS)

    Purpose: To determine the current incidence of major amputations, bypass procedures and percutaneous transluminal angioplasties (PTA) in a study population of patients with peripheral arterial occlusive disease in a German referral center. Materials and Methods: In a retrospective study, we recruited patients with peripheral arterial occlusive disease who underwent an amputation, bypass procedure, or PTA in the region of the pelvis or lower limbs between 1996 and 2003 at the Augsburg Medical Center. Patients were identified via the hospital database. This was performed with the help of the International Classification of Diseases (ICD 9 and 10), the operation code (OPS), and appropriate invoices. The incidence of PTAs was further estimated with 200 charts. Results: Of 5379 patients, 627 underwent amputation, 1832 a bypass procedure, and 2920 a PTA. The incidence of PTAs increased during the study period from 51.3/100 000/year to 64.4/100 000/year (p<0.01), while the number of amputations and bypass procedures remained stable. The incidence of PTAs was exceeded by that of bypass procedures only in patients older than 85 years. The age of the amputees decreased during the study period from 72.2 to 70.5 years (p<0.01). The age of patients who underwent a bypass procedure increased from 67.2 to 69.4 years, and the age of patients who underwent PTA increased form 66.3 to 69.8 years (p<0.01). Bypass procedures and PTAs were performed in men 6.3 years earlier than in women (p<0.01). Conclusion: The result is a population-corrected need of 8.4/100 000/year major amputations, 23/100 000/year bypass procedures and 64.4/100 000/year PTAs for patients with peripheral arterial occlusive disease within the referral area of our hospital. The performance of major amputations and bypass procedures stagnates, while the incidence of PTAs is increasing. (orig.)

  10. Dacron or PTFE for above-knee femoropopliteal bypass. a multicenter randomised study

    DEFF Research Database (Denmark)

    Jensen, L P; Lepäntalo, M; Fossdal, J E; Røder, Ole Christian; Jensen, B S; Madsen, M S; Grenager, O; Fasting, H; Myhre, H O; Baekgaard, N; Nielsen, O M; Helgstrand, U; Schroeder, T V

    2007-01-01

    To compare polytetrafluorethylene (PTFE) and polyester grafts (Dacron) for above knee femoropopliteal bypass.......To compare polytetrafluorethylene (PTFE) and polyester grafts (Dacron) for above knee femoropopliteal bypass....

  11. Facts and figures

    International Nuclear Information System (INIS)

    Whereas most of the data are, naturally, about oil, a few figures concern nuclear energy. There is in Part 1 a flow chart of worldwide primary energy consumption by type, from 1974 to 1986, where nuclear energy consumption can be seen in relation to oil, gas, coal and hydro. The same is also given for the regions of the South. In section 3/18 the numbers of nuclear plants in construction and operation are listed separately for developing countries, centrally planned economies and industrialized countries, for 1986. (qui)

  12. Total 2004 fact book

    International Nuclear Information System (INIS)

    This report presents the activities and results of the Group Total-Fina-Elf for the year 2004. It brings information and economic data on the following topics: the corporate and business; the upstream activities with the reserves, the costs, standardized measure and changes of discounted future net cash flow,oil and gas acreage, drilling, liquefied natural gas, pipelines; downstream activities with refining and marketing maps, refinery, petroleum products, sales, retail gasoline outlets; chemicals with sales and operating income by sector, major applications, base chemicals and polymers, intermediates and performance polymers. (A.L.B.)

  13. Pinellas Plant facts

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1990-11-01

    The Pinellas Plant, near St. Petersburg, Florida, is wholly owned by the United States Government. It is operated for the Department of Energy (DOE) by GE Aerospace, Neutron Devices (GEND). This plant was built in 1956 to manufacture neutron generators, a principal component in nuclear weapons. The neutron generators built at Neutron Devices consist of a miniaturized linear ion accelerator assembled with the pulsed electrical power supplies required for its operation. Production of these devices has necessitated the development of several uniquely specialized areas of competence and supporting facilities. The ion accelerator, or neutron tube, requires ultra clean, high vacuum technology; hermetic seals between glass, ceramic, glass-ceramic, and metal materials; plus high voltage generation and measurement technology. The existence of these capabilities at Neutron Devices has led directly to the assignment of other weapon application products: the lightning arrester connector, specialty capacitor, vacuum switch, and crystal resonator. Other product assignments such as active and reserve batteries and the radioisotopically-powered thermoelectric generator evolved from the plant`s materials measurement and controls technologies which are required to ensure neutron generator life.

  14. 1996 outstanding facts

    International Nuclear Information System (INIS)

    This progress report of the Direction of Studies and Research (DER) of Electricite de France (EdF) reports on some outstanding studies carried out during the year 1996 and concerning: new applications of electric power (thermal comfort, heating floors, building diagnosis, energy management, customers communicating interfaces, services, air conditioning, off-peak tariffs, power demand mastery in the industry, infrared dryers for paper industry); production means (automatic systems for nuclear power plants operation, management of reactors shutdown schedules for refuelling operations, optimization of fuel loading patterns for PWRs, neutronic and thermohydraulic computer codes for steam pipes rupture accidents, thermo-hydraulic modeling of the confinement building during post-accidental situation, 3D numerical simulation of overpressures inside reactor valves and of vortex and two-phase flow inside auxiliary pipes, control of vibrating fatigue of pipe nozzles, qualification of the adjustable speed drives of the Gravelines' cooling pumps, 3D analysis of new steam turbine designs, identification of bi-metal welding surface defects, a simple method for the evaluation of in-service fatigue of components, the probabilistic dimensioning of safety coefficients, the modeling of thermo-hydro-mechanical coupling of geo-materials for radioactive wastes storage, the supply of isolated sites using renewable energies); environment protection (batteries for electric-powered vehicles, modeling of atmospheric reactive flows, chlorination of the Dampierre's cooling circuits for pathogen amoebas elimination, in-situ treatment of PCBs isolated transformers); and development and exploitation of materials for power networks. (J.S.)

  15. A comparison of high-dose and low-dose tranexamic acid antifibrinolytic protocols for primary coronary artery bypass surgery

    Directory of Open Access Journals (Sweden)

    Stephen M McHugh

    2016-01-01

    Full Text Available Background and Aims: Tranexamic acid (TA is used for prophylactic antifibrinolysis in coronary artery bypass surgeries to reduce bleeding. We evaluated the efficacy of two different doses of TA for prophylactic antifibrinolysis in patients undergoing primary coronary artery bypass grafting (CABG surgery in this retrospective cohort study at a tertiary care referral centre. Methods: One-hundred eighty-four patients who underwent primary CABG with cardiopulmonary bypass (CPB via sternotomy between January 2009 and June 2011 were evaluated. Pre-operative patient characteristics, intraoperative data, post-operative bleeding, transfusions, organ dysfunction and 30-day mortality were compared between high-dose TA (30 mg/kg loading dose followed by infusion of 15 mg/kg/h until the end of surgery along with 2 mg/kg priming dose in the bypass circuit and low-dose TA (15 mg/kg loading dose followed by infusion of 6 mg/kg/h until the end of surgery along with 1 mg/kg priming dose in the bypass circuit groups. Univariate comparative analysis of all categorical and continuous variables was performed between the two groups by appropriate statistical tests. Linear and logistic regression analyses were performed to control for the effect of confounding on the outcome variables. Results: Chest tube output, perioperative transfusion of blood products and incidence of re-exploration for bleeding did not differ significantly (P> 0.05 between groups. Post-operative complications and 30-day mortality were comparable between the groups. The presence of cardiogenic shock and increased pre-operative creatinine were found to be associated with increased chest tube output on the post-operative day 2 by multivariable linear regression model. Conclusions: Low-dose TA protocol is as effective as high-dose protocol for antifibrinolysis in patients undergoing primary CABG with CPB.

  16. The impact of preoperative trimetazidine use on oxidative parameters in patients undergoing coronary bypass surgery

    Directory of Open Access Journals (Sweden)

    Aydemir Koçarslan

    2013-12-01

    Full Text Available Objective: This prospective, randomised, controlled,clinical study was planned to determine the effect oftrimetazidine on myocardial ischemia-reperfusion duringon pomp coronary artery bypass graft surgery (CABG.Methods: Thirty-five patients undergoing elective CABSin our hospital between 2008 and 2009 were included.The patients were divided into two groups randomly.Seventeen patients consisted trimetazidine group andpreoperative trimetazidine PO received for two weeks,whereas 18 cases were controls. Venous blood sampleswere drawn, preoperatively, intraoperatively and postoperatively,whereas coronary sinus blood samples weredrawn before and after cardiopulmonary bypass. At theend, total oxidative status (TOS and total antioxidant status(TAS were studied and oxidative stress index (OSİwas calculated. Repeated measures analysis of variancewas used to test the influence of operative stress andtrimetazidine use on oxidative parameters.Results: Trimetazidine had no impact on total oxidativestatus, total antioxidant status and oxidative stress index(p>0.05. However, repeated measurements of total oxidativestatus, total antioxidant status and oxidative stressindex have revealed significant impact of operative stresson oxidative parameters (p<0.05.Conclusion: Preoperative trimetazidine use had no impacton total oxidative status, total antioxidant status andoxidative stress index contrary to significant influence ofoperative stress on oxidative parameters.Key words: Coronary bypass surgery, trimetazidine, oxidative stress

  17. Subcutaneous nephro-vesical bypass in the treatment of ureteral obstruction

    Directory of Open Access Journals (Sweden)

    Zhi-guo YANG

    2011-04-01

    Full Text Available Objective To sum up the experiences on treating ureteral obstruction in patients with terminal tumor by subcutaneous nephro-vesical bypass.Methods A total of 16 subcutaneous prosthetic ureters were percutaneously implanted into 12 patients(8 unilateral and 4 bilateral for the treatment of ureteral obstruction due to terminal tumor.The tube was inserted into the renal pelvis,tunnelled subcutaneously and introduced in the bladder through a small suprapubic incision.Serum creatinine and renal ultrasonography were evaluated during follow up.Results No operative or immediate postoperative death occurred.The patients were alive with the prosthesis without occurrence of encrustation,infection,or obstruction,and the renal function was normal.The serum creatinine level decreased significantly from 232.2±18.1μmol/L(preoperation to 115.2±17.1μmol/L(postoperation.Conclusions The subcutaneous urinary diversion using Ureteral Bypass Set is an efficient and minimally invasive way to bypass malignant obstructions of the ureters that otherwise would necessitate permanent nephrostomy drainage.With the operation patients may get a better quality of life due to increased independence and activity during their final stage of life.

  18. The impact of a reduced dose of dexamethasone on glucose control after coronary artery bypass surgery

    Directory of Open Access Journals (Sweden)

    Boonstra Piet W

    2007-12-01

    Full Text Available Abstract Background Intensive insulin therapy to maintain normoglycemia after cardiac surgery reduces morbidity and mortality. We investigated the magnitude and duration of hyperglycemia caused by dexamethasone administered after cardiopulmonary bypass. Methods A single-center before-after cohort study was performed. All consecutive patients undergoing coronary artery bypass grafting with cardiopulmonary bypass during a 6-month period were included. Insulin administration was guided by a sliding scale protocol. Halfway the observation period, the dexamethasone protocol was changed. The single dose (1D group received a pre-operative dose of dexamethasone of 1 mg/kg. The double dose group (2D received an additional dose of 0.5 mg/kg of dexamethasone post-operatively at ICU admission. Results We included 116 patients in the 1D group and 158 patients in the 2D group. There were no significant baseline differences between the groups. Median Euroscore was 5. In univariable analysis, the glucose level was different between groups 1D and 2D at 4, 6, 9, 12 and 24 hours after ICU admission (all p Conclusion Dexamethasone exerts a hyperglycemic effect in cardiac surgery patients. Patients receiving high-dose corticosteroid therapy should be monitored and treated more intensively for hyperglycemic episodes.

  19. Indus-1 LCW plant control system using reconfigurable logic and timed interlock bypass

    International Nuclear Information System (INIS)

    Low Conductivity Water (LCW) is used for cooling of various accelerator components in Booster and Indus-1. This plant uses ten interlocks for protection of major components such as primary side pumps, secondary side pumps and cooling tower pumps. The paper presents the architecture and scheme of microcontroller based interlock card with configurable logic and timed bypass features. For communication and in-system configuration of the card, MODBUS protocol is implemented in software. The card is designed to guarantee the failsafe condition of interlock in case any active component fails. The card will enhance the system availability by avoiding the manual faults during the system maintenance. It also alarms about the temporary bypassing of interlocks and provides flexibility to the operator for changing interlock logic. (author)

  20. The Effect of Magnetohydrodynamic (MHD) Energy Bypass on Specific Thrust for a Supersonic Turbojet Engine

    Science.gov (United States)

    Benyo, Theresa L.

    2010-01-01

    This paper describes the preliminary results of a thermodynamic cycle analysis of a supersonic turbojet engine with a magnetohydrodynamic (MHD) energy bypass system that explores a wide range of MHD enthalpy extraction parameters. Through the analysis described here, it is shown that applying a magnetic field to a flow path in the Mach 2.0 to 3.5 range can increase the specific thrust of the turbojet engine up to as much as 420 N/(kg/s) provided that the magnitude of the magnetic field is in the range of 1 to 5 Tesla. The MHD energy bypass can also increase the operating Mach number range for a supersonic turbojet engine into the hypersonic flight regime. In this case, the Mach number range is shown to be extended to Mach 7.0.

