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Sample records for performing off-pump coronary

  1. Off-Pump Versus On-Pump Coronary Artery Bypass Grafting

    DEFF Research Database (Denmark)

    Møller, Christian H; Steinbrüchel, Daniel A

    2014-01-01

    Coronary artery bypass grafting (CABG) remains the preferred treatment in patients with complex coronary artery disease. However, whether the procedure should be performed with or without the use of cardiopulmonary bypass, referred to as off-pump and on-pump CABG, is still up for debate....... Intuitively, avoidance of cardiopulmonary bypass seems beneficial as the systemic inflammatory response from extracorporeal circulation is omitted, but no single randomized trial has been able to prove off-pump CABG superior to on-pump CABG as regards the hard outcomes death, stroke or myocardial infarction....... In contrast, off-pump CABG is technically more challenging and may be associated with increased risk of incomplete revascularization. The purpose of the review is to summarize the current literature comparing outcomes of off-pump versus on-pump coronary artery bypass surgery....

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

    DEFF Research Database (Denmark)

    Møller, Christian H; Penninga, Luit; Wetterslev, Jørn

    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....

  3. On-pump versus off-pump coronary artery bypass surgery

    DEFF Research Database (Denmark)

    Houlind, Kim Christian

    2013-01-01

    Off pump coronary artery bypass surgery has been purported to be safer than conventional coronary artery bypass surgery performed using cardiopulmonary bypass. This theory was supported by a number of early series, but failed to be confirmed by a number of small, randomized controlled trials...

  4. A comparison of hybrid coronary revascularization and off-pump coronary revascularization.

    Science.gov (United States)

    Umakanthan, Ramanan; Leacche, Marzia; Gallion, Anna H; Byrne, John G

    2013-04-01

    Minimally invasive approaches to treat vascular disease have been accruing significant popularity over the last several decades. Due to progressive advances in technology, a variety of techniques are being now utilized in the field of cardiovascular surgery. The objectives of minimally invasive techniques are to curtail operative trauma and minimize perioperative morbidity without decreasing the quality of the treatment. The standard surgical approach for the treatment of coronary artery disease has traditionally been coronary artery bypass grafting surgery via median sternotomy. Off-pump coronary artery bypass grafting surgery offers a less invasive alternative and enables coronary revascularization to be performed without cardiopulmonary bypass. Hybrid coronary revascularization offers an even less invasive option in which minimally invasive direct coronary artery bypass can be combined with percutaneous coronary intervention. In this article, the authors review a recent publication comparing hybrid coronary revascularization and off-pump coronary artery bypass grafting surgery.

  5. Early outcome of off-pump versus on-pump coronary revascularization

    African Journals Online (AJOL)

    Introduction: The use of coronary artery bypass surgery (CABG) with cardiopulmonary bypass (CPB) or without CPB technique (off-pump) can be associated with different mortality and morbidity and their outcomes remain uncertain. The goal of this study was to evaluate the early outcome of on-pump versus off-pump CABG.

  6. Off-pump coronary artery bypass surgery in severe left ventricular dysfunction.

    Science.gov (United States)

    Azarfarin, Rasoul; Pourafkari, Leili; Parvizi, Rezayat; Alizadehasl, Azin; Mahmoodian, Roghaiyeh

    2010-02-01

    Our aim was to examine hospital outcomes of coronary artery bypass surgery in patients with and without left ventricular dysfunction, with regard to the surgical technique (off- or on-pump). Between March 2007 and March 2008, 689 consecutive patients underwent isolated first-time coronary artery bypass; 127 had ejection fractions fractions >30% (group 2). Data of preoperative risk profiles and hospital outcomes were collected prospectively. Off-pump operations were performed in 49 (38.6%) patients in group 1 and 196 (34.9%) in group 2. The incidences of infectious, neurologic, and cardiac complications postoperatively were significantly higher in group 1. In multivariate analysis, preoperative ejection fraction operations, but no significant difference in mortality was observed between those undergoing off-pump or conventional surgery in either group. Off-pump surgery helped to limit the increased morbidity rate after coronary bypass in patients with ventricular dysfunction.

  7. Graft patency after off-pump coronary artery bypass surgery is inferior even with identical heparinization protocols

    DEFF Research Database (Denmark)

    Houlind, Kim; Fenger-Grøn, Morten; Holme, Susanne J

    2014-01-01

    OBJECTIVE: To determine whether graft patency after on-pump and off-pump coronary artery bypass surgery is similar when performed using the same heparinization protocol. METHODS: In a randomized, controlled, multicenter trial, 900 patients more than 70 years of age received either on-pump or off......-pump coronary artery bypass surgery. Heparin was given to achieve an activated clotting time of 400 seconds before arteriotomy in both groups. After the procedure, protamine sulfate was given to revert the activated clotting time to less than 120 seconds. Coronary angiography was performed 6 months after...

  8. Ischemia monitoring in off-pump coronary artery bypass surgery using intravascular near-infrared spectroscopy

    Directory of Open Access Journals (Sweden)

    Zerkowski Hans-Reinhard

    2006-05-01

    Full Text Available Abstract Background In off-pump coronary artery bypass surgery, manipulations on the beating heart can lead to transient interruptions of myocardial oxygen supply, which can generate an accumulation of oxygen-dependent metabolites in coronary venous blood. The objective of this study was to evaluate the reliability of intravascular near-infrared spectroscopy as a monitoring method to detect possible ischemic events in off-pump coronary artery bypass procedures. Methods In 15 elective patients undergoing off-pump myocardial revascularization, intravascular near-infrared spectroscopic analysis of coronary venous blood was performed. NIR signals were transferred through a fiberoptic catheter for signal emission and collection. For data analysis and processing, a miniature spectrophotometer with multivariate statistical package was used. Signal acquisition and analysis were performed before and after revascularization. Spectroscopic data were compared with hemodynamic parameters, electrocardiogram, transesophageal echocardiography and laboratory findings. Results A conversion to extracorporeal circulation was not necessary. The mean number of grafts per patient was 3.1 ± 0.6. An intraoperative myocardial ischemia was not evident, as indicated by electrocardiogram and transesophageal echocardiography. Continuous spectroscopic analysis showed reproducible absorption spectra of coronary sinus blood. Due to uneventful intraoperative courses, clear ischemia-related changes could be detected in none of the patients. Conclusion Our initial results show that intravascular near-infrared spectroscopy can reliably be used for an online intraoperative ischemia monitoring in off-pump coronary artery bypass surgery. However, the method has to be further evaluated and standardized to determine the role of spectroscopy in off-pump coronary artery bypass surgery.

  9. Does Off-Pump Coronary Artery Bypass Grafting Negatively Impact Long-Term Survival and Freedom from Reintervention?

    Directory of Open Access Journals (Sweden)

    Shahzad G. Raja

    2013-01-01

    Full Text Available Recently published evidence has raised concerns about worse late mortality and increasing need for reintervention after off-pump coronary artery bypass grafting. We undertook this study to assess the impact of off-pump coronary artery bypass grafting on survival and freedom from reintervention at 10 years. From January 2002 to December 2002, 307 consecutive patients who had isolated multivessel off-pump coronary artery bypass grafting at our institution were compared to a control group of 397 patients that underwent multivessel on-pump coronary artery bypass grafting during the same period. In addition, univariate and risk-adjusted comparisons between the two groups were performed at 10 years. Kaplan-Meier survival was similar for the two cohorts. After adjusting for clinical covariates, off-pump coronary artery bypass grafting did not emerge as a significant independent predictor of long-term mortality (Hazard Ratio 0.91; 95% Confidence Interval 0.70–1.12, readmission to hospital for cardiac cause (Hazard Ratio 0.96; 95% Confidence Interval 0.78–1.10, or the need for reintervention (Hazard Ratio 0.93; 95% Confidence Interval 0.87–1.05. Off-pump coronary artery bypass grafting compared with on-pump coronary artery bypass grafting does not adversely impact survival or freedom from reintervention at a 10-year follow-up.

  10. Target vessel detection by epicardial ultrasound in off-pump coronary bypass surgery.

    Science.gov (United States)

    Hayakawa, Masato; Asai, Tohru; Kinoshita, Takeshi; Suzuki, Tomoaki; Shiraishi, Shoichiro

    2013-01-01

    The detection of embedded coronary arteries is difficult especially in off-pump coronary bypass surgery. From June 2010, we introduced high-frequency epicardial ultrasound (ECUS) to assess and evaluate embedded arteries during off-pump coronary bypass surgery. Between June 2010 and June 2011, a total of 89 consecutive patients underwent isolated coronary bypass surgery at our institution. The patients consisted of 72 men and 17 women with a mean age of 67.9 years. We routinely use the VeriQC system (MediStim, Oslo, Norway) to detect the target vessels in the operation. The patients were assigned to one of two groups, depending on whether ECUS was used in the operation (n = 10, ECUS group) or not (n = 79, non-ECUS group). We analyzed the impact of introducing the ECUS in terms of operative outcome. All patients underwent revascularization using the off-pump technique without emergent conversion to cardiopulmonary bypass during surgery. The total number of distal anastomoses was 299, and 12 target vessels could not be identified either visually or on palpation. Thus, the frequency of the embedded coronary arteries was 4.01% (12/299 cases). The preoperative profiles of the two groups were not significantly different. Operation time was significantly longer in the ECUS group (P = 0.02). There were no significant differences in postoperative outcome between the two groups. In the present study, in which the target coronary arteries could not be detected either visually or on palpation in 12 (4.01%) of 299 cases, the use of high-frequency ECUS allowed all patients to undergo off-pump coronary bypass surgery without conversion to cardiopulmonary bypass during the operation. High-frequency ECUS is therefore useful in off-pump coronary bypass surgery.

  11. On-Pump Versus Off-Pump Coronary Artery Bypass Surgery in Elderly Patients

    DEFF Research Database (Denmark)

    Houlind, Kim; Kjeldsen, Bo Juul; Madsen, Susanne Nørgaard

    2012-01-01

    BACKGROUND: Conventional coronary artery bypass grafting performed with the use of cardiopulmonary bypass is a well-validated treatment for patients with ischemic heart disease. Off-pump coronary artery bypass grafting (OPCAB) has been suggested to reduce the number of perioperative complications......, especially in elderly patients. METHODS AND RESULTS: In a multicenter, randomized trial, we assigned 900 patients >70 years of age to conventional coronary artery bypass grafting or OPCAB surgery. After 30 days, a blinded end-point committee assessed whether a combined end point of death, stroke...... experiencing the combined end point within 30 days was 10.2% for conventional coronary artery bypass grafting and 10.7% for OPCAB. Implied risk difference of 0.4% (with a 95% confidence interval, -3.6 to 4.4) showed nonsignificance in a standard test for equality (P=0.83) and for noninferiority...

  12. Peripheral tissue metabolism during off-pump versus on-pump coronary artery bypass graft surgery: the microdialysis study.

    Science.gov (United States)

    Pojar, Marek; Mand'ák, Jirí; Cibícek, Norbert; Lonský, Vladimír; Dominik, Jan; Palicka, Vladimír; Kubícek, Jaroslav

    2008-05-01

    The aim of this study was to monitor and compare metabolic changes in the skeletal muscle during coronary artery bypass grafting surgery with and without cardiopulmonary bypass (CPB) by means of interstitial microdialysis. Glucose, lactate, pyruvate and glycerol were assessed as markers of basic metabolism and tissue perfusion. Twenty patients undergoing surgical myocardial revascularization were enrolled in this pilot study. Ten patients were operated on without CPB (group A, off-pump) and 10 patients using normothermic CPB (group B, on-pump). Interstitial microdialysis was performed by a CMA 60 (CMA/Microdialysis AB, Sweden) probe, inserted into the patient's left deltoid muscle. Microdialysis measurements were performed at 30 min intervals. Glucose, lactate, pyruvate and glycerol were measured in samples using a CMA 600 Analyser (CMA/Microdialysis AB, Sweden). Results in both groups were statistically processed and the groups were compared. Both groups were similar with regards to preoperative characteristics. Dynamic changes of interstitial concentrations of the measured analytes were found in off-pump (group A) and on-pump (group B) patients during the operation. There were no significant differences in dialysate concentrations of glucose and lactate between the groups. Significant differences were detected in pyruvate concentrations, lactate-pyruvate ratio and glycerol concentrations between off-pump versus on-pump patients. Pyruvate concentrations were higher in the off-pump group (plactate-pyruvate ratios indicating the aerobic/anaerobic metabolism status were lower in the off-pump group (pglucose, glycerol, pyruvate and lactate were found in both groups of patients (off-pump and on-pump). The presented preliminary results suggest that extracorporeal circulation during cardiac operations could compromise skeletal muscle energy metabolism.

  13. Cognitive outcomes in elderly high-risk patients after off-pump versus conventional coronary artery bypass grafting

    DEFF Research Database (Denmark)

    Jensen, Birte Ostergaard; Hughes, Pia; Rasmussen, Lars S

    2006-01-01

    It has been suggested that the risk of cerebral dysfunction is less with off-pump coronary artery bypass grafting (OPCAB) than with conventional coronary artery bypass grafting (CCAB). However, evidence for this statement is preliminary, and additional insight is needed.......It has been suggested that the risk of cerebral dysfunction is less with off-pump coronary artery bypass grafting (OPCAB) than with conventional coronary artery bypass grafting (CCAB). However, evidence for this statement is preliminary, and additional insight is needed....

  14. Pulmonary hemodynamics and gas exchange in off pump coronary artery bypass grafting.

    Science.gov (United States)

    Vedin, Jenny; Jensen, Ulf; Ericsson, Anders; Samuelsson, Sten; Vaage, Jarle

    2005-10-01

    To investigate the influence of cardiopulmonary bypass on pulmonary hemodynamics and gas exchange. Low risk patients admitted for elective coronary artery bypass grafting were randomized to either on (n=25) or off pump (n=25) surgery. Central hemodynamics, gas exchange, and venous admixture were studied during and up to 20 h after surgery. There was no difference in pulmonary vascular resistance index (P=0.16), right ventricular stroke work index (P>0.2), mean pulmonary artery pressure (P>0.2) or pulmonary capillary wedge pressure (P>0.2) between groups. Soon after surgery there was a tendency towards higher cardiac index (P=0.07) in the off pump group. Arterial oxygen tension (P>0.2), hematocrit (P>0.2), venous admixture (P>0.2), and arterial-venous oxygen content difference (P=0.12) did not differ between groups. This prospective, randomized study showed no difference in pulmonary hemodynamics, pulmonary gas exchange, and venous admixture, in low risk patients undergoing off pump compared to on pump coronary artery bypass surgery.

  15. 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.

  16. Chronic Obstructive Pulmonary Disease and Off-Pump Coronary Surgery.

    Science.gov (United States)

    Ovalı, Cengiz; Şahin, Aykut

    2018-05-18

    To determine to what extent chronic obstructive pulmonary disease (COPD) affects mortality and morbidity rates in patients treated with off-pump coronary artery bypass graft (CABG). A total of 321 patients treated with off-pump CABG were included in the present study. Of the 321 patients, 46 patients had COPD and they were designated as Group 1 and the remaining 275 patients did not have COPD and they were considered as Group 2. We compared the data obtained from the patients in both groups. While preoperative spirometry values and arterial blood gas oxygen saturation levels were significantly lower, the partial values of carbon dioxide were higher in Group 1. Likewise, extubation time, the amount of drainage and blood transfusion, inotropic support, prolonged intubation, pulmonary complications, the use of bronchodilators, and steroids were statistically higher in Group 1 when compared with Group 2. Overall, there was no marked difference between the two groups in terms of mortality incidence. We found similar morbidity and mortality rates among the patients with COPD and without COPD when they were treated with off-pump CABG. Therefore, the present results indicate that the presence of COPD is not associated with in-hospital mortality or severe morbidity post-CABG by off-pump approach.

  17. Off-pump coronary artery bypass grafting or percutaneous transluminal coronary angioplasty with stenting for proximal left anterior descending coronary artery disease?

    NARCIS (Netherlands)

    Drenth, Derk Jan

    2005-01-01

    This thesis describes and discusses the results of a prospective randomized controlled clinical trial comparing percutaneous coronary angioplasty with stenting (stenting) and off-pump coronary artery bypass grafting with a left internal mammary artery (surgery) in patients with a high-grade stenosis

  18. Off pump vs on pump coronary artery bypass grafting: Perioperative complications and early clinical outcomes

    Directory of Open Access Journals (Sweden)

    Ayman El Naggar

    2012-03-01

    Conclusion: Off pump CABG is safe and associated with good clinical outcome and can be considered alternative to conventional CABG as treatment modality for surgical coronary revascularization but this will need large scale study to establish this technique.

  19. Comparison of the quality of life after conventional versus off-pump coronary artery bypass surgery.

    Science.gov (United States)

    Kapetanakis, Emmanouil I; Stamou, Sotiris C; Petro, Kathleen R; Hill, Peter C; Boyce, Steven W; Bafi, Ammar S; Corso, Paul J

    2008-01-01

    Numerous studies have focused on off-pump coronary artery bypass graft (off-pump CABG) morbidity and mortality outcomes, but few looked at the patient's perception of the technique and its effect on postoperative quality of life (QOL). We investigated and compared postoperative QOL in patients who had undergone either conventional or off-pump CABG myocardial revascularization. During a six-month period, 191 patients who underwent CABG surgery were prospectively studied through preoperative and six-month postoperative short-form 36 (SF-36) general health status surveys. One hundred-sixteen (60.7%) off-pump CABG patients and 75 (39.3%) conventional on-pump CABG patients were enrolled. Sixteen (13.8%) off-pump patients reported improvement in physical score QOL, 84 (72.4%) reported no change, and 16 (13.8%) reported a decrease. In comparison, 20 (80.0%) patients in the on-pump CABG group reported an improvement in QOL, 42 (56.0%) were unchanged, and 13 (17.3%) reported deterioration (p = 0.28). For postoperative change in mental score, 19 (16.4%) off-pump patients reported an improvement, 85 (73.3%) stayed unchanged, and 12 (10.3%) reported a decrease compared with 8 (10.7%) conventional CABG patients reporting improvement, 60 (80.0%) showing no change, and 7 (9.3%), having a score decline (p = 0.52). In multivariate logistic regression analysis, hypertension (odds ratio [OR] 2.2, 95% confidence intervals [CI], 1.08 to 4.40, p = 0.03) and multivessel coronary artery disease (OR 2.1, 95% CI, 1.11 to 4.13, p = 0.02) emerged as independent predictors of worse physical score component score. Diabetes was associated with an improved physical score component score after CABG (OR 0.4, 95% CI, 0.17 to 0.76, p = 0.01), regardless of the surgical approach. This prospective study reveals no significant differences in the expected QOL at six months after either on-pump or off-pump CABG. Patients with hypertension and multivessel coronary artery disease were more likely to have

  20. No major differences in 30-day outcomes in high-risk patients randomized to off-pump versus on-pump coronary bypass surgery: the best bypass surgery trial

    DEFF Research Database (Denmark)

    Møller, Christian H; Perko, Mario J; Lund, Jens T

    2010-01-01

    Off-pump coronary artery bypass grafting compared with coronary revascularization with cardiopulmonary bypass seems safe and results in about the same outcome in low-risk patients. Observational studies indicate that off-pump surgery may provide more benefit in high-risk patients. Our objective...... was to compare 30-day outcomes in high-risk patients randomized to coronary artery bypass grafting without or with cardiopulmonary bypass....

  1. A new beating-heart off-pump coronary artery bypass grafting training model

    NARCIS (Netherlands)

    Bouma, Wobbe; Kuijpers, Michiel; Bijleveld, Aanke; De Maat, Gijs E.; Koene, Bart M.; Erasmus, Michiel E.; Natour, Ehsan; Mariani, Massimo A.

    OBJECTIVES: Training models are essential in mastering the skills required for off-pump coronary artery bypass grafting (OPCAB). We describe a new, high-fidelity, effective and reproducible beating-heart OPCAB training model in human cadavers. METHODS: Human cadavers were embalmed according to the

  2. Platelet hyperreactivity in response to on- and off-pump coronary artery bypass grafting

    DEFF Research Database (Denmark)

    Bochsen, Louise; Rosengaard, Lisbeth Bredahl; Nielsen, Allan Bybeck

    2009-01-01

    Hypercoagulability has been reported after off-pump coronary artery bypass grafting (OPCAB) compared with patients undergoing standard coronary artery bypass grafting (CABG) with cardiopulmonary bypass. The aim of this study was to evaluate the changes in platelet reactivity in response to cardiac...... and this study identified 23% of patients needing coronary bypass surgery to be at high risk for recurrent ischemic events at 1 month after surgery, based on the MA. These results suggest that a more aggressive antithrombotic treatment might be warranted for patients undergoing coronary artery bypass grafting...

  3. Distinct alterations in sublingual microcirculatory blood flow and hemoglobin oxygenation in on-pump and off-pump coronary artery bypass graft surgery

    NARCIS (Netherlands)

    Atasever, Bektaş; Boer, Christa; Goedhart, Peter; Biervliet, Jules; Seyffert, Jan; Speekenbrink, Ron; Schwarte, Lothar; de Mol, Bas; Ince, Can

    2011-01-01

    The authors hypothesized that cardiopulmonary bypass (CPB) (on-pump) is associated with more severe changes in the microcirculatory blood flow and tissue oxygenation as compared with off-pump coronary artery bypass surgery. An observational study. A university hospital and teaching hospital.

  4. Postoperative Functional Outcome After Off-Pump Versus On-Pump Coronary Artery Bypass Grafting Using Gated Myocardial SPECT: A Comparison by Propensity Score Analysis

    International Nuclear Information System (INIS)

    Lee, Jong Jin; Paeng, Jin Chul; Lee, Dong Soo; Kim, Ki Bong; Chung, June Key; Lee, Myung Chul; Kang, Won Jun

    2010-01-01

    We evaluated the short-term and mid-term differences in perfusion and function after off-pump and on-pump coronary artery bypass grafting (CABG) using gated myocardial single photon emission computed tomography. A total of 70 patients with coronary artery disease who underwent CABG were included based on the propensity score matching results from 165 patients. Thirty-five patients underwent off-pump and 35 patients on-pump CABG. Rest 201 TI/dipyridamole stress 99m Tc-methoxyisobutylisonitrile gated single photon emission computed thermographs were performed preoperatively and postoperatively at short-term (103±23 days after surgery) and mid-term follow-up (502±111 days after surgery). Changes in left ventricular ejection fraction, end systolic volume, stress and rest segmental perfusion, and segmental wall thickening were compared between the two groups. The segments with preoperative rest 201 T1 uptake under 60% of maximum uptake were included in the segmental analysis. Left ventricular ejection fraction (P=0.001) and end systolic volume (P=0.008) showed significant improvement in both groups. There were no significant short-term and mid-term differences between the two groups in terms of left ventricular ejection fraction (P=0.309) and end systolic volume (P=0.938). Likewise, segmental rest (P=0.178) and stress perfusion (P=0.071), and systolic wall thickening (P=0.241) showed significant improvement in both groups with similar time courses. Off-pump CABG resulted in significant improvements in left ventricular ejection fraction, end systolic volume, and regional myocardial perfusion and function that are comparable to on-pump CABG at short-term and mid-term. Gated myocardial SPECT successfully revealed that off-pump CABG is as good as on-pump CABG from the viewpoint of myocardial perfusion and function.

  5. The clinical research of off-pump coronary artery bypass grafting by small incision at the left chest.

    Science.gov (United States)

    Xiao, L-B; Zhang, Y-H; Zhou, J-W; Yang, M; Ling, Y-P; Gao, Z-S; Wang, Y-S

    2016-01-01

    To explore the clinical value of off-pump coronary artery bypass grafting by small incision at the left chest, and develop a better surgical regimen for coronary heart disease patients. 201 coronary heart disease patients who need coronary artery bypass grafting were required and randomly divided into 2 groups including a control group and an observation group. There were 107 cases in the control group who received coronary bypass grafting by extracorporeal circulation; there were 103 cases in the observation group who received off-pump coronary bypass grafting by small incision at the left chest. The duration of the mechanism ventilation, length of stay in ICU, hospitalization time, postoperative drainage volume, and the occurrence rate of complications were recorded and compared. The duration of mechanism ventilation, length of stay in ICU, hospitalization time and postoperative drainage volume in the control group were (19.21 ± 1.33) hours, (5.08 ± 0.57) days, (21.20 ± 2.34) days and (997.68 ± 96.35) mL, which were (7.73 ± 0.74) hours, (2.83 ± 0.16) days, (15.67 ± 1.18) days and (901.53 ± 89.32) mL in the observation group respectively, with statistical difference between the two groups (pdisease, pulmonary infection, perioperative cardiac infarction and mortality did not display a significant difference between the two groups (p > 0.05). Off-pump coronary artery bypass grafting by small incision at the left chest is a surgical method with less injury and fast recovery, which can be used as the preferred therapeutical method for the coronary heart disease patients who need coronary artery bypass grafting.

  6. Effects of continuous administration of clopidogrel before off-pump coronary artery bypass grafting in patients with acute coronary syndrome. A propensity score analysis

    International Nuclear Information System (INIS)

    Song, Suk-Won; Youn, Young-Nam; Yi, Gijong; Lee, Sak; Yoo, Kyung-Jong

    2008-01-01

    Clopidogrel has become standard treatment after urgent percutaneous coronary revascularization. Due to its enhanced and irreversible platelet inhibition, patients undergoing urgent surgical revascularization have a higher risk of bleeding complications and transfusions. Therefore, the effect of preoperative continuous administration of clopidogrel on the incidence of hemorrhagic complications in patients undergoing off-pump coronary artery bypass surgery with acute coronary syndrome was evaluated. From March 2004 to September 2006, 172 patients with acute coronary syndrome underwent isolated off-pump coronary artery bypass surgery; 70 (40.7%) and 102 (59.3%) of these patients did or did not take clopidogrel before surgery respectively. Seventy patients in each group were matched using propensity scores and associations between preoperative continuous administration of clopidogrel and postoperative bleeding, hemostatic reoperation, blood products received, the need for multiple transfusions and early graft patency by coronary computed tomography were assessed. Univariate analysis showed the continuous clopidogrel group had similar levels of postoperative bleeding for 24 h (601.4±312.6 ml vs 637.2±452.4 ml, p=0.616) and rates of reexploration (1.4% vs 1.4%), perioperative blood transfusion (33.3% vs 34.3%, p>0.05) and platelet transfusion (2.9% vs 7.1%, p=0.44) compared with the non-continuous group. Preoperative continuous administration of clopidogrel did not increase the risk of hemorrhagic complications in patients with acute coronary syndrome undergoing isolated off-pump coronary artery bypass surgery. These findings indicate that surgery after clopidogrel treatment in patients with acute coronary syndrome should not be delayed until platelet function returns to normal because they may have a higher risk of recurrent myocardial ischemic events. (author)

  7. Anaortic off-pump versus clampless off-pump using the PAS-Port device versus conventional coronary artery bypass grafting: mid-term results from a matched propensity score analysis of 5422 unselected patients.

    Science.gov (United States)

    Furukawa, Nobuyuki; Kuss, Oliver; Preindl, Konstantin; Renner, André; Aboud, Anas; Hakim-Meibodi, Kavous; Benzinger, Michael; Pühler, Thomas; Ensminger, Stephan; Fujita, Buntaro; Becker, Tobias; Gummert, Jan F; Börgermann, Jochen

    2017-10-01

    Meta-analyses from observational and randomized studies have demonstrated benefits of off-pump surgery for hard and surrogate endpoints. In some of them, increased re-revascularization was noted in the off-pump groups, which could impact their long-term survival. Therefore, we analyzed the course of all patients undergoing isolated coronary surgery regarding the major cardiac and cerebrovascular event (MACCE) criteria. A prospective register was taken from a high-volume off-pump center recording all anaortic off-pump (ANA), clampless off-pump (PAS-Port) and conventional (CONV) coronary artery bypass operations between July 2009 and June 2015. Propensity Score Matching was performed based on 28 preoperative risk variables. We identified 935 triplets (N = 2805). Compared with CONV, in-hospital mortality of both the ANA group (OR for ANA [95% CI] 0.25 [0.06; 0.83], P = 0.021), and the PAS-Port group was lower (OR for PAS-Port [95% CI] 0.50 [0.17; 1.32], P = 0.17). In the mid-term follow-up there were no significant differences between the groups regarding mortality (HR for ANA [95%-CI] 0.83 [0.55-1.26], P = 0.38; HR for PAS-Port [95%-CI] 1.06 [0.70-1.59], P = 0.79), incidence of stroke (HR for ANA 0.81 [0.43-1.53], P = 0.52; HR for PAS-Port 0.78 [0.41-1.50], P = 0.46), myocardial infarction (HR for ANA 0.53 [0.22-1.31], P = 0.17; HR for PAS-Port 0.78 [0.37-1.66], P = 0.52) or re-revascularization rate (HR for ANA 0.99 [0.67-1.44], P = 0.94; HR for PAS-Port 0.95 [0.65-1.38], P = 0.77). Both off-pump clampless techniques were associated with lower in-hospital mortality compared with conventional CABG. The mid-term course showed no difference with regard to the MACCE criteria between anaortic off-pump, clampless off-pump using PAS-Port and conventional CABG. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  8. Intra-myocardial LAD: Is it a contraindication for off-pump coronary artery bypass grafting?

    Directory of Open Access Journals (Sweden)

    Ashraf Fawzy Mahmoud

    2018-03-01

    Full Text Available Background: The left anterior descending artery (LAD is the most important vessel in coronary artery bypass graft surgery (CABG. During CABG, LAD may be intra-myocardial for variable distances and depths. This forms a challenge during LAD exposure and anastomosis.The aim was to revise the performed CABG cases to elicit what was the incidence of intramyocardial LAD (IMLAD among all CABGs, to have an idea about the approaches to the IMLAD and the technique of anastomosis of left internal mammary artery (LIMA to IMLAD off-pump (OPCAB and to evaluate the validity and reliability of the off-pump for the IMLAD. Methods: Since September 2008 till May 2017; the data of 1138 Off-Pump CABGs were revised. 923 patients had epicardial LAD and it was visible and easily identified throughout 80% of its length; this was group A. 215 (18.89% patients had IMLAD; they were referred to as group B. Results: There were no statistical significant differences between both groups as regards the age, the sex, the risk factors or the duration of surgery. The post operative bleeding, ischemia, CCU stay and hospital stay were not statistically significant. Conversion to on-pump for the mere presence of an intramyocardial LAD was zero%, but it was 1.3% in group A and 1.86% in B due to hemodynamic instability during manipulations (statistically insignificant. Conclusions: The incidence of IMLAD was 18.89%. IMLAD was a real technical challenge. It was not impossible for exposure and anastomosisas off-pump. The IMLAD is not a contraindication for OPCAB. Keywords: IMLAD, OPCAB, LIMA/LAD

  9. Sodium bicarbonate does not prevent postoperative acute kidney injury after off-pump coronary revascularization: a double-blinded randomized controlled trial.

    Science.gov (United States)

    Soh, S; Song, J W; Shim, J K; Kim, J H; Kwak, Y L

    2016-10-01

    Acute kidney injury (AKI) is a common morbidity after off-pump coronary revascularization. We investigated whether perioperative administration of sodium bicarbonate, which might reduce renal injury by alleviating oxidative stress in renal tubules, prevents postoperative AKI in off-pump coronary revascularization patients having renal risk factors. Patients (n=162) having at least one of the following AKI risk factors were enrolled: (i) age >70 yr; (ii) diabetes mellitus; (iii) chronic renal disease; (iv) congestive heart failure or left ventricular ejection fraction 24 h) relative to the control group (20 vs 6, P=0.003). Perioperative sodium bicarbonate administration did not decrease the incidence of AKI after off-pump coronary revascularization in high-risk patients and might even be associated with a need for prolonged ventilatory care. NCT01840241. © The Author 2016. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  10. Presentation of a quality management program in off-pump coronary bypass surgery.

    Science.gov (United States)

    Bougioukakis, Petros; Kluegl, Stefan J; Babin-Ebell, Joerg; Tagarakis, Giorgios I; Mandewirth, Martin; Zacher, Michael; Diegeler, Anno

    2014-01-01

    To increase the number of off-pump coronary procedures at our institution, a new surgical team was formed. The first 3 years of "learning period" were accompanied by a quality management program aimed to control and adjust the surgical process and to ensure the safety and quality of the procedure. All patients were operated on by the same surgeon between January 2004 and December 2006; all procedures were performed under the following quality management protocol. First, a flow chart regulated surgical and anesthetic details. Second, an online file, named "disturbance file," was used to report work flow interruption, disturbance, and intraoperative events, that is, myocardial ischemia, hypotension, conversion to cardiopulmonary bypass, and any violation of the protocol. Each event was coded with 1 point and added to a score (the higher the score is, the greater the disturbance). Outcome parameters known as major events-major cardiac and cerebral events: mortality within 30 days/myocardial infarction confirmed by electrocardiogram or significantly high levels of total creatine kinase-myocardial muscle creatine kinase/reintervention within 30 days/stroke--and new-onset dialysis were also measured. Success was defined as freedom from any of those events and depicted in a cumulative sum control (CUSUM) chart. Outcome data and CUSUM were correlated with the intraoperative Disturbance Index. In total, 490 off-pump coronary bypass operations were performed by the named surgeon during the study period. The 30-day mortality was reduced from 4.0% to 1.9%. Disturbance Index score of greater than 1 declined from 41.6% to 23.3%. All major cardiac and cerebral events declined. The CUSUM chart showed two critical periods during the learning period, which made an adjustment of the protocol necessary. Quality management control is efficient in improving the postoperative results of a surgical procedure. A learning period is of cardinal importance for any new team wishing to engage

  11. Off-pump supra-arterial myotomy for myocardial bridging.

    Science.gov (United States)

    Crespo, Alejandro; Aramendi, José I; Hamzeh, Gadah; Voces, Roberto

    2008-09-01

    We report the results of surgery and midterm outcome in two patients with symptomatic myocardial bridging who underwent off-pump supra-arterial myotomy. Both patients were operated upon through a median sternotomy. The anterior wall of the heart was exposed in the same manner as in off-pump CABG. The left anterior descending coronary artery is unroofed from its myocardial bridge with the aid of a heart stabilizer and a blower. Neither heparin nor blood transfusion was required. Both patients survived the operation and are asymptomatic. Postoperative coronary angiogram showed good resolution of the muscle bridge in one patient. We conclude that in symptomatic patients with myocardial bridging despite medical therapy, surgical myotomy can be considered an adequate therapy. It can be safely done off-pump.

  12. Off-pump versus On-pump Coronary Artery Bypass Grafting in Frail Patients: Study Protocol for the FRAGILE Multicenter Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Omar Asdrúbal Vilca Mejía

    Full Text Available Abstract Introduction: Advances in modern medicine have led to people living longer and healthier lives. Frailty is an emerging concept in medicine yet to be explored as a risk factor in cardiac surgery. When it comes to CABG surgery, randomized controlled clinical trials have primarily focused on low-risk (ROOBY, CORONARY, elevated-risk (GOPCABE or high-risk patients (BBS, but not on frail patients. Therefore, we believe that off-pump CABG could be an important technique in patients with limited functional capacity to respond to surgical stress. In this study, the authors introduce the new national, multicenter, randomized, controlled trial "FRAGILE", to be developed in the main cardiac surgery centers of Brazil, to clarify the potential benefit of off-pump CABG in frail patients. Methods: FRAGILE is a two-arm, parallel-group, multicentre, individually randomized (1:1 controlled trial which will enroll 630 patients with blinded outcome assessment (at 30 days, 6 months, 1 year, 2 years and 3 years, which aims to compare adverse cardiac and cerebrovascular events after off-pump versus on-pump CABG in pre-frail and frail patients. Primary outcomes will be all-cause mortality, acute myocardial infarction, cardiac arrest with successful resuscitation, low cardiac output syndrome/cardiogenic shock, stroke, and coronary reintervention. Secondary outcomes will be major adverse cardiac and cerebrovascular events, operative time, mechanical ventilation time, hyperdynamic shock, new onset of atrial fibrillation, renal replacement therapy, reoperation for bleeding, pneumonia, length of stay in intensive care unit, length of stay in hospital, number of units of blood transfused, graft patency, rate of complete revascularization, neurobehavioral outcomes after cardiac surgery, quality of life after cardiac surgery and costs. Discussion: FRAGILE trial will determine whether off-pump CABG is superior to conventional on-pump CABG in the surgical treatment of

  13. Off-pump coronary bypass surgery adversely affects alveolar gas exchange.

    Science.gov (United States)

    Gasparović, Hrvoje; Unić, Daniel; Sutlić, Zeljko; Husedzinović, Ino; Biocina, Bojan; Rudez, Igor; Nikić, Nada; Jelić, Ivan

    2008-03-01

    While the introduction of off-pump myocardial revascularization (OPCAB) has initially shown promise in reducing respiratory complications inherent to conventional coronary surgery, it has failed to eradicate them. Our study focused on quantifying the lactate release from the lungs and the dysfunction at the level of the alveolar-capillary membrane precipitated by OPCAB at different time points after the insult. Furthermore, we aimed to determine the impact of pulmonary lactate production on systemic lactic acid concentrations. The study was conducted in a prospective observational fashion. Forty consecutive patients undergoing OPCAB were analyzed. The mean patient age was 60 +/- 10 years. The mean EUROScore was 3.8 +/- 2.9. The alveolar-arterial O2 gradient increased from 19 [range 9 to 30] to 26 [range 20 to 34] kPa (P pump myocardial revascularization was evidenced by a prompt increase in the alveolar-arterial oxygen gradient. The alveolar-arterial O2 gradient correlated with the duration of mechanical ventilation.

  14. Effects of preoperative aspirin and clopidogrel therapy on perioperative blood loss and blood transfusion requirements in patients undergoing off-pump coronary artery bypass graft surgery.

    Science.gov (United States)

    Shim, Jae Kwang; Choi, Yong Seon; Oh, Young Jun; Bang, Sou Ouk; Yoo, Kyung Jong; Kwak, Young Lan

    2007-07-01

    Preoperative exposure to clopidogrel and aspirin significantly increases postoperative bleeding in patients undergoing on-pump coronary artery bypass graft surgery. Off-pump coronary bypass grafting has been proposed as an alternative technique to attenuate postoperative bleeding associated with clopidogrel. This study aimed to determine the effects of aspirin and clopidogrel therapy on perioperative blood loss and blood transfusion requirements in off-pump coronary artery bypass grafting. One hundred six patients scheduled for off-pump coronary artery bypass grafting were divided into three groups: aspirin and clopidogrel discontinued more than 6 days before surgery (group 1, n = 35), aspirin and clopidogrel continued until 3 to 5 days before surgery (group 2, n = 51), and both medications continued within 2 days of surgery (group 3, n = 20). Thromboelastographic tracings were analyzed before induction of anesthesia. Routine coagulation profiles were measured before and after surgery. A cell salvage device was used during surgery and salvaged blood was reinfused. Chest tube drainage and blood transfusion requirement were recorded postoperatively. Patient characteristics, operative data, and thromboelastographic tracings were similar among the groups. There were significant decreases in hematocrit level and platelet count and prolongation in prothrombin time postoperatively in all groups without any intergroup differences. The amounts of perioperative blood loss and blood transfusion required were all similar among the groups. Preoperative clopidogrel and aspirin exposure even within 2 days of surgery does not increase perioperative blood loss and blood transfusion requirements in patients undergoing elective off-pump coronary artery bypass grafting.

  15. Outcome of Cardiac Rehabilitation Following Off-Pump Versus On-Pump Coronary Bypass Surgery

    Directory of Open Access Journals (Sweden)

    Reza Arefizadeh

    2017-05-01

    CONCLUSIONS: Regarding QOL and psychological status, there were no differences in the CR outcome between those who underwent off-pump bypass surgery and those who underwent on-pump surgery; nevertheless, the off-pump technique was superior to the on-pump method on METs improvement following CR.

  16. Rare case-series of electrocautery burn following off-pump coronary artery bypass grafting

    Science.gov (United States)

    Sabzi, Feridoun; Niazi, Mojtaba; Ahmadi, Alireza

    2014-01-01

    Abstract: With an increasing number of off-pump coronary artery surgery procedures in high-risk patients with coagulopathy, including renal failure, hepatic failure and anticoagulant drug-using patients, the frequency of related complications such as repeated exploration for bleeding is also increasing. The associated co-morbidity and repeated use of electrocautery in postoperative bleeding leaves patients susceptible to electrocautery ulcers. In this case series, rare cases of cautery burn with unique causative mechanisms are described. PMID:23669602

  17. Transcatheter aortic valve implantation and off-pump coronary artery bypass surgery: an effective hybrid procedure in selected patients.

    Science.gov (United States)

    Mayr, Benedikt; Firschke, Christian; Erlebach, Magdalena; Bleiziffer, Sabine; Krane, Markus; Joner, Michael; Herold, Ulf; Nöbauer, Christian; Lange, Rüdiger; Deutsch, Marcus-André

    2018-02-26

    Simultaneous surgical off-pump coronary revascularization and transcatheter aortic valve implantation (TAVI) as a hybrid procedure may be a therapeutic option for patients with a TAVI indication who are not suitable for percutaneous coronary intervention and for patients who have an indication for combined surgical aortic valve implantation and coronary artery bypass grafting but present with a porcelain aorta. Early outcomes of these patients are analysed in this study. From February 2011 to April 2017, hybrid TAVI/off-pump coronary artery bypass (OPCAB) was performed in 12 (60%) patients, hybrid TAVI/minimally invasive direct coronary artery bypass in 6 (30%) patients and staged TAVI/OPCAB in 2 (10%) patients. Endpoints of this study were 30-day mortality, device success and postoperative adverse events as defined by the updated Valve Academic Research Consortium (VARC-2). The median age at the time of surgery was 77 years [interquartile range (IQR), 70-81] with a median logistic EuroSCORE and Society of Thoracic Surgeons' Predicted Risk score of 16.1% (IQR, 9.3-28.1) and 3.9% (IQR, 2.2-5.6), respectively. The median Synergy between PCI with Taxus and Cardiac Surgery score was 16.5 (IQR, 9.8-22.8). TAVI implantation routes were transaortic in 9 (45%) patients, transapical and transfemoral in 5 (25%) patients each and transsubclavian in 1 (5%) patient. Complete myocardial revascularization was achieved in 75% of patients. Device success rate was 100%. Paravalvular aortic regurgitation did not exceed mild in any patient. Stroke/transient ischaemic attack, vascular complications and myocardial infarction were not observed. Re-exploration for bleeding was required in 1 (5%) patient. Thirty-day mortality was 0%. Hybrid OPCAB/MIDCAB and TAVI prove to be a safe and effective alternative treatment option in selected higher risk patients.

  18. Fibrinolytic Inhibitors in Off-pump Coronary Surgery: A Prospective, Randomized, Double-Blind TAP Study (Tranexamic Acid, Aprotinin, Placebo)

    Czech Academy of Sciences Publication Activity Database

    Vaněk, T.; Jareš, M.; Fajt, R.; Straka, Z.; Jirásek, K.; Kolesár, M.; Brůček, P.; Malý, Marek

    2005-01-01

    Roč. 28, č. 4 (2005), s. 563-568 ISSN 1010-7940 Source of funding: V - iné verejné zdroje Keywords : tranexamic acid * protinin * off-pump coronary artery bypass * hemostasis Subject RIV: BB - Applied Statistics, Operational Research Impact factor: 1.802, year: 2005

  19. DOES TRANEXAMIC ACID REDUCE BLOOD LOSS IN OFF-PUMP CORONARY ARTERY BYPASS?

    Directory of Open Access Journals (Sweden)

    A. Mehr-Aein

    2006-09-01

    Full Text Available Tranexamic acid is now used on a routine basis for on-pump coronary artery bypass grafting (CABG. We assessed the hemostatic effects of tranexamic acid to decrease bleeding tendency and transfusion requirements in patients undergoing off-pump coronary artery bypass surgery (OPCAB. A total of 66 patients were enrolled to elective OPCAB in a double-blind, prospective randomized study. Of these, 33 patients received tranexamic acid (15 mg/kg before the infusion of heparin and 15 mg/kg after protamin infusion, and 33 patients received only saline. Preoperative hematologic variables, postoperative bleeding and allogeneic transfusions were considered. D-dimer plasma levels were also evaluated to monitor the activation of fibrinolysis. Postoperative bleeding was significantly lower in the tranexamic acid group compared with the control group (320 ± 38 mL vs. 480 ± 75 mL at 12 hour, P < 0.001. The tranexamic acid group had significantly lesser need for allogeneic blood products (0.46 units/patients vs. 0.94 units/patients, P < 0.001. They had also lower post-operative D-dimer plasma levels. No postoperative thrombotic complications were observed in either group. The defective hemostasis occurs even in the OPCABG. Tranexamic acid effectively reduces postoperative blood loss and the need for allogeneic blood products after OPCAB is decreased.

  20. Off-pump versus on-pump CABG in high-risk patients

    DEFF Research Database (Denmark)

    Linde, Jesper; Møller, Christian; Hughes, Pia

    2006-01-01

    During recent years Conventional Coronary Artery Bypass Grafting (cCABG) and Off-Pump Coronary Bypass (OPCAB) have been compared in several randomised and non-randomised studies. Focus has been on postoperative outcome with short-term follow-up in low-risk patients and therefore little is known...... of the effectiveness of OPCAB in high-risk patients. Furthermore, it is unknown if a potential beneficial short-term outcome is consistent over time....

  1. Pathway-related modules involved in the application of sevoflurane or propofol in off-pump coronary artery bypass graft surgery.

    Science.gov (United States)

    Bu, Xiangmei; Wang, Bo; Wang, Yaoqi; Wang, Zhigang; Gong, Chunzhi; Qi, Feng; Zhang, Caixia

    2017-07-01

    Off-pump coronary artery bypass graft (CABG) surgery has recently emerged as a means to avoid the sequelae of extracorporeal circulation, including the whole-body inflammatory response, coagulation disorders and multiple organ dysfunction. At present, gas anesthesia, sevoflurane and intravenous anesthesia and propofol have been widely used during the CABG. To further understand the underlying mechanisms of these anesthetics on the gene level, the present study conducted pathway-related module analysis based on a co-expression network. This was performed in order to identify significant pathways in coronary artery disease patients who had undergone off-pump CABG surgery before and after applying sevoflurane or propofol. A total of 269 and 129 differentially expressed genes were obtained in the sevoflurane and propofol groups, respectively. In total, eight and seven pathways (P<0.05) in the sevoflurane and propofol groups were separately obtained via Kyoto Encyclopedia of Genes and Genome pathway analysis. Finally, eight and seven pathway-related modules in the sevoflurane and propofol groups were obtained, respectively. Furthermore, the mean degree of complement and coagulation cascades pathway-related module in both of the groups was the highest. It was predicted that during the CABG, the anesthetics might activate the complement and coagulation systems in order to possess some cardioprotective properties.

  2. The Predictive Value of Integrated Pulmonary Index after Off-Pump Coronary Artery Bypass Grafting: A Prospective Observational Study

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    Evgenia V. Fot

    2017-08-01

    Full Text Available BackgroundThe early warning scores may increase the safety of perioperative period. The objective of this study was to assess the diagnostic and predictive role of Integrated Pulmonary Index (IPI after off-pump coronary artery bypass grafting (OPCAB.Materials and MethodsForty adult patients undergoing elective OPCAB were enrolled into a single-center prospective observational study. We assessed respiratory function using IPI that includes oxygen saturation, end-tidal CO2, respiratory rate, and pulse rate. In addition, we evaluated blood gas analyses and hemodynamics, including ECG, invasive arterial pressure, and cardiac index. The measurements were performed after transfer to the intensive care unit, after spontaneous breathing trial and at 2, 6, 12, and 18 h after extubation.Results and DiscussionThe value of IPI registered during respiratory support correlated weakly with cardiac index (rho = 0.4; p = 0.04 and ScvO2 (rho = 0.4, p = 0.02. After extubation, IPI values decreased significantly, achieving a minimum by 18 h. The IPI value ≤9 at 6 h after extubation was a predictor of complicated early postoperative period (AUC = 0.71; p = 0.04 observed in 13 patients.ConclusionIn off-pump coronary surgery, the IPI decreases significantly after tracheal extubation and may predict postoperative complications.

  3. Perioperative outcomes in minimally invasive direct coronary artery bypass versus off-pump coronary artery bypass with sternotomy.

    Science.gov (United States)

    Tekin, Ali İhsan; Arslan, Ümit

    2017-09-01

    Surgical treatment of isolated left anterior descending coronary artery disease can be performed with either minimally invasive direct coronary artery bypass via a left anterior thoracotomy (MIDCAB) or off-pump coronary artery bypass via a median sternotomy (OPCAB). To compare the perioperative outcomes of patients undergoing MIDCAB or OPCAB surgery. Patients who underwent either MIDCAB or OPCAB for isolated left anterior descending (LAD) coronary artery disease between October 2013 and December 2015 were retrospectively evaluated. Operations were carried out by the same surgical team. Preoperative, intraoperative and postoperative data of the patients were recorded for analyses. Twenty-three patients (7 females, 16 males) underwent MIDCAB surgery, and 24 patients (4 female, 20 males) underwent OPCAB surgery. The two groups were comparable regarding preoperative patient characteristics. Duration of mechanical ventilation (5.1 ±0.7 h vs. 6.6 ±0.9 h), intensive care unit stay (19.4 ±2.5 h vs. 45.8 ±5.4 h) and hospital stay (4.3 ±0.4 days vs. 5.6 ±0.8 days) were significantly shorter in the MIDCAB group (p < 0.01). Patients in the OPCAB group required significantly more blood transfusions (1.83 ±0.38 units vs. 0.17 ±0.38 units) and fresh frozen plasma use (2.33 ±0.96 units vs. 0.69 ±0.76 units) (p < 0.01). Conversion to sternotomy was not required in the MIDCAB group. There was no mortality, conversion to cardiopulmonary bypass or serious complication in either group. We believe that the MIDCAB technique is more advantageous than the OPCAB technique in the treatment of patients with a critical LAD lesion.

  4. Results of completion arteriography after minimally invasive off-pump coronary artery bypass.

    Science.gov (United States)

    Hoff, Steven J; Ball, Stephen K; Leacche, Marzia; Solenkova, Natalia; Umakanthan, Ramanan; Petracek, Michael R; Ahmad, Rashid; Greelish, James P; Walker, Kristie; Byrne, John G

    2011-01-01

    The benefits of a minimally invasive approach to off-pump coronary artery bypass remain controversial. The value of completion arteriography in validating this technique has not been investigated. From April 2007 to October 2009, fifty-six patients underwent isolated minimally invasive coronary artery bypass grafting through a left thoracotomy without cardiopulmonary bypass. Forty-three of these patients underwent completion arteriography. Sixty-five grafts were performed in these 56 patients, (average, 1.2 grafts per patient; range, 1 to 3). Forty-eight grafts were studied in the 43 patients undergoing completion arteriography. There were 4 findings on arteriogram leading to further immediate intervention (8.3%). These included 3 grafts with anastomotic stenoses or spasm requiring stent placement, and 1 patient who had limited dissection in the left internal mammary artery graft and underwent placement of an additional vein graft. These findings were independent of electrocardiographic changes or hemodynamic instability. The remainder of the studies showed no significant abnormalities. There were no deaths. One patient who did not have a completion arteriogram suffered a postoperative myocardial infarction requiring stent placement for anastomotic stenosis. Patients were discharged home an average of 6.8 days postoperatively. There were no instances of renal dysfunction postoperatively attributable to catheterization. Minimally invasive coronary artery bypass is safe and effective. Findings of completion arteriography occasionally reveal previously under-recognized findings that, if corrected in a timely fashion, could potentially impact graft patency and clinical outcomes. Our experience validates this minimally invasive technique. Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  5. Off-pump coronary artery bypass surgery in selected patients is superior to the conventional approach for patients with severely depressed left ventricular function

    Science.gov (United States)

    Caputti, Guido Marco; Palma, José Honório; Gaia, Diego Felipe; Buffolo, Enio

    2011-01-01

    OBJECTIVES: Patients with coronary artery disease and left ventricular dysfunction have high mortality when kept in clinical treatment. Coronary artery bypass grafting can improve survival and the quality of life. Recently, revascularization without cardiopulmonary bypass has been presented as a viable alternative. The aim of this study is to compare patients with left ventricular ejection fractions of less than 20% who underwent coronary artery bypass graft with or without cardiopulmonary bypass. METHODS: From January 2001 to December 2005, 217 nonrandomized, consecutive, and nonselected patients with an ejection fraction less than or equal to 20% underwent coronary artery bypass graft surgery with (112) or without (off-pump) (105) the use of cardiopulmonary bypass. We studied demographic, operative, and postoperative data. RESULTS: There were no demographic differences between groups. The outcome variables showed similar graft numbers in both groups. Mortality was 12.5% in the cardiopulmonary bypass group and 3.8% in the off-pump group. Postoperative complications were statistically different (cardiopulmonary bypass versus off-pump): total length of hospital stay (days)—11.3 vs. 7.2, length of ICU stay (days)—3.7 vs. 2.1, pulmonary complications—10.7% vs. 2.8%, intubation time (hours)—22 vs. 10, postoperative bleeding (mL)—654 vs. 440, acute renal failure—8.9% vs. 1.9% and left-ventricle ejection fraction before discharge—22% vs. 29%. CONCLUSION: Coronary artery bypass grafting without cardiopulmonary bypass in selected patients with severe left ventricular dysfunction is valid and safe and promotes less mortality and morbidity compared with conventional operations. PMID:22189729

  6. Off-pump coronary artery bypass surgery in selected patients is superior to the conventional approach for patients with severely depressed left ventricular function

    Directory of Open Access Journals (Sweden)

    Guido Marco Caputti

    2011-01-01

    Full Text Available OBJECTIVES: Patients with coronary artery disease and left ventricular dysfunction have high mortality when kept in clinical treatment. Coronary artery bypass grafting can improve survival and the quality of life. Recently, revascularization without cardiopulmonary bypass has been presented as a viable alternative. The aim of this study is to compare patients with left ventricular ejection fractions of less than 20% who underwent coronary artery bypass graft with or without cardiopulmonary bypass. METHODS: From January 2001 to December 2005, 217 nonrandomized, consecutive, and nonselected patients with an ejection fraction less than or equal to 20% underwent coronary artery bypass graft surgery with (112 or without (off-pump (105 the use of cardiopulmonary bypass. We studied demographic, operative, and postoperative data. RESULTS: There were no demographic differences between groups. The outcome variables showed similar graft numbers in both groups. Mortality was 12.5% in the cardiopulmonary bypass group and 3.8% in the off-pump group. Postoperative complications were statistically different (cardiopulmonary bypass versus off-pump: total length of hospital stay (days-11.3 vs. 7.2, length of ICU stay (days-3.7 vs. 2.1, pulmonary complications-10.7% vs. 2.8%, intubation time (hours-22 vs. 10, postoperative bleeding (mL-654 vs. 440, acute renal failure-8.9% vs. 1.9% and left-ventricle ejection fraction before discharge-22% vs. 29%. CONCLUSION: Coronary artery bypass grafting without cardiopulmonary bypass in selected patients with severe left ventricular dysfunction is valid and safe and promotes less mortality and morbidity compared with conventional operations.

  7. Comparison of two doses of heparin on outcome in off-pump coronary artery bypass surgery patients: A prospective randomized control study

    Directory of Open Access Journals (Sweden)

    Murali Chakravarthy

    2017-01-01

    Full Text Available Introduction: While off pump coronary artery bypass surgery is practiced with an intention to reduce the morbidity associated with cardiopulmonary bypass, the resultant ′hypercoagulability′ needs to be addressed. Complications such as cavitary thrombus possibly due to the hyper coagulability after off pump coronary artery bypass surgery have been described. Many clinicians use higher doses of heparin - up to 5 mg/kg in order to thwart this fear. Overall, there appears to be no consensus on the dose of heparin in off pump coronary artery bypass surgeries. Aim of the Study: The aim of the study was understand the differences in outcome of such as transfusion requirement, myocardial ischemia, and morbidity when two different doses were used for systemic heparinization. Methods: Elective patients scheduled for off pump coronary artery bypass surgery were included. Ongoing anti platelet medication was not an exclusion criteria, however, anti platelet medications were ceased about a week prior to surgery when possible. Thoracic epidural anesthesia was administered as an adjunct in patients who qualified for it. By computer generated randomization chart, patients were chosen to receive either 2 or 3 mg/kg of intravenous unfractioned heparin to achieve systemic heparinization with activated clotting time targeted at >240 secs. Intraoperative blood loss, postoperative blood loss, myocardial ischemic episodes, requirement of intraaortic balloon counter pulsation and transfusion requirement were analyzed. Results: Sixty two patients participated in the study. There was one conversion to cardiopulmonary bypass. The groups had comparable ACT at baseline (138.8 vs. 146.64 seconds, P = 0.12; 3 mg/kg group had significantly higher values after heparin, as expected. But after reversal with protamine, ACT and need for additional protamine was similar among the groups. Intraoperative (685.56 ± 241.42 ml vs. 675.15 ± 251.86 ml, P = 0.82 and postoperative

  8. Oxidative stress and homocyteine metabolism following coronary artery grafting by on pump and off pump CABG techniques

    International Nuclear Information System (INIS)

    Parvizi, R.; Noubar, R.; Salmasi, H.S.

    2007-01-01

    To compare the effect of on-pump and off-pump CABG on the induction of the oxidative stress and the metabolism of homocysteine, which is involved in the synthesis of glutathione. This retrospective study was performed in Shahid Madani Heart Hospital in Tabriz, Iran in 2004 using a questionnaire. Plasma homocysteine, folate total antioxidant capacity (TAC) and malonedialdehyde (MDA) were determined on blood samples obtained from 40 patients undergoing CABG, preoperatively and at 0,12,48,120 hours and 6 months after surgery. The patients were divided into two matched groups, one off-pump and the other on-pump CABG. A marked reduction of homocysteine, folate and significant elevation of MDA were noticed at 0, 12, 48 hours after operation in the both groups (P<0.05). A negative and marked correlation between homocysteine and TAC but a positive and significant between homocysteinc and MDA were observed (P<0.05 in the both groups). In CABG operation because of oxidative stress and consumption of GSH immediate reduction in the plasma levels of homocyticine occurs in the both techniques. However using off pump CABG induction of oxidative stress and changes in plasma levels of homocysteine are not as high as on- pump CABG. (author)

  9. Mid-term results of off-pump coronary artery bypass grafting assessed by multi-slice computed tomography

    International Nuclear Information System (INIS)

    Yoshida, Seijiro; Nitta, Yoshio; Oda, Katsuhiko

    2004-01-01

    Off-pump coronary artery bypass (OPCAB) has recently increased in popularity, but the long-term results are still unknown. We evaluated the mid-term results of OPCAB surgery using multi-slice computed tomography (MSCT), which is a non-invasive postoperative evaluation method. Thirty-one consecutive patients who underwent OPCAB surgery at least 2 years prior to the study were selected. The age was 50 to 79 years (66.9±6.5) and the ratio of men to women was 26:5. Coronary angiography was performed in all patients at 2 weeks postoperatively. The follow-up was complete, and mean follow-up was 30.9 months. There were no hospital deaths and 1 non-cardiac late death. The graft patency rate in coronary angiography was left internal thoracic artery (LITA) 30/30 (100%), right internal thoracic artery (RITA) 2/2 (100%), radial artery (RA) 14/15 (93%), saphenous vein graft (SVG) 15/17 (88%). No graft became occluded on MSCT study and all patients have been angina-free during the follow-up period. We suggest that OPCAB is feasible in most patients with good patency and low mortality. MSCT is an effective follow up method for the morphological findings and noninvasive quantitative evaluation of the bypass grafts. (author)

  10. Off-pump myocardial revascularisation in an octogenarian patient with dextrocardia and situs inversus.

    Science.gov (United States)

    Ennker, I C; Pietrowski, D; Ennker, J

    2006-01-01

    Dextrocardia associated with situs inversus totalis is a rare condition and there are few reports of myocardial revascularisation in such patients. An 82-year-old woman with dextrocardia and situs inversus totalis underwent successful off-pump coronary artery bypass grafting using internal mammary arteries. The operative technique was similar to that of off-pump coronary artery bypass grafting for situs solitus. However, for a right-handed surgeon the operation was easier standing on the left side of the patient.

  11. Influence of body size on outcomes of off-pump coronary artery bypass surgery.

    Science.gov (United States)

    Yap, Alexander; Baladi, Naoum; Zapolanski, Alex; Pliam, Michael B; Shaw, Richard E

    2005-01-01

    Patients of small physical stature may be more likely selected for an on-pump coronary artery surgery (ONCAB) rather than an off-pump procedure (OPCAB). Small patients who do have OPCAB may do poorly. Our hospital demographics afford a unique opportunity to examine a group of small patients. Information was available over the past 4 years on 1015 patients who had isolated CABG and a calculable body surface area. Sixty-one patients had a body surface area of less than 1.5 m2 (SMALL). The 954 remaining patients were classed as larger (LARGER). Patients were compared with respect to preoperative risk factors, operative procedures, and postoperative results. Among SMALL patients, 59% were Asian, 89% female, averaged slightly older, had higher STS risk scores, lower hematocrits, more severe NYHA class ratings, and less elective surgical status (P < .05) than LARGER patients. Fifty-one percent of SMALL patients had OPCAB, 44.3% received blood, 90% had an event-free course, and 4.9% died postop (versus 1.2%, P < .05). OPCAB mortality was lower than ONCAB for both SMALL and nonsmall (P < .05). Blood use was greater for SMALL than for LARGER (44% versus 20%, P < .05) but less for SMALL OPCAB than SMALL ONCAB (27% versus 62%, P < .05). No differences were noted in postop MI, CVA, or length of stay, but 30-day readmission was lower for SMALL patients (5.0% versus 7.4%). Patients with small physical stature can be safely operated upon using off-pump techniques with good revascularization and postop results, despite apparently higher preop STS risk scores.

  12. Postoperative chest radiographic changes after on- and off-pump coronary surgery

    International Nuclear Information System (INIS)

    Narayan, P.; Caputo, M.; Jones, J.; Al-Tai, S.; Angelini, G.D.; Wilde, P.

    2005-01-01

    AIM: A variety of chest radiograph abnormalities are recognized after coronary artery bypass grafting (CABG). This study analyzes the appearance of preoperative and postoperative chest radiographs in two groups of patients undergoing myocardial revascularization with or without the use of cardiopulmonary bypass (CPB). METHODS: Chest radiographs (preoperative and at 1 day, 6 days and 6 to 8 weeks post operatively) were analyzed according to a detailed protocol in cases of conventional CABG on CPB (n=60) or off-pump coronary artery bypass (OPCAB) (n=60) surgery. On each film 17 different major potential postoperative abnormalities were analyzed. RESULTS: Clinical findings were similar in the two groups. Patients undergoing OPCAB surgery had decreased blood loss, decreased red cell and platelet transfusion, significantly lower intubation time and required less postoperative inotropic support compared with patients undergoing CPB. The CPB group had a significantly higher incidence of left band atelectasis than the OPCAB group (37.6% vs 17.5%, p=0.01) at 6 days postoperatively. There was no other statistically significant difference in any of the 16 remaining major chest radiograph findings between the two groups. CONCLUSION: Although OPCAB surgery is associated with improved clinical outcome compared with conventional CABG surgery, the analysis of postoperative chest radiographs demonstrated only a minor benefit as shown by a reduced degree of left band atelectasis in the OPCAB group

  13. Postoperative chest radiographic changes after on- and off-pump coronary surgery

    Energy Technology Data Exchange (ETDEWEB)

    Narayan, P. [Bristol Heart Institute, Bristol Royal Infirmary, Bristol (United Kingdom); Caputo, M. [Bristol Heart Institute, Bristol Royal Infirmary, Bristol (United Kingdom); Jones, J. [Department of Radiology, Bristol Royal Infirmary, Bristol (United Kingdom); Al-Tai, S. [Department of Radiology, Bristol Royal Infirmary, Bristol (United Kingdom); Angelini, G.D. [Bristol Heart Institute, Bristol Royal Infirmary, Bristol (United Kingdom); Wilde, P. [Department of Radiology, Bristol Royal Infirmary, Bristol (United Kingdom)]. E-mail: peter.wilde@ubht.swest.nhs.uk

    2005-06-01

    AIM: A variety of chest radiograph abnormalities are recognized after coronary artery bypass grafting (CABG). This study analyzes the appearance of preoperative and postoperative chest radiographs in two groups of patients undergoing myocardial revascularization with or without the use of cardiopulmonary bypass (CPB). METHODS: Chest radiographs (preoperative and at 1 day, 6 days and 6 to 8 weeks post operatively) were analyzed according to a detailed protocol in cases of conventional CABG on CPB (n=60) or off-pump coronary artery bypass (OPCAB) (n=60) surgery. On each film 17 different major potential postoperative abnormalities were analyzed. RESULTS: Clinical findings were similar in the two groups. Patients undergoing OPCAB surgery had decreased blood loss, decreased red cell and platelet transfusion, significantly lower intubation time and required less postoperative inotropic support compared with patients undergoing CPB. The CPB group had a significantly higher incidence of left band atelectasis than the OPCAB group (37.6% vs 17.5%, p=0.01) at 6 days postoperatively. There was no other statistically significant difference in any of the 16 remaining major chest radiograph findings between the two groups. CONCLUSION: Although OPCAB surgery is associated with improved clinical outcome compared with conventional CABG surgery, the analysis of postoperative chest radiographs demonstrated only a minor benefit as shown by a reduced degree of left band atelectasis in the OPCAB group.

  14. Off-pump Coronary Artery Bypass Graft in a High Risk Patient ...

    African Journals Online (AJOL)

    On-pump coronary artery bypass graft (CABG) entails the use of cardiopulmonary bypass (CPB). The procedure is safe but it's not without complications like neurocognitive deficits, cerebrovascular accidents, myocardial ischemic injury and activation of inflammatory pathways that contribute to pulmonary, renal, hematologic ...

  15. Hemoglobin Level to Facilitate Off-Pump Coronary Artery Bypass without Transfusion.

    Science.gov (United States)

    Kim, Kun Il; Lee, Won Yong; Ko, Ho Hyun; Kim, Hyoung Soo; Jeong, Jae Han

    2014-08-01

    Conservation of blood during cardiac surgery is important because of the shortage of donor blood, risks associated with transfusion, and the costs of allogeneic blood products. This retrospective study explored the feasibility of off-pump coronary artery bypass (OPCAB) without transfusion. One hundred and two consecutive patients underwent OPCAB from January 2007 to June 2012 at Hallym University Sacred Heart Hospital. Excluding 10 chronic renal failures patients, 102 patients were enrolled. Their characteristics, clinical data, and laboratory data were analyzed. We investigated the success rate of OPCAB without transfusion according to pre-operative hemoglobin (Hb), and the cutoff point of the Hb level and the risk factors for transfusion. We implemented multidisciplinary blood-saving protocols. The overall operative mortality and the success rate of OPCAB without transfusion were 2.9% (3/102) and 73.5% (75/102). The success rates in patients with Hb70 years, diagnosis of acute myocardial infarction, preoperative Hb and creatinine levels, and operation time. The events precipitating the need for transfusion were low Hb level in 9 patients and hypotension or excessive bleeding in 18 patients. The preoperative Hb level of >11 facilitates OPCAB without transfusion. These results suggest that transfusion-free OPCAB can be performed by modifying the risk factors and correctable causes of transfusion and improving various blood salvage methods.

  16. Pleural subxyphoid drain confers better pulmonary function and clinical outcomes in chronic obstructive pulmonary disease after off-pump coronary artery bypass grafting: a randomized controlled trial.

    Science.gov (United States)

    Guizilini, Solange; Viceconte, Marcela; Esperança, Gabriel Tavares da M; Bolzan, Douglas W; Vidotto, Milena; Moreira, Rita Simone L; Câncio, Andréia Azevedo; Gomes, Walter J

    2014-01-01

    To evaluate the lung function and clinical outcome in severe chronic obstructive pulmonary disease in patients undergoing off-pump coronary artery bypass grafting with left internal thoracic artery graft, comparing the pleural drain insertion in the intercostal versus subxyphoid region. A randomized controlled trial. Chronic obstructive pulmonary disease patients were randomized into two groups according pleural drain site: II group (n=27) - pleural drain in intercostal space; SI group (n=29) - pleural drain in the subxyphoid region. Spirometry values (Forced Vital Capacity - and Forced expiratory volume in 1 second) were obtained on preoperative and 1, 3 and 5 postoperative days. Chest x-ray from preoperative until postoperative day 5 (POD5) was performed for monitoring respiratory events, such as atelectasis and pleural effusion. Pulmonary shunt fraction and pain score was evaluate preoperatively and on postoperative day 1. In both groups there was a significant decrease of the spirometry values (Forced Vital Capacity and Forced expiratory volume in 1 second) until POD5 (Ppleural drainage in severe Chronic obstructive pulmonary disease patients determined better preservation and recovery of pulmonary capacity and volumes with lower pulmonary shunt fraction and better clinical outcomes on early postoperative off-pump coronary artery bypass grafting.

  17. Mid-term follow-up outcomes of 2-staged hybrid coronary revascularization compared with off-pump coronary artery bypass for patients with multivessel coronary artery disease.

    Science.gov (United States)

    Wu, Song; Ling, Yunpeng; Fu, Yuanhao; Zhang, Lufeng; Yang, Hang; Guo, Lijun; Gao, Wei; Wan, Feng

    2017-06-01

    Two-staged hybrid coronary revascularization (HCR) is a novel procedure in selected patients with multivessel coronary artery disease. However, few studies are available on the mid-term or long-term outcomes of this 2-staged procedure as compared to off-pump coronary artery bypass (OPCAB). To compare in-hospital and mid-term follow-up outcomes of 2-staged HCR with OPCAB in patients with multivessel coronary artery disease. The present retrospective study analyzed the data from 73 patients who underwent the 2-staged HCR (HCR group) during 2012-2014 at the heart center. Three hundred and eighty-three patients who underwent conventional OPCAB by the same surgeon were selected for the comparative analysis performed on in-hospital and mid-term follow-up outcomes between the two groups. No significant difference was observed in the preoperative outcome between the two groups. The HCR group had a shorter operation duration (152.9 ±43.8 vs. 262.6 ±51.8 min, p < 0.05), less bleeding (558.6 ±441.3 vs. 1035.5 ±613.3 ml, p < 0.05), shorter mechanical ventilation (9.4 ±7.4 vs. 19.0 ±18.3 h, p < 0.05), and less blood transfusion (12 (16.4%) vs. 200 (52.2%), p < 0.05). The mean follow-up duration was 25.0 ±9.6 months in the HCR group and 22.8 ±10.6 months in the OPCAB group. The incidence of major adverse cardiac or cerebrovascular events (MACCE) was similar in both groups (4 (5.5%) vs. 10 (2.8%), p = 0.408). The estimated 3-year survival was similar in both groups (log-rank χ 2 = 1.041, p = 0.308). The 2-staged HCR is a safe and effective surgical procedure and may offer similar mid-term follow-up outcomes to OPCAB.

  18. Effects of dexmedetomidine on heart arrhythmia prevention in off-pump coronary artery bypass surgery: A randomized clinical trial.

    Science.gov (United States)

    Soltani, Ghasem; Jahanbakhsh, Saeed; Tashnizi, Mohammad Abbasi; Fathi, Mehdi; Amini, Shahram; Zirak, Nahid; Sheybani, Shima

    2017-10-01

    Arrhythmia occurring during and after surgery is one of the major complications in open-heart surgery. Dexmedetomidine is an intravenous alpha-2 agonist and very specific short-acting drug to protect the various organs against ischemic injuries and blood reflow. However, the effect of dexmedetomidine for preventing intraoperative heart arrhythmias has not been recognized. This study aimed to determine the effect of dexmedetomidine on the incidence rate of heart arrhythmias and anesthetic required in off-pump coronary artery bypass surgery. This randomized clinical trial was conducted on patients who were candidates for off-pump coronary artery bypass referring to Imam Reza Hospital of Mashhad, Iran, from July 2016 through January 2017. The patients were randomly assigned to two groups of intervention (infusion of 0.5 mcg/kg/h dexmedetomidine together with induction followed by infusion of 0.5 mcg/kg/h by the end of the surgery) or control (saline infusion). Mean arterial pressure (MAP) and heart rate (HR) were measured before induction, during surgery operation and ICU admission. Data were analyzed by SPSS version 18 using Chi Square and independent-samples t-test. A total of 76 patients with a mean age of 59.8 ± 8.2 years (in two groups of 38) were studied. The two groups had no statistically significant difference in terms of background variables. The MAP and HR values before induction, during surgery and ICU admission were significantly higher in the control group than in the intervention group (p=0.001). Out of the studied arrhythmias, the values of PAC (55.2% vs. 15.7%), PVC (81.5% vs. 21.0%), AF (26.3% vs. 7.8%), VTAC (21.0% vs. 2.6%) were significantly lower in dexmedetomidine group (p=0.001). It seems that dexmedetomidine administration during induction and surgery can cause significant reduction in most of the common arrhythmias in off-pump coronary bypass surgery. The use of dexmedetomidine maintains MAP and HR at significantly lower values, and changes

  19. Effect of using pump on postoperative pleural effusion in the patients that underwent CABG

    Directory of Open Access Journals (Sweden)

    Mehmet Özülkü

    2015-08-01

    Full Text Available Abstract Objective: The present study investigated effect of using pump on postoperative pleural effusion in patients who underwent coronary artery bypass grafting. Methods: A total of 256 patients who underwent isolated coronary artery bypass grafting surgery in the Cardiovascular Surgery clinic were enrolled in the study. Jostra-Cobe (Model 043213 105, VLC 865, Sweden heart-lung machine was used in on-pump coronary artery bypass grafting. Off-pump coronary artery bypass grafting was performed using Octopus and Starfish. Proximal anastomoses to the aorta in both on-pump and off-pump techniques were performed by side clamps. The patients were discharged from the hospital between postoperative day 6 and day 11. Results: The incidence of postoperative right pleural effusion and bilateral pleural effusion was found to be higher as a count in Group 1 (on-pump as compared to Group 2 (off-pump. But the difference was not statistically significant [P>0.05 for right pleural effusion (P=0.893, P>0.05 for bilateral pleural effusion (P=0.780]. Left pleural effusion was encountered to be lower in Group 2 (off-pump. The difference was found to be statistically significant (P<0.05, P=0.006. Conclusion: Under the light of these results, it can be said that left pleural effusion is less prevalent in the patients that underwent off-pump coronary artery bypass grafting when compared to the patients that underwent on-pump coronary artery bypass grafting.

  20. Automated Weaning from Mechanical Ventilation after Off-Pump Coronary Artery Bypass Grafting.

    Science.gov (United States)

    Fot, Evgenia V; Izotova, Natalia N; Yudina, Angelika S; Smetkin, Aleksei A; Kuzkov, Vsevolod V; Kirov, Mikhail Y

    2017-01-01

    The discontinuation of mechanical ventilation after coronary surgery may prolong and significantly increase the load on intensive care unit personnel. We hypothesized that automated mode using INTELLiVENT-ASV can decrease duration of postoperative mechanical ventilation, reduce workload on medical staff, and provide safe ventilation after off-pump coronary artery bypass grafting (OPCAB). The primary endpoint of our study was to assess the duration of postoperative mechanical ventilation during different modes of weaning from respiratory support (RS) after OPCAB. The secondary endpoint was to assess safety of the automated weaning mode and the number of manual interventions to the ventilator settings during the weaning process in comparison with the protocolized weaning mode. Forty adult patients undergoing elective OPCAB were enrolled into a prospective single-center study. Patients were randomized into two groups: automated weaning ( n  = 20) using INTELLiVENT-ASV mode with quick-wean option; and protocolized weaning ( n  = 20), using conventional synchronized intermittent mandatory ventilation (SIMV) + pressure support (PS) mode. We assessed the duration of postoperative ventilation, incidence and duration of unacceptable RS, and the load on medical staff. We also performed the retrospective analysis of 102 patients (standard weaning) who were weaned from ventilator with SIMV + PS mode based on physician's experience without prearranged algorithm. Realization of the automated weaning protocol required change in respiratory settings in 2 patients vs. 7 (5-9) adjustments per patient in the protocolized weaning group. Both incidence and duration of unacceptable RS were reduced significantly by means of the automated weaning approach. The FiO 2 during spontaneous breathing trials was significantly lower in the automated weaning group: 30 (30-35) vs. 40 (40-45) % in the protocolized weaning group ( p  ventilation in a more protective way, reduces the

  1. Investigation of the effect of Acute Normovolemic Hemodilution and Tranexamic Acid on the amount of bleeding during off-pump coronary artery bypass graft surgery: a systematic review

    Directory of Open Access Journals (Sweden)

    Reza Jalaeian Taghadoomi

    2017-01-01

    Full Text Available Introduction: Postoperative bleeding and transfusion remain a source of morbidity and cost after open heart operations . To evaluate the effect of ANH method and tranexamic acid on blood transfusion requirements and blood loss after off pump coronary artery bypass surgery (OPCAB. Materials and Methods: The Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE from inception to December 2014; reference lists of published guidelines, reviews, and associated articles, as well as conference proceedings.We included articles with available abstract in English language. Manual searching was done within the reference list of articles. Three reviewers independently reviewed and assessed eligibility criteria, assessed quality, and extracted data. Results: Bleeding and hemorrhagic complications and the consequent need for allogeneic transfusion are still major problems after off-pump coronary artery bypass surgery that can reduced in combination of ANH method and tranexamic acid. Conclusion: Tranexamic acid and ANH appear to be effective in reducing postoperative bleeding and the need for allogeneic blood products.

  2. Off-Pump Repair of a Post Myocardial Infarction Ventricular Septal Defect

    Directory of Open Access Journals (Sweden)

    Feridoun Sabzi

    2014-01-01

    Full Text Available Refractory cardiogenic shock meant that traditional patch repairs requiring cardiopulmonary bypass would be poorly tolerated and external sandwich closure of post myocardial ventricular septal defect (VSD appears to be simple and effective after initial myocardial infarction (MI. The three cases presented with a VSD after of acute MI with or without thrombolysed with streptokinase during patient admission. The general condition of the three patients was poor with pulmonary edema, low cardiac output and renal failure. The heart was approached through a median sternotomy. Off-pump coronary artery bypass grafting of the coronary artery lesion was done first using octopus and beating heart surgery method and latero - lateral septal plication was performed using sandwich technique. Low cardiac output managed with intra-aortic balloon pump in these patients accompanied with inotropic drugs. Post-operative transesophageal echocardiography revealed that VSD was closed completely in one patient and in two patients small residual VSD remained. More experience is required to ascertain whether this technique will become an accepted alternative to patch repairs.

  3. Right atrium positioning for exposure of right pulmonary veins during off-pump atrial fibrillation ablation.

    Science.gov (United States)

    Suwalski, Grzegorz; Emery, Robert; Mróz, Jakub; Kaczejko, Kamil; Gryszko, Leszek; Cwetsch, Andrzej; Skrobowski, Andrzej

    2017-06-01

    Concomitant surgical ablation of atrial fibrillation (AF) is recommended for patients undergoing off-pump coronary revascularization in the presence of this arrhythmia. Achievement of optimal visualization of pulmonary veins while maintaining stable haemodynamic conditions is crucial for proper completion of the ablation procedure. This study evaluates the safety and feasibility of right atrial positioning using a suction-based cardiac positioner as opposed to compressive manoeuvres for exposure during off-pump surgical ablation for AF. Thirty-four consecutive patients underwent pulmonary vein isolation, ganglionated plexi ablation and left atrial appendage occlusion during off-pump coronary artery bypass grafting. Right atrial suction positioning was used to visualize right pulmonary veins. Safety and feasibility end points were analysed intraoperatively and in the early postoperative course. In all patients, right atrial positioning created optimal conditions to complete transverse and oblique sinus blunt dissection, correct placement of a bipolar ablation probe, detection and ablation of ganglionated plexi and conduction block assessment. In all patients, this entire right-sided ablation procedure was completed with a single exposure manoeuvre. Feasibility end points were achieved in all study patients. This report documents the safety and feasibility of right atrial exposure using a suction-based cardiac positioner to complete ablation for AF concomitant with off-pump coronary revascularization. This technique may be widely adopted to create stable haemodynamic conditions and optimal visualization of the right pulmonary veins. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  4. Frequency of Acute Kidney Injury in Patients Treated With Normal Saline after Off-Pump Coronary Artery Bypass Grafting

    Directory of Open Access Journals (Sweden)

    Shima Sheybani

    2017-03-01

    Full Text Available Introduction: Acute kidney injury (AKI is a common postoperative complication of cardiac surgery, which is associated with an increased risk of morbidity and mortality. This study investigated the frequency of postoperative AKI in low risk adult patients undergoing off-pump coronary artery bypass grafting (CABG.Materials & Methods: All consecutive adult patients of American Society of Anesthesiologists (ASA class II and III, who were transferred to the post-operative cardiac surgery ICU after off-pump CABG and were low risk for AKI from October 2013 to September 2014 at Emam Reza Hospital, Mashhad, Iran were enrolled in this prospective cohort study at a teaching hospital. The patients were explored for AKI development, based on risk-injury-failure-loss- end stage kidney disease (RIFLE and acute kidney injury network (AKIN criteria, frequency of metabolic acidosis, hypernatremia, hyperchloremia, and length of stay in ICU.Results: According to the results of the present study, 479 patients with the mean age of 60.8±10.75 yrs were included. AKI occurred in 22 (4.4% and23 (4.8% patients, based on both the RIFLE and AKIN criteria, respectively with the highest rate of AKI, reported on the third and fourth post-operative days. Additionally, hyperchloremia and hypernatremia were observed in 71 (14.8% and 76 (15.9% patients, respectively. Only one case of mortality occurred during the study. Metabolic acidosis was reported in 112 (23.4% patients with a high anion gap in 60 (12.5% cases.Conclusion: The current study demonstrated that hypernatremia and metabolic acidosis but not AKI are frequently seen in patients receiving normal saline following off pump CABG with low risk for AKI.

  5. Sub-xyphoid pleural drain as a determinant of functional capacity and clinical results after off-pump coronary artery bypass surgery: a randomized clinical trial.

    Science.gov (United States)

    Guizilini, Solange; Alves, Daniel F; Bolzan, Douglas W; Cancio, Andreia S A; Regenga, Marisa M; Moreira, Rita S L; Trimer, Renata; Gomes, Walter J

    2014-09-01

    The aim of this trial was to compare functional capacity, pulmonary shunt fraction and clinical outcomes between patients undergoing pleurotomy with a pleural drain inserted in the sub-xyphoid position and patients with a pleural drain placed in the intercostal position after off-pump coronary artery bypass surgery. Patients were randomized into two groups according to the pleural drain site: Group II (n = 33 intercostal pleural drain); and Group SI (n = 35 sub-xyphoid pleural drain). Functional capacity was assessed by the distance covered on the 6-min walking test performed preoperatively and on postoperative day (POD) 5; in addition, pulmonary function test was determined preoperatively and on POD 1 and 5. Pulmonary shunt fraction was evaluated preoperatively and on POD 1, and clinical outcomes were recorded throughout the study. Group SI had better preservation of lung volumes and capacities in POD compared with Group II (P Pulmonary shunt fraction increased in both groups postoperatively; however, Group SI showed a smaller pulmonary shunt fraction (0.26 ± 0.04 vs 0.21 ± 0.04%; P = 0.0014). Functional capacity was significantly reduced in both groups on POD 5; however, Group SI showed better preservation of functional capacity (P = 0.0001). Group SI had better postoperative clinical results, with lower incidence of atelectasis and pleural effusion (P capacity and exercise tolerance with a smaller pulmonary shunt fraction and improved clinical outcomes compared with intercostal pleural drainage after off-pump coronary artery bypass surgery. © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  6. Open-Lung Ventilation Improves Clinical Outcomes in Off-Pump Coronary Artery Bypass Surgery: A Randomized Controlled Trial.

    Science.gov (United States)

    Bolzan, Douglas W; Trimer, Renata; Begot, Isis; Nasrala, Mara L S; Forestieri, Patricia; Mendez, Vanessa M F; Arena, Ross; Gomes, Walter J; Guizilini, Solange

    2016-06-01

    To compare pulmonary function, functional capacity, and clinical outcomes among conventional mechanical ventilation (CMV), early open-lung (EOL), and late open-lung (LOL) strategies after off-pump coronary artery bypass surgery (OPCAB). Prospective, randomized, and double-blinded study. Two hospitals of the Federal University of Sao Paulo, Brazil. Ninety-three patients undergoing elective first-time OPCAB. Patients were randomized into 3 groups: CMV (n=31); LOL (n=32) initiated upon intensive care unit (ICU) arrival; EOL (n = 30) initiated after intubation. Spirometry was performed at bedside preoperatively and on postoperative days (PODs) 1, 3, and 5. Partial pressure of arterial oxygen (PaO2) and pulmonary shunt fraction were evaluated presurgically and on POD 1; 6-minute walk test (6MWT) was performed presurgically and on POD 5. Both open-lung groups demonstrated higher forced vital capacity and forced expiratory volume in 1 second on PODs 1, 3 and 5 compared to the CMV group (pLOL groups were compared. Both open-lung strategies were able to promote higher pulmonary function preservation and greater recovery of functional capacity with better clinical outcomes after OPCAB. No difference in outcome was found when comparing initiation of OLS intraoperatively or after ICU arrival. Copyright © 2016 Elsevier Inc. All rights reserved.

  7. Pleural subxyphoid drain confers better pulmonary function and clinical outcomes in chronic obstructive pulmonary disease after off-pump coronary artery bypass grafting: a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Solange Guizilini

    2014-12-01

    Full Text Available Objective: To evaluate the lung function and clinical outcome in severe chronic obstructive pulmonary disease in patients undergoing off-pump coronary artery bypass grafting with left internal thoracic artery graft, comparing the pleural drain insertion in the intercostal versus subxyphoid region. Methods: A randomized controlled trial. Chronic obstructive pulmonary disease patients were randomized into two groups according pleural drain site: II group (n=27 - pleural drain in intercostal space; SI group (n=29 - pleural drain in the subxyphoid region. Spirometry values (Forced Vital Capacity - and Forced expiratory volume in 1 second were obtained on preoperative and 1, 3 and 5 postoperative days. Chest x-ray from preoperative until postoperative day 5 (POD5 was performed for monitoring respiratory events, such as atelectasis and pleural effusion. Pulmonary shunt fraction and pain score was evaluate preoperatively and on postoperative day 1. Results: In both groups there was a significant decrease of the spirometry values (Forced Vital Capacity and Forced expiratory volume in 1 second until POD5 (P<0.05. However, when compared, SI group presented less decrease in these parameters (P<0.05. Pulmonary shunt fraction was significantly lower in SI group (P<0.05. Respiratory events, pain score, orotracheal intubation time and postoperative length of hospital stay were lower in the SI group (P<0.05. Conclusion: Subxyphoid pleural drainage in severe Chronic obstructive pulmonary disease patients determined better preservation and recovery of pulmonary capacity and volumes with lower pulmonary shunt fraction and better clinical outcomes on early postoperative off-pump coronary artery bypass grafting.

  8. HEMOPERFUSION DURING CORONARY ANGIOPLASTY - 1ST EUROPEAN EXPERIENCE WITH A NEW HEMOPERFUSION PUMP

    NARCIS (Netherlands)

    DEMUINCK, ED; MEEDER, J; MAGIELSE, C; BOM, VJJ; VANDIJK, RB; VERKERKE, GJ; LIE, KI

    Hemolysis tests with fresh human blood were performed in vitro with a new 5 ml, piston-type hemoperfusion pump, designed to prevent myocardial ischemia during coronary angioplasty. Despite driving pressures greater than 3 atmospheres, shear stress greater than 200 Pa, turbulent pump flow, and the

  9. Effect of clopidogrel premedication in off-pump cardiac surgery: are we forfeiting the benefits of reduced hemorrhagic sequelae?

    Science.gov (United States)

    Kapetanakis, Emmanouil I; Medlam, Diego A; Petro, Kathleen R; Haile, Elizabeth; Hill, Peter C; Dullum, Mercedes K C; Bafi, Ammar S; Boyce, Steven W; Corso, Paul J

    2006-04-04

    Premedication with clopidogrel has reduced thrombotic complications after percutaneous coronary revascularization procedures. However, because of the enhanced and irreversible platelet inhibition by clopidogrel, patients requiring surgical revascularization have a higher risk of bleeding complications and transfusion requirements. A principal benefit of surgical coronary revascularization without cardiopulmonary bypass is its lower hemorrhagic sequelae. The purpose of this study was to evaluate the effect of preoperative clopidogrel administration in the incidence of hemostatic reexploration, blood product transfusion rates, morbidity, and mortality in patients undergoing off-pump coronary artery bypass graft surgery using a large patient sample and a risk-adjusted approach. Two hundred eighty-one patients (17.9%) did and 1291 (82.1%) did not receive clopidogrel before their surgery, for a total of 1572 patients undergoing isolated off-pump coronary artery bypass graft surgery between January 2000 and June 2002. Risk-adjusted logistic regression analyses and a matched pair analyses by propensity scores were used to assess the association between clopidogrel administration and reoperation as a result of bleeding, intraoperative and postoperative blood transfusions received, and the need for multiple transfusions. Hemorrhage-related preoperative risk factors identified in the literature and those found significant in a univariate model were used. The clopidogrel group had a higher likelihood of hemostatic reoperations (odds ratio [OR], 5.1; 95% confidence interval [CI], 2.47 to 10.47; P<0.01) and an increased need in overall packed red blood cell (OR, 2.6; 95% CI, 1.94 to 3.60; P<0.01), multiple unit (OR, 1.6; 95% CI, 1.07 to 2.48; P=0.02), and platelet (OR, 2.5; 95% CI, 1.77 to 3.66; P<0.01) transfusions. Surgical outcomes and operative mortality (1.4% versus 1.4%; P=1.00) were not statistically different. Clopidogrel administration in the cardiology suite increases

  10. Weaning mechanical ventilation after off-pump coronary artery bypass graft procedures directed by noninvasive gas measurements.

    Science.gov (United States)

    Chakravarthy, Murali; Narayan, Sandeep; Govindarajan, Raghav; Jawali, Vivek; Rajeev, Subramanyam

    2010-06-01

    Partial pressure of carbon dioxide and oxygen were transcutaneously measured in adults after off-pump coronary artery bypass (OPCAB) surgery. The clinical use of such measurements and interchangeability with arterial blood gas measurements for weaning patients from postoperative mechanical ventilation were assessed. This was a prospective observational study. Tertiary referral heart hospital. Postoperative OPCAB surgical patients. Transcutaneous oxygen and carbon dioxide measurements. In this prospective observational study, 32 consecutive adult patients in a tertiary care medical center underwent OPCAB surgery. Noninvasive measurement of respiratory gases was performed during the postoperative period and compared with arterial blood gases. The investigator was blinded to the reports of arterial blood gas studies and weaned patients using a "weaning protocol" based on transcutaneous gas measurement. The number of patients successfully weaned based on transcutaneous measurements and the number of times the weaning process was held up were noted. A total of 212 samples (pairs of arterial and transcutaneous values of oxygen and carbon dioxide) were obtained from 32 patients. Bland-Altman plots and mountain plots were used to analyze the interchangeability of the data. Twenty-five (79%) of the patients were weaned from the ventilator based on transcutaneous gas measurements alone. Transcutaneous carbon dioxide measurements were found to be interchangeable with arterial carbon dioxide during 96% of measurements, versus 79% for oxygen measurements. More than three fourths of the patients were weaned from mechanical ventilation and extubated based on transcutaneous gas values alone after OPCAB surgery. The noninvasive transcutaneous carbon dioxide measurement can be used as a surrogate for arterial carbon dioxide measurement to manage postoperative OPCAB patients. Copyright 2010 Elsevier Inc. All rights reserved.

  11. Estudo comparativo entre cirurgia de revascularização miocárdica com e sem circulação extracorpórea em mulheres Comparative study between on-pump and off-pump coronary artery bypass graft in women

    Directory of Open Access Journals (Sweden)

    Michel Pompeu Barros de Oliveira Sá

    2010-06-01

    Full Text Available INTRODUÇÃO: Tem sido bem documentado que mulheres têm taxas de morbimortalidade mais altas que homens submetidos à cirurgia de revascularização miocárdica (CRM. Em vista desta evidência, é necessário saber se há benefício da CRM sem circulação extracorpórea (CEC em comparação à CRM com CEC. OBJETIVOS: Comparar desfechos de morbimortalidade entre CRM sem CEC e CRM com CEC. MÉTODOS: Estudo retrospectivo. Nossa investigação analisa comparativamente o perfil clínico, 13 complicações relativas ao procedimento e mortalidade de uma população de 941 mulheres submetidas à CRM (549 sem CEC e 392 com CEC em dois hospitais, no período de janeiro de 2000 a dezembro de 2005. RESULTADOS: A taxa de mortalidade em mulheres submetidas à CRM sem CEC é menor que mulheres submetidas à CRM com CEC, entretanto, a diferença não é estatisticamente significativa (3,1% vs. 5,3%; P=0,134. As taxas de complicações analisadas (choque hemorrágico, neurológicas, respiratórias, insuficiência renal aguda, síndrome da angústia respiratória do adulto, septicemia, pneumonia, fibrilação atrial foram menores (diferença estatisticamente significativa em mulheres do grupo CRM sem CEC em comparação ao grupo CRM com CEC, com exceção das complicações baixo débito cardíaco e infecção de ferida operatória. CONCLUSÕES: As evidências sugerem que CRM sem CEC pode beneficiar as mulheres em comparação com CRM com CEC, pois parece reduzir as taxas de morbimortalidade. Dez das 13 complicações investigadas demonstraram uma significativa vantagem das mulheres submetidas à CRM sem CEC em relação àquelas submetidas à CRM com CEC.BACKGROUND: It has been well documented that women have higher morbidity and mortality rates than men following coronary artery bypass graft (CABG surgery. In view of this evidence, it is necessary to know if there is benefit to off-pump CABG surgery in women in comparison to on-pump CABG. OBJECTIVES: Compare

  12. Effect of intra-aortic balloon pump on coronary blood flow during different balloon cycles support: A computer study.

    Science.gov (United States)

    Aye, Thin Pa Pa; Htet, Zwe Lin; Singhavilai, Thamvarit; Naiyanetr, Phornphop

    2015-01-01

    Intra-aortic balloon pump (IABP) has been used in clinical treatment as a mechanical circulatory support device for patients with heart failure. A computer model is used to study the effect on coronary blood flow (CBF) with different balloon cycles under both normal and pathological conditions. The model of cardiovascular and IABP is developed by using MATLAB SIMULINK. The effect on coronary blood flow has been studied under both normal and pathological conditions using different balloon cycles (balloon off; 1:4; 1:2; 1:1). A pathological heart is implemented by reducing the left ventricular contractility. The result of this study shows that the rate of balloon cycles is related to the level of coronary blood flow.

  13. Relationship between Angiotensin Converting Enzyme, Apelin, and New-Onset Atrial Fibrillation after Off-Pump Coronary Artery Bypass Grafting

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    Shu Xu

    2017-01-01

    Full Text Available It has been shown that inflammation and oxidative stress are important factors in postoperative atrial fibrillation (POAF. Angiotensin converting enzyme (ACE and apelin have a close relationship with inflammation and oxidative stress. The effect of ACE and apelin on POAF after off-pump coronary artery bypass grafting (OPCABG remains a question. The concentrations of serum ACE, angiotensin II (Ang II, apelin, bradykinin (BK, malondialdehyde (MDA, and C reactive protein (CRP were measured in the perioperative period of OPCABG. The levels of serum ACE in the POAF group were higher than in the no POAF group both preoperatively and postoperatively. Apelin in the POAF group was lower than in the no POAF group. There was a correlation between serum ACE and apelin. Postoperatively, CRP and MDA in the POAF group were higher than in the no POAF group; however, there was no difference before the operation. Preoperative ACE and apelin were both significant and independent risk factors for POAF. In conclusion, the high ACE and low apelin preoperatively led to CRP and MDA being increased postoperatively, which was probably associated with POAF after OPCABG. Apelin may be a new predictor for POAF.

  14. Sequential Vein Bypass Grafting is Not Associated with an Increase of Either In-hospital or Mid-term Adverse Events in Off-pump Coronary Artery Bypass Grafting

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    Fucheng Xiao

    2015-01-01

    Full Text Available Background: The impact of sequential vein bypass grafting on clinical outcomes is less known in off-pump coronary artery bypass grafting (CABG. We aimed to evaluate the effects of sequential vein bypass grafting on clinical outcomes in off-pump CABG. Methods: From October 2009 to September 2013 at the Fuwai Hospital, 127 patients with at least one sequential venous graft were matched with 127 patients of individual venous grafts only, using propensity score matching method to obtain risk-adjusted outcome comparison. In-hospital measurement was composite outcome of in-hospital death, myocardial infarction (MI, stroke, requirement for intra-aortic ballon pump (IABP assistance and prolonged ventilation. Major adverse cardiac events (MACEs: Death, MI or repeat revascularization and angina recurrence were considered as mid-term endpoints. Results: No significant difference was observed among the groups in baseline characteristics. Intraoperative mean blood flow per vein graft was 40.4 ml in individual venous grafts groups versus 59.5 ml in sequential venous grafts groups (P < 0.001. There were no differences between individual and sequential venous grafts groups with regard to composite outcome of in-hospital mortality, MI, stroke, IABP assistance and prolonged ventilation (11.0% vs. 14.2%, P = 0.45. Individual in-hospital measurement also did not differ significantly between the two groups. At about four years follow-up, the survival estimates free from MACEs (92.5% vs. 97.3%, P = 0.36 and survival rates free of angina recurrence (80.9% vs. 85.5%, P = 0.48 were similar among individual and sequential venous grafts groups with a mean follow-up of 22.5 months. In the Cox regression analysis, sequential vein bypass grafting was not identified as an independent predictor of both MACEs and angina recurrence. Conclusions: Compared to individual vein bypass grafting, sequential vein bypass grafting was not associated with an increase of either in

  15. Application of a pharmacokinetics-pharmacodynamics approach to the free propofol plasma levels during coronary artery bypass grafting surgery with hypothermic cardiopulmonary bypass

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    Carlos R. Silva-Filho

    2018-02-01

    Full Text Available OBJECTIVES: The objective of this study was to apply a pharmacokinetics-pharmacodynamics approach to investigate the free propofol plasma levels in patients undergoing coronary artery bypass grafting under hypothermic conditions compared with the off-pump procedure. METHODS: Nineteen patients scheduled for on-pump coronary artery bypass grafting under hypothermic conditions (n=10 or the equivalent off-pump surgery (n=9 were anesthetized with sufentanil and propofol target-controlled infusion (2 μg/mL during surgery. The propofol concentration was then reduced to 1 μg/mL, and a pharmacokinetics-pharmacodynamics analysis using the maximum-effect-sigmoid model obtained by plotting the bispectral index values against the free propofol plasma levels was performed. RESULTS: Significant increases (two- to five-fold in the free propofol plasma levels were observed in the patients subjected to coronary artery bypass grafting under hypothermic conditions. The pharmacokinetics of propofol varied according to the free drug levels in the hypothermic on-pump group versus the off-pump group. After hypothermic coronary artery bypass was initiated, the distribution volume increased, and the distribution half-life was prolonged. Propofol target-controlled infusion was discontinued when orotracheal extubation was indicated, and the time to patient extubation was significantly higher in the hypothermic on-pump group than in the off-pump group (459 versus 273 min, p=0.0048. CONCLUSIONS: The orotracheal intubation time was significantly longer in the hypothermic on-pump group than in the off-pump group. Additionally, residual hypnosis was identified through the pharmacokinetics-pharmacodynamics approach based on decreases in drug plasma protein binding in the hypothermic on-pump group, which could explain the increased hypnosis observed with this drug in this group of patients.

  16. Análise dos resultados imediatos da cirurgia de revascularização do miocárdio com e sem circulação extracorpórea Analysis of immediate results of on-pump versus off-pump coronary artery bypass grafting surgery

    Directory of Open Access Journals (Sweden)

    Marcos Antonio Cantero

    2012-03-01

    Full Text Available OBJETIVO: Comparar os resultados imediatos da cirurgia de revascularização do miocárdio com e sem circulação extracorpórea (CEC. MÉTODOS: De janeiro de 2007 a janeiro de 2009, 177 pacientes foram submetidos a cirurgia de revascularização do miocárdio (CRM, sendo 92, sem CEC e 85 com CEC. Foram avaliados distribuição demográfica, fatores de risco pré-operatórios, classe funcional e avaliação de risco pelo EuroSCORE. A evolução no pós-operatório foi comparada entre os grupos. RESULTADOS: A média de enxertos por paciente foi de 2,48 ± 0,43, no grupo sem CEC, e 2,90 ± 0,59, no com CEC. No grupo sem CEC, 97,8% dos pacientes receberam um enxerto de artéria torácica interna, enquanto que no grupo com CEC a porcentagem foi de 94,1% (P = 0,03. A taxa de revascularização completa foi similar em ambos os grupos. No grupo sem CEC, a artéria circunflexa foi revascularizada em 48,9% dos casos e, em 68,2%, no grupo com CEC (P = 0,01. A mortalidade hospitalar foi de 4,3% e 4,7%, respectivamente, no grupo sem CEC e com CEC (P = 0,92. Os pacientes operados sem CEC apresentaram menor índice de complicações em relação ao infarto perioperatório (P= 0,02 e ao uso de balão intra-aórtico (P= 0,01. CONCLUSÃO: A cirurgia coronariana sem CEC é um procedimento seguro, com mortalidade hospitalar similar a dos pacientes operados com CEC, com menores taxas de complicações e de incidência de infarto perioperatório, bem como menor necessidade de balão intra-aórtico.OBJECTIVE: The objective of this study is to compare the immediate results of patients undergoing on-pump versus off-pump coronary artery bypass graft (CABG surgery. METHODS: From January 2007 to January 2009, 177 patients underwent CABG, being 92 off-pump and 85 onpump. We evaluated the demographics, preoperative risk factors, preoperative functional class and risk assessment by the EuroSCORE. The postoperative evolution was compared between groups. RESULTS: The mean

  17. Effect of milrinone on short term outcome of patients with myocardial dysfunction undergoing off-pump coronary artery bypass graft: a randomized clinical trial.

    Science.gov (United States)

    Hadadzadeh, Mehdi; Hosseini, Seyed Habib; Mostafavi Pour Manshadi, Seyed Mohammad Yousof; Naderi, Nafiseh; Emami Meybodi, Mahmood

    2013-01-01

    Myocardial dysfunction is a major complication in cardiac surgery that needs inotropic support. This study evaluates the effect of milrinone on patients with low ventricular ejection fraction undergoing off- pump coronary artery bypass graft (OPCAB). The present study is designed to evaluate the effect of milrinone on myocardial dysfunction. Eighty patients with low ventricular ejection fraction (milrinone (50 μg/kg) intravenously and another group received a saline as placebo followed by 24 hours infusion of each agent (0.5 μg/kg/min). Short outcome of patients such as hemodynamic parameters and left ventricular ejection fraction were variables evaluated. Serum levels of creatine phosphokinase, the MB isoenzyme of creatine kinase, occurrence of arrhythmias and mean duration of mechanical ventilation were significantly lower in milrinone group (P<0.05). The mean post operative left ventricular ejection fraction was significantly higher in milrinone group (P=0.031). There were no statistical significant differences between the two groups in terms of intra-aortic balloon pump, inotropic support requirement, myocardial ischemia, myocardial infarction, duration of inotropic support, duration of intensive care unit stay, mortality and morbidity rate. Administration of milrinone in patients undergoing OPCAB with low ventricular ejection fraction is useful and effective.

  18. Revascularização miocárdica por minitoracotomia esquerda: série de casos Left mini-thoracotomy off-pump coronary revascularization

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    Theófilo Gauze

    2007-03-01

    .6 ± 9.2 were operated on through a 9-14 cm LME to perform off-pump LITA to LAD anastomoses (14 patients or diagonalis (DI and LAD sequential anastomoses (4 men. The grafts were skeletonized during dissection and anastomoses were performed using 7-0 polypropylene running sutures. An access device (CardioThoracic Systems® allowed approach and coronary stabilization. RESULTS: There were no deaths, conversion to sternotomy, transfusions or high enzyme levels. All patients were released from hospital on the 3rd to 5th postoperative days and returned to their day-to-day activities within 30 days. One woman was readmitted for angina, presented with graft occlusion, and a stent was implanted and one man was readmitted for wound infection. Future angiography was performed on six patients and showed patent grafts. CONCLUSION: The operation was performed with low morbid-mortality, short hospital stays and without transfusions. Appropriate instruments and the ability of the surgeon to use his left hand, made this operation technically easy. Randomized studies may prove if there are sufficient clinical and economic benefits over the long term to make this surgery the first choice.

  19. Effect of preoperatively continued aspirin use on early and mid-term outcomes in off-pump coronary bypass surgery: a propensity score-matched study of 1418 patients.

    Directory of Open Access Journals (Sweden)

    Fucheng Xiao

    Full Text Available To date, effect of preoperatively continued aspirin administration in off-pump coronary artery bypass grafting (CABG is less known. We aimed to assess the effect of preoperatively continued aspirin use on early and mid-term outcomes in patients receiving off-pump CABG.From October 2009 to September 2013 at the Fuwai Hospital, 709 preoperative aspirin users were matched with unique 709 nonaspirin users using propensity score matching to obtain risk-adjusted outcome comparisons between the two groups. Early outcomes were in-hospital death, stroke, intra- and post-operative blood loss, reoperation for bleeding and blood product transfusion. Major adverse cardiac events (death, myocardial infarction or repeat revascularization, angina recurrence and cardiogenic readmission were considered as mid-term endpoints.There were no significant differences among the groups in baseline characteristics after propensity score matching. The median intraoperative blood loss (600 ml versus 450 ml, P = 0.56, median postoperative blood loss (800 ml versus 790 ml, P = 0.60, blood transfusion requirements (25.1% versus 24.4%, P = 0.76 and composite outcome of in-hospital death, stroke and reoperation for bleeding (2.8% versus 1.6%, P = 0.10 were similar in aspirin and nonaspirin use group. At about 4 years follow-up, no significant difference was observed among the aspirin and nonaspirin use group in major adverse cardiac events free survival estimates (95.7% versus 91.5%, P = 0.23 and freedom from cardiogenic readmission (88.5% versus 85.3%, P = 0.77 whereas the angina recurrence free survival rates was 83.7% and 73.9% in the aspirin and nonaspirin use group respectively (P = 0.02, with odd ratio for preoperative aspirin estimated at 0.71 (95% confidence interval, 0.49-1.04, P = 0.08.Preoperatively continued aspirin use was not associated with increased risk of intra- and post-operative blood loss, blood transfusion requirements and composite outcome of in

  20. Sevoflurane causes less arrhythmias than desflurane after off-pump coronary artery bypass grafting: A pilot study

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    Hemmerling Thomas

    2010-01-01

    Full Text Available Background: Volatile anesthetics provide myocardial protection during cardiac surgery. Sevoflurane and desflurane are both efficient agents that allow immediate extubation after off-pump coronary artery bypass grafting (OPCABG. This study compared the incidence of arrhythmias after OPCABG with the two agents. Materials and Methods: Forty patients undergoing OPCABG with immediate extubation and perioperative high thoracic analgesia were included in this controlled, double-blind study; anesthesia was either provided using 1 MAC of sevoflurane (SEVO-group or desflurane (DES-group. Monitoring of perioperative arrhythmias was provided by continuous monitoring of the EKG up to 72 hours after surgery, and routine EKG monitoring once every day, until time of discharge. Patient data, perioperative arrhythmias, and myocardial protection (troponin I, CK, CK-MB-ratio, and transesophageal echocardiography examinations were compared using t-test, Fisher′s exact test or two-way analysis of variance for repeated measurements; P < 0.05. Results: Patient data and surgery-related data were similar between the two groups; all the patients were successfully extubated immediately after surgery, with similar emergence times. Supraventricular tachycardia occurred only in the DES-group (5 of 20 patients, atrial fibrillation was significantly more frequent in the DES group versus SEVO-group, at five out of 20 versus one out of 20 patients, respectively. Myocardial protection was equally achieved in both groups. Discussion: Ultra-fast track anesthesia using sevoflurane seems more advantageous than desflurane for anesthesia, for OPCABG, as it is associated with significantly less atrial fibrillation or supraventricular arrhythmias after surgery.

  1. Effect of milrinone on short term outcome of patients with myocardial dysfunction undergoing off-pump coronary artery bypass graft: a randomized clinical trial.

    Directory of Open Access Journals (Sweden)

    Mehdi Hadadzadeh

    2013-10-01

    Full Text Available Myocardial dysfunction is a major complication in cardiac surgery that needs inotropic support. This study evaluates the effect of milrinone on patients with low ventricular ejection fraction undergoing off- pump coronary artery bypass graft (OPCAB. The present study is designed to evaluate the effect of milrinone on myocardial dysfunction. Eighty patients with low ventricular ejection fraction (<35%, candidate for elective OPCAB, were enrolled in this study. They were randomly assigned to two groups. One group received milrinone (50 μg/kg intravenously and another group received a saline as placebo followed by 24 hours infusion of each agent (0.5 μg/kg/min. Short outcome of patients such as hemodynamic parameters and left ventricular ejection fraction were variables evaluated. Serum levels of creatine phosphokinase, the MB isoenzyme of creatine kinase, occurrence of arrhythmias and mean duration of mechanical ventilation were significantly lower in milrinone group (P<0.05. The mean post operative left ventricular ejection fraction was significantly higher in milrinone group (P=0.031. There were no statistical significant differences between the two groups in terms of intra-aortic balloon pump, inotropic support requirement, myocardial ischemia, myocardial infarction, duration of inotropic support, duration of intensive care unit stay, mortality and morbidity rate. Administration of milrinone in patients undergoing OPCAB with low ventricular ejection fraction is useful and effective.

  2. Renal Dysfunction after Off-Pump Coronary Artery Bypass Surgery- Risk Factors and Preventive Strategies

    Directory of Open Access Journals (Sweden)

    Gaurab Maitra

    2009-01-01

    Full Text Available Postoperative renal dysfunction is a relatively common and one of the serious complications of cardiac surgery. Though off-pump coronary artery bypass surgery technique avoids cardiopulmonary bypass circuit induced adverse effects on renal function, multiple other factors cause postoperative renal dysfunction in these groups of patients. Acute kidney injury is generally defined as an abrupt and sustained decrease in kidney function. There is no consen-sus on the amount of dysfunction that defines acute kidney injury, with more than 30 definitions in use in the literature today. Although serum creatinine is widely used as a marker for changes in glomerular filtration rate, the criteria used to define renal dysfunction and acute renal failure is highly variable. The variety of definitions used in clinical studies may be partly responsible for the large variations in the reported incidence. Indeed, the lack of a uniform definition for acute kidney injury is believed to be a major impediment to research in the field. To establish a uniform definition for acute kidney injury, the Acute Dialysis Quality Initiative formulated the Risk, Injury, Failure, Loss, and End-stage Kidney (RIFLE classification. RIFLE , defines three grades of increasing severity of acute kidney injury -risk (class R, injury (class I and failure (class F - and two outcome classes (loss and end-stage kidney disease. Various perioperative risk factors for postoperative renal dysfunction and failure have been identified. Among the important preoperative factors are advanced age, reduced left ventricular function, emergency surgery, preoperative use of intraaortic balloon pump, elevated preoperative serum glucose and creatinine. Most important intraoperative risk factor is the intraoperative haemodynamic instability and all the causes of postoperative low output syndrome com-prise the postoperative risk factors. The most important preventive strategies are the identification of the

  3. Coronary artery bypass surgery in a patient with Kartagener syndrome: a case report and literature review

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    Bougioukas Ioannis

    2010-08-01

    Full Text Available Abstract Kartagener syndrome consists of congenital bronchiectasis, sinusitis, and total situs inversus in half of the patients. A patient diagnosed with Kartagener syndrome was reffered to our department due to 3-vessel coronary disease. An off-pump coronary artery bypass operation was performed using both internal thoracic arteries and a saphenous vein graft. We performed a literature review for cases with Kartagener syndrome, coronary surgery and dextrocardia. Although a few cases of dextrocardia were found in the literature, no case of Kartagener syndrome was mentioned.

  4. Right pleural versus mediastinal drainage following elective off-pump coronary artery bypass

    Directory of Open Access Journals (Sweden)

    Forouzan nia SKh

    2011-03-01

    Full Text Available "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Proper drainage of the mediastinal and pleural spaces following Off-Pump Coronary Artery Bypass (OPCAB surgery is essential for the prevention of pleural and pericardial effusions, cardiac tamponade and late complications such as constrictive pericarditis. Drainage tubes themselves may induce some complications which can negatively affect the result of the surgery. In this study we assessed a new technique for chest drainage following OPCAB."n"nMethods: In this clinical trial, 171 patients were allocated to two groups. In the control group, the drainage technique included one drain in the left pleural cavity and another in the mediastinum, while in the case group; the drainage technique included one drain in the left plural and one in the right pleural cavity."n"nResults: The amount of drainage in the case group was more than the control group (p=0.001. We found significant reductions in the incidence of arrhythmias in the case group (p=0.005. While one patient (1.2% needed reoperation for bleeding control in the control group, no patients needed reexploration in the case group (p=0.497. The duration of hospital (p=0.022 and ICU (p=0.002 stays was shorter in the case group."n"nConclusions: Based on the

  5. Scrape-off profiles and effects of limiter pumping in Tore Supra

    International Nuclear Information System (INIS)

    Budny, R.

    1986-11-01

    A one dimensional plasma scrape-off model was used to simulate Tore Supra discharges which are limited by various combinations of the pumped and inner limiters. Scrape-off profiles of the electron density and temperature, ion temperature, and neutral density are given. For each case, various fractions of the ion flux to the neutralizers were assumed to be pumped. Modifications of the scrap-off profiles caused by pumping are predicted. Pumping efficiencies are calculated including the effects of flux amplification caused by recycling. The pumping efficiency is estimated to be 8% for low-power discharges formed on the outer pumped limiter, 7.5% for intermediate-power discharges formed on the seven-module pumped-limiter system, and 5% for full-power discharges formed on both the inner limiter and the pumped-limiter system. The maximum particle removal rate is estimated to be 150 Tl/s

  6. Impact of surgeon experience on the rate of blood transfusion in off-pump coronary artery bypass.

    Science.gov (United States)

    Chen, Jeng-Wei; Hsu, Ron-Bin

    2016-03-01

    Off-pump coronary artery bypass (OPCAB) reduces the rate of blood transfusion. No studies have focused on the effect of surgeon experience on the transfusion rate. We sought to assess the transfusion rate in OPCAB and to evaluate the effect of surgeon experience. Retrospective review of 1055 consecutive patients undergoing OPCAB between 2000 and 2012. Patients were divided into tripartites by the year of operation (2000-2004, 2005-2008, and 2009-2012). Surgeon experience was evaluated with revascularization index and conversion rate. Mode of intervention was elective in 768, urgency in 185, and emergency in 102 patients (10%). Blood transfusion was associated with increased rates of hospital mortality and sternal wound/bloodstream infections. Revascularization index was 1.22 ± 0.29 per patient and increased over time, from 1.05 ± 0.21 in 2000-2004 to 1.39 ± 0.26 in 2009-2012. Conversion rate was 10% and decreased over time, from 17% in 2000-2004 to 6% in 2009-2012. The average rate of blood transfusion was 58% and decreased over time, from 74% in 2000-2004 to 41% in 2009-2012. Rate of red blood cell transfusion was 56% and decreased from 72% in 2000-2004 to 40% in 2009-2012. Rate of platelet transfusion was 21% and decreased from 25% in 2000-2004 to 15% in 2009-2012.The most significant decrease in the transfusion rate was observed in nonemergency cases. Surgeon experience reduced the need of blood transfusion after OPCAB. Increasing surgeon experience was associated with a 33% reduction in blood transfusion rate. Copyright © 2015. Published by Elsevier B.V.

  7. Outcomes of On-pump Coronary Artery Bypass Grafting in Patients with Metabolic Syndrome in Mashhad, Iran

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    Aliasghar Moeinipour

    2017-09-01

    Full Text Available Introduction: Metabolic syndrome (MS is considered as an important risk factor for advanced coronary artery disease. This condition can increase the mortality and morbidity in the patients undergoing coronary artery bypass graft (CABG surgery. The aim of the study was compared mortality and morbidity after off Pump- CABG surgery between patients with and without the Metabolic syndrome. Materials & Methods: This prospective cross-sectional study was conducted on 120 patients, who underwent off-pump CABG surgery between October 2014-October 2016. The participants were equally divided into two groups including the patients with and without MS (MS and non-MS, respectively. Results: According to the results, 68 (56.6% patients were male. Furthermore, out of the 60 participants with MS, 36 (60% cases were male. The mean ages of the MS and non-MS groups were 64.96±9.6 and 65.62±10.6 P=0.6 years, respectively. No statistically significant difference was observed between the two groups in terms of the mortality and morbidity (e.g., surgical wound infection, length of Intensive Care Unit and hospital stay, atrial fibrillation rhythm, and bleeding in the first 24 h. The intubation time in patients with Metabolic Syndrome was significantly higher than patients without Metabolic Syndrome (6.66 ± 1.97 vs 5.83 ± 1.93 respectively; P=0.007 Conclusion: Metabolic syndrome was not associated with higher mortality and morbidity after CABG surgery compare to patients without Metabolic syndrome, although patients with Metabolic syndrome had higher risk for long intubation time.

  8. Preoperative factors affecting cost and length of stay for isolated off-pump coronary artery bypass grafting: hierarchical linear model analysis.

    Science.gov (United States)

    Shinjo, Daisuke; Fushimi, Kiyohide

    2015-11-17

    To determine the effect of preoperative patient and hospital factors on resource use, cost and length of stay (LOS) among patients undergoing off-pump coronary artery bypass grafting (OPCAB). Observational retrospective study. Data from the Japanese Administrative Database. Patients who underwent isolated, elective OPCAB between April 2011 and March 2012. The primary outcomes of this study were inpatient cost and LOS associated with OPCAB. A two-level hierarchical linear model was used to examine the effects of patient and hospital characteristics on inpatient costs and LOS. The independent variables were patient and hospital factors. We identified 2491 patients who underwent OPCAB at 268 hospitals. The mean cost of OPCAB was $40 665 ±7774, and the mean LOS was 23.4±8.2 days. The study found that select patient factors and certain comorbidities were associated with a high cost and long LOS. A high hospital OPCAB volume was associated with a low cost (-6.6%; p=0.024) as well as a short LOS (-17.6%, pcost and LOS. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  9. Effect of Exogenous Albumin on the Incidence of Postoperative Acute Kidney Injury in Patients Undergoing Off-pump Coronary Artery Bypass Surgery with a Preoperative Albumin Level of Less Than 4.0 g/dl.

    Science.gov (United States)

    Lee, Eun-Ho; Kim, Wook-Jong; Kim, Ji-Yeon; Chin, Ji-Hyun; Choi, Dae-Kee; Sim, Ji-Yeon; Choo, Suk-Jung; Chung, Cheol-Hyun; Lee, Jae-Won; Choi, In-Cheol

    2016-05-01

    Hypoalbuminemia may increase the risk of acute kidney injury (AKI). The authors investigated whether the immediate preoperative administration of 20% albumin solution affects the incidence of AKI after off-pump coronary artery bypass surgery. In this prospective, single-center, randomized, parallel-arm double-blind trial, 220 patients with preoperative serum albumin levels less than 4.0 g/dl were administered 100, 200, or 300 ml of 20% human albumin according to the preoperative serum albumin level (3.5 to 3.9, 3.0 to 3.4, or less than 3.0 g/dl, respectively) or with an equal volume of saline before surgery. The primary outcome measure was AKI incidence after surgery. Postoperative AKI was defined by maximal AKI Network criteria based on creatinine changes. Patient characteristics and perioperative data except urine output during surgery were similar between the two groups studied, the albumin group and the control group. Urine output (median [interquartile range]) during surgery was higher in the albumin group (550 ml [315 to 980]) than in the control group (370 ml [230 to 670]; P = 0.006). The incidence of postoperative AKI in the albumin group was lower than that in the control group (14 [13.7%] vs. 26 [25.7%]; P = 0.048). There were no significant between-group differences in severe AKI, including renal replacement therapy, 30-day mortality, and other clinical outcomes. There were no significant adverse events. Administration of 20% exogenous albumin immediately before surgery increases urine output during surgery and reduces the risk of AKI after off-pump coronary artery bypass surgery in patients with a preoperative serum albumin level of less than 4.0 g/dl.

  10. Qualidade de vida após revascularização cirúrgica do miocárdio com e sem circulação extracorpórea Quality of life after on-pump and off-pump coronary artery bypass grafting surgery

    Directory of Open Access Journals (Sweden)

    Celia R. S. R. Nogueira

    2008-10-01

    Full Text Available FUNDAMENTO: Técnicas de cirurgia de revascularização miocárdica (RM sem o uso de circulação extracorpórea (CEC possibilitou resultados operatórios com menor dano sistêmico, menor ocorrência de complicações clínicas, menor permanência na sala de terapia intensiva e também no tempo de internação, gerando expectativas de melhor qualidade de vida (QV dos pacientes. OBJETIVO: Avaliar a QV em pacientes submetidos à cirurgia de revascularização com e sem CEC. MÉTODOS: Em pacientes com doença multiarterial coronariana (DAC estável e função ventricular preservada, aplicou-se o Short-Form Health Survey (SF-36 Questionnaire antes da cirurgia e depois de 6 e 12 meses. RESULTADOS: Entre janeiro de 2002 e dezembro de 2006, foram randomizados 202 pacientes para cirurgia de RM. As características demográficas clínicas laboratoriais e angiográficas foram semelhantes nos dois grupos. Desses pacientes, 105 foram operados sem CEC e 97 com CEC. Na evolução, 22 pacientes sofreram infarto, 29 relataram angina, um reoperou, 3 tiveram AVC e nenhum morreu. A avaliação da QV mostrou similaridade nos dois grupos em relação ao componente físico e mental. Todavia, encontrou-se significativa melhora da capacidade funcional e percepção do aspecto físico nos pacientes do sexo masculino. Além disso, um expressivo número de pacientes dos dois grupos retornou ao trabalho. CONCLUSÃO: Em todos os pacientes estudados, observaram-se melhora progressiva da qualidade de vida e retorno precoce ao trabalho, independentemente da técnica cirúrgica empregada. Exceto pela melhor percepção da capacidade funcional e do aspecto físico experimentado pelos homens, não houve diferença estatística nos resultados dos demais domínios alcançados pelos dois grupos estudados.BACKGROUND: Coronary artery bypass grafting techniques without using cardiopulmonary bypass (off-pump CABG result in less systemic damage, less clinical complications, less time

  11. Total Arterial Off‑pump Coronary Revascularization with a Bilateral ...

    African Journals Online (AJOL)

    Total Arterial Off‑pump Coronary Revascularization with a Bilateral Internal Mammary Artery Y Graft (208 cases). Jun-Feng Yang, Hong-Chao Zhang1, Cheng-Xiong Gu, Hua Wei. INTRODUCTION. AY graft is a graft formed by the left internal mammary artery (LIMA) connected to the left anterior descending (LAD) artery and ...

  12. Subxyphoid pleural drain confers lesser impairment in respiratory muscle strength, oxygenation and lower chest pain after off-pump coronary artery bypass grafting: a randomized controlled trial.

    Science.gov (United States)

    Cancio, Andreia S A; Guizilini, Solange; Bolzan, Douglas W; Dauar, Renato B; Succi, José E; de Paola, Angelo A V; Carvalho, Antonio C de Camargo; Gomes, Walter J

    2012-01-01

    To evaluate respiratory muscle strength, oxygenation and chest pain in patients undergoing off-pump coronary artery bypass (OPCAB) using internal thoracic artery grafts comparing pleural drain insertion site at the subxyphoid region versus the lateral region. Forty patients were randomized into two groups in accordance with the pleural drain site. Group II (n = 19) -pleural drain exteriorized in the intercostal space; group (SI) (n = 21) chest tube exteriorized at the subxyphoid region. All patients underwent assessment of respiratory muscle strength (inspiratory and expiratory) on the pre, 1, 3 and 5 postoperative days (POD). Arterial blood gas analysis was collected on the pre and POD1. The chest pain sensation was measured 1, 3 and 5 POD. A significant decrease in respiratory muscle strength (inspiratory and expiratory) was seen in both groups until POD5 (P pleural drainage showed less decrease in respiratory muscle strength, better preservation of blood oxygenation and reduced thoracic pain compared to patients with intercostal drain on early OPCAB postoperative.

  13. Effect of thoracic epidural anesthesia on oxygen delivery and utilization in cardiac surgical patients scheduled to undergo off-pump coronary artery bypass surgery: a prospective study.

    Science.gov (United States)

    Suryaprakash, Sharadaprasad; Chakravarthy, Murali; Gautam, Mamatha; Gandhi, Anurag; Jawali, Vivek; Patil, Thimmannagowda; Jayaprakash, Krishnamoorthy; Pandey, Saurabh; Muniraju, Geetha

    2011-01-01

    To evaluate the effect of thoracic epidural anesthesia (TEA) on tissue oxygen delivery and utilization in patients undergoing cardiac surgery. This prospective observational study was conducted in a tertiary referral heart hospital. A total of 25 patients undergoing elective off-pump coronary artery bypass surgery were enrolled in this study. All patients received thoracic epidural catheter in the most prominent inter-vertebral space between C7 and T3 on the day before operation. On the day of surgery, an arterial catheter and Swan Ganz catheter (capable of measuring cardiac index) was inserted. After administering full dose of local anesthetic in the epidural space, serial hemodynamic and oxygen transport parameters were measured for 30 minute prior to administration of general anesthesia, with which the study was culminated. A significant decrease in oxygen delivery index with insignificant changes in oxygen extraction and consumption indices was observed. We conclude that TEA does not affect tissue oxygenation despite a decrease in arterial pressures and cardiac output.

  14. Effect of thoracic epidural anesthesia on oxygen delivery and utilization in cardiac surgical patients scheduled to undergo off-pump coronary artery bypass surgery: A prospective study

    Directory of Open Access Journals (Sweden)

    Suryaprakash Sharadaprasad

    2011-01-01

    Full Text Available To evaluate the effect of thoracic epidural anesthesia (TEA on tissue oxygen delivery and utilization in patients undergoing cardiac surgery. This prospective observational study was conducted in a tertiary referral heart hospital. A total of 25 patients undergoing elective off-pump coronary artery bypass surgery were enrolled in this study. All patients received thoracic epidural catheter in the most prominent inter-vertebral space between C7 and T3 on the day before operation. On the day of surgery, an arterial catheter and Swan Ganz catheter (capable of measuring cardiac index was inserted. After administering full dose of local anesthetic in the epidural space, serial hemodynamic and oxygen transport parameters were measured for 30 minute prior to administration of general anesthesia, with which the study was culminated. A significant decrease in oxygen delivery index with insignificant changes in oxygen extraction and consumption indices was observed. We conclude that TEA does not affect tissue oxygenation despite a decrease in arterial pressures and cardiac output.

  15. Embracing the heart: perioperative management of patients undergoing off-pump coronary artery bypass grafting using the octopus tissue stabilizer.

    Science.gov (United States)

    Nierich, A P; Diephuis, J; Jansen, E W; van Dijk, D; Lahpor, J R; Borst, C; Knape, J T

    1999-04-01

    To describe hemodynamic alterations during coronary artery bypass grafting (CABG) without extracorporeal circulation using the Octopus Tissue Stabilizer, and to describe the two anesthetic management protocols based on either general anesthesia with opioids (34 patients) or general anesthesia with high thoracic epidural anesthesia (TEA; 66 patients). A prospective observational report. An academic university heart center. First 100 patients undergoing CABG using the Octopus Tissue Stabilizer. None. Current management provided satisfactory results in preventing hypoperfusion of the heart and inadequate systemic circulation without the use of major pharmacologic interventions. Movement of the heart to reach the target site of anastomosis caused hemodynamic alterations. These could easily be corrected by anesthetic interventions, such as fluid load and low doses of inotropes. High TEA allows earlier extubation compared with the opioid anesthesia technique (0.9 v 4.5 hours). Perioperative management and the incidence of postoperative complications did not differ between anesthetic techniques. Major complications, such as death, intraoperative myocardial infarction, and stroke, did not occur. Both anesthetic protocols are safe and effective in handling these patients. Off-pump CABG surgery requires anesthetic interventions because hemodynamic alterations are caused by the presentation of the heart to the surgeon. The complication rate is low but needs to be evaluated, compared with conventional CABG, in a prospective randomized study. High thoracic epidural anesthesia allows early recovery, but improved outcome could not be proved in this patient group.