  1. Expression of hepatic insulin receptor substrate-2 and glucose transporter-2 in rats with type 2 diabetes after gastric bypass operation%胃转流术对2型糖尿病大鼠肝组织胰岛素受体底物-2、葡萄糖转运体-2表达的影响

    Institute of Scientific and Technical Information of China (English)

    张蓬波; 陈守坤; 张秀忠; 章红; 吕墩涛; 庄步强; 温雨晴; 丁伟超; 任泽强

    2013-01-01

    Objective To observe the expression of insulin receptor substrate-2 (IRS-2) and glucose transporter-2 (GLUT-2) in rats with type 2 diabetes after gastric bypass operation (GBP),and explore the possible mechanism of GBP improving insulin resistance.Methods Healthy male SD rats were randomly divided into type 2 diabetes-operation group (DO group) and type 2 diabetes-control group (DC group) ; normal-operation group (NO group) and normal-control group (NC group).Plasma fasting glucose and insulin levels were measured respectively before and at 1st,2nd,4th and 8th week after operation.Quantitative insulin sensitivity check index (QUICKI) was measured respectively before and at 8th week after operation.The expression of hepatic IRS-2 and GLUT-2 protein and mRNa was detected by using Western blotting and reverse transcriptase-polymerase chain reaction (RT-PCR) respectively at 8th week postoperation.Results The fasting blood glucose levels in DO group were decreased from the preoperative (20.21 ±2.14) mmol/L to (8.50 ±2.19) mmol/L (P <0.05) at 8th week after GBP.The QUICKI in DO group was increased dramaticly from preoperative 0.43 ± 0.02 to 0.55 ± 0.05 at 8th week postoperation (P < 0.05).As compared with DC group,the expression of IRS-2 and GLUT-2 protein and that of IRS-2 and GLUT-2 mRNA at 8th week after operation in DO group were increased by 43% and 40% (P <0.05),and 28% and 25% (P < 0.05) respectively.Conclusion The expression of hepatic IRS-2 and GLUT-2 in rats with type 2 diabetes after GBP was up-regulated,and meanwhile the insulin sensibility was improved.%目的 观察胃转流术(GBP)对2型糖尿病(T2DM)大鼠肝组织胰岛素受体底物-2(IRS-2)、葡萄糖转运体-2(GLUT-2)表达的影响,探讨GBP改善胰岛素抵抗的机制.方法 健康雄性SD大鼠随机分为糖尿病手术组(DO组)、糖尿病对照组(DC组)、正常手术组(NO组)、正常对照组(NC组).术前及术后第1、2、4、8周分别测各组空腹血糖(FPG

  2. Heart-lung transplantation: all the facts.

    OpenAIRE

    Warner, J O

    1991-01-01

    Of 27 children referred for assessment of suitability for heart-lung transplant, 10 (37%) were actually transplanted. Six are still alive from three months to three years since operation. Two thirds of the cohort have died at various stages during referral, assessment, and transplant. While the transplant has offered miraculous new life to a few children, many more have experienced increased and unnecessary suffering. Planning of transplant programmes must take all facts into account. The pos...

  3. Coronary artery bypass surgery in the diabetic patient.

    LENUS (Irish Health Repository)

    Maher, M

    2012-02-03

    Coronary artery and peripheral occlusive arterial disease frequently complicate diabetes mellitus, with death due to atherosclerotic coronary artery disease being three times more likely in diabetic compared to non-diabetic patients. The profile of 32 diabetic patients and 32 matched controls who underwent coronary artery bypass (CABG) is studied and their early and late postoperative outcomes are described. The mean age was 61 +\\/- 1 year in both groups. The diabetic group comprised 26 non-insulin dependent and 6 insulin dependent diabetics, who had a mean duration of diabetes of 8.5 years (range 2 months--35 years). The median number of grafts per patient performed in the diabetic group and the control group was 3.5 and 3 respectively. There was no mortality in the series, however considerably greater wound morbidity rates were encountered in the diabetic group when compared to matched controls. One renal transplant patient in the diabetic group suffered irreversible acute tubular necrosis and became dialysis dependent post-operatively. Longterm follow-up showed no longterm mortality in either group, with full relief of angina achieved in 75% of diabetic patients compared with 87.5% of matched controls. In addition diabetic patients suffered greater longterm cardiac morbidity than the control group (21.8% versus 12.5%). The results of this study suggest that CABG is a safe operation for the diabetic patient. Diabetic patients receive satisfactory symptomatic relief of angina, but suffer increased perioperative wound complications and greater incidence of longterm cardiac morbidity.

  4. Efficacy of Intravenous Acetaminophen after Coronary Artery Bypass Graft Surgery

    Directory of Open Access Journals (Sweden)

    Leick AM

    2015-12-01

    Full Text Available In recent years, a multimodal approach to post-operative pain control consisting of opioid and non-opioid agents administered simultaneously has been used to provide synergistic effects and reduce opioid-related adverse effects. This is a retrospective, cohort study involving coronary artery bypass graft surgery patients who received scheduled intravenous IV acetaminophen 1gm every 6 hours for 4 doses starting at surgery end time with opioids administered as needed versus opioids as monotherapy for postoperative pain control. The primary endpoint assessed was total morphine equivalents administered post-operatively in each group with a secondary focus on degree of pain control, total length of stay, ICU length of stay, and time to first bowel movement. The study concludes that the addition of IV acetaminophen to opioids for postoperative pain relief did not produce an opioid sparing effect and paradoxically led to an increase in opioid use. Clinical outcomes including pain control, total length of stay, and ICU length of stay were unaffected by the addition of IV acetaminophen.

  5. Drug-eluting stents:is it the beginning of the end for coronary artery bypass surgery?

    Institute of Scientific and Technical Information of China (English)

    Shahzad G Raja

    2004-01-01

    @@ Myocardial revascularization therapy of coronary artery disease is one of the most important medical advances of the past 50 years.1 Coronary revascularization by either bypass surgery or coronary angioplasty relieves angina and may improve the prognosis in patients with coronary artery disease.2,3 Randomized comparisons reveal no difference in survival free from myocardial infarction (MI) between surgery and balloon angioplasty.4,5 Stenting significantly improved the long-term outcome, while surgery is still associated with fewer reinterventions during follow-up.6-10 However, subsequent improvements in both percutaneous and surgical techniques may now limit the validity of any conclusions that have been drawn from the earlier studies. In fact, the lines of demarcation for patients suited for bypass or angioplasty are becoming blurry with each passing day.

  6. Math Fact Strategies Research Project

    Science.gov (United States)

    Boso, Annie

    2011-01-01

    An action research project was conducted in order to determine effective math fact strategies for first graders. The traditional way of teaching math facts included using timed tests and flashcards, with most students counting on their fingers or a number line. Six new research-based strategies were taught and analyzed to decide which methods…

  7. Rumen bypass nutrients: Manipulation and implications

    International Nuclear Information System (INIS)

    The feeds available for ruminants in developing countries are either agro-industrial by-products or specially grown forage crops. Many of these feeds are low in protein and require supplementation with non-protein N (NPN) to maintain efficient rumen function and digestibility. The principles for utilizing high energy, low protein feeds by ruminants are discussed in relation to the supply of NPN, the establishment of efficient rumen function, maximizing feed intake by means of supplements, and increasing total energy and protein intake by using supplements which bypass the rumen. To illustrate it the application of these principles to feeding systems based on molasses, chopped whole sugar cane and derinded sugar cane is discussed. The implications of the principles in increasing the feeding value of straw are also discussed. (author)

  8. Innovative Double Bypass Engine for Increased Performance

    Science.gov (United States)

    Manoharan, Sanjivan

    Engines continue to grow in size to meet the current thrust requirements of the civil aerospace industry. Large engines pose significant transportation problems and require them to be split in order to be shipped. Thus, large amounts of time have been spent in researching methods to increase thrust capabilities while maintaining a reasonable engine size. Unfortunately, much of this research has been focused on increasing the performance and efficiencies of individual components while limited research has been done on innovative engine configurations. This thesis focuses on an innovative engine configuration, the High Double Bypass Engine, aimed at increasing fuel efficiency and thrust while maintaining a competitive fan diameter and engine length. The 1-D analysis was done in Excel and then compared to the results from Numerical Propulsion Simulation System (NPSS) software and were found to be within 4% error. Flow performance characteristics were also determined and validated against their criteria.

  9. Hypoglycaemia after gastric bypass: mechanisms and treatment.

    Science.gov (United States)

    Ritz, P; Vaurs, C; Barigou, M; Hanaire, H

    2016-03-01

    Hypoglycaemia after gastric bypass can be severe, but is uncommon, and is sometimes only revealed through monitoring glucose concentrations. The published literature is limited by the heterogeneity of the criteria used for diagnosis, arguing in favour of the Whipple triad with a glycaemia threshold of 55 mg/dl as the diagnostic reference. Women who lost most of their excess weight after gastric bypass, long after the surgery was performed, and who did not have diabetes before surgery are at the greatest risk. In this context, hypoglycaemia results from hyperinsulinism, which is either generated by pancreas anomalies (nesidioblastosis) and/or caused by an overstimulation of β cells by incretins, mainly glucagon-like peptide-1 (GLP-1). Glucose absorption is both accelerated and increased because of the direct communication between the gastric pouch and the jejunum. This is a post-surgical exaggeration of a natural adaptation that is seen in patients who have not undergone surgery in whom glucose is infused directly into the jejunum. There is not always a correspondence between symptoms and biological traits; however, hyperinsulinism is constant if hypoglycaemia is severe and there are neuroglucopenic symptoms. The treatment relies firstly on changes in eating habits, splitting food intake into five to six daily meals, slowing gastric emptying, reducing the glycaemic load and glycaemic index of foods, using fructose and avoiding stress at meals. Pharmacological treatment with acarbose is efficient, but other drugs still need to be validated in a greater number of subjects (insulin, glucagon, calcium channel blockers, somatostatin analogues and GLP-1 analogues). Lastly, if the surgical option has to be used, the benefits (efficient symptom relief) and the risks (weight regain, diabetes) should be weighed carefully. PMID:26508374

  10. CFD Analysis of Core Bypass Phenomena

    International Nuclear Information System (INIS)

    The U.S. Department of Energy is exploring the potential for the VHTR which will be either of a prismatic or a pebble-bed type. One important design consideration for the reactor core of a prismatic VHTR is coolant bypass flow which occurs in the interstitial regions between fuel blocks. Such gaps are an inherent presence in the reactor core because of tolerances in manufacturing the blocks and the inexact nature of their installation. Furthermore, the geometry of the graphite blocks changes over the lifetime of the reactor because of thermal expansion and irradiation damage. The existence of the gaps induces a flow bias in the fuel blocks and results in unexpected increase of maximum fuel temperature. Traditionally, simplified methods such as flow network calculations employing experimental correlations are used to estimate flow and temperature distributions in the core design. However, the distribution of temperature in the fuel pins and graphite blocks as well as coolant outlet temperatures are strongly coupled with the local heat generation rate within fuel blocks which is not uniformly distributed in the core. Hence, it is crucial to establish mechanistic based methods which can be applied to the reactor core thermal hydraulic design and safety analysis. Computational Fluid Dynamics (CFD) codes, which have a capability of local physics based simulation, are widely used in various industrial fields. This study investigates core bypass flow phenomena with the assistance of commercial CFD codes and establishes a baseline for evaluation methods. A one-twelfth sector of the hexagonal block surface is modeled and extruded down to whole core length of 10.704m. The computational domain is divided vertically with an upper reflector, a fuel section and a lower reflector. Each side of the one-twelfth grid can be set as a symmetry boundary

  11. CFD Analysis of Core Bypass Phenomena

    Energy Technology Data Exchange (ETDEWEB)

    Richard W. Johnson; Hiroyuki Sato; Richard R. Schultz

    2010-03-01

    The U.S. Department of Energy is exploring the potential for the VHTR which will be either of a prismatic or a pebble-bed type. One important design consideration for the reactor core of a prismatic VHTR is coolant bypass flow which occurs in the interstitial regions between fuel blocks. Such gaps are an inherent presence in the reactor core because of tolerances in manufacturing the blocks and the inexact nature of their installation. Furthermore, the geometry of the graphite blocks changes over the lifetime of the reactor because of thermal expansion and irradiation damage. The existence of the gaps induces a flow bias in the fuel blocks and results in unexpected increase of maximum fuel temperature. Traditionally, simplified methods such as flow network calculations employing experimental correlations are used to estimate flow and temperature distributions in the core design. However, the distribution of temperature in the fuel pins and graphite blocks as well as coolant outlet temperatures are strongly coupled with the local heat generation rate within fuel blocks which is not uniformly distributed in the core. Hence, it is crucial to establish mechanistic based methods which can be applied to the reactor core thermal hydraulic design and safety analysis. Computational Fluid Dynamics (CFD) codes, which have a capability of local physics based simulation, are widely used in various industrial fields. This study investigates core bypass flow phenomena with the assistance of commercial CFD codes and establishes a baseline for evaluation methods. A one-twelfth sector of the hexagonal block surface is modeled and extruded down to whole core length of 10.704m. The computational domain is divided vertically with an upper reflector, a fuel section and a lower reflector. Each side of the sector grid can be set as a symmetry boundary

  12. CFD Analysis of Core Bypass Phenomena

    Energy Technology Data Exchange (ETDEWEB)

    Richard W. Johnson; Hiroyuki Sato; Richard R. Schultz

    2009-11-01

    The U.S. Department of Energy is exploring the potential for the VHTR which will be either of a prismatic or a pebble-bed type. One important design consideration for the reactor core of a prismatic VHTR is coolant bypass flow which occurs in the interstitial regions between fuel blocks. Such gaps are an inherent presence in the reactor core because of tolerances in manufacturing the blocks and the inexact nature of their installation. Furthermore, the geometry of the graphite blocks changes over the lifetime of the reactor because of thermal expansion and irradiation damage. The existence of the gaps induces a flow bias in the fuel blocks and results in unexpected increase of maximum fuel temperature. Traditionally, simplified methods such as flow network calculations employing experimental correlations are used to estimate flow and temperature distributions in the core design. However, the distribution of temperature in the fuel pins and graphite blocks as well as coolant outlet temperatures are strongly coupled with the local heat generation rate within fuel blocks which is not uniformly distributed in the core. Hence, it is crucial to establish mechanistic based methods which can be applied to the reactor core thermal hydraulic design and safety analysis. Computational Fluid Dynamics (CFD) codes, which have a capability of local physics based simulation, are widely used in various industrial fields. This study investigates core bypass flow phenomena with the assistance of commercial CFD codes and establishes a baseline for evaluation methods. A one-twelfth sector of the hexagonal block surface is modeled and extruded down to whole core length of 10.704m. The computational domain is divided vertically with an upper reflector, a fuel section and a lower reflector. Each side of the one-twelfth grid can be set as a symmetry boundary

  13. Pinellas Plant facts

    International Nuclear Information System (INIS)

    This plant was built in 1956 in response to a need for the manufacture of neutron generators, a principal component in nuclear weapons. The neutron generators consist of a miniaturized linear ion accelerator assembled with the pulsed electrical power supplies required for its operation. The ion accelerator, or neutron tube, requires ultra clean, high vacuum technology: hermetic seals between glass, ceramic, glass-ceramic, and metal materials: plus high voltage generation and measurement technology. The existence of these capabilities at the Pinellas Plant has led directly to the assignment of the lightning arrester connector, specialty capacitor, vacuum switch, and crystal resonator. Active and reserve batteries and the radioisotopically-powered thermoelectric generator draw on the materials measurement and controls technologies which are required to ensure neutron generator life. A product development and production capability in alumina ceramics, cermet (electrical) feedthroughs, and glass ceramics has become a specialty of the plant; the laboratories monitor the materials and processes used by the plant's commercial suppliers of ferroelectric ceramics. In addition to the manufacturing facility, a production development capability is maintained at the Pinellas Plant

  14. Property description and fact-finding report for NPR-3 Natrona County, Wyoming. Addendum to 22 August 1996 study of alternatives for future operations of the naval petroleum and oil shale reserves NPR-3

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-05-01

    The U.S. Department of Energy has asked Gustavson Associates, Inc. to serve as an Independent Petroleum Consultant under contract DE-AC01-96FE64202. This authorizes a study and recommendations regarding future development of Naval Petroleum Reserve No. 3 (NPR-3) in Natrona County, Wyoming. The report that follows is the Phase I fact-finding and property description for that study. The United States of America owns 100 percent of the mineral rights and surface rights in 9,321-acre NPR-3. This property comprises the Teapot Dome oil field and related production, processing and other facilities. Discovered in 1914, this field has 632 wells producing 1,807 barrels of oil per day. Production revenues are about $9.5 million per year. Remaining recoverable reserves are approximately 1.3 million barrels of oil. Significant plugging and abandonment (P&A) and environmental liabilities are present.