  16. Performance of a solar augmented heat pump

    Science.gov (United States)

    Bedinger, A. F. G.; Tomlinson, J. J.; Reid, R. L.; Chaffin, D. J.

    Performance of a residential size solar augmented heat pump is reported for the 1979-1980 heating season. The facility located in Knoxville, Tennessee, has a measured heat load coefficient of 339.5 watt/C (644 BTU/hr- F). The solar augmented heat pump system consists of 7.4 cu m of one inch diameter crushed limestone. The heat pump is a nominal 8.8 KW (2 1/2 ton) high efficiency unit. The system includes electric resistance heaters to give the option of adding thermal energy to the pebble bed storage during utility off-peak periods, thus offering considerable load management capability. A 15 KW electric resistance duct heater is used to add thermal energy to the pebble bin as required during off-peak periods. Hourly thermal performance and on site weather data was taken for the period November 1, 1979, to April 13, 1980. Thermal performance data consists of heat flow summations for all modes of the system, pebble bed temperatures, and space temperature. Weather data consists of dry bulb temperature, dew point temperature, total global insolation (in the plane of the collector), and wind speed and direction. An error analysis was performed and the least accurate of the measurements was determined to be the heat flow at 5%. Solar system thermal performance factor was measured to be 8.77. The heat pump thermal performance factor was 1.64. Total system seasonal performance factor was measured to be 1.66. Using a modified version of TRNSYS, the thermal performance of this system was simulated. When simulation results were compared with data collected onsite, the predicted heat flow and power consumption generally were within experimental accuracy.

  17. Coronary artery bypass grafting on the beating heart using the Octopus method

    NARCIS (Netherlands)

    Thijssens, K. M.; Rodrigus, I. E.; Amsel, B. J.; de Hert, S. G.; Moulijn, A. C.

    2000-01-01

    STUDY OBJECTIVE: To study the usefulness and effectiveness of off-pump coronary bypass grafting with the Octopus heart stabilizing device. METHOD: The files of thirty-one patients undergoing coronary artery bypass with the aid of the Octopus heart stabilizing device between April 1996 and October

  18. The impact of avoiding cardiopulmonary by-pass during coronary artery bypass surgery in elderly patients: the Danish On-pump Off-pump Randomisation Study (DOORS)

    DEFF Research Database (Denmark)

    Houlind, Kim; Kjeldsen, Bo Juul; Madsen, Susanne Nørgaard

    2009-01-01

    BACKGROUND: Coronary Artery Bypass Graft operation for ischemic heart disease provides improved quality of life and, in some patients, prolonged survival. Concern has, however, been raised about complications that may be related to the use of cardiopulmonary by-pass (CPB) and aortic cross......-clamping. It has been hypothesized that when coronary artery by-pass grafting is performed without the use of CPB, the rate of serious complications is reduced. METHODS/DESIGN: The trial is designed as an open, randomized, controlled, clinical trial with blinded assessment of end-points. Patients at or above 70...... years of age, referred for surgical myocardial revascularisation, are included and randomised to receive coronary artery by-pass grafting either with or without the use of CPB and aortic cross-clamping. Follow-up is performed by clinical, biochemical, electrocardiographic, and angiographic data...

  19. Analysis of off-grid hybrid wind turbine/solar PV water pumping systems

    Science.gov (United States)

    While many remote water pumping systems exist (e.g. mechanical windmills, solar photovoltaic , wind-electric, diesel powered), very few combine both the wind and solar energy resources to possibly improve the reliability and the performance of the system. In this paper, off-grid wind turbine (WT) a...

  20. The Effect of Milrinone on the Right Ventriclular Function in Patients with Reduced Right Ventricular Function Undergoing Off-pump Coronary Artery Bypass Graft Surgery

    Science.gov (United States)

    Lee, Jong Hwa; Oh, Young Jun; Shim, Yon Hee; Hong, Yong Woo; Yi, Gijong

    2006-01-01

    This investigation evaluated the effect of continuous milrinone infusion on right ventriclular (RV) function during off-pump coronary artery bypass graft (OPCAB) surgery in patients with reduced RV function. Fifty patients scheduled for OPCAB, with thermodilution RV ejection fraction (RVEF) milrinone (0.5 µg/kg/min) or control (saline) group. Hemodynamic variables and RV volumetric data measured by thermodilution method were collected as follows: after anesthesia induction (T1); 10 min after heart displacement for obtuse marginal artery anastomosis (T2); after pericardial closure (T3). Cardiac index and heart rate increased and systemic vascular resistance significantly decreased in milrinone group at T2. Initially lower RVEF of milrinone group was eventually comparable to control group after milrinone infusion. RVEF did not significantly change at T2 and T3 in both groups. RV end-diastolic volume in milrinone group consistently decreased from the baseline at T2 and T3. Continuous infusion of milrinone without a bolus demonstrated potentially beneficial effect on cardiac output and RV afterload in patients with reduced RV function during OPCAB. However, aggressive augmentation of intravascular volume seems to be necessary to maximize the effect of the milrinone in these patients. PMID:17043419

  1. The management of impending myocardial infarction using coronary artery by-pass grafting and an intra-aortic balloon pump.

    Science.gov (United States)

    Harris, P L; Woollard, K; Bartoli, A; Makey, A R

    1980-01-01

    Of 33 patients with impending myocardial infarction 25 were treated using a combination of coronary artery by-pass grafting and intra-aortic balloon pumping. Eight patients were treated with coronary artery by-pass grafting alone. Twenty-two of the 25 patients who were treated with the combined technique made a full recovery. Three patients sustained definite myocardial infarctions and one of these died. Five of the 8 patients treated by grafting alone suffered infarction and of these 3 died. The value of intra-aortic balloon pumping in combination with coronary artery by-pass grafting in the management of impending myocardial infarction is discussed.

  2. The effects of preemptive pregabalin on attenuation of stress response to endotracheal intubation and opioid- sparing effect in patients undergoing off-pump coronary artery bypass grafting

    Directory of Open Access Journals (Sweden)

    Ayya Syama Sundar

    2012-01-01

    Full Text Available The clinical study was designed to evaluate and compare single preoperative dose of pregabalin to a placebo regarding hemodynamic responses to laryngoscopy and endotracheal intubation, to assess perioperative fentanyl requirement and any side-effects. It was a randomized, double-blind, placebo-controlled, parallel assignment, efficacy study. The study was done at a tertiary university hospital. This study was a comparison between two groups of 30 adult patients scheduled for elective off pump coronary artery bypass surgery. In the control group, the patients were given placebo capsules, and in the pregabalin group, the patients were given pregabalin 150 mg capsule orally 1 h before surgery. The patients were compared for hemodynamic changes before the start of the surgery, after induction, 1, 3, and 5 min after intubation. Additionally, fentanyl requirement during surgery and the first postoperative day was also compared. The present study shows that a single oral dose of 150 mg pregabalin given 1 h before surgery attenuated the pressor response to tracheal intubation in adults, but the drug did not show any effect on perioperative opioid consumption and was devoid of side-effects in the given dose.

  3. Pleurotomy with subxyphoid pleural drain affords similar effects to pleural integrity in pulmonary function after off-pump coronary artery bypass graft.

    Science.gov (United States)

    Guizilini, Solange; Bolzan, Douglas W; Faresin, Sonia M; Ferraz, Raquel F; Tavolaro, Kelly; Cancio, Andrea A; Gomes, Walter J

    2012-01-25

    Exacerbation of pulmonary dysfunction has been reported in patients receiving a pleural drain inserted through the intercostal space in comparison to patients with an intact pleura undergoing coronary artery bypass grafting (CABG). Evidence suggests that shifting the site of pleural drain insertion to the subxyphoid position minimizes chest wall trauma and preserves respiratory function in the early postoperative period. The aim of this study was to compare the pulmonary function parameters, clinical outcomes, and pain score between patients undergoing pleurotomy with pleural drain placed in the subxyphoid position and patients with intact pleural cavity after off-pump CABG (OPCAB) using left internal thoracic artery (LITA). Seventy-one patients were allocated into two groups: I (n = 38 open left pleural cavity and pleural drain inserted in the subxyphoid position); II (n = 33 intact pleural cavity). Pulmonary function tests and clinical parameters were recorded preoperatively and on postoperative days (POD) 1, 3 and 5. Arterial blood gas analysis and shunt fraction were evaluated preoperatively and in POD1. Pain score was assessed on POD1. To monitor pleural effusion and atelectasis chest radiography was performed routinely 1 day before operation and until POD5. In both groups a significant impairment was found in lung function parameters until on POD5. However, no significant difference in forced vital capacity and forced expiratory volume in 1 second were seen between groups. A significant decrease in partial pressure of arterial oxygen and an increase in shunt fraction values were observed on POD1 in both groups, but no statistical difference was found when the groups were compared. Pleural effusion and atelectasis until on POD5 were similar in both groups. There were no statistical differences in pain score, duration of mechanical ventilation and postoperative hospital stay between groups. Subxyphoid insertion of pleural drain provides similar effects to

  4. Off-pump coronary surgery: surgical strategy for the high-risk patient.

    Science.gov (United States)

    Van Belleghem, Y; Caes, F; Maene, L; Van Overbeke, H; Moerman, A; Van Nooten, G

    2003-02-01

    In a retrospective study, we compared two groups of consecutive patients operated by the same team during the year 2000 for coronary artery disease with the use of extracorporeal circulation (group 1, n=230) or on the beating heart using the Octopus II plus stabiliser (group 2, n=228). High-risk patients were identified by a EuroSCORE plus 6. EuroSCORE definitions and predicted risk models were utilized to compare the variables of the groups. There were no significant differences between the preoperative variables of the groups in age, gender, left ventricular function, diabetes and peripheral vascular and renal disease as is indicated by the Euroscore (resp. 4.7/5.1 p=0.107). Calcification of the ascending aorta and chronic obstructive lung disease were statistically significant more prevalent in the beating heart group. No differences in preoperative variables in the high-risk patients group (Euroscore 8.5/8.1 p=0.356) except for calcification of the ascending aorta. All patients underwent a full revascularisation through a midline sternotomy. Significant more distal anastomoses were performed in group 1 (3.7 per patient (1-6)) with regard to group 2 (2.9 per patient (1-6)). Anesthesia, postoperative treatment and follow up were equal for both groups. A significant lower incidence of atrial fibrillation (p=0.010), shorter ICU stay (p=0.031) and renal insufficiency (p=0.033) was reported in group 2. In the low risk group, we could not diagnose any difference between the two groups, except for atrial fibrillation. The benefits of the beating heart surgery however were more pronounced in the high-risk patient as is indicated by a significant reduction of the ICU stay by 1 day (3.5d/2.5d (p=0.028)), better preservation of the renal function (p=0.017) and a significant reduction of the length of hospital stay by more than two days (p=0.040). A lower incidence of atrial fibrillation, however not significant. In our experience, beating heart surgery is a safe

  5. Thoracic epidural analgesia in obese patients with body mass index of more than 30 kg/m 2 for off pump coronary artery bypass surgery

    Directory of Open Access Journals (Sweden)

    Sharma Munish

    2010-01-01

    Full Text Available Perioperative Thoracic epidural analgesia (TEA is an important part of a multimodal approach to improve analgesia and patient outcome after cardiac and thoracic surgery. This is particularly important for obese patients undergoing off pump coronary artery bypass surgery (OPCAB. We conducted a randomized clinical trial at tertiary care cardiac institute to compare the effect of TEA and conventional opioid based analgesia on perioperative lung functions and pain scores in obese patients undergoing OPCAB. Sixty obese patients with body mass index> 30 kg/m 2 for elective OPCAB were randomized into two groups (n=30 each. Patients in both the groups received general anesthesia but in group 1, TEA was also administered. We performed spirometry as preoperative assessment and at six hours, 24 hours, second, third, fourth and fifth day after extubation, along with arterial blood gases analysis. Visual analogue scale at rest and on coughing was recorded to assess the degree of analgesia. The other parameters observed were: time to endotracheal extubation, oxygen withdrawal time and intensive care unit length of stay. On statistical analysis there was a significant difference in Vital Capacity at six hours, 24 hours, second and third day postextubation. Forced vital capacity and forced expiratory volume in one second followed the same pattern for first four postoperative days and peak expiratory flow rate remained statistically high till second postoperative day. ABG values and PaO 2 /FiO 2 ratio were statistically higher in the study group up to five days. Visual analogue scale at rest and on coughing was significantly lower till fourth and third postoperative day respectively. Tracheal extubation time, oxygen withdrawal time and ICU stay were significantly less in group 1. The use of TEA resulted in better analgesia, early tracheal extubation and shorter ICU stay and should be considered for obese patients undergoing OPCAB.

  6. Off-design performance analysis of Kalina cycle for low temperature geothermal source

    International Nuclear Information System (INIS)

    Li, Hang; Hu, Dongshuai; Wang, Mingkun; Dai, Yiping

    2016-01-01

    Highlights: • The off-design performance analysis of Kalina cycle is conducted. • The off-design models are established. • The genetic algorithm is used in the design phase. • The sliding pressure control strategy is applied. - Abstract: Low temperature geothermal sources with brilliant prospects have attracted more and more people’s attention. Kalina cycle system using ammonia water as working fluid could exploit geothermal energy effectively. In this paper, the quantitative analysis of off-design performance of Kalina cycle for the low temperature geothermal source is conducted. The off-design models including turbine, pump and heat exchangers are established preliminarily. Genetic algorithm is used to maximize the net power output and determine the thermodynamic parameters in the design phase. The sliding pressure control strategy applied widely in existing Rankine cycle power plants is adopted to response to the variations of geothermal source mass flow rate ratio (70–120%), geothermal source temperature (116–128 °C) and heat sink temperature (0–35 °C). In the off-design research scopes, the guidance for pump rotational speed adjustment is listed to provide some reference for off-design operation of geothermal power plants. The required adjustment rate of pump rotational speed is more sensitive to per unit geothermal source temperature than per unit heat sink temperature. Influence of the heat sink variation is greater than that of the geothermal source variation on the ranges of net power output and thermal efficiency.

  7. Revascularização miocárdica em pacientes octogenários: estudo retrospectivo e comparativo entre pacientes operados com e sem circulação extracorpórea Myocardial revascularization in octogenarian patients: retrospective and comparative study between patients operated on pump and off pump

    Directory of Open Access Journals (Sweden)

    Ricardo Lima

    2005-03-01

    Full Text Available OBJETIVO: O objetivo do presente trabalho é comparar e analisar os benefícios da cirurgia com e sem CEC, em pacientes octogenários. MÉTODO: Foram analisados dados retrospectivos dos pacientes com 80 anos de idade ou mais, no período de dezembro 1995 a dezembro de 2003. Neste período, 73 pacientes foram submetidos à revascularização do miocárdio (RM, sendo 26 (35,6% com CEC e 47 (64,4%, sem CEC. Os dados demográficos, fatores de risco pré-operatório, comorbidades, classe da angina (CCVS, complicações pós-operatórias e resultados cirúrgicos foram comparados entre os dois grupos (com CEC e sem CEC. Utilizou-se o teste de "t de Student" na comparação entre os grupos e foi considerado um nível de significância de p OBJECTIVE: The purpose of the present study is to compare and analyze the benefits of this operation with and without cardiopulmonary bypass in octogenarian patients. METHOD: Retrospective data of the patients aged eighty years or more from December 1995 to December 2003 were analyzed. During this period 73 patients were submitted to coronary artery bypass grafting (CABG, 26 (35.6% on-pump and 47 (64.4% off-pump. A comparison was made of the demographic data, preoperative risks, concurrent morbid conditions, types of angina, postoperative complications and surgical outcomes between the on-pump and off-pump groups. The Student t-test was used to compare the groups and the level of significance was set at p-value < 0.05. RESULTS: Both groups showed a high preoperative risk, although the off-pump group presented less surgical mortality (11.5% vs 2.1%, p < 0.05. No strokes were observed in the patients operated on off-pump (11.5% vs 0.0%, p < 0.005. Atrial fibrillation (AF in the immediate postoperative period was present less often in the off-pump group (30.8% vs 12.8%, p < 0.005. The postoperative mechanical ventilation time and the presence of respiratory failure were less in the off-pump group (p < 0.005. The presence

  8. Automated surveillance of reactor coolant pump performance

    International Nuclear Information System (INIS)

    Gross, K.C.; Singer, R.M.; Humenik, K.E.

    1992-01-01

    An artificial intelligence based expert system has been developed for continuous surveillance and diagnosis of centrifugal-type reactor coolant pump (RCP) performance and operability. The expert system continuously monitors digitized signals from a variety of physical variables (speed, vibration level, motor power, discharge pressure) associated with RCP performance for annunciation of the incipience or onset of off-normal operation. The system employs an extremely sensitive pattern-recognition technique, the sequential probability ratio test (SPRT) for rapid identification of pump operability degradation. The sequential statistical analysis of the signal noise has been shown to provide the theoretically shortest sampling time to detect disturbances and thus has the potential of providing incipient fault detection information to operators sufficiently early to avoid forced plant shutdowns. The sensitivity and response time of the expert system are analyzed in this paper using monte carlo simulation techniques

  9. Performance of a 10 kilowatt wind-electric water pumping system for irrigating crops

    Energy Technology Data Exchange (ETDEWEB)

    Vick, B.D.; Clark, R.N. [Conservation and Production Research Lab., Bushland, TX (United States); Molla, S. [Texas A& M Univ., College Station, TX (United States)

    1997-12-31

    A 10 kW wind-electric water pumping system was tested for field crop irrigation at pumping depths from 50 to 120 m. The wind turbine for this system used a permanent magnet alternator that powered off-the-shelf submersible motors and pumps without the use of an inverter. Pumping performance was determined at the USDA-Agricultural Research Service (ARS), Wind Energy Laboratory in Bushland, TX for the 10 kW wind turbine using a pressure valve and a pressure tank to simulate different pumping depths. Pumping performance was measured for two 10 kW wind turbines of the same type at farms near the cities of Garden City, TX and Stiles, TX. The pumping performance data collected at these actual wells compared favorably with the data collected at the USDA-ARS, Wind Energy Laboratory. If utility generated electricity was accessible, payback on the wind turbine depended on the cost of utility generated electricity and the transmission line extension cost.

  10. Pleurotomy with subxyphoid pleural drain affords similar effects to pleural integrity in pulmonary function after off-pump coronary artery bypass graft

    Directory of Open Access Journals (Sweden)

    Guizilini Solange

    2012-01-01

    Full Text Available Abstract Background Exacerbation of pulmonary dysfunction has been reported in patients receiving a pleural drain inserted through the intercostal space in comparison to patients with an intact pleura undergoing coronary artery bypass grafting (CABG. Evidence suggests that shifting the site of pleural drain insertion to the subxyphoid position minimizes chest wall trauma and preserves respiratory function in the early postoperative period. The aim of this study was to compare the pulmonary function parameters, clinical outcomes, and pain score between patients undergoing pleurotomy with pleural drain placed in the subxyphoid position and patients with intact pleural cavity after off-pump CABG (OPCAB using left internal thoracic artery (LITA. Methods Seventy-one patients were allocated into two groups: I (n = 38 open left pleural cavity and pleural drain inserted in the subxyphoid position; II (n = 33 intact pleural cavity. Pulmonary function tests and clinical parameters were recorded preoperatively and on postoperative days (POD 1, 3 and 5. Arterial blood gas analysis and shunt fraction were evaluated preoperatively and in POD1. Pain score was assessed on POD1. To monitor pleural effusion and atelectasis chest radiography was performed routinely 1 day before operation and until POD5. Results In both groups a significant impairment was found in lung function parameters until on POD5. However, no significant difference in forced vital capacity and forced expiratory volume in 1 second were seen between groups. A significant decrease in partial pressure of arterial oxygen and an increase in shunt fraction values were observed on POD1 in both groups, but no statistical difference was found when the groups were compared. Pleural effusion and atelectasis until on POD5 were similar in both groups. There were no statistical differences in pain score, duration of mechanical ventilation and postoperative hospital stay between groups. Conclusion Subxyphoid

  11. CArbon dioxide surgical field flooding and aortic NO-touch off-pump coronary artery bypass grafting to reduce Neurological injuries after surgical coronary revascularisation (CANON): protocol for a randomised, controlled, investigator and patient blinded single-centre superiority trial with three parallel arms

    Science.gov (United States)

    Szwed, Krzysztof; Pawliszak, Wojciech; Serafin, Zbigniew; Kowalewski, Mariusz; Tomczyk, Remigiusz; Perlinski, Damian; Szwed, Magdalena; Tomaszewska, Marta; Anisimowicz, Lech; Borkowska, Alina

    2017-01-01

    Introduction Neurological injuries remain a major concern following coronary artery bypass grafting (CABG) that offsets survival benefit of CABG over percutaneous coronary interventions. Among numerous efforts to combat this issue is the development of off-pump CABG (OPCABG) that obviates the need for extracorporeal circulation and is associated with improved neurological outcomes. The objective of this study is to examine whether the neuroprotective effect of OPCABG can be further pronounced by the use of two state-of-the-art operating techniques. Methods and analysis In this randomised, controlled, investigator and patient blinded single-centre superiority trial with three parallel arms, a total of 360 patients will be recruited. They will be allocated in a 1:1:1 ratio to two treatment arms and one control arm. Treatment arms undergoing either aortic no-touch OPCABG or OPCABG with partial clamp applying carbon dioxide surgical field flooding will be compared against control arm undergoing OPCABG with partial clamp. The primary endpoint will be the appearance of new lesions on control brain MRI 3 days after surgery. Secondary endpoints will include the prevalence of new focal neurological deficits in the first 7 days after surgery, the occurrence of postoperative cognitive dysfunction at either 1 week or 3 months after surgery and the incidence of delirium in the first 7 days after surgery. Data will be analysed on intention-to-treat principles and a per protocol basis. Ethics and dissemination Ethical approval has been granted for this study. Results will be disseminated through peer-reviewed media. Trial registration number NCT03074604; Pre-results. Date and version identifier 10-Mar-2017 Original PMID:28698347

  12. Intraoperative echocardiographic imaging of coronary arteries and graft anastomoses during coronary artery bypass grafting without cardiopulmonary bypass.

    Science.gov (United States)

    Suematsu, Y; Takamoto, S; Ohtsuka, T

    2001-12-01

    No accepted approach exists for the intraoperative evaluation of the quality of coronary arteries and the technical adequacy of graft anastomoses during coronary artery bypass grafting without cardiopulmonary bypass. We assessed the accuracy of high-frequency epicardial echocardiography and power Doppler imaging in evaluating coronary arteries during coronary artery bypass grafting without cardiopulmonary bypass. To validate measurements of coronary arteries and graft anastomoses by high-frequency epicardial echocardiography and power Doppler imaging, we compared luminal diameters determined by these methods with diameters determined histologically in a study of off-pump coronary artery bypass grafting in 20 dogs. Technical errors were deliberately created in 10 grafts (stenosis group). The results of these animal validation studies showed that the maximum luminal diameters of coronary arteries and graft anastomoses measured by high-frequency epicardial echocardiography (HEE) and power Doppler imaging (PDI) correlated well with the histologic measurements: HEE = 1.027 x Histologic measurements + 0.005 (P anastomoses were examined intraoperatively by high-frequency epicardial echocardiography and power Doppler imaging, and luminal diameters determined by power Doppler imaging were compared with those determined by postoperative coronary angiography. The results demonstrated that graft anastomosis by power Doppler imaging correlated well with the angiographic measurements: PDI = 1.018 x Angiographic measurements - 0.106 (P anastomoses and can detect technical errors and inadequacies during coronary artery bypass grafting without cardiopulmonary bypass.

  13. Surgery of abdominal aortic aneurysm associated with coronary artery disease. Simultaneous or two staged operation

    International Nuclear Information System (INIS)

    Tanaka, Hiroyuki; Narisawa, Takashi; Mori, Takanobu; Masuda, Mikio; Kishi, Daijirou; Suzuki, Takashi; Takaba, Toshihiro

    2003-01-01

    Coronary artery disease (CAD) was evaluated by noninvasive examination in abdominal aortic aneurysm (AAA) patients. A simultaneous operation or a 2-staged operation was performed depending on the seriousness of the condition when both diseases were combined. A total of 36 patients underwent elective repair of AAA between 1996 and 2001. Coronary angiography (CAG) was performed only in patients with suspected CAD by dipyridamole myocardial scintigraphy. Significant CAD was found in 8 patients. Simultaneous operation was performed in 4 patients, and off-pump coronary artery bypass grafting (OPCAB) was performed in all cases of simultaneous operation. In 4 patients receiving 2-staged operations, 1 standard coronary artery bypass grafting (CABG), 1 OPCAB and 2 percutaneous transluminal coronary angioplasties (PTCA) were performed prior to AAA surgery. Twenty-eight patients underwent only AAA operation. Though there were no incidents of perioperative myocardial infarction or cardiac related deaths in this group, 2 patients died due to other causes (hemorrhage and duodenal perforation). In the 8 patients associated with CAD, 1 patient died of myonephrotic metabolic syndrome (MNMS) after simultaneous operation. The other 7 patients revived their social function soon of the discharge. Dipyridamole cardiac scintigraphy was considered to be an effective examination for evaluation of CAD in AAA patients. There was no need to perform CAG in all AAA patients. The policy of choosing simultaneous operation or 2-staged operation according to the seriousness of the 2 diseases seemed to be appropriate. (author)

  14. Nonselective carotid artery ultrasound screening in patients undergoing coronary artery bypass grafting: Is it necessary?

    Science.gov (United States)

    Masabni, Khalil; Sabik, Joseph F.; Raza, Sajjad; Carnes, Theresa; Koduri, Hemantha; Idrees, Jay J.; Beach, Jocelyn; Riaz, Haris; Shishehbor, Mehdi H.; Gornik, Heather L.; Blackstone, Eugene H.

    2016-01-01

    Objectives To determine whether nonselective preoperative carotid artery ultrasound screening alters management of patients scheduled for coronary artery bypass grafting (CABG), and whether such screening affects neurologic outcomes. Methods From March 2011 to September 2013, preoperative carotid artery ultrasound screening was performed on 1236 of 1382 patients (89%) scheduled to undergo CABG. Carotid artery stenosis (CAS) was classified as none or mild (any type 0%–59% stenosis), moderate (unilateral 60%-79% stenosis), or severe (bilateral 60%-79% stenosis or unilateral 80%–100% stenosis). Results A total of 1069 (86%) hadoff-pump surgery. Of those with severe CAS, 18 (23%) had confirmatory testing, and 18 (23%) underwent combined CABG + CEA; 6 (7.8%) had off-pump surgery. Stroke occurred in 14 of 1069 (1.3%) patients with off-pump and 1 of 79 (1.3%) on-pump patients (P = .2). In patients with severe CAS, stroke occurred in 1 of 6 (17%) off-pump and 1 of 71 (1.4%) on-pump patients (P = .15). Conclusions Routine preoperative carotid artery evaluation altered the management of a minority of patients undergoing CABG; this did not translate into perioperative stroke risk. Hence, a more targeted approach for preoperative carotid artery evaluation should be adopted. PMID:26586360

  15. Effect of on/off pumping strategy on sewer sediment behvaviour elucidated by high frequecny monitoring at the treatment plan inlte

    DEFF Research Database (Denmark)

    Sharma, Anitha Kumari; Alferes, J.; Vezzaro, Luca

    study illustrates how data with high temporal resolution and advanced DQC tools can be used to: (i) detect unexpected shock loads during dry weather due to an on/off pumping strategy, (ii) understand the processes in upstream sewer systems under wet weather, and (iii) take the necessary actions...... to reduce the shock loads at the WWTP. The results for a selected week show that the on/off pumping strategy creates unnecessary peaks with 50-200% increased flows. This affects the water quality arriving at the WWTP, particularly with respect to the total suspended solids concentrations, which increased...... understand the processes taking place upstream the plant and to reduce their impact on the performance of the WWTP....

  16. Performance of Wind Pump Prototype

    African Journals Online (AJOL)

    Mulu

    Mekelle University, Mekelle, Ethiopia (*mul_at@yahoo.com). ABSTRACT. A wind ... balanced rotor power and reciprocating pump, hence did not consider the effect of pump size. ... Keywords: Wind pump, Windmill, Performance testing, Pump efficiency, Pump discharge, ... Unfortunately, in rural places, where the houses are.

  17. Pattern and predictors of dual antiplatelet use after coronary artery bypass graft surgery.

    Science.gov (United States)

    Mori, Makoto; Shioda, Kayoko; Yun, James J; Mangi, Abeel A; Darr, Umer; Geirsson, Arnar

    2018-02-01

    Resumption of dual antiplatelet therapy after coronary artery bypass grafting in patients presenting with acute coronary syndrome is recommended, but the current practice pattern in the United States remains unknown. We aimed to investigate the current pattern of dual antiplatelet therapy use after coronary artery bypass grafting at the Yale-New Haven Hospital. We conducted a single-center retrospective review of patients who presented with acute coronary syndrome and underwent coronary artery bypass grafting between 2014 and 2016. The primary outcome was hospital discharge with dual antiplatelet therapy. Mixed-effect multivariate logistic regression was used to evaluate predictors of dual antiplatelet therapy use or nonuse, accounting for surgeon-specific preference. The discriminatory ability of the model was evaluated with receiver operating characteristics analysis. Of 572 patients included, only 29% were discharged with dual antiplatelet therapy. In the mixed-effect multivariate model isolating surgeon preferences, increase in age (odds ratio, 0.95; 95% confidence interval, 0.92-0.98; P dual antiplatelet therapy use. Off-pump coronary artery bypass grafting compared with on-pump coronary artery bypass grafting was associated with increased odds of dual antiplatelet therapy use (odds ratio, 31.5; 95% confidence interval, 12.8-77.2; P dual antiplatelet therapy use in patients with acute coronary syndrome who underwent coronary artery bypass grafting was low and variable among surgeons. The use or nonuse was guided by previously established risk factors of recurrent ischemia and bleeding, along with surgeon preference. Published by Elsevier Inc.

  18. Effects of ionizing scrape-off layers on local recycling in Tore Supra pump limiter experiments

    International Nuclear Information System (INIS)

    Owen, L.W.; Hogan, J.T.; Klepper, C.C.; Mioduszewski, P.K.; Uckan, T.; Chatelier, M.; Loarer, T.

    1992-01-01

    A series of ohmic discharges with active pumping in the Tore Supra outboard pump limiter has been analyzed with the DEGAS neutrals transport code and an analysis scrape-off layer (SOL) plasma model. Pumping speed and plenum pressure measurements indicated 5--10 torr-L/s throughput with only modest effects on density (dN core /dt + source rate from ionization and dissociation of wall-desorbed molecules is seen to peak very near the radial position of the limiter throat. Consequently, a strong recycling vortex is created in the region of the limiter, with the ion flux amplified by factors of ∼2 at the outer limiter surfaces and >3 within the limiter throat. The calculations indicate that less than 30% of the pump throughput is due to first-generation ions from the core efflux, with the balance from local recycling in the strongly ionizing scrape-off layer

  19. TRADING-OFF CONSTRAINTS IN THE PUMP SCHEDULING OPTIMIZATION OF WATER DISTRIBUTION NETWORKS

    Directory of Open Access Journals (Sweden)

    Gencer Genço\\u011Flu

    2016-01-01

    Full Text Available Pumps are one of the essential components of water supply systems. Depending of the topography, a water supply system may completely rely on pumping. They may consume non-negligible amount of water authorities' budgets during operation. Besides their energy costs, maintaining the healthiness of pumping systems is another concern for authorities. This study represents a multi-objective optimization method for pump scheduling problem. The optimization objective contains hydraulic and operational constraints. Switching of pumps and usage of electricity tariff are assumed to be key factors for operational reliability and energy consumption and costs of pumping systems. The local optimals for systems operational reliability, energy consumptions and energy costs are investigated resulting from trading-off pump switch and electricity tariff constraints within given set of boundary conditions. In the study, a custom made program is employed that combines genetic algorithm based optimization module with hydraulic network simulation software -EPANET. Developed method is applied on the case study network; N8-3 pressure zone of the Northern Supply of Ankara (Turkey Water Distribution Network. This work offers an efficient method for water authorities aiming to optimize pumping schedules considering expenditures and operational reliability mutually.

  20. CArbon dioxide surgical field flooding and aortic NO-touch off-pump coronary artery bypass grafting to reduce Neurological injuries after surgical coronary revascularisation (CANON): protocol for a randomised, controlled, investigator and patient blinded single-centre superiority trial with three parallel arms.

    Science.gov (United States)

    Krzysztof, Szwed; Wojciech, Pawliszak; Zbigniew, Serafin; Mariusz, Kowalewski; Remigiusz, Tomczyk; Damian, Perlinski; Magdalena, Szwed; Marta, Tomaszewska; Lech, Anisimowicz; Alina, Borkowska

    2017-07-10

    Neurological injuries remain a major concern following coronary artery bypass grafting (CABG) that offsets survival benefit of CABG over percutaneous coronary interventions. Among numerous efforts to combat this issue is the development of off-pump CABG (OPCABG) that obviates the need for extracorporeal circulation and is associated with improved neurological outcomes. The objective of this study is to examine whether the neuroprotective effect of OPCABG can be further pronounced by the use of two state-of-the-art operating techniques. In this randomised, controlled, investigator and patient blinded single-centre superiority trial with three parallel arms, a total of 360 patients will be recruited. They will be allocated in a 1:1:1 ratio to two treatment arms and one control arm. Treatment arms undergoing either aortic no-touch OPCABG or OPCABG with partial clamp applying carbon dioxide surgical field flooding will be compared against control arm undergoing OPCABG with partial clamp. The primary endpoint will be the appearance of new lesions on control brain MRI 3 days after surgery. Secondary endpoints will include the prevalence of new focal neurological deficits in the first 7 days after surgery, the occurrence of postoperative cognitive dysfunction at either 1 week or 3 months after surgery and the incidence of delirium in the first 7 days after surgery. Data will be analysed on intention-to-treat principles and a per protocol basis. Ethical approval has been granted for this study. Results will be disseminated through peer-reviewed media. NCT03074604; Pre-results. 10-Mar-2017 Original. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  1. Influencing factors for early acute cerebrovascular accidents in patients with stroke history following off-pump coronary artery bypass grafting.

    Science.gov (United States)

    Wang, Bin; Jia, Ming; Jia, Shijie; Wan, Jiuhe; Zhou, Xiao; Luo, Zhimin; Zhou, Ye; Zhang, Jianqun

    2014-06-01

    To analyse risk factors for early acute cerebrovascular accidents following off-pump coronary artery bypass grafting (OPCAB) in patients with stroke history, and to propose preventive measures to reduce the incidence of these events. A total of 468 patients with a history of stroke underwent OPCAB surgery in Beijing Anzhen Hospital of China from January 2010 to September 2012. They were retrospectively divided into two groups according to the occurrence of early acute cerebrovascular accidents within 48 hours following OPCAB. Multivariate logistic regression analysis was used to find risk or protective factors for early acute cerebrovascular accidents following the OPCAB. Fifty-two patients (11.1%) suffered from early acute cerebrovascular accidents in 468 patients, including 39 cases of cerebral infarction, two cases of cerebral haemorrhage, 11 cases of transient ischaemic attack (TIA). There were significant differences between the two groups in preoperative left ventricular ejection fraction ≤ 35%, severe bilateral carotid artery stenosis, poorly controlled hypertension, intraoperative application of Enclose® II proximal anastomotic device, postoperative acute myocardial infarction, atrial fibrillation, hypotension, ventilation time > 48h, ICU duration >48h and mortality. Multivariate logistic regression analysis showed that preoperative severe bilateral carotid stenosis (OR=6.378, 95%CI: 2.278-20.987) and preoperative left ventricular ejection fraction ≤ 35% (OR=2.737, 95%CI: 1.267-6.389), postoperative acute myocardial infarction (OR=3.644, 95%CI: 1.928-6.876), postoperative atrial fibrillation (OR=3.104, 95%CI:1.135∼8.016) and postoperative hypotension (OR=4.173, 95%CI: 1.836∼9.701) were independent risk factors for early acute cerebrovascular accidents in patients with a history of stroke following OPCAB procedures, while intraoperative application of Enclose® II proximal anastomotic device was protective factor (OR=0.556, 95%CI: 0.337-0.925). This

  2. Prediction of Hydraulic Performance of a Scaled-Down Model of SMART Reactor Coolant Pump

    Energy Technology Data Exchange (ETDEWEB)

    Kwon, Sun Guk; Park, Jin Seok; Yu, Je Yong; Lee, Won Jae [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2010-08-15

    An analysis was conducted to predict the hydraulic performance of a reactor coolant pump (RCP) of SMART at the off-design as well as design points. In order to reduce the analysis time efficiently, a single passage containing an impeller and a diffuser was considered as the computational domain. A stage scheme was used to perform a circumferential averaging of the flux on the impeller-diffuser interface. The pressure difference between the inlet and outlet of the pump was determined and was used to compute the head, efficiency, and break horse power (BHP) of a scaled-down model under conditions of steady-state incompressible flow. The predicted curves of the hydraulic performance of an RCP were similar to the typical characteristic curves of a conventional mixed-flow pump. The complex internal fluid flow of a pump, including the internal recirculation loss due to reverse flow, was observed at a low flow rate.

  3. Comparison of heat pump performance using fin-and-tube and microchannel heat exchangers under frost conditions

    International Nuclear Information System (INIS)

    Shao, Liang-Liang; Yang, Liang; Zhang, Chun-Lu

    2010-01-01

    Vapor compression heat pumps are drawing more attention in energy saving applications. Microchannel heat exchangers can provide higher performance via less core volume and reduce system refrigerant charge, but little is known about their performance in heat pump systems under frosting conditions. In this study, the system performance of a commercial heat pump using microchannel heat exchangers as evaporator is compared with that using conventional finned-tube heat exchangers numerically and experimentally. The microchannel and finned-tube heat pump system models used for comparison of the microchannel and finned-tube evaporator performance under frosting conditions were developed, considering the effect of maldistribution on both refrigerant and air sides. The quasi-steady-state modeling results are in reasonable agreement with the test data under frost conditions. The refrigerant-side maldistribution is found remarkable impact on the microchannel heat pump system performance under the frost conditions. Parametric study on the fan speed and the fin density under frost conditions are conducted as well to figure out the best trade-off in the design of frost tolerant evaporators. (author)

  4. Comparison of Early Outcomes with Three Approaches for Combined Coronary Revascularization and Carotid Endarterectomy

    Directory of Open Access Journals (Sweden)

    Arzu Antal Dönmez

    Full Text Available Abstract Objective: This study aims to compare three different surgical approaches for combined coronary and carotid artery stenosis as a single stage procedure and to assess effect of operative strategy on mortality and neurological complications. Methods: This retrospective study involves 136 patients who had synchronous coronary artery revascularization and carotid endarterectomy in our institution, between January 2002 and December 2012. Patients were divided into 3 groups according to the surgical technique used. Group I included 70 patients who had carotid endarterectomy, followed by coronary revascularization with on-pump technique, group II included 29 patients who had carotid endarterectomy, followed by coronary revascularization with off-pump technique, group III included 37 patients who had coronary revascularization with on-pump technique followed by carotid endarterectomy under aortic cross-clamp and systemic hypothermia (22-27ºC. Postoperative outcomes were evaluated. Results: Overall early mortality and stroke rate was 5.1% for both. There were 3 (4.3% deaths in group I, 2 (6.9% deaths in group II and 2 (5.4% deaths in group III. Stroke was observed in 5 (7.1% patients in group I and 2 (6.9% in group II. Stroke was not observed in group III. No statistically significant difference was observed for mortality and stroke rates among the groups. Conclusion: We identified no significant difference in mortality or neurologic complications among three approaches for synchronous surgery for coronary and carotid disease. Therefore it is impossible to conclude that a single principle might be adapted into standard practice. Patient specific risk factors and clinical conditions might be important in determining the surgical tecnnique.

  5. Morphometry of the coronary ostia and the structure of coronary arteries in the shorthair domestic cat.

    Directory of Open Access Journals (Sweden)

    Karolina Barszcz

    Full Text Available The aim of this study was to measure the area of the coronary ostia, assess their localization in the coronary sinuses and to determine the morphology of the stem of the left and right coronary arteries in the domestic shorthair cat. The study was conducted on 100 hearts of domestic shorthair cats of both sexes, aged 2-18 years, with an average body weight of 4.05 kg. A morphometric analysis of the coronary ostia was carried out on 52 hearts. The remaining 48 hearts were injected with a casting material in order to carry out a morphological assessment of the left and right coronary arteries. In all the studied animals, the surface of the left coronary artery ostium was larger than the surface of the right coronary artery ostium. There were four types of the left main coronary artery: type I (23 animals, 49%-double-branched left main stem (giving off the left circumflex branch and the interventricular paraconal branch, which in turn gave off the septal branch, type II (12 animals, 26%-double-branched left main stem (giving off the left circumflex branch and the interventricular paraconal branch without the septal branch, type III (11 animals, 23%-triple-branched left main stem (giving off the left circumflex branch, interventricular branch and the septal branch, type IV (1 animal, 2%-double-branched left main stem (giving off the interventricular paraconal branch and the left circumflex branch, which in turn gave off the septal branch. The left coronary artery ostium is greater than the right one. There is considerable diversity in the branches of proximal segment of the left coronary artery, while the right coronary artery is more conservative. These results can be useful in defining the optimal strategies in the endovascular procedures involving the coronary arteries or the aortic valve in the domestic shorthair cat.

  6. Health-related quality of life following off-pump versus on-pump coronary artery bypass grafting in elderly moderate to high-risk patients

    DEFF Research Database (Denmark)

    Jensen, Birte Østergaard; Hughes, Pia; Rasmussen, Lars S

    2006-01-01

    Previous trials comparing coronary artery bypass grafting (CABG) with or without extracorporeal circulation have mainly enrolled selected patients at younger age and low risk. Patient-reported health-related quality of life has not been significantly different. We compared health-related quality...

  7. Performance evaluation on vacuum pumps using nanolubricants

    Energy Technology Data Exchange (ETDEWEB)

    Lue, Yeou Feng; Hsu, Yu Chun; Teng, Tun Ping [Dept. of Industrial EducationNational Taiwan Normal University, Taiwan (China)

    2016-09-15

    This study produced alumina (Al{sub 2}O{sub 3}) nanovacuum-pump lubricants (NVALs) by involving the dispersion of Al{sub 2}O{sub 3} nanoparticles in a vacuum-pump lubricant (VAL) with oleic as a dispersant. Experiments were conducted to evaluate the suspension performance, thermal conductivity, viscosity, specific heat, tribological performance and vacuum-pump performance of the NVALs. The experimental results obtained from the vacuum-pump performance tests show that the NVALs with Al{sub 2}O{sub 3} concentration of 0.2 wt.% and oleic concentration of 0.025 wt.% yielded the lowest electricity consumption, conserving 2.39% of electricity compared with the VAL. No marked difference was observed between the temperatures of the vacuum pump using VAL and NVAL. Furthermore, evacuation (i.e., the minimal pressure of -99.5 kPa) was reached faster by the vacuum pump with the NVALs, and the evacuation time could be reduced by 4.91% under optimal conditions. In addition, the vacuum pump with the NVALs exhibited superior overall effectiveness under relatively lower ambient temperatures.

  8. Evaluation of Factors Influencing Liver Function Test in On-Pump Coronary Artery Bypass Graft Surgery

    Directory of Open Access Journals (Sweden)

    Shahrbano Shahbazi

    2013-12-01

    Full Text Available Background: Liver dysfunction during on-pump coronary artery bypass graft surgery (CABG is a rare complication but is associated with significant morbidity and mortality. The ability to identify high-risk patients may be helpful in planning appropriate management strategies. We aimed to evaluate the factors influencing liver function tests during on-pump CABG. Methods: In 146 patients scheduled for on-pump CABG, the liver function test was done preoperatively and on the first postoperative day. Some preoperative and intraoperative risk factors were checked and then the postoperative liver function tests were compared with the preoperative ones. Probable relationships between these changes and the preoperative and intraoperative risk factors were studied. Results: A medical history of diabetes had a significant relationship with the changes in direct bilirubin. Preoperative central venous pressure had a significant relationship with the changes in aspartate aminotransferase and alanine aminotransferase. Use of intra-aortic balloon pump and duration of aortic cross-clamp were significantly related to the changes in the liver function tests except for alanine aminotransferase and alkaline phosphatase. Conclusion: It seems that the techniques for the reduction of cardiopulmonary bypass and aortic cross-clamp duration may be useful to protect liver function. We recommend that a larger population of patients be studied to confirm these findings.

  9. Numerical simulation of hydrodynamics in a pump-turbine at off-design operating conditions in turbine mode

    International Nuclear Information System (INIS)

    Yan, J P; Seidel, U; Koutnik, J

    2012-01-01

    The hydrodynamics of a reduced-scaled model of a radial pump-turbine is investigated under off-design operating conditions, involving runaway and 'S-shape' turbine brake curve at low positive discharge. It is a low specific speed pump-turbine machine of Francis type with 9 impeller blades and 20 stay vanes as well as 20 guide vanes. The computational domain includes the entire water passage from the spiral casing inlet to the draft tube outlet. Completely structured hexahedral meshes generated by the commercial software ANSYS-ICEM are employed. The unsteady incompressible simulations are performed using the commercial code ANSYS-CFX13. For turbulence modeling the standard k-ε model is applied. The numerical results at different operating points are compared to the experimental results. The predicted pressure amplitude is in good agreement with the experimental data and the amplitude of normal force on impeller is in reasonable range. The detailed analysis reveals the onset of the flow instabilities when the machine is brought from a regular operating condition to runaway and turbine break mode. Furthermore, the rotating stall phenomena are well captured at runaway condition as well as low discharge operating condition with one stall cell rotating inside and around the impeller with about 70% of its frequency. Moreover, the rotating stall is found to be the effect of rotating flow separations developed in several consecutive impeller channels which lead to their blockage. The reliable simulation of S-curve characteristics in pump-turbines is a basic requirement for design and optimization at off-design operating conditions.

  10. Experimental study on performance of pulsed liquid jet pump

    International Nuclear Information System (INIS)

    Xu Weihui; Gao Chuanchang; Qin Haixia

    2010-01-01

    The device performance characteristics of transformer type pulsed liquid pump device were experimentally studied. The effects of the area ratio, work pressure and pulse parameters on the performance of the pulsed liquid jet pump device were performed in the tests. The potency of pulsed jet on improving the performance of the liquid jet pump device was also studied through the comparison with invariable jet pump at the same conditions. The results show that the pulsed jet can significantly improve the performance of transformer type jet pump devices. Area ratio and pulse parameters are the critical factors to the performance of the pulsed liquid jet pump device. The jet pump device performances are significantly improved by reducing the area ratio or by increasing the pulsed frequency. The flux characteristics of the pulsed liquid jet pump device presents the typical negative linear,the potency of pulsed jet in improving the performance of jet pump device with small area ratio can be more significant. The efficiency curve of pulsed liquid jet pump is similar to the parabola. At higher pulsed frequency, the top efficiency point of the pulsed jet pump moves to the higher flow ratio. The high efficiency area of the pulsed jet pump also is widened with the increase of the pulsed frequency. (authors)

  11. Morphometry of the coronary ostia and the structure of coronary arteries in the shorthair domestic cat

    Science.gov (United States)

    Barszcz, Karolina; Kupczyńska, Marta; Klećkowska-Nawrot, Joanna; Janeczek, Maciej; Goździewska-Harłajczuk, Karolina; Dzierzęcka, Małgorzata; Janczyk, Paweł

    2017-01-01

    The aim of this study was to measure the area of the coronary ostia, assess their localization in the coronary sinuses and to determine the morphology of the stem of the left and right coronary arteries in the domestic shorthair cat. The study was conducted on 100 hearts of domestic shorthair cats of both sexes, aged 2–18 years, with an average body weight of 4.05 kg. A morphometric analysis of the coronary ostia was carried out on 52 hearts. The remaining 48 hearts were injected with a casting material in order to carry out a morphological assessment of the left and right coronary arteries. In all the studied animals, the surface of the left coronary artery ostium was larger than the surface of the right coronary artery ostium. There were four types of the left main coronary artery: type I (23 animals, 49%)–double-branched left main stem (giving off the left circumflex branch and the interventricular paraconal branch, which in turn gave off the septal branch), type II (12 animals, 26%)–double-branched left main stem (giving off the left circumflex branch and the interventricular paraconal branch without the septal branch), type III (11 animals, 23%)–triple-branched left main stem (giving off the left circumflex branch, interventricular branch and the septal branch, type IV (1 animal, 2%)–double-branched left main stem (giving off the interventricular paraconal branch and the left circumflex branch, which in turn gave off the septal branch). The left coronary artery ostium is greater than the right one. There is considerable diversity in the branches of proximal segment of the left coronary artery, while the right coronary artery is more conservative. These results can be useful in defining the optimal strategies in the endovascular procedures involving the coronary arteries or the aortic valve in the domestic shorthair cat. PMID:29020103

  12. Investigation of Pumped Storage Hydropower Power-Off Transient Process Using 3D Numerical Simulation Based on SP-VOF Hybrid Model

    Directory of Open Access Journals (Sweden)

    Daqing Zhou

    2018-04-01

    Full Text Available The transient characteristic of the power-off process is investigated due to its close relation to hydraulic facilities’ safety in a pumped storage hydropower (PSH. In this paper, power-off transient characteristics of a PSH station in pump mode was studied using a three-dimensional (3D unsteady numerical method based on a single-phase and volume of fluid (SP-VOF coupled model. The computational domain covered the entire flow system, including reservoirs, diversion tunnel, surge tank, pump-turbine unit, and tailrace tunnel. The fast changing flow fields and dynamic characteristic parameters, such as unit flow rate, runner rotate speed, pumping lift, and static pressure at measuring points were simulated, and agreed well with experimental results. During the power-off transient process, the PSH station underwent pump mode, braking mode, and turbine mode, with the dynamic characteristics and inner flow configurations changing significantly. Intense pressure fluctuation occurred in the region between the runner and guide vanes, and its frequency and amplitude were closely related to the runner’s rotation speed and pressure gradient, respectively. While the reversed flow rate of the PSH unit reached maximum, some parameters, such as static pressure, torque, and pumping lift would suddenly jump significantly, due to the water hammer effect. The moment these marked jumps occurred was commonly considered as the most dangerous moment during the power-off transient process, due to the blade passages being clogged by vortexes, and chaos pressure distribution on the blade surfaces. The results of this study confirm that 3D SP-VOF hybrid simulation is an effective method to reveal the hydraulic mechanism of the PSH transient process.

  13. Prevalence and intensity of hyperglycemia in non-diabetic patients undergoing coronary artery bypass graft surgery with and without cardiopulmonary bypass

    International Nuclear Information System (INIS)

    Azarfarin, R.; Asl, Azin A.

    2008-01-01

    Objective was to study the prevalence and severity of hyperglycemia in nondiabetic patients undergoing cardiac operation. In an observational prospective study, 282 non-diabetic patients underwent elective off-pump (n=101) or non on-pump (n=181) coronary artery bypass grafting (CABG) surgery from March 2006 to July 2007 in Madani Heart Hospital, Tabriz, Iran. Blood glucose (BG) levels were measured during and 24 hours after operation. Frequencies of hyperglycemia (BG>-126 mg/dl) and severe hyperglycemia (BG>-180 mg/dl) and postoperative complications were compared in the 2 study groups. Prevalence of at least one episode of severe hyperglycemia was 54.6% (154/282) in our patients during and 24 hours after operation. Intra-operative hyperglycemia was slightly higher in on-pumping group. Frequency of post-operative hyperglycemia was higher, although not significantly different between the two groups. The 2 study groups were not significantly different in frequency of severe hyperglycemia during operation, although were different within 24 hours postoperative period. Prevalence of hyperglycemia especially severe hyperglycemia was high during, and after operation in both off-pump and on-pump CABG in non-diabetic patients. There was a borderline difference in blood glucose level between on-pump and off-pump CABG patients. It may be prudent to consider glycemic control protocols in these patients especially in early post-operative period. (author)

  14. Miniesternotomia na cirurgia de revascularização miocárdica sem circulação extracorpórea Ministernotomy in off-pump coronary artery bypass surgery

    Directory of Open Access Journals (Sweden)

    Walter J. Gomes

    2005-12-01

    Full Text Available OBJETIVO: Os pacientes com lesão isolada da artéria coronária descendente anterior (ADA se beneficiam mais do tratamento cirúrgico do que com intervenção percutânea. Entretanto, com a menor invasividade da intervenção percutânea, a maioria dos pacientes tem sido direcionada para este procedimento. Relatamos a utilização da miniesternotomia inferior como abordagem para o tratamento de pacientes com lesão única de ADA, com anastomose do enxerto de artéria torácica interna esquerda (ATIE, sem uso de circulação extracorpórea (CEC. MÉTODO: Foram estudados 14 pacientes operados consecutivamente utilizando esta técnica, na qual o enxerto de ATIE foi anastomosado à ADA. A idade média dos pacientes foi 56,7±10,1 anos. A incisão cutânea tinha entre 7 e 9 cm e a porção inferior do esterno foi aberta longitudinalmente. A anastomose foi facilitada com o uso de estabilizadores Octopus-3® (Medtronic. RESULTADOS: Todos os pacientes tiveram boa evolução pós-operatória, com alta hospitalar entre 2 e 6 dias de PO (mediana 3 dias. Não houve alteração de ECG ou elevação enzimática neste grupo. Um paciente foi reinternado por infecção de ferida operatória. CONCLUSÃO: A miniesternotomia permite a realização segura do procedimento cirúrgico de revascularização miocárdica da ADA, sem CEC, com benefício em longo-termo do uso da ATIE.OBJECTIVE: Patients with isolated lesions in the proximal left anterior descending artery (LAD have been demonstrated to benefit more from surgical treatment than percutaneous coronary intervention (PCI. However, with the less invasiveness of PCI, the majority of the patients have been referred for this latter procedure. We report herein on the inferior ministernotomy approach for the treatment of patients with single LAD lesions, with off-pump anastomosis of the left internal thoracic artery graft. METHOD: Fourteen patients, consecutively operated on using this technique with the LITA graft

  15. Performance Analysis Of Single-Pumped And Dual-Pumped Parametric Optical Amplifier

    Directory of Open Access Journals (Sweden)

    Sandar Myint

    2015-06-01

    Full Text Available Abstract In this study we present a performance analysis of single-pumped and dual- pumped parametric optical amplifier and present the analysis of gain flatness in dual- pumped Fiber Optical Parametric Amplifier FOPA based on four-wave mixing FWM. Result shows that changing the signal power and pump power give the various gains in FOPA. It is also found out that the parametric gain increase with increase in pump power and decrease in signal power. .Moreover in this paper the phase matching condition in FWM plays a vital role in predicting the gain profile of the FOPAbecause the parametric gain is maximum when the total phase mismatch is zero.In this paper single-pumped parametric amplification over a 50nm gain bandwidth is demonstrated using 500 nm highly nonlinear fiber HNLF and signal achieves about 31dB gain. For dual-pumped parametric amplification signal achieves 26.5dB gains over a 50nm gain bandwidth. Therefore dual-pumped parametric amplifier can provide relatively flat gain over a much wider bandwidth than the single-pumped FOPA.

  16. Transient two-phase performance of LOFT reactor coolant pumps

    International Nuclear Information System (INIS)

    Chen, T.H.; Modro, S.M.

    1983-01-01

    Performance characteristics of Loss-of-Fluid Test (LOFT) reactor coolant pumps under transient two-phase flow conditions were obtained based on the analysis of two large and small break loss-of-coolant experiments conducted at the LOFT facility. Emphasis is placed on the evaluation of the transient two-phase flow effects on the LOFT reactor coolant pump performance during the first quadrant operation. The measured pump characteristics are presented as functions of pump void fraction which was determined based on the measured density. The calculated pump characteristics such as pump head, torque (or hydraulic torque), and efficiency are also determined as functions of pump void fractions. The importance of accurate modeling of the reactor coolant pump performance under two-phase conditions is addressed. The analytical pump model, currently used in most reactor analysis codes to predict transient two-phase pump behavior, is assessed

  17. Verification Test of Hydraulic Performance for Reactor Coolant Pump

    Energy Technology Data Exchange (ETDEWEB)

    Park, Sang Jun; Kim, Jae Shin; Ryu, In Wan; Ko, Bok Seong; Song, Keun Myung [Samjin Ind. Co., Seoul (Korea, Republic of)

    2010-01-15

    According to this project, basic design for prototype pump and model pump of reactor coolant pump and test facilities has been completed. Basic design for prototype pump to establish structure, dimension and hydraulic performance has been completed and through primary flow analysis by computational fluid dynamics(CFD), flow characteristics and hydraulic performance have been established. This pump was designed with mixed flow pump having the following design requirements; specific velocity(Ns); 1080.9(rpm{center_dot}m{sup 3}/m{center_dot}m), capacity; 3115m{sup 3}/h, total head ; 26.3m, pump speed; 1710rpm, pump efficiency; 77.0%, Impeller out-diameter; 349mm, motor output; 360kw, design pressure; 17MPaG. The features of the pump are leakage free due to no mechanical seal on the pump shaft which insures reactor's safety and law noise level and low vibration due to no cooling fan on the motor which makes eco-friendly product. Model pump size was reduced to 44% of prototype pump for the verification test for hydraulic performance of reactor coolant pump and was designed with mixed flow pump and canned motor having the following design requirements; specific speed(NS); 1060.9(rpm{center_dot}m{sup 3}/m{center_dot}m), capacity; 539.4m{sup 3}/h, total head; 21.0m, pump speed; 3476rpm, pump efficiency; 72.9%, Impeller out-diameter; 154mm, motor output; 55kw, design pressure; 1.0MPaG. The test facilities were designed for verification test of hydraulic performance suitable for pump performance test, homologous test, NPSH test(cavitation), cost down test and pressure pulsation test of inlet and outlet ports. Test tank was designed with testing capacity enabling up to 2000m{sup 3}/h and design pressure 1.0MPaG. Auxiliary pump was designed with centrifugal pump having capacity; 1100m{sup 3}/h, total head; 42.0m, motor output; 190kw

  18. Performance analysis of diesel engine heat pump incorporated with heat recovery

    International Nuclear Information System (INIS)

    Shah, N.N.; Huang, M.J.; Hewitt, N.J.

    2016-01-01

    Highlights: • Diesel engine heat pump with heat recovery. • Water-to-water source heat pump based on R134a. • Possibility for different flow temperature for heat distribution system. • Possible retrofit application in off-gas or weak electricity network area. • Potential to diversify use of fossil fuel, primary energy and CO_2 emission savings. - Abstract: This paper presents experimental study of diesel engine heat pump (DEHP) system to find potential as retrofit technology in off-gas or weak electricity network area to replace existing gas/oil/electric heating system in domestic sector. Test set-up of diesel engine driven water-to-water heat pump system was built which included heat recovery arrangement from the engine coolant & exhaust gas. The system was designed to meet typical house heating demand in Northern Ireland. Performance of DEHP was evaluated to meet house-heating demand at different flow temperature (35, 45, 55 & 65 °C), a typical requirement of underfloor space heating, medium/high temperature radiators and domestic hot water. The performance was evaluated against four-evaporator water inlet temperature (0, 5, 10 & 15 °C) and at three different engine speed 1600, 2000 & 2400 rpm. Experiment results were analysed in terms of heating/cooling capacity, heat recovery, total heat output, primary energy ratio (PER), isentropic efficiency, etc. Test results showed that DEHP is able to meet house-heating demand with help of heat recovery with reduced system size. Heat recovery contributed in a range of 22–39% in total heat output. It is possible to achieve high flow temperature in a range of 74 °C with help of heat recovery. Overall system PER varied in a range of 0.93–1.33. Speed increment and flow temperature has significant impact on heat recovery, total heat output and PER. A case scenario with different flow temperature to match house-heating demand has been presented to show working potential with different heat distribution system

  19. Transient simulation of coolant peak temperature due to prolonged fan and/or water pump operation after the vehicle is keyed-off

    Science.gov (United States)

    Pang, Suh Chyn; Masjuki, Haji Hassan; Kalam, Md. Abul; Hazrat, Md. Ali

    2014-01-01

    Automotive designers should design a robust engine cooling system which works well in both normal and severe driving conditions. When vehicles are keyed-off suddenly after some distance of hill-climbing driving, the coolant temperature tends to increase drastically. This is because heat soak in the engine could not be transferred away in a timely manner, as both the water pump and cooling fan stop working after the vehicle is keyed-off. In this research, we aimed to visualize the coolant temperature trend over time before and after the vehicles were keyed-off. In order to prevent coolant temperature from exceeding its boiling point and jeopardizing engine life, a numerical model was further tested with prolonged fan and/or water pump operation after keying-off. One dimensional thermal-fluid simulation was exploited to model the vehicle's cooling system. The behaviour of engine heat, air flow, and coolant flow over time were varied to observe the corresponding transient coolant temperatures. The robustness of this model was proven by validation with industry field test data. The numerical results provided sensible insights into the proposed solution. In short, prolonging fan operation for 500 s and prolonging both fan and water pump operation for 300 s could reduce coolant peak temperature efficiently. The physical implementation plan and benefits yielded from implementation of the electrical fan and electrical water pump are discussed.

  20. Predictors of cardiogenic shock in cardiac surgery patients receiving intra-aortic balloon pumps.

    Science.gov (United States)

    Iyengar, Amit; Kwon, Oh Jin; Bailey, Katherine L; Ashfaq, Adeel; Abdelkarim, Ayman; Shemin, Richard J; Benharash, Peyman

    2018-02-01

    Cardiogenic shock after cardiac surgery leads to severely increased mortality. Intra-aortic balloon pumps may be used during the preoperative period to increase coronary perfusion. The purpose of this study was to characterize predictors of postoperative cardiogenic shock in cardiac surgery patients with and without intra-aortic balloon pumps support. We performed a retrospective analysis of our institutional database of the Society of Thoracic Surgeons for patients operated between January 2008 to July 2015. Multivariable logistic regression was used to model postoperative cardiogenic shock in both the intra-aortic balloon pumps and matched control cohorts. Overall, 4,741 cardiac surgery patients were identified during the study period, of whom 192 (4%) received a preoperative intra-aortic balloon pump. Intra-aortic balloon pumps patients had a greater prevalence of diabetes, previous cardiac surgery, congestive heart failure, and an urgent/emergent status (P pumps patients also had greater 30-day mortality and more postoperative cardiogenic shock (9% vs 3%, P pumps cohort, only sex, previous percutaneous coronary intervention and preoperative arrhythmia remained significant on multivariable analysis (all P pumps and those who do not. Further analysis of the effects of prophylactic intra-aortic balloon pumps support is warranted. (Surgery 2017;160:XXX-XXX.). Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Designs for a TFTR full-power pumped limiter

    International Nuclear Information System (INIS)

    Budny, R.

    1986-10-01

    A pumped-limiter system which would provide increased particle control and enhance the performance of full-power discharges is being considered for TFTR. The system consists of two toroidal belts located near the Zirconium-Aluminium (ZrAl) getter panels. The limiter blades would be made of carbon/carbon composite in order to have a very thin profile, allowing a large fraction of the scrape-off flux to be pumped. Simulations of the plasma scrape-off and neutral transport indicate that the limiter pumping should reduce the recycling coefficient by 10 to 25%. Simulations of central plasma processes indicate that the lowered recycling could increase Q/sub fusion/ by more than 100%. This paper discusses the designs and the performance predictions for the system

  2. Early and long-term outcomes of coronary artery bypass grafting in patients with acute coronary syndrome versus stable angina pectoris.