  15. Alongshore sediment bypassing as a control on river mouth morphodynamics

    Science.gov (United States)

    Nienhuis, Jaap H.; Ashton, Andrew D.; Nardin, William; Fagherazzi, Sergio; Giosan, Liviu

    2016-04-01

    River mouths, shoreline locations where fluvial and coastal sediments are partitioned via erosion, trapping, and redistribution, are responsible for the ultimate sedimentary architecture of deltas and, because of their dynamic nature, also pose great management and engineering challenges. To investigate the interaction between fluvial and littoral processes at wave-dominated river mouths, we modeled their morphologic evolution using the coupled hydrodynamic and morphodynamic model Delft3D-SWAN. Model experiments replicate alongshore migration of river mouths, river mouth spit development, and eventual spit breaching, suggesting that these are emergent phenomena that can develop even under constant fluvial and wave conditions. Furthermore, we find that sediment bypassing of a river mouth develops though feedbacks between waves and river mouth morphology, resulting in either continuous bypassing pathways or episodic bar bypassing pathways. Model results demonstrate that waves refracting into the river mouth bar create a zone of low alongshore sediment transport updrift of the river mouth, which reduces sediment bypassing. Sediment bypassing, in turn, controls the river mouth migration rate and the size of the river mouth spit. As a result, an intermediate amount of river discharge maximizes river mouth migration. The fraction of alongshore sediment bypassing can be predicted from the balance between the jet and the wave momentum flux. Quantitative comparisons show a match between our modeled predictions of river mouth bypassing and migration rates observed in natural settings.

  16. Facts about nuclear power

    International Nuclear Information System (INIS)

    The argument concerning the introduction and the further expansion of nuclear energy in the Federal Republic of Germany has been existing for several years in differing intensities and most different forms. The arguments and theses of the discussion deal with the various aspects of the reciprocity between nuclear energy and environment. This is the key-note for the scientists to treat the relevant problems and questions in the discussion about nuclear energy. The controversy in which often emotional theses are stated instead of reasonably deliberating the pros and contras includes civil initiatives, societies, and environment protection organisations on the one hand and authorities, producers, and operators of nuclear-technical plants on the other. And the scale of the different opinions reaches from real agreement to deep condemnation of a technology which represents an option to meet the energy need in the future. In this situation, this book is an attempt to de-emotionalize the whole discussion. Most of the authors of the articles come from research centres and have been working on the problems they deal with for years. The spectrum of the topics includes the energy-political coherences of nuclear energy, the technical fundaments of the individual reactor types, safety and security of nuclear-technical plants the fuel cycle, especially the waste management in nuclear power plants, environmental aspects of energy generation in general and nuclear energy in special, the question of Plutonium and the presentation of alternative energy sources including nuclear fusion. The arrangement of these topics is meant to help to clarify the complex coherences of nuclear energy and to help those interested in problems of energy policy to make their own personal decisions. (orig./RW)

  17. [Flowmetric assessment of coronary bypass grafts in the conditions of artificial circulation and on the beating heart].

    Science.gov (United States)

    Bazylev, V V; Nemchenko, E V; Karnakhin, V A; Pavlov, A A; Mikulyak, A I

    2016-01-01

    Advantages and shortcomings of aortocoronary bypass grafting on the beating heart and in the conditions of artificial circulation (AC) have long been discussed. The data on patency of bypass grafts in the remote period are indicative of comparable results of operations with and without AC or advantages of using AC. In order to determine benefits of each method it is necessary to reveal intraoperative predictors of bypass grafts occlusion in the remote period. We analyzed the results of ultrasound flowmetry of the blood flow through the left internal thoracic artery during bypass grafting of the anterior descending artery with the use of AC and on the beating heart. A retrospective study included a total of 352 patients subdivided into 2 groups: Group One was composed of 120 patients undergoing surgery in the conditions of AC and Group Two comprised 232 patients subjected to similar operations on the beating heart. Blood flow was measured with the help of flowmeter VeryQ MediStim® after termination of AC and inactivation of heparin by protamine, with systolic pressure of 100-110 mm Hg. There were no statistically significant differences between the groups by the diameter and degree of stenosis of the anterior descending artery, diameter of the left internal thoracic artery. The mean volumetric blood flow velocity (Qmean) along the shunts in Group One was higher (p=0.01). No statistically significant differences by the pulsatility index (PI) between the groups were revealed (p=0.2). A conclusion was drawn that coronary bypass grafting of the anterior descending artery by the left internal thoracic artery in the conditions of artificial circulation made it possible to achieve higher volumetric velocity of blood flow through the conduit as compared with operations on the beating heart, with similar resistance index. The immediate results of the operations with the use of the both techniques did not differ. PMID:27100540

  18. Seasonal Variation of Climatological Bypassing Flows around the Tibetan Plateau

    Institute of Scientific and Technical Information of China (English)

    LI Qiang; ZHANG Renhe

    2012-01-01

    The present study investigated diagnostically the seasonal variation of the bypassing flows caused by the splitting effect of the Tibetan Plateau (TP).The relationships among the splitting bypassing flows around the TP to precipitation in China,the westerly jet stream,and the thermal status over the TP are revealed.The bypassing flows occur from the 1st to the 22nd pentad and from the 59th to the 73rd pentad,respectively,and they disappear from the 29th to the 58th pentad.They are strongest in winter from the 1st to the 22nd pentad and from the 59th to the 73rd pentad,respectively.During the rebuilding of the bypassing flows from mid-October to mid-February,they are the main cause of precipitation over southeastern China.The enhancement of the bypassing flow intensity in March cau cause the precipitation to increase in the early stage of the persistent spring rain over southeastern China.From winter to summer,the seasonal transition of the bypassing flows in the lower troposphere precedes that of the westerly jet stream axis in the upper troposphere to the west of the TP by ~4 pentads,while from summer to winter lags by ~4 pentads.The seasonal variation of the thermal status over the TP plays an important role in the bypassing flows around the TP.The strengthening of the heating over the TP weakens the bypassing flows,and the increase in cooling over the TP is related to the rebuilding and strengthening of the bypassing flows.

  19. Renal Tubular Acidosis after Jejunoileal Bypass for Morbid Obesity: role of secondary hyperparathyroidism

    DEFF Research Database (Denmark)

    Andersen, NN; Ladefoged, NN

    1991-01-01

    The effect of calcium infusion was studied in patients with renal tubular acidosis (RTA) and secondary hyperparathyroidism. Both developed after jejunoileal bypass operation (JIB) for morbid obesity. In three of four cases the acidification defect was abolished, probably due to a decrease of serum...... parathyroid hormone. As we found RTA in 9% (95% confidence limits 2-21%) of our patients, screening for acidosis is recommended in obesity patients after malabsorptive operations. RTA can be verified through an ammonium loading test. Before deciding on re-establishing bowel continuity due to RTA, we suggest...

  20. Rehabilitation after coronary artery by-pass grafting and improved quality of life.

    OpenAIRE

    Hoad, N A; Crawford, I C

    1990-01-01

    Long waiting lists for coronary artery by-pass grafting often mean that patients have to endure a prolonged period of pre-operative disability, a known poor prognostic factor for their future quality of life and employment prospects. A survey of 60 patients who attended a post-operative rehabilitation course designed to restore their fitness and self-esteem, and hence their quality of life, has shown encouraging results. When questioned a mean 16 months later, 85 per cent are working and sign...

  1. Coronary bypass using bilateral internal mammary arteries in an achondroplast.

    Science.gov (United States)

    Alassal, Mohamed Abdulwahab; Youssef, Mostafa; Koudieh, Mohammed

    2015-01-01

    Coronary bypass grafting for ischemic heart disease in achondroplastic dwarfs is very rare. Shortage of veins and inadequate vein quality may cause difficulties during surgery. Only 2 cases of coronary bypass surgery in an achondroplastic dwarf, in which the left internal mammary artery and vein grafts were used, have been reported. We describe the case of a 55-year-old male achondroplastic dwarf who had triple-vessel coronary disease and underwent successful coronary bypass surgery using one saphenous vein graft and bilateral internal mammary artery grafts. The anatomic and surgical challenges in achondroplasia are highlighted. PMID:24887865

  2. Optimal Reactive Power Dispatch Considering FACTS Devices

    Directory of Open Access Journals (Sweden)

    Ismail MAROUANI

    2011-06-01

    Full Text Available Because their capability to change the network parameters with a rapid response and enhanced flexibility, flexible AC transmission system (FACTS devices have taken more attention in power systems operations as improvement of voltage profile and minimizing system losses. In this way, this paper presents a multi-objective evolutionary algorithm (MOEA to solve optimal reactive power dispatch (ORPD problem with FACTS devices. This nonlinear multi-objective problem (MOP consists to minimize simultaneously real power loss in transmission lines and voltage deviation at load buses, by tuning parameters and searching the location of FACTS devices. The constraints of this MOP are divided to equality constraints represented by load flow equations and inequality constraints such as, generation reactive power sources and security limits at load buses. Two types of FACTS devices, static synchronous series compensator (SSSC and unified power flow controller (UPFC are considered. A comparative study regarding the effects of an SSSC and an UPFC on voltage deviation and total transmission real losses is carried out. The design problem is tested on a 6-bus system.

  3. Research Facts on Homeschooling. General Facts and Trends

    Science.gov (United States)

    Ray, Brian D.

    2006-01-01

    This fact sheet presents the following general facts and trends. Homeschooling may be the fastest-growing form of education in the United States and it is also growing around the world in many nations. There are about 2 million homeschool students in the United States. There were an estimated 1.9 to 2.4 million children (in grades K to 12) home…

  4. Incidence of major amputations, bypass procedures and percutaneous transluminal angioplasties (PTA) in the treatment of peripheral arterial occlusive disease in a German referral center 1996-2003; Inzidenzen von Major-Amputationen, Bypass-Operationen und perkutanen transluminalen Angioplastien (PTA) zur Behandlung der peripheren arteriellen Verschlusskrankheit in einer deutschen Klinik der Maximalversorgung 1996-2003

    Energy Technology Data Exchange (ETDEWEB)

    Wohlgemuth, W.A. [Klinik fuer Diagnostische Radiologie und Neuroradiologie, Zentralklinikum Augsburg (Germany); Inst. fuer Medizinmanagement und Gesundheitswissenschaften, Univ. Bayreuth (Germany); Freitag, M.H. [Inst. fuer Medizinmanagement und Gesundheitswissenschaften, Univ. Bayreuth (Germany); Woelfle, K.D. [Chirurgisches Zentrum, Klinik fuer Gefaesschirurgie, Zentralklinikum Augsburg (Germany); Bohndorf, K.; Kirchhof, K. [Klinik fuer Diagnostische Radiologie und Neuroradiologie, Zentralklinikum Augsburg (Germany)

    2006-09-15

    Purpose: To determine the current incidence of major amputations, bypass procedures and percutaneous transluminal angioplasties (PTA) in a study population of patients with peripheral arterial occlusive disease in a German referral center. Materials and Methods: In a retrospective study, we recruited patients with peripheral arterial occlusive disease who underwent an amputation, bypass procedure, or PTA in the region of the pelvis or lower limbs between 1996 and 2003 at the Augsburg Medical Center. Patients were identified via the hospital database. This was performed with the help of the International Classification of Diseases (ICD 9 and 10), the operation code (OPS), and appropriate invoices. The incidence of PTAs was further estimated with 200 charts. Results: Of 5379 patients, 627 underwent amputation, 1832 a bypass procedure, and 2920 a PTA. The incidence of PTAs increased during the study period from 51.3/100 000/year to 64.4/100 000/year (p<0.01), while the number of amputations and bypass procedures remained stable. The incidence of PTAs was exceeded by that of bypass procedures only in patients older than 85 years. The age of the amputees decreased during the study period from 72.2 to 70.5 years (p<0.01). The age of patients who underwent a bypass procedure increased from 67.2 to 69.4 years, and the age of patients who underwent PTA increased form 66.3 to 69.8 years (p<0.01). Bypass procedures and PTAs were performed in men 6.3 years earlier than in women (p<0.01). Conclusion: The result is a population-corrected need of 8.4/100 000/year major amputations, 23/100 000/year bypass procedures and 64.4/100 000/year PTAs for patients with peripheral arterial occlusive disease within the referral area of our hospital. The performance of major amputations and bypass procedures stagnates, while the incidence of PTAs is increasing. (orig.)

  5. Off-pump versus on-pump coronary artery bypass grafting for ischaemic heart disease

    DEFF Research Database (Denmark)

    Møller, Christian H; Penninga, Luit; Wetterslev, Jørn; Steinbrüchel, Daniel A; Gluud, Christian

    2012-01-01

    Coronary artery bypass grafting (CABG) is performed both without and with cardiopulmonary bypass, referred to as off-pump and on-pump CABG respectively. However, the preferable technique is unclear.......Coronary artery bypass grafting (CABG) is performed both without and with cardiopulmonary bypass, referred to as off-pump and on-pump CABG respectively. However, the preferable technique is unclear....