    Science.gov (United States)

    Fukui, Toshihiro; Tabata, Minoru; Morita, Satoshi; Takanashi, Shuichiro

    2013-06-01

    The aim of the present study was to determine the early and long-term outcomes of coronary artery bypass grafting in patients with acute coronary syndrome and stable angina pectoris. From September 2004 to September 2011, 382 patients with acute coronary syndrome (unstable angina pectoris and non-ST-segment elevation myocardial infarction) and 851 patients with stable angina pectoris underwent first-time isolated coronary artery bypass grafting at our institute. The early and long-term outcomes were compared between the 2 groups. Patients with acute coronary syndrome were older, were more likely to be women, had a smaller body surface area, and were more likely to have left main coronary artery disease. In both groups, bilateral internal thoracic artery grafts were used in approximately 89% of the patients, and off-pump techniques in approximately 97% of the patients. The acute coronary syndrome group had a greater operative death rate (2.6% vs 0.1%) and a greater incidence of low output syndrome (3.1% vs 1.2%) and hemodialysis requirement (2.9% vs 1.1%). Multivariate regression analysis demonstrated that age, acute coronary syndrome, lower ejection fraction, and higher creatinine level before surgery were independent predictors of operative death. However, among the hospital survivors, no differences were seen in freedom from all death (85.4% ± 2.5% vs 87.7% ± 2.0%), cardiac death (97.4% ± 0.9% vs 96.5% ± 0.9%), or major adverse cardiac and cerebrovascular events (78.0% ± 2.9% vs 78.1% ± 2.3%) at 7 years between the patients with acute coronary syndrome and stable angina pectoris. Although acute coronary syndrome is an independent predictor of early mortality in patients undergoing coronary artery bypass grafting, the long-term outcomes after surgery were similar between patients with acute coronary syndrome and stable angina pectoris who survived the early postoperative period. Copyright © 2013 The American Association for Thoracic Surgery. Published by

  3. Simulation in transient regime of a heat pump with closed-loop and on-off control

    Energy Technology Data Exchange (ETDEWEB)

    Vargas, J.V.C. [Duke Univ., Durham, NC (United States). Dept. of Mechanical Engineering and Materials Science; Parise, J.A.R. [Pontificia Univ. Catolica do Rio de Janeiro, RJ (Brazil). Dept. de Engenharia Mecanica

    1995-05-01

    The present work introduces a mathematical model for a heat pump with a variable-speed compressor, driven by a d.c. servomotor, operating either in closed loop by a power law control action or by the traditional on-off basis. The resulting differential and algebraic equations are integrated in time for a specified period of simulation in both designs. The results show that the closed-loop system presents significant savings in energy consumption when compared with the on-off system, under the same environmental conditions. (author)

  4. Development of ANC-type empirical two-phase pump model for full size CANDU primary heat transport pump

    International Nuclear Information System (INIS)

    Chan, A.M.C.; Huynh, H.M.

    2004-01-01

    The development of an ANC-type empirical two-phase pump model for CANDU (Canadian Deuterium) reactor primary heat transport pumps is described in the present paper. The model was developed based on Ontario Hydro Technologies' full scale Darlington pump first quadrant test data. The functional form of the ANC model which is widely used was chosen to facilitate the implementation of the model into existing computer codes. The work is part of a bigger test program with the aims: (1) to produce high quality pump performance data under off-normal operating conditions using both full-size and model scale pumps; (2) to advance our basic understanding of the dominant mechanisms affecting pump performance based on more detailed local measurements; and (3) to develop a 'best-estimate' or improved pump model for use in reactor licensing and safety analyses. (author)

  5. Performance test of a ceramic turbo-viscous pump

    International Nuclear Information System (INIS)

    Abe, Tetsuya; Hiroki, Seiji; Murakami, Yoshio; Shiraishi, Shigeyuki; Totoura, Sadayuki; Ohtaki, Takashi.

    1994-01-01

    In the special fields of nuclear fusion facilities and semiconductor production installation, the development of new vacuum pumps which can cope with strong magnetic fields, high temperature gas and corrosive gas is demanded. Mitsubishi Heavy Industries Ltd. has advanced the development of ceramic turbo-molecular pumps and ceramic turbo-viscous pumps, which use ceramic rotors and gas bearings since 1985. The evaluation test of the ceramic turbo-viscous vacuum pump CT-3000H which can evacuate from atmospheric pressure to high vacuum with one pump was carried out, and the experimental results on the performance and the reliability were obtained, therefore, those are reported in this paper. The structure, specification and features of the CT-3000H are shown. The exhaust performance test of the pump was carried out in conformity with the standard of the Vacuum Society of Japan, JVIS 005 'Method of performance test for turbo-molecular pumps'. The gases used were nitrogen and helium. The results are shown. The exhaust test from atmospheric pressure was carried out by two methods, and the results are shown. (K.I.)

  6. Role of Acid and Weakly Acidic Reflux in Gastroesophageal Reflux Disease Off Proton Pump Inhibitor Therapy

    OpenAIRE

    Sung, Hea Jung; Cho, Yu Kyung; Moon, Sung Jin; Kim, Jin Su; Lim, Chul Hyun; Park, Jae Myung; Lee, In Seok; Kim, Sang Woo; Choi, Myung-Gye

    2012-01-01

    Background/Aims Available data about reflux patterns and symptom determinants in the gastroesophageal reflux disease (GERD) subtypes off proton pump inhibitor (PPI) therapy are lacking. We aimed to evaluate reflux patterns and determinants of symptom perception in patients with GERD off PPI therapy by impedance-pH monitoring. Methods We retrospectively reviewed the impedance-pH data in patients diagnosed as GERD based on results of impedance-pH monitoring, endoscopy and/or typical symptoms. T...

  7. Numerical investigation of solid-liquid two phase flow in a non-clogging centrifugal pump at off-design conditions

    International Nuclear Information System (INIS)

    Zhao, B J; Chen, H L; Hou, D H; Huang, Z F

    2012-01-01

    The solid-liquid two-phase flow fields in the non-clogging centrifugal pump with a double-channel impeller have been investigated numerically for the design condition and also off-design conditions, in order to study the solid-liquid two-phase flow pattern and non-clogging mechanism in non-clogging centrifugal pumps. The main conclusions include: The sand volume fraction distribution is extremely inhomogeneous in the whole flow channel of the pump at off-design conditions. In the impeller, particles mainly flow along the pressure surface and hub; In the volute, particles mainly accumulate in the region near to the exit of volute, the largest sand volume fraction is observed at the tongue, and a large number of particles collide with volute wall and exit the volute after circling around the volute for several times. When the particle diameter increases, particles tend to accumulate on the pressure side of the impeller, and more particles crash with the pressure side of the blade. And larger sand volume fraction gratitude is also observed in the whole flow channel of the pump. With the decrease of the inlet sand volume fraction, particles tend to accumulate on the suction side of the blade. Compared with the particle diameter, the inlet sand volume fraction has less influence on the sand volume fraction gratitude in the whole channel of the pump. At the large flow rate, the minimum and maximum sand volume fraction in the whole flow channel of the model pump tends to be smaller than that at the small flow rate. Thus, it is concluded that the water transportation capacity increases with the flow rate. This research will strengthen people's understanding of the multiphase flow pattern in non-clogging centrifugal pumps, thus provides a theoretical basis for the optimal design of non-clogging centrifugal pumps.

  8. Effects of ionizing scrape-off layers on local recycling in Tore Supra pump limiter experiments

    International Nuclear Information System (INIS)

    Chatelier, M.; Loarer, T.

    1992-01-01

    A series of ohmic discharges with active pumping in the Tore Supra outboard pump limiter has been analyzed with the DEGAS neutrals transport code and an analytic scrape-off layer (SOL) plasma model. Pumping speed and plenum pressure measurements indicated 5-10 torr.L/s throughput with only modest effects on density. A model is developed in which large exhaust fluxes, with little attendant effect on core plasma density, are explained in terms of SOL ionization of recycled and wall-desorbed neutrals. Particle balance with active pumping and constant line density requires that the wall return flux exceed the incident flux by approximately the pump throughput in the absence of external fueling. The radial profile of the H + source rate from ionization and dissociation of wall-desorbed molecules is seen to peak very near the radial position of the limiter throat. Consequently, a strong recycling vortex is created in the region of the limiter, with the ion flux amplified by factors of 2 at the outer limiter surfaces and > 3 within the limiter throat. The calculations indicate that less than 30% of the pump throughput is due to first-generation ions from the core efflux, with the balance from local recycling in the strongly ionizing SOL

  9. Geothermal heat pump performance

    Energy Technology Data Exchange (ETDEWEB)

    Boyd, Tonya L.; Lienau, Paul J.

    1995-01-01

    Geothermal heat pump systems are a promising new energy technology that has shown rapid increase in usage over the past ten years in the United States. These systems offer substantial benefits to customers and utilities in energy (kWh) and demand (kW) savings. The purpose of this study was to determine what existing monitored data was available mainly from electric utilities on heat pump performance, energy savings and demand reduction for residential, school, and commercial building applications. Information was developed on the status of electric utility marketing programs, barriers to market penetration, incentive programs, and benefits.

  10. Geothermal Heat Pump Performance

    Energy Technology Data Exchange (ETDEWEB)

    Boyd, Tonya L.; Lienau, Paul J.

    1995-01-01

    Geothermal heat pump systems are a promising new energy technology that has shown rapid increase in usage over the past ten years in the United States. These systems offer substantial benefits to customers and utilities in energy (kWh) and demand (kW) savings. The purpose of this study was to determine what existing monitored data was available mainly from electric utilities on heat pump performance, energy savings and demand reduction for residential, school, and commercial building applications. Information was developed on the status of electric utility marketing programs, barriers to market penetration, incentive programs, and benefits.

  11. ATES/heat pump simulations performed with ATESSS code

    Science.gov (United States)

    Vail, L. W.

    1989-01-01

    Modifications to the Aquifer Thermal Energy Storage System Simulator (ATESSS) allow simulation of aquifer thermal energy storage (ATES)/heat pump systems. The heat pump algorithm requires a coefficient of performance (COP) relationship of the form: COP = COP sub base + alpha (T sub ref minus T sub base). Initial applications of the modified ATES code to synthetic building load data for two sizes of buildings in two U.S. cities showed insignificant performance advantage of a series ATES heat pump system over a conventional groundwater heat pump system. The addition of algorithms for a cooling tower and solar array improved performance slightly. Small values of alpha in the COP relationship are the principal reason for the limited improvement in system performance. Future studies at Pacific Northwest Laboratory (PNL) are planned to investigate methods to increase system performance using alternative system configurations and operations scenarios.

  12. Modeling and performance improvement of the constant power regulator systems in variable displacement axial piston pump.

    Science.gov (United States)

    Park, Sung Hwan; Lee, Ji Min; Kim, Jong Shik

    2013-01-01

    An irregular performance of a mechanical-type constant power regulator is considered. In order to find the cause of an irregular discharge flow at the cut-off pressure area, modeling and numerical simulations are performed to observe dynamic behavior of internal parts of the constant power regulator system for a swashplate-type axial piston pump. The commercial numerical simulation software AMESim is applied to model the mechanical-type regulator with hydraulic pump and simulate the performance of it. The validity of the simulation model of the constant power regulator system is verified by comparing simulation results with experiments. In order to find the cause of the irregular performance of the mechanical-type constant power regulator system, the behavior of main components such as the spool, sleeve, and counterbalance piston is investigated using computer simulation. The shape modification of the counterbalance piston is proposed to improve the undesirable performance of the mechanical-type constant power regulator. The performance improvement is verified by computer simulation using AMESim software.

  13. Particle removal with pump limiters in ISX-B

    International Nuclear Information System (INIS)

    Mioduszewski, P.; Emerson, L.C.; Simpkins, J.E.

    1983-01-01

    First pump limiter experiments were performed on ISX-B. Two pump limiter modules were installed in the top and bottom of one toroidal sector of the tokamak. The modules consist of inertia cooled, TiC coated graphite heads and Zr-Al getter pumps each with a pumping speed of 1000 to 2000 l/s. The objective of the initial experiments was the demonstration of plasma particle control with pump limiters. The first set of experiments were performed in ohmic discharges (OH) in which the effect of the pump limiters on the plasma density was clearly demonstrated. In discharges characterized by: I/sub p/ = 110 kA, B/sub T/ = 15 kG, anti n/sub e/ = 1 - 5 x 10 13 cm -3 and t = 0.3 s the pressure rise in the pump limiters was typically 2 mTorr with the pumps off and 0.7 mTorr after activating the pumps. When the pumps were activated, the line-average plasma density decreased by up to a factor 2 at identical gas flow rates. The second set of measurements were performed in neutral beam heated discharges (NBI) with injected powers between 0.6 MW and 1.0 MW. Due to a cooling problem on one of the Zr-Al pumps the NBI experiments were carried out with one limiter only. The maximum pressure observed in NBI-discharges was 5 mTorr without activating the pumps, i.e., approximately twice as high as in OH-discharges. The exhaust efficiency, which is defined as the removed particle flux over the total particle flux in the scrape-off layer is estimated to be 5%

  14. Thermodynamic performance of multi-stage gradational lead screw vacuum pump

    Science.gov (United States)

    Zhao, Fan; Zhang, Shiwei; Sun, Kun; Zhang, Zhijun

    2018-02-01

    As a kind of dry mechanical vacuum pump, the twin-screw vacuum pump has an outstanding pumping performance during operation, widely used in the semiconductor industry. Compared with the constant lead screw (CLS) vacuum pump, the gradational lead screw (GLS) vacuum pump is more popularly applied in recent years. Nevertheless, not many comparative studies on the thermodynamic performance of GLS vacuum pump can be found in the literature. Our study focuses on one type of GLS vacuum pump, the multi-stage gradational lead screw (MGLS) vacuum pump, gives a detailed description of its construction and illustrates it with the drawing. Based on the structural analysis, the thermodynamic procedure is divided into four distinctive processes, including sucking process, transferring (compressing) process, backlashing process and exhausting process. The internal mechanism of each process is qualitatively illustrated and the mathematical expressions of seven thermodynamic parameters are given under the ideal situation. The performance curves of MGLS vacuum pump are plotted by MATLAB software and compared with those of the CLS vacuum pump in the same case. The results can well explain why the MGLS vacuum pump has more favorable pumping performance than the CLS vacuum pump in saving energy, reducing noise and heat dissipation.

  15. Pneumoproteins as a lung-specific biomarker of alveolar permeability in conventional on-pump coronary artery bypass graft surgery vs mini-extracorporeal circuit - A pilot study

    NARCIS (Netherlands)

    van Boven, WJP; Gerritsen, WBM; Zanen, P; Grutters, JC; van Dongen, HPA; Bernard, A; Aarts, LPHJ

    Background: Despite improvements of the heart-lung machine (HLM), oxidative stress and subsequent damage to the alveolar capillary membrane still occur after conventional on-pump coronary artery bypass graft (CCABG) surgery. In an attempt to further improve the conventional HLM, a

  16. Temporary diabetes insipidus in 2 men after on-pump coronary artery bypass grafting.

    Science.gov (United States)

    Uyar, Ihsan Sami; Sahin, Veysel; Akpinar, Besir; Yurtman, Volkan; Abacilar, Feyzi; Okur, Faik Fevzi; Ates, Mehmet

    2013-01-01

    Many complications have been reported after cardiopulmonary bypass. A common physiologic change during the early postoperative period after cardiopulmonary bypass is increased diuresis. In patients whose urine output is increased, postoperative diabetes insipidus can develop, although reports of this are rare. We present the cases of 2 patients who underwent on-pump coronary artery bypass grafting (with cardiopulmonary bypass). Each was diagnosed with diabetes insipidus postoperatively: a 54-year-old man on the 3rd day, and a 66-year-old man on the 4th day. Each patient recovered from the condition after 6 hours of intranasal therapy with synthetic vasopressin (antidiuretic hormone). The diagnosis of diabetes insipidus should be considered in patients who produce excessive urine early after cardiac surgery in which cardiopulmonary bypass has been used.

  17. Study of Stage-wise Pressure Pulsation in an Electric Submersible Pump under Variable Frequency Operation at Shut-off Condition

    Science.gov (United States)

    Dhanasekaran, A.; Kumaraswamy, S.

    2018-01-01

    Pressure pulsation causes vibration in the Electric Submersible Pump (ESP) and affects the life and performance of its system. ESP systems are installed at depths ranging from a few meters to several hundred meters. Unlike pumps used on the surface, once they are installed they become inaccessible for maintenance or for any kind of diagnostic measurement that might be taken directly on them. Therefore a detailed knowledge of mean and fluctuating pressures is required to achieve an optimal pressure distribution inside the ESP. This paper presents the results of an experimental investigation of the stage-wise pulsating pressure in ESP at shut-off condition at different speeds. Experiments were conducted on a pump having five stages. A variable frequency drive was used to operate the pump at five different speeds. Piezoresistive transducers were mounted at each stage of ESP to capture the unsteady pressure signals. Fast Fourier Transformation was carried out on the pressure signals to convert into frequency domain and the spectra of pressure pulsation signals were analyzed. The obtained results indicated the existence of fundamental frequency corresponding to the speed of rotation times the number of impeller blades and of the whole series of harmonics of higher frequencies.

  18. Darrieus wind-turbine and pump performance for low-lift irrigation pumping

    Science.gov (United States)

    Hagen, L. J.; Sharif, M.

    1981-10-01

    In the Great Plains about 15 percent of the irrigation water pumped on farms comes from surface water sources; for the United States as a whole, the figure is about 22 percent. Because of forecast fuel shortages, there is a need to develop alternative energy sources such as wind power for surface water pumping. Specific objectives of this investigation were to: design and assemble a prototype wind powered pumping system for low lift irrigation pumping; determine performance of the prototype system; design and test an irrigation system using the wind powered prototype in a design and test an farm application; and determine the size combinations of wind turbines, tailwater pits, and temporary storage reservoirs needed for successful farm application of wind powered tailwater pumping systems in western Kansas. The power source selected was a two bladed, 6 m diameter, 9 m tall Darrieus vertical axis wind turbine with 0.10 solidity and 36.1 M(2) swept area.

  19. Performance prediction method for a multi-stage Knudsen pump

    Science.gov (United States)

    Kugimoto, K.; Hirota, Y.; Kizaki, Y.; Yamaguchi, H.; Niimi, T.

    2017-12-01

    In this study, the novel method to predict the performance of a multi-stage Knudsen pump is proposed. The performance prediction method is carried out in two steps numerically with the assistance of a simple experimental result. In the first step, the performance of a single-stage Knudsen pump was measured experimentally under various pressure conditions, and the relationship of the mass flow rate was obtained with respect to the average pressure between the inlet and outlet of the pump and the pressure difference between them. In the second step, the performance of a multi-stage pump was analyzed by a one-dimensional model derived from the mass conservation law. The performances predicted by the 1D-model of 1-stage, 2-stage, 3-stage, and 4-stage pumps were validated by the experimental results for the corresponding number of stages. It was concluded that the proposed prediction method works properly.

  20. Review of RSG-GAS secondary cooling pump performance

    International Nuclear Information System (INIS)

    Marsahala, Y.B.

    1999-01-01

    The control system of RSG-GAS secondary pump is the study for the operation existence of RSG-GAS secondary pump. The research is about characteristic of the secondary pump and its control system. The measuring of characteristic parameter of secondary cooling pump was being done while the pump running. The pump was loading with capacity 1950 m3/hr. with ambient temperature 28.5 oC. The fault effect of public grid (PLN) such as the fluctuation of both voltage and frequency likes voltage drops (dip). Supply block out that effect of the electric motor performances directly will be analyzed. How far those faults will effect the overall performance of secondary cooling system. Analyzing. Will be done according to the control system was installed. Has be done to find the direct effects of the motor performances against the motor rotation fluctuation which run from 1450 rpm to 1475 rpm. The using of start-delta starting method with delay time about 6 seconds, is enough or not to reduce the inrush starting current also analyzed in this paper. From the research can be obtained that in the steady state condition , the electric motor runs with both power and current are still under tolerances permitted. According to the analyzed data above, it will be consider that the control system of secondary pump would be modified or not. Therefore the analyzed data can show the characteristic curve of the secondary cooling system performance

  1. Impeller inlet geometry effect on performance improvement for centrifugal pumps

    International Nuclear Information System (INIS)

    Luo, Xianwu; Zhang, Yao; Peng, Junqi; Xu, Hongyuan; Yu, Weiping

    2008-01-01

    This research treats the effect of impeller inlet geometry on performance improvement for a boiler feed pump, who is a centrifugal pump having specific speed of 183 m.m 3 min -1 .min -1 and close type impeller with exit diameter of 450 mm. The hydraulic performance and cavitation performance of the pump have been tested experimentally. In order to improve the pump, five impellers have been considered by extending the blade leading edge or applying much larger blade angle at impeller inlet compared with the original impeller. The 3-D turbulent flow inside those pumps has been analyzed basing on RNG k-ε turbulence model and VOF cavitation model. It is noted that the numerical results are fairly good compared with the experiments. Based on the experimental test and numerical simulation, the following conclusions can be drawn: (1) Impeller inlet geometry has important influence on performance improvement in the case of centrifugal pump. Favorite effects on performance improvement have been achieved by both extending the blade leading edge and applying much larger blade angle at impeller inlet: (2) It is suspected that the extended leading edge have favorite effect for improving hydraulic performance, and the much larger blade angle at impeller inlet have favorite effect for improving cavitation performance for the test pump: (3) Uniform flow upstream of impeller inlet is helpful for improving cavitation performance of the pump

  2. Improvement of centrifugal pump performance through addition of splitter blades on impeller pump

    Science.gov (United States)

    Kurniawan, Krisna Eka; Santoso, Budi; Tjahjana, Dominicus Danardono Dwi Prija

    2018-02-01

    The workable way to improve pump performance is to redesign or modify the impellers of centrifugal pump. The purpose of impeller pump modification is to improve pump efficiency, reduce cross flow, reduce secondary incidence flows, and decrease backflow areas at impeller outlets. Number blades and splitter blades in the impeller are three. The outlet blade angle is 20°, and the rotating speed of impeller is 2400 rpm. The added splitter blades variations are 0.25, 0.375, and 0.5 of the original blade length. The splitter blade placements are on the outer side of the impeller. The addition of splitter blades on the outer side of the impeller with 0.5L increases the pump head until 22% and the pump has 38.66% hydraulic efficiency. The best efficiency point of water flow rate pump (Qbep) was 3.02 × 10-3 m3/s.

  3. The Performance test of Mechanical Sodium Pump with Water Environment

    International Nuclear Information System (INIS)

    Cho, Chungho; Kim, Jong-Man; Ko, Yung Joo; Jeong, Ji-Young; Kim, Jong-Bum; Ko, Bock Seong; Park, Sang Jun; Lee, Yoon Sang

    2015-01-01

    As contrasted with PWR(Pressurized light Water Reactor) using water as a coolant, sodium is used as a coolant in SFR because of its low melting temperature, high thermal conductivity, the high boiling temperature allowing the reactors to operate at ambient pressure, and low neutron absorption cross section which is required to achieve a high neutron flux. But, sodium is violently reactive with water or oxygen like the other alkali metal. So Very strict requirements are demanded to design and fabricate of sodium experimental facilities. Furthermore, performance testing in high temperature sodium environments is more expensive and time consuming and need an extra precautions because operating and maintaining of sodium experimental facilities are very difficult. The present paper describes performance test results of mechanical sodium pump with water which has been performed with some design changes using water test facility in SAM JIN Industrial Co. To compare the hydraulic characteristic of model pump with water and sodium, the performance test of model pump were performed using vender's experimental facility for mechanical sodium pump. To accommodate non-uniform thermal expansion and to secure the operability and the safety, the gap size of some parts of original model pump was modified. Performance tests of modified mechanical sodium pump with water were successfully performed. Water is therefore often selected as a surrogate test fluid because it is not only cheap, easily available and easy to handle but also its important hydraulic properties (density and kinematic viscosity) are very similar to that of the sodium. Normal practice to thoroughly test a design or component before applied or installed in reactor is important to ensure the safety and operability in the sodium-cooled fast reactor (SFR). So, in order to estimate the hydraulic behavior of the PHTS pump of DSFR (600 MWe Demonstraion SFR), the performance tests of the model pump such as performance

  4. Virtual Resting Pd/Pa From Coronary Angiography and Blood Flow Modelling: Diagnostic Performance Against Fractional Flow Reserve.

    Science.gov (United States)

    Papafaklis, Michail I; Muramatsu, Takashi; Ishibashi, Yuki; Bourantas, Christos V; Fotiadis, Dimitrios I; Brilakis, Emmanouil S; Garcia-Garcia, Héctor M; Escaned, Javier; Serruys, Patrick W; Michalis, Lampros K

    2018-03-01

    Fractional flow reserve (FFR) has been established as a useful diagnostic tool. The distal coronary pressure to aortic pressure (Pd/Pa) ratio at rest is a simpler physiologic index but also requires the use of the pressure wire, whereas recently proposed virtual functional indices derived from coronary imaging require complex blood flow modelling and/or are time-consuming. Our aim was to test the diagnostic performance of virtual resting Pd/Pa using routine angiographic images and a simple flow model. Three-dimensional quantitative coronary angiography (3D-QCA) was performed in 139 vessels (120 patients) with intermediate lesions assessed by FFR. The resting Pd/Pa for each lesion was assessed by computational fluid dynamics. The discriminatory power of virtual resting Pd/Pa against FFR (reference: ≤0.80) was high (area under the receiver operator characteristic curve [AUC]: 90.5% [95% CI: 85.4-95.6%]). Diagnostic accuracy, sensitivity and specificity for the optimal virtual resting Pd/Pa cut-off (≤0.94) were 84.9%, 90.4% and 81.6%, respectively. Virtual resting Pd/Pa demonstrated superior performance (pvirtual resting Pd/Pa and FFR (r=0.69, pVirtual resting Pd/Pa using routine angiographic data and a simple flow model provides fast functional assessment of coronary lesions without requiring the pressure-wire and hyperaemia induction. The high diagnostic performance of virtual resting Pd/Pa for predicting FFR shows promise for using this simple/fast virtual index in clinical practice. Copyright © 2017 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

  5. Multiphase pumping: indoor performance test and oilfield application

    Science.gov (United States)

    Kong, Xiangling; Zhu, Hongwu; Zhang, Shousen; Li, Jifeng

    2010-03-01

    Multiphase pumping is essentially a means of adding energy to the unprocessed effluent which enables the liquid and gas mixture to be transported over a long distances without prior separation. A reduction, consolidation, or elimination of the production infrastructure, such as separation equipments and offshore platforms can be developed more economically. Also it successfully lowed the backpressure of wells, revived dead wells and improved the production and efficiency of oilfield. This paper reviews the issues related to indoor performance test and an oilfield application of the helico-axial multiphase pump designed by China University of Petroleum (Beijing). Pump specification and its hydraulic design are given. Results of performance testing under different condition, such as operational speed and gas volume fraction (GVF) etc are presented. Experimental studies on combination of theoretical analysis showed the multiphase pump satisfies the similitude rule, which can be used in the development of new MPP design and performance prediction. Test results showed that rising the rotation speed and suction pressure could better its performance, pressure boost improved, high efficiency zone expanding and the flow rate related to the optimum working condition increased. The pump worked unstable as GVF increased to a certain extent and slip occurred between two phases in the pump, creating surging and gas lock at a high GVF. A case of application in Nanyang oilfield is also studied.

  6. A first-in-man study of the Reitan catheter pump for circulatory support in patients undergoing high-risk percutaneous coronary intervention.

    Science.gov (United States)

    Smith, Elliot J; Reitan, Oyvind; Keeble, Thomas; Dixon, Kerry; Rothman, Martin T

    2009-06-01

    To investigate the safety of a novel percutaneous circulatory support device during high-risk percutaneous coronary intervention (PCI). The Reitan catheter pump (RCP) consists of a catheter-mounted pump-head with a foldable propeller and surrounding cage. Positioned in the descending aorta the pump creates a pressure gradient, reducing afterload and enhancing organ perfusion. Ten consecutive patients requiring circulatory support underwent PCI; mean age 71 +/- 9; LVEF 34% +/- 11%; jeopardy score 8 +/- 2.3. The RCP was inserted via the femoral artery. Hemostasis was achieved using Perclose sutures. PCI was performed via the radial artery. Outcomes included in-hospital death, MI, stroke, and vascular injury. Hemoglobin (Hb), free plasma Hb (fHb), platelets, and creatinine (cre) were measured pre PCI and post RCP removal. The pump was inserted and operated successfully in 9/10 cases (median 79 min). Propeller rotation at 10,444 +/- 1,424 rpm maintained an aortic gradient of 9.8 +/- 2 mm Hg. Although fHb increased, there was no significant hemolysis (4.7 +/- 2.4 mg/dl pre vs. 11.9 +/- 10.5 post, P = 0.04, reference 20 mg/dl). Platelets were unchanged (pre 257 +/- 74 x 10(9) vs. 245 +/- 63, P = NS). Renal function improved (cre pre 110 +/- 27 micromol/l vs. 99 +/- 28, P = 0.004). The RCP was not used in one patient following femoral introducer sheath related aortic dissection. All PCI procedures were successful with no deaths or strokes, one MI, and no vascular complications following pump removal. The RCP can be used safely in high-risk PCI patients. This device may be an alternative to other percutaneous systems when substantial cardiac support is needed. (c) 2009 Wiley-Liss, Inc.

  7. Indication and short-term clinical outcomes of high-risk percutaneous coronary intervention with microaxial Impella® pump: results from the German Impella® registry.

    Science.gov (United States)

    Baumann, Stefan; Werner, Nikos; Ibrahim, Karim; Westenfeld, Ralf; Al-Rashid, Fadi; Sinning, Jan-Malte; Westermann, Dirk; Schäfer, Andreas; Karatolios, Konstantinos; Bauer, Timm; Becher, Tobias; Akin, Ibrahim

    2018-03-08

    Percutaneous coronary intervention (PCI) is an alternative strategy to coronary artery bypass grafting (CABG) in patients with high perioperative risk. The microaxial Impella ® pump (Abiomed, Danvers, MA, USA), used as prophylactic and temporary support, is currently the most common device for "protected high-risk PCI" to ensure hemodynamic stability during complex coronary intervention. The study is an observational, retrospective multi-center registry. Patients from nine tertiary hospitals in Germany, who have undergone protected high-risk PCI, are included in the present study. A total of 154 patients (mean age 72.6-10.8 years, 75.3% male) were enrolled. The majority were at a high operative risk illustrated by a logistic EuroSCORE of 14.7-17.4. The initial SYNTAX score was 32.0-13.3, indicating very complex CAD and could be reduced to 14.1-14.3 (p study show that protected PCI is a safe and effective approach to revascularize high-risk patients with complex coronary anatomy and comorbidities.

  8. Mechanical design and modeling of a single-piston pump for the novel power take-off system of a wave energy converter

    NARCIS (Netherlands)

    Vakis, Antonis I.; Anagnostopoulos, John S.

    2016-01-01

    A multi-pump, multi-piston power take-off wave energy converter ((MPPTO)-P-2 WEC) has been proposed for use with a novel renewable energy harvester termed the Ocean Grazer. The (MPPTO)-P-2 WEC utilizes wave motion to pump via buoys connected to pistons working fluid within a closed circuit and store

  9. Impeller inlet geometry effect on performance improvement for centrifugal pumps

    Energy Technology Data Exchange (ETDEWEB)

    Luo, Xianwu; Zhang, Yao; Peng, Junqi; Xu, Hongyuan [Tsinghua University, Beijing (China); Yu, Weiping [Zhejiang Pump Works, Zhejiang (China)

    2008-10-15

    This research treats the effect of impeller inlet geometry on performance improvement for a boiler feed pump, who is a centrifugal pump having specific speed of 183 m.m{sup 3}min{sup -1}.min{sup -1} and close type impeller with exit diameter of 450 mm. The hydraulic performance and cavitation performance of the pump have been tested experimentally. In order to improve the pump, five impellers have been considered by extending the blade leading edge or applying much larger blade angle at impeller inlet compared with the original impeller. The 3-D turbulent flow inside those pumps has been analyzed basing on RNG k-{epsilon} turbulence model and VOF cavitation model. It is noted that the numerical results are fairly good compared with the experiments. Based on the experimental test and numerical simulation, the following conclusions can be drawn: (1) Impeller inlet geometry has important influence on performance improvement in the case of centrifugal pump. Favorite effects on performance improvement have been achieved by both extending the blade leading edge and applying much larger blade angle at impeller inlet: (2) It is suspected that the extended leading edge have favorite effect for improving hydraulic performance, and the much larger blade angle at impeller inlet have favorite effect for improving cavitation performance for the test pump: (3) Uniform flow upstream of impeller inlet is helpful for improving cavitation performance of the pump

  10. Pump system characterization and reliability enhancement

    International Nuclear Information System (INIS)

    Staunton, R.H.

    1998-01-01

    Pump characterization studies were performed at the Oak Ridge National Laboratory (ORNL) to review and analyze six years (1990-1995) of data from pump systems at domestic nuclear plants. The studies considered not only pumps and pump motors but also pump-related circuit breakers and turbine drives (i.e., the pump system). One significant finding was that the number of 'significant' failures of the pump circuit breaker exceeds the number of significant failures of the pump itself. The study also shows how regulatory code testing was designed for the pump only and therefore did not lead to the discovery of other significant pump system failures. Potential diagnostic technologies, both experimental and mature, suitable for on-line and off-line pump testing were identified. The study does not select or recommend technologies but proposes diagnostic technologies and monitoring techniques that should be further evaluated/developed for making meaningful and critically-needed improvements in the reliability of the pump system. (author)

  11. Development and evaluation of cryosorption pump and cryotrapping pump for CTR applications

    International Nuclear Information System (INIS)

    Kuribayashi, S.; Ota, H.; Sato, H.

    1986-01-01

    In order to obtain the engineering data to design compound cryopump for CTR, the authors tested the cryosorption pump and cryotrapping pump. The cryosorption panel was consisted of coconut charcoal metallically bonded to 4.2K cryopanel by brazing. The initial pumping speed of helium of cryosorption pump was found to be ≅2.2 iota/scm/sup 2/. The speed dropped off with loading (about 8 Torr iota/cm/sup 2/) to 1.5 iota/scm/sup 2/. The initial helium pumping speed of the 4.2K cryotrapping pump by argon spray was found to be ≅6 iota/scm/sup 2/. The speed, however, dropped off with loading (≅0.3 Torr iota/cm/sup 2/) to less than 5%. These results indicate that the cryosorption pump by coconut charcoal is superior to the cryotrapping pump, because the capacity of the former is larger than the latter

  12. High-speed flow visualization in a pump-turbine under off-design operating conditions

    International Nuclear Information System (INIS)

    Hasmatuchi, V; Roth, S; Botero, F; Avellan, F; Farhat, M

    2010-01-01

    The flow hydrodynamics in a low specific speed radial pump-turbine reduced scale model is experimentally investigated under off-design operating conditions in generating mode. Wall pressure measurements, in the stator, synchronized with high-speed flow visualizations in the vaneless space between the impeller and the guide vanes using air bubbles injection are performed. When starting from the best efficiency point and increasing the runner speed, a significant increase of the pressure fluctuations is observed mainly in channels between wicket gates. The spectral analysis shows a rise of one stall cell, rotating with about 70% of the impeller frequency, at runaway, which further increases as the zero discharge condition is approached. Then a specific image processing technique is detailed and applied to create a synthetic instantaneous view of the flow pattern on the entire guide vanes circumference for an operating point in turbine-brake mode, where backflow and vortices accompany the stall passage.

  13. Heart bypass surgery

    Science.gov (United States)

    Off-pump coronary artery bypass; OPCAB; Beating heart surgery; Bypass surgery - heart; CABG; Coronary artery bypass graft; Coronary artery bypass surgery; Coronary bypass surgery; Coronary artery disease - CABG; CAD - CABG; Angina - ...

  14. In situ performance curves measurements of large pumps

    International Nuclear Information System (INIS)

    Anton, A

    2010-01-01

    The complex energetic system on the river Lotru in Romania comprises of a series of lakes and pumping stations and a major hydroelectric power plant: Lotru-Ciunget. All the efforts have been oriented towards the maintenance of the Pelton turbines and very little attention has been directed to the pumps. In the system, there are three large pumping stations and only in the last 5 years, the pump performances have become a concern. The performances where determined using portable ultrasonic flow meters, a Yates meter, precision manometers and appropriate electrical equipment for power measurement (Power Analiser - NORMA D4000 LEM). The measurements are not supposed to interfere with the normal operation so only a limited number of tests could be performed. Based on those tests, portions of the test curves have been measured and represented in specific diagrams.

  15. In situ performance curves measurements of large pumps

    Science.gov (United States)

    Anton, A.

    2010-08-01

    The complex energetic system on the river Lotru in Romania comprises of a series of lakes and pumping stations and a major hydroelectric power plant: Lotru-Ciunget. All the efforts have been oriented towards the maintenance of the Pelton turbines and very little attention has been directed to the pumps. In the system, there are three large pumping stations and only in the last 5 years, the pump performances have become a concern. The performances where determined using portable ultrasonic flow meters, a Yates meter, precision manometers and appropriate electrical equipment for power measurement (Power Analiser - NORMA D4000 LEM). The measurements are not supposed to interfere with the normal operation so only a limited number of tests could be performed. Based on those tests, portions of the test curves have been measured and represented in specific diagrams.

  16. Off-pump transapical implantation of artificial neo-chordae to correct mitral regurgitation: the TACT Trial (Transapical Artificial Chordae Tendinae) proof of concept.

    Science.gov (United States)

    Seeburger, Joerg; Rinaldi, Mauro; Nielsen, Sten Lyager; Salizzoni, Stefano; Lange, Ruediger; Schoenburg, Markus; Alfieri, Ottavio; Borger, Michael Andrew; Mohr, Friedrich Wilhelm; Aidietis, Audrius

    2014-03-11

    The goal of this study was to evaluate the safety and performance of the NeoChord DS1000 system (NeoChord, Inc., Minneapolis, Minnesota). There is an increasing interest in transcatheter mitral valve (MV) treatment. The NeoChord DS 1000 system enables off-pump beating heart transapical MV repair with implantation of artificial neo-chordae. Patients with severe mitral regurgitation (MR) due to isolated posterior prolapse were included in this TACT (Transapical Artificial Chordae Tendinae) trial. All patients were scheduled for off-pump transapical implantation of neo-chordae. Thirty patients at 7 centers were enrolled. Major adverse events included 1 death due to post-cardiotomy syndrome and concomitant sepsis and 1 minor stroke with the patient fully recovered at the 30-day follow-up visit. Additional patients experienced procedural major adverse events related to a reoperation or conversion to standard of care. Acute procedural success (placement of at least 1 neo-chord and reduction of MR from 3+ or 4+ to ≤2+) was achieved in 26 patients (86.7%). In 4 patients neo-chordae were not placed for technical and/or patient-specific reasons. These patients underwent intraoperative (3 patients) or post-operative (1 patient) standard MV repair. At 30 days, 17 patients maintained an MR grade ≤2+. Four patients who developed recurrent MR were successfully treated with open MV repair during 30-day follow-up. Results improved with experience: durable reduction in MR to ≤2+ at 30 days was achieved in 5 (33.3%) of the first 15 patients and 12 (85.7%) of the last 14 patients. Off-pump transapical implantation of artificial chordae to correct MR is technically safe and feasible; however, it yields further potential for improvement of efficacy and durability. (Safety and Performance Study of the NeoChord Device [TACT]; NCT01777815). Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  17. Modeling and Performance Improvement of the Constant Power Regulator Systems in Variable Displacement Axial Piston Pump

    Science.gov (United States)

    Park, Sung Hwan; Lee, Ji Min; Kim, Jong Shik

    2013-01-01

    An irregular performance of a mechanical-type constant power regulator is considered. In order to find the cause of an irregular discharge flow at the cut-off pressure area, modeling and numerical simulations are performed to observe dynamic behavior of internal parts of the constant power regulator system for a swashplate-type axial piston pump. The commercial numerical simulation software AMESim is applied to model the mechanical-type regulator with hydraulic pump and simulate the performance of it. The validity of the simulation model of the constant power regulator system is verified by comparing simulation results with experiments. In order to find the cause of the irregular performance of the mechanical-type constant power regulator system, the behavior of main components such as the spool, sleeve, and counterbalance piston is investigated using computer simulation. The shape modification of the counterbalance piston is proposed to improve the undesirable performance of the mechanical-type constant power regulator. The performance improvement is verified by computer simulation using AMESim software. PMID:24282389

  18. Modeling and Performance Improvement of the Constant Power Regulator Systems in Variable Displacement Axial Piston Pump

    Directory of Open Access Journals (Sweden)

    Sung Hwan Park

    2013-01-01

    Full Text Available An irregular performance of a mechanical-type constant power regulator is considered. In order to find the cause of an irregular discharge flow at the cut-off pressure area, modeling and numerical simulations are performed to observe dynamic behavior of internal parts of the constant power regulator system for a swashplate-type axial piston pump. The commercial numerical simulation software AMESim is applied to model the mechanical-type regulator with hydraulic pump and simulate the performance of it. The validity of the simulation model of the constant power regulator system is verified by comparing simulation results with experiments. In order to find the cause of the irregular performance of the mechanical-type constant power regulator system, the behavior of main components such as the spool, sleeve, and counterbalance piston is investigated using computer simulation. The shape modification of the counterbalance piston is proposed to improve the undesirable performance of the mechanical-type constant power regulator. The performance improvement is verified by computer simulation using AMESim software.

  19. Water Flow Performance of a Superscale Model of the Fastrac Liquid Oxygen Pump

    Science.gov (United States)

    Skelley, Stephen; Zoladz, Thomas

    2001-01-01

    . Likewise, only small circumferential variations in steady-state were observed from 80% to 120% of the design flow coefficient, matching the computational predictions and confirming that the integrated design approach has minimized any exit volute-induced distortions. The test article exhibited suction performance trends typically observed in inducer designs with virtually constant head rise with decreasing inlet pressure until complete pump head breakdown. Unfortunately, the net positive suction head at 3% head fall-off occurred far below that predicted at all tested flow coefficients, resulting in a negative net positive suction head margin at the design point in water. Additional testing to map the unsteady pressure environment was conducted and cavitation-induced flow disturbances at the inducer inlet were observed. Two distinct disturbances were identified, one rotating and one stationary relative to the fixed frame of reference, while the transition from one regime to the next produced significant effects on the steady state pump performance. The impact of the unsteady phenomena and the corresponding energy losses on the unexpectedly poor pump performance is also discussed.

  20. Flow Rate In Microfluidic Pumps As A Function Of Tension and Pump Motor Head Speed

    Science.gov (United States)

    Irwin, Anthony; McBride, Krista

    2015-03-01

    As the use of microfluidic devices has become more common in recent years the need for standardization within the pump systems has grown. The pumps are ball bearing rotor microfluidic pumps and work off the idea of peristalsis. The rapid contraction and relaxation propagating down a tube or a microfluidic channel. The ball bearings compress the tube (occlusion) and move along part of the tube length forcing fluid to move inside of the tube in the same direction of the ball bearings. When the ball bearing rolls off the area occupied by the microfluidic channel, its walls and ceiling undergo restitution and a pocket of low pressure is briefly formed pulling more of the liquid into the pump system. Before looking to standardize the pump systems it must be known how the tension placed by the pumps bearing heads onto the PDMS inserts channels affect the pumps performance (mainly the flow rate produced). The relationship of the speed at which the bearings on the motor head spin and the flow rate must also be established. This research produced calibration curves for flow rate vs. tension and rpm. These calibration curves allow the devices to be set to optimal user settings by simply varying either the motor head tension or the motor head speed. I would like to acknowledge the help and support of Vanderbilt University SyBBURE program, Christina Marasco, Stacy Sherod, Franck Block and Krista McBride.

  1. Performance Optimization of Centrifugal Pump for Crude Oil Delivery

    Directory of Open Access Journals (Sweden)

    S.A.I. Bellary

    2018-02-01

    Full Text Available Crude oil transport is an essential task in oil and gas industries, where centrifugal pumps are extensively used. The design of a centrifugal pump involves a number of independent parameters which affect the pump performance. Altering some of the parameters within a realistic range improves pump performance and saves a significant amount of energy. The present research investigated the pump characteristics by modifying the number of blades and the exit blade-angles. Reynolds-Averaged Navier-Stokes equations with standard k-ε two-equation turbulence closure were used for steady and incompressible flow of crude oil through the pump. The experimental set-up was installed and the pump performance calculated numerically  was compared with the experiments.   The investigations showed that the number of blades and the exit blade-angles have a significant influence on the head, shaft power, and efficiency. The vortical flow structures, recirculation and reverse flow characteristics around the impeller were investigated to explain the flow dynamics of impeller and casing. A larger number of blades on the rotor showed dominant streamlined flow without any wake phenomena. The combined effect of the number of blades and exit blade angle has led to an increase in head and efficiency through the parametric optimization.

  2. Assessment of feasibility and efficacy of Class IV laser therapy for postoperative pain relief in off-pump coronary artery bypass surgery patients: A pilot study

    Directory of Open Access Journals (Sweden)

    Anil Karlekar

    2015-01-01

    Full Text Available Background: Laser therapy, for its established analgesic properties with minimal side effects, has been used for the treatment of chronic pain. However, it has not been used for the treatment of acute postoperative pain. This pilot study was designed to assess the feasibility and efficacy of Class IV laser on postoperative pain relief following off-pump coronary artery bypass graft (OPCABG surgery, as a component of multimodal analgesia (MMA technique. Methods: This open observational prospective study comprised of 100 adult patients (84 male, 16 female who underwent OPCABG through sternotomy. For postoperative analgesia, they were subjected to laser therapy subjected to laser therapy in addition to the standard institutional pain management protocol comprising of IV infusion/bolus of tramadol and paracetamol and fentanyl bolus as rescue analgesic. Pain intensity was measured by Verbal Rating Scale (VRS. The laser therapy was scheduled as once a day regime for three consecutive postoperative days (PODs starting on POD 1, 30 min following tracheal extubation. The subsequent laser applications were also scheduled at the same time of the day as on day 1 if VRS was ≥5. 10 W Class IV laser was applied over 150 cm 2 sternal wound area for 150 s. VRS was used to assess pain severity and was recorded for statistical analysis using Friedman Test. Results: The mean (standard deviation [SD] VRS of all the 100 patients just before application of the first dose of laser was 7.31 (0.94 while on MMT; the same fell to 4.0 (1.279 and 3.40 (2.697 at 1 h and 24 h respectively following first dose of laser. The change of VRS over first 24 h among all the 100 patients was statistically significant (P = 0.000. Laser was re-applied in 40 patients whose VRS was ≥5 (mean [SD] - 6.38 [0.868] at 24 th h. After receiving the 2 nd dose of laser the VRS scores fell significantly (P = 0.000 and became 0 at 54 th h. No patients required 3 rd dose of the laser. No patient

  3. Flow pumping system for physiological waveforms.

    Science.gov (United States)

    Tsai, William; Savaş, Omer

    2010-02-01

    A pulsatile flow pumping system is developed to replicate flow waveforms with reasonable accuracy for experiments simulating physiological blood flows at numerous points in the body. The system divides the task of flow waveform generation between two pumps: a gear pump generates the mean component and a piston pump generates the oscillatory component. The system is driven by two programmable servo controllers. The frequency response of the system is used to characterize its operation. The system has been successfully tested in vascular flow experiments where sinusoidal, carotid, and coronary flow waveforms are replicated.

  4. Anomalous origin of right coronary artery from left coronary sinus.

    Science.gov (United States)

    Hamzeh, Gadah; Crespo, Alex; Estarán, Rafael; Rodríguez, Miguel A; Voces, Roberto; Aramendi, José I

    2008-08-01

    Anomalous aortic origin of the coronary arteries is uncommon but clinically significant. Manifestations vary from asymptomatic patients to those who present with angina pectoris, myocardial infarction, heart failure, syncope, arrhythmias, and sudden death. We describe 4 patients, aged 34 to 59 years, who were diagnosed with right coronary artery arising from the left sinus of Valsalva, confirmed by coronary angiography, which was surgically repaired. Three patients presented dyspnea and angina, and one with acute myocardial infarction. At operation, the right coronary artery was dissected at the take-off from the intramural course, and reimplanted into the right sinus of Valsalva. There was no mortality. One patient had associated coronary artery disease that required stent placement postoperatively. This reimplantation technique provides a good physiological and anatomical repair, eliminates a slit-like ostium, avoids compression of the coronary artery between the aorta and the pulmonary artery, and gives superior results to coronary artery bypass grafting or the unroofing technique.

  5. Trailing edge devices to improve performance and increase lifetime of wind-electric water pumping systems

    Energy Technology Data Exchange (ETDEWEB)

    Vick, B.D.; Clark, R.N. [USDA-Agricultural Research Service, Bushland, TX (United States)

    1996-12-31

    Trailing edge flaps were applied to the blades of a 10 kW wind turbine used for water pumping to try to improve the performance and decrease the structural fatigue on the wind turbine. Most small wind turbines (10 kW and below) use furling (rotor turns out of wind similar to a mechanical windmill) to protect the wind turbine from overspeed during high winds. Some small wind turbines, however, do not furl soon enough to keep the wind turbine from being off line part of the time in moderately high wind speeds (10 - 16 m/s). As a result, the load is disconnected and no water is pumped at moderately high wind speeds. When the turbine is offline, the frequency increases rapidly often causing excessive vibration of the wind turbine and tower components. The furling wind speed could possibly be decreased by increasing the offset between the tower centerline and the rotor centerline, but would be a major and potentially expensive retrofit. Trailing edge flaps (TEF) were used as a quick inexpensive method to try to reduce the furling wind speed and increase the on time by reducing the rotor RPM. One TEF configuration improved the water pumping performance at moderately high wind speeds, but degraded the pumping performance at low wind speeds which resulted in little change in daily water volume. The other TEF configuration differed very little from the no flap configuration. Both TEF configurations however, reduced the rotor RPM in high wind conditions. The TEF, did not reduce the rotor RPM by lowering the furling wind speed as hoped, but apparently did so by increasing the drag which also reduced the volume of water pumped at the lower wind speeds. 6 refs., 9 figs.

  6. On-line PWR RHR pump performance testing following motor and impeller replacement

    Energy Technology Data Exchange (ETDEWEB)

    DiMarzo, J.T.

    1996-12-01

    On-line maintenance and replacement of safety-related pumps requires the performance of an inservice test to determine and confirm the operational readiness of the pumps. In 1995, major maintenance was performed on two Pressurized Water Reactor (PWR) Residual Heat Removal (RHR) Pumps. A refurbished spare motor was overhauled with a new mechanical seal, new motor bearings and equipped with pump`s `B` impeller. The spare was installed into the `B` train. The motor had never been run in the system before. A pump performance test was developed to verify it`s operational readiness and determine the in-situ pump performance curve. Since the unit was operating, emphasis was placed on conducting a highly accurate pump performance test that would ensure that it satisfied the NSSS vendors accident analysis minimum acceptance curve. The design of the RHR System allowed testing of one train while the other was aligned for normal operation. A test flow path was established from the Refueling Water Storage Tank (RWST) through the pump (under test) and back to the RWST. This allowed staff to conduct a full flow range pump performance test. Each train was analyzed and an expression developed that included an error vector term for the TDH (ft), pressure (psig), and flow rate (gpm) using the variance error vector methodology. This method allowed the engineers to select a test instrumentation system that would yield accurate readings and minimal measurement errors, for data taken in the measurement of TDH (P,Q) versus Pump Flow Rate (Q). Test results for the `B` Train showed performance well in excess of the minimum required. The motor that was originally in the `B` train was similarly overhauled and equipped with `A` pump`s original impeller, re-installed in the `A` train, and tested. Analysis of the `A` train results indicate that the RHR pump`s performance was also well in excess of the vendors requirements.

  7. Performance analysis of air source heat pump system for office building

    Energy Technology Data Exchange (ETDEWEB)

    Han, Dong Won; KIm, Yong Chan [Korea University, Seoul (Korea, Republic of); Chang, Young Soo [School of Mechanical System Engineering, Kookmin University, Seoul (Korea, Republic of)

    2016-11-15

    In this study, the performance of an air source heat pump system installed in a commercial building is analyzed using the developed heat pump performance model and building load simulation data of several regions in Korea. The performance test of an air source heat pump system with a variable speed compressor is tested to develop model that considers changes in the performance characteristics of the heat pump system under various operating conditions. The heat pump system is installed in an environmental chamber, and the experimental equipment is set up according to the manufacturer' specifications as well as the AHRI 1230 test specifications. The performance test conditions of the heat pump system are selected using a central composite design method, in which 29 points for each cooling and heating mode are selected. The developed performance model based on experimental data predicts experimental values with an error of ±5 %. Building cooling and heating loads in three regions in Korea are analyzed using TRNSYS software, which includes standard building and weather data from Seoul, Daejeon and Busan in Korea. The effects of outdoor air temperature and part load ratio on the performance and regional monthly average power consumption of the heat pump system are analyzed.

  8. High efficiency, variable geometry, centrifugal cryogenic pump

    International Nuclear Information System (INIS)

    Forsha, M.D.; Nichols, K.E.; Beale, C.A.

    1994-01-01

    A centrifugal cryogenic pump has been developed which has a basic design that is rugged and reliable with variable speed and variable geometry features that achieve high pump efficiency over a wide range of head-flow conditions. The pump uses a sealless design and rolling element bearings to achieve high reliability and the ruggedness to withstand liquid-vapor slugging. The pump can meet a wide range of variable head, off-design flow requirements and maintain design point efficiency by adjusting the pump speed. The pump also has features that allow the impeller and diffuser blade heights to be adjusted. The adjustable height blades were intended to enhance the pump efficiency when it is operating at constant head, off-design flow rates. For small pumps, the adjustable height blades are not recommended. For larger pumps, they could provide off-design efficiency improvements. This pump was developed for supercritical helium service, but the design is well suited to any cryogenic application where high efficiency is required over a wide range of head-flow conditions

  9. Performance Tests of a Mechanical Pump in Sodium Environment

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Chungho; Kim, Jong-Man; Ko, Yung Joo; Kim, Byeongyeon; Cho, Youngil; Jung, Min-Hwan; Gam, Da-Young; Lee, Yong Bum; Jeong, Ji-Young; Kim, Jong-Bum [KAERI, Daejeon (Korea, Republic of)

    2016-05-15

    Water is often selected as a surrogate test fluid because it is not only cheap, easily available and easy to handle but also its important hydraulic properties (density and kinematic viscosity) are very similar to that of the sodium. Nevertheless, to ensure the performance, safety, and operability of major components before its installation in the SFR, a series of demonstration experiments of some components in sodium environment should be positively necessary. So, SFR NSSS System Design Division of Korea Atomic Energy Research Institute (KAERI) built various sodium experimental facilities, especially STELLA-1 in 2012. STELLA-1 (Sodium inTegral Effect test Loop for safety simuLation and Assessment) is a large-scale separated effect test facility for demonstrating the thermal-hydraulic performances of major components such as a Sodium-to-Sodium heat exchanger (DHX), Sodium-to-Air heat exchanger (AHX) of the decay heat removal system, and mechanical sodium pump of the primary heat transport system (PHTS). The mechanical pump in-sodium performance test was successfully performed with good reproducibility of the experiment and data to compare hydraulic characteristic of a mechanical pump in-water was collected. In effect of temperature variation on the pump pressure head, reduction of pump pressure head at 250℃ by 0.57% of that of 300℃ maybe the result of an increase in sodium viscosity by 13.6% according to operating temperature decrease by 50℃. Also, we confirmed that the more flywheel weight, the longer halving time and the more initial flow rate when the pump seized, the shorter halving time. The results of the mechanical pump performance test data in sodium environment will be used to compare with that of the in water environment after the evaluation of measurement uncertainty for tests.

  10. Improved Approach With Subcostal Exchange of the HeartMate II Left Ventricular Assist Device: Difference in On and Off Pump?

    Science.gov (United States)

    Gaffey, Ann C; Chen, Carol W; Chung, Jennifer J; Phillips, Emily; Wald, Joyce; Williams, Matthew L; Low, David W; Acker, Michael A; Atluri, Pavan

    2017-11-01

    The HeartMate II (St. Jude Medical, Inc, St. Paul, MN [previously Thoratec]) left ventricular assist device (LVAD) exchange has traditionally involved a redo sternotomy. Alternate minimally invasive subcostal approaches have the advantage of avoiding sternal reentry, excessive bleeding, and prolonged recovery. This retrospective review included patients who underwent an exchange from May 2009 to March 2016. The patients were divided into three cohorts: (1) redo sternotomy, (2) subcostal approach involving cardiopulmonary bypass (CPB) (ON-CPB SC), and (3) subcostal approach off the CPB pump (OFF-CPB SC). Data pertaining to patients' baseline characteristics and outcomes were collected and analyzed. From May 1, 2009 to July 31, 2016, 33 HeartMate II LVAD exchanges were performed. There were 11 redo sternotomies and 22 subcostal exchanges, 12 of which were in the OFF-CPB SC group. There was no significant difference among the groups in terms of age (p = 0.75), sex (p = 0.95), and indication for exchange (p = 0.94). There was a higher red blood cell transfusion requirement within the sternotomy cohort (p rates were equivalent among the cohorts. Exchange of the HeartMate II LVAD can be accomplished with significantly improved recovery time and transfusion requirement through a less invasive subcostal approach when compared with sternotomy. The subcostal approach can be performed safely both on and off cardiopulmonary bypass. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  11. Heat pumps for geothermal applications: availability and performance. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Reistad, G.M.; Means, P.

    1980-05-01

    A study of the performance and availability of water-source heat pumps was carried out. The primary purposes were to obtain the necessary basic information required for proper evaluation of the role of water-source heat pumps in geothermal energy utilization and/or to identify the research needed to provide this information. The Search of Relevant Literature considers the historical background, applications, achieved and projected performance evaluations and performance improvement techniques. The commercial water-source heat pump industry is considered in regard to both the present and projected availability and performance of units. Performance evaluations are made for units that use standard components but are redesigned for use in geothermal heating.

  12. Dual-stroke heat pump field performance

    Science.gov (United States)

    Veyo, S. E.

    1984-11-01

    Two nearly identical proprototype systems, each employing a unique dual-stroke compressor, were built and tested. One was installed in an occupied residence in Jeannette, Pa. It has provided the heating and cooling required from that time to the present. The system has functioned without failure of any prototypical advanced components, although early field experience did suffer from deficiencies in the software for the breadboard micro processor control system. Analysis of field performance data indicates a heating performance factor (HSPF) of 8.13 Stu/Wa, and a cooling energy efficiency (SEER) of 8.35 Scu/Wh. Data indicate that the beat pump is oversized for the test house since the observed lower balance point is 3 F whereas 17 F La optimum. Oversizing coupled with the use of resistance heat ot maintain delivered air temperature warmer than 90 F results in the consumption of more resistance heat than expected, more unit cycling, and therefore lower than expected energy efficiency. Our analysis indicates that with optimal mixing the dual stroke heat pump will yield as HSFF 30% better than a single capacity heat pump representative of high efficiency units in the market place today for the observed weather profile.

  13. Dynamic Performance of a Residential Air-to-Air Heat Pump.

    Science.gov (United States)

    Kelly, George E.; Bean, John

    This publication is a study of the dynamic performance of a 5-ton air-to-air heat pump in a residence in Washington, D.C. The effect of part-load operation on the heat pump's cooling and heating coefficients of performance was determined. Discrepancies between measured performance and manufacturer-supplied performance data were found when the unit…

  14. Cavitation performance improvement of high specific speed mixed-flow pump

    International Nuclear Information System (INIS)

    Chen, T; Sun, Y B; Wu, D Z; Wang, L Q

    2012-01-01

    Cavitation performance improvement of large hydraulic machinery such as pump and turbine has been a hot topic for decades. During the design process of the pumps, in order to minimize size, weight and cost centrifugal and mixed-flow pump impellers are required to operate at the highest possible rotational speed. The rotational speed is limited by the phenomenon of cavitation. The hydraulic model of high-speed mixed-flow pump with large flow rate and high pumping head, which was designed based on the traditional method, always involves poor cavitation performance. In this paper, on the basis of the same hydraulic design parameters, two hydraulic models of high-speed mixed-flow pump were designed by using different methods, in order to investigate the cavitation and hydraulic performance of the two models, the method of computational fluid dynamics (CFD) was adopted for internal flow simulation of the high specific speed mixed-flow pump. Based on the results of numerical simulation, the influences of impeller parameters and three-dimensional configuration on pressure distribution of the blades' suction surfaces were analyzed. The numerical simulation results shows a better pressure distribution and lower pressure drop around the leading edge of the improved model. The research results could provide references to the design and optimization of the anti-cavitation blade.

  15. On-line PWR RHR pump performance testing following motor and impeller replacement

    International Nuclear Information System (INIS)

    DiMarzo, J.T.

    1996-01-01

    On-line maintenance and replacement of safety-related pumps requires the performance of an inservice test to determine and confirm the operational readiness of the pumps. In 1995, major maintenance was performed on two Pressurized Water Reactor (PWR) Residual Heat Removal (RHR) Pumps. A refurbished spare motor was overhauled with a new mechanical seal, new motor bearings and equipped with pump's 'B' impeller. The spare was installed into the 'B' train. The motor had never been run in the system before. A pump performance test was developed to verify it's operational readiness and determine the in-situ pump performance curve. Since the unit was operating, emphasis was placed on conducting a highly accurate pump performance test that would ensure that it satisfied the NSSS vendors accident analysis minimum acceptance curve. The design of the RHR System allowed testing of one train while the other was aligned for normal operation. A test flow path was established from the Refueling Water Storage Tank (RWST) through the pump (under test) and back to the RWST. This allowed staff to conduct a full flow range pump performance test. Each train was analyzed and an expression developed that included an error vector term for the TDH (ft), pressure (psig), and flow rate (gpm) using the variance error vector methodology. This method allowed the engineers to select a test instrumentation system that would yield accurate readings and minimal measurement errors, for data taken in the measurement of TDH (P,Q) versus Pump Flow Rate (Q). Test results for the 'B' Train showed performance well in excess of the minimum required. The motor that was originally in the 'B' train was similarly overhauled and equipped with 'A' pump's original impeller, re-installed in the 'A' train, and tested. Analysis of the 'A' train results indicate that the RHR pump's performance was also well in excess of the vendors requirements

  16. Laboratory Performance Evaluation of Residential Integrated Heat Pump Water Heaters

    Energy Technology Data Exchange (ETDEWEB)

    Sparn, B.; Hudon, K.; Christensen, D.

    2014-06-01

    This paper explores the laboratory performance of five integrated Heat Pump Water Heaters (HPWHs) across a wide range of operating conditions representative of U.S. climate regions. HPWHs are expected to provide significant energy savings in certain climate zones when compared to typical electric resistance water heaters. Results show that this technology is a viable option in most climates, but differences in control schemes and design features impact the performance of the units tested. Tests were conducted to map heat pump performance across the operating range and to determine the logic used to control the heat pump and the backup electric heaters. Other tests performed include two unique draw profile tests, reduced air flow performance tests and the standard DOE rating tests. The results from all these tests are presented here for all five units tested. The results of these tests will be used to improve the EnergyPlus heat pump water heater for use in BEopt™ whole-house building simulations.

  17. Laboratory Performance Evaluation of Residential Integrated Heat Pump Water Heaters

    Energy Technology Data Exchange (ETDEWEB)

    Sparn, B.; Hudon, K.; Christensen, D.

    2014-06-01

    This paper explores the laboratory performance of five integrated Heat Pump Water Heaters (HPWHs) across a wide range of operating conditions representative of US climate regions. HPWHs are expected to provide significant energy savings in certain climate zones when compared to typical electric resistance water heaters. Results show that this technology is a viable option in most climates, but differences in control schemes and design features impact the performance of the units tested. Tests were conducted to map heat pump performance across the operating range and to determine the logic used to control the heat pump and the backup electric heaters. Other tests performed include two unique draw profile tests, reduced air flow performance tests and the standard DOE rating tests. The results from all these tests are presented here for all five units tested. The results of these tests will be used to improve the EnergyPlus heat pump water heater for use in BEopt(tm) whole-house building simulations.

  18. Performance study of heat-pipe solar photovoltaic/thermal heat pump system

    International Nuclear Information System (INIS)

    Chen, Hongbing; Zhang, Lei; Jie, Pengfei; Xiong, Yaxuan; Xu, Peng; Zhai, Huixing

    2017-01-01

    Highlights: • The testing device of HPS PV/T heat pump system was established by a finished product of PV panel. • A detailed mathematical model of heat pump was established to investigate the performance of each component. • The dynamic and static method was combined to solve the mathematical model of HPS PV/T heat pump system. • The HPS PV/T heat pump system was optimized by the mathematical model. • The influence of six factors on the performance of HPS PV/T heat pump system was analyzed. - Abstract: A heat-pipe solar (HPS) photovoltaic/thermal (PV/T) heat pump system, combining HPS PV/T collector with heat pump, is proposed in this paper. The HPS PV/T collector integrates heat pipes with PV panel, which can simultaneously generate electricity and thermal energy. The extracted heat from HPS PV/T collector can be used by heat pump, and then the photoelectric conversion efficiency is substantially improved because of the low temperature of PV cells. A mathematical model of the system is established in this paper. The model consists of a dynamic distributed parameter model of the HPS PV/T collection system and a quasi-steady state distributed parameter model of the heat pump. The mathematical model is validated by testing data, and the dynamic performance of the HPS PV/T heat pump system is discussed based on the validated model. Using the mathematical model, a reasonable accuracy in predicting the system’s dynamic performance with a relative error within ±15.0% can be obtained. The capacity of heat pump and the number of HPS collectors are optimized to improve the system performance based on the mathematical model. Six working modes are proposed and discussed to investigate the effect of solar radiation, ambient temperature, supply water temperature in condenser, PV packing factor, heat pipe pitch and PV backboard absorptivity on system performance by the validated model. It is found that the increase of solar radiation, ambient temperature and PV

  19. Enzimas miocárdicas na cirurgia de revascularização sem circulação extracorpórea Myocardial enzymes in off-pump CABG surgery

    Directory of Open Access Journals (Sweden)

    Paulo Roberto SOLTOSKI

    2000-06-01

    Full Text Available INTRODUÇÃO: A cirurgia cardíaca com o coração batendo está sendo cada vez mais utilizada para minimizar danos cerebrais, renais e outros. Porém, a incidência de infarto nos períodos per e pós-operatório e seu efeito a longo prazo, especialmente quando esta técnica é comparada às tradicionais, ainda não foi totalmente esclarecida. CASUÍSTICA E MÉTODOS: Um estudo retrospectivo de 303 pacientes (122 sem CEC, 181 com CEC foi realizado de fevereiro/97 a fevereiro/99. Dosagens de CK-MB e eletrocardiogramas foram avaliados nos períodos per e pós-operatório, troponina T (TnT foi medida no período pós-operatório. Os dois grupos foram comparáveis quanto a idade (65 ± 10 anos vs. 65 ± 9 anos, classificações CCS e NYHA. RESULTADOS: O número médio de enxertos com CEC foi de 3,10 vs. 2,26 sem CE. Infarto peri-operatório, assim como morbidade e mortalidade (7/181 vs. 6/122 foram comparáveis. Apesar de mais elevados no grupo com CEC, os níveis pós-operatórios de CK-MB e troponina T não atingiram diferença estatística, tendo sido observados 21 infartos agudos por critérios bioquímicos que se distribuíram igualmente entre os grupos. Uma correlação inversa entre o número de enxertos e a liberação de troponina foi observada na fase inicial da nossa experiência sem CEC. Não houve relação entre a localização do enxerto e a incidência de infarto ou liberação de troponina. CONCLUSÃO: A proteção miocárdica, morbidade e mortalidade obtidas com as duas técnicas de revascularização estudadas foram semelhantes. Considerando os efeitos adversos da CEC, já documentados na literatura, particularmente sobre os sistemas neurológico, respiratório e renal sugerimos esta técnica como uma alternativa segura para a revascularização miocárdica.BACKGROUND: CABG surgery on the beating heart (off-pump is increasingly used to lessen injury to the brain, kidneys and other organs. However, the perioperative incidence of

  20. Nuclear DNA as Predictor of Acute Kidney Injury in Patients Undergoing Coronary Artery Bypass Graft: A Pilot Study.

    Science.gov (United States)

    Likhvantsev, Valery V; Landoni, Giovanni; Grebenchikov, Oleg A; Skripkin, Yuri V; Zabelina, Tatiana S; Zinovkina, Liudmila A; Prikhodko, Anastasia S; Lomivorotov, Vladimir V; Zinovkin, Roman A

    2017-12-01

    To measure the release of plasma nuclear deoxyribonucleic acid (DNA) and to assess the relationship between nuclear DNA level and acute kidney injury occurrence in patients undergoing cardiac surgery. Cardiovascular anesthesiology and intensive care unit of a large tertiary-care university hospital. Prospective observational study. Fifty adult patients undergoing cardiac surgery. Nuclear DNA concentration was measured in the plasma. The relationship between the level of nuclear DNA and the incidence of acute kidney injury after coronary artery bypass grafting was investigated. Cardiac surgery leads to significant increase in plasma nuclear DNA with peak levels 12 hours after surgery (median [interquartile range] 7.0 [9.6-22.5] µg/mL). No difference was observed between off-pump and on-pump surgical techniques. Nuclear DNA was the only predictor of acute kidney injury between baseline and early postoperative risk factors. The authors found an increase of nuclear DNA in the plasma of patients who had undergone coronary artery bypass grafting, with a peak after 12 hours and an association of nuclear DNA with postoperative acute kidney injury. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. High-Risk Coronary Plaques Complicated with Acute Coronary Syndrome in Young Patients

    Directory of Open Access Journals (Sweden)

    Opincariu Diana

    2017-06-01

    Full Text Available Coronary computed tomography angiography (CCTA has evolved notably over the last decade, gaining an increased amount of temporo-spatial resolution in combination with decreased radiation exposure. The importance of CCTA is emerging especially in vulnerable and young patients who might not have developed a viable collateral vascular network to sustain the circulation to an infarction area during a major adverse coronary event. There are a few well-known markers by which a vulnerable plaque can be assessed and that can predict the subsequent events of sudden myocardial ischemia, such as an increased positive remodeling index (cut-off >1.4, low-attenuation plaque (cut-off 0.7, and napkin-ring sign (NRS. This manuscript presents a series of 3 clinical cases of young patients experiencing symptoms and signs of myocardial ischemia who underwent CCTA in order to assess the composition and functional characteristics of atherosclerotic plaques and their repercussion in developing an acute coronary syndrome.

  2. Performance of a directly-coupled PV water pumping system

    International Nuclear Information System (INIS)

    Mokeddem, Abdelmalek; Midoun, Abdelhamid; Kadri, D.; Hiadsi, Said; Raja, Iftikhar A.

    2011-01-01

    Highlights: → Directly coupled PV water pumping system installed and performance studied. → Configured for two static heads, operate without electronic control and auxiliary power. → The system attains steady state soon after any abrupt change. → Cost effective and useful for low head communicating wells system. - Abstract: This paper describes the experimental study carried out to investigate the performance of a simple, directly coupled dc photovoltaic (PV) powered water pumping system. The system comprises of a 1.5 kWp PV array, dc motor and a centrifugal pump. The experiment was conducted over a period of 4 months and the system performance was monitored under different climatic conditions and varying solar irradiance with two static head configurations. Although the motor-pump efficiency did not exceed 30%, which is typical for directly-coupled photovoltaic pumping systems, such a system is clearly suitable for low head irrigation in the remote areas, not connected to the national grid and where access to water comes as first priority issue than access to technology. The system operates without battery and complex electronic control, therefore not only the initial cost is low but also maintenance, repairing and replacement cost can be saved. The study showed that directly coupled system attains steady state soon after any abrupt change.

  3. Do Managers Face a Performance Trade-off?

    DEFF Research Database (Denmark)

    Mikkelsen, Maria Falk

    2017-01-01

    equity, accountability, and procedural justice. However, our knowledge of whether such trade-offs exist is scarce. Using an administrative 10-year panel data set of Danish public schools and principals, this paper analyzes trade-offs between production performance (measured by student performance...... and student pass rate) and process performance (measured by equity, accountability, and procedural justice). Results show no evidence of trade-offs. In contrast, principals who succeed in raising student performance generally also succeed in securing high pass rates, high equity, high accountability, and high...... procedural justice. These results suggest that managers who are able to secure high performance on one dimension of performance will likely also be high performing on other performance dimensions....

  4. Cirurgia coronária com condutos arteriais múltiplos sem circulação extracorpórea Off-pump coronary artery bypass with multiple arterial conduits

    Directory of Open Access Journals (Sweden)

    Daniel Navia

    2005-03-01

    circulação extracorpórea utilizando condutos arteriais para a doença de múltiplos vasos é factível com baixa morbimortalidade em 30 dias.OBJECTIVE: To analyze intra-hospital results in patients undergoing elective off-pump total arterial revascularization and identify morbidity and mortality predictors using this surgical strategy. METHOD: From May 1999 to February 2004, 203 myocardial revascularization procedures with total arterial revascularization without cardiopulmonary bypass (off-pump were carried out in patients with multivessel disease (three vessels 81.7 %, one vessel disease was excluded. We report pre-surgical variables and co-morbidities: average age 63.9 ± 9.13 years, men 182 (89.5%, hypertension 132 (65%, smokers 125 (61%, hypercholesterolemia 152 (74.8%, previous myocardial infarction (> 30 days 73 (35%, moderate to severe ventricular dysfunction 31 (15%, redo five (2.5%. Total arterial revascularization included T-grafts and sequential grafts with left internal mammary (100%, right internal mammary (56.6% and radial (63% arteries. The total number of distal anastomosis was 576 (mean of three grafts/patient, all carried out with external mechanical stabilizers. There were no proximal aortic anastomoses. Conversion to on-pump surgery occurred in three (1.5% patients; 90% of the patients was extubated in the operating room. The multiple logistic regression test was used for statistical analysis. RESULTS: The postoperative incidence of atrial fibrillation was 12.8% (26, oligoanuric renal failure 3% (six, dialysis 0.49% (one, postoperative myocardial infarction 1.47% (three, low cardiac output 4% (eight, Redo for bleeding 1.47% (three, mediastinitis 1.47% (three, stroke 1.47% (three. Intra-hospital mortality was 2.45% (five. The only independent 30 day morbidity predictor was age (p=0.033; OR 1.04; IC 95%: 1-1.08. CONCLUSION: Off-pump myocardial revascularization with arterial conduits for multiple vessel disease is feasible with a low 30-day morbidity

  5. Process review of a departmental change from conventional coronary artery bypass grafting to totally arterial coronary artery bypass and its effects on the incidence and severity of postoperative stroke.

    Science.gov (United States)

    Albert, Alexander; Sergeant, Paul; Florath, Ines; Ismael, Mohammed; Rosendahl, Ulrich; Ennker, Jürgen

    2011-04-01

    We evaluated the process of changing from conventional coronary artery bypass grafting (CABG) to totally arterial off-pump coronary artery bypass (TOPCAB) at a single heart center in Germany. We (1) used multivariate statistical methods to assess real-time monitoring of OPCAB effects, (2) conducted a case review to assess preventable deaths and identify areas of improvement, (3) conducted a team survey, and (4) evaluated benchmarking results. All surgeons and assistants (n = 18) at this center were involved and were guided by the department head and one of the consultants, who was trained in this procedure in 2004 at the Leuven OPCAB school. The frequency of OPCAB operations increased abruptly in 2005 from 5% to 43% and then increased gradually to 67% (n = 546) by 2008 (total, 1781 OPCAB cases and 1563 on-pump cases). The in-hospital and 30-day mortality rates for OPCAB surgeries (n = 10 [0.6%] and 21 [1.2%], respectively) were lower than for on-pump surgeries (n = 27 [1.7%] and 26 [1.7%], respectively). Stroke rates were also lower for OPCAB surgeries (7 cases [0.4%] versus 15 cases [1%]). The lower risk of stroke in the OPCAB group was significant (P popularity, and a top national rank). The change from conventional CABG to TOPCAB was effective in decreasing the incidence and severity of stroke, in developing a team routine and a positive team attitude, and in producing excellent benchmarking results. The presence of a training and communication deficiency at the beginning of the study suggested an area for further improvement. After 6 years TOPCAB had largely replaced conventional CABG.

  6. Investigating the adaptability of the multi-pump multi-piston power take-off system for a novel wave energy converter

    NARCIS (Netherlands)

    Wei, Y.; Barradas Berglind, J.J; van Rooij, M.; Prins, WA; Jayawardhana, B.; Vakis, A. I.

    2017-01-01

    In this work, a numerical model is developed in order to investigate the adaptability of the multi-pump multi-piston power take-off ((MPPTO)-P-2) system of a novel wave energy converter (WEC). This model is realized in the MATLAB/SIMULINK environment, using the multi-body dynamics solver Multibody

  7. Improvement of performance of vibration pump for molten salt at high temperature

    International Nuclear Information System (INIS)

    Watanabe, Hideo; Hashimoto, Hiroyuki; Katagiri, Kazunari; Tang Bomin.

    1996-01-01

    An experimental study was conducted to improve the performance of a vibration pump using a vibrating pipe for conveying the molten salt at 784 K. A new system to measure the pump performance safely at such a high temperature was developed, which was characterized by simplicity in construction and ease of operation. All parts of the system, including a pump, valves and a volume tank to measure the volumetric flow rate, were placed in a cylindrical tank. The pump was driven by an air actuator. Experimental results indicated that the measuring system fulfilled the intended function: the pump worked effectively and its performance was safely evaluated at a high temperature. A few possible improvements related to the construction of the pump were suggested based on the results. (author)

  8. Noninvasive FFR derived from coronary CT angiography in the management of coronary artery disease: technology and clinical update

    Directory of Open Access Journals (Sweden)

    Nakanishi R

    2016-06-01

    Full Text Available Rine Nakanishi, Mathew J Budoff Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, CA, USA Abstract: After a decade of clinical use of coronary computed tomographic angiography (CCTA to evaluate the anatomic severity of coronary artery disease, new methods of deriving functional information from CCTA have been developed. These methods utilize the anatomic information provided by CCTA in conjunction with computational fluid dynamics to calculate fractional flow reserve (FFR values from CCTA image data sets. Computed tomography-derived FFR (CT-FFR enables the identification of lesion-specific drop noninvasively. A three-dimensional CT-FFR modeling technique, which provides FFR values throughout the coronary tree (HeartFlow FFRCT analysis, has been validated against measured FFR and is now approved by the US Food and Drug Administration for clinical use. This technique requires off-site supercomputer analysis. More recently, a one-dimensional computational analysis technique (Siemens cFFR, which can be performed on on-site workstations, has been developed and is currently under investigation. This article reviews CT-FFR technology and clinical evidence for its use in stable patients with suspected coronary artery disease. Keywords: fractional flow reserve, coronary computed tomographic angiography, FFRCT, cFFR

  9. The effect of balance holes to centrifugal pump performance

    Science.gov (United States)

    Babayigit, O.; Ozgoren, M.; Aksoy, M. H.; Kocaaslan, O.

    2017-07-01

    The aim of this study is to analyze of a centrifugal pump with and without balance holes by using ANSYS-Fluent software. The pump used in the study is a commercial centrifugal pump consisting of two stages that is a model of Sempa Pump Company. Firstly, models of impeller, diffuser, suction and discharge sections of the centrifugal pump were separately drawn using Ansys and Solidworks software. Later, grid structures were generated on the flow volume of the pump. Turbulent flow volume was numerically solved by realizable k-є turbulence model. The flow analyses were focused on the centrifugal pump performance and the flow characteristics under different operational conditions with/without balance holes. Distributions of flow characteristics such as velocity and pressure distributions in the flow volume were also determined, numerically. The results of Computational Fluid Dynamics (CFD) with/without balance holes for the pump head and hydraulic efficiency on the design flow rate of 80 m3/h were found to be 81.5/91.3 m and 51.9/65.3%, respectively.

  10. Effect of different dosages of nitroglycerin infusion on arterial blood gas tensions in patients undergoing on- pump coronary artery bypass graft surgery.

    Science.gov (United States)

    Masoumi, Gholamreza; Pour, Evaz Hidar; Sadeghpour, Ali; Ziayeefard, Mohsen; Alavi, Mostapha; Anbardan, Sanam Javid; Shirani, Shahin

    2012-02-01

    On-pump coronary artery bypass graft (CABG) surgery impairs gas exchange in the early postoperative period. The main object on this study was evaluation of changes in arterial blood gas values in patients underwent on pump CABG surgery receiving different dose of intravenous nitroglycerin (NTG). sixty-seven consecutive patients undergoing elective on-pump CABG randomly enrolled into three groups receiving NTG 50 μg/min (Group N1, n =67), 100 μg/min (Group N2, n = 67), and 150 μg/min (Group N3, n = 67). Arterial blood gas (ABG) tensions were evaluated just before induction of anesthesia, during anesthesia, at the end of warming up period, and 6 h after admission to the intensive care unit. Pao2 and PH had the highest value during surgery in Group N1, Group N2, and Group N3. No significant difference was noted in mean values of Pao2 and PH during surgery between three groups (P > 0.05). There was no significant difference in HCO3 values in different time intervals among three groups (P > 0.05). our results showed that infusing three different dosage of NTG (50, 100, and 150 μg/min) had no significant effect on ABG tensions in patients underwent on-pump CABG surgery.

  11. Reassessment of debris ingestion effects on emergency core cooling-system pump performance

    International Nuclear Information System (INIS)

    Sciacca, F.W.; Rao, D.V.

    2004-01-01

    A study sponsored by the United States (US) Nuclear Regulatory Commission (NRC) was performed to reassess the effects of ingesting loss of coolant accident (LOCA) generated materials into emergency core cooling system (ECCS) pumps and the subsequent impact of this debris on the pumps' ability to provide long-term cooling to the reactor core. ECCS intake systems have been designed to screen out large post-LOCA debris materials. However, small-sized debris can penetrate these intake strainers or screens and reach critical pump components. Prior NRC-sponsored evaluations of possible debris and gas ingestion into ECCS pumps and attendant impacts on pump performance were performed in the early 1980's. The earlier study focused primarily on pressurised water reactor (PWR) ECCS pumps. This issue was revisited both to factor in our improved knowledge of LOCA generated debris and to address specifically both boiling water reactor (BWR) and PWR ECCS pumps. This study discusses the potential effects of ingested debris on pump seals, bearing assemblies, cyclone debris separators, and seal cooling water subsystems. This assessment included both near-term (less than one hour) and long-term (greater than one hour) effects introduced by the postulated LOCA. The work reported herein was performed during 1996-1997. (authors)

  12. Performance characteristics of a continuous-flow fluidic pump

    International Nuclear Information System (INIS)

    Robinson, S.M.; Counce, R.M.; Smith, G.V.

    1987-01-01

    The fluidic pump is a type of positive-displacement pump in which basic fluid mechanics phenomena are utilized to eliminate valves and other moving parts that are exposed to the fluid being transferred. The version described in this article is powered by gas pressure serving as gas pistons and is virtually maintenance-free. It utilizes two displacement vessels and is designed to produce a steady and continuous liquid flow. This type of pump may be very useful for the transfer of radioactive or hazardous liquids where mechanical maintenance may be difficult or exposure of personnel to the fluid is undesirable. This paper presents experimental and model-predicted characteristics of such systems. The effects of several geometric parameters and operating conditions on the performance of the pump are briefly discussed

  13. The effects of design parameters on vortex diode pump performance, 2

    International Nuclear Information System (INIS)

    Yoshitomi, Hideki; Koizumi, Tadao; Muroyama, Kenichi; Wada, Tsutomu.

    1989-01-01

    A fluidic pump with two vortex diodes is a new technology for transporting dangerous corrosive fluids without the use of moving parts. The pump can be connected with the discharge tank through series and cascade connections. In the previous report, we described the fundamentals and design criteria of the pump for the series connection case. This study has been performed with the same object as the previous work for the case of cascade connection. First, we present the basic pump characteristics with some dimensionless performance factors by analyzing the pump model. Then, the effects of the cylinder volumetric coefficient, driving pressure, suction-diode-to-delivery-diode-passage-area ratio and reverse-flow-to-forward-flow-resistance ratio of the vortex diode are investigated. As a result, the characteristic difference between series and cascade connections is clarified. Basic ways to decide the value of each performance factor are suggested. (author)

  14. Heat-pump performance: voltage dip/sag, under-voltage and over-voltage

    Directory of Open Access Journals (Sweden)

    William J.B. Heffernan

    2014-12-01

    Full Text Available Reverse cycle air-source heat-pumps are an increasingly significant load in New Zealand and in many other countries. This has raised concern over the impact wide-spread use of heat-pumps may have on the grid. The characteristics of the loads connected to the power system are changing because of heat-pumps. Their performance during under-voltage events such as voltage dips has the potential to compound the event and possibly cause voltage collapse. In this study, results from testing six heat-pumps are presented to assess their performance at various voltages and hence their impact on voltage stability.

  15. Study on transient hydrodynamic performance and cavitation characteristic of high-speed mixed-flow pump

    International Nuclear Information System (INIS)

    Chen, T; Liu, Y L; Sun, Y B; Wang, L Q; Wu, D Z

    2013-01-01

    In order to analyse the hydrodynamic performance and cavitation characteristic of a high-speed mixed-flow pump during transient operations, experimental studies were carried out. The transient hydrodynamic performance and cavitation characteristics of the mixed-flow pump with guide vane during start-up operation processes were tested on the pump performance test-bed. Performance tests of the pump were carried out under various inlet pressures and speed-changing operations. The real-time instantaneous external characteristics such as rotational speed, hydraulic head, flow rate, suction pressure and discharge pressure of the pump were measured. Based on the experimental results, the effect of fluid acceleration on the hydrodynamic performances and cavitation characteristics of the mixed-flow pump were analysed and evaluated

  16. Investigations of internal turbulent flows in a low-head tubular pump and its performance predictions

    International Nuclear Information System (INIS)

    Tang, X L; Chen, X S; Wang, F J; Yang, W; Wu, Y L

    2012-01-01

    Based on the RANS equations, standard k−ε turbulence model and SIMPLE algorithm, the internal turbulent flows in a low-head tubular pump were simulated by using the FLUENT software. Based on the predicted flow fields, the external performance curves including the head-discharge, efficiency-discharge and power-discharge curves were further obtained. The calculated results indicate that the internal flow pattern is smooth at the best efficiency point (BEP). When it works under off-design operating cases, the flow pattern inside the diffuser and the discharge passage is disorder, and at the same time, the hydraulic losses mainly come from the secondary flows. At large flow rates, the minimum static pressure near the inlet of the blade pressure surfaces due to the negative attack angle. At small flow rates, the minimum value happens near the inlet of the suction surfaces. At the BEP, the lowest static pressure appears in the region behind the suction surfaces inlet. The newly-designed model is validated by the comparisons between its predicted external performance and the experimental data of the JGM-3 model. This research provides some important references for the optimization of a low-head tubular pump.

  17. Performance of solar photovoltaic array fed water pumping system ...

    African Journals Online (AJOL)

    This paper discusses the design and performance analysis of a solar photovoltaic (SPV) array fed water pumping system utilizing a special class of highly rugged machine with simple drive system called switched reluctance motor (SRM) drive. The proposed method of water pumping system also provides the cost effective ...

  18. Modeling the Performance of Water-Zeolite 13X Adsorption Heat Pump

    Science.gov (United States)

    Kowalska, Kinga; Ambrożek, Bogdan

    2017-12-01

    The dynamic performance of cylindrical double-tube adsorption heat pump is numerically analysed using a non-equilibrium model, which takes into account both heat and mass transfer processes. The model includes conservation equations for: heat transfer in heating/cooling fluids, heat transfer in the metal tube, and heat and mass transfer in the adsorbent. The mathematical model is numerically solved using the method of lines. Numerical simulations are performed for the system water-zeolite 13X, chosen as the working pair. The effect of the evaporator and condenser temperatures on the adsorption and desorption kinetics is examined. The results of the numerical investigation show that both of these parameters have a significant effect on the adsorption heat pump performance. Based on computer simulation results, the values of the coefficients of performance for heating and cooling are calculated. The results show that adsorption heat pumps have relatively low efficiency compared to other heat pumps. The value of the coefficient of performance for heating is higher than for cooling

  19. Giant pseudoaneurysm from Vieussens' arterial ring.

    Science.gov (United States)

    Kocica, Mladen J; Vranes, Mile R; Djukic, Petar L; Mikic, Aleksandar Dj; Velinovic, Milos M; Havelka, Marija; Kanjuh, Vladimir I

    2004-11-01

    A giant coronary pseudoaneurysm of uncertain cause, arising from Vieussens' arterial ring, was preoperatively diagnosed in an oligosymptomatic female patient. Successful off-pump surgical excision without additional bypass grafting was performed. Difficulties in diagnostic algorithm, as well as possible cause and extremely rare localization were discussed.

  20. Performance and internal flow condition of mini centrifugal pump with splitter blades

    International Nuclear Information System (INIS)

    Shigemitsu, T; Fukutomi, J; Kaji, K; Wada, T

    2012-01-01

    Mini centrifugal pumps having a diameter smaller than 100mm are employed in many fields. But the design method for the mini centrifugal pump is not established because the internal flow condition for these small-sized fluid machines is not clarified and conventional theory is not suitable for small-sized pumps. Therefore, mini centrifugal pumps with simple structure were investigated by this research. Splitter blades were adopted in this research to improve the performance and the internal flow condition of mini centrifugal pump which had large blade outlet angle. The original impeller without the splitter blades and the impeller with the splitter blades were prepared for an experiment. The performance tests are conducted with these rotors in order to investigate the effect of the splitter blades on performance and internal flow condition of mini centrifugal pump. On the other hand, a three dimensional steady numerical flow analysis is conducted with the commercial code (ANSYS-CFX) to investigate the internal flow condition in detail. It is clarified from the experimental results that the performance of the mini centrifugal pump is improved by the effect of the splitter blades. The blade-to-blade low velocity regions are suppressed in the case with the splitter blades and the total pressure loss regions are decreased. The effects of the splitter blades on the performance and the internal flow condition are discussed in this paper.

  1. Effect of the collector tube profile on Pitot pump performances

    Science.gov (United States)

    Komaki, K.; Kanemoto, T.; Sagara, K.; Umekage, T.

    2013-12-01

    The pitot pump is composed of the rotating casing with the impeller channel and the pitot tube type collector as the discharge line. The radial impeller feeds water to the rotating casing. The water rotating together with the casing is caught by the stationary pitot tube type collector, and then discharges to the outside. This type pump, as the extra high head pump, is provided mainly for boiler feed systems, and has been designed by trial and error. To optimize the pump profiles, it is desirable to investigate not only performances but also internal flow conditions. This paper discusses experimentally and numerically the relation between the pump performances and the flow conditions in the rotating casing. The moderately larger dimensions of the collector make the pump head and the discharge high with the higher hydraulic efficiency. The flow in the casing is almost the forced vortex type whose velocity is in proportion to the radius but the core velocity is affected with the drag force of the stationary collector. Based upon the above results, the profile of the pitot tube type collector was optimized with the numerical simulation.

  2. Effect of the collector tube profile on Pitot pump performances

    International Nuclear Information System (INIS)

    Komaki, K; Sagara, K; Kanemoto, T; Umekage, T

    2013-01-01

    The pitot pump is composed of the rotating casing with the impeller channel and the pitot tube type collector as the discharge line. The radial impeller feeds water to the rotating casing. The water rotating together with the casing is caught by the stationary pitot tube type collector, and then discharges to the outside. This type pump, as the extra high head pump, is provided mainly for boiler feed systems, and has been designed by trial and error. To optimize the pump profiles, it is desirable to investigate not only performances but also internal flow conditions. This paper discusses experimentally and numerically the relation between the pump performances and the flow conditions in the rotating casing. The moderately larger dimensions of the collector make the pump head and the discharge high with the higher hydraulic efficiency. The flow in the casing is almost the forced vortex type whose velocity is in proportion to the radius but the core velocity is affected with the drag force of the stationary collector. Based upon the above results, the profile of the pitot tube type collector was optimized with the numerical simulation

  3. Seasonal performance evaluation of electric air-to-water heat pump systems

    International Nuclear Information System (INIS)

    Dongellini, Matteo; Naldi, Claudia; Morini, Gian Luca

    2015-01-01

    A numerical model for the calculation of the seasonal performance of different kinds of electric air-to-water heat pumps is presented. The model is based on the procedure suggested by the European standard EN 14825 and the Italian standard UNI/TS 11300-4, which specify the guidelines for calculation of the seasonal performance of heat pumps during the heating season (SCOP), the cooling season (SEER) and for the production of domestic hot water. In order to consider the variation of outdoor conditions the developed model employs the bin-method. Different procedures are proposed in the paper for the analysis of the seasonal performance of mono-compressor, multi-compressor and variable speed compressor air-to-water heat pumps. The numerical results show the influence of the effective operating mode of the heat pumps on the SCOP value and put in evidence the impact of the design rules on the seasonal energy consumption of these devices. The study also highlights the importance of the correct sizing of the heat pump in order to obtain high seasonal efficiency and it shows that, for a fixed thermal load, inverter-driven and multi-compressor heat pumps have to be slightly oversized with respect to mono-compressor ones in order to obtain for the same building the highest SCOP values. - Highlights: • A model for the prediction of seasonal performance of HPs has been developed. • The model considers mono-compressor, multi-compressor and inverter-driven HPs. • The procedure takes into account HPs performances at partial load. • Optimization of heat pump sizing depending on its control system.

  4. Numerical study on the selective excitation of Helmholtz-Gauss beams in end-pumped solid-state digital lasers with the control of the laser gain transverse position provided by off-axis end pumping

    Science.gov (United States)

    Tsai, Ko-Fan; Chu, Shu-Chun

    2018-03-01

    This study proposes a complete and unified method for selective excitation of any specified nearly nondiffracting Helmholtz-Gauss (HzG) beam in end-pumped solid-state digital lasers. Four types of the HzG beams: cosine-Gauss beams, Bessel-Gauss beams, Mathieu-Gauss beams, and, in particular, parabolic-Gauss beams are successfully demonstrated to be generated with the proposed methods. To the best of the authors’ knowledge, parabolic-Gauss beams have not yet been directly generated from any kind of laser system. The numerical results of this study show that one can successfully achieve any lasing HzG beams directly from the solid-state digital lasers with only added control of the laser gain transverse position provided by off-axis end pumping. This study also presents a practical digital laser set-up for easily manipulating off-axis pumping in order to achieve the control of the laser gain transverse gain position in digital lasers. The reported results in this study provide advancement of digital lasers in dynamically generating nondiffracting beams. The control of the digital laser cavity gain position creates the possibility of achieving real-time selection of more laser modes in digital lasers, and it is worth further investigation in the future.

  5. Dual throat NaK pump performance evaluation (conceptual design of prototype)

    International Nuclear Information System (INIS)

    Johnson, J.L.

    1972-01-01

    An evaluation of the performance of the dual throat NaK pump for the 5 Kwe Reactor TE System is discussed. Performance at nominal operating conditions and at startup conditions is predicted. The basis for selection of this pump design is presented. (U.S.)

  6. Diagnostic performance of calcification-suppressed coronary CT angiography using rapid kilovolt-switching dual-energy CT.

    Science.gov (United States)

    Yunaga, Hiroto; Ohta, Yasutoshi; Kaetsu, Yasuhiro; Kitao, Shinichiro; Watanabe, Tomomi; Furuse, Yoshiyuki; Yamamoto, Kazuhiro; Ogawa, Toshihide

    2017-07-01

    Multi-detector-row computed tomography angiography (MDCTA) plays an important role in the assessment of patients with suspected coronary artery disease. However, MDCTA tends to overestimate stenosis in calcified coronary artery lesions. The aim of our study was to evaluate the diagnostic performance of calcification-suppressed material density (MD) images produced by using a single-detector single-source dual-energy computed tomography (ssDECT). We enrolled 67 patients with suspected or known coronary artery disease who underwent ssDECT with rapid kilovolt-switching (80 and 140 kVp). Coronary artery stenosis was evaluated on the basis of MD images and virtual monochromatic (VM) images. The diagnostic performance of the two methods for detecting coronary artery disease was compared with that of invasive coronary angiography as a reference standard. We evaluated 239 calcified segments. In all the segments, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy for detecting significant stenosis were respectively 88%, 88%, 75%, 95% and 88% for the MD images, 91%, 71%, 56%, 95% and 77% for the VM images. PPV was significantly higher on the MD images than on the VM images (P < 0.0001). Calcification-suppressed MD images improved PPV and diagnostic performance for calcified coronary artery lesions. • Computed tomography angiography tends to overestimate stenosis in calcified coronary artery. • Dual-energy CT enables us to suppress calcification of coronary artery lesions. • Calcification-suppressed material density imaging reduces false-positive diagnosis of calcified lesion.

  7. Pressurizer pump reliability analysis high flux isotope reactor

    International Nuclear Information System (INIS)

    Merryman, L.; Christie, B.

    1993-01-01

    During a prolonged outage from November 1986 to May 1990, numerous changes were made at the High Flux Isotope Reactor (HFIR). Some of these changes involved the pressurizer pumps. An analysis was performed to calculate the impact of these changes on the pressurizer system availability. The analysis showed that the availability of the pressurizer system dropped from essentially 100% to approximately 96%. The primary reason for the decrease in availability comes because off-site power grid disturbances sometimes result in a reactor trip with the present pressurizer pump configuration. Changes are being made to the present pressurizer pump configuration to regain some of the lost availability

  8. Performances of four magnetic heat-pump cycles

    International Nuclear Information System (INIS)

    Chen, F.C.; Murphy, R.W.; Mel, V.C.; Chen, G.L.

    1990-01-01

    Magnetic heat pumps have been successfully used for refrigeration applications at near absolute-zero-degree temperatures. In these applications, a temperature lift of a few degrees in a cryogenic environment is sufficient and can be easily achieved by a simple magnetic heat-pump cycle. To extend magnetic heat pumping to other temperature ranges and other types of applications in which the temperature lift is more than just a few degrees requires more involved cycle processes. This paper investigates the characteristics of a few better-known thermomagnetic heat-pump cycles (Carnot, Ericsson, Stirling, and regenerative) in extended ranges of temperature lift. The regenerative cycle is the most efficient one. For gadolinium operating between 0 and 7 T (Tesla) in a heat pump cycle with a heat-rejection temperature of 320 K, our analysis predicted a 42% loss in coefficient of performance at 260 K cooling temperature, and a 15% loss in capacity at 232 K cooling temperature for the constant-field cycle as compared with the ideal regenerative cycle. Such substantial penalties indicate that the potential irreversibilities from this one source (the additional heat transfer that would be needed for the constant-field vs. the ideal regenerative cycle) may adversely affect the viability of certain proposed MHP concepts if the relevant loss mechanisms are not adequately addressed

  9. Optimization of centrifugal pump cavitation performance based on CFD

    International Nuclear Information System (INIS)

    Xie, S F; Wang, Y; Liu, Z C; Zhu, Z T; Ning, C; Zhao, L F

    2015-01-01

    In order to further improve the cavitation performance of a centrifugal pump, slots on impeller blade near inlet were studied and six groups of hydraulic model were designed. Base on cavitating flow feature inside a centrifugal pump, bubble growth and implosion are calculated from the Rayleigh-Plesset equation which describes the dynamic behavior of spherical bubble and RNG κ-ε model was employed to simulate and analyze the internal two-phase flow of the model pump under the same conditions. The simulation results show that slots on blade near inlet could improve the cavitation performance and cavitation performance improvement of the second group was more obvious. Under the same conditions, the pressure on the back of blade near inlet was higher than the pressure on the back of unmodified blade near inlet, and energy distribution in the flow channel between the two blades was more uniform with a small change of head

  10. Acute Right Coronary Ostial Stenosis during Aortic Valve Replacement

    Directory of Open Access Journals (Sweden)

    Sarwar Umran

    2012-01-01

    Full Text Available We report a rare case of acute right coronary artery stenosis developing in a patient undergoing aortic valve replacement. We present a case report with a brief overview of the literature relating to coronary artery occlusion associated with cardiac valve surgery - the theories and treatments are discussed. A 85 year-old female was admitted under the care of the cardiothoracic team with signs and symptoms of heart failure. Investigations, including cardiac echocardiography and coronary angiography, indicated a critical aortic valve stenosis. Intraoperative right ventricular failure ensued post aortic valve replacement. Subsequent investigations revealed an acute occlusion of the proximal right coronary artery with resultant absence of distal flow supplying the right ventricle. An immediate right coronary artery bypass procedure was performed with resolution of the right ventricular failure. Subsequent weaning off cardiopulmonary bypass was uneventful and the patient continued to make excellent recovery in the postoperative phase. To our knowledge this is one of the few documented cases of intraoperative acute coronary artery occlusion developing during valve surgery. However, surgeons should be aware of the potential for acute occlusion so that early recognition and rapid intervention can be instituted.

  11. Urgent Coronary Artery Bypass Surgery in a Patient with Postinfarction Angina and Active Myelomonocytic Leukaemia

    Directory of Open Access Journals (Sweden)

    Samuel Anthony Galea

    2016-11-01

    Full Text Available Chronic myelomonocytic leukaemia (CMML is a myelodysplastic/myeloproliferative neoplasm affecting the production and differentiation of the monocyte cell lineage. Cardiac surgery in the context of CMML poses challenges that are not routinely encountered. This is the first reported case in the literature of a patient with active CMML undergoing urgent on-pump coronary artery bypass grafting. A 68-year-old Caucasian man with a history of hypertension, hyperlipidaemia, hypothyroidism, and hypercholesterolaemia, who had been diagnosed by the haematologists with CMML a few months earlier but had remained untreated, underwent urgent surgical coronary revascularisation because of postinfarction angina following a non-ST elevation myocardial infarction associated with troponin I rise. The patient had fulminant postoperative myelomonocytic leukaemoid reaction, with a clinical picture of severe systemic inflammatory response syndrome and multiple organ dysfunction syndrome. This led to extensive vasodilation and heart failure that resulted in the death of the patient. Various authors have suggested different techniques and treatment options, each attempting to mitigate the effect of the postoperative inflammatory response. However, this is a high-risk endeavour with a myriad of inflammatory signals mobilised into action because of the surgical insult. Off-pump surgery or preoperative pharmacological attenuation of CMML activity might have dampened this response and resulted in a positive outcome for the patient.

  12. Modeling the Performance of Water-Zeolite 13X Adsorption Heat Pump

    Directory of Open Access Journals (Sweden)

    Kowalska Kinga

    2017-12-01

    Full Text Available The dynamic performance of cylindrical double-tube adsorption heat pump is numerically analysed using a non-equilibrium model, which takes into account both heat and mass transfer processes. The model includes conservation equations for: heat transfer in heating/cooling fluids, heat transfer in the metal tube, and heat and mass transfer in the adsorbent. The mathematical model is numerically solved using the method of lines. Numerical simulations are performed for the system water-zeolite 13X, chosen as the working pair. The effect of the evaporator and condenser temperatures on the adsorption and desorption kinetics is examined. The results of the numerical investigation show that both of these parameters have a significant effect on the adsorption heat pump performance. Based on computer simulation results, the values of the coefficients of performance for heating and cooling are calculated. The results show that adsorption heat pumps have relatively low efficiency compared to other heat pumps. The value of the coefficient of performance for heating is higher than for cooling

  13. Diagnostic performance of an acoustic-based system for coronary artery disease risk stratification.

    Science.gov (United States)

    Winther, Simon; Nissen, Louise; Schmidt, Samuel Emil; Westra, Jelmer Sybren; Rasmussen, Laust Dupont; Knudsen, Lars Lyhne; Madsen, Lene Helleskov; Kirk Johansen, Jane; Larsen, Bjarke Skogstad; Struijk, Johannes Jan; Frost, Lars; Holm, Niels Ramsing; Christiansen, Evald Høj; Botker, Hans Erik; Bøttcher, Morten

    2017-11-09

    Diagnosing coronary artery disease (CAD) continues to require substantial healthcare resources. Acoustic analysis of transcutaneous heart sounds of cardiac movement and intracoronary turbulence due to obstructive coronary disease could potentially change this. The aim of this study was thus to test the diagnostic accuracy of a new portable acoustic device for detection of CAD. We included 1675 patients consecutively with low to intermediate likelihood of CAD who had been referred for cardiac CT angiography. If significant obstruction was suspected in any coronary segment, patients were referred to invasive angiography and fractional flow reserve (FFR) assessment. Heart sound analysis was performed in all patients. A predefined acoustic CAD-score algorithm was evaluated; subsequently, we developed and validated an updated CAD-score algorithm that included both acoustic features and clinical risk factors. Low risk is indicated by a CAD-score value ≤20. Haemodynamically significant CAD assessed from FFR was present in 145 (10.0%) patients. In the entire cohort, the predefined CAD-score had a sensitivity of 63% and a specificity of 44%. In total, 50% had an updated CAD-score value ≤20. At this cut-off, sensitivity was 81% (95% CI 73% to 87%), specificity 53% (95% CI 50% to 56%), positive predictive value 16% (95% CI 13% to 18%) and negative predictive value 96% (95% CI 95% to 98%) for diagnosing haemodynamically significant CAD. Sound-based detection of CAD enables risk stratification superior to clinical risk scores. With a negative predictive value of 96%, this new acoustic rule-out system could potentially supplement clinical assessment to guide decisions on the need for further diagnostic investigation. ClinicalTrials.gov identifier NCT02264717; Results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  14. Diagnostic performance of calcification-suppressed coronary CT angiography using rapid kilovolt-switching dual-energy CT

    Energy Technology Data Exchange (ETDEWEB)

    Yunaga, Hiroto; Ohta, Yasutoshi; Kitao, Shinichiro; Ogawa, Toshihide [Tottori University, Division of Radiology, Department of Pathophysiological Therapeutic Science, Faculty of Medicine, Yonago City, Tottori (Japan); Kaetsu, Yasuhiro [Kakogawa Higashi Hospital, Department of Cardiology, Kakogawa (Japan); Watanabe, Tomomi; Furuse, Yoshiyuki; Yamamoto, Kazuhiro [Tottori University, Division of Cardiology, Department of Molecular Medicine and Therapeutics, Faculty of Medicine, Yonago (Japan)

    2017-07-15

    Multi-detector-row computed tomography angiography (MDCTA) plays an important role in the assessment of patients with suspected coronary artery disease. However, MDCTA tends to overestimate stenosis in calcified coronary artery lesions. The aim of our study was to evaluate the diagnostic performance of calcification-suppressed material density (MD) images produced by using a single-detector single-source dual-energy computed tomography (ssDECT). We enrolled 67 patients with suspected or known coronary artery disease who underwent ssDECT with rapid kilovolt-switching (80 and 140 kVp). Coronary artery stenosis was evaluated on the basis of MD images and virtual monochromatic (VM) images. The diagnostic performance of the two methods for detecting coronary artery disease was compared with that of invasive coronary angiography as a reference standard. We evaluated 239 calcified segments. In all the segments, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy for detecting significant stenosis were respectively 88%, 88%, 75%, 95% and 88% for the MD images, 91%, 71%, 56%, 95% and 77% for the VM images. PPV was significantly higher on the MD images than on the VM images (P < 0.0001). Calcification-suppressed MD images improved PPV and diagnostic performance for calcified coronary artery lesions. (orig.)

  15. Test results for the Oasis 3C high performance water-pumping windmill

    Energy Technology Data Exchange (ETDEWEB)

    Eggleston, D.M. [DME Engineering, Midland, TX (United States)

    1997-12-31

    The WINDTech International, L.L.C. Oasis 3C, a 3 m diameter, high-performance water-pumping windmill, was tested at the DME Engineering Wind Test Site just south of Midland, Texas from August through December, 1996. This machine utilizes a 3:1 gearbox with rotating counterweights, similar to a conventional oilfield pumping unit, driven by a multibladed rotor. The rotating counterweight system balances most of the pumping loads and reduces gear loads and starting torque by a factor of at least two and often by a factor of four or more. The torque reduction substantially extends gear and bearing life, and reduces wind speeds required for starting by 30 to 50% or more. The O3C was tested pumping from a quiescent fluid depth of 12.2 m (40 ft) from a 28.3 m (93 ft)-deep well, with additional pumping depth simulated using a pressure regulator valve system. A 9.53 cm (3.75 in.) diameter Harbison-Fischer seal-less single-acting piston pump was used to eliminate pump seal friction as a variable, and standard O3C stroke lengths of 30.5 and 15.2 cm (12 and 6 inches) were used. The regulator spring was set to give a maximum stroke rate of 33 strokes per minute. The water pumped was returned to the well after flowing through a settling tank. The tests were performed in accordance with AWEA WECS testing standards. Instrumentation provided 16 channels of data to accurately measure machine performance, including starting wind speeds, flow rates, O3C azimuth, tail furl angle, wind direction tracking errors, RPM, sucker rod loads, and other variables. The most significant performance data is summarized herein. A mathematical model of machine performance was developed that fairly accurately predicts performance for each of three test conditions. The results verify that the O3C is capable of pumping water at wind speeds from 30% to more than 50% lower than comparable un-counterbalanced units.

  16. Risks of on-pump coronary artery bypass grafting surgery in patients with chronic obstructive pulmonary disease due to sulfur mustard.

    Science.gov (United States)

    Firoozabadi, Mehdi Dehghani; Sheikhi, Mohammad Ali; Rahmani, Hossein; Ebadi, Ahmad; Heidari, Amanollah; Gholizadeh, Behnam; Sharifi, Khosrow

    2017-10-01

    Sulfur mustard (SM) is a toxic chemical agent that belongs to a class of vesicant compounds. In the 1980s it was used by the Iraqi army against Iranian forces. Sulfur mustard severely irritates the skin, eyes and lungs. The highest side effects seen in patients affected by this gas are pulmonary complications including different types of lung diseases such as bronchiolitis. It has also led to a certain type of chronic obstructive pulmonary disease called mustard lung. Similar extra-pulmonary, molecular and hormonal effects can be observed in these patients and patients with chronic obstructive pulmonary disease. Here cardiovascular complications may be one of the most dangerous visible effects. And atherosclerosis is probable following the direct effects or consequential long-term effects of SM. The development of atherosclerosis in these patients is associated with an increased risk of cardiovascular and coronary artery disease. Coronary artery bypass grafting surgery is the treatment of coronary artery disease. Doing this surgery by bypass pump has its own morbidity and due to local and systemic inflammation changes in patients with SM pulmonary disorders it may have more side effects. Therefore, detailed knowledge of inflammatory diseases as well as the serum level or even the local lung fluid of the inflammatory factors in these patients before surgery are needed so that it would be possible to reduce the rate of morbidity and mortality by normalizing the inflammatory conditions of the patients before cardiac surgery.

  17. Energy Efficient Pump Control for an Offshore Oil Processing System

    DEFF Research Database (Denmark)

    Yang, Zhenyu; Soleiman, Kian; Løhndorf, Bo

    2012-01-01

    The energy efficient control of a pump system for an offshore oil processing system is investigated. The seawater is lifted up by a pump system which consists of three identical centrifugal pumps in parallel, and the lifted seawater is used to cool down the crude oil flowing out of a threephase...... separator on one of the Danish north-sea platform. A hierarchical pump-speed control strategy is developed for the considered system by minimizing the pump power consumption subject to keeping a satisfactory system performance. The proposed control strategy consists of online estimation of some system...... operating parameters, optimization of pump configurations, and a real-time feedback control. Comparing with the current control strategy at the considered system, where the pump system is on/off controlled, and the seawater flows are controlled by a number of control valves, the proposed control strategy...

  18. Effects of the reactor coolant pumps following a small break in a Westinghouse PWR

    International Nuclear Information System (INIS)

    Koenig, J.E.

    1983-10-01

    Numerical simulations of the thermal-hydraulic events following a small cold-leg break in a Westinghouse pressurized water reactor were performed to address the pumps-on/off issue. The mode of pump operation was varied in each calculation to ascertain the optimum mode. It was found that pump operation was not critical for this break size and location because the fuel rods remained cool in all accidents analyzed. In terms of system mass, however, it was preferable to leave the pumps in operation

  19. An Enhanced Factor Analysis of Performance Degradation Assessment on Slurry Pump Impellers

    Directory of Open Access Journals (Sweden)

    Shilong Sun

    2017-01-01

    Full Text Available Slurry pumps, such as oil sand pumps, are widely used in industry to convert electrical energy to slurry potential and kinetic energy. Because of adverse working conditions, slurry pump impellers are prone to suffer wear, which may result in slurry pump breakdowns. To prevent any unexpected breakdowns, slurry pump impeller performance degradation assessment should be immediately conducted to monitor the current health condition and to ensure the safety and reliability of slurry pumps. In this paper, to provide an alternative to the impeller health indicator, an enhanced factor analysis based impeller indicator (EFABII is proposed. Firstly, a low-pass filter is employed to improve the signal to noise ratios of slurry pump vibration signals. Secondly, redundant statistical features are extracted from the filtered vibration signals. To reduce the redundancy of the statistic features, the enhanced factor analysis is performed to generate new statistical features. Moreover, the statistic features can be automatically grouped and developed a new indicator called EFABII. Data collected from industrial oil sand pumps are used to validate the effectiveness of the proposed method. The results show that the proposed method is able to track the current health condition of slurry pump impellers.

  20. Design and optimisation of dual-mode heat pump systems using natural fluids

    International Nuclear Information System (INIS)

    Zhang Wenling; Klemeš, Jiří Jaromír; Kim, Jin-Kuk

    2012-01-01

    The paper introduces new multi-period modelling and design methodology for dual-mode heat pumps using natural fluids. First, a mathematical model is developed to capture thermodynamic and operating characteristics of dual-mode heat pump systems, subject to different ambient temperatures. The multi-period optimisation framework has been developed to reflect different ambient conditions and its influences on heat pump performance, as well as to determine a system capacity of heat pump which allows systematic economic trade-offs between supplementary heating (or cooling) and operating cost for heat pump. Case study considering three geographical locations with different heating and cooling demands is presented to illustrate the importance of using multi-period optimisation for the design of heat pump systems.

  1. Performance of commercially available solar and heat pump water heaters

    International Nuclear Information System (INIS)

    Lloyd, C.R.; Kerr, A.S.D.

    2008-01-01

    Many countries are using policy incentives to encourage the adoption of energy-efficient hot water heating as a means of reducing greenhouse gas emissions. Such policies rely heavily on assumed performance factors for such systems. In-situ performance data for solar and heat pump hot water systems, however, are not copious in the literature. Otago University has been testing some systems available in New Zealand for a number of years. The results obtained are compared to international studies of in-situ performance of solar hot water systems and heat pump hot water systems, by converting the results from the international studies into a single index suitable for both solar and heat pump systems (COP). Variability in the international data is investigated as well as comparisons to model results. The conclusions suggest that there is not too much difference in performance between solar systems that have a permanently connected electric boost backup and heat pump systems over a wide range of environmental temperatures. The energy payback time was also calculated for electric boost solar flat plate systems as a function of both COP and hot water usage for a given value of embodied energy. The calculations generally bode well for solar systems but ensuring adequate system performance is paramount. In addition, such systems generally favour high usage rates to obtain good energy payback times

  2. Study of perioperative extravascular lung water and intrathoracic blood volume in patients undergoing CABG surgery with or without cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Samia Ragab El Azab

    2014-10-01

    Discussion and Conclusion: The clinical advantage of off-pump CABG surgery over standard extracorporeal circulation in regard to lung water content was not found in our study. In conclusion, the presumed superiority of off pump surgery for coronary artery bypass grafting could not be confirmed in our group of patients.

  3. Diagnostic performance of an acoustic-based system for coronary artery disease risk stratification

    DEFF Research Database (Denmark)

    Winther, Simon; Nissen, Louise; Schmidt, Samuel Emil

    2017-01-01

    CAD-score value ≤20. At this cut-off, sensitivity was 81% (95% CI 73% to 87%), specificity 53% (95% CI 50% to 56%), positive predictive value 16% (95% CI 13% to 18%) and negative predictive value 96% (95% CI 95% to 98%) for diagnosing haemodynamically significant CAD. CONCLUSION: Sound-based detection......OBJECTIVE: Diagnosing coronary artery disease (CAD) continues to require substantial healthcare resources. Acoustic analysis of transcutaneous heart sounds of cardiac movement and intracoronary turbulence due to obstructive coronary disease could potentially change this. The aim of this study...... features and clinical risk factors. Low risk is indicated by a CAD-score value ≤20. RESULTS: Haemodynamically significant CAD assessed from FFR was present in 145 (10.0%) patients. In the entire cohort, the predefined CAD-score had a sensitivity of 63% and a specificity of 44%. In total, 50% had an updated...

  4. Performance of a hybrid chemical/mechanical heat pump

    Science.gov (United States)

    Silvestri, John J.; Scaringe, Robert P.; Grzyll, Lawrence R.

    1990-01-01

    The authors present the design and preliminary results of the performance of a hybrid chemical/mechanical, low-lift (20 C) heat pump. Studies have indicated that this heat pump has several advantages over the traditional single fluid vapor compression (reverse Rankine) heat pump. Included in these benefits are: 1) increased COPc due to the approximation of the cycle to the Lorenz cycle and due to the availability of the heat of solution, along with the heat of vaporization, to provide cooling; and 2) ease of variation in system cooling capacity by changing the fluid composition. The system performance is predicted for a variety of refrigerant-absorbent pairs. Cooling capacity is determined for systems operating with ammonia as the refrigerant and lithium nitrate and sodium thiocyanate as the absorbents and also with water as the refrigerant and magnesium chloride, potassium hydroxide, lithium bromide, sodium hydroxide, and sulfuric acid as the absorbents. Early indications have shown that the systems operating with water as the refrigerant operate at 2-4 times the capacity of the ammonia-refrigerant-based systems. Using existing working fluids in the proposed innovative design, a coefficient-of-performance improvement of 21 percent is possible when compared to the best vapor compression systems analyzed.

  5. Computerized analysis of coronary artery disease: Performance evaluation of segmentation and tracking of coronary arteries in CT angiograms

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Chuan, E-mail: chuan@umich.edu; Chan, Heang-Ping; Chughtai, Aamer; Kuriakose, Jean; Agarwal, Prachi; Kazerooni, Ella A.; Hadjiiski, Lubomir M.; Patel, Smita; Wei, Jun [Department of Radiology, University of Michigan, Ann Arbor, Michigan 48109 (United States)

    2014-08-15

    Purpose: The authors are developing a computer-aided detection system to assist radiologists in analysis of coronary artery disease in coronary CT angiograms (cCTA). This study evaluated the accuracy of the authors’ coronary artery segmentation and tracking method which are the essential steps to define the search space for the detection of atherosclerotic plaques. Methods: The heart region in cCTA is segmented and the vascular structures are enhanced using the authors’ multiscale coronary artery response (MSCAR) method that performed 3D multiscale filtering and analysis of the eigenvalues of Hessian matrices. Starting from seed points at the origins of the left and right coronary arteries, a 3D rolling balloon region growing (RBG) method that adapts to the local vessel size segmented and tracked each of the coronary arteries and identifies the branches along the tracked vessels. The branches are queued and subsequently tracked until the queue is exhausted. With Institutional Review Board approval, 62 cCTA were collected retrospectively from the authors’ patient files. Three experienced cardiothoracic radiologists manually tracked and marked center points of the coronary arteries as reference standard following the 17-segment model that includes clinically significant coronary arteries. Two radiologists visually examined the computer-segmented vessels and marked the mistakenly tracked veins and noisy structures as false positives (FPs). For the 62 cases, the radiologists marked a total of 10191 center points on 865 visible coronary artery segments. Results: The computer-segmented vessels overlapped with 83.6% (8520/10191) of the center points. Relative to the 865 radiologist-marked segments, the sensitivity reached 91.9% (795/865) if a true positive is defined as a computer-segmented vessel that overlapped with at least 10% of the reference center points marked on the segment. When the overlap threshold is increased to 50% and 100%, the sensitivities were 86

  6. Design optimization of flow channel and performance analysis for a new-type centrifugal blood pump

    Science.gov (United States)

    Ji, J. J.; Luo, X. W.; Y Wu, Q.

    2013-12-01

    In this paper, a new-type centrifugal blood pump, whose impeller is suspended inside a pump chamber with hydraulic bearings, is presented. In order to improve the hydraulic performance of the pump, an internal flow simulation is conducted to compare the effects of different geometrical parameters of pump flow passage. Based on the numerical results, the pumps can satisfy the operation parameters and be free of hemolysis. It is noted that for the pump with a column-type supporter at its inlet, the pump head and hydraulic efficiency decreases compared to the pump with a step-type support structure. The performance drop is caused by the disturbed flow upstream impeller inlet. Further, the unfavorable flow features such as reverse flow and low velocity in the pump may increases the possibility of thrombus. It is also confirmed that the casing shape can little influence pump performance. Those results are helpful for design optimization in blood pump development.

  7. Dynamic interaction between myocardial contraction and coronary flow.

    Science.gov (United States)

    Beyar, R; Sideman, S

    1997-01-01

    Phasic coronary flow is determined by the dynamic interaction between central hemodynamics and myocardial and ventricular mechanics. Various models, including the waterfall, intramyocardial pump and myocardial structural models, have been proposed for the coronary circulation. Concepts such as intramyocardial pressure, local elastance and others have been proposed to help explain the coronary compression by the myocardium. Yet some questions remain unresolved, and a new model has recently been proposed, linking a muscle collagen fibrous model to a physiologically based coronary model, and accounting for transport of fluids across the capillaries and lymphatic flow between the interstitial space and the venous system. One of the unique features of this model is that the intramyocardial pressure (IMP) in the interstitial space is calculated from the balance of forces and fluid transport in the system, and is therefore dependent on the coronary pressure conditions, the myocardial function and the transport properties of the system. The model predicts a wide range of experimentally observed phenomena associated with coronary compression.

  8. Booster Pump Performance Analysis Towards Rotation Of Impeller For CSD Dredger Type

    Directory of Open Access Journals (Sweden)

    Tony Bambang Musriyadi

    2017-12-01

    Full Text Available Dredger are a vessel for lift materials from sub surface to another place above the water surface. Dredger divided into some types such Suction Dredger, Bucket Dredger, Backhoe Dredger, and Water Injection Dredger. Cutter Suction Dredger is equipped with a rotating cutter head, for cutting and fragmenting hard soils. The soil is sucked up by means of dredge pumps, and discharged through a floating pipeline and pipes on shore, to a deposit area. In some cases, the material is discharged into split hopper barges that are moored alongside the Cutter Suction Dredger. These split hopper barges unload the soil at the deposit area. The most important part of dredger are the pump unit, NPSH is needed to figure the pump performance ability and how the efficiency number of the pump. Booster pump performance analysist are needed to mantain the pump's performance and efficiency. This thesis are describe about drawing process and computerized simulation at Ansys Software for pump performance with 3 different fluid types and 5 variations of impeller rotation. The number of NPSHa are 6.8 m and 2.8 for the NPSHr. Based on the pure water state, the lowest RPM value of 300 was obtained with V = 1.1366 m / s and Q = 1227.52 m3 / h, the highest RPM value of 600 with the result v = 1.1259 m / s and Q = 1215.97 m3 / h. Then the pumps used in this final project are more efficiently used for fluid types which tend to be condensed from the liquid, and less efficient for use in the state of pure water fluid

  9. Functional and biocompatibility performances of an integrated Maglev pump-oxygenator.

    Science.gov (United States)

    Zhang, Tao; Cheng, Guangming; Koert, Andrew; Zhang, Juntao; Gellman, Barry; Yankey, G Kwame; Satpute, Aditee; Dasse, Kurt A; Gilbert, Richard J; Griffith, Bartley P; Wu, Zhongjun J

    2009-01-01

    To provide respiratory support for patients with lung failure, a novel compact integrated pump-oxygenator is being developed. The functional and biocompatibility performances of this device are presented. The pump-oxygenator is designed by combining a magnetically levitated pump/rotor with a uniquely configured hollow fiber membrane bundle to create an assembly free, ultracompact, all-in-one system. The hemodynamics, gas transfer and biocompatibility performances of this novel device were investigated both in vitro in a circulatory flow loop and in vivo in an ovine animal model. The in vitro results showed that the device was able to pump blood flow from 2 to 8 L/min against a wide range of pressures and to deliver an oxygen transfer rate more than 300 mL/min at a blood flow of 6 L/min. Blood damage tests demonstrated low hemolysis (normalized index of hemolysis [NIH] approximately 0.04) at a flow rate of 5 L/min against a 100-mm Hg afterload. The data from five animal experiments (4 h to 7 days) demonstrated that the device could bring the venous blood to near fully oxygen-saturated condition (98.6% +/- 1.3%). The highest oxygen transfer rate reached 386 mL/min. The gas transfer performance was stable over the study duration for three 7-day animals. There was no indication of blood damage. The plasma free hemoglobin and platelet count were within the normal ranges. No gross thrombus is found on the explanted pump components and fiber surfaces. Both in vitro and in vivo results demonstrated that the newly developed pump-oxygenator can achieve sufficient blood flow and oxygen transfer with excellent biocompatibility.

  10. Tokamak pump limiters

    International Nuclear Information System (INIS)

    Conn, R.W.; California Univ., Los Angeles

    1984-01-01

    Recent experiments with a scoop limiter without active internal pumping have been carried out in the PDX tokamak with up to 6 MW of auxiliary neutral beam heating. Experiments have also been performed with a rotating head pump limiter in the PLT tokamak in conjunction with RF plasma heating. Extensive experiments have been done in the ISX-B tokamak and first experiments have been completed with the ALT-I limiter in TEXTOR. The pump limiter modules in these latter two machines have internal getter pumping. Experiments in ISX-B are with ohmic and auxiliary neutral beam heating. The results in ISX-B and TEXTOR show that active density control and particle removal is achieved with pump limiters. In ISX-B, the boundary layer (or scrape-off layer) plasma partially screens the core plasma from gas injection. In both ISX-B and TEXTOR, the pressure internal to the module scales linearly with plasma density but in ISX-B, with neutral beam injection, a nonlinear increase is observed at the highest densities studied. Plasma plugging is the suspected cause. Results from PDX suggest that a regime may exist in which core plasma energy confinement improves using a pump limiter during neutral beam injection. Asymmetric radial profiles and an increased edge electron temperature are observed in discharges with improved confinement. The injection of small amounts of neon into ISX-B has more clearly shown an improved electron core energy confinement during neutral beam injection. While carried out with a regular limiter, this 'Z-mode' of operation is ideal for use with pump limiters and should be a way to achieve energy confinement times similar to values for H-mode tokamak plasmas. The implication of all these results for the design of a reactor pump limiter is described. (orig.)

  11. Numerical Simulation on the Performance of a Mixed-Flow Pump under Various Casing Structures

    Directory of Open Access Journals (Sweden)

    Wu Dazhuan

    2013-01-01

    Full Text Available With regard to the reactor coolant pump and high flow-rate circulating pump, the requirements on the compactness of the structure, safety, and hydraulic performance are particularly important. Thus, the mixed-flow pump with cylindrical casing is adopted in some occasions. Due to the different characteristics between the special cylindrical casing and the common pump casing, the influence of the special casing on a mixed-flow pump characteristics was numerically investigated to obtain better performance and flow structure in the casing. The results show that the models with cylindrical casing have much worse head and efficiency characteristics than the experimental model, and this is caused by the flow in the pump casing. By moving the guide vanes half inside the pump casing, the efficiency gets improved while the low pressure zone at the corner of outlet pipe and pump casing disappeared. When the length of pump casing increases from the size equal to the diameter of outlet pipe to that larger than it, the efficiency drops obviously and the flow field in the outlet pipe improved without curved flow. In addition, the length of the pump casing has greater impacts on the pump performance than the radius of it.

  12. [Hemolysis Performance Analysis of the Centrifugal Maglev Blood Pump].

    Science.gov (United States)

    Wang, Yiwen; Zhang, Fan; Fang, Yuan; Dong, Baichuan; Zhou, Liang

    2016-05-01

    In order to analyze and study the hemolysis performance of the centrifugal maglev blood pump, which was designed by ourselves, this paper built the mathematical model and computational fluid dynamics analyzed it using Fluent. Then we set up the in vitro hemolysis experiment platform, in case of the design condition, the content of free hemoglobin and hematocrit in plasma were measured in a certain time interval, and calculated the normalized index of hemolysis of the blood pump. The numerical simulation results show the internal static pressure distribution is smooth inside the pump, the wal shear stress inside the pump is less than 150 Pa. Therefore, the red blood cel damage and exposure time is independent. The normalized index of hemolysis is (0.002 9±0.000 7) mg/L, which is in accordance with human physiological requirement.

  13. Pumping behavior of ion pump elements at high and misaligned magnetic fields

    Energy Technology Data Exchange (ETDEWEB)

    Hseuh, H. C.; Jiang, W. S.; Mapes, M.

    1994-11-01

    The pumping speeds of several diode type ion pump elements with cell radii of 5 mm, 5.5 mm, 6 mm, 9 mm and 12 mm were measured while being subjected to a magnetic field B, ranging from 500 Gauss up to 15 KG, and misalignment angles (angles between the direction of B and the anode axis) from 0 to 13 degrees. The pumping speeds of elements with the 9 mm and 12 mm cells peaked around 1--2 KG, then dropped off rapidly with an increasing magnetic field. The pumping speeds of the smaller cell elements remained constant with an increasing magnetic field. The pumping speeds of all the elements decreased with increasing misalignment. The measured pumping speeds from this study are 3--4 times lower than the calculated pumping, speeds using previously reported empirical formulae.

  14. Pumping behavior of ion pump elements at high and misaligned magnetic fields

    International Nuclear Information System (INIS)

    Hseuh, H.C.; Jiang, W.S.; Mapes, M.