  6. Preliminary design and validation of a Real Time model for hardware in the loop testing of bypass valve actuation system

    International Nuclear Information System (INIS)

    Highlights: • A Real Time Model of a turbine bypass system is presented and validated. • An Hardware in the Loop rig is used for calibration of positioneers and turbine bypass regulators. • Testing activities on the proposed test rig, confirm the feasibility of the proposed approach. - Abstract: During the start-up and shut-down phases of steam power plants many components are subjected to pressure and temperature transients that have to be carefully regulated both for safety and reliability reasons. For this reason, there is a growing interest in the optimization of turbine bypass controllers and actuators which are mainly used to regulate the plant during this kind of operations. In this work, a numerically efficient model for Real Time (RT) simulation of a steam plant is presented. In particular, a modular Simulink™ library of components such as valves, turbines and heaters has been developed. In this way it is possible to easily assemble and customize models able to simulate different plants and operating scenarios. The code, which is implemented for a fixed, discrete step solver, can be easily compiled for a RT target (such as a Texas Instrument DSP) in order to be executed in Real Time on a low cost industrial hardware. The proposed model has been used for quite innovative applications such as the development of a Hardware In the Loop (HIL) test rig of turbine bypass controllers and valve positioners. Preliminary experimental activities and results of the proposed test rig developed for Velan ABV are introduced and discussed

  7. Heart and Lungs Protection Technique for Cardiac Surgery with Cardiopulmonary Bypass

    Directory of Open Access Journals (Sweden)

    Vladimir Pichugin

    2014-12-01

    Full Text Available Introduction: Cardioplegic cardiac arrest with subsequent ischemic-reperfusion injuries can lead to the development of inflammation of the myocardium, leucocyte activation, and release of cardiac enzymes. Flow reduction to the bronchial arteries, causing low-flow lung ischemia, leads to the development of a pulmonary regional inflammatory response. Hypoventilation during cardiopulmonary bypass (CPB is responsible for development of microatelectasis, hydrostatic pulmonary edema, poor compliance, and a higher incidence of infection. Based on these facts, prevention methods of these complications were developed. The aim of this study was to evaluate constant coronary perfusion (CCP and the “beating heart” in combination with pulmonary artery perfusion (PAP and “ventilated lungs” technique for heart and lung protection in cardiac surgery with CPB.Methods. After ethical approval and written informed consent, 80 patients undergoing cardiac surgery with normothermic CPB were randomized in three groups. In the first group (22 patients, the crystalloid cardioplegia without lung ventilation/perfusion techniques were used. In the second group (30 patients, the CCP and “beating heart” without lung ventilation/perfusion techniques were used. In the third group (28 patients, the CCP with PAP and lung ventilation techniques were used. Clinical, functional parameters, myocardial damage markers (CK MB level, oxygenation index, and lung compliance were investigated.Results. There were higher rates of spontaneous cardiac recovery and lower doses of inotrops in the second and third groups. Myocardial contractility function was better preserved in the second and third groups. The post-operative levels of CK-MB were lower than in control group.  Three hours after surgery CK-MB levels in the second and third  groups were lower by 38.1% and 33.3%, respectively. Eight hours after surgery, CK-MB levels were lower in the second and third groups by 45.9% and

  8. Combined extracranial-intracranial bypass and balloon occlusion of internal carotid artery for the treatment of intracranial wide-neck giant aneurysms

    International Nuclear Information System (INIS)

    Objective: To present and evaluate the treatment and long-period follow-up of intracranial broad neck giant aneurysms treated by extracranial-intracranial bypass and balloon occlusion of internal carotid artery. Methods: Retrospectively analyze the treatment and long-period follow-up result of 2 wide neck giant aneurysms treated by combined extracranial-intracranial bypass and balloon occlusion of internal carotid artery during recent 4 years. Results: The aneurysm located at C1, C2 segment of L-ICA and M1 segment of L-MCA; the other involved petrosal segment from of R-ICA to M1 of R-MCA and A1 of R-ACA. The occlusion test in all 2 cases were positive. The authors first made bypass between the superficial temporal artery and ipsilateral MCA. The cranial angiography was followed the next day to prove the patency of the bypass. Then the proximal segment of the ipsilateral ICA was occluded by using detachable balloon. After treatment and during 4-year follow-up period, two patients showed no neurological deficits and CT scan showed thrombi within the lumens. The volume of one aneurysm decreased sharply. Cerebral angiography of the bypasses were patent and the no opacification of aneurysm any more. Conclusions: Combined extracranial-intracranial bypass and balloon occlusion of internal carotid artery is an alternative method for treating the aneurysm not to be cured by the interventional method and surgical operation

  9. Apicoaortic Valve Conduit for a Patient with Aortic Valve Stenosis and Patent Coronary Bypass Grafts Using Cardiopulmonary Bypass.

    Science.gov (United States)

    Shackelford, Anthony G; Relle, Margaret A; Lombardi, Sarah A

    2015-12-01

    In adults over 65 years of age, aortic valve stenosis has been found to be present in 2-9% within this group. Furthermore, aortic valve replacements in patients whom have had a previous coronary artery bypass grafting surgery have a mortality rate as high as 18%. A non-conventional effective surgical approach of bypassing the aortic valve by inserting an apicoaortic valve conduit (AVC) connecting the left ventricular apex to the descending thoracic aorta has been previously documented. We describe the case of a successful implantation of an AVC in a 64-year-old Caucasian male using cardiopulmonary bypass. PMID:26834287

  10. Hypothermia During Cardiopulmonary Bypass Increases Need for Inotropic Support but Does Not Impact Inflammation in Children Undergoing Surgical Ventricular Septal Defect Closure.

    Science.gov (United States)

    Schmitt, Katharina Rose Luise; Fedarava, Katsiaryna; Justus, Georgia; Redlin, Mathias; Böttcher, Wolfgang; Delmo Walter, Eva Maria; Hetzer, Roland; Berger, Felix; Miera, Oliver

    2016-05-01

    Minimizing the systemic inflammatory response caused by cardiopulmonary bypass is a major concern. It has been suggested that the perfusion temperature affects the inflammatory response. The aim of this prospective study was to compare the effects of moderate hypothermia (32°C) and normothermia (36°C) during cardiopulmonary bypass on markers of the inflammatory response and clinical outcomes (time on ventilator) after surgical closure of ventricular septal defects. During surgical closure of ventricular septal defects under cardiopulmonary bypass, 20 children (median age 4.9 months, range 2.3-38 months; median weight 7.2 kg, range 5.2-11.7 kg) were randomized to a perfusion temperature of either 32°C (Group 1, n = 10) or 36°C (Group 2, n = 10). The clinical data and blood samples were collected before cardiopulmonary bypass, directly after aortic cross-clamp release, and 4 and 24 h after weaning from cardiopulmonary bypass. Time on ventilation as primary outcome did not differ between the two groups. Other clinical outcome parameters like fluid balance or length of stay in the intensive care were also similar in the two groups. Compared with Group 2, Group 1 needed significantly higher and longer inotropic support (P Perfusion temperature did not influence cytokine release, organ injury, or coagulation. Cardiopulmonary bypass temperature does not influence time on ventilation or inflammatory marker release. However, in the present study, with a small patient cohort, patients operated under hypothermic bypass needed higher and longer inotropic support. The use of hypothermic cardiopulmonary bypass in infants and children should be approached with care. PMID:26581834

  11. The Housing Bubble Fact Sheet

    OpenAIRE

    Dean Baker

    2005-01-01

    This paper explains the basic facts about the current housing market. It lays out the evidence that the rise in housing prices constitutes a housing bubble - and explains what can be expected when it inevitably collapses.

  12. Facts about Jaundice and Kernicterus

    Science.gov (United States)

    ... gov . Jaundice & Kernicterus Homepage Facts Information for Familes Cal's Story Guidelines & Tools for Healthcare Professionals Free Materials ... Cerebral Palsy Hearing Loss in Children Intellectual Disabilities [PDF - 279 KB] Developmental Disabilities A-Z Index of ...

  13. Facts and Figures on Pain

    Science.gov (United States)

    ... Room Position Statements AAPM Facts and Figures on Pain Overview What is Chronic Pain? Incidence of Pain, ... of them. Back to Top What is Chronic Pain? While acute pain is a normal sensation triggered ...

  14. State Fact Sheets on COPD

    Science.gov (United States)

    ... About CDC.gov . COPD Homepage Data and Statistics Fact Sheets Publications Resources COPD en Español Related Links Air Pollution & Respiratory Health Air Quality, Fires, and Volcanic Eruptions ...

  15. Alzheimer's Disease Facts and Figures

    Science.gov (United States)

    ... Alzheimer's >> Home Text size: A A A 2016 Alzheimer's Disease Facts and Figures download the full report: ... or even slowed. Invest in a world without Alzheimer's. Donate Caregivers In 2015, 15.9 million family ...

  16. Sociological establishment of 'normative facts'

    Directory of Open Access Journals (Sweden)

    Vukićević Slobodan

    2002-01-01

    Full Text Available Every science is searching for 'it's facts', it's concept and categorical decree, and by this defines specific subject of it's science researching. Here, the researching is steered on identification of ontological contents of 'normative fact' in the aim of comprehension of it's categorical entity and conceptual disposition.'The normative fact' refers to importance, significance and sense which norm has, in other words, which is attributed to the norm by man and society, and which in the air of importance influence on it's behavior. Exclusive term of sociological science is 'normative fact' as behavior of an individual, groups, institutions and society with regard to establishment, application and changes of social norms.

  17. Measurements and Characterization (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2011-06-01

    Capabilities fact sheet for the National Center for Photovoltaics: Measurements and Characterization that includes scope, core competencies and capabilities, and contact/web information for Analytical Microscopy, Electro-Optical Characterization, Surface Analysis, and Cell and Module Performance.

  18. Nutrition Facts: Reading the Label

    Science.gov (United States)

    ... My Go4Life Get Free Stuff Be a Partner Nutrition Facts: Reading the Label Reading labels can help ... of information on their labels or packaging about nutrition and food safety. Product dates . You might see ...

  19. Chemical Agents: Facts about Evacuation

    Science.gov (United States)

    ... Health Emergency Response Guide Reaching At-Risk Populations Chemical Agents: Facts About Evacuation Format: Select one PDF [ ... on Facebook Tweet Share Compartir Some kinds of chemical accidents or attacks, such as a train derailment ...

  20. Tuberculosis Facts - Testing for TB

    Science.gov (United States)

    Tuberculosis (TB) Facts Testing for TB What is TB? “TB” is short for a disease called tuberculosis. TB is spread through the air from one ... Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination

  1. Tuberculosis Facts - Exposure to TB

    Science.gov (United States)

    Tuberculosis (TB) Facts Exposure to TB What is TB? “TB” is short for a disease called tuberculosis. TB is spread through the air from one ... Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination

  2. Facts and Myths about Cataracts

    Science.gov (United States)

    ... Lasers are used to remove cataracts FACT: In cataract treatment, the clouded lens is surgically removed and then ... membrane behind the implant may become cloudy after cataract surgery. Laser treatment then may be used to open up the ...

  3. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... to check their blood sugar several times a day. Other problems that patients with morbid obesity have ... a lap band and he’s discharged the next day. With the gastric bypass, the patient comes in ...

  4. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... and are morbidly obese have higher incidents of heart problems. The other things that we see are ... used for multiple surgical procedures. It’s used for heart procedures, the CABG, coronary artery bypass, valve procedures, ...

  5. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... the gastric bypass Roux-en-Y is a superior procedure than the lap band. That given, we ... of the robot has been shown to be superior to the laparoscopic cases, that this will also ...

  6. Severe hypoglycaemia post-gastric bypass requiring partial pancreatectomy

    DEFF Research Database (Denmark)

    Patti, M E; McMahon, G; Mun, E C;

    2005-01-01

    AIMS/HYPOTHESIS: Postprandial hypoglycaemia following gastric bypass for obesity is considered a late manifestation of the dumping syndrome and can usually be managed with dietary modification. We investigated three patients with severe postprandial hypoglycaemia and hyperinsulinaemia unresponsive...

  7. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... The feet are in this direction. And the robot is brought and docked over the patient’s body ... this location where I will be using the robot to perform this fully robotic gastric bypass. So ...

  8. Alveolar proteinosis lung lavage using partial cardiopulmonary bypass.

    OpenAIRE

    Freedman, A P; Pelias, A; Johnston, R F; Goel, I P; Hakki, H I; Oslick, T; Shinnick, J P

    1981-01-01

    An adult case of pulmonary alveolar proteinosis presented with an arterial oxygen tension of 27 mmHg (3.6 kPa) while breathing air. Dangerous hypoxaemia during lung lavage was avoided by using partial cardiopulmonary bypass.

  9. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... Loss Surgery: The Fully Robotic Gastric Bypass Baptist Health South Florida Miami, FL May 20, 2010 I ... study in 1991 at the National Institute of Health in Washington, D.C. And what they looked ...

  10. Antiplatelet therapy at the time of coronary artery bypass grafting

    DEFF Research Database (Denmark)

    Kremke, Michael; Jensen, Mariann Tang; Bak, Mikkel; Kristensen, Katrine Lawaetz; Hindsholm, Karsten; Andreasen, Jan Jesper; Hjortdal, Vibeke; Jakobsen, Carl-Johan

    2013-01-01

    OBJECTIVES: The purpose of this multicentre cohort study was to examine the relationship between antiplatelet therapy (APT) at the time of coronary artery bypass grafting (CABG) and postoperative bleeding complications, transfusion requirements and adverse cardiovascular events. METHODS: A matched...

  11. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... later, there was laparoscopic gastric bypass surgery. The learning curve, which is the time that it takes for the surgeon to learn surgery from open to laparoscopic, used to be ...

  12. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... Loss Surgery: The Fully Robotic Gastric Bypass Baptist Health South Florida Miami, FL May 20, 2010 I ... robotic prostatectomy, which is probably the standard of care today for prostate cancer. This is our eighth ...

  13. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass Baptist Health South Florida Miami, FL May 20, 2010 I am Dr. Anthony Gonzalez, and welcome to South Miami Hospital. We’ ...

  14. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... gastrectomy. Another question is, “Does gastric bypass eliminate diabetes?” The morbidly obese patients that we see are those patients that have diabetes mellitus type II, and that’s diabetes associated with ...

  15. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... of reinforce this. This has been a really beautiful case. There’s really no bleeding, even though we ... on BAPTISTHEALTH.NET and joining us for this beautiful fully robotic gastric bypass. I hope that Dr. ...

  16. Association of sex with patency of femorodistal bypass grafts

    DEFF Research Database (Denmark)

    Watson, H R; Schroeder, T V; Simms, M H;

    2000-01-01

    There is evidence for superior patency in infra-inguinal bypass procedures in men compared to women. A large, prospectively planned series was investigated in order to confirm this finding and to determine the origin of this difference in outcome....

  17. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... we have an added dimension, and the depth perception is incredible and just aids the surgery a ... later, there was laparoscopic gastric bypass surgery. The learning curve, which is the time that it takes ...

  18. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... gastric bypass. So without further adieu, let me send you out, right outside our doors to my ... everything else that’s going into it, it will send the same signal to the brain that you’ ...

  19. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... later, there was laparoscopic gastric bypass surgery. The learning curve, which is the time that it takes ... that you can do it proficiently; however the learning curve with robotic surgery is much shorter. In ...