    1994-01-01

    The pumping speeds of several diode type ion pump elements with cell radii of 5 mm, 5.5 mm, 6 mm, 9 mm and 12 mm were measured while being subjected to a magnetic field B, ranging from 500 Gauss up to 15 KG, and misalignment angles (angles between the direction of B and the anode axis) from 0 to 13 degrees. The pumping speeds of elements with the 9 mm and 12 mm cells peaked around 1--2 KG, then dropped off rapidly with an increasing magnetic field. The pumping speeds of the smaller cell elements remained constant with an increasing magnetic field. The pumping speeds of all the elements decreased with increasing misalignment. The measured pumping speeds from this study are 3--4 times lower than the calculated pumping, speeds using previously reported empirical formulae

  15. Evaluation of load case ''switch-off of the high pressure pump of the emergency core cooling system'', measures of verification and in situ-test

    International Nuclear Information System (INIS)

    Trobitz, M.; Mattheis, A.; Kerkhof, K.; Hippelein, K.; Hofstoetter, P.

    1998-01-01

    Within the framework of periodic safety inspection of the Gundremmingen power station (RWE-Bayernwerk - KRB II), the load collectives used for the design of safety-relevant systems and components were checked for their consistency with latest updates of the design basis. It was found that there was no analytical information or study available describing a particular process and its effects, namely switch-off of the high-pressure feedwater pump of the emergency core cooling system. The paper reports the work performed for closing the gap, including preparatory analyses, accompanying measures such as vibration measurements during plant shut-down, as well as the preparation and performance of the in-situ test. The experimental results and the comparative evaluation of calculated and experimental data are presented. (orig./CB) [de

  16. Development of low-cost, high-performance non-evaporable getter (NEG) pumps

    Energy Technology Data Exchange (ETDEWEB)

    Mase, Kazuhiko, E-mail: mase@post.kek.jp [Institute of Materials Structure Science, KEK, 1-1 Oho, Tsukuba 305-0801 (Japan); SOKENDAI (The Graduate University for Advanced Studies), 1-1 Oho, Tsukuba 305-0801 (Japan); Tanaka, Masato [Faculty of Engineering, Chiba University, 1-33 Yayoi-cho, Inage-ku 263-8522 (Japan); Ida, Naoya [Faculty of Science and Technology, Hirosaki University, 1 Bunkyocho, Hirosaki 036-8560 (Japan); Kodama, Hiraku [Faculty of Engineering, Yokohama National University, 79-5 Tokiwadai, Hodogaya-ku, Yokohama 240-8501 (Japan); Kikuchi, Takashi [Institute of Materials Structure Science, KEK, 1-1 Oho, Tsukuba 305-0801 (Japan)

    2016-07-27

    Low-cost, high-performance non-evaporable getter (NEG) pumps were constructed using commercial NEG pills comprising 70 wt% Zr, 24.6 wt% V, and 5.4 wt% Fe, a conflat flange with an outer diameter of 70, 152, or 203 mm (DN 40 CF, DN 100 CF, and DN 160 CF, respectively), and a tantalum heater. After activation at 400 °C for 30 min, the pumping speeds of a DN 40 CF NEG pump measured with the orifice method were 47–40, 8–6, 24–17, and 19–15 L/s for H{sub 2}, N{sub 2}, CO, and CO{sub 2} gasses, respectively. NEG pumps using DN 100 CF and DN 160 CF were also developed, and their pumping speeds are estimated. These NEG pumps are favorable alternatives to sputtering ion pumps in VSX beamlines because they do not produce hydrocarbons except during the activation period. The NEG pumps can also be used for accelerators, front ends, end stations, and differential pumping systems.

  17. Pump efficiency in solar-energy systems

    Science.gov (United States)

    1978-01-01

    Study investigates characteristics of typical off-the-shelf pumping systems that might be used in solar systems. Report includes discussion of difficulties in predicting pump efficiency from manufacturers' data. Sample calculations are given. Peak efficiencies, flow-rate control, and noise levels are investigated. Review or theory of pumps types and operating characteristics is presented.

  18. Pleurotomy with subxyphoid pleural drain affords similar effects to pleural integrity in pulmonary function after off-pump coronary artery bypass graft

    OpenAIRE

    Guizilini, Solange; Bolzan, Douglas W; Faresin, Sonia M; Ferraz, Raquel F; Tavolaro, Kelly; Cancio, Andrea A; Gomes, Walter J

    2012-01-01

    Abstract Background Exacerbation of pulmonary dysfunction has been reported in patients receiving a pleural drain inserted through the intercostal space in comparison to patients with an intact pleura undergoing coronary artery bypass grafting (CABG). Evidence suggests that shifting the site of pleural drain insertion to the subxyphoid position minimizes chest wall trauma and preserves respiratory function in the early postoperative period. The aim of this study was to compare the pulmonary f...

  19. Effects of exercise training on coronary transport capacity

    International Nuclear Information System (INIS)

    Laughlin, M.H.

    1985-01-01

    Coronary transport capacity was estimated in eight sedentary control and eight exercise-trained anesthetized dogs by determining the differences between base line and the highest coronary blood flow and permeability-surface area product (PS) obtained during maximal adenosine vasodilation with coronary perfusion pressure constant. The anterior descending branch of the left coronary artery was cannulated and pump- perfused under constant-pressure conditions (approximately equal to 100 Torr) while aortic, central venous, and coronary perfusion pressures, heart rate, electrocardiogram, and coronary flow were monitored. Myocardial extraction and PS of 51 Cr-labeled ethylenediaminetetraacetic acid were determined with the single-injection indicator-diffusion method. The efficacy of the 16 +/- 1 wk exercise training program was shown by significant increases in the succinate dehydrogenase activities of the gastrocnemius, gluteus medialis, and long head of triceps brachii muscles. There were no differences between control and trained dogs for either resting coronary blood flow or PS. During maximal vasodilation with adenosine, the trained dogs had significantly lower perfusion pressures with constant flow and, with constant-pressure vasodilation, greater coronary blood flow and PS. It is concluded that exercise training in dogs induces an increased coronary transport capacity that includes increases in coronary blood flow capacity (26% of control) and capillary diffusion capacity (82% of control)

  20. Simulation and analysis on thermodynamic performance of surface water source heat pump system

    Institute of Scientific and Technical Information of China (English)

    Nan Lv; Qing Zhang; Zhenqian Chen; Dongsheng Wu

    2017-01-01

    This work established a thermodynamic performance model of a heat pump system containing a heat pump unit model, an air conditioning cooling and heating load calculation model, a heat exchanger model and a water pump performance model based on mass and energy balances. The thermodynamic performance of a surface water source heat pump air conditioning system was simulated and verified by comparing the simulation results to an actual engineering project. In addition, the effects of the surface water temperature, heat exchanger structure and surface water pipeline transportation system on the thermodynamic performance of the heat pump air conditioning system were analyzed. Under the simulated conditions in this paper with a cooling load of 3400 kW, the results showed that a 1 ℃ decrease in the surface water temperature leads to a 2.3 percent increase in the coefficient of performance; furthermore, an additional 100 m of length for the closed-loop surface water heat exchanger tube leads to a 0.08 percent increase in the coefficient of performance. To decrease the system energy consumption, the optimal working point should be specified according to the surface water transportation length.

  1. Theoretical Model for the Performance of Liquid Ring Pump Based on the Actual Operating Cycle

    Directory of Open Access Journals (Sweden)

    Si Huang

    2017-01-01

    Full Text Available Liquid ring pump is widely applied in many industry fields due to the advantages of isothermal compression process, simple structure, and liquid-sealing. Based on the actual operating cycle of “suction-compression-discharge-expansion,” a universal theoretical model for performance of liquid ring pump was established in this study, to solve the problem that the theoretical models deviated from the actual performance in operating cycle. With the major geometric parameters and operating conditions of a liquid ring pump, the performance parameters such as the actual capacity for suction and discharge, shaft power, and global efficiency can be conveniently predicted by the proposed theoretical model, without the limitation of empiric range, performance data, or the detailed 3D geometry of pumps. The proposed theoretical model was verified by experimental performances of liquid ring pumps and could provide a feasible tool for the application of liquid ring pump.

  2. Performance characteristics and parametric optimization of an irreversible magnetic Ericsson heat-pump

    International Nuclear Information System (INIS)

    Wei Fang; Lin Guoxing; Chen Jincan; Brueck, Ekkes

    2011-01-01

    Taking into account the finite-rate heat transfer in the heat-transfer processes, heat leak between the two external heat reservoirs, regenerative loss, regeneration time, and internal irreversibility due to dissipation of the cycle working substance, an irreversible magnetic Ericsson heat-pump cycle is presented. On the basis of the thermodynamic properties of magnetic materials, the performance characteristics of the irreversible magnetic Ericsson heat-pump are investigated and the relationship between the optimal heating load and the coefficient of performance (COP) is derived. Moreover, the maximum heating load and the corresponding COP as well as the maximum COP and the corresponding heating load are obtained. Furthermore, the other optimal performance characteristics are discussed in detail. The results obtained here may provide some new information for the optimal parameter design and the development of real magnetic Ericsson heat-pumps. -- Research Highlights: →The effects of multi-irreversibilities on the performance of a magnetic heat-pump are revealed. →Mathematical expressions of the heating load and the COP are derived and the optimal performance and operating parameters are analyzed and discussed. →Several important performance bounds are determined.

  3. Experimental study on energy performance of clean air heat pump

    DEFF Research Database (Denmark)

    Fang, Lei; Nie, Jinzhe; Olesen, Bjarne W.

    2014-01-01

    An innovative clean air heat pump (CAHP) was designed and developed based on the air purification capacity of regenerative silica gel rotor. The clean air heat pump integrated air purification, dehumidification and cooling in one unit. A prototype of the clean air heat pump was developed...... to investigate its energy performance. Energy consumption of the prototype of CAHP was measured in laboratory at different climate conditions including mild-cold, mildhot and extremely hot and humid climates. The energy saving potential of the clean air heat pump compared to a conventional ventilation and air......-conditioning system was calculated. The experimental results showed that the clean air heat pump saved substantial amount of energy compared to the conventional system. For example, the CAHP can save up to 59% of electricity in Copenhagen, up to 40% of electricity in Milan and up to 30% of electricity in Colombo...

  4. Performance trade-offs and ageing in the 'world's greatest athletes'.

    Science.gov (United States)

    Careau, Vincent; Wilson, Robbie S

    2017-08-16

    The mechanistic foundations of performance trade-offs are clear: because body size and shape constrains movement, and muscles vary in strength and fibre type, certain physical traits should act in opposition with others (e.g. sprint versus endurance). Yet performance trade-offs are rarely detected, and traits are often positively correlated. A potential resolution to this conundrum is that within -individual performance trade-offs can be masked by among -individual variation in 'quality'. Although there is a current debate on how to unambiguously define and account for quality, no previous studies have partitioned trait correlations at the within- and among-individual levels. Here, we evaluate performance trade-offs among and within 1369 elite athletes that performed in a total of 6418 combined-events competitions (decathlon and heptathlon). Controlling for age, experience and wind conditions, we detected strong trade-offs between groups of functionally similar events (throwing versus jumping versus running) occurring at the among-individual level. We further modelled individual (co)variation in age-related plasticity of performance and found previously unseen trade-offs in throwing versus running performance that manifest through ageing. Our results verify that human performance is limited by fundamental genetic, environmental and ageing constraints that preclude the simultaneous improvement of performance in multiple dimensions. Identifying these constraints is fundamental to understanding performance trade-offs and predicting the ageing of motor function. © 2017 The Author(s).

  5. Performance of a 250 kW Organic Rankine Cycle System for Off-Design Heat Source Conditions

    Directory of Open Access Journals (Sweden)

    Ben-Ran Fu

    2014-06-01

    Full Text Available An organic Rankine cycle system comprised of a preheater, evaporator, condenser, turbine, generator, and pump was used to study its off-design performance and the operational control strategy. R245fa was used as the working fluid. Under the design conditions, the net power output is 243 kW and the system thermal efficiency is 9.5%. For an off-design heat source flow rate (mW, the operating pressure was controlled to meet the condition that the R245fa reached the liquid and vapor saturation states at the outlet of the preheater and the evaporator, respectively. The analytical results demonstrated that the operating pressure increased with increasing mW; a higher mW yielded better heat transfer performance of the preheater and required a smaller evaporator heat capacity, and the net power output and system thermal efficiency increased with increasing mW. For the range of mW studied here, the net power output increased by 64.0% while the total heat transfer rate increased by only 9.2%. In summary, off-design operation of the system was examined for a heat source flow rate which varied by –39.0% to +78.0% from the designed rate, resulting in –29.2% to +16.0% and –25.3% to +12.6% variations in the net power output and system thermal efficiency, respectively.

  6. Numerical prediction and performance experiment in a deep-well centrifugal pump with different impeller outlet width

    Science.gov (United States)

    Shi, Weidong; Zhou, Ling; Lu, Weigang; Pei, Bing; Lang, Tao

    2013-01-01

    The existing research of the deep-well centrifugal pump mainly focuses on reduce the manufacturing cost and improve the pump performance, and how to combine above two aspects together is the most difficult and important topic. In this study, the performances of the deep-well centrifugal pump with four different impeller outlet widths are studied by the numerical, theoretical and experimental methods in this paper. Two stages deep-well centrifugal pump equipped with different impellers are simulated employing the commercial CFD software to solve the Navier-Stokes equations for three-dimensional incompressible steady flow. The sensitivity analyses of the grid size and turbulence model have been performed to improve numerical accuracy. The flow field distributions are acquired and compared under the design operating conditions, including the static pressure, turbulence kinetic energy and velocity. The prototype is manufactured and tested to certify the numerical predicted performance. The numerical results of pump performance are higher than the test results, but their change trends have an acceptable agreement with each other. The performance results indicted that the oversize impeller outlet width leads to poor pump performances and increasing shaft power. Changing the performance of deep-well centrifugal pump by alter impeller outlet width is practicable and convenient, which is worth popularizing in the engineering application. The proposed research enhances the theoretical basis of pump design to improve the performance and reduce the manufacturing cost of deep-well centrifugal pump.

  7. [Developments in percutaneous coronary intervention and coronary stents].

    Science.gov (United States)

    Simsek, C; Daemen, J; Zijlstra, F

    2014-01-01

    In The Netherlands, more than 30.000 patients undergo a percutaneous coronary intervention every year, during which a coronary stent implantation will be performed in 90% of the cases. It is estimated that more than 5 million coronary stent implantations will be performed worldwide this year. While these numbers are impressive, however, coronary stents still have as a limitation the possibility of stent thrombosis. This has been and is an important stimulus for the development of both coronary stents, from a bare metal stent via a drug eluting stent to the present-day development of bio-absorbable stents, and anti-platelet drugs,from acenocoumarol to thieropyridines. The possibility of shortening the period of use of this powerful medication by developing new kinds of non-thrombogenic stents would, for example, make it possible to achieve significant reductions in subsequent bleeding during (dental) procedures.

  8. Monitoring the performance of Aux. Feedwater Pump using Smart Sensing Model

    Energy Technology Data Exchange (ETDEWEB)

    No, Young Gyu; Seong, Poong Hyun [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of)

    2015-10-15

    Many artificial intelligence (AI) techniques equipped with learning systems have recently been proposed to monitor sensors and components in NPPs. Therefore, the objective of this study is the development of an integrity evaluation method for safety critical components such as Aux. feedwater pump, high pressure safety injection (HPSI) pump, etc. using smart sensing models based on AI techniques. In this work, the smart sensing model is developed at first to predict the performance of Aux. feedwater pump by estimating flowrate using group method of data handing (GMDH) method. If the performance prediction is achieved by this feasibility study, the smart sensing model will be applied to development of the integrity evaluation method for safety critical components. Also, the proposed algorithm for the performance prediction is verified by comparison with the simulation data of the MARS code for station blackout (SBO) events. In this study, the smart sensing model for the prediction performance of Aux. feedwater pump has been developed. In order to develop the smart sensing model, the GMDH algorithm is employed. The GMDH algorithm is the way to find a function that can well express a dependent variable from independent variables. This method uses a data structure similar to that of multiple regression models. The proposed GMDH model can accurately predict the performance of Aux.

  9. Monitoring the performance of Aux. Feedwater Pump using Smart Sensing Model

    International Nuclear Information System (INIS)

    No, Young Gyu; Seong, Poong Hyun

    2015-01-01

    Many artificial intelligence (AI) techniques equipped with learning systems have recently been proposed to monitor sensors and components in NPPs. Therefore, the objective of this study is the development of an integrity evaluation method for safety critical components such as Aux. feedwater pump, high pressure safety injection (HPSI) pump, etc. using smart sensing models based on AI techniques. In this work, the smart sensing model is developed at first to predict the performance of Aux. feedwater pump by estimating flowrate using group method of data handing (GMDH) method. If the performance prediction is achieved by this feasibility study, the smart sensing model will be applied to development of the integrity evaluation method for safety critical components. Also, the proposed algorithm for the performance prediction is verified by comparison with the simulation data of the MARS code for station blackout (SBO) events. In this study, the smart sensing model for the prediction performance of Aux. feedwater pump has been developed. In order to develop the smart sensing model, the GMDH algorithm is employed. The GMDH algorithm is the way to find a function that can well express a dependent variable from independent variables. This method uses a data structure similar to that of multiple regression models. The proposed GMDH model can accurately predict the performance of Aux

  10. Monitoring the performance of off-site processors

    International Nuclear Information System (INIS)

    Miller, C.C.

    1995-01-01

    Commercial nuclear power plants have been able to utilize the latest technologies and achieve large volume reduction by obtaining off-site waste processor services. Although the use of such services reduce the burden of waste processing it also reduces the utility's control over the process. Monitoring the performance of off-site processors is important so that the utility is cognizant of the waste disposition for required regulatory reporting. In addition to obtaining data for Reg Guide 1.21 reporting, Performance monitoring is important to determine which vendor and which services to utilize. Off-site processor services were initially offered for the decontamination of metallic waste. Since that time the list of services has expanded to include supercompaction, survey for release, incineration and metal melting. The number of vendors offering off-site services has increased and the services they offer vary. processing rates vary between vendors and have different charge bases. Determining which vendor to use for what service can be complicated and confusing

  11. Immediate extubation versus standard postoperative ventilation: Our experience in on pump open heart surgery

    Directory of Open Access Journals (Sweden)

    Srikanta Gangopadhyay

    2010-01-01

    Full Text Available Elective postoperative ventilation in patients undergoing "on pump" open heart surgery has been a standard practice. Ultra fast-track extubation in the operating room is now an accepted technique for "off pump" coronary artery bypass grafting. We tried to incorporate these experiences in on pump open heart surgery and compare the haemodynamic and respiratory parameters in the immediate postoperative period, in patients on standard postoperative ventilation for 8-12 hours. After ethical committee′s approval and informed consent were obtained, 72 patients, between 28 and 45 years of age, undergoing on pump open heart surgery, were selected for our study. We followed same standard anaesthetic, cardiopulmonary bypass (CPB and cardioplegic protocol. Thirty-six patients (Group E were randomly allocated for immediate extubation following operation, after fulfillment of standard extubation criteria. Those who failed to meet these criteria were not extubated and were excluded from the study. The remaining 36 patients (Group V were electively ventilated and extubated after 8-12 hours. Standard monitoring for on pump open heart surgery, including bispectral index was done. The demographic data, surgical procedures, preoperative parameters, aortic cross clamp and cardiopulmonary bypass times were comparable in both the groups. Extubation was possible in more than 88% of cases (n=32 out of 36 cases in Group E and none required reintubation for respiratory insufficiency. Respiratory, haemodynamic parameters and postoperative complications were comparable in both the groups in the postoperative period. Therefore, we can safely conclude that immediate extubation in the operating room after on pump open heart surgery is an alternative acceptable method to avoid postoperative ventilation and its related complications in selected patients.

  12. Coronary Artery Calcium Screening: Does it Perform Better than Other Cardiovascular Risk Stratification Tools?

    Directory of Open Access Journals (Sweden)

    Irfan Zeb

    2015-03-01

    Full Text Available Coronary artery calcium (CAC has been advocated as one of the strongest cardiovascular risk prediction markers. It performs better across a wide range of Framingham risk categories (6%–10% and 10%–20% 10-year risk categories and also helps in reclassifying the risk of these subjects into either higher or lower risk categories based on CAC scores. It also performs better among population subgroups where Framingham risk score does not perform well, especially young subjects, women, family history of premature coronary artery disease and ethnic differences in coronary risk. The absence of CAC is also associated with excellent prognosis, with 10-year event rate of 1%. Studies have also compared with other commonly used markers of cardiovascular disease risk such as Carotid intima-media thickness and highly sensitive C-reactive protein. CAC also performs better compared with carotid intima-media thickness and highly sensitive C-reactive protein in prediction of coronary heart disease and cardiovascular disease events. CAC scans are associated with relatively low radiation exposure (0.9–1.1 mSv and provide information that can be used not only for risk stratification but also can be used to track the progression of atherosclerosis and the effects of statins.

  13. Sealing performance of a magnetic fluid seal for rotary blood pumps.

    Science.gov (United States)

    Mitamura, Yoshinori; Takahashi, Sayaka; Kano, Kentaro; Okamoto, Eiji; Murabayashi, Shun; Nishimura, Ikuya; Higuchi, Taka-Aki

    2009-09-01

    A magnetic fluid (MF) for a rotary blood pump seal enables mechanical contact-free rotation of the shaft and, hence, has excellent durability. The performance of a MF seal, however, has been reported to decrease in liquids. We have developed a MF seal that has a "shield" mechanism and a new MF with a higher magnetization of 47.9 kA/m. The sealing performance of the MF seal installed in a rotary blood pump was studied. Under the condition of continuous flow, the MF seal remained in perfect condition against a pressure of 298 mm Hg (pump flow rate: 3.96 L/min). The seal was also perfect against a pressure of 170 mm Hg in a continuous flow of 3.9 L/min for 275 days. We have developed a MF seal that works in liquid against clinically used pressures. The MF seal is promising as a shaft seal for rotary blood pumps.

  14. Use of Proton-Pump Inhibitors Predicts Heart Failure and Death in Patients with Coronary Artery Disease.

    Directory of Open Access Journals (Sweden)

    Ana María Pello Lázaro

    Full Text Available Proton-pump inhibitors (PPIs seem to increase the incidence of cardiovascular events in patients with coronary artery disease (CAD, mainly in those using clopidogrel. We analysed the impact of PPIs on the prognosis of patients with stable CAD.We followed 706 patients with CAD. Primary outcome was the combination of secondary outcomes. Secondary outcomes were 1 acute ischaemic events (any acute coronary syndrome, stroke, or transient ischaemic attack and 2 heart failure (HF or death.Patients on PPIs were older [62.0 (53.0-73.0 vs. 58.0 (50.0-70.0 years; p = 0.003] and had a more frequent history of stroke (4.9% vs. 1.1%; p = 0.004 than those from the non-PPI group, and presented no differences in any other clinical variable, including cardiovascular risk factors, ejection fraction, and therapy with aspirin and clopidogrel. Follow-up was 2.2±0.99 years. Seventy-eight patients met the primary outcome, 53 developed acute ischaemic events, and 33 HF or death. PPI use was an independent predictor of the primary outcome [hazard ratio (HR = 2.281 (1.244-4.183; p = 0.008], along with hypertension, body-mass index, glomerular filtration rate, atrial fibrillation, and nitrate use. PPI use was also an independent predictor of HF/death [HR = 5.713 (1.628-20.043; p = 0.007], but not of acute ischaemic events. A propensity score showed similar results.In patients with CAD, PPI use is independently associated with an increased incidence of HF and death but not with a high rate of acute ischaemic events. Further studies are needed to confirm these findings.

  15. Cardiovascular outcomes associated with concomitant use of clopidogrel and proton pump inhibitors in patients with acute coronary syndrome in Taiwan

    Science.gov (United States)

    Lin, Chen-Fang; Shen, Li-Jiuan; Wu, Fe-Lin Lin; Bai, Chyi-Huey; Gau, Churn-Shiouh

    2012-01-01

    AIMS Our study aimed to examine the impact of concomitant use of proton pump inhibitors (PPIs) with clopidogrel on the cardiovascular outcomes of patients with acute coronary syndrome (ACS). Furthermore, we sought to quantify the effects of five individual PPIs when used concomitantly with clopidogrel. METHODS We conducted a retrospective cohort study of patients who were newly hospitalized for ACS between 1 January 2006 and 31 December 2007 retrieved from the Taiwan National Health Insurance Research Database (NHIRD) and who were prescribed clopidogrel (n= 37 099) during the follow-up period. A propensity score technique was used to establish a matched cohort in 1:1 ratio (n= 5173 for each group). The primary clinical outcome was rehospitalization for ACS, while secondary outcomes were rehospitalization for percutaneous transluminal coronary angioplasty (PTCA) with stent, PTCA without stent and revascularization (PTCA or coronary artery bypass graft surgery) after the discharge date for the index ACS event. RESULTS The adjusted hazard ratio of rehospitalization for ACS was 1.052 (95% confidence interval, 0.971–1.139; P= 0.214) in the propensity score matched cohort. Among all PPIs, only omeprazole was found to be statistically significantly associated with an increased risk of rehospitalization for ACS (adjusted hazard ratio, 1.226; 95% confidence interval, 1.066–1.410; P= 0.004). Concomitant use of esomeprazole, pantoprazole, rabeprazole and lansoprazole did not increase the risk. CONCLUSIONS Our study indicated no statistically significant increase in the risk of rehospitalization for ACS due to concurrent use of clopidogrel and PPIs overall. Among individual PPIs, only omeprazole was found to be statistically significantly associated with increased risk of rehospitalization for ACS. PMID:22364155

  16. Impact of Lesion Length on Functional Significance in Intermediate Coronary Lesions

    Directory of Open Access Journals (Sweden)

    Morteza Safi

    2017-07-01

    Full Text Available Introduction: The present study aimed at assessing the role of lesion length in predicting Fractional Flow Reserve (FFR value for physiological evaluation of intermediate coronary lesions.Methods: In the current study, 68 patients with 83 coronary lesions were enrolled. All of the patients in this study underwent routine coronary angiography, according to appropriate indications. To evaluate physiologically significant intermediate coronary stenosis (defined between 40% and 70% on visual estimation, the Fractional Flow Reserve (FFR study was performed and the Quantitative Coronary Angiography (QCA data were also assessed for measurement of lesion length. The correlation between QCA data and FFR values was also examined.Results: Eighty-three lesions were evaluated from 68 patients. Stenosis was considered physiologically significant when FFR was lower than 0.75. The FFR was significant in twelve lesions (14.5%. There was a negative correlation between FFR value and lesion length (r = -0.294 and P = 0.013. Moreover, lesion length in physiologically significant FFR group (21.07  ± 6.9 was greater than that of the non-significant FFR group (15.23 ± 6.5 (P value < 0.05. Furthermore, the correlation between QCA data and FFR values was also investigated, yet, there was only a positive correlation between FFR and Minimum Luminal Diameter (MLD values (r = 0.248 and P value = 0.04. The Receiver Operating Characteristic (ROC curve analysis for predicting the significant FFR value demonstrated that a lesion length greater than 17.5 mm was the best cut-off point for prediction of the significant FFR value with acceptable sensitivity and specificity of 83.3% and 68.8%, respectively.Conclusions: There is a negative correlation between lesion length and FFR value in intermediate coronary lesions. In addition, a lesion length greater than 17.5 mm is the best cut- off point for prediction of significant FFR values.

  17. Experimental study of the influence of flow passage subtle variation on mixed-flow pump performance

    Science.gov (United States)

    Bing, Hao; Cao, Shuliang

    2014-05-01

    In the mixed-flow pump design, the shape of the flow passage can directly affect the flow capacity and the internal flow, thus influencing hydraulic performance, cavitation performance and operation stability of the mixed-flow pump. However, there is currently a lack of experimental research on the influence mechanism. Therefore, in order to analyze the effects of subtle variations of the flow passage on the mixed-flow pump performance, the frustum cone surface of the end part of inlet contraction flow passage of the mixed-flow pump is processed into a cylindrical surface and a test rig is built to carry out the hydraulic performance experiment. In this experiment, parameters, such as the head, the efficiency, and the shaft power, are measured, and the pressure fluctuation and the noise signal are also collected. The research results suggest that after processing the inlet flow passage, the head of the mixed-flow pump significantly goes down; the best efficiency of the mixed-flow pump drops by approximately 1.5%, the efficiency decreases more significantly under the large flow rate; the shaft power slightly increases under the large flow rate, slightly decreases under the small flow rate. In addition, the pressure fluctuation amplitudes on both the impeller inlet and the diffuser outlet increase significantly with more drastic pressure fluctuations and significantly lower stability of the internal flow of the mixed-flow pump. At the same time, the noise dramatically increases. Overall speaking, the subtle variation of the inlet flow passage leads to a significant change of the mixed-flow pump performance, thus suggesting a special attention to the optimization of flow passage. This paper investigates the influence of the flow passage variation on the mixed-flow pump performance by experiment, which will benefit the optimal design of the flow passage of the mixed-flow pump.

  18. Performance analysis on solar-water compound source heat pump for radiant floor heating system

    Institute of Scientific and Technical Information of China (English)

    曲世林; 马飞; 仇安兵

    2009-01-01

    A solar-water compound source heat pump for radiant floor heating (SWHP-RFH) experimental system was introduced and analyzed. The SWHP-RFH system mainly consists of 11.44 m2 vacuum tube solar collector,1 000 L water tank assisted 3 kW electrical heater,a water source heat pump,the radiant floor heating system with cross-linked polyethylene (PE-X) of diameter 20 mm,temperature controller and solar testing system. The SWHP-RFH system was tested from December to February during the heating season in Beijing,China under different operation situations. The test parameters include the outdoor air temperature,solar radiation intensity,indoor air temperature,radiation floor average surface temperature,average surface temperature of the building envelope,the inlet and outlet temperatures of solar collector,the temperature of water tank,the heat medium temperatures of heat pump condenser side and evaporator side,and the power consumption includes the water source heat pump system,the solar source heat pump system,the auxiliary heater and the radiant floor heating systems etc. The experimental results were used to calculate the collector efficiency,heat pump dynamic coefficient of performance (COP),total energy consumption and seasonal heating performance during the heating season. The results indicate that the performance of the compound source heat pump system is better than that of the air source heat pump system. Furthermore,some methods are suggested to improve the thermal performance of each component and the whole SWHP-RFH system.

  19. Centrifugal pumps

    CERN Document Server

    Anderson, HH

    1981-01-01

    Centrifugal Pumps describes the whole range of the centrifugal pump (mixed flow and axial flow pumps are dealt with more briefly), with emphasis on the development of the boiler feed pump. Organized into 46 chapters, this book discusses the general hydrodynamic principles, performance, dimensions, type number, flow, and efficiency of centrifugal pumps. This text also explains the pumps performance; entry conditions and cavitation; speed and dimensions for a given duty; and losses. Some chapters further describe centrifugal pump mechanical design, installation, monitoring, and maintenance. The

  20. Off-stream Pumped Storage Hydropower plant to increase renewable energy penetration in Santiago Island, Cape Verde

    Science.gov (United States)

    Barreira, Inês; Gueifão, Carlos; Ferreira de Jesus, J.

    2017-04-01

    In order to reduce the high dependence on imported fuels and to meet the ongoing growth of electricity demand, Cape Verde government set the goal to increase renewable energy penetration in Santiago Island until 2020. To help maximize renewable energy penetration, an off-stream Pumped Storage Hydropower (PSH) plant will be installed in Santiago, in one of the following locations: Chã Gonçalves, Mato Sancho and Ribeira dos Picos. This paper summarizes the studies carried out to find the optimal location and connection point of the PSH plant in Santiago’s electricity network. This goal was achieved by assessing the impact of the PSH plant, in each location, on power system stability. The simulation tool PSS/E of Siemens was used to study the steady-state and dynamic behavior of the future (2020) Santiago MV grid. Different scenarios of demand and renewable resources were created. Each hydro unit of the PSH plant was modeled as an adjustable speed reversible turbine employing a DFIM. The results show that Santiago’s grid with the PSH plant in Chã Gonçalves is the one that has the best performance.

  1. Assessment of feasibility of helium ash exhaust and heat removal by pumped-limiter in tokamak fusion reactor

    International Nuclear Information System (INIS)

    Hitoki, Shigehisa; Sugihara, Masayoshi; Saito, Seiji; Fujisawa, Noboru

    1985-01-01

    A detailed calculation of the behavior of fuel and He particles in tokamak reactor with pumped-limiter is performed by one-dimensional tokamak transport code. Energy of neutral particles flowing back from limiter chamber is calculated by two-dimensional Monte Carlo neutral code. Feasibility of He ash exhaust and heat removal by the pumped-limiter are analyzed. Following features of the pumped-limiter are clarified: (1) Electron temperature decays rapidly in radial direction in scrape-off layer, while density profile is broader than that of temperature. (2) Helium accumulation in main plasma can be kept at desired level by rather short limiter and moderate pumping system. (3) Minimum amount of tritium pumped out little depends on limiter length. (4) Although high temperature plasma in scrape-off layer could be realized by large pumping and ideal pellet injection, it is not sufficiently high to reduce the erosion of the limiter surface and the leading edge. In conclusion, He ash exhaust may be possible by the pumped-limiter, while the heat load and erosion will be so high that the pumped-limiter may not be applicable unless the boundary plasma is cooled by radiation or by some other means. (author)

  2. Quantitative angiography of the left anterior descending coronary artery: correlations with pressure gradient and exercise thallium scintigraphy

    International Nuclear Information System (INIS)

    Reiber, J.H.C.; Serruys, P.W.; Slager, C.J.; Erasmus Univ., Rotterdam

    1986-01-01

    In order to evaluate during cardiac catheterization what constitutes a physiologically significant obstruction to blood flow in the human coronary system, computer based quantitative analysis of coronary angiograms was performed in 31 patients with isolated proximal left anterior descending coronary artery disease. The angiographic severity of the stenosis was compared with the transstenotic pressure gradient measured with the dilatation catheter during angioplasty and the results of exercise thallium scintigraphy. A curvilinear relation was found between the pressure gradient across the stenosis (normalized for the mean aortic pressure) and the residual minimal obstruction area (after subtracting the area of the angioplasty catheter). This relation was best fitted by the equation: normalized mean pressure gradient = a + b · log [obstruction area], r = 0.74. The measurements of the percent area stenosis (cut-off 80%) and of the transstenotic pressure gradient (cut-off 0.30) obtained at rest, correctly predicted the occurrence of thallium perfusion defects induced by exercise in 83% of the patients. (Auth.)

  3. Photophysical properties of some xanthylium salts performances under CVL pumping

    International Nuclear Information System (INIS)

    Doizi, D.; Lompre, L.A.; Gazeau, M.C.

    1995-01-01

    We report the photochemical and photophysical performances of some new dyes belonging to the xanthylium salts family. Performances under Copper Vapor Laser (CVL) pumping are described and compared to those of Rhodamine 6G. (author)

  4. The Best Bypass Surgery Trial

    DEFF Research Database (Denmark)

    Møller, Christian H; Jensen, Birte Østergaard; Gluud, Christian

    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...

  5. Experimental Study on Series Operation of Sliding Vane Pump and Centrifugal Pump

    OpenAIRE

    Li, Tao; Zhang, Weiming; Jiang, Ming; Li, Zhengyang

    2013-01-01

    A platform for sliding vane pump and centrifugal pump tests is installed to study the series operation of them under different characteristics of pipeline. Firstly, the sliding vane pump and the centrifugal pump work independently, and the performance is recorded. Then, the two types of pumps are combined together, with the sliding vane pump acting as the feeding pump. Comparison is made between the performance of the independently working pump and the performance of series operation pump. Re...

  6. Effects of Crust Ingestion on Mixer Pump Performance in Tank 241-SY-101: Workshop Results

    International Nuclear Information System (INIS)

    Brennen, C.E.; Stewart, C.W.; Meyer, P.A.

    1999-01-01

    In August 1999, a workshop was held at Pacific Northwest National Laboratory to discuss the effects of crust ingestion on mixer pump performance in Hanford Waste Tank 241-SY-101. The main purpose of the workshop was to evaluate the potential for crust ingestion to degrade mixing and/or damage the mixer pump. The need for a previously determined 12-inch separation between the top of the mixer pump inlet and the crust base was evaluated. Participants included a representative from the pump manufacturer, an internationally known expert in centrifugal pump theory, Hanford scientists and engineers, and operational specialists representing relevant fields of expertise. The workshop focused on developing an understanding of the pump design, addressing the physics of entrainment of solids and gases into the pump, and assessing the effects of solids and gases on pump performance. The major conclusions are summarized as follows: (1) Entrainment of a moderate amount of solids or gas from the crust should not damage the pump or reduce its lifetime, though mixing effectiveness will be somewhat reduced. (2) Air binding should not damage the pump. Vibrations due to ingestion of gas, solids, and objects potentially could cause radial loads that might reduce the lifetime of bearings and seals. However, significant damage would require extreme conditions not associated with the small bubbles, fine solids, and chunks of relatively weak material typical of the crust. (3) The inlet duct extension opening, 235 inches from the tank bottom, should be considered the pump inlet, not the small gap at 262 inches. (4) A suction vortex exists at the inlet of all pumps. The characteristics of the inlet suction vortex in the mixer pump are very hard to predict, but its effects likely extend upward several feet. Because of this, the current 12-inch limit should be replaced with criteria based on actual monitored pump performance. The most obvious criterion (in addition to current operational

  7. Annual energy performance of R744 and R410A heat pumping systems

    International Nuclear Information System (INIS)

    Jin, Zhequan; Eikevik, Trygve M.; Nekså, Petter; Hafner, Armin; Wang, Ruzhu

    2017-01-01

    Highlights: • Annual energy performance of R744 and R410A heat pumping systems is compared. • Several dynamic models of heat pumping systems are developed. • Annual energy efficiency of R744 hybrid ground-coupled heat pumping system. • The seasonal COPc and COPh of R744 hybrid system are 3.55 and 3.32. • The superiority of R744 system on the integration of two heat sinks is discussed. - Abstract: This work compares the annual energy performance of heat pumping systems using R744 and R410A as refrigerant. Focus is the annual energy efficiency of R744 hybrid ground-coupled heat pumping system. The hybrid system uses both ambient air and ground as heat sinks in the cooling mode. This is important to eliminate the underground heat accumulation phenomenon in warm climates. Several quasi-steady state models of heat pumping systems, using R744 and R410A, have been developed. Simulation results show that the annual COP_c and COP_h of an R744 hybrid system reaches 3.55 and 3.32, and its cooling performance is 42% better than for a R744 ASHP and 23% better than for a R744 GCHP system. The annual energy performance factor of a R410A ASHP system is better than for a R744 hybrid system, but the COP_c for the R410A system will be lower when the ambient temperature is higher than 30 °C.

  8. Significant reduction in blood loss in patients undergoing minimal extracorporeal circulation

    NARCIS (Netherlands)

    Gerritsen, W. B.; van Boven, W. J.; Smelt, M.; Morshuis, W. J.; van Dongen, H. P.; Haas, F. J.; Aarts, L. P.

    2006-01-01

    Several recent studies have shown differences in blood loss and allogeneic transfusion requirements between on-pump and off-pump coronary artery bypass grafting (CABG). Recently a new concept, the mini-extracorporeal circulation, was introduced to minimize the side effects of extracorporeal

  9. Experimental Study of Unshrouded Impeller Pump Stage Sensitivity to Tip Clearance

    Science.gov (United States)

    Williams, Robert W.; Zoladz, Thomas; Storey, Anne K.; Skelley, Stephen E.

    2002-01-01

    This viewgraph presentation provides information on an experiment. Its objective is to experimentally determine unshrouded impeller performance sensitivity to tip clearance. The experiment included: Determining impeller efficiency at scaled operating conditions in water at MSFC's Pump Test Equipment (PTE) Facility; Testing unshrouded impeller at three different tip clearances; Testing each tip clearance configuration at on- and off-design conditions, and collecting unsteady- and steady-state data in each configuration; Determining impeller efficiency directly using drive line torquemeter and pump inlet and exit total pressure measurements.

  10. General thermodynamic performance of irreversible absorption heat pump

    International Nuclear Information System (INIS)

    Zhao Xiling; Fu Lin; Zhang Shigang

    2011-01-01

    The absorption heat pump (AHP) was studied with thermodynamics. A four reservoirs model of absorption heat pump was established considering the heat resistance, heat leak and the internal irreversibility. The reasonable working regions, the performance effects of irreversibility, heat leak and the correlation of four components were studied. When studying the effects of internal irreversibility, two internal irreversibility parameters (I he for generator-absorber assembly and I re for evaporator-condenser assembly) were introduced to distinguish the different effects. When studying the heat transfer relations of four components, a universal relationship between the main parameters were deduced. The results which have more realized meaning show that, the reduction of the friction, heat loss, and internal dissipations of the evaporator-condenser assembly are more important than its reduction of generator-absorber assembly, and lessening the heat leak of generator are more important than its reduction of other components to improve the AHP performance.

  11. Application of the constant rate of pressure change method to improve jet pump performance

    International Nuclear Information System (INIS)

    Long, X P; Yang, X L

    2012-01-01

    This paper adopts a new method named the constant rate of pressure change (CRPC) to improve the jet pump performance. The main contribution of this method is that the diffuser generates uniform pressure gradient. The performance of the jet pump with new diffusers designed by the CRPC method, obtained by CFD methods, was compared with that of the jet pump with traditional conical diffusers. It is found that the CRPC diffuser produces a linear pressure increase indeed. The higher friction loss and the separation decrease the CRPC diffuser efficiency and then lower the pump efficiency. The pump with shorter throats has higher efficiency at small flow ratio while its efficiency is lower than the original pump at lager flow ratio and the peak efficiency of the pumps with the throat length of 5-6 Dt is higher than that of the pumps with other throat length. When the throat length is less than 4 Dt, the CRPC diffuser efficiency is higher than the conical diffuser. The CRPC method could also be used to design the nozzle and other situations needing the pressure change gradually.

  12. A mitral annulus tracking approach for navigation of off-pump beating heart mitral valve repair.

    Science.gov (United States)

    Li, Feng P; Rajchl, Martin; Moore, John; Peters, Terry M

    2015-01-01

    To develop and validate a real-time mitral valve annulus (MVA) tracking approach based on biplane transesophageal echocardiogram (TEE) data and magnetic tracking systems (MTS) to be used in minimally invasive off-pump beating heart mitral valve repair (MVR). The authors' guidance system consists of three major components: TEE, magnetic tracking system, and an image guidance software platform. TEE provides real-time intraoperative images to show the cardiac motion and intracardiac surgical tools. The magnetic tracking system tracks the TEE probe and the surgical tools. The software platform integrates the TEE image planes and the virtual model of the tools and the MVA model on the screen. The authors' MVA tracking approach, which aims to update the MVA model in near real-time, comprises of three steps: image based gating, predictive reinitialization, and registration based MVA tracking. The image based gating step uses a small patch centered at each MVA point in the TEE images to identify images at optimal cardiac phases for updating the position of the MVA. The predictive reinitialization step uses the position and orientation of the TEE probe provided by the magnetic tracking system to predict the position of the MVA points in the TEE images and uses them for the initialization of the registration component. The registration based MVA tracking step aims to locate the MVA points in the images selected by the image based gating component by performing image based registration. The validation of the MVA tracking approach was performed in a phantom study and a retrospective study on porcine data. In the phantom study, controlled translations were applied to the phantom and the tracked MVA was compared to its "true" position estimated based on a magnetic sensor attached to the phantom. The MVA tracking accuracy was 1.29 ± 0.58 mm when the translation distance is about 1 cm, and increased to 2.85 ± 1.19 mm when the translation distance is about 3 cm. In the study on

  13. Diagnostic value of CRP and Lp(a) in coronary heart disease.

    Science.gov (United States)

    Erbağci, Ayşe Binnur; Tarakçioğlu, Mehmet; Aksoy, Mehmet; Kocabaş, Ramazan; Nacak, Muradiye; Aynacioğlu, A Sükrü; Sivrikoz, Cumhur

    2002-06-01

    Increased lipoprotein (a) [Lp(a)] concentration was reported to be an independent risk factor for coronary heart disease (CHD). Recent epidemiological studies affirmed the value of C-reactive protein (CRP) as the strongest, univariate predictor of the cardiovascular events. We decided to establish cut-off levels providing maximum diagnostic efficiency for CHD. In this study we measured CRP and Lp(a) concentrations in patients with angiographically demonstrated CHD (group A, n: 120), patients without any angiographically demonstrable lesion (group B, n: 62) and a group of healthy subjects (group C, n: 41). Data were evaluated correcting for lipid and lipoprotein concentrations, diabetes mellitus, hypertension, smoking, age, and body mass index in men and women. ROC curve based cut-off values (comparing group A versus groups B and C) and associated diagnostic performances of the assays were evaluated. Significant increases were noted in serum CRP concentrations in men and women, in groups A vs. B,A vs. C, B vs. C. Lp(a) concentrations were not different among groups in men but were higher in group A vs. B and C in women. Optimal cut-off levels for CRP in women and men were found as 2.1 and 3.0 mg/l with the diagnostic values of 0.792 and 0.770, respectively. For Lp(a) optimal cut-off levels were found as 22.6 and 9.8 mg/dl with the diagnostic values of 0.612 and 0.596 in women and men, respectively. The CRP level is quite efficient for separation of patients from controls. Therefore keeping in mind the lack of specificity, the CRP level may be a useful tool in the diagnosis of coronary heart disease. However, the Lp(a) level is not efficient enough to support the use of Lp(a) measurement for management of coronary heart disease.

  14. On the field performance of PV water pumping system in Libya

    International Nuclear Information System (INIS)

    Sbeta, M.; Sasi, S.

    2012-01-01

    This paper presents the measured performance of an experimental PV water pumping system of 1200Wp installed in the north-east of Libya. Both the monthly and hourly measured data of the system performance are presented and analised, and the over-all system efficiency has been calculated as monthly and daily averages. The monthly average output of the system has been estimated and compared with measured data. The economic analysis of the system has been carried out and the specific water discharge cost (SDC) has been determined, the obtained SDC was very competitive with the published SDC of the PV water pumping projects in some countries. The obtained results have demonstrated the technical and economic feasibility of using the PV systems for water pumping especially in the remote areas of high potential of solar insolation.(author)

  15. Design and performance prediction of an adsorption heat pump with multi-cooling tubes

    Energy Technology Data Exchange (ETDEWEB)

    Wang, D.C.; Zhang, J.P. [College of Electromechanical Engineering, Qingdao University, Qingdao 266071 (China)

    2009-05-15

    Widespread application of adsorption heat pumps has been delayed not only by poor heat and mass transfer performance but also by low operating reliability because high vacuum must be maintained in the adsorption cooling system, especially in a water system. An adsorption cooling tube is a tube in which an adsorber, a condenser and an evaporator are all completely housed to construct a small scale adsorption cooling unit. In this work, an adsorption cooling tube and an adsorption heat pump with multi-cooling tubes are designed. A theoretical model is built to simulate the performance of the designed chiller. According to the results, the coefficient of performance and specific cooling power reach about 0.5 and 85 W/kg adsorbent, respectively, at the hot water temperature of 85 C. These results indicate that the designed heat pump in this work would provide a better choice if the operating reliability became crucial for an adsorption heat pump. (author)

  16. Design and performance prediction of an adsorption heat pump with multi-cooling tubes

    International Nuclear Information System (INIS)

    Wang, D.C.; Zhang, J.P.

    2009-01-01

    Widespread application of adsorption heat pumps has been delayed not only by poor heat and mass transfer performance but also by low operating reliability because high vacuum must be maintained in the adsorption cooling system, especially in a water system. An adsorption cooling tube is a tube in which an adsorber, a condenser and an evaporator are all completely housed to construct a small scale adsorption cooling unit. In this work, an adsorption cooling tube and an adsorption heat pump with multi-cooling tubes are designed. A theoretical model is built to simulate the performance of the designed chiller. According to the results, the coefficient of performance and specific cooling power reach about 0.5 and 85 W/kg adsorbent, respectively, at the hot water temperature of 85 deg. C. These results indicate that the designed heat pump in this work would provide a better choice if the operating reliability became crucial for an adsorption heat pump.

  17. Investigation of CFD calculation method of a centrifugal pump with unshrouded impeller

    Science.gov (United States)

    Wu, Dazhuan; Yang, Shuai; Xu, Binjie; Liu, Qiaoling; Wu, Peng; Wang, Leqin

    2014-03-01

    Currently, relatively large errors are found in numerical results in some low-specific-speed centrifugal pumps with unshrouded impeller because the effect of clearances and holes are not accurately modeled. Establishing an accurate analytical model to improve performance prediction accuracy is therefore necessary. In this paper, a three-dimensional numerical simulation is conducted to predict the performance of a low-specific-speed centrifugal pump, and the modeling, numerical scheme, and turbulent selection methods are discussed. The pump performance is tested in a model pump test bench, and flow rate, head, power and efficiency of the pump are obtained. The effect of taking into consideration the back-out vane passage, clearance, and balance holes is analyzed by comparing it with experimental results, and the performance prediction methods are validated by experiments. The analysis results show that the pump performance can be accurately predicted by the improved method. Ignoring the back-out vane passage in the calculation model of unshrouded impeller is found to generate better numerical results. Further, the calculation model with the clearances and balance holes can obviously enhance the numerical accuracy. The application of disconnect interface can reduce meshing difficulty but increase the calculation error at the off-design operating point at the same time. Compared with the standard k-ɛ, renormalization group k-ɛ, and Spalart-Allmars models, the Realizable k-ɛ model demonstrates the fastest convergent speed and the highest precision for the unshrouded impeller flow simulation. The proposed modeling and numerical simulation methods can improve the performance prediction accuracy of the low-specific-speed centrifugal pumps, and the modeling method is especially suitable for the centrifugal pump with unshrouded impeller.

  18. Optimized design and performance of a shared pump single clad 2 μm TDFA

    Science.gov (United States)

    Tench, Robert E.; Romano, Clément; Delavaux, Jean-Marc

    2018-05-01

    We report the design, experimental performance, and simulation of a single stage, co- and counter-pumped Tm-doped fiber amplifier (TDFA) in the 2 μm signal wavelength band with an optimized 1567 nm shared pump source. We investigate the dependence of output power, gain, and efficiency on pump coupling ratio and signal wavelength. Small signal gains of >50 dB, an output power of 2 W, and small signal noise figures of performance agree well with the experimental data. We also discuss performance tradeoffs with respect to amplifier topology for this simple and efficient TDFA.

  19. Nonlinear performances of dual-pump amplifiers in silicon waveguides

    International Nuclear Information System (INIS)

    Meng Fan; Yu Chong-Xiu; Deng Yun-Yi; Yuan Jin-Hui

    2012-01-01

    The performances of a dual-pump parametric and Raman amplification process and the wavelength conversion in silicon waveguides are investigated. By setting the Raman contribution fraction f to be 0.043 in our analytical model, the amplification gain of the probe signal can be obtained to be over 10 dB. The pump transfer noise (PTN), the quantum noise (QN), and the total noise figure (TNF) are discussed, and the TNF has a constant value of about 4 dB in the gain bandwidth. An idler signal generated during the parametric amplification (PA) process can be used to realize the wavelength conversion in wavelength division multiplexing (WDM) systems. In addition, the pump signal parameters, the generated free carrier lifetime and effective mode area (EMA) of the waveguide are analysed for the optimization of signal gain and noise characteristics. (electromagnetism, optics, acoustics, heat transfer, classical mechanics, and fluid dynamics)

  20. Continuous Perfusion of Saphenous Vein by Oxygenated Blood during Beating Coronary Surgery

    Directory of Open Access Journals (Sweden)

    Mohammad Hossein Mandegar

    2015-09-01

    Full Text Available Background: The saphenous vein remains the most commonly used conduit for coronary artery bypass surgery (CABG. However, the long-term success of surgical revascularization is largely limited by development of occlusion in vein grafts. Objectives: We sought to reduce graft ischemia by maintaining the blood flow into the harvested vein throughout surgery at lowest costs and without special devices. Patients and Methods: This study was conducted on three hundred patients aged 58.5 ± 8 years undergoing elective first-time off-pump CABG with saphenous veins. Results: In addition to preserving nutritional materials and oxygen, the veins harvested via this novel technique did not go into spasm and were not subjected to high-pressure distension, eventually resulting in minimal damage to the endothelium. Conclusions: This technique confers favorable myocardial function and protection in the presence of left ventricular dysfunction, especially in elderly patients.

  1. Magnetic heat pumping near room temperature

    Science.gov (United States)

    Brown, G. V.

    1976-01-01

    It is shown that magnetic heat pumping can be made practical at room temperature by using a ferromagnetic material with a Curie point at or near operating temperature and an appropriate regenerative thermodynamic cycle. Measurements are performed which show that gadolinium is a resonable working material and it is found that the application of a 7-T magnetic field to gadolinium at the Curie point (293 K) causes a heat release of 4 kJ/kg under isothermal conditions or a temperature rise of 14 K under adiabatic conditions. A regeneration technique can be used to lift the load of the lattice and electronic heat capacities off the magnetic system in order to span a reasonable temperature difference and to pump as much entropy per cycle as possible

  2. Swimming performance, venous oxygen tension and cardiac performance of coronary-ligated rainbow trout, Oncorhynchus mykiss, exposed to progressive hypoxia

    DEFF Research Database (Denmark)

    Steffensen, J F; Farrell, A P

    1998-01-01

    We performed in vivo studies to examine the idea that cardiac work is impaired in rainbow trout (Oncorhynchus mykiss) below a certain venous PO2 threshold. We hypothesized that coronary-ligated fish, swimming continuously at a reasonably high water velocity (1.5 body lengths x s(-1)) and exposed...... to progressive hypoxia, would fatigue at higher venous PO2 and ambient water PO2 compared with sham-operated fish. However, we found that both the lowest venous PO2 that supported hypoxic swimming (9.9 torr for coronary-ligated fish and 11.1 torr for sham-operated fish) and the venous PO2 at fatigue (7.8 torr...... and 8.6 torr, respectively) were the same for coronary-ligated and sham-operated fish. Also, both groups quit swimming at the same water PO2 heart rate and hematocrit. Nevertheless, significant differences in cardiac performance did exist between the two groups. Whereas ventral aortic blood pressure...

  3. Inversion prepared coronary MR angiography: direct visualization of coronary blood flow

    International Nuclear Information System (INIS)

    Katoh, M.; Spuentrup, E.; Buecker, A.; Guenther, R.W.; Stuber, M.; Manning, W.J.; Botnar, R.M.

    2005-01-01

    Purpose: visualization of coronary blood flow by means of a slice-selective inversion pre-pulse in concert with bright-blood coronary MRA. Materials and methods: coronary magnetic resonance angiography (MRA) of the right coronary artery (RCA) was performed in eight healthy adult subjects on a 1.5 Tesla MR system (Gyroscan ACS-NT, Philips Medical Systems, Best, NL) using a free-breathing navigator-gated and cardiac-triggered 3D steady-state free-precession (SSFP) sequence with radial k-space sampling. Imaging was performed with and without a slice-selective inversion pre-pulse, which was positioned along the main axis of the coronary artery but perpendicular to the imaging volume. Objective image quality parameters such as SNR, CNR, maximal visible vessel length, and vessel border definition were analyzed. Results: in contrast to conventional bright-blood 3D coronary MRA, the selective inversion pre-pulse provided a direct measure of coronary blood flow. In addition, CNR between the RCA and right ventricular blood pool was increased and the vessels had a tendency towards better delineation. Blood SNR and CNR between right coronary blood and epicardial fat were comparable in both sequences. (orig.)

  4. Domestic heat pumps in the UK. User behaviour, satisfaction and performance

    Energy Technology Data Exchange (ETDEWEB)

    Caird, S.; Roy, R.; Potter, S. [Design Innovation Group, Dept. Design, Development, Environment and Materials, Faculty of Mathematics, Computing and Technology, The Open University, Milton Keynes, MK7 6AA (United Kingdom)

    2012-08-15

    Consumer adoption of microgeneration technologies is part of the UK strategy to reduce carbon emissions from buildings. Domestic heat pumps are viewed as a potentially important carbon saving technology, given the ongoing decarbonisation of the electricity supply system. To address the lack of independent evaluation of heat pump performance, the Energy Saving Trust undertook the UK's first large-scale heat pump field trial, which monitored 83 systems in real installations. As part of the trial, the Open University studied the consumers' experience of using a domestic heat pump. An in-depth user survey investigated the characteristics, behaviour, and satisfactions of private householders and social housing residents using ground source and air source heat pumps for space and/or water heating, and examined the influence of user-related factors on measured heat pump system efficiency. The surveys found that most users were satisfied with the reliability, heating, hot water, warmth and comfort provided by their system. Analysis of user characteristics showed that higher system efficiencies were associated with greater user understanding of their heat pump system, and more continuous heat pump operation, although larger samples are needed for robust statistical confirmation. The analysis also found that the more efficient systems in the sample were more frequently located in the private dwellings than at the social housing sites and this difference was significant. This is explained by the interaction between differences in the systems, dwellings and users at the private and social housing sites. The implications for heat pump research, practice and policy are discussed.

  5. Dynamic Performance of the Standalone Wind Power Driven Heat Pump

    OpenAIRE

    H. Li; P.E. Campana; S. Berretta; Y. Tan; J. Yan

    2016-01-01

    Reducing energy consumption and increasing use of renewable energyin the building sector arecrucial to the mitigation of climate change. Wind power driven heat pumps have been considered as a sustainable measure to supply heat for detached houses, especially those that even don’t have access to the grid. This work is to investigate the dynamic performance of a heat pump system directly driven by a wind turbine. The heat demand of a detached single family house was simulated in details. Accord...

  6. Intraoperative coronary grafts flow measurement using the TTFM flowmeter: results from a domestic sample.

    Science.gov (United States)

    Succi, José Ernesto; Gerola, Luis Roberto; Succi, Guilherme de Menezes; Kim, Hyong Chun; Paredes, Jorge Edwin Morocho; Bufollo, Enio

    2012-01-01

    To evaluate intraoperative graft patency and identify grafts under risk of early occlusion. Fifty four patients were submitted to coronary artery bypass surgery and the graft flow was assessed by the Flowmeter (Medtronic Medistim), which utilizes the TTFM method. Three patients had left main disease and 48 had normal or mildly reduced left ventricular function. In hospital mortality was 3.7% (two patients), one for mesenteric thrombosis and one due to cardiogenic chock. Seventeen patients (34%) were submitted to off pump CABG. Arterial Graft flow measures ranged from 8 to 106 ml/min (average 31.14 ml/min), and venous grafts flow ranged from 9 to 149 ml/min (average 50.42 ml/min). Flowmeter use represents higher safety both for patients and surgeons. Even under legal aspects, the documentation provided by the device can avoid future questionings.

  7. Solar Assisted Ground Source Heat Pump Performance in Nearly Zero Energy Building in Baltic Countries

    Science.gov (United States)

    Januševičius, Karolis; Streckienė, Giedrė

    2013-12-01

    In near zero energy buildings (NZEB) built in Baltic countries, heat production systems meet the challenge of large share domestic hot water demand and high required heating capacity. Due to passive solar design, cooling demand in residential buildings also needs an assessment and solution. Heat pump systems are a widespread solution to reduce energy use. A combination of heat pump and solar thermal collectors helps to meet standard requirements and increases the share of renewable energy use in total energy balance of country. The presented paper describes a simulation study of solar assisted heat pump systems carried out in TRNSYS. The purpose of this simulation was to investigate how the performance of a solar assisted heat pump combination varies in near zero energy building. Results of three systems were compared to autonomous (independent) systems simulated performance. Different solar assisted heat pump design solutions with serial and parallel solar thermal collector connections to the heat pump loop were modelled and a passive cooling possibility was assessed. Simulations were performed for three Baltic countries: Lithuania, Latvia and Estonia.

  8. 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)....

  9. Pulmonary Venous Diastolic Flow Reversal and Flash Pulmonary Edema During Management of Ongoing Myocardial Ischemia with Intraaortic Balloon Pump.

    Science.gov (United States)

    Murray, Davoy; Peng, Yong G

    2015-10-15

    A 65-year-old man was admitted for acute coronary syndrome with depressed left ventricular function and moderate aortic regurgitation. He was managed with an intraaortic balloon pump for circulatory support before coronary artery bypass grafting and subsequently developed flash pulmonary edema with an associated rare finding of diastolic pulmonary venous flow reversal. In this report, we provide a review of intraaortic balloon pump use in current clinical practice and elaborate on the pathophysiology of an uncommon pulmonary venous flow pattern found in our patient.

  10. Clinical performance of dual-source computerized tomography (DSCT) in primary diagnostics of coronary heart diseases

    International Nuclear Information System (INIS)

    Brunner, H.; Froehner, S.; Wagner, M.; Schmitt, R.; Brunn, J.; Gietzen, F.H.; Kerber, S.

    2008-01-01

    Dual-source-CT-technology (DSCT) improves temporal resolution of cardiac computed tomography to 83 ms per heart-phase. In this study, the clinical performance of this new method is evaluated. Materials and Methods: In fifty patients (33 male, 17 female; age 50±13 years) with suspected coronary heart disease, CT angiography (slice thickness 0,75 mm, contrast-agent 60-80 ml iomeprol) was performed with a Somatom Definition scanner. Based on the coronary 15-segment-model of the AHA, scores for image quality and lumen reduction were established to enable the observer, to give recommendations for further therapy. Results: Out of 750 possible AHA-segments, 655 were depicted (87,3%). 591 segments (90,2%) were assessed without any limitation of quality, 49 (7,5%) segments showed moderate, and 15 (2,3%) segments severe limitation in image quality. 508 (77,6%) segments were without pathological findings, 92 (14,0%) segments had minimal atherosclerotic lesions, 42 (6,4%) segments suffered from stenoses with lumen reduction less than 70%, and 13 (2,0%) showed significant stenoses of more than 70%. In 31 patients (62%), coronary heart disease was ruled out by CT angiography without any need for further non-invasive or invasive diagnostics. 8 patients (16%) underwent stress-testing for ischemia. In 11 (22%) patients coronary angiography was recommended, and DSCT findings were confirmed in 10 cases. Only one LCx stenosis was overestimated in DSCT. Conclusion: Contrast-enhanced DSCT is a powerful tool in diagnosis of coronary heart disease. 98% of coronary segments could be assessed in diagnostic quality, and at least 90% of haemodynamically significant coronary stenoses were detected. (orig.)

  11. Performance evaluation of an integrated automotive air conditioning and heat pump system

    International Nuclear Information System (INIS)

    Hosoz, M.; Direk, M.

    2006-01-01

    This study deals with the performance characteristics of an R134a automotive air conditioning system capable of operating as an air-to-air heat pump using ambient air as a heat source. For this aim, an experimental analysis has been performed on a plant made up of original components from an automobile air conditioning system and some extra equipment employed to operate the system in the reverse direction. The system has been tested in the air conditioning and heat pump modes by varying the compressor speed and air temperatures at the inlets of the indoor and outdoor coils. Evaluation of the data gathered in steady state test runs has shown the effects of the operating conditions on the capacity, coefficient of performance, compressor discharge temperature and the rate of exergy destroyed by each component of the system for both operation modes. It has been observed that the heat pump operation provides adequate heating only in mild weather conditions, and the heating capacity drops sharply with decreasing outdoor temperature. However, compared with the air conditioning operation, the heat pump operation usually yields a higher coefficient of performance and a lower rate of exergy destruction per unit capacity. It is also possible to improve the heating mode performance of the system by redesigning the indoor coil, using another refrigerant with a higher heat rejection rate in the condenser and employing a better heat source such as the engine coolant or exhaust gases

  12. Experimental performance analysis of a direct-expansion ground source heat pump in Xiangtan, China

    International Nuclear Information System (INIS)

    Yang, Wei

    2013-01-01

    The DX GSHP (direct-expansion ground source heat pump), which uses a buried copper piping network through which refrigerant is circulated, is one type of GSHP (ground source heat pump). This study investigates the performance characteristics of a vertical U-bend direct-expansion ground source (geothermal) heat pump system (DX GSHPS) for both heating and cooling. Compared with the conventional GCHP (ground coupled heat pump) system, the DX GSHP system is more efficient, with lower thermal resistance in the GHE (ground heat exchanger) and a lower (higher) condensing (evaporating) temperature in the cooling (heating) mode. In addition, the system performance of the whole DX GSHP system is also higher than that of the conventional GCHP system. A DX GSHP system in Xiangtan, China with a U-bend ground heat exchanger 42 m deep with a nominal outside diameter of 12.7 mm buried in a water well was tested and analysed. The results showed that the performance of this system is very high. The maximum (average) COPs of the system were found to be 6.08 (4.73) and 6.32 (5.03) in the heating and cooling modes, respectively. - Highlights: • The reasons for the higher performance of the DX GSHP (direct-expansion ground source heat pump) are analysed theoretically compared with the conventional GCHP (ground coupled heat pump). • The experimental performance of a DX GSHP system is investigated, which makes a valuable contribution to the literature. • The study is helpful in demonstrating the energy efficiency of the DX GSHP system

  13. Mold Heating and Cooling Pump Package Operator Interface Controls Upgrade

    Energy Technology Data Exchange (ETDEWEB)

    Josh A. Salmond

    2009-08-07

    The modernization of the Mold Heating and Cooling Pump Package Operator Interface (MHC PP OI) consisted of upgrading the antiquated single board computer with a proprietary operating system to off-the-shelf hardware and off-the-shelf software with customizable software options. The pump package is the machine interface between a central heating and cooling system that pumps heat transfer fluid through an injection or compression mold base on a local plastic molding machine. The operator interface provides the intelligent means of controlling this pumping process. Strict temperature control of a mold allows the production of high quality parts with tight tolerances and low residual stresses. The products fabricated are used on multiple programs.