  20. Collider bypass diode thermal simulations and measurements for the SSCL

    Energy Technology Data Exchange (ETDEWEB)

    Rostamzadeh, C.; Tool, G.

    1993-05-01

    Warm bypass diodes will be used as a component of a quench protection system to bypass an exponentially decaying current of 36 sec. time constant and peak current of 7000 A. Temperature excursions due to approximately 252 Kilo Ampere Sec. are studied using ANSYS, a finite element analysis program. A parabolic current waveform of similar energy but higher MIITs (1058 MIIT) was applied to the bypass circuit and temperature excursion was measured at various locations. The procedure of current waveform generation and thermal measurements is illustrated in this paper. A comparison of simulation technique with actual measurements confirms the accuracy of the bypass diode assembly model. This assembly is installed at the SSC half-cell string test facility and results are extremely encouraging.

  1. Advances in Weight Loss Surgery: The Fully Robotic Gastric Bypass

    Medline Plus

    Full Text Available ... done in two dimensions. Here we have an added dimension, and the depth perception is incredible and ... just a restrictive type of procedure. There’s no combined procedure like with the gastric bypass. So the ...

  2. Value of Optical Bypass in Packet Ring Networks

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    This paper firstly examines the value of optical bypass scheme in packet ring networks. An Integer Linear Program (ILP) formulation is presented and analytical results under different traffic patterns are given.

  3. Plasma levels of immunosuppressive mediators during cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    E. Borrelli

    1996-01-01

    Full Text Available The aim of this study was to evaluate plasma levels of two mediators with immunosuppressive properties, complement fraction C3a (C3a and transforming growth factor-β1 (TGF-β1, during extracorporeal circulation. The proliferation index after phytohaemagglutinin (PHA stimulation of isolated peripheral blood mononuclear cells was also investigated. Sixteen patients undergoing hypothermic (n = 8, group 1 and normothermic (n = 8, group 2 cardiopulmormry bypass (CPB were enrolled in this study. As a control, we evaluated four patients undergoing thoracovascular operations without CPB. Blood samples were collected before CPB but after anaesthesia, every 30 min during CPB, at the end of CPB and 10 min after protamine administration. Both C3a and TGF-β1 increased significantly during CPB and after protamine administration in the hypothermic as well as the normothermic group. In the latter case the increase of C3a and TGF-β1, although more prominent, was not significantl higher than in the former group. Conversely, the proliferation, index of peripheral mononuclear cells had already decreased 30 min after CPB was started and remained depressed throughout the CPB time. These results suggest a possible role of C3a and TGF-β1 in the immunological changes occurring during extracorporeal circulation.

  4. DOES MEAN PERFUSION PRESSURE DURING CARDIOPULMONARY BYPASS AFFECT RENAL FUNCTION?

    Directory of Open Access Journals (Sweden)

    Ramesh

    2015-10-01

    Full Text Available BACKGROUND: After cardiac surgery acute kidney injury (AKI is a common and serious condition carrying significant costs and is independently associated with increased morbidity and mortality. During cardiopulmonary bypass (CPB surgery, modifiable factors may contri bute to post - operative AKI. Their prevention might be a potential target for nephroprotection and any other morbidity after cardiac surgery. METHODS AND MATERIAL : The objective of the present study was to identify and determine whether intraoperative hypot ension or any other cofactor are independent risk factors for postoperative AKI defined by the RIFLE (renal Risk, Injury, Failure, Loss of renal function and End - stage renal disease. On basis of this patients were divided into two groups according to rise in serum creatinine >0.3 mg/dl till 72 hrs postoperatively. Group B patients have developed AKI (n=34 and the remaining patients were in Group A. RESULT : In our study we have found that mean arterial pressure during CPB were less in group B patients compare to group A patients which was statistically significant (p<0.001. And in this group ICU stay and mortality rate were also high compare to group A pati ent who had not developed AKI. CONCLUSION: Lower MAP during CPB is associated with development of postoperative renal derangement, leads to increase ICU stay and mortality. Larger studies are required to further support the evidence

  5. Off-Pump Coronary Bypass Grafting Causing Stunned Myocardium

    Directory of Open Access Journals (Sweden)

    Feridoun Sabzi

    2015-10-01

    Full Text Available The term “stunned myocardium” refers to abnormalities in the myocardial function following reperfusion and is common in on-pump coronary artery bypass grafting (CABG and is exceedingly rare in off- pump CABG. A 53-year-old man presented with unstable angina due to the severe stenosis of the left anterior descending coronary artery (LAD and the obtuse marginal. Laboratory findings and Chest X-ray revealed nothing abnormal. The intraoperative course was uneventful. The patient left the operating room without any inotropic support. Six hours later, however, he developed low cardiac output .At exploration, cardiac tamponade was excluded and flowmetry showed that the graft had adequate function. Cardiac enzymes were normal. High-dose adrenalin and Dobutamine were administrated and an intra-aortic balloon pump was used. After hemodynamic stabilization, the patient left the Intensive Care Unit without an intra-aortic balloon pump and inotropic support. On the fifth postoperative day, coronary angiography showed patent grafts and correct anastomotic sites. On the seventh postoperative day, the akinetic lateral wall of the left ventricle changed to dyskinesia. Finally after hospital discharge on the thirtieth postoperative day, an echocardiogram showed normal left ventricular function without regional wall motion abnormalities

  6. Study of transient turbine shot without bypass in a BWR; Estudio del transitorio disparo de turbina sin bypass en un BWR

    Energy Technology Data Exchange (ETDEWEB)

    Vallejo Q, J. A.; Martin del Campo M, C.; Fuentes M, L.; Francois L, J. L., E-mail: amhed_jvq@hotmail.com [UNAM, Facultad de Ingenieria, Departamento de Sistemas Energeticos, Ciudad Universitaria, 04510 Ciudad de Mexico (Mexico)

    2015-09-15

    The study and analysis of operational transients are important for predicting the behavior of a system to short-terms events and the impact that would cause this transition. For the nuclear industry these studies are indispensable due to economic, environmental and social impacts that could result in an accident during the operation of a nuclear reactor. In this paper the preparation, simulation and analysis of results of a turbine shot transient, which is not taken into operation the bypass is presented. The study is realized for a BWR of 2027 MWt, to an intermediate cycle life and using the computer code Simulate-3K a depressurization stage of the vessel is created which shows the response of other security systems and gives a coherent prediction to the event presented type. (Author)

  7. Electrical failure during cardiopulmonary bypass: a critical moment.

    Science.gov (United States)

    Durukan, Ahmet Baris; Gurbuz, Hasan Alper; Ozcelik, Gokhan; Yorgancioglu, Cem

    2016-06-01

    Electrical failure during cardiopulmonary bypass is a crisis situation for the cardiac surgical team. Fortunately, it has a low incidence with low morbidity and mortality rates. Notwithstanding, institutional preventative and management measures should be taken. Here, we report a case of electrical failure during cardiopulmonary bypass, which was successfully managed during the surgery, allowing the patient to recover uneventfully. These unwanted complications can only be managed by promoting awareness and putting in place strategies against them. PMID:27516788

  8. Coronary artery bypass grafting in an achondroplastic dwarf.

    OpenAIRE

    Balaguer, J M; Perry, D; Crowley, J; Moran, J. M.

    1995-01-01

    To our knowledge, coronary bypass for complications of coronary artery disease in achondroplasia has not previously been described. Achondroplasia, in and of itself, is not a contraindication to coronary bypass. Although the anatomic reserve of saphenous vein is less in achondroplastic dwarfs than in people of normal stature, that vessel and the internal mammary artery can be harvested in routine fashion. A 60-year-old woman with several risk factors for coronary artery disease underwent succ...

  9. Respiratory physiotherapy and incidence of pulmonary complications in off-pump coronary artery bypass graft surgery: an observational follow-up study

    OpenAIRE

    Pértega-Díaz Sonia; Martínez-González Ursicino; Juffé-Stein Alberto; Pita-Fernández Salvador; Yánez-Brage Isabel; Mauleón-García Ángeles

    2009-01-01

    Abstract Background Heart surgery is associated with an occurrence of pulmonary complications. The aim of this study was to determine whether pre-surgery respiratory physiotherapy reduces the incidence of post-surgery pulmonary complications. Methods Observational study of 263 patients submitted to off-pump coronary artery bypass grafting (CABG) surgery at the A Coruña University Hospital (Spain). 159 (60.5%) patients received preoperative physiotherapy. The fact that patients received preope...

  10. Bypass Selection for Control of Heat Exchanger Network

    Institute of Scientific and Technical Information of China (English)

    SUN Lin; LUO Xionglin; HOU Benquan; BAI Yujie

    2013-01-01

    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.

  11. Cell saver for on-pump coronary operations reduces systemic inflammatory markers: a randomized trial

    DEFF Research Database (Denmark)

    Damgaard, Sune; Nielsen, Claus Henrik; Andersen, Lars Willy;

    2010-01-01

    This study investigated whether intraoperative use of a cell saver reduces the systemic inflammatory response after coronary operations using cardiopulmonary bypass (CPB).......This study investigated whether intraoperative use of a cell saver reduces the systemic inflammatory response after coronary operations using cardiopulmonary bypass (CPB)....

  12. Vena saphena magna in situ-bypass til ankel og fod. En prospektiv opg|relse af resultaterne af 101 procedurer hos 94 amputationstruede patienter

    DEFF Research Database (Denmark)

    Røder, Ole Christian; Jensen, L P; Schroeder, T V; Lorentzen, J E

    1997-01-01

    The results of 101 in situ by-pass operations to the ankle and foot are given. Seventy-five percent of the patients had other arteriosclerotic manifestations and 55% were diabetics. Ninety-nine percent of the operations were limb salvage surgery. The accumulative secondary patency rate was 87......% after one month and 65% after three years. The results did not differ from by-pass surgery to the crural arteries. The wound complication rate was 16% with an infection rate of 7% and the major amputation rate was 8% after one month and 10% after three years. The survival of this selected group of...

  13. Weight Loss After Laparoscopic Band-to-Bypass Revision Compared With Primary Gastric Bypass: Long-term Outcomes.

    Science.gov (United States)

    Sadot, Eran; Spivak, Hadar

    2015-06-01

    Laparoscopic Roux-en-Y gastric bypass (RYGB) is frequently performed as a salvage operation after failed laparoscopic adjustable gastric banding (LAGB). Reports about long-term outcomes are lacking. We assessed the long-term outcomes of RYGB revision surgery after failed LAGB (study group, n = 44) and compared these outcomes with a demographically matched group who underwent primary RYGB (control group, n = 82). There were no between-group differences in sex distribution, age, or initial weight characteristics. At 2 years after RYGB, the mean ΔBMI was 11.8 ± 5.7 kg/m2 in the study group and 15.6 ± 4.2 kg/m2 in the control group (P = 0.01); the corresponding %EWL values were 57% and 78% (P = 0.005). At 6 years after RYGB, the mean ΔBMI was 10 ± 4.5 kg/m2 in the study group and 13.6 ± 5.7 kg/m2 in the control group (P = 0.006); the corresponding %EWL values were 53% and 66% (P = 0.04). In conclusion, this study supports the safety and favorable weight-loss outcome of LAGB revision to RYGB. However, the results are inferior to those of primary RYGB. PMID:25856132

  14. Strategies to prevent intraoperative lung injury during cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Siminelakis Stavros N

    2010-01-01

    Full Text Available Abstract During open heart surgery the influence of a series of factors such as cardiopulmonary bypass (CPB, hypothermia, operation and anaesthesia, as well as medication and transfusion can cause a diffuse trauma in the lungs. This injury leads mostly to a postoperative interstitial pulmonary oedema and abnormal gas exchange. Substantial improvements in all of the above mentioned factors may lead to a better lung function postoperatively. By avoiding CPB, reducing its time, or by minimizing the extracorporeal surface area with the use of miniaturized circuits of CPB, beneficial effects on lung function are reported. In addition, replacement of circuit surface with biocompatible surfaces like heparin-coated, and material-independent sources of blood activation, a better postoperative lung function is observed. Meticulous myocardial protection by using hypothermia and cardioplegia methods during ischemia and reperfusion remain one of the cornerstones of postoperative lung function. The partial restoration of pulmonary artery perfusion during CPB possibly contributes to prevent pulmonary ischemia and lung dysfunction. Using medication such as corticosteroids and aprotinin, which protect the lungs during CPB, and leukocyte depletion filters for operations expected to exceed 90 minutes in CPB-time appear to be protective against the toxic impact of CPB in the lungs. The newer methods of ultrafiltration used to scavenge pro-inflammatory factors seem to be protective for the lung function. In a similar way, reducing the use of cardiotomy suction device, as well as the contact-time between free blood and pericardium, it is expected that the postoperative lung function will be improved.

  15. Performance of FACTS equipment in Meshed systems

    Energy Technology Data Exchange (ETDEWEB)

    Lerch, E.; Povh, D. [Siemens AG, Berlin (Germany)

    1994-12-31

    Modern power electronic devices such as thyristors and GTOs have made it possible to design controllable network elements, which will play a considerable role in ensuring reliable economic operation of transmission systems as a result of their capability to rapidly change active and reactive power. A number of FACTS elements for high-speed active and reactive power control will be described. Control of power system fluctuations in meshed systems by modulation of active and reactive power will be demonstrated using a number of examples. (author) 7 refs., 11 figs.

  16. Gastric bypass surgery: Improving psoriasis through a GLP-1-dependent mechanism?

    DEFF Research Database (Denmark)

    Faurschou, Annesofie; Zachariae, Claus; Skov, Lone; Vilsbøll, Tina; Knop, Filip K

    2011-01-01

    surgery. This most likely contributes importantly to the acute remission of type 2 diabetes, which is often induced by gastric bypass operations. The hormone is not hypersecreted after the purely restrictive bariatric procedure gastric banding and no case reports exist on improvement in psoriasis......Psoriasis is a common inflammatory skin disease and obesity constitutes a risk factor for the disease. Obese patients with psoriasis are often more difficult to treat and are at increased risk for dyslipidemia, diabetes, hypertension and cardiovascular disease. Case reports suggest that gastric...

  17. Evaluation of aortocoronary bypass graft patency by computed tomography and angiography in 100 patients

    International Nuclear Information System (INIS)

    In 100 consecutively operated patients with 167 aortocoronary bypass grafts (ACVB) routine catheterisation was performed three month postoperatively, as well as sequential, ECG-gated and dynamic computed tomography (CT) the day before angiography. The results showed a sensitivity of 92%, a specificity of 67% and an overall accuracy in 81% for CT. Serial (dynamic) CT provides for quantitative assessment of attenuation values of contrast medium enhancement in ACVB and aorta, which improves security of the CT-test in most patients with patent grafts. Therefore clinical contribution of CT will be greatest for routine screening postoperatively and for assessment of ACVB - patency in asymptomatic patients. (orig.)