  14. Low plasma edge temperatures for the self-pumped limiter

    International Nuclear Information System (INIS)

    Terry, W.K.; Brooks, J.N.

    1985-03-01

    Transport code calculations have been performed to study the operation of an INTOR-like tokamak plasma from which helium is removed by a self-pumped limiter, which traps helium, but not hydrogen, in its surface layers. To prevent saturation by helium, the surface is renewed by continuous injection of the surface material (vanadium in this study) into the scrape-off layer. The presence of the injected vanadium leads to plasma temperatures well below 50 eV in the scrape-off layer, with supplementary rf heating. Operation in this edge temperature regime is essential for the use of medium- and high-Z limiter coatings

  15. Bistable direction switching in an off-axis pumped continuous wave ruby laser

    Science.gov (United States)

    Afzal, R. Sohrab; Lawandy, N. M.

    1988-01-01

    A report is presented of the observation of hysteretic bistable direction switching in a single-mode CW ruby laser system. This effect is only observed when the pump beam which is focused into the ruby rod is misaligned with respect to the rod end faces. At low pump powers, the ruby lases in a mode nearly collinear with the pump axis. At a higher pump power the ruby switches to a mode that is collinear with the rod end faces and preserves the original polarization. The effect is large enough to switch the beam by an angle equal to twice the diffraction angle. The observations show that under steady-state pumping, a CW ruby laser can exhibit bistable operation in its output direction and power. A calculation using the heat equation with two concentric cylinders with one as a heat source (pump laser) and the outer wall of the other held at 77 K, gives an increase in core temperature of about 0.01 K. Therefore, the increase in temperature is not large enough to change the index of refraction to account for such large macroscopic effects.

  16. Risk of iron overload is decreased in beating heart coronary artery surgery compared to conventional bypass.

    Science.gov (United States)

    Mumby, S; Koh, T W; Pepper, J R; Gutteridge, J M

    2001-11-29

    Conventional cardiopulmonary bypass surgery (CCPB) increases the iron loading of plasma transferrin often to a state of plasma iron overload, with the presence of low molecular mass iron. Such iron is a potential risk factor for oxidative stress and microbial virulence. Here we assess 'off-pump' coronary artery surgery on the beating heart for changes in plasma iron chemistry. Seventeen patients undergoing cardiac surgery using the 'Octopus' myocardial wall stabilisation device were monitored at five time points for changes in plasma iron chemistry. This group was further divided into those (n=9) who had one- or two- (n=8) vessel grafts, and compared with eight patients undergoing conventional coronary artery surgery. Patients undergoing beating heart surgery had significantly lower levels of total plasma non-haem iron, and a decreased percentage saturation of their transferrin at all time points compared to conventional bypass patients. Plasma iron overload occurred in only one patient undergoing CCPB. Beating heart surgery appears to decrease red blood cell haemolysis, and tissue damage during the operative procedures and thereby significantly decreases the risk of plasma iron overload associated with conventional bypass.

  17. Performances of solar water pumping system using helical pump for a deep well: A case study for Madinah, Saudi Arabia

    International Nuclear Information System (INIS)

    Benghanem, M.; Daffallah, K.O.; Joraid, A.A.; Alamri, S.N.; Jaber, A.

    2013-01-01

    Highlights: ► The best performance of helical pump has been reached for a deep well. ► Very high potential of solar energy at Saudi Arabia. ► Performance of solar water pumping system for a deep well of 120 m. ► We get the best efficiency of helical pump for the head of 80 m. ► The best configuration of PV generator (24 panels) has been obtained. - Abstract: The photovoltaic water pumping systems (PVWPS) constitute a potential option to draw down water in the remote desert locations for domestic usage and livestock watering. However, the widespread of this technique requires accurate information and experiences in such system sizing and installation. The aim of this work is to determine an optimum photovoltaic (PV) array configuration, adequate to supply a DC Helical pump with an optimum energy amount, under the outdoor conditions of Madinah site. Four different PV array configurations have been tested (6S × 3P, 6S × 4P, 8S × 3P and 12S × 2P). The tests have been carried for a head of 80 m, under sunny daylight hours, in a real well at a farm in Madinah site. The best results have been obtained for two PV array configurations (6S × 4P) and (8S × 3P) which are suitable to provide the optimum energy. Powered by the selected PV array configurations, the helical pump (SQF2.5-2) delivered a maximum daily average volume of water needed (22 m 3 /day).

  18. Suggested cut-off values for vitamin D as a risk marker for total and cardiac death in patients with suspected acute coronary syndrome

    Directory of Open Access Journals (Sweden)

    Patrycja Anna Naesgaard

    2016-02-01

    Full Text Available Background: Several studies have demonstrated an association between low vitamin D levels and cardiovascular risk. Vitamin D cut off levels are still under debate. Objectives: To assess two cut-off levels, 40 nmol/L and 70 nmol/L, respectively, for vitamin D measured as 25-hydroxyvitamin D [25(OHD] in chest pain patients with suspected acute coronary syndrome.Methods: We investigated 1853 patients from coastal-Norway and inland Northern-Argentina. A similar database was used for pooling of data. 2-year follow-up data including all-cause mortality, cardiac death and sudden cardiac death in the total patient population were analyzed, applying univariate and multivariable analysis. Results: 255 patients with known vitamin D concentrations died. In the multivariable analysis, there was a decrease in total mortality above a cut-off level of 40 nmol/L and a decrease in cardiac death above a cut-off level of 70 nmol/L, [HRs of 0.66 (95% CI, 0.50 – 0.88, p = 0.004 and 0.46 (95% CI, 0.22 – 0.94, p = 0.034, respectively].Conclusion: Vitamin D cut-off levels of 40 nmol/L and 70 nmol/L, were related to total mortality and cardiac death, respectively.

  19. The minimum coronary artery diameter in which coronary spasm can be identified by synchrotron radiation coronary angiography

    International Nuclear Information System (INIS)

    Matsushita, Shonosuke; Hyodo, Kazuyuki; Imazuru, Tomohiro; Tokunaga, Chiho; Sato, Fujio; Enomoto, Yoshiharu; Hiramatsu, Yuji; Sakakibara, Yuzuru

    2008-01-01

    Background: Coronary vasospasm is defined as a temporary, intense narrowing of the coronary conduit artery. It brings about ischemic chest pain and becomes one of the causes of myocardial infarction. Coronary spasms are divided into two categories. One is the coronary spasm of the conduit artery and the other is the coronary microvascular spasm. Although coronary spasms are diagnosed with the images of coronary angiography, microvascular spasms cannot be diagnosed because of the limitations of conventional angiographic systems. However, synchrotron radiation coronary angiography (SRCA) can identify coronary arteries down to 100 μm in diameter in the beating heart and 50 μm in arrested heart. Aim: The purpose of this study was to confirm whether microvascular spasms could be identified or not using SRCA, and then down that size identification was possible. Methods: The Langendorff perfusion system with isolated rat hearts was employed. Krebs-Henseleit solution (KH solution) was used as a perfusate. 10 mM of 4-aminopyridine (4-AP: a voltage-gated potassium channel blocker; spasm inducer) was added to the KH solution and maintained for 5 min. SRCA was performed at pre-, during and 10 min after cessation of the KH solution with 4-AP. Coronary spasms were defined as a temporal 75% reduction of coronary arterial diameter. Results and conclusion: Multiple sizes of coronary arteries showed coronary spasms. The minimum stenosed coronary artery size was 100 μm. Since coronary microvascular spasms are seen in the arterioles (50-400 μm), coronary microvascular spasms may be diagnosed with the use of synchrotron radiation coronary angiography

  20. Performance Analysis of Air-to-Water Heat Pump in Latvian Climate Conditions

    Science.gov (United States)

    Kazjonovs, Janis; Sipkevics, Andrejs; Jakovics, Andris; Dancigs, Andris; Bajare, Diana; Dancigs, Leonards

    2014-12-01

    Strategy of the European Union in efficient energy usage demands to have a higher proportion of renewable energy in the energy market. Since heat pumps are considered to be one of the most efficient heating and cooling systems, they will play an important role in the energy consumption reduction in buildings aimed to meet the target of nearly zero energy buildings set out in the EU Directive 2010/31/EU. Unfortunately, the declared heat pump Coefficient of Performance (COP) corresponds to a certain outdoor temperature (+7 °C), therefore different climate conditions, building characteristics and settings result in different COP values during the year. The aim of this research is to investigate the Seasonal Performance factor (SPF) values of air-to-water heat pump which better characterize the effectiveness of heat pump in a longer selected period of time, especially during the winter season, in different types of residential buildings in Latvian climate conditions. Latvia has four pronounced seasons of near-equal length. Winter starts in mid-December and lasts until mid-March. Latvia is characterized by cold, maritime climate (duration of the average heating period being 203 days, the average outdoor air temperature during the heating period being 0.0 °C, the coldest five-day average temperature being -20.7 °C, the average annual air temperature being +6.2 °C, the daily average relative humidity being 79 %). The first part of this research consists of operational air-towater heat pump energy performance monitoring in different residential buildings during the winter season. The second part of the research takes place under natural conditions in an experimental construction stand which is located in an urban environment in Riga, Latvia. The inner area of this test stand, where air-to-water heat pump performance is analyzed, is 9 m2. The ceiling height is 3 m, all external wall constructions (U = 0.16 W/(m2K)) have ventilated facades. To calculate SPF, the

  1. Design and principle of operation of the HeartMate PHP (percutaneous heart pump).

    Science.gov (United States)

    Van Mieghem, Nicolas M; Daemen, Joost; den Uil, Corstiaan; Dur, Onur; Joziasse, Linda; Maugenest, Anne-Marie; Fitzgerald, Keif; Parker, Chris; Muller, Paul; van Geuns, Robert-Jan

    2018-02-20

    The HeartMate PHP (percutaneous heart pump) is a second-generation transcatheter axial flow circulatory support system. The collapsible catheter pump is inserted through a 14 Fr sheath, deployed across the aortic valve expanding to 24 Fr and able to deliver up to 5 L/min blood flow at minimum haemolytic risk. As such, this device may be a valuable adjunct to percutaneous coronary intervention (PCI) of challenging lesions in high-risk patients or treatment of cardiogenic shock. This technical report discusses: (i) the HeartMate PHP concept, (ii) the implantation technique, (iii) the haemodynamic performance in an in vitro cardiovascular flow testing set-up, and (iv) preliminary clinical experience. An update on the device, produced by St. Jude Medical/Abbott Laboratories, can be found in the Appendix.

  2. Algorithm to determine electrical submersible pump performance considering temperature changes for viscous crude oils

    Energy Technology Data Exchange (ETDEWEB)

    Valderrama, A. [Petroleos de Venezuela, S.A., Distrito Socialista Tecnologico (Venezuela); Valencia, F. [Petroleos de Venezuela, S.A., Instituto de Tecnologia Venezolana para el Petroleo (Venezuela)

    2011-07-01

    In the heavy oil industry, electrical submersible pumps (ESPs) are used to transfer energy to fluids through stages made up of one impeller and one diffuser. Since liquid temperature increases through the different stages, viscosity might change between the inlet and outlet of the pump, thus affecting performance. The aim of this research was to create an algorithm to determine ESPs' performance curves considering temperature changes through the stages. A computational algorithm was developed and then compared with data collected in a laboratory with a CG2900 ESP. Results confirmed that when the fluid's viscosity is affected by the temperature changes, the stages of multistage pump systems do not have the same performance. Thus the developed algorithm could help production engineers to take viscosity changes into account and optimize the ESP design. This study developed an algorithm to take into account the fluid viscosity changes through pump stages.

  3. Evaluation of Blood Hemodynamics in Vascular Grafts after Total Arterial Coronary Revascularization

    Directory of Open Access Journals (Sweden)

    Ahmad Ali Amirghofran

    2016-07-01

    Full Text Available Arterial grafting has increasingly been advocated for the treatment of coronary artery disease in an attempt to improve the long-term results. In the quest to perform routine total arterial revascularization, composite Y graft methods are gaining popularity. The aim of our study was to evaluate whether blood flow in the left internal thoracic artery can provide sufficient perfusion to the entire cardiac muscle per se. Twenty patients with severe coronary artery stenosis who underwent complete arterial coronary revascularization using a composite graft entered our study. Blood flow in thoracic trunk was evaluated in three phases: cross-clamp on, cross-clamp off, and after weaning the patient from cardiopulmonary bypass. Mean arterial blood pressure in the thoracic trunk in these various positions was 62.7±3.7. left internal thora cic artery can provide sufficient blood flow to the cardiac muscles for both rest and exercise conditions.

  4. Off-design performance analysis of a solar-powered organic Rankine cycle

    International Nuclear Information System (INIS)

    Wang, Jiangfeng; Yan, Zhequan; Zhao, Pan; Dai, Yiping

    2014-01-01

    Highlights: • Solar-powered organic Rankine cycle with CPC and thermal storage unit is studied. • Off-design performances encountering the changes of key parameters are examined. • Off-design performance is analyzed over a whole day and in different months. - Abstract: Performance evaluation of a thermodynamic system under off-design conditions is very important for reliable and cost-effective operation. In this study, an off-design model of an organic Rankine cycle driven by solar energy is established with compound parabolic collector (CPC) to collect the solar radiation and thermal storage unit to achieve the continuous operation of the overall system. The system off-design behavior is examined under the change in environment temperature, as well as thermal oil mass flow rates of vapor generator and CPC. In addition, the off-design performance of the system is analyzed over a whole day and in different months. The results indicate that a decrease in environment temperature, or the increases in thermal oil mass flow rates of vapor generator and CPC could improve the off-design performance. The system obtains the maximum average exergy efficiency in December and the maximum net power output in June or in September. Both the net power output and the average exergy efficiency reach minimum values in August

  5. A mechanical argument for the differential performance of coronary artery grafts.

    Science.gov (United States)

    Prim, David A; Zhou, Boran; Hartstone-Rose, Adam; Uline, Mark J; Shazly, Tarek; Eberth, John F

    2016-02-01

    Coronary artery bypass grafting (CABG) acutely disturbs the homeostatic state of the transplanted vessel making retention of graft patency dependent on chronic remodeling processes. The time course and extent to which remodeling restores vessel homeostasis will depend, in part, on the nature and magnitude of the mechanical disturbances induced upon transplantation. In this investigation, biaxial mechanical testing and histology were performed on the porcine left anterior descending artery (LAD) and analogs of common autografts, including the internal thoracic artery (ITA), radial artery (RA), great saphenous vein (GSV) and lateral saphenous vein (LSV). Experimental data were used to quantify the parameters of a structure-based constitutive model enabling prediction of the acute vessel mechanical response pre-transplantation and under coronary loading conditions. A novel metric Ξ was developed to quantify mechanical differences between each graft vessel in situ and the LAD in situ, while a second metric Ω compares the graft vessels in situ to their state under coronary loading. The relative values of these metrics among candidate autograft sources are consistent with vessel-specific variations in CABG clinical success rates with the ITA as the superior and GSV the inferior graft choices based on mechanical performance. This approach can be used to evaluate other candidate tissues for grafting or to aid in the development of synthetic and tissue engineered alternatives. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Rock bed storage with heat pump. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Remmers, H.E.; Mills, G.L.

    1979-05-01

    The study, Rock Bed Storage with Heat Pump, established the feasibility of mating a heat pump to a rock bed storage to effect optimal performance at the lowest cost in single family residences. The operating characteristics of off-the-shelf components of heat pump/rock bed storage systems were studied, and the results were used to formulate configurations of representative systems. These systems were modeled and subsequently analyzed using the TRNSYS computer program and a life cycle cost analysis program called LCCA. A detailed load model of a baseline house was formulated as part of the TRNSYS analysis. Results of the analysis involved the development of a technique to confine the range of heat pump/rock bed storage systems to those systems which are economical for a specific location and set of economic conditions. Additionally, the results included a comparison of the detailed load model with simple UA models such as the ASHRAE bin method. Several modifications and additions were made to the TRNSYS and LCCA computer programs during the course of the study.

  7. Electromechanical performance analysis of inflated dielectric elastomer membrane for micro pump applications

    Science.gov (United States)

    Saini, Abhishek; Ahmad, Dilshad; Patra, Karali

    2016-04-01

    Dielectric elastomers have received a great deal of attention recently as potential materials for many new types of sensors, actuators and future energy generators. When subjected to high electric field, dielectric elastomer membrane sandwiched between compliant electrodes undergoes large deformation with a fast response speed. Moreover, dielectric elastomers have high specific energy density, toughness, flexibility and shape processability. Therefore, dielectric elastomer membranes have gained importance to be applied as micro pumps for microfluidics and biomedical applications. This work intends to extend the electromechanical performance analysis of inflated dielectric elastomer membranes to be applied as micro pumps. Mechanical burst test and cyclic tests were performed to investigate the mechanical breakdown and hysteresis loss of the dielectric membrane, respectively. Varying high electric field was applied on the inflated membrane under different static pressure to determine the electromechanical behavior and nonplanar actuation of the membrane. These tests were repeated for membranes with different pre-stretch values. Results show that pre-stretching improves the electromechanical performance of the inflated membrane. The present work will help to select suitable parameters for designing micro pumps using dielectric elastomer membrane. However this material lacks durability in operation.This issue also needs to be investigated further for realizing practical micro pumps.

  8. Impeller radial force evolution in a large double-suction centrifugal pump during startup at the shut-off condition

    International Nuclear Information System (INIS)

    Zou, Zhichao; Wang, Fujun; Yao, Zhifeng; Tao, Ran; Xiao, Ruofu; Li, Huaicheng

    2016-01-01

    Highlights: • Conclude the characteristics of transient radial force in the startup process for a large double-suction centrifugal pump. • The overall direction of the radial force during startup process is also confirmed. • A formula used to calculate the transient radial force during startup process is proposed. • A relationship between radial force variation and axial vortex development in blade channel during the startup process is established. The mechanism of the radial force evolution is revealed. - Abstract: Double-suction centrifugal pumps play an important role in the main feedwater systems of nuclear power plant. The impeller radial force in a centrifugal pump varies dramatically during startup at the shut-off condition. In this study, the startup process of a large double-suction centrifugal pump is investigated using CFD. During testing, the impeller speed is accelerated from zero to its rated speed in 1.0 s (marked as t_0) and is then maintained at the rated speed. The results show that the radial force increase lags behind the impeller speed increase. At 0–0.4t_0, the radial force is small (approaching zero). At 0.4–1.4t_0, the radial force increases rapidly. After 1.4t_0, the average radial force stabilizes and reaches its maximum value of 55,619 N. The observed maximum radial force value during startup is approximately nine times as high as the radial force under rated condition. During startup, the overall radial force direction is proximate to the radial line located 25° from the volute tongue along circumferential direction. A transient radial force formula is proposed to evaluate the changes in radial force during startup. The streamline distribution in impeller passages and the impeller outlet pressure profile varying over time are produced. The relationship between radial force evolution and the varying axial-to-spiral vortex structure is analyzed. The radial force change mechanism is revealed. This research provides a scientific

  9. Impeller radial force evolution in a large double-suction centrifugal pump during startup at the shut-off condition

    Energy Technology Data Exchange (ETDEWEB)

    Zou, Zhichao [College of Water Resources and Civil Engineering, China Agricultural University, Beijing 100083 (China); Wang, Fujun, E-mail: wangfj@cau.edu.cn [College of Water Resources and Civil Engineering, China Agricultural University, Beijing 100083 (China); Beijing Engineering Research Center of Safety and Energy Saving Technology for Water Supply Network System, China Agricultural University, Beijing 100083 (China); Yao, Zhifeng [College of Water Resources and Civil Engineering, China Agricultural University, Beijing 100083 (China); Beijing Engineering Research Center of Safety and Energy Saving Technology for Water Supply Network System, China Agricultural University, Beijing 100083 (China); Tao, Ran [College of Water Resources and Civil Engineering, China Agricultural University, Beijing 100083 (China); Xiao, Ruofu [College of Water Resources and Civil Engineering, China Agricultural University, Beijing 100083 (China); Beijing Engineering Research Center of Safety and Energy Saving Technology for Water Supply Network System, China Agricultural University, Beijing 100083 (China); Li, Huaicheng [Shanghai Liancheng (Group) Co., Ltd., Shanghai 201812 (China)

    2016-12-15

    Highlights: • Conclude the characteristics of transient radial force in the startup process for a large double-suction centrifugal pump. • The overall direction of the radial force during startup process is also confirmed. • A formula used to calculate the transient radial force during startup process is proposed. • A relationship between radial force variation and axial vortex development in blade channel during the startup process is established. The mechanism of the radial force evolution is revealed. - Abstract: Double-suction centrifugal pumps play an important role in the main feedwater systems of nuclear power plant. The impeller radial force in a centrifugal pump varies dramatically during startup at the shut-off condition. In this study, the startup process of a large double-suction centrifugal pump is investigated using CFD. During testing, the impeller speed is accelerated from zero to its rated speed in 1.0 s (marked as t{sub 0}) and is then maintained at the rated speed. The results show that the radial force increase lags behind the impeller speed increase. At 0–0.4t{sub 0}, the radial force is small (approaching zero). At 0.4–1.4t{sub 0}, the radial force increases rapidly. After 1.4t{sub 0}, the average radial force stabilizes and reaches its maximum value of 55,619 N. The observed maximum radial force value during startup is approximately nine times as high as the radial force under rated condition. During startup, the overall radial force direction is proximate to the radial line located 25° from the volute tongue along circumferential direction. A transient radial force formula is proposed to evaluate the changes in radial force during startup. The streamline distribution in impeller passages and the impeller outlet pressure profile varying over time are produced. The relationship between radial force evolution and the varying axial-to-spiral vortex structure is analyzed. The radial force change mechanism is revealed. This research

  10. Coronary hemodynamics in vasospastic angina

    International Nuclear Information System (INIS)

    Matsumura, Kentaro; Kubota, Shinobu; Serizawa, Takashi; Nakase, Emiko; Kawai, Ichiro; Saito, Takayuki

    1991-01-01

    To evaluate the coronary circulation and myocardial perfusion dynamics, we performed left coronary digital subtraction angiography (DSA) in 35 patients with vasospastic angina. The left coronary circulation time (CCT) measured from the proximal left coronary artery to the coronary sinus was 5.77±0.86 sec, and the left epicardial conducting artery transmission time (CAT) measured from the proximal left coronary artery to the apical area was 2.65±0.82 sec in normal controls. The CCT and CAT were significantly prolonged in patients with vasospastic angina, indicating that the coronary peripheral vascular resistance is probably greater after the cessation of nitrates and Ca ++ -antagonists. After the intracoronary injection of ergonovine malate, the CCT was slightly shortened, but the apical T 1/2 was significantly prolonged in patients with vasospastic angina. This suggested that coronary vasospasm is present not only in the epicardial arteries but also in coronary arteries with peripheral resistance. These phenomena were not observed in normal controls. We performed left coronary DSA after conventional left coronary cineangiography. When the CCT exceeded 6.7 sec, we considered that the coronary circulation was significantly impaired. We concluded that the coronary DSA is very useful for evaluating abnormal coronary circulation in patients with vasospastic angina during myocardial perfusion. (author)

  11. Program listing for heat-pump seasonal-performance model (SPM). [CNHSPM

    Energy Technology Data Exchange (ETDEWEB)

    1982-06-30

    The computer program CNHSPM is listed which predicts heat pump seasonal energy consumption (including defrost, cyclic degradation, and supplementary heat) using steady state rating point performance and binned weather data. (LEW)

  12. Improving the Performance of Two-Stage Gas Guns By Adding a Diaphragm in the Pump Tube

    Science.gov (United States)

    Bogdanoff, D. W.; Miller, Robert J.

    1995-01-01

    Herein, we study the technique of improving the gun performance by installing a diaphragm in the pump tube of the gun. A CFD study is carried out for the 0.28 in. gun in the Hypervelocity Free Flight Radiation (HFF RAD) range at the NASA Ames Research Center. The normal, full-length pump tube is studied as well as two pump tubes of reduced length (approximately 75% and approximately 33% of the normal length). Significant improvements in performance are calculated to be gained for the reduced length pump tubes upon the addition of the diaphragm. These improvements are identified as reductions in maximum pressures in the pump tube and at the projectile base of approximately 20%, while maintaining the projectile muzzle velocity or as increases in muzzle velocity of approximately 0.5 km/sec while not increasing the maximum pressures in the gun. Also, it is found that both guns with reduced pump tube length (with diaphragms) could maintain the performance of gun with the full length pump tube without diaphragms, whereas the guns with reduced pump tube lengths without diaphragms could not. A five-shot experimental investigation of the pump tube diaphragm technique is carried out for the gun with a pump tube length of 75% normal. The CFD predictions of increased muzzle velocity are borne out by the experimental data. Modest, but useful muzzle velocity increases (2.5 - 6%) are obtained upon the installation of a diaphragm, compared to a benchmark shot without a diaphragm.

  13. Effects of the number of inducer blades on the anti-cavitation characteristics and external performance of a centrifugal pump

    International Nuclear Information System (INIS)

    Guo, XiaoMei; Shi, GaoPing; Zhu, ZuChao; Cui, BaoLing

    2016-01-01

    Installing an inducer upstream of the main impeller is an effective approach for improving the anti-cavitation performance of a high speed centrifugal pump. For a high-speed centrifugal pump with an inducer, the number of inducer blades can affect its internal flow and external performance. We studied the manner in which the number of inducer blades can affect the anti-cavitation characteristics and external performance of a centrifugal pump. We first use the Rayleigh-Plesset equation and the mixture model to simulate the vapor liquid flow in a centrifugal pump with an inducer, and then predict its external performance. Finally, we tested the external performance of a centrifugal pump with 2-, 3- and 4-bladed inducers, respectively. The results show that the simulations of external performance in a centrifugal pump are in accordance with our experiments. Based on this, we obtained vapor volume fraction distributions for the inducer, the impeller, and in the corresponding whole flow parts. We discovered that the vapor volume fraction of a centrifugal pump with a 3- bladed inducer is less than that of a centrifugal pump with 2- or 4-bladed inducers, which means that a centrifugal pump with a 3-bladed inducer has a better external and anti-cavitation performance.

  14. Evaluation of the restenosis of coronary artery after percutaneous transluminal coronary angioplasty by three-dimensional coronary magnetic resonance angiography

    International Nuclear Information System (INIS)

    Arisaka, Hiraku

    2000-01-01

    Coronary magnetic resonance angiography (MRA) has been recently brought into clinical use, however, there has not been reports on the comparison with MRA and conventional contrast coronary angiography (CAG) in the detection of the localization and characteristics of coronary restenosis after percutaneous transluminal coronary angioplasty (PTCA). To assess the restenosis of coronary artery after PTCA, this study compared three-dimensional (3D) coronary MRA and CAG. One hundred three patients (76 males and 27 females, average age of 64.6±9.3 years old) were performed coronary MRA at 3-6 months after PTCA. The right coronary artery (RCA) group consist of 21 patients, the left anterior descending branch (LAD) 63 patients and the left circumflex branch (LCX) 19 patients. Coronary MRA was performed with the patients in supine position on a 1.5 T whole body scanner (MAGNETOM VISION, Siemens AG, Germany) using body array coil. The imaging technique used a 3-D gradient echo sequence with respiratory gating and fat suppression. The slice thickness was 2 mm, slab thickness 32 mm, a field of view of 300 mm and a matrix of 128 x 256. Other parameters were an echo time of 2.7 ms and a repetition time of 600 to 1100 msec. The measurement time of 1 imaging slab took 15 to 20 minutes depending on the patient's heart rate. The coronary arteries were reconstructed from the 3-D data set using a multiplanar reconstruction (MPR) technique. According to previous coronary MRA studies, a significant stenosis with a luminal reduction of ≥50% was assumed if a marked signal reduction or signal loss of a vessel segment was visible. In CAG, 57 of 103 patients showed restenosis. In coronary MRA, 37 of 103 patients demonstrated restenosis. The sensitivity, specificity, positive and negative predictive values were 64.9%, 100%, 100% and 69.6%, respectively. Predictive accuracy was 79.6%. Three-dimensional coronary MRA is useful in a noninvasive diagnostic method to evaluate the coronary

  15. Coronary CT Angiography in the Quantitative Assessment of Coronary Plaques

    Directory of Open Access Journals (Sweden)

    Zhonghua Sun

    2014-01-01

    Full Text Available Coronary computed tomography angiography (CCTA has been recently evaluated for its ability to assess coronary plaque characteristics, including plaque composition. Identification of the relationship between plaque composition by CCTA and patient clinical presentations may provide insight into the pathophysiology of coronary artery plaque, thus assisting identification of vulnerable plaques which are associated with the development of acute coronary syndrome. CCTA-generated 3D visualizations allow evaluation of both coronary lesions and lumen changes, which are considered to enhance the diagnostic performance of CCTA. The purpose of this review is to discuss the recent developments that have occurred in the field of CCTA with regard to its diagnostic accuracy in the quantitative assessment of coronary plaques, with a focus on the characterization of plaque components and identification of vulnerable plaques.

  16. RTOD- RADIAL TURBINE OFF-DESIGN PERFORMANCE ANALYSIS

    Science.gov (United States)

    Glassman, A. J.

    1994-01-01

    The RTOD program was developed to accurately predict radial turbine off-design performance. The radial turbine has been used extensively in automotive turbochargers and aircraft auxiliary power units. It is now being given serious consideration for primary powerplant applications. In applications where the turbine will operate over a wide range of power settings, accurate off-design performance prediction is essential for a successful design. RTOD predictions have already illustrated a potential improvement in off-design performance offered by rotor back-sweep for high-work-factor radial turbines. RTOD can be used to analyze other potential performance enhancing design features. RTOD predicts the performance of a radial turbine (with or without rotor blade sweep) as a function of pressure ratio, speed, and stator setting. The program models the flow with the following: 1) stator viscous and trailing edge losses; 2) a vaneless space loss between the stator and the rotor; and 3) rotor incidence, viscous, trailing-edge, clearance, and disk friction losses. The stator and rotor viscous losses each represent the combined effects of profile, endwall, and secondary flow losses. The stator inlet and exit and the rotor inlet flows are modeled by a mean-line analysis, but a sector analysis is used at the rotor exit. The leakage flow through the clearance gap in a pivoting stator is also considered. User input includes gas properties, turbine geometry, and the stator and rotor viscous losses at a reference performance point. RTOD output includes predicted turbine performance over a specified operating range and any user selected flow parameters. The RTOD program is written in FORTRAN IV for batch execution and has been implemented on an IBM 370 series computer with a central memory requirement of approximately 100K of 8 bit bytes. The RTOD program was developed in 1983.

  17. Pumping of methane by an ionization assisted Zr/Al getter pump

    International Nuclear Information System (INIS)

    Shen, G.L.

    1987-01-01

    The pumping of methane by an ionization assisted Zr/Al getter pump has been investigated. This pump consists of 12 pieces of ring getters. A spiral shape W filament is located within the ring getters. A bias voltage is applied across the filament and the getter itself. The experiments have shown that (1) when the bias voltage is turned off, the pumping speed of the getter pump for methane increases exponentially with the filament temperature; (2) when the filament temperature is held constant, its pumping speed varies directly with the ionization electron current; (3) when the filament temperature is 2063 0 C and the electron current is 57 mA, the pumping speed of the Zr/Al getter pump is 475 ml/s, and the specific speed is 16.8 ml/s cm 2 ; and (4) an activation energy and critical temperature measured for methane molecules decomposition are, respectively, 47.4 kcal/mol and about 1700 0 C. Analysis of the results indicates that methane is pumped by an ionization assisted Zr/Al getter pump not because of the adsorption and the diffusion of methane molecules directly, but because methane molecules are decomposed as C and H 2 through a catalysis of the hot W filament, carbon is adsorbed on the surface of the W filament, and is diffused into the interior of the W lattice. H 2 is immediately absorbed by the Zr/Al getters. Besides, electron impact with CH 4 would result in the additional decomposition and ionization, then the effect of electron bombardment enhances methane pumping by the Zr/Al getters

  18. Coefficient of Performance Optimization of Single-Effect Lithium-Bromide Absorption Cycle Heat Pumps

    DEFF Research Database (Denmark)

    Vinther, Kasper; Just Nielsen, Rene; Nielsen, Kirsten Mølgaard

    2015-01-01

    In this paper, we investigate the coefficient of performance (COP) of a LiBr absorption cycle heat pump under different operating conditions. The investigation is carried out using a dynamical model fitted against data recorded from an actual heat pump used for district heating in S......⊘nderborg, Denmark. Since the model is too complex to study analytically, we vary different input variables within the permissible operating range of the heat pump and evaluate COP at the resulting steady-state operating points. It is found that the best set-point for each individual input is located at an extreme......-state operation of the heat pump, while avoiding crystallization issues....

  19. The evaluation of dobutamine 99mTc-MIBI myocardial perfusion imaging in the diagnosis of coronary heart disease

    International Nuclear Information System (INIS)

    He Qing; Qu Wanying; Gong Junhui; Zhou Ying

    1996-01-01

    The method and the clinical value of dobutamine stress test as a substitute for exercise test in 99m Tc-MIBI myocardial perfusion imaging was investigated. 40 Patients were intravenously infused with dobutamine through IVAC syringe pumps by incremental doses, and 99m Tc-MIBI was injected at the peak dobutamine heart rate. The myocardial imaging was then performed. The rest myocardial imaging was done after 48 hours. 30 of the 31 patients with coronary heart disease showed reversible perfusion defects in dobutamine 99m Tc-MIBI myocardial perfusion images and 7 of the 9 patients without coronary heart disease showed normal images. The sensitivity of this test was 96.8% and the specificity 77.8%. None of the studies was discontinued due to dobutamine side effect. Dobutamine 99m Tc-MIBI myocardial perfusion imaging is a safe and sensitive method in the diagnosis of coronary heart disease

  20. First in situ operation performance test of ground source heat pump in Tunisia

    International Nuclear Information System (INIS)

    Naili, Nabiha; Attar, Issam; Hazami, Majdi; Farhat, Abdelhamid

    2013-01-01

    Highlights: • Evaluate the geothermal energy in Tunisia. • Study of the performance of GSHP system for cooling space. • GSHP is a promising alternative for building cooling in Tunisia. - Abstract: The main purpose of this paper is to study the energetic potential of the deployment in Tunisia of the Ground Source Heat Pump (GSHP) system for cooling mode application. Therefore, a pilot GSHP system using horizontal Ground Heat Exchanger (GHE) was installed and experimented in the Research and Technology Center of Energy (CRTEn), Borj Cédria. The experiment is conducted in a test room with a floor area of about 12 m 2 . In the floor of the tested room is integrated a polyethylene exchanger (PEX) used as a radiant floor cooling (RFC) system. The experimental setup mainly includes the ground temperature, the temperature and flow rate of water circulating in the heat pump and the GHE, as well as the power consumption of the heat pump and circulating pumps. These experimental data are essentially used to evaluate the coefficient of performance of the heat pump (COP hp ) and the overall system (COP sys ) for continuous operation mode. The COP hp and the COP sys were found to be 4.25 and 2.88, respectively. These results reveal that the use of the ground source heat pump is very appropriate for Tunisian building cooling

  1. Numerical investigation of degas performance on impeller of medium-consistency pump

    Directory of Open Access Journals (Sweden)

    Hong Li

    2015-12-01

    Full Text Available Medium-consistency technology is known as the process with high efficiency and low pollution. The gas distribution was simulated in the medium-consistency pump with different degas hole positions. Rheological behaviors of pulp suspension were obtained by experimental test. A modified Herschel–Bulkley model and the Eulerian gas–liquid two-phase flow model were utilized to approximately represent the behaviors of the medium-consistency pulp suspension. The results show that when the relative position is 0.53, the gas volume ratio is less than 0.1% at the pump outlet and 9.8% at the vacuum inlet, and the pump head is at the maximum. Because of the different numbers of the impeller blades and turbulence blades and the asymmetric volute structure, the gas is distributed unevenly in the impeller. In addition, the pump performance was tested in experiment and the results are used to validate computational fluid dynamics outcomes.

  2. Solar pumping: an introduction and update on the technology, performance, costs, and economics

    Energy Technology Data Exchange (ETDEWEB)

    Barlow, Roy; McNelis, Bernard; Derrick, Anthony

    1993-01-01

    Solar pumping was first introduced into the field in the late nineteen-seventies, and since then manufacturers have refined their products to give considerable increases in performance and reliability. The steady fall in prices of solar photovoltaic (PV) panels means that solar pumping is becoming economic for an increasingly wide range of applications. This guide is written for the potential user to give a simple background to PV pumping technology and to help to identify the situations in which solar pumping should be considered. The early chapters act as a guide to those unfamiliar with PV pumping, illustrating typical applications and reviewing current technology. Following this are sections dealing with the range of currently available equipment and examining experience in the field. The final four sections cover the practical aspects of choosing a pumping system. This includes site evaluation and system sizing, a simple methodology for an economic assessment, and advice on procurement, installation and maintenance. The appendices contain various data and information referred to in the text. Two of these are of particular note: Appendix G, which contains quick reference data for wind, diesel and hand pumping scenarios; and appendix I which reviews the current and future economics of PV pumping in general in comparison with other pumping alternatives. (author)

  3. News from heat-pump research - Large-scale heat pumps, components, heat pumps and solar heating; News aus der Waermepumpen-Forschung - Gross-Waermepumpen, Komponenten, Waermepumpe und Solar

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-06-15

    These proceedings summarise the presentations made at the 16{sup th} annual meeting held by the Swiss Federal Office of Energy's Heat Pump Research Program in Burgdorf, Switzerland. The proceedings include contributions on large-scale heat pumps, components and the activities of the heat pump promotion society. A summary of targets and trends in energy research in general is presented and an overview of the heat pump market in 2009 and future perspectives is given. International work within the framework of the International Energy Agency's heat pump group is reviewed, including solar - heat pump combinations. Field-monitoring and the analysis of large-scale heat pumps are discussed and the importance of the use of correct concepts in such installations is stressed. Large-scale heat pumps with carbon dioxide as working fluid are looked at, as are output-regulated air/water heat pumps. Efficient system solutions with heat pumps used both to heat and to cool are discussed. Deep geothermal probes and the potential offered by geothermal probes using carbon dioxide as a working fluid are discussed. The proceedings are rounded off with a list of useful addresses.

  4. The aerodynamic performance of the water pumping wind turbine for Bangladesh

    International Nuclear Information System (INIS)

    Ahmed, S.; Islam, M.Q.

    2004-01-01

    In order to examine the feasibility of wind energy for water pumping in Bangladesh, an experimental investigation of performance characteristics of horizontal axis wind turbines has been conducted. Wind characteristics of various regions of Bangladesh have been analysed and hence a compatible design of horizontal axis wind turbine applicable to the pump has been suggested. The wind data collected by the meteorological department of Bangladesh for a period 16 years of 20 stations at different heights between 5m and 10m have been converted to 20m hub-height using power law. From these data monthly average speeds have been calculated. It is observed that for few regions of Bangladesh, there is reasonable wind speed available throughout the year to extract useful power. Considering a particular prospective region of Bangladesh a wind turbine has been designed for water pumping. The design incorporates the generalized procedure for determination of rotor and pump sizes. Thus it can be also used for any other region as well. In this paper, a generalized design for Bangladesh, a nomogram and an empirical relation have been developed for the rotor and the pump size for a particular region of Bangladesh.(author)

  5. Hydrostatic radial bearing of centrifugal pump

    International Nuclear Information System (INIS)

    Skalicky, A.

    1976-01-01

    A hydrostatic radial pump is described characterized by the fact that part of the medium off-taken from delivery is used as a lubricating medium. Two additional bodies are placed alongside a hydrostatic bearing with coils in between them and the pump shaft; the coils have an opposite pitch. The feed channel for the hydrostatic bearing pocket is linked to delivery. The coil outlets are connected to the pump suction unit. Two rotating coils placed alongside the hydrostatic bearing will considerably simplify the communication channel design and reduce the dependence on the pump shaft deflections. The addition of another rotating coil in the close vicinity of the pump shaft or directly on the shaft further increases the efficiency. The bearing can be used in designing vertical circulating pumps for the cooling circuits of nuclear reactors. (J.B.)

  6. Hydraulic design and optimization of a modular pump-turbine runner

    International Nuclear Information System (INIS)

    Schleicher, W.C.; Oztekin, A.

    2015-01-01

    Highlights: • A modular pumped-storage scheme using elevated water storage towers is investigated. • The pumped-storage scheme also aides in the wastewater treatment process. • A preliminary hydraulic pump-turbine runner design is created based on existing literature. • The preliminary design is optimized using a response surface optimization methodology. • The performance and flow fields between preliminary and optimized designs are compared. - Abstract: A novel modular pumped-storage scheme is investigated that uses elevated water storage towers and cement pools as the upper and lower reservoirs. The scheme serves a second purpose as part of the wastewater treatment process, providing multiple benefits besides energy storage. A small pumped-storage scheme has been shown to be a competitive energy storage solution for micro renewable energy grids; however, pumped-storage schemes have not been implemented on scales smaller than megawatts. Off-the-shelf runner designs are not available for modular pumped-storage schemes, so a custom runner design is sought. A preliminary hydraulic design for a pump-turbine runner is examined and optimized for increased pumping hydraulic efficiency using a response surface optimization methodology. The hydraulic pumping efficiency was found to have improved by 1.06% at the best efficiency point, while turbine hydraulic efficiency decreased by 0.70% at the turbine best efficiency point. The round-trip efficiency for the system was estimated to be about 78%, which is comparable to larger pumped-storage schemes currently in operation

  7. Quantitative coronary CT angiography: absolute lumen sizing rather than %stenosis predicts hemodynamically relevant stenosis

    Energy Technology Data Exchange (ETDEWEB)

    Plank, Fabian [Innsbruck Medical University, Department of Radiology, Innsbruck (Austria); Innsbruck Medical University, Department of Internal Medicine III - Cardiology, Innsbruck (Austria); Burghard, Philipp; Mayr, Agnes; Klauser, Andrea; Feuchtner, Gudrun [Innsbruck Medical University, Department of Radiology, Innsbruck (Austria); Friedrich, Guy; Dichtl, Wolfgang [Innsbruck Medical University, Department of Internal Medicine III - Cardiology, Innsbruck (Austria); Wolf, Florian [Vienna Medical University, Department of Cardiovascular and Interventional Radiology, Vienna (Austria)

    2016-11-15

    To identify the most accurate quantitative coronary stenosis parameter by CTA for prediction of functional significant coronary stenosis resulting in coronary revascularization. 160 consecutive patients were prospectively examined with CTA. Proximal coronary stenosis was quantified by minimal lumen area (MLA) and minimal lumen diameter (MLD), %area and %diameter stenosis. Lesion length (LL) was measured. The reference standard was invasive coronary angiography (ICA) (>70 % stenosis, FFR <0.8). 210 coronary segments were included (59 % positive). MLA of ≤1.8 mm{sup 2} was identified as the optimal cut-off (c = 0.97, p < 0.001; 95 % CI 0.94-0.99) (sensitivity 90.9 %, specificity 89.3 %) for prediction of functional-relevant stenosis (for MLA >2.1 mm{sup 2} sensitivity was 100 %). The optimal cut-off for MLD was 1.2 mm (c = 0.92; p < 0.001; 95 % CI 0.88-95) (sensitivity 90.9, specificity 85.2) while %area and %diameter stenosis were less accurate (c = 0.89; 95 % CI 0.84-93, c = 0.87; 95 % CI 0.82-92, respectively, with thresholds at 73 % and 61 % stenosis). Accuracy for LL was c = 0.74 (95 % CI 0.67-81), and for LL/MLA and LL/MLD ratio c = 0.90 and c = 0.84. MLA ≤1.8 mm{sup 2} and MLD ≤1.2 mm are the most accurate cut-offs for prediction of haemodynamically significant stenosis by ICA, with a higher accuracy than relative % stenosis. (orig.)

  8. Relationship between pre-extubation positive endexpiratory pressure and oxygenation after coronary artery bypass grafting

    Directory of Open Access Journals (Sweden)

    Reijane Oliveira Lima

    2015-08-01

    Full Text Available Abstract Introduction After removal of endotracheal tube and artificial ventilation, ventilatory support should be continued, offering oxygen supply to ensure an arterial oxygen saturation close to physiological. Objective: The aim of this study was to investigate the effects of positive-end expiratory pressure before extubation on the oxygenation indices of patients undergoing coronary artery bypass grafting. Methods: A randomized clinical trial with seventy-eight patients undergoing coronary artery bypass grafting divided into three groups and ventilated with different positive-end expiratory pressure levels prior to extubation: Group A, 5 cmH2O (n=32; Group B, 8 cmH2O (n=26; and Group C, 10 cmH2O (n=20. Oxygenation index data were obtained from arterial blood gas samples collected at 1, 3, and 6 h after extubation. Patients with chronic pulmonary disease and those who underwent off-pump, emergency, or combined surgeries were excluded. For statistical analysis, we used Shapiro-Wilk, G, Kruskal-Wallis, and analysis of variance tests and set the level of significance at P<0.05. Results Groups were homogenous with regard to demographic, clinical, and surgical variables. There were no statistically significant differences between groups in the first 6 h after extubation with regard to oxygenation indices and oxygen therapy utilization. Conclusion: In this sample of patients undergoing coronary artery bypass grafting, the use of different positive-end expiratory pressure levels before extubation did not affect gas exchange or oxygen therapy utilization in the first 6 h after endotracheal tube removal.

  9. Energy performance of air-to-water and water-to-water heat pumps in hotel applications

    International Nuclear Information System (INIS)

    Lam, Joseph C.; Chan, Wilco W.

    2003-01-01

    We present work on measurement of the energy performance of heat pumps for hotel operations in subtropical climates. Two city hotels in Hong Kong were investigated. The first case was an application of an air-to-water heat pump to provide heating for an outdoor swimming pool during the heating season. The second case was the installation of three water-to-water heat pumps to complement an existing boiler system for hot water supply. The heating energy output and corresponding electricity use were measured. The heat pump energy efficiency was evaluated in terms of the coefficient of performance (COP), defined as the heating energy output to the electrical energy use. The air-to-water heat pump provided 49.1 MW h heating while consuming 24.6 MW h electricity during the 6((1)/(2))-month heating season from mid-October to April. For the water-to-water heat pumps, the estimated annual heating output and the electricity use were 952 and 544 MW h, respectively. It was found that the heat pumps generally operated in a COP range of 1.5-2.4, and the payback period was about two years, which was considered financially attractive

  10. Investigation of the Flow Field and Performances of a Centrifugal Pump at Part Load

    Science.gov (United States)

    Prunières, R.; Inoue, Y.; Nagahara, T.

    2016-11-01

    Centrifugal pump performance curve instability, characterized by a local dent at part load, can be the consequence of flow instabilities in rotating or stationary parts. Such flow instabilities often result in abnormal operating conditions which can damage both the pump and the system. In order for the pump to have reliable operation over a wide flow rate range, it is necessary to achieve a design free of instability. The present paper focuses on performance curve instability of a centrifugal pump of mid specific speed (ωs = 0.65) for which instability was observed at part load during tests. The geometry used for this research consist of the first stage of a multi-stage centrifugal pump and is composed of a suction bend, a closed-type impeller, a vaned diffuser and return guide vanes. In order to analyse the instability phenomenon, PIV and CFD analysis were performed. Both methods qualitatively agree relatively well. It appears that the main difference before and after head drop is an increase of reverse flow rate at the diffuser passage inlet on the hub side. This reverse flow decreases the flow passing area at the diffuser passage inlet, disallowing effective flow deceleration and impairing static pressure recovery.

  11. Dynamic performance of a novel solar photovoltaic/loop-heat-pipe heat pump system

    International Nuclear Information System (INIS)

    Zhang, Xingxing; Zhao, Xudong; Shen, Jingchun; Xu, Jihuan; Yu, Xiaotong

    2014-01-01

    Highlights: • A transient model was developed to predict dynamic performance of new PV/LHP system. • The model accuracy was validated by experiment giving less than 9% in error. • The new system had basic and advanced performance coefficients of 5.51 and 8.71. • The new system had a COP 1.5–4 times that for conventional heat pump systems. • The new system had higher exergetic efficiency than PV and solar collector systems. - Abstract: Objective of the paper is to present an investigation into the dynamic performance of a novel solar photovoltaic/loop-heat-pipe (PV/LHP) heat pump system for potential use in space heating or hot water generation. The methods used include theoretical computer simulation, experimental verification, analysis and comparison. The fundamental equations governing the transient processes of solar transmission, heat transfer, fluid flow and photovoltaic (PV) power generation were appropriately integrated to address the energy balances occurring in different parts of the system, e.g., glazing cover, PV cells, fin sheet, loop heat pipe, heat pump cycle and water tank. A dedicated computer model was developed to resolve the above grouping equations and consequently predict the system’s dynamic performance. An experimental rig was constructed and operated under the real weather conditions for over one week in Shanghai to evaluate the system living performance, which was undertaken by measurement of various operational parameters, e.g., solar radiation, photovoltaic power generation, temperatures and heat pump compressor consumption. On the basis of the first- (energetic) and second- (exergetic) thermodynamic laws, an overall evaluation approach was proposed and applied to conduct both quantitative and qualitative analysis of the PV/LHP module’s efficiency, which involved use of the basic thermal performance coefficient (COP th ) and the advanced performance coefficient (COP PV/T ) of such a system. Moreover, a simple comparison

  12. Detection of coronary calcium with electron beam tomography in coronary artery disease

    International Nuclear Information System (INIS)

    Haberl, R.; Knez, A.; Becker, A.; Becker, C.; Bruening, R.; Reiser, M.; Maass, A.; Steinbeck, G.

    1998-01-01

    Purpose: Coronary calcium is a powerful indicator of arteriosclerosis and can be detected very precisely with electron beam tomography. The method can be applied in patients with known coronary artery disease or in asymptomatic patients at risk of arteriosclerotic disease. Results: At the University of Munich we performed an EBT scan of the heart in 1100 patients within the last year. In 567 patients coronary angiography was performed also (±3 days). Confirming previous reports in the literature, we found a correlation of the calcium score with the age and gender of the patients. Severe coronary artery disease (stenoses ≥ 75%) was associated with significantly more calcium than less severe CAD. The calcium score did not discriminate between one-, two- and three-vessel disease. The site of calcification does not correlate with the localization of stenoses. Thirty-three percent of the patients with significant coronary artery disease showed a normal age-adjusted calcium score; a total of 8.1% of patients with severe stenoses did not reveal any coronary calcification (score =0). With asymptomatic patients there are only a few studies available. Soft plaques cannot be detected with EBT, but in most patients soft plaques occur together with hard plaques. Our results show that spiral CT of the newest generation may also be used for calcium screening. There was an excellent correlation of the calcium scores of EBT and spiral CT at all levels of calcification. Discussion: Coronary calcium is a sensitive marker of coronary artery disease. In the clinical setting EBT is indicated in patients with known coronary artery disease (to evaluate prognosis), in patients who are unable to perform a stress test, and in patients with atypical chest pain. However, lack of calcification may be associated with severe stenoses in a minority of patients. The clinical value in asymptomatic patients needs to be defined: Randomized studies are necessary. We see a possible indication in

  13. Evaluation of the performance of elastomeric pumps in practice: are we under-delivering on chemotherapy treatments?

    Science.gov (United States)

    Salman, Dahlia; Biliune, Jurga; Kayyali, Reem; Ashton, Jane; Brown, Peter; McCarthy, Tim; Vikman, Elin; Barton, Stephen; Swinden, Julian; Nabhani-Gebara, Shereen

    2017-12-01

    Elastomeric pumps are widely used to facilitate ambulatory chemotherapy, and studies have shown that they are safe and well received by patients. Despite these advantages, their end of infusion time can fluctuate significantly. The aim of this research was to observe the performance of these pumps in real practice and to evaluate patients' satisfaction. This was a two-phase study conducted at three cancer units over 6 months. Phase-1 was an observational study recording the status of pumps at the scheduled disconnection time and noting remaining volume of infusion. Phase-2 was a survey of patients and their perception/satisfaction. Ethical approval was granted. A total of 92 cases were observed covering 50 cases disconnected at hospital and 42 disconnected at home. The infusion in 40% of hospital disconnection cases was slow, with patients arriving at hospital with unfinished pumps; 58% of these had an estimated remaining volume which exceeded 10 mL with 35% exceeded 20 mL. In 73% of these cases, and regardless of the remaining volume, the patient was disconnected and the pump was discarded. The performance of pumps varied, which affected nurse workload and patients' waiting-times. A smart system is an option to monitor the performance of pumps and to predict their accuracy.

  14. Hydraulic performance of a low specific speed centrifugal pump with Spanwise-Slotted Blades

    International Nuclear Information System (INIS)

    Ye, D X; Li, H; Wang, Y

    2013-01-01

    The hydraulic efficiency of a low specific speed centrifugal pump is low because of the long and narrow meridian flow passage, and the severe disk friction. Spanwise slotted blade flow control technology has been applied to the low specific speed centrifugal pump. This paper concluded that spanwise slotted blades can improve the pump performance in both experiments and simulations. In order to study the influence to the impeller and volute by spanwise slotted blade, impeller efficiency and volute efficiency were defined. The minimum volute efficiency and the maximum pump efficiency appear at the same time in the design flow condition in the unsteady simulation. The mechanism of spanwise slotted blade flow control technology should be researched furthermore

  15. Development of the Floating Centrifugal Pump by Use of Non Contact Magnetic Drive and Its Performance

    Directory of Open Access Journals (Sweden)

    Mitsuo Uno

    2004-01-01

    Full Text Available This article focuses on the impeller construction, non contact driving method and performance of a newly developed shaftless floating pump with centrifugal impeller. The drive principle of the floating impeller pump used the magnet induction method similar to the levitation theory of the linear motor. In order to reduce the axial thrust by the pressure different between shroud and disk side, the balance hole and the aileron blade were installed in the floating impeller. Considering the above effect, floating of an impeller in a pump was realized. Moreover, the performance curves of a developed pump are in agreement with a general centrifugal pump, and the dimensionless characteristic curve also agrees under the different rotational speed due to no mechanical friction of the rotational part. Therefore, utility of a non contacting magnetic-drive style pump with the floating impeller was made clear.

  16. The Performance Estimation of PHTS Pump of DSFR

    International Nuclear Information System (INIS)

    Cho, Chungho; Han, Ji-Woong; Kim, Jong-Man; Cho, Youngil; Jung, Min-Hwan; Gam, Da-Young; Lee, Yong-bum; Jeong, Ji-Young

    2015-01-01

    In order to estimate the hydraulic behavior of the PHTS pump in sodium environment, model tests were conducted in water experimental facility by SAMJIN Industrial Co. before model tests using the STELLA-1 with sodium environment in 2015. STELLA-1 (Sodium inTegral Effect test Loop for safety simuLation and Assessment) is a large-scale separate effect test facility for demonstrating the thermal-hydraulic performances of major components such as a Sodium-to-Sodium heat exchanger (DHX), Sodium-to-Air heat exchanger (AHX) of the decay heat removal system, and mechanical sodium pump of the primary heat transport system (PHTS), which are important to ensure the safety of the sodium-cooled fast reactor (SFR). When the model and the prototype have the same the flow coefficient, to maintaining the dynamic similarity both model and prototype the non-dimensional coefficients to be simulated are head coefficient and power coefficient

  17. Energy performance and consumption for biogas heat pump air conditioner

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Zhenjun [Architectural Engineering College, Qingdao Agricultural University, 266109 (China); Qingdao Institute of Bioenergy and Bioprocess Technology, Chinese Academy of Sciences, Qingdao 266101 (China); Tianjin University, Tianjin, 300072 (China); Wu, Huaizhi; Wu, Meiling [Qingdao Institute of Bioenergy and Bioprocess Technology, Chinese Academy of Sciences, Qingdao 266101 (China); Tianjin University, Tianjin, 300072 (China)

    2010-12-15

    Biogas engine-driven heat pump air conditioner is a new-style system which includes biogas engine-driven heat pump, primary heat exchanger, second heat exchanger, sprayed room and fans, pumps, etc. In summertime, the air can be reheated by the waste heat water from the biogas engine in the system, while the air can be reheated and humidified by the waste heat water in winter. Reducing or displacing electrical heating requirements can achieve the great opportunity for significant energy savings. This paper, therefore, aims to improve the energy performance of the AC system by using the waste heat from the biogas engine. The mathematic model was used to research the BHPAC. Explicitly, we investigated the influence of various factors including the outdoor air temperature and humidity in summer and winter. Results show that the biogas engine-driven heat pump air conditioner can save more energy than the electrical power heat pump. In summer, the minimum for percentage of primary energy saving for BHPAC is over 25%. With the outdoor air dry-bulb temperature and the relative humidity rises, the saving energy percentage rises. In winter, the minimum for percentage of primary energy saving for BHPAC is 37%. The more the outdoor air relative humidity of the outdoor air decreases, the more the BHPAC saves energy. It is proved that the system which is a highly actively fully utilizing energy technology has good partial load characteristic and good effects of energy saving. (author)

  18. Performance comparison of air-source heat pump water heater with different expansion devices

    International Nuclear Information System (INIS)

    Peng, Jing-Wei; Li, Hui; Zhang, Chun-Lu

    2016-01-01

    Highlights: • An air-source heat pump water heater model was developed and validated. • System performance with EEV, capillary tube or short tube orifice were compared. • Short tube orifice is more suitable for heat pump water heater than capillary tube. - Abstract: Air source heat pump water heater (ASHPWH) is designed to work under wide operating conditions. Therefore, both the system and components require higher reliability and stability than ordinary heat pump air-conditioning systems. In this paper, a quasi-steady-state system model of ASHPWH using electronic expansion valve (EEV), capillary tube or short tube orifice as expansion device is developed and validated by a prototype using R134a and scroll compressor, by which the system performance is evaluated and compared at varying water temperature and different ambient temperature. Flow characteristics of those three expansion devices in ASHPWH are comparatively analyzed. Results show that the EEV throttling system performs best. Compared with capillary tube, flow characteristics of short tube orifice are closer to that of EEV and therefore more suitable for ASHPWH. Reliability concern of liquid carryover to the compressor in the system using short tube orifice is investigated as well. Higher superheat or less system refrigerant charge could help mitigate the risk.

  19. Research on performance of upstream pumping mechanical seal with different deep spiral groove

    International Nuclear Information System (INIS)

    Wang, Q; Chen, H L; Liu, T; Liu, Y H; Liu, Z B; Liu, D H

    2012-01-01

    As one new type of mechanical seal, Upstream Pumping Mechanical Seal has been widely used in fluid machinery. In this paper, structure of spiral groove is innovatively optimized to improve performance of Upstream Pumping Mechanical Seal with Spiral Groove: keeping the dam zone and the weir zone not changed, changing the bottom shape of spiral groove only, substituting different deep spiral groove for equal deep spiral groove. The simulation on Upstream Pumping Mechanical Seal with different deep spiral grooves is done using FVM method. According to calculation, the performances of opening force and pressure distribution on seals face are obtained. Five types of spiral grooves are analyzed, namely equal deep spiral groove, circumferential convergent ladder-like different deep spiral groove, circumferential divergent ladder-like different deep spiral groove, radial convergent ladder-like different deep spiral groove and radial divergent ladder-like different deep spiral groove. This paper works on twenty-five working conditions. The results indicate the performances of circumferential divergent 2-ladder different deep spiral groove are better than the others, with more opening force and better stabilization, while with the same leakage. The outcome provides theoretical support for application of Upstream Pumping Mechanical Seal with circumferential convergent ladder-like different deep spiral groove.

  20. Research on performance of upstream pumping mechanical seal with different deep spiral groove

    Science.gov (United States)

    Wang, Q.; Chen, H. L.; Liu, T.; Liu, Y. H.; Liu, Z. B.; Liu, D. H.

    2012-11-01

    As one new type of mechanical seal, Upstream Pumping Mechanical Seal has been widely used in fluid machinery. In this paper, structure of spiral groove is innovatively optimized to improve performance of Upstream Pumping Mechanical Seal with Spiral Groove: keeping the dam zone and the weir zone not changed, changing the bottom shape of spiral groove only, substituting different deep spiral groove for equal deep spiral groove. The simulation on Upstream Pumping Mechanical Seal with different deep spiral grooves is done using FVM method. According to calculation, the performances of opening force and pressure distribution on seals face are obtained. Five types of spiral grooves are analyzed, namely equal deep spiral groove, circumferential convergent ladder-like different deep spiral groove, circumferential divergent ladder-like different deep spiral groove, radial convergent ladder-like different deep spiral groove and radial divergent ladder-like different deep spiral groove. This paper works on twenty-five working conditions. The results indicate the performances of circumferential divergent 2-ladder different deep spiral groove are better than the others, with more opening force and better stabilization, while with the same leakage. The outcome provides theoretical support for application of Upstream Pumping Mechanical Seal with circumferential convergent ladder-like different deep spiral groove.

  1. The role of capacitance in a wind-electric water pumping system

    Energy Technology Data Exchange (ETDEWEB)

    Ling, Shitao [West Texas A& M Univ., Canyon, TX (United States); Clark, R.N. [Conservation and Production Research Lab., Bushland, TX (United States)

    1997-12-31

    The development of controllers for wind-electric water pumping systems to enable the use of variable voltage, variable frequency electricity to operate standard AC submersible pump motors has provided a more efficient and flexible water pumping system to replace mechanical windmills. A fixed capacitance added in parallel with the induction motor improves the power factor and starting ability of the pump motor at the lower cut-in frequency. The wind-electric water pumping system developed by USDA-Agricultural Research Service, Bushland, TX, operated well at moderate wind speeds (5-12 m/s), but tended to lose synchronization in winds above 12 m/s, especially if they were gusty. Furling generally did not occur until synchronization had been lost and the winds had to subside before synchronization could be reestablished. The frequency needed to reestablish synchronization was much lower (60-65 Hz) than the frequency where synchronization was lost (70-80 Hz). As a result, the load (motor and pump) stayed off an excessive amount of time thus causing less water to be pumped and producing a low system efficiency. The controller described in this paper dynamically connects additional capacitance of the proper amount at the appropriate time to keep the system synchronized (running at 55 to 60 Hz) and pumping water even when the wind speed exceeds 15 m/s. The system efficiency was improved by reducing the system off-line time and an additional benefit was reducing the noise caused by the high speed blade rotation when the load was off line in high winds.

  2. Coupled plasma-neutral transport model for the scrape-off region

    International Nuclear Information System (INIS)

    Galambos, J.D.; Peng, Y.K.M.; Heifetz, D.