  18. Incidence and risk factors for the development of anemia following gastric bypass surgery

    Institute of Scientific and Technical Information of China (English)

    Dimitrios; V; Avgerinos; Omar; H; Llaguna; Matthew; Seigerman; Amanda; J; Lefkowitz; I; Michael; Leitman

    2010-01-01

    AIM:To evaluate the incidence and risk factors for the development of anemia after RouxenY gastric bypass (RYGB).METHODS: A retrospective analysis of patients undergoing RYGB from January 2003 to November 2007 was performed. All patients had a preoperative body mass index > 40 kg/m2. A total of 206 patients were evaluated. All patients were given daily supplements of ferrous sulfate tablets for 2 wk following their operation. Hematological and metabolic indices were routinely evaluated following surgery. Pa...

  19. Frequent change of procedure during coronary artery bypass surgery suggests insufficient preoperative diagnostic strategy

    DEFF Research Database (Denmark)

    Eckardt, Rozy; Kjeldsen, Bo Juel; Thayssen, Per; Vach, Werner; Haghfelt, Torben; Høilund-Carlsen, Poul F.; Andersen, Lars Ib

    2007-01-01

    artery participated. The surgeon filled in a questionnaire pertaining to the planned localization and number of grafts. These estimates were compared to procedures actually performed and with the angiographic outcome six months after bypass surgery. Planned and actually inserted grafts disclosed a...... discrepancy in 22% of the patients, resulting in a lower or higher number of grafts than pre-operatively estimated. The difference in shift rates between the three sites, left anterior descending, left circumflex, and right coronary artery, was significant (P=0.014). Patency rates were highest when only...

  20. Annular MHD Physics for Turbojet Energy Bypass

    Science.gov (United States)

    Schneider, Steven J.

    2011-01-01

    The use of annular Hall type MHD generator/accelerator ducts for turbojet energy bypass is evaluated assuming weakly ionized flows obtained from pulsed nanosecond discharges. The equations for a 1-D, axisymmetric MHD generator/accelerator are derived and numerically integrated to determine the generator/accelerator performance characteristics. The concept offers a shockless means of interacting with high speed inlet flows and potentially offers variable inlet geometry performance without the complexity of moving parts simply by varying the generator loading parameter. The cycle analysis conducted iteratively with a spike inlet and turbojet flying at M = 7 at 30 km altitude is estimated to have a positive thrust per unit mass flow of 185 N-s/kg. The turbojet allowable combustor temperature is set at an aggressive 2200 deg K. The annular MHD Hall generator/accelerator is L = 3 m in length with a B(sub r) = 5 Tesla magnetic field and a conductivity of sigma = 5 mho/m for the generator and sigma= 1.0 mho/m for the accelerator. The calculated isentropic efficiency for the generator is eta(sub sg) = 84 percent at an enthalpy extraction ratio, eta(sub Ng) = 0.63. The calculated isentropic efficiency for the accelerator is eta(sub sa) = 81 percent at an enthalpy addition ratio, eta(sub Na) = 0.62. An assessment of the ionization fraction necessary to achieve a conductivity of sigma = 1.0 mho/m is n(sub e)/n = 1.90 X 10(exp -6), and for sigma = 5.0 mho/m is n(sub e)/n = 9.52 X 10(exp -6).

  1. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... here in OR-26. This is a HYBRID operating room, and today we will perform a completely ... this gives a perfect view. You have an operating microscope, if you wish, and this is also ...

  2. Vitamin and Mineral Supplement Fact Sheets

    Science.gov (United States)

    ... Tables Online DRI Tool Daily Value (DV) Tables Vitamin and Mineral Supplement Fact Sheets Search the list ... Supplements: Background Information Botanical Dietary Supplements: Background Information Vitamin and Mineral Fact Sheets Botanical Supplement Fact Sheets ...

  3. Marijuana: Facts Parents Need to Know

    Science.gov (United States)

    ... Parents Need to Know » A Letter to Parents Marijuana: Facts Parents Need to Know Email Facebook Twitter ... their children to review the scientific facts about marijuana: (1) Marijuana: Facts Parents Need to Know and ( ...

  4. Diabetes Facts and Myths (For Parents)

    Science.gov (United States)

    ... Tropical Delight: Melon Smoothie Pregnant? Your Baby's Growth Diabetes Facts and Myths KidsHealth > For Parents > Diabetes Facts ... team first. Myth: Eating too much sugar causes diabetes. Fact: Type 1 diabetes is caused by a ...

  5. FACT — LONGTERM MONITORING OF BRIGHT TeV BLAZARS

    Directory of Open Access Journals (Sweden)

    Katja Meier

    2014-06-01

    Full Text Available The First G-APD Cherenkov Telescope (FACT, located on the Canary Island of La Palma, has been taking data since October 2011. FACT has been optimized for longterm monitoring of bright TeV blazars, to study their variability time scales and flare probability. G-APD photo-sensors allow for observations even under strong moonlight conditions, and the telescope can be operated remotely. The monitoring strategy of FACT is discussed and preliminary results of the flare of Mrk501 in June 2012 are shown.

  6. Magnetic Resonance Facility (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2012-03-01

    This fact sheet provides information about Magnetic Resonance Facility capabilities and applications at NREL's National Bioenergy Center. Liquid and solid-state analysis capability for a variety of biomass, photovoltaic, and materials characterization applications across NREL. NREL scientists analyze solid and liquid samples on three nuclear magnetic resonance (NMR) spectrometers as well as an electron paramagnetic resonance (EPR) spectrometer.

  7. Drinking Water Fact Sheet: Arsenic

    OpenAIRE

    Mesner, Nancy; Daniels, Barbara

    2010-01-01

    This fact sheet provides information about arsenic in drinking water. It includes sections about what arsenic is, where it comes from, health concerns from exposure, drinking water standards, how to know if there is arsenic in a water supply and how to reduce arsenic in drinking water.

  8. Public Education: Fingertip Facts 2009

    Science.gov (United States)

    Harrington, Patti

    2009-01-01

    This paper offers facts and figures on Utah's education status for 2009. This paper contains the following: (1) Core CRT Language Arts Testing, 2008; (2) Core CRT Mathematics Testing, 2008; (3) 2008 Public Education General Fund--Funding by Source and Expenditures by Function; (4) 2008-09 Public School Enrollment Demographics; (5) Public Schools…

  9. Public Education: Fingertip Facts 2008

    Science.gov (United States)

    Harrington, Patti

    2008-01-01

    This paper offers facts and figures on Utah's education status for 2008. This paper contains the following: (1) Core CRT Language Arts Testing, 2007; (2) Core CRT Mathematics Testing, 2007; (3) 2007 Public Education General Fund--Funding by Source and Expenditures by Function; (4) 2007-08 Public School Enrollment Demographics; (5) Public Schools…

  10. Fingertip Facts 2011-12

    Science.gov (United States)

    Utah State Office of Education, 2011

    2011-01-01

    This paper offers facts and figures on Utah's education status for the school year 2011-2012. This paper contains the following: (1) Core CRT Language Arts Testing, 2011; (2) Core CRT Mathematics Testing, 2011; (3) 2011 Public Education General Fund--Funding by Source and Expenditures by Function; (4) 2010-11 Public School Enrollment Demographics;…

  11. Drug Use Prevention. Health Facts.

    Science.gov (United States)

    Stang, Lucas; Miner, Kathleen R.

    The 10-volume "Health Facts" series is intended to supplement health education curricula and provide a handy reference for individuals who would like additional background information on particular health topics. The emphasis is placed on topics and examples relevant to youth of middle and high school age. The seven sections in this book on drug…

  12. NASA Facts, Mars and Earth.

    Science.gov (United States)

    National Aeronautics and Space Administration, Washington, DC. Educational Programs Div.

    Presented is one of a series of National Aeronautics and Space Administration (NASA) facts about the exploration of Mars. In this publication, emphasis is placed on the sun's planetary system with note made that there is no one theory for the origin and subsequent evolution of the Solar System that is generally accepted. Ideas from many scientists…

  13. Back Pain Facts and Statistics

    Science.gov (United States)

    ... ACA News Digital Edition Archives: ACA News Articles Advertising Opportunities News Newsroom News Releases Letters to the Editor Facts About Chiropractic Chiropractic in the Media ACA Radio Chiropractic Cares Social Media Facebook Twitter YouTube Instagram LinkedIn Advocacy Regulatory Policy Issue ...

  14. Facts about Sickle Cell Disease

    Science.gov (United States)

    ... Us Information For... Media Policy Makers Facts About Sickle Cell Disease Language: English Español (Spanish) Recommend on Facebook ... severity of these rarer types of SCD varies. Sickle Cell Trait (SCT) HbAS People who have SCT inherit ...

  15. Women and Guns. Firearm Facts.

    Science.gov (United States)

    Duker, Laurie, Ed.

    Many gun manufacturers market guns to women claiming a gun can provide protection. Statistics provided in this fact sheet indicate gun ownership may provide a false sense of security that can be fatal, since the greatest threat to a woman comes from the people and guns within her own home. Contrary to "typical" scenarios created by advertisers,…

  16. Norms and facts in measurement

    NARCIS (Netherlands)

    Brakel, J. van

    1984-01-01

    Publications concerned with the foundations of measurement often accept uncritically the theory/observation and the norm/fact distinction. However, measurement is measurement-in-a-context. This is analysed in the first part of the paper. Important aspects of this context are: the purpose of the part

  17. Early outcome after off-pump coronary artery bypass grafting: effect on mortality and stroke Resultado inicial após revascularização miocárdica: efeito na mortalidade e no acidente cerebrovascular

    OpenAIRE

    Delawer Reber; Marcus Fritz; Alfred Germing; Peter Marks; Axel Laczkovics

    2008-01-01

    OBJECTIVE: One of the major and devastating complications of the coronary artery bypass grafting (CABG) is the stroke. Avoiding cardiopulmonary bypass (CPB) may reduce this neurological complication. In the past years there was an increased interest in the off-pump coronary artery grafting (OPCAB). The benefit of this method of revascularization in term of stroke and mortality is controversially discussed. METHODS: A retrospective analysis of collected data from 252 patients were operated wit...

  18. Postoperative ventilatory and circulatory effects of heating after aortocoronary bypass surgery. Extended rewarming during cardiopulmonary bypass and postoperative radiant heat supply.

    Science.gov (United States)

    Joachimsson, P O; Nyström, S O; Tydén, H

    1987-08-01

    Twenty-four patients with stable angina pectoris were studied after aortocoronary bypass surgery with hypothermic cardiopulmonary bypass (CPB). Twelve patients (radiant heat supply group) were rewarmed during CPB to a nasopharyngeal temperature of at least 38 degrees C and a mean rectal temperature of 34.4 degrees C. Postoperatively they received radiant heat supply from a thermal ceiling. In addition, a heating water mattress was used during the end of the operation and heated, humidified inspired gases were administered intra- and postoperatively. The other 12 patients (combination heat supply group) had the rewarming during CPB extended until the rectal temperature exceeded 36 degrees C, but otherwise received the same treatment as the radiant heat supply group. The combination of extended rewarming during CPB and postoperative radiant heat supply significantly reduced oxygen uptake, carbon dioxide production and the required ventilation volumes during early recovery as compared with the values in the radiant heat supply group. The reduced metabolic demands were accompanied by lower cardiac index and oxygen delivery, which, however, were sufficient for adequate tissue perfusion as judged by the similarity in oxygen extraction and arterial base excess values in the two groups. The metabolic demands and ventilatory requirements were reduced to a level at which safe early extubation is possible. PMID:3498281

  19. Infiltration and Bypass Flow of Cracking Puddled Soils

    Directory of Open Access Journals (Sweden)

    M.J. Islam

    2004-01-01

    Full Text Available A study of infiltration and bypass flow was conducted in a wet soil bin with three different soils treatments (sandy loam, clay loam and clay soil to determine the swelling behaviour of cracking puddled soils by watering and its impact on bypass flow. Infiltration rate for the soils was recorded after puddling the soils. Then the puddled soils were allowed to dry for a period of up to 15 days. After that the plots were rewetted in order to observe the swelling and bypass behaviour of cracked soils. From this study it is observed that the infiltration rates of puddled soils were very low (0.03-0.05 mm h-1 mainly due to the puddling effect. The study indicates that cracks on puddled soils at 15th day�s of drying are effectively irreversible. The maximum bypass flow was recorded for the clay loam soil. During the first day, the flow rate was extremely high at 313 mm h-1. But this higher rate gradually reduced from the second day and onwards. The bypass flow rate for the clay loam and clay soil was almost same. The study reveals that it is not possible to swell up shrinkage cracks on puddled soils by watering alone. Re-working of the soil is necessary to seal the cracks.

  20. The influence of core bypass flow during SBLOCA

    International Nuclear Information System (INIS)

    Many parameters affect the behaviour of a NPP during a Small Break Loss of Coolant Accident (SBLOCA). The bypass flow between the core side and the downcomer is one of them. Different PWRs have different values of core bypass flow. In spite of the complexity of the real situation in the primary system during SBLOCA, some fundamental details of the phenomena can be explained with simplified mathematical models, which relate on basic parameters of the primary coolant. These models define the conditions for loop seal clearance and final results are confirmed with measured values. The analysis presented in the paper refers to Bethsy Test 9.1.b SB LOCA scenario, with variation of core bypass flow. Basic RELAP5 input model calculation results show very good agreement with the experimental data. The core liquid level depression before loop seal clearance is lower in case of smaller core bypass flow. This affects the fuel clad temperature because of different heat transfer mechanisms. Time of loop seal clearance is delayed with larger core bypass flow and consequently lower differential pressure between downcomer and core. (author)

  1. Photovoltaic-module bypass-diode encapsulation. Annual report

    Energy Technology Data Exchange (ETDEWEB)

    1983-06-20

    The design and processing techniques necessary to incorporate bypass diodes within the module encapsulant are presented in this annual report. A comprehensive survey of available pad-mounted PN junction and Schottky diodes led to the selection of Semicon PN junction diode cells for this application. Diode junction-to-heat spreader thermal resistance measurements, performed on a variety of mounted diode chip types and sizes, have yielded values which are consistently below 1/sup 0/C per watt, but show some instability when thermally cycled over the temperature range from -40 to 150/sup 0/C. Based on the results of a detailed thermal analysis, which covered the range of bypass currents from 2 to 20 amperes, three representative experimental modules, each incorporating integral bypass diode/heat spreader assemblies of various sizes, were designed and fabricated. Thermal testing of these modules has enabled the formation of a recommended heat spreader plate sizing relationship. The production cost of three encapsulated bypass diode/heat spreader assemblies were compared with similarly rated externally-mounted packaged diodes. An assessment of bypass diode reliability, which relies heavily on rectifying diode failure rate data, leads to the general conclusion that, when proper designed and installed, these devices will improve the overall reliability of a terrestrial array over a 20 year design lifetime.

  2. The effect of posterior pericardiotomy on pericardial effusion and atrial fibrillation after off-pump coronary artery bypass graft.

    OpenAIRE

    Mahdi Haddadzadeh; Mahtab Motavaselian; Ali Akbar Rahimianfar; Seyed Khalil Forouzannia; Mahmood Emami; Kazem Barzegar

    2015-01-01

    The most common type of arrhythmia following coronary artery bypass graft (CABG) is atrial fibrillation (AF) with an incidence rate of 20-30%. Pericardial effusion is one of the etiologic factors of atrial fibrillation occurring after CABG. Posterior pericardiotomy (PP) causes the drainage of blood and fluids from the pericardial space into the pleural space leading to a decreased pericardial effusion. Most of the studies dealing with the occurrence of AF in the surgical operation of CABG hav...

  3. Percutaneous Stent-Graft Repair of Anastomotic Pseudoaneurysms following Vascular Bypass Procedures: A Report of Two Cases

    Directory of Open Access Journals (Sweden)

    John Rundback

    2013-01-01

    Full Text Available Anastomotic pseudoaneurysms are common entities following vascular bypass procedures and, if left untreated, serious complications such as thromboses, infection, and rupture can frequently occur. Therefore, attempts to employ various methods of repair have been utilized in treating anastomotic pseudoaneurysms to maximize operational success and future risk reduction. Herein, the authors report two cases of anastomotic pseudoaneurysms which were repaired percutaneously utilizing a combination of strategies such as careful preoperational image planning, multiple commercially available devices, and secondary embolization techniques.

  4. Aorto-Bilateral-Femoral-Bilateral-Popliteal Bypass for Leriche Syndrome With Occlusion of Both Superficial Femoral Arteries

    OpenAIRE

    Mitrev, Zan; Veljanovska, Lidija; HRISTOV, Nikola

    2009-01-01

    A 68-year-old man, who is a smoker with hypertension and hyperlipidemia, presented in our hospital with rest pain in both calves. His symptoms started 1 year prior with short distance walking pain in both legs. Preoperative work up discovered Leriche's syndrome with occlusion of both superficial femoral arteries, as shown on the 64-slice computerized tomographic scan (Fig 1). Operative treatment included aorto-bilateral femoral bypass, using 16/8 mm Dacron (Edwards Lifesciences, Irvine, CA) Y...

  5. [Results of splenorenal venous bypass grafting in patients with hepatocirrhosis].

    Science.gov (United States)

    Katel'nitskiĭ, I I; Sapronova, N G

    2013-01-01

    Presented herein are the results of surgical treatment of 79 patients with intrahepatic portal hypertension who underwent splenorenal venous bypass grafting after splenectomy. The patients' age varied from 8 to 64 years, averaging 37.3 years. The authors followed up the immediate and remote results of treatment at terms varying from 1 to 20 years. Of the early postoperative complications mention should be made that intra-abdominal haemorrhage was revealed in 4 (5%) patients, six (7.6%) patients were found to develop left-side reactive pleuritis, one patient (1.2%) - bilateral pleuritis and pericarditis, subcutaneous eventration was revealed in 1 patient with pronounced ascites (1.2%). Haemorrhage from varicose dilated oesophageal veins in the early postoperative period was observed in 8 (10%) cases. Posthaemorrhagic anaemia was present in 27 cases (43.1%). The mortality rate in the early postoperative period amounted to 5% (4). We followed up the long-term results in 51 (64.5%) of the 79 patients at terms up to 5 years after surgery, in 17 patients at terms up to 10 years following interventions, in 9 at terms up to 15 years, and in one patient up to 20 years. A total of 3 patients died within the first postoperative year. 48 (94%) patients are alive 5 years after the operation, 10 - after ten years, with 7 having died. Five patients are still alive more than 15 years, four died, one followed up woman is still alive after 20 years with a satisfactory result. PMID:23863796

  6. Operator Fundamentals

    International Nuclear Information System (INIS)

    Recent events show the need for constant attention on the operator fundamentals, in the commercial nuclear industry. The first report about decline in the application of operator fundamentals during plant operational activities and transient situations was issued in July 2005. Analyses of the events recorded during 18 month period between 2010 and 2011 show similar causes and contributors like it was before July 2005. Due to that fact, the WANO issued SOER 2013-1 Operator Fundamentals Weaknesses with proposed suggestions how to analyse area of operator fundamentals and gives recommendations for effective and sustainable corrective actions. Operator fundamentals are the essential knowledge, skills, behaviours, and practices that operating crews need to apply to operate the plant effectively. These fundamentals are as follows: · Monitoring plant indications and conditions closely · Controlling plant evolutions precisely · Operating the plant with a conservative bias · Working effectively as a team · Having a solid understanding of plant design, engineering principles, and sciences. NEK analysed area of operator fundamentals and verified how consistently the basic principles in the plant control are followed in practice. Some opportunities for improvement were recognized for the training area, operational procedures format improvement and improvement in process of preparation of the planned activities during power operation or during plant shutdown. Among other measures, stability in operation with a sufficient safety margin can be achieved only through continuous monitoring of the operational practice and by constant highlighting of the operational standards. (author)

  7. Preoperative Hba1c level in prediction of short-term morbidity and mortality outcomes following coronary artery bypass grafting surgery

    Directory of Open Access Journals (Sweden)

    Ümit Arslan

    2015-05-01

    Conclusion ― We concluded that in those diabetic patients that elective coronart artery bypass graft is applied, highly reactive HbA1c levels (HbA1c ≥7, may indicate morbitity in the early stages of post operation.

  8. International waste management fact book

    Energy Technology Data Exchange (ETDEWEB)

    Amaya, J P; LaMarche, M N; Upton, J F

    1997-10-01

    Many countries around the world are faced with nuclear and environmental management problems similar to those being addressed by the US Department of Energy. The purpose of this Fact Book is to provide the latest information on US and international organizations, programs, activities and key personnel to promote mutual cooperation to solve these problems. Areas addressed include all aspects of closing the commercial and nuclear fuel cycle and managing the wastes and sites from defense-related, nuclear materials production programs.

  9. Nuclear economics: Issues and facts

    Energy Technology Data Exchange (ETDEWEB)

    Hudson, C.R.

    1993-12-31

    Nuclear economics has become on the more prominent topics related to nuclear power. Beyond the subjects of nuclear safety and waste disposal, questions and concerns of nuclear power economics have emerged with growing frequency in utility board rooms, in state and federal regulatory proceedings, and in the media. What has caused nuclear power economics to become such a popular topic? This paper addresses issues and facts related to historical nuclear plant costs, new nuclear plant projections, and warning signals for future plants.

  10. Health Economics : some stylized facts

    OpenAIRE

    Philippe ULMANN

    2003-01-01

    The study of the stylized facts of economic growth has allowed an advance of this field of economic analysis in its empirical and theorical works. Today, Health Economics is faced with new requirements of society, i.e. better care at a sustainable cost. Furthermore, since the problems linked with health care system and with the health status are more and more connected with the economic sphere, a global approach of Health Economics proves necessary. Prior to the development of such an approac...

  11. International waste management fact book

    International Nuclear Information System (INIS)

    Many countries around the world are faced with nuclear and environmental management problems similar to those being addressed by the US Department of Energy. The purpose of this Fact Book is to provide the latest information on US and international organizations, programs, activities and key personnel to promote mutual cooperation to solve these problems. Areas addressed include all aspects of closing the commercial and nuclear fuel cycle and managing the wastes and sites from defense-related, nuclear materials production programs

  12. Technology to Market Fact Sheet

    Energy Technology Data Exchange (ETDEWEB)

    None

    2016-02-01

    This fact sheet is an overview of the Technology to Market subprogram at the U.S. Department of Energy SunShot Initiative. The SunShot Initiative’s Technology to Market subprogram builds on SunShot’s record of moving groundbreaking and early-stage technologies and business models through developmental phases to commercialization. Technology to Market targets two known funding gaps: those that occur at the prototype commercialization stage and those at the commercial scale-up stage.

  13. Norms and facts in measurement

    OpenAIRE

    Van Brakel, J.

    1984-01-01

    Publications concerned with the foundations of measurement often accept uncritically the theory/observation and the norm/fact distinction. However, measurement is measurement-in-a-context. This is analysed in the first part of the paper. Important aspects of this context are: the purpose of the particular measurement; everything we know; everything we can do; and the empirical world. Dichotomies, such as definition versus empirical law, are by themselves not very useful because the ‘rules of ...

  14. Coronary artery bypass grafting in a patient with hemophilia B: continuous recombinant factor IX infusion as per the Japanese guidelines for replacement therapy.

    Science.gov (United States)

    Suzuki, Tomoyuki; Kawamoto, Shunsuke; Kumagai, Kiichiro; Adachi, Osamu; Kanda, Keisuke; Ishikawa, Masaaki; Okitsu, Yoko; Harigae, Hideo; Kurosawa, Shin; Saiki, Yoshikatsu

    2016-08-01

    We herein report our experience of successfully managing the hemostatic system by controlling serum factor IX levels throughout the perioperative period in a patient with hemophilia B. Coronary artery bypass grafting with cardiopulmonary bypass was planned for a 52-year-old man with moderate severity of hemophilia B. During surgery, recombinant factor IX (rFIX; BeneFIX(®) Pfizer Japan inc., Tokyo, Japan) was administered by bolus infusion followed by continuous infusion as per the guidelines of the Japanese Society on Thrombosis and Hemostasis. The operative course was uneventful without any considerable bleeding or complications. PMID:25523881

  15. Lower leg electrical impedance after distal bypass surgery

    DEFF Research Database (Denmark)

    Belanger, G K; Bolbjerg, M L; Heegaard, N H; Wiik, A; Schroeder, T V; Secher, N H

    1998-01-01

    Electrical impedance was determined in 13 patients following distal bypass surgery to evaluate lower leg oedema as reflected by its circumference. Tissue injury was assessed by the plasma concentration of muscle enzymes. After surgery, the volume of the control lower leg increased from 1250 (816...... concentration of troponin I (n = 8). In conclusion, tissue injury was reflected by increases in muscle enzymes in plasma. We found an inverse correlation between lower leg electrical impedance and volume, but the deviation in electrical impedance was approximately twice that of the leg volume. Electrical...... impedance appears to be a useful method for the evaluation of lower leg oedema after distal bypass surgery....

  16. Divertor bypass in the Alcator C-Mod tokamak

    Science.gov (United States)

    Pitcher, C. S.; LaBombard, B.; Danforth, R.; Pina, W.; Silveira, M.; Parkin, B.

    2001-01-01

    The Alcator C-Mod divertor bypass has for the first time allowed in situ variations to the mechanical baffle design in a tokamak. The design utilizes small coils which interact with the ambient magnetic field inside the vessel to provide the torque required to control small flaps of a Venetian blind geometry. Plasma physics experiments with the bypass have revealed the importance of the divertor baffling to maintain high divertor gas pressures. These experiments have also indicated that the divertor baffling has only a limited effect on the main chamber pressure in C-Mod.

  17. Surgical cartographic navigation system for endoscopic bypass grafting.

    Science.gov (United States)

    Voruganti, Arun; Mayoral, Rafael; Jacobs, Stephan; Grunert, Ronny; Moeckel, Hendrik; Korb, Werner

    2007-01-01

    Endoscopic bypass grafting with the da Vinci system is still challenging and needs high level of experience and skill of the surgeon. Therefore, it is necessary to support the surgeon with enhanced vision and augmented reality. The augmentation of the patient model into the view of the endoscope is a direct approach to enhance support. The results of a preclinical study are shown in this paper. The method applied is suitable for endoscopic bypass grafting and in general applicable to minimal invasive surgery. The system was designed as an open architecture to facilitate easy transfer of the methodology into other surgical domain applications. PMID:18002243

  18. Managing the Inflammatory Response after Cardiopulmonary Bypass : Review of the Studies in Animal Models

    NARCIS (Netherlands)

    Liguori, Gabriel Romero; Kanas, Alexandre Fligelman; Moreira, Luiz Felipe Pinho

    2014-01-01

    OBJECTIVE: To review studies performed in animal models that evaluated therapeutic interventions to inflammatory response and microcirculatory changes after cardiopulmonary bypass. METHODS: It was used the search strategy ("Cardiopulmonary Bypass" (MeSH)) and ("Microcirculation" (MeSH) or "Inflammat

  19. Evaluating drag force and geometric optimisation of pipeline inspection gadget (PIG body with bypass

    Directory of Open Access Journals (Sweden)

    Ricardo Ramírez

    2011-05-01

    Full Text Available  A pipeline inspection gadget (PIG is a device used to run through pipelines for cleaning, measurement and inspection operations. By-pass is the name for one or a set of orifices allowing flow from back to front of a PIG. It is used for speed control or to improve cleaning operations results. By-pass prevents speed excursions in gas pipelines thereby avoiding damage to the PIG or the pipe. Studies and algorithms have been developed to simulate the dynamics of PIGs running inside pipes. Most studies have been for gas pipelines; these have helped to design some PIG models. This work summarises a particular stage during a PIG design project. This PIG will work in liquid pipelines and can stop in the line for inspection and maintenance tasks. Studying fluid force on a PIG when it has low or zero speed is needed for evaluating project feasibility and conceptual design. Selecting a PIG form to minimise the force of interaction with fluid allows a low weight design and lower energy loss.  

  20. Reusing the patent internal mammary artery as a conduit in redo coronary artery bypass surgery.

    Science.gov (United States)

    Nwaejike, Nnamdi; Tennyson, Charlene; Mosca, Roberto; Venkateswaran, Rajamiyer

    2016-03-01

    A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was, in patients with previous internal mammary artery/internal thoracic artery (ITA) grafts, can the internal mammary artery/ITA be reused/recycled in redo coronary artery bypass surgery? Fourteen papers were found using the reported search of which 10 represented the best evidence to answer the clinical question. There was variation in patient selection, the number of patients reported, outcome measures recorded, and methods and duration of follow-up. The results were mostly in favour of using a recycled ITA when it could be safely harvested. Most studies were retrospective. One large series of 60 patients who underwent redo coronary artery bypass grafting (CABG) using previously implanted ITAs had a mean time to reoperation of 117 ± 68 months. They reported no operative deaths; no patients required further or subsequent target vessel revascularization; 30-day mortality was 8.3% and myocardial infarction rate was 3%. Another two series of 16 and 12 patients underwent recycling of arterial grafts during coronary artery revascularization with no perioperative deaths in either. Postoperative angiography was performed in 10 patients in one of these studies, which showed excellent flow in all redone left internal thoracic artery (LITA) grafts. One study reported results from a prospective cohort of 9 patients who underwent redo coronary artery bypass grafting. Interval between operations was between 1 and 132 months. There was no perioperative mortality, but 1 patient required reintervention (to an interposition vein graft). A further study of 4 patients who underwent redo CABG using ITAs that were patent but with severe stenosis at the distal anastomosis had no mortality. Postoperative angiography showed patency of all grafts. There have also been 4 case reports on reusing the ITA/ITA in redo CABG with no damage to the reused LITA, no perioperative

  1. Contrast-enhanced cardiac MRI before coronary artery bypass surgery: impact of myocardial scar extent on bypass flow

    International Nuclear Information System (INIS)

    The aim of the study was to relate the extent of myocardial late gadolinium enhancement (LGE) in cardiac MRI to intraoperative graft flow in patients undergoing coronary artery bypass graft (CABG) surgery. Thirty-three CAD patients underwent LGE MRI before surgery using an inversion-recovery GRE sequence (turboFLASH). Intraoperative graft flow in Doppler ultrasonography was compared with the scar extent in each coronary vessel territory. One hundred and fourteen grafts were established supplying 86 of the 99 vessel territories. A significant negative correlation was found between scar extent and graft flow (r = -0.4, p -1; p < 0.0001). In summary, the extent of myocardial scar as defined by contrast-enhanced MRI predicts coronary bypass graft flow. Beyond the probability of functional recovery, preoperative MRI might add value to surgery planning by predicting midterm bypass graft patency. (orig.)

  2. Natural headland sand bypassing; towards identifying and modelling the mechanisms and processes

    OpenAIRE

    Bin Ab Razak, M.S.

    2015-01-01

    Natural headland sand bypassing: Towards identifying and modelling the mechanisms and processes contributes to the understanding of the mechanisms and processes of sand bypassing in artificial and non-artificial coastal environments through a numerical modelling study. Sand bypassing processes in general are a relevant but poorly understood topic. This study attempts to link the theory and physics of sand bypassing processes which is significantly important in definition of coastal sedimentar...

  3. Energy-efficient and cost-effective in-house substations bypass for improving thermal and DHW (domestic hot water) comfort in bathrooms in low-energy buildings supplied by low-temperature district heating

    DEFF Research Database (Denmark)

    Brand, Marek; Dalla Rosa, Alessandro; Svendsen, Svend

    2014-01-01

    Using a bypass to redirect a small flow through the in-house DH (district heating) substation directly to the return pipe is a commonly used but energy-inefficient solution to keep the DH network “warm” during non-heating seasons. Instead, this water can be redirected to the bathroom FH (floor...... heating) to cool down further and thus reduce the heat lost from bypass operation while tempering the bathroom floor and guaranteeing fast provision of DHW (domestic hot water). We used the commercial software IDA-ICE to model a reference building where we implemented various solutions for controlling the...... redirected bypass flow and evaluated their performance. The effect on the DH network was investigated using Termis software. Bypass flow redirected into bathroom FH during the non-heating period resulted in comparison to the reference case on average in a 0.6 °C–2.2 °C increase of the floor surface...

  4. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... operation here. On the anesthesia side, Patrick Odonker, leading the anesthesia team, working with Teresa Nemitz. It ... are often asked how you learn this. Important question. Hours and hours of suturing on models before ...

  5. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... have magnified movements of the heart. But that’s what we’re going to show next time. Okay? It also works. But I just like this type of operation very much because of the level ...

  6. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... the sternum and cannulate the aorta and the right atrium. In this operation, since we are not ... exactly perpendicular to the camera port here. All right. The femoral artery will be used to give ...

  7. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... We have seen this on the cardiac cath film, and we’re going to expose this additionally ... he goes into the operation from the cath film. Can you come in with the irrigator, if ...

  8. TECAB - Totally Endoscopic Coronary Artery Bypass

    Medline Plus

    Full Text Available ... uncommon operation used to correct a very common cardiac problem. The abbreviation we as doctors use for ... My name is Johannes Bonatti. I’m a cardiac surgeon here at the University of Maryland Medical ...

  9. “Orpheus” Cardiopulmonary Bypass Simulation System

    OpenAIRE

    Morris, Richard W.; Pybus, David A.

    2007-01-01

    In this paper we describe a high-fidelity perfusion simulation system intended for use in the training and continuing education of perfusionists. The system comprises a hydraulic simulator, an electronic interface unit and a controlling computer with associated real-time computer models. It is designed for use within an actual operating theatre, or within a specialized simulation facility. The hydraulic simulator can be positioned on an operating table and physically connected to the circuit ...

  10. 21 CFR 870.4370 - Roller-type cardiopulmonary bypass blood pump.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Roller-type cardiopulmonary bypass blood pump. 870... Roller-type cardiopulmonary bypass blood pump. (a) Identification. A roller-type cardiopulmonary bypass blood pump is a device that uses a revolving roller mechanism to pump the blood through...

  11. 21 CFR 870.4360 - Nonroller-type cardiopulmonary bypass blood pump.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Nonroller-type cardiopulmonary bypass blood pump... Nonroller-type cardiopulmonary bypass blood pump. (a) Identification. A nonroller-type cardiopulmonary bypass blood pump is a device that uses a method other than revolving rollers to pump the blood...

  12. 21 CFR 870.4410 - Cardiopulmonary bypass in-line blood gas sensor.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cardiopulmonary bypass in-line blood gas sensor... Cardiopulmonary bypass in-line blood gas sensor. (a) Identification. A cardiopulmonary bypass in-line blood gas sensor is a transducer that measures the level of gases in the blood. (b) Classification. Class...

  13. 21 CFR 870.4260 - Cardiopulmonary bypass arterial line blood filter.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cardiopulmonary bypass arterial line blood filter... Cardiopulmonary bypass arterial line blood filter. (a) Identification. A cardiopulmonary bypass arterial line blood filter is a device used as part of a gas exchange (oxygenator) system to filter...

  14. Self-priming hemodynamic reservoir and inline flow meter for a cardiopulmonary bypass simulation.

    Science.gov (United States)

    Raasch, David; Austin, Jon; Tallman, Richard

    2010-06-01

    Simulator exercises are used at Midwestern University to augment academic and laboratory training toward consolidating particular skills, increasing situation awareness, and preparing the student for practice within the team environment of an operating room. This paper describes an enhanced cardiopulmonary bypass simulator consisting of a self-priming hemodynamic reservoir that includes an inline flow meter. A typical cardiopulmonary bypass adult perfusion circuit was assembled using a roller pump console and integrated oxygenator/heat exchanger/reservoir and primed with 2 liters of water. For patient simulation, a soft-sided reservoir bag was mounted onto an inclined platform. A 1-liter soft-sided bag was placed just above the reservoir, providing an overflow reservoir. The priming line extended to the head of the mannequin. The arterial, venous, and suction lines extended through the open chest. The primed perfusion circuit was connected to ports on the filled reservoir bag. To test the patient simulation, the arterial pump output was adjusted to flow rates ranging from 1-7 liters per minute, with a complete interruption (to zero flow) between each test run. An inline flow meter was added to the bypass circuit and an analog to digital converter board was used to pass flow data into the computer-based simulation program. The use of an inclined hemodynamic reservoir bag proved to be self-priming and functional without problems over a wide range of flows tested. By including a reservoir with the mannequin, plus processing and displaying real-time flow data using the CPB-Sim simulation program, a higher fidelity and more realistic simulation experience was created. PMID:20648900

  15. A good resuscitation model of non-transthoracic cardiopulmonary bypass in rats

    Institute of Scientific and Technical Information of China (English)

    AN Yong; XIAO Ying-bin; ZHONG Qian-jin

    2007-01-01

    Objective:To establish a good recoverable rat model of cardiopulmonary bypass (CPB) to lay the foundation for studying the pathophysiology of CPB.Methods:Twenty adult male Sprague-Dawley rats weighing 480 g um via the right jugular vein and further transferred by a miniaturized roller pump to a hollow fiber oxgenator and back to the rat via the left carotid artery. Priming consisted of 8 ml of homologous blood and 6 ml of colloid. The surface of the hollow fiber oxgenator was 0.075 m2. Rats were catheterized and brought in bypass for 120 min at a flow rate of 100-120 ml/kg/min. Oxygen flow/ perfusion flow was 0. 8 to 1. 0, the mean arterial pressure (MAP) kept in 60-80 mmHg. Blood gas analysis, lactate dehydrogenase (LDH), and survival rate were examined subsequently.Results: All CPB rats recovered from the operative process without incident and remained uneventful within one week. Normal cardiac function after successful weaning was confirmed by electrocardiography and blood pressure measurements. MAP remained stable. The results of blood gas analysis at different time points were within a normal range. No significant haemolysis could be detected in the given time frame under bypass condition by using LDH.Conclusions: The rat model of CPB can principally simulate the clinical setting of human CPB. The nontransthoracic model is easy to establish and is associated with excellent recovery. This well reproducible model may open the field for various studies on pathophysiological process of CPB and also of systemic ischemia-reperfusion injury in vivo.

  16. Effects of different PEEP levels on respiratory mechanics and oxygenation after coronary artery bypass grafting

    Directory of Open Access Journals (Sweden)

    Daniel Lago Borges

    2013-09-01

    Full Text Available OBJECTIVE: To compare the effects of different levels of positive end-expiratory pressure on respiratory mechanics and oxygenation indexes in the immediate postoperative period of coronary artery bypass grafting. METHODS: Randomized clinical trial in which 136 patients underwent coronary artery bypass grafting between January 2011 and March 2012 were divided into three groups and admitted to mechanical ventilation with different positive end-expiratory pressure levels: Group A, 5 cmH2O (n=44, Group B, 8 cmH2O (n=47 and Group C, 10 cmH2O (n=45. Data about respiratory mechanics were obtained from mechanical ventilator monitor and oxygenation indexes from arterial blood gas samples, collected twenty minutes after intensive care unit admission. Patients with chronic obstructive pulmonary disease and patients submitted to off-pump, emergency or combined operations were not included. For statistical analysis, we used Kruskal-Wallis, G and Chi-square tests, considering results significant when P<0.05. RESULTS: Groups were homogeneous in terms of demographic, clinical and surgical variables. Patients ventilated with positive end-expiratory pressure of 10 cmH2O (Group C had best compliance (P=0.04 and airway resistance values, this, however, without statistical significance. They also had best oxygenation indexes, with statistical difference in all analyzed variables, and lower frequency of hypoxemia (P=0.03. CONCLUSION: Higher levels of positive end-expiratory pressure in immediate postoperative period of coronary artery bypass grafting improved pulmonary compliance values and increased oxygenation indexes, resulting in lower frequency of hypoxemia.

  17. A rare case of small bowel volvulus after jenjunoileal bariatric bypass requiring emergency surgery: a case report

    Directory of Open Access Journals (Sweden)

    Patel Pranav H

    2012-03-01

    Full Text Available Abstract Introduction Bariatric surgery is on the increase throughout the world. Jejunoileal bypass bariatric procedures have fallen out of favor in western surgical centers due to the high rate of associated complications. They are, however, performed routinely in other centers and as a consequence of health tourism, management of complications related to these procedures may still be encountered. Case presentation We describe a rare case of small bowel obstruction in a 45-year-old British Caucasian woman, secondary to a volvulus of the jejunoileal anastomosis following bariatric bypass surgery. The pre-operative diagnosis was confirmed by radiology. We describe a successful surgical technique for this rare complication. Conclusions Bariatric surgery may be complicated by bowel obstruction. Early imaging is vital for diagnosis and effective management. The use of our surgical technique provides a simple and effective approach for the successful management of this bariatric complication.

  18. Life threatening bleeding from duodenal ulcer after Roux-en-Y gastric bypass: Case report and review of the literature

    Institute of Scientific and Technical Information of China (English)

    Arpad; Ivanecz; Marko; Sremec; Davorin; ?erani?; Stojan; Potr?; Pavel; Skok

    2014-01-01

    Acute upper gastrointestinal bleeding is a rare, but serious complication of gastric bypass surgery. The inaccessibility of the excluded stomach restrains postoperative examination and treatment of the gastric remnant and duodenum, and represents a major challenge, especially in the emergency setting. A 59-year-old patient with previous history of peptic ulcer disease had an upper gastrointestinal bleeding from a duodenal ulcer two years after having a gastric bypass procedure for morbid obesity. After negative upper endoscopy finding, he was urgently evaluated for gastrointestinal bleeding. At emergency laparotomy, the bleeding duodenal ulcer was identified by intraoperative endoscopy through gastrotomy. The patient recovered well after surgical hemostasis, excision of the duodenal ulcer and completion of the remnant gastrectomy. Every general practitioner, gastroenterologist and general surgeon should be aware of growing incidenceof bariatric operations and coherently possible complications after such procedures, which modify patient’s anatomy and physiology.

  19. Numerical modelling of bypass transition in turbine cascades

    Czech Academy of Sciences Publication Activity Database

    Louda, P.; Příhoda, Jaromír; Kozel, K.

    Budapest: Budapest University of Technology and Economics, 2015. [International Conference on Fluid Flow Technologies /16./. Budapest (HU), 01.09.2015-04.09.2015] R&D Projects: GA ČR GAP101/12/1271 Institutional support: RVO:61388998 Keywords : 3D turbine cascade * bypass transition model * EARSM turbulence model Subject RIV: BK - Fluid Dynamics

  20. Emergency bypass post percutaneous atrial ablation: a case report.

    LENUS (Irish Health Repository)

    Hargrove, M

    2010-11-01

    A 34-year-old male undergoing percutaneous atrial ablation procedure for paroxysmal fibrillation required emergency sternotomy for cardiac tamponade. The patient had been anticoagulated and had received plavix and aspirin prior to and during the ablation procedure. Seven units of red cell concentrate had been transfused in the cardiac catherisation laboratory. On arrival in theatre, the patient was hypotensive, but was awake on induction of anaesthesia. No recordable blood pressure with non-invasive monitoring was observed. A sternotomy was immediately performed and, on evacuation of the pericardium, a bleeding site was not visible. The patient was commenced on cardiopulmonary bypass. Bleeding site was identified and the defect closed. The patient was weaned from cardiopulmonary bypass with minimal inotropic support and made an uneventful recovery. Bypass time was 38 minutes. A literature review showed a 1% incidence of post-ablation bleeding(1). The incidence of reverting to bypass for such an event has not been reported previously. During these procedures, it might be wise to have the cardiothoracic team notified while atrial ablation procedures are being performed in the cardiac catheterization laboratory.