    1985-03-01

    Analysis of the scrape-off region requires treatment of the plasma transport along and across the field lines and inclusion of the neutral transport effects. A method for modeling the scrape-off region that is presented here uses separate models for each of these aspects that are coupled together through an iteration procedure that requires only minimal numerical effort. The method is applied here to estimate the neutral pumping rates in the pump-limiter and divertor options for a proposed deuterium-tritium (D-T) ignition experiment. High neutral recycling in the vicinity of the neutralizer plate dramatically affects pumping rates for both the pump-limiter and divertor. In both cases, the plasma flow into the channel surrounding the neutralizer plate is greatly reduced by the neutral recycling. The fraction of this flow that is pumped can be large (> 50%), but in general it is dependent on the particular geometry and plasma conditions. It is estimated that pumping speeds approximately greater than 10 5 L/s are adequate for the exhaust requirements in the pump-limiter and the divertor cases. Also, high neutral recycling on the front surface of the limiter tends to increase the neutral pumping rate

  3. SURGERY OF SYMPTOMATIC MYOCARDIAL BRIDGING

    Directory of Open Access Journals (Sweden)

    N. Maghamipour N. Safaei

    2007-06-01

    Full Text Available Myocardial bridging with systolic compression of the left anterior descending coronary artery (LAD may be associated with myocardial ischemia. In symptomatic myocardial bridging unresponsive to medical treatment, surgical unroofing of the left LAD can be performed. Little information is available about the long-term prognosis of patients with this coronary anomaly after the surgical unroofing, so we decided to evaluate the result of this operation. A total of 26 patients underwent surgical unroofing of myocardial bridging. Patients had a myocardial bridge of at least 3 cm in length in the middle of LAD and with more than 70% compression during systole. Unroofing was performed with cardiopulmonary bypass in 16 and with off pump technique in 10 patients. In 6 patients repeat angiographies for control of myotomy were done. In one of them a nonsignificant 20% narrowing was seen. Postoperative scintigraphic and angiographic studies demonstrated restoration of coronary flow and myocardial perfusion without residual myocardial bridges under beta-stimulation in 24 patients. Two patients had residual narrowing. With off pump technique, 1 patient had perforation of the right ventricle and 1 patient underwent reoperation because of incomplete unroofing during the first operation. None of the patients with cardiopulmonary bypass technique had residual chest pain or other complications. Surgical unroofing of myocardial bridging with the aid of cardiopulmonary bypass is a safe and easy procedure with low operative risk and with excellent functional results.

  4. Application of computational fluid dynamics and surrogate-coupled evolutionary computing to enhance centrifugal-pump performance

    Directory of Open Access Journals (Sweden)

    Sayed Ahmed Imran Bellary

    2016-01-01

    Full Text Available To reduce the total design and optimization time, numerical analysis with surrogate-based approaches is being used in turbomachinery optimization. In this work, multiple surrogates are coupled with an evolutionary genetic algorithm to find the Pareto optimal fronts (PoFs of two centrifugal pumps with different specifications in order to enhance their performance. The two pumps were used a centrifugal pump commonly used in industry (Case I and an electrical submersible pump used in the petroleum industry (Case II. The objectives are to enhance head and efficiency of the pumps at specific flow rates. Surrogates such as response surface approximation (RSA, Kriging (KRG, neural networks and weighted-average surrogates (WASs were used to determine the PoFs. To obtain the objective functions’ values and to understand the flow physics, Reynolds-averaged Navier–Stokes equations were solved. It is found that the WAS performs better for both the objectives than any other individual surrogate. The best individual surrogates or the best predicted error sum of squares (PRESS surrogate (BPS obtained from cross-validation (CV error estimations produced better PoFs but was still unable to compete with the WAS. The high CV error-producing surrogate produced the worst PoFs. The performance improvement in this study is due to the change in flow pattern in the passage of the impeller of the pumps.

  5. Measured Performance of a Low Temperature Air Source Heat Pump

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, R. K. [Johnson Research LLC, Pueblo West, CO (United States)

    2013-09-01

    A 4-ton Low Temperature Heat Pump (LTHP) manufactured by Hallowell International was installed in a residence near New Haven, Connecticut and monitored over two winters of operation. After attending to some significant service issues, the heat pump operated as designed. This report should be considered a review of the dual compressor 'boosted heat pump' technology. The Low Temperature Heat Pumpsystem operates with four increasing levels of capacity (heat output) as the outdoor temperature drops. The system was shown to select capacity correctly, supplying the appropriate amount of heat to the house across the full range of outdoor temperatures. The system's Coefficient of Performance (Seasonal COP, or SCOP) over two entire winters was calculated, based on measured data, to be 3.29over the first winter and 2.68 over the second winter. A second seasonal efficiency calculation by a different method yielded a SCOP of 2.78 for the first winter and 2.83 for the second winter. This second seasonal efficiency calculation was determined by comparing measured heat pump energy use to the in situ energy use with resistance heat alone. This method is the ratio of the slopes of thedaily energy use load lines.

  6. Performance optimization of grooved slippers for aero hydraulic pumps

    Directory of Open Access Journals (Sweden)

    Juan Chen

    2016-06-01

    Full Text Available A computational fluid dynamics (CFD simulation method based on 3-D Navier–Stokes equation and Arbitrary Lagrangian–Eulerian (ALE method is presented to analyze the grooved slipper performance of piston pump. The moving domain of grooved slipper is transformed into a fixed reference domain by the ALE method, which makes it convenient to take the effects of rotate speed, body force, temperature, and oil viscosity into account. A geometric model to express the complex structure, which covers the orifice of piston and slipper, vented groove and the oil film, is constructed. Corresponding to different oil film thicknesses calculated in light of hydrostatic equilibrium theory and boundary conditions, a set of simulations is conducted in COMSOL to analyze the pump characteristics and effects of geometry (groove width and radius, orifice size on these characteristics. Furthermore, the mechanics and hydraulics analyses are employed to validate the CFD model, and there is an excellent agreement between simulation and analytical results. The simulation results show that the sealing land radius, orifice size and groove width all dramatically affect the slipper behavior, and an optimum tradeoff among these factors is conducive to optimizing the pump design.

  7. Enhanced Component Performance Study: Motor-Driven Pumps 1998-2014

    International Nuclear Information System (INIS)

    Schroeder, John Alton

    2016-01-01

    This report presents an enhanced performance evaluation of motor-driven pumps at U.S. commercial nuclear power plants. The data used in this study are based on the operating experience failure reports from fiscal year 1998 through 2014 for the component reliability as reported in the Institute of Nuclear Power Operations (INPO) Consolidated Events Database (ICES). The motor-driven pump failure modes considered for standby systems are failure to start, failure to run less than or equal to one hour, and failure to run more than one hour; for normally running systems, the failure modes considered are failure to start and failure to run. An eight hour unreliability estimate is also calculated and trended. The component reliability estimates and the reliability data are trended for the most recent 10-year period while yearly estimates for reliability are provided for the entire active period. Statistically significant increasing trends were identified in pump run hours per reactor year. Statistically significant decreasing trends were identified for standby systems industry-wide frequency of start demands, and run hours per reactor year for runs of less than or equal to one hour.

  8. Pump performance and reliability follow-up by the French Safety Authorities

    International Nuclear Information System (INIS)

    Clausner, J.P.; De La Ronciere, X.; Scott de Martinville, E.; Courbiere, P.

    1990-12-01

    This paper will present, through actual examples, the methodology of the performance and reliability safety-related pumps evaluation applied by the French Safety Authorities and the lessons drawn from this evaluation

  9. Localization of fluctuation measurement by wave scattering close to a cut off layer

    International Nuclear Information System (INIS)

    Zou, X.L.; Laurent, L.; Rax, J.M.; Lehner, T.

    1990-01-01

    The diagnostic of plasma fluctuations in tokamaks based on the scattering of an electromagnetic wave close to a cut off layer is investigated. A linear density profile is considered. An one-dimensional exact analysis is performed. Spatial and spectral localization of scattering process close to the cut off layer is studied and a modified Bragg rule is derived. The structure of pump and of scattered waves is analyzed. The diagnostic seems to be local and sensitive for low R fluctuations

  10. Impact of cardiac symptoms on self-reported household task performance in women with coronary artery disease.

    Science.gov (United States)

    Kimble, L P

    2001-01-01

    Household tasks are highly salient physical activities for women. Inability to perform household tasks may serve as an important marker of limitations imposed by cardiac symptoms. The purpose of this study was to examine the impact of cardiac symptoms on perceived ability to perform household tasks in women with coronary artery disease and to examine relationships among age, whether the woman lived alone, ability to perform household tasks, and cardiac-related quality of life. Forty-one women with confirmed diagnosis of coronary artery disease and a mean age of 66 years (SD 12 years) were interviewed about the impact of their cardiac symptoms and perceived ability to perform household tasks (Household Activities Scale) and cardiac-related quality of life (Seattle Angina Questionnaire). The women were primarily white (89.4%) and retired (65.9%). Forty-six percent were married, and 26.8% lived alone. "Washing dishes" (51.3%) was the only task a majority of the sample could perform without limitation. Household tasks most commonly reported as no longer performed included carrying laundry (24.4%), vacuuming (30.0%), and scrubbing the floor (51.2%). The task most commonly modified because of cardiac symptoms was changing bed linens (60%). Of the 14 household tasks, women performed a mean of 3.39 (SD 3.36) activities without difficulty. Total number of household activities performed without difficulty was associated with better quality of life in the area of exertional capacity (r = 0.50, P = 0.001). Women who lived alone reported greater perceived ability to perform household tasks than women who did not live alone (r = 0.31, P = 0.05). Age was not significantly associated with perceived household task performance (r = -0.22, P = 0.17). Women with coronary artery disease (CAD) perceived cardiac symptoms as disrupting their ability to perform household tasks. Future research is needed to determine the independent impact of cardiac symptoms on functional limitations

  11. Myocardial Revascularization in Dyalitic Patients: In-Hospital Period Evaluation

    International Nuclear Information System (INIS)

    Miranda, Matheus; Hossne, Nelson Américo Jr.; Branco, João Nelson Rodrigues; Vargas, Guilherme Flora; Fonseca, José Honório de Almeida Palma da; Pestana, José Osmar Medina de Abreu; Juliano, Yara; Buffolo, Enio

    2014-01-01

    Coronary artery bypass grafting currently is the best treatment for dialytic patients with multivessel coronary disease, but hospital morbidity and mortality related to procedure is still high. Evaluate results and in-hospital outcomes of coronary artery bypass grafting in dialytic patients. Retrospective unicentric study including 50 consecutive and not selected dialytic patients, who underwent coronary artery bypass grafting in a tertiary university hospital from 2007 to 2012. High prevalence of cardiovascular risk factors was observed (100% hypertensive, 68% diabetic and 40% dyslipidemic). There was no intra-operative death and 60% of the procedures were performed off-pump. There were seven (14%) in-hospital deaths. Postoperative infection, previous heart failure, cardiopulmonary bypass, abnormal ventricular function and surgical re-exploration were associated with increased mortality. Coronary artery bypass grafting is feasible to dialytic patients although high in-hospital morbidity and mortality. It is necessary better understanding about metabolic aspects to plan adequate interventions

  12. Myocardial Revascularization in Dyalitic Patients: In-Hospital Period Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Miranda, Matheus, E-mail: matheus10miranda@gmail.com; Hossne, Nelson Américo Jr.; Branco, João Nelson Rodrigues; Vargas, Guilherme Flora; Fonseca, José Honório de Almeida Palma da; Pestana, José Osmar Medina de Abreu [Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo, SP (Brazil); Juliano, Yara [Universidade de Santo Amaro, São Paulo, SP (Brazil); Buffolo, Enio [Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo, SP (Brazil)

    2014-02-15

    Coronary artery bypass grafting currently is the best treatment for dialytic patients with multivessel coronary disease, but hospital morbidity and mortality related to procedure is still high. Evaluate results and in-hospital outcomes of coronary artery bypass grafting in dialytic patients. Retrospective unicentric study including 50 consecutive and not selected dialytic patients, who underwent coronary artery bypass grafting in a tertiary university hospital from 2007 to 2012. High prevalence of cardiovascular risk factors was observed (100% hypertensive, 68% diabetic and 40% dyslipidemic). There was no intra-operative death and 60% of the procedures were performed off-pump. There were seven (14%) in-hospital deaths. Postoperative infection, previous heart failure, cardiopulmonary bypass, abnormal ventricular function and surgical re-exploration were associated with increased mortality. Coronary artery bypass grafting is feasible to dialytic patients although high in-hospital morbidity and mortality. It is necessary better understanding about metabolic aspects to plan adequate interventions.

  13. Irreversible absorption heat-pump and its optimal performance

    International Nuclear Information System (INIS)

    Chen Lingen; Qin Xiaoyong; Sun Fengrui; Wu Chih

    2005-01-01

    On the basis of an endoreversible absorption heat-pump cycle, a generalized irreversible four-heat-reservoir absorption heat-pump cycle model is established by taking account of the heat resistances, heat leak and irreversibilities due to the internal dissipation of the working substance. The heat transfer between the heat reservoir and the working substance is assumed to obey the linear (Newtonian) heat-transfer law, and the overall heat-transfer surface area of the four heat-exchangers is assumed to be constant. The fundamental optimal relations between the coefficient of performance (COP) and the heating-load, the maximum COP and the corresponding heating-load, the maximum heating load and the corresponding COP, as well as the optimal temperatures of the working substance and the optimal heat-transfer surface areas of the four heat-exchangers are derived by using finite-time thermodynamics. Moreover, the effects of the cycle parameters on the characteristics of the cycle are studied by numerical examples

  14. Groundwater heat pump performance improvement with pre-coolers and pump modification: Final report for the 1985-86 SOMED (School of Mines and Energy Development) project year

    Energy Technology Data Exchange (ETDEWEB)

    Kavanaugh, S.

    1986-09-30

    Improved performance of groundwater heat pumps can be realized with a more effective and efficient utilization of the thermal properties of shallow groundwater. These systems circulate water from aquifers through water source heat pumps to achieved high efficiencies and capacities. This project concludes that a 10 to 15 percent cooling performance improvement can be realized by pre-cooling the room air with the 55/sup 0/ to 67/sup 0/F groundwater available in large portions of the Southeast. Proper design of these pre-coolers eliminates unnecessary auxiliary energy requirements. The efficiency of the overall system can be further improved with modifications to current methods of water circulation system design. Pressure requirements are minimized by maintaining a low unit inlet pressure (8 psig maximum), removing unnecessary loop restrictions and injection below the water table. Standard submersible water pumps exceed the resulting required size for residential groundwater heat pumps. Simple modifications can be made by the manufacturer to correct this problem. The result is an overall 15 to 40 percent performance improvement over high efficiency air source heat pumps with a simple payback of between 0 to 10 years in most cases.

  15. Impaired exercise performance and muscle Na(+),K(+)-pump activity in renal transplantation and haemodialysis patients.

    Science.gov (United States)

    Petersen, Aaron C; Leikis, Murray J; McMahon, Lawrence P; Kent, Annette B; Murphy, Kate T; Gong, Xiaofei; McKenna, Michael J

    2012-05-01

    We examined whether abnormal skeletal muscle Na(+),K(+)-pumps underlie impaired exercise performance in haemodialysis patients (HDP) and whether these are improved in renal transplant recipients (RTx). Peak oxygen consumption ( O(2peak)) and plasma [K(+)] were measured during incremental exercise in 9RTx, 10 HDP and 10 healthy controls (CON). Quadriceps peak torque (PT), fatigability (decline in strength during thirty contractions), thigh muscle cross-sectional area (TMCSA) and vastus lateralis Na(+),K(+)-pump maximal activity, content and isoform (α(1)-α(3), β(1)-β(3)) abundance were measured. O(2peak) was 32 and 35% lower in RTx and HDP than CON, respectively (P Na(+),K(+)-pump activity was 28 and 31% lower in RTx and HDP, respectively than CON (P Na(+),K(+)-pump activity (r = 0.45, P = 0.02). O(2peak) and muscle Na(+),K(+)-pump activity were depressed and muscle fatigability increased in HDP, with no difference observed in RTx. These findings are consistent with the possibility that impaired exercise performance in HDP and RTx may be partially due to depressed muscle Na(+),K(+)-pump activity and relative TMCSA.

  16. Cryogenic storage tank with built-in pump

    International Nuclear Information System (INIS)

    Zwick, E.B.

    1984-01-01

    A cryogenic storage tank with a built-in pump for pumping cryogen directly from the primary storage container consistent with low boil-off losses of cryogen has an outer vessel, an inner vessel and an evacuated insulation space therebetween. A pump mounting tube assembly extends into the interior of the inner vessel and includes an inner pump mounting tube and an outer pump mounting tube joined at their lower rims to define an insulating jacket between the two tubes. The inner pump mounting tube is affixed at its upper end to the outer vessel while the outer pump mounting tube is affixed at its upper end to the inner vessel. The inner pump mounting tube defines a relatively long heat path into the cryogenic container and is itself insulated from the liquid cryogen by a pocket of trapped gas formed within the inner pump mounting tube by heated cryogen. A pump may be introduced through the inner pump mounting tube and is also insulated against contact with liquid cryogen by the trapped gas such that only the lowermost end of the pump is immersed in cryogen thereby minimizing heat leakage into the tank

  17. Numerical identification of blade exit angle effect on the performance for a multistage centrifugal pump impeller

    Directory of Open Access Journals (Sweden)

    Babayigit Osman

    2015-01-01

    Full Text Available Nowadays, single and multistage centrifugal pumps are widely used in industrial and mining enterprises. One of the most important components of a centrifugal pump is the impeller. The performance characteristics are related to the pump comprising the head and the overall efficiency rely a great deal on the impeller geometry. In this work, effects of blade exit angle change on hydraulic efficiency of a multi stage pump impeller are investigated via Ansys-Fluent computational fluid dynamics software for constant width impeller entrance and exit gates, blade numbers and blade thickness. Firstly, the flow volume of a centrifugal pump impeller is generated and then mesh structure is formed for the full impeller flow volume. Secondly, rotational periodic flow model are adopted in order to examine the effect of periodic flow assumption on the performance predictions. Corresponding to the available experimental data, inlet mass flow rate, outlet static pressure and rotation of impeller are taken as 0.02m3s-1, 450 kPa and 2950 rpm, respectively for the water fluid. No slip boundary condition is exposed to all solid of surface in the flow volume. The continuity and Navier-Stokes equations with the k-ε turbulence model and the standard wall functions are used. During the study, numerical analyses are conducted for the blade exit angle values of 18°, 20°, 25°, 30° and 35°. In consequence of the performed analyses, it is determined that hydraulic efficiency of the pump impeller value is changed between 81.0-84.6%. The most convenient blade exit angle that yields 84.6% hydraulic efficiency at is 18°. The obtained results show that the blade exit angle range has an impact on the centrifugal pump performance describing the pump head and the hydraulic efficiency.

  18. Evaluating Performance of University Spin-Off Companies: Lessons from Italy

    Directory of Open Access Journals (Sweden)

    Barbara Bigliardi

    2013-05-01

    Full Text Available Academic spin-offs are very special start-up companies that are founded by an academic inventor with the aim to exploit technological knowledge that originated within a University setting in order to develop products or services. During the last two decades, academic spin-offs have received increasing attention from both researchers and practitioners, mainly due to their ability to advance industrial application of scientific knowledge. Much of the studies available in literature on this matter, however, have focused on USA’s spin-offs, while still little attention has been paid to the European countries, and to Italy in particular. Thus, the aim of our research is twofold: first, to fill this gap in literature. Second, to propose, on the basis of the above mentioned literature review, a model of ex-ante evaluation of the spin-off companies’ performance. Specifically, the research methodology followed was a combination of literature analysis and Delphi technique: we first extensively reviewed the extant literature on spin-off companies, then we proposed to a panel of expert the indicators that emerged from the literature as affecting the performance of academic spin-offs.

  19. Comparison of performance between a parallel and a series solar-heat pump system; Solar heat pump system ni okeru heiretsu setsuzoku no seino hikaku

    Energy Technology Data Exchange (ETDEWEB)

    Kanayama, K; Zhao, J; Baba, H; Endo, N [Kitami Institute of Technology, Hokkaido (Japan)

    1997-11-25

    In a solar heat pump system, a single-tank system was fabricated, in which a heat pump is installed in series between a heat collecting tank and a heat storage tank. At the same time, a double-tank system was also fabricated, in which two tanks are assembled into one to which a solar system and a heat pump are connected in parallel. Performance of both systems was analyzed by using measured values and estimated values. Heat collecting efficiency in the double-tank system is higher by about 13 points than in the single-tank system. Nevertheless, the coefficient of performance for the single-tank system is 1.03 to 1.51 times greater than that of the double-tank system. Dependency of the single-tank system on natural energy is higher by 0.3 to 3 points than the double-tank system. Putting the above facts together, it may be said that the single-tank system connecting the solar system and the heat pump in parallel is superior in performance to the double-tank system of the series connection. 3 refs., 5 figs., 2 tabs.

  20. Numerical Simulation of Tubular Pumping Systems with Different Regulation Methods

    Science.gov (United States)

    Zhu, Honggeng; Zhang, Rentian; Deng, Dongsheng; Feng, Xusong; Yao, Linbi

    2010-06-01

    Since the flow in tubular pumping systems is basically along axial direction and passes symmetrically through the impeller, most satisfying the basic hypotheses in the design of impeller and having higher pumping system efficiency in comparison with vertical pumping system, they are being widely applied to low-head pumping engineering. In a pumping station, the fluctuation of water levels in the sump and discharge pool is most common and at most time the pumping system runs under off-design conditions. Hence, the operation of pump has to be flexibly regulated to meet the needs of flow rates, and the selection of regulation method is as important as that of pump to reduce operation cost and achieve economic operation. In this paper, the three dimensional time-averaged Navier-Stokes equations are closed by RNG κ-ɛ turbulent model, and two tubular pumping systems with different regulation methods, equipped with the same pump model but with different designed system structures, are numerically simulated respectively to predict the pumping system performances and analyze the influence of regulation device and help designers make final decision in the selection of design schemes. The computed results indicate that the pumping system with blade-adjusting device needs longer suction box, and the increased hydraulic loss will lower the pumping system efficiency in the order of 1.5%. The pumping system with permanent magnet motor, by means of variable speed regulation, obtains higher system efficiency partly for shorter suction box and partly for different structure design. Nowadays, the varied speed regulation is realized by varied frequency device, the energy consumption of which is about 3˜4% of output power of the motor. Hence, when the efficiency of variable frequency device is considered, the total pumping system efficiency will probably be lower.

  1. Energy Performance and Pressure Fluctuation of a Multiphase Pump with Different Gas Volume Fractions

    Directory of Open Access Journals (Sweden)

    Jinsong Zhang

    2018-05-01

    Full Text Available Large petroleum resources in deep sea, and huge market demands for petroleum need advanced petroleum extraction technology. The multiphase pump, which can simultaneously transport oil and gas with considerable efficiency, has been a crucial technology in petroleum extraction. A numerical approach with mesh generation and a Navier-Stokes equation solution is employed to evaluate the effects of gas volume fraction on energy performance and pressure fluctuations of a multiphase pump. Good agreement of experimental and calculation results indicates that the numerical approach can accurately simulate the multiphase flow in pumps. The pressure rise of a pump decreases with the increasing of flow rate, and the pump efficiency decreases with the increasing of GVF (the ratio of the gas volume to the whole volume. Results show that the dominant frequencies of pressure fluctuation in the impeller and diffuser are eleven and three times those of the impeller rotational frequency, respectively. Due to the larger density of water and centrifugal forces, the water aggregates to the shroud and the gas gathers to the hub, which renders the distribution of GVF in the pump uneven. A vortex develops at the blade suction side, near the leading edge, induced by the leakage flow, and further affects the pressure fluctuation in the impeller. The obvious vortex in the diffuser indicates that the design of the divergence angle of the diffuser is not optimal, which induces flow separation due to large diffusion ratio. A uniform flow pattern in the impeller indicates good hydraulic performance of the pump.

  2. Diode-pumped Yb:Sr5(PO4)3F laser performance

    International Nuclear Information System (INIS)

    Marshall, C.D.; Payne, S.A.; Smith, L.K.

    1995-01-01

    The performance of the first diode-pumped Yb 3+ -doped Sr 5 (PO 4 ) 3 F (Yb:S-FAP) laser is discussed. We found the pumping dynamics and extraction cross-sections of Yb:S-FAP crystals to be similar to those previously inferred by purely spectroscopic techniques. The saturation fluence for pumping was measured to be 2.2 J/cm 2 using three different methods based on either the spatial, temporal, or energy transmission properties of a Yb:S-FAP rod. The small signal gain implies an emission cross section of 6.0 x 10 -20 cm 2 that falls within error bars of the previously reported value of 7.3 x 10 -20 cm 2 , obtained from spectroscopic techniques. Up to 1.7 J/cm 3 of stored energy density was achieved in a 6 x 6 x 44 mm Yb:S-FAP amplifier rod. An InGaAs diode array has been fabricated that has suitable specifications for pumping a 3 x 3 x 30 mm Yb:S-FAP rod. In a free running configuration diode-pumped slope efficiencies up to 43% were observed with output energies up to ∼0.5 J per 1 ms pulse. When the rod was mounted in a copper block for cooling, 13 W of average power was produced with power supply limited operation at 70 Hz and 500 μs pulses

  3. Diagnostic performance of combined noninvasive coronary angiography and myocardial perfusion imaging using 320 row detector computed tomography

    DEFF Research Database (Denmark)

    Vavere, Andrea L; Simon, Gregory G; George, Richard T

    2013-01-01

    Multidetector coronary computed tomography angiography (CTA) is a promising modality for widespread clinical application because of its noninvasive nature and high diagnostic accuracy as found in previous studies using 64 to 320 simultaneous detector rows. It is, however, limited in its ability...... to detect myocardial ischemia. In this article, we describe the design of the CORE320 study ("Combined coronary atherosclerosis and myocardial perfusion evaluation using 320 detector row computed tomography"). This prospective, multicenter, multinational study is unique in that it is designed to assess...... the diagnostic performance of combined 320-row CTA and myocardial CT perfusion imaging (CTP) in comparison with the combination of invasive coronary angiography and single-photon emission computed tomography myocardial perfusion imaging (SPECT-MPI). The trial is being performed at 16 medical centers located in 8...

  4. Factors influencing the performance and efficiency of solar water pumping systems:  a review

    OpenAIRE

    Gouws, Rupert; Lukhwareni, Thendo

    2012-01-01

    The world is having an energy crisis and currently there is a strong drive towards renewable energy. A renewable energy option is solar energy, where by means of photovoltaic (PV) modules electrical energy can be produced. A residential as well as industrial application for these PV modules is solar water pumping systems. Disadvantages of solar water pumping systems are low performance and low energy efficiency. This paper provides a review on the factors that influence the performance and ef...

  5. Experimental Study of the Performance of Air Source Heat Pump Systems Assisted by Low-Temperature Solar-Heated Water

    Directory of Open Access Journals (Sweden)

    Jinshun Wu

    2013-01-01

    Full Text Available Due to the low temperatures, the heating efficiency of air source heat pump systems during the winter is very low. To address this problem, a low-temperature solar hot water system was added to a basic air source heat pump system. Several parameters were tested and analyzed. The heat collection efficiency of the solar collector was analyzed under low-temperature conditions. The factors that affect the performance of the heat pumps, such as the fluid temperature, pressure, and energy savings, were analyzed for cases where the solar energy auxiliary heat pump and the air source heat pump are used independently. The optimal heating temperature and the changes in the fluid temperature were determined. The influence of the compression ratio and the coefficient of performance (COP were investigated theoretically. The results revealed the parameters that are important to the performance of the system. Several measures for improving the COP of the heat pump units are provided for other applications and future research.

  6. Improving the performance of booster heat pumps using zeotropic mixtures

    DEFF Research Database (Denmark)

    Zühlsdorf, B.; Meesenburg, W.; Ommen, T. S.

    2018-01-01

    Abstract This study demonstrated an increase in the thermodynamic performance of a booster heat pump, which was achieved by choosing the working fluid among pure and mixed fluids. The booster heat pump was integrated in an ultra-low-temperature district heating network with a forward temperature...... of 40 °C to produce domestic hot water, by heating part of the forward stream to 60 °C, while cooling the remaining part to the return temperature of 25 °C. The screening of working fluids considered 18 pure working fluids and all possible binary mixtures of these fluids. The most promising solutions...... heat supply system while being economically competitive to pure fluids....

  7. The coronary arteries of the agouti (Agouti paca, Linnaeus, 1766

    Directory of Open Access Journals (Sweden)

    Fabrício Singaretti de Oliveira

    2009-12-01

    Full Text Available The present study aimed to describe the coronary arteries in the agouti. Twelve hearts set, in a 10% formaldehyde aqueous solution, were used. The presence of left and right coronary arteries was observed in all hearts. The fi rst arose from the aorta, between the left auricle and the pulmonary trunk, and gave off into a circumfl ex branch, whichever was directed to the right surface of this viscerae, and an interventricular paraconal branch that went through the cardiac apex, on the left atrioventricular sulcus. In 91.6% of the cases, at its origin, the paraconal branch gave off a thick side branch to the left ventricle wall, and in 100% of the cases, went deep, characterizing a large myocardial bridge. In 8.4% of the cases, this thick side branch to the left ventricle wall originated directly from the left coronary artery and not from the paraconal branch, and alterations such those to the circumfl ex branch did not occur. Regarding the right coronary artery, the origin of this vessel was from the aorta, on the atrial surface, in the direction of the right ventricular border, going through the subsinuous interventricular sulcus as an interventricular subsinuous branch.

  8. Coronary arterio-venous fistula associated acute coronary syndrome: A case-report and review of literature

    Directory of Open Access Journals (Sweden)

    V.H. Contreras-Gutiérrez

    2017-01-01

    Full Text Available A 56-year-old woman with no medical history presented to the emergency department complaining of oppressive chest pain of three hours of duration triggered by walking. An electrocardiogram (ECG performed at hospital admission showed ST-segment depression and T-wave inversion in left precordial and inferior leads. Serum troponin I levels were above the normal values. Non ST-segment elevation acute coronary syndrome (NSTEACS was diagnosed and an invasive approach with a percutaneous coronary intervention was performed. No obstructive coronary lesions were observed. However a tortuous coronary fistula emerging from the left-anterior descending coronary artery to the pulmonary artery was observed. Coronary arterio-venous fistulas are present in 0.002% of the general population and in 0.25% of patients undergoing cardiac catheterization for any cause. Most of them are asymptomatic. Ischemic symptoms may develop but are infrequent in patients with no atherosclerotic disease.

  9. DEVELOPMENT OF A HIGH PERFORMANCE COLD CLIMATE HEAT PUMP

    Energy Technology Data Exchange (ETDEWEB)

    Horton, W. Travis [Purdue University; Groll, Eckhard A. [Purdue University; Braun, James E. [Purdue University

    2014-06-01

    The primary goals of the proposed project were to develop, test, and evaluate a high performance and cost-effective vapor compression air-source heat pump for use in cold climate regions. Vapor compression heat pumps are a proven technology, and have been used for many years to meet heating requirements for buildings in residential, commercial, and industrial applications. However, in climate regions that experience very low outdoor ambient temperatures both the heating capacity and coefficient of performance (COP) of traditional air-source vapor compression heat pumps drops dramatically with a decrease in the outdoor air temperature. The efficiency of heat pumping equipment has improved substantially over the past 20 years; however, the efficiencies of the highest rated equipment on the market are approaching practical limits that cannot be surpassed without modifications to the basic cycle and possibly the use of additional hardware. In this report, three technologies to improve the efficiency of vapor compression systems are described. These are a) vapor injected compression, b) oil flooded compression and c) hybrid flow control of the evaporator. Compressor prototypes for both, oil flooded and vapor injected compression were developed by Emerson Climate Technologies. For the oil flooded compressor, the oil injection port location was optimized and an internal oil separator was added using several design iterations. After initial testing at Emerson Climate Technologies, further testing was done at Purdue University, and compressor models were developed. These models were then integrated into a system model to determine the achievable improvement of seasonal energy efficiency (SEER) for Minneapolis (Minnesota) climate. For the oil flooded compression, a 34% improvement in seasonal energy efficiency was found while a 21% improvement in seasonal energy efficiency ratio was found for the vapor injected compression. It was found that one benefit of both tested

  10. Performance and Costs of Ductless Heat Pumps in Marine-Climate High-Performance Homes -- Habitat for Humanity The Woods

    Energy Technology Data Exchange (ETDEWEB)

    Lubliner, Michael [Building America Partnership for Improved Residential Construction, Olympia, WA (United States). Washington States Univ. Energy Program; Howard, Luke [Building America Partnership for Improved Residential Construction, Olympia, WA (United States). Washington States Univ. Energy Program; Hales, David [Building America Partnership for Improved Residential Construction, Olympia, WA (United States). Washington States Univ. Energy Program; Kunkle, Rick [Building America Partnership for Improved Residential Construction, Olympia, WA (United States). Washington States Univ. Energy Program; Gordon, Andy [Building America Partnership for Improved Residential Construction, Olympia, WA (United States). Washington States Univ. Energy Program; Spencer, Melinda [Building America Partnership for Improved Residential Construction, Olympia, WA (United States). Washington States Univ. Energy Program

    2016-02-18

    The Woods is a Habitat for Humanity (HFH) community of ENERGY STAR Homes Northwest (ESHNW)-certified homes located in the marine climate of Tacoma/Pierce County, Washington. This research report builds on an earlier preliminary draft 2014 BA report, and includes significant billing analysis and cost effectiveness research from a collaborative, ongoing Ductless Heat Pump (DHP)research effort for Tacoma Public Utilities (TPU) and Bonneville Power Administration (BPA). This report focuses on the results of field testing, modeling, and monitoring of ductless mini-split heat pump hybrid heating systems in seven homes built and first occupied at various times between September 2013 and October 2014. The report also provides WSU documentation of high-performance home observations, lessons learned, and stakeholder recommendations for builders of affordable high-performance housing such as HFH. Tacoma Public Utilities (TPU) and Bonneville Power Administration (BPA). This report focuses on the results of field testing, modeling, and monitoring of ductless mini-split heat pump hybrid heating systems in seven homes built and first occupied at various times between September 2013 and October 2014. The report also provides WSU documentation of high-performance home observations, lessons learned, and stakeholder recommendations for builders of affordable high-performance housing such as HFH.

  11. Concomitant use of proton pump inhibitors and clopidogrel in patients with coronary, cerebrovascular, or peripheral artery disease in the factores de Riesgo y ENfermedad Arterial (FRENA) registry.

    Science.gov (United States)

    Muñoz-Torrero, Juan Francisco Sánchez; Escudero, Domingo; Suárez, Carmen; Sanclemente, Carmen; Pascual, Ma Teresa; Zamorano, José; Trujillo-Santos, Javier; Monreal, Manuel

    2011-01-01

    Among patients receiving clopidogrel for coronary artery disease, concomitant therapy with proton pump inhibitors (PPIs) has been associated with an increased risk for recurrent coronary events. Factores de Riesgo y ENfermedad Arterial (FRENA) is an ongoing, multicenter, observational registry of consecutive outpatients with coronary artery disease, cerebrovascular disease, or peripheral artery disease. We retrospectively examined the influence of concomitant use of PPIs on outcome in patients receiving clopidogrel. As of March 2009, 1222 patients were using clopidogrel: 595 had coronary artery disease, 329 cerebrovascular disease, and 298 had peripheral artery disease. Of these, 519 (42%) were concomitantly using PPIs. Over a mean follow-up of 15 months, 131 patients (11%) had 139 subsequent ischemic events: myocardial infarction 44, ischemic stroke 40, and critical limb ischemia 55. Seventeen of them (13%) died within 15 days of the subsequent event. PPI users had a higher incidence of myocardial infarction (rate ratio, 2.5; 95% confidence interval [CI], 1.3-4.8), ischemic stroke (rate ratio, 1.9; 95% CI, 1.03-3.7), and a nonsignificantly higher rate of critical limb ischemia (rate ratio, 1.6; 95% CI, 0.95-2.8) than nonusers. On multivariate analysis, concomitant use of clopidogrel and PPIs was independently associated with an increased risk for subsequent ischemic events both in the whole series of patients (hazard ratio, 1.8; 95% CI, 1.1-2.7) and in those with cerebrovascular disease or peripheral artery disease (hazard ratio, 1.5; 95% CI, 1.01-2.4). In patients with established arterial disease, concomitant use of PPIs and clopidogrel was associated with a nearly doubling of the incidence of subsequent myocardial infarction or ischemic stroke. This higher incidence persisted after multivariate adjustment.

  12. Performance of discrete heat engines and heat pumps in finite time

    Science.gov (United States)

    Feldmann; Kosloff

    2000-05-01

    The performance in finite time of a discrete heat engine with internal friction is analyzed. The working fluid of the engine is composed of an ensemble of noninteracting two level systems. External work is applied by changing the external field and thus the internal energy levels. The friction induces a minimal cycle time. The power output of the engine is optimized with respect to time allocation between the contact time with the hot and cold baths as well as the adiabats. The engine's performance is also optimized with respect to the external fields. By reversing the cycle of operation a heat pump is constructed. The performance of the engine as a heat pump is also optimized. By varying the time allocation between the adiabats and the contact time with the reservoir a universal behavior can be identified. The optimal performance of the engine when the cold bath is approaching absolute zero is studied. It is found that the optimal cooling rate converges linearly to zero when the temperature approaches absolute zero.

  13. Long-term prognostic performance of low-dose coronary computed tomography angiography with prospective electrocardiogram triggering

    Energy Technology Data Exchange (ETDEWEB)

    Clerc, Olivier F.; Kaufmann, Basil P.; Possner, Mathias; Liga, Riccardo; Vontobel, Jan; Mikulicic, Fran; Graeni, Christoph; Benz, Dominik C.; Fuchs, Tobias A.; Stehli, Julia; Pazhenkottil, Aju P.; Gaemperli, Oliver; Kaufmann, Philipp A.; Buechel, Ronny R. [University Hospital Zurich, Cardiac Imaging, Department of Nuclear Medicine, Zurich (Switzerland)

    2017-11-15

    To assess long-term prognosis after low-dose 64-slice coronary computed tomography angiography (CCTA) using prospective electrocardiogram-triggering. We included 434 consecutive patients with suspected or known coronary artery disease referred for low-dose CCTA. Patients were classified as normal, with non-obstructive or obstructive lesions, or previously revascularized. Coronary artery calcium score (CACS) was assessed in 223 patients. Follow-up was obtained regarding major adverse cardiac events (MACE): cardiac death, myocardial infarction and elective revascularization. We performed Kaplan-Meier analysis and Cox regressions. Mean effective radiation dose was 1.7 ± 0.6 mSv. At baseline, 38% of patients had normal arteries, 21% non-obstructive lesions, 32% obstructive stenosis and 8% were revascularized. Twenty-nine patients (7%) were lost to follow-up. After a median follow-up of 6.1 ± 0.6 years, MACE occurred in 0% of patients with normal arteries, 6% with non-obstructive lesions, 30% with obstructive stenosis and 39% of those revascularized. MACE occurrence increased with increasing CACS (P < 0.001), but 4% of patients with CACS = 0 experienced MACE. Multivariate Cox regression identified obstructive stenosis, lesion burden in CCTA and CACS as independent MACE predictors (P ≤ 0.001). Low-dose CCTA with prospective electrocardiogram-triggering has an excellent long-term prognostic performance with a warranty period >6 years for patients with normal coronary arteries. (orig.)

  14. Long-term prognostic performance of low-dose coronary computed tomography angiography with prospective electrocardiogram triggering

    International Nuclear Information System (INIS)

    Clerc, Olivier F.; Kaufmann, Basil P.; Possner, Mathias; Liga, Riccardo; Vontobel, Jan; Mikulicic, Fran; Graeni, Christoph; Benz, Dominik C.; Fuchs, Tobias A.; Stehli, Julia; Pazhenkottil, Aju P.; Gaemperli, Oliver; Kaufmann, Philipp A.; Buechel, Ronny R.

    2017-01-01

    To assess long-term prognosis after low-dose 64-slice coronary computed tomography angiography (CCTA) using prospective electrocardiogram-triggering. We included 434 consecutive patients with suspected or known coronary artery disease referred for low-dose CCTA. Patients were classified as normal, with non-obstructive or obstructive lesions, or previously revascularized. Coronary artery calcium score (CACS) was assessed in 223 patients. Follow-up was obtained regarding major adverse cardiac events (MACE): cardiac death, myocardial infarction and elective revascularization. We performed Kaplan-Meier analysis and Cox regressions. Mean effective radiation dose was 1.7 ± 0.6 mSv. At baseline, 38% of patients had normal arteries, 21% non-obstructive lesions, 32% obstructive stenosis and 8% were revascularized. Twenty-nine patients (7%) were lost to follow-up. After a median follow-up of 6.1 ± 0.6 years, MACE occurred in 0% of patients with normal arteries, 6% with non-obstructive lesions, 30% with obstructive stenosis and 39% of those revascularized. MACE occurrence increased with increasing CACS (P < 0.001), but 4% of patients with CACS = 0 experienced MACE. Multivariate Cox regression identified obstructive stenosis, lesion burden in CCTA and CACS as independent MACE predictors (P ≤ 0.001). Low-dose CCTA with prospective electrocardiogram-triggering has an excellent long-term prognostic performance with a warranty period >6 years for patients with normal coronary arteries. (orig.)

  15. LD pumped Nd: YLF amplification technology

    International Nuclear Information System (INIS)

    Qin Xingwu; Li Mingzhong; Luo Yiming; Sui Zhan; Ding Lei; Liang Yue; Zhao Runchang; Chen Lianming

    2003-01-01

    A Ring-LD-pumped Nd: YLF laser amplifier system is theoretically and experimentally discussed. A structure of off-axes double passes amplifier is used. The results of experiment shown that 109 mJ output energy with a net gain of 1115 is obtained under 150 μJ input energy; a compact side-pumped structure is used to obtain a high transferring efficiency of LD array, 1.01 J output energy is achieved at 1053 nm. (authors)

  16. Influence of the positive prewhirl on the performance of centrifugal pumps with different airfoils

    International Nuclear Information System (INIS)

    Zhou, C M; Wang, H M; Huang, X; Lin, H

    2012-01-01

    According to the basic theory of turbomachinery design and inlet guide vanes prewhirl regulation, two different airfoils inlet guide vanes of prewhirl regulation device were designed, the influence of the positive prewhirl to the performance of centrifugal pump were studied based on different airfoils. The results show that, for a single-suction centrifugal pump: Gottingen bowed blade-type inlet guide vane adjustment effect is better than straight blade-type inlet guide; appropriate design of positive prewhirl can elevate the efficiency of centrifugal pumps. Compared with no vane conditions, the efficiency of centrifugal pump with prewhirl vanes has been greatly improved and the power consumption has been reduced significantly, while has little influence on the head.

  17. Performance of the NRX shut-off rods

    International Nuclear Information System (INIS)

    Manson, R.E.

    1965-08-01

    A new type of shut-off rod of electromechanical design was developed by the American Machine and Foundry Company for use in the NRX reactor following the accident of 1952. The new rods were installed in May, 1956, as part of the control system conversion program which was completed in 1958. Some problems were encountered with limit switch adjustment but minor modifications in design led to much improved operation. he performance of the rods also improved as more experience was gained in the maintenance and adjustment of the various headgear components. Each headgear is now overhauled once a year on a routine basis. The present design of shut-off rod is considered to be very satisfactory. There has only been one occasion when a shut-off rod has failed to come fully down on a trip. Rods have failed to operate correctly on five other occasions but these occurred during shutdown periods or when the reactor was being shutdown manually. (author)

  18. Development of model pump for establishing hydraulic design of primary sodium pumps in PFBR

    International Nuclear Information System (INIS)

    Chougule, R.J.; Sahasrabudhe, H.G.; Rao, A.S.L.K.; Balchander, K.; Kale, R.D.

    1994-01-01

    Indira Gandhi Centre for Atomic Research, Kalpakkam indicated requirement of indigenous development of primary sodium pump, handling liquid sodium as coolant in Fast Breeder Reactor. The primary sodium pump concept selected in its preliminary design is a vertical, single stage, with single suction impeller, suction facing downwards. The pump is having diffuser, discharge casing and discharge collector. The 1/3 rd size model pump is developed to establish the hydraulic performance of the prototype primary sodium pump. The main objectives were to verify the hydraulic design to operate on low net positive suction head available (NPSHA), no evidence of visible cavitation at available NPSHA, the pump should be designed with a diffuser etc. The model pump PSP 250/40 was designed and successfully developed by Research and Development Division of M/s Kirloskar Brothers Ltd., Kirloskarvadi. The performance testing using model pump was successfully carried out on a closed circuit test rig. The performance of a model pump at three different speeds 1900 rpm, 1456 rpm and 975 rpm was established. The values of hydraulic axial thrust with and without balancing holes on impeller at 1900 rpm was measured. Visual cavitation study at 1900 rpm was carried out to establish the NPSH at bubble free operation of the pump. The tested performance of the model pump is converted to the full scale prototype pump. The predicted performance of prototype pump at 700 rpm was found to be meeting fully with the expected duties. (author). 6 figs., 3 tabs

  19. CT coronary angiography vs. invasive coronary angiography in CHD

    Directory of Open Access Journals (Sweden)

    Anja Hagen

    2012-04-01

    Full Text Available Scientific background: Various diagnostic tests including conventional invasive coronary angiography and non-invasive computed tomography (CT coronary angiography are used in the diagnosis of coronary heart disease (CHD. Research questions: The present report aims to evaluate the clinical efficacy, diagnostic accuracy, prognostic value cost-effectiveness as well as the ethical, social and legal implications of CT coronary angiography versus invasive coronary angiography in the diagnosis of CHD. Methods: A systematic literature search was conducted in electronic data bases (MEDLINE, EMBASE etc. in October 2010 and was completed with a manual search. The literature search was restricted to articles published from 2006 in German or English. Two independent reviewers were involved in the selection of the relevant publications. The medical evaluation was based on systematic reviews of diagnostic studies with invasive coronary angiography as the reference standard and on diagnostic studies with intracoronary pressure measurement as the reference standard. Study results were combined in a meta-analysis with 95 % confidence intervals (CI. Additionally, data on radiation doses from current non-systematic reviews were taken into account. A health economic evaluation was performed by modelling from the social perspective with clinical assumptions derived from the meta-analysis and economic assumptions derived from contemporary German sources. Data on special indications (bypass or in-stent-restenosis were not included in the evaluation. Only data obtained using CT scanners with at least 64 slices were considered. Results: No studies were found regarding the clinical efficacy or prognostic value of CT coronary angiography versus conventional invasive coronary angiography in the diagnosis of CHD. Overall, 15 systematic reviews with data from 44 diagnostic studies using invasive coronary angiography as the reference standard (identification of obstructive

  20. Seawater pumping as an electricity storage solution for photovoltaic energy systems

    International Nuclear Information System (INIS)

    Manfrida, Giampaolo; Secchi, Riccardo

    2014-01-01

    The stochastic nature of several renewable energy sources has raised the problem of designing and building storage facilities, which can help the electricity grid to sustain larger and larger contribution of renewable energy. Seawater pumped electricity storage is proposed as a good option for PV (Photovoltaic) or solar thermal power plants, located in suitable places close to the coast line. Solar radiation has a natural daily cycle, and storage reservoirs of limited capacity can substantially reduce the load to the electricity grid. Different modes of pump operation (fixed or variable speed) are considered, the preliminary sizing of the PV field and seawater reservoir is performed, and the results are comparatively assessed over a year-long simulated operation. The results show that PV pumped storage, even if not profitable in the present situation of the renewable energy Italian electricity market, is effective in decreasing the load on the transmission grid, and would possibly be attractive in the future, also in the light of developing off-grid applications. - Highlights: • A grid-connected seawater pumping system using photovoltaic power is proposed and its performance analyzed. • Year-round simulations are run with different sizes of photovoltaic field and reservoir. • An analysis is run about the profitability of the storage system, examining performance indexes and the cost of plant. • The system proposed appears near to attract the interest of the market

  1. A study on the performance and internal flow characteristics of a very low specific speed centrifugal pump

    International Nuclear Information System (INIS)

    Choi, Young Do; Kurokawa, Junichi; Lee, Young Ho

    2005-01-01

    In the very low specific speed range (n s < 0.25, non-dimensional), the efficiency of centrifugal pump designed by a conventional method is very low in common. Therefore, positive-displacement pumps have long been used widely. Recently, since the centrifugal pumps are becoming higher in rotational speed and smaller in size, there experts to develop a new centrifugal pump with a high performance to replace the positive-displacement pumps. The purpose of this study is to investigate the internal flow characteristics of a very low specific speed centrifugal pump and to examine the effect of internal flow pattern on pump performance. The results show that the theoretical head definition of semi-open impeller should be revised by the consideration of high slip factor in the semi-open impeller, and the leakage flow through the tip clearance results in a large effect on the impeller internal flow. Strong reverse flow at the outlet of semi-open impeller reduces the absolute tangential velocity considerably, and the decreased absolute tangential velocity increases the slip factor with the reduction of theoretical head

  2. Anomalous Origin of the Right Coronary Artery from the Left Anterior Descending Coronary Artery in a Patient with Ascending Aortic Aneurysm

    Directory of Open Access Journals (Sweden)

    Ufuk Gürkan

    2012-04-01

    Full Text Available The incidence of coronary artery anomalies has been reported between 0.6 to 1.3% in angiographic series and 0.3% in autopsy series. An isolated single coronary artery (SCA is even a rarer congenital anomaly occurring in approximately 0.02% of the population. The ectopic origin of the right coronary artery (RCA from the left anterior descending (LAD artery is relatively rare and more benign than other types of anomalous origin of the RCAs. We report a case of an adult male patient with SCA anomaly in which the RCA takes off from the mid LAD. To the best of our knowledge, SCA anomaly coinciding with ascending aortic aneurysm which was treated with Bentall operation has never been described before.

  3. The Effects of Innovativeness on Academic Spin-offs Performance

    DEFF Research Database (Denmark)

    Giones, Ferran; Billström, Anders; Rasmussen, Einar

    Academic Spin-Offs (ASOs) are born with the mission to bring to market science and technology innovations. Nevertheless, their relative weak financial performance has been a focus of discussion. Prior research has explored factors that explain part of the performance diversity, including aspects...... source of performance heterogeneity. Academic spin-offs transition from a research to a market context is complex. The technology novelty in ASOs generates a staged challenge for the academic entrepreneur. First, identifying a market and activating the first sale; second, generating a sustainable revenue...... stream that brings growth to the ASO. However, we have still a limited knowledge on the relationship between technology innovativeness and firm performance in the ASOs context. This study tests the relationship between innovativeness dimensions, across different industries, and the observed firm (ASOs...

  4. Analysis of pumping performances in one-stage turbomolecular pump by 3D direct simulation Monte Carlo calculation

    International Nuclear Information System (INIS)

    Sheng Wang; Hisashi Ninokata

    2005-01-01

    The turbomolecular pump (TMP) has been applied in many fields for producing high and ultrahigh vacuum. It works mainly in conditions of free molecular and transitional flow where the mathematical model is the Boltzmann equation. In this paper, direct simulation Monte Carlo (DSMC) method is applied to simulate the one-stage TMP with a 3D analysis in a rotating reference frame. Considering the Coriolis and centrifugal accelerations, the equations about the molecular velocities and position are deduced. The VSS model and NTC collision schemes are used to calculate the intermolecular collisions. The diffuse reflection is employed on the molecular reflection from the surfaces of boundary. The transmission probabilities of gas flow in two opposite flow direction, the relationship between the mass flow rate and the pressure difference, the pumping performances including the maximum compression ratio on different outlet pressures in free molecular flow and transitional flow and the maximum pumping efficiency on different blade angles are calculated. The transmission probabilities are applied to analyze the relationship between the outlet pressure and the maximum pressure ratio. The numerical results show good quantitative agreement with the existing experiment data. (authors)

  5. Prospective and retrospective ECG-gating for CT coronary angiography perform similarly accurate at low heart rates

    Energy Technology Data Exchange (ETDEWEB)

    Stolzmann, Paul, E-mail: paul.stolzmann@usz.ch [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland); Goetti, Robert; Baumueller, Stephan [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland); Plass, Andre; Falk, Volkmar [Clinic for Cardiovascular Surgery, University Hospital Zurich (Switzerland); Scheffel, Hans; Feuchtner, Gudrun; Marincek, Borut [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland); Alkadhi, Hatem [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland); Cardiac MR PET CT Program, Massachusetts General Hospital and Harvard Medical School, Boston, MA (United States); Leschka, Sebastian [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland)

    2011-07-15

    Objective: To compare, in patients with suspicion of coronary artery disease (CAD) and low heart rates, image quality, diagnostic performance, and radiation dose values of prospectively and retrospectively electrocardiography (ECG)-gated dual-source computed tomography coronary angiography (CTCA) for the diagnosis of significant coronary stenoses. Materials and methods: Two-hundred consecutive patients with heart rates {<=}70 bpm were retrospectively enrolled; 100 patients undergoing prospectively ECG-gated CTCA (group 1) and 100 patients undergoing retrospectively-gated CTCA (group 2). Coronary artery segments were assessed for image quality and significant luminal diameter narrowing. Sensitivity, specificity, positive predictive values (PPV), negative predictive values (NPV), and accuracy of both CTCA groups were determined using conventional catheter angiography (CCA) as reference standard. Radiation dose values were calculated. Results: Both groups were comparable regarding gender, body weight, cardiovascular risk profile, severity of CAD, mean heart rate, heart rate variability, and Agatston score (all p > 0.05). There was no significant difference in the rate of non-assessable coronary segments between group 1 (1.6%, 24/1404) and group 2 (1.4%, 19/1385; p = 0.77); non-diagnostic image quality was significantly (p < 0.001) more often attributed to stair step artifacts in group 1. Segment-based sensitivity, specificity, PPV, NPV, and accuracy were 98%, 98%, 88%, 100%, and 100% among group 1; 96%, 99%, 90%, 100%, and 98% among group 2, respectively. Parameters of diagnostic performance were similar (all p > 0.05). Mean effective radiation dose of prospectively ECG-gated CTCA (2.2 {+-} 0.4 mSv) was significantly (p < 0.0001) smaller than that of retrospectively ECG-gated CTCA (8.1 {+-} 0.6 mSv). Conclusion: Prospectively ECG-gated CTCA yields similar image quality, performs as accurately as retrospectively ECG-gated CTCA in patients having heart rates {<=}70 bpm

  6. An analytical method for defining the pump`s power optimum of a water-to-water heat pump heating system using COP

    Directory of Open Access Journals (Sweden)

    Nyers Jozsef

    2017-01-01

    Full Text Available This paper analyzes the energy efficiency of the heat pump and the complete heat pump heating system. Essentially, the maximum of the coefficient of performance of the heat pump and the heat pump heating system are investigated and determined by applying a new analytical optimization procedure. The analyzed physical system consists of the water-to-water heat pump, circulation and well pump. In the analytical optimization procedure the "first derivative equal to zero" mathematical method is applied. The objective function is the coefficient of performance of the heat pump, and the heat pump heating system. By using the analytical optimization procedure and the objective function, as the result, the local and the total energy optimum conditions with respect to the mass flow rate of hot and cold water i. e. the power of circulation or well pump are defined.

  7. Heat pumps

    CERN Document Server

    Brodowicz, Kazimierz; Wyszynski, M L; Wyszynski

    2013-01-01

    Heat pumps and related technology are in widespread use in industrial processes and installations. This book presents a unified, comprehensive and systematic treatment of the design and operation of both compression and sorption heat pumps. Heat pump thermodynamics, the choice of working fluid and the characteristics of low temperature heat sources and their application to heat pumps are covered in detail.Economic aspects are discussed and the extensive use of the exergy concept in evaluating performance of heat pumps is a unique feature of the book. The thermodynamic and chemical properties o

  8. Coronary artery bypass grafting-related bleeding complications in patients treated with dual antiplatelet treatment

    NARCIS (Netherlands)

    Tomšič, Anton; Schotborgh, Mark A.; Manshanden, Johan S. J.; Li, Wilson W. L.; de Mol, Bas A. J. M.

    2016-01-01

    To evaluate the relationship between the timing of either ticagrelor or clopidogrel discontinuation and bleeding-related complications in patients undergoing isolated on-pump coronary artery bypass grafting (CABG). Between January 2012 and December 2014, 705 consecutive patients underwent isolated

  9. Coronary artery bypass grafting-related bleeding complications in patients treated with dual antiplatelet treatment.

    NARCIS (Netherlands)

    Tomsic, A.; Schotborgh, M.A.; Manshanden, J.S.; Li, W.W.L.; Mol, B.A. de

    2016-01-01

    OBJECTIVES: To evaluate the relationship between the timing of either ticagrelor or clopidogrel discontinuation and bleeding-related complications in patients undergoing isolated on-pump coronary artery bypass grafting (CABG). METHODS: Between January 2012 and December 2014, 705 consecutive patients

  10. Coronary tortuosity: a long and winding road.

    NARCIS (Netherlands)

    Zegers, E.S.; Meursing, B.T.J.; Oude Ophuis, A.J.M.

    2007-01-01

    Coronary tortuosity is a phenomenon often encountered by cardiologists performing coronary angiography. The aetiology and clinical importance of coronary tortuosity are still unclear. Coronary tortuosity without fixed atherosclerotic stenosis in patients with angina pectoris and an abnormal exercise

  11. Feed-pump hydraulic performance and design improvement, Phase I: research program design. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Brown, W.H.; Gopalakrishnan, S.; Fehlau, R.; Thompson, W.E.; Wilson, D.G.

    1982-03-01

    As a result of prior EPRI-sponsored studies, it was concluded that a research program should be designed and implemented to provide an improved basis for the design, procurement, testing, and operation of large feed pumps with increased reliability and stability over the full range of operating conditions. This two-volume report contains a research plan which is based on a review of the present state of the art and which defines the necessary R and D program and estimates the benefits and costs of the program. The recommended research program consists of 30 interrelated tasks. It is designed to perform the needed research; to verify the results; to develop improved components; and to publish computer-aided design methods, pump specification guidelines, and a troubleshooting manual. Most of the technology proposed in the research plan is applicable to nuclear power plants as well as to fossil-fired plants. This volume discusses the design, performance and failures of feed pumps, and recommendations for research on pump dynamics, design, and specifications.

  12. The effect of step height on the performance of three-dimensional ac electro-osmotic microfluidic pumps.

    Science.gov (United States)

    Urbanski, John Paul; Levitan, Jeremy A; Burch, Damian N; Thorsen, Todd; Bazant, Martin Z

    2007-05-15

    Recent numerical and experimental studies have investigated the increase in efficiency of microfluidic ac electro-osmotic pumps by introducing nonplanar geometries with raised steps on the electrodes. In this study, we analyze the effect of the step height on ac electro-osmotic pump performance. AC electro-osmotic pumps with three-dimensional electroplated steps are fabricated on glass substrates and pumping velocities of low ionic strength electrolyte solutions are measured systematically using a custom microfluidic device. Numerical simulations predict an improvement in pump performance with increasing step height, at a given frequency and voltage, up to an optimal step height, which qualitatively matches the trend observed in experiment. For a broad range of step heights near the optimum, the observed flow is much faster than with existing planar pumps (at the same voltage and minimum feature size) and in the theoretically predicted direction of the "fluid conveyor belt" mechanism. For small step heights, the experiments also exhibit significant flow reversal at the optimal frequency, which cannot be explained by the theory, although the simulations predict weak flow reversal at higher frequencies due to incomplete charging. These results provide insight to an important parameter for the design of nonplanar electro-osmotic pumps and clues to improve the fundamental theory of ACEO.

  13. Design of a high-pressure circulating pump for viscous liquids.

    Science.gov (United States)

    Seifried, Bernhard; Temelli, Feral

    2009-07-01

    The design of a reciprocating dual action piston pump capable of circulating viscous fluids at pressures of up to 34 MPa (5000 psi) and temperatures up to 80 degrees C is described. The piston of this pump is driven by a pair of solenoids energized alternatively by a 12 V direct current power supply controlled by an electronic controller facilitating continuously adjustable flow rates. The body of this seal-less pump is constructed using off-the-shelf parts eliminating the need for custom made parts. Both the electronic controller and the pump can be assembled relatively easily. Pump performance has been evaluated at room temperature (22 degrees C) and atmospheric pressure using liquids with low and moderately high viscosities, such as ethanol and corn oil, respectively. At ambient conditions, the pump delivered continuous flow of ethanol and corn oil at a flow rate of up to 170 and 17 cm3/min, respectively. For pumping viscous fluids comparable to corn oil, an optimum reciprocation frequency was ascertained to maximize flow rate. For low viscosity liquids such as ethanol, a linear relationship between the flow rate and reciprocation frequency was determined up to the maximum reciprocation frequency of the pump. Since its fabrication, the pump has been used in our laboratory for circulating triglycerides in contact with supercritical carbon dioxide at pressures of up to 25 MPa (3600 psi) and temperatures up to 70 degrees C on a daily basis for a total of more than 1500 h of operation functioning trouble free.

  14. Performance of water source heat pump system using high-density polyethylene tube heat exchanger wound with square copper wire

    Directory of Open Access Journals (Sweden)

    Xin Wen Zhang

    2015-07-01

    Full Text Available Surface water source heat pump system is an energy-efficient heat pump system. Surface water heat exchanger is an important part of heat pump system that can affect the performance of the system. In order to enhance the performance of the system, the overall heat transfer coefficient (U value of the water exchanger using a 32A square copper coiled high-density polyethylene tube was researched. Comparative experiments were conducted between the performance of the coiled high-density polyethylene tube and the 32A smooth high-density polyethylene tube. At the same time, the coefficient of performance of the heat pump was investigated. According to the result, the U value of the coiled tube was 18% higher than that of the smooth tube in natural convection and 19% higher in forced convection. The coefficient of performance of the heat pump with the coiled tube is higher than that with the smooth tube. The economic evaluation of the coiled tube was also investigated.

  15. Quantitative analysis of regional myocardial performance in coronary artery disease

    Science.gov (United States)

    Stewart, D. K.; Dodge, H. T.; Frimer, M.

    1975-01-01

    Findings from a group of subjects with significant coronary artery stenosis are given. A group of controls determined by use of a quantitative method for the study of regional myocardial performance based on the frame-by-frame analysis of biplane left ventricular angiograms are presented. Particular emphasis was placed upon the analysis of wall motion in terms of normalized segment dimensions, timing and velocity of contraction. The results were compared with the method of subjective assessment used clinically.

  16. An analytical model for prediction of two-phase (noncondensable) flow pump performance

    International Nuclear Information System (INIS)

    Furuya, O.

    1985-01-01

    During operational transients or a hypothetical LOCA (loss of coolant accident) condition, the recirculating coolant of PWR (pressurized water reactor) may flash into steam due to a loss of line pressure. Under such two-phase flow conditions, it is well known that the recirculation pump becomes unable to generate the same head as that of the single-phase flow case. Similar situations also exist in oil well submersible pumps where a fair amount of gas is contained in oil. Based on the one dimensional control volume method, an analytical method has been developed to determine the performance of pumps operating under two-phase flow conditions. The analytical method has incorporated pump geometry, void fraction, flow slippage and flow regime into the basic formula, but neglected the compressibility and condensation effects. During the course of model development, it has been found that the head degradation is mainly caused by higher acceleration on liquid phase and deceleration on gas phase than in the case of single-phase flows. The numerical results for head degradations and torques obtained with the model favorably compared with the air/water two-phase flow test data of Babcock and Wilcox (1/3 scale) and Creare (1/20 scale) pumps

  17. Test of a cryogenic helium pump

    International Nuclear Information System (INIS)

    Lue, J.W.; Miller, J.R.; Walstrom, P.L.; Herz, W.

    1981-01-01

    The design of a cryogenic helium pump for circulating liquid helium in a magnet and the design of a test loop for measuring the pump performance in terms of mass flow vs pump head at various pump speeds are described. A commercial cryogenic helium pump was tested successfully. Despite flaws in the demountable connections, the piston pump itself has performed satisfactorily. A helium pump of this type is suitable for the use of flowing supercritical helium through Internally Cooled Superconductor (ICS) magnets. It has pumped supercritical helium up to 7.5 atm with a pump head up to 2.8 atm. The maximum mass flow rate obtained was about 16 g/s. Performance of the pump was degraded at lower pumping speeds

  18. Tokamak pump limiters

    International Nuclear Information System (INIS)

    Conn, R.W.

    1984-05-01

    Recent experiments with a scoop limiter without active internal pumping have been carried out in the PDX tokamak with up to 6MW of auxiliary neutral beam heating. Experiments have also been done with a rotating head pump limiter in the PLT tokamak in conjunction with RF plasma heating. Extensive experiments have been done in the ISX-B tokamak and first experiments have been completed with the ALT-I limiter in TEXTOR. The pump limiter modules in these latter two machines have internal getter pumping. Experiments in ISX-B are with ohmic and auxiliary neutral beam heating. The results in ISX-B and TEXTOR show that active density control and particle removal is achieved with pump limiters. In ISX-B, the boundary layer (or scape-off layer) plasma partially screens the core plasma from gas injection. In both ISX-B and TEXTOR, the pressure internal to the module scales linearly with plasma density but in ISX-B, with neutral beam injection, a nonlinear increase is observed at the highest densities studied. Plasma plugging is the suspected cause. Results from PDX suggest that a region may exist in which core plasma energy confinement improves using a pump limiter during neutral beam injection. Asymmetric radial profiles and an increased edge electron temperature are observed in discharges with improved confinement. The injection of small amounts of neon into ISX-B has more clearly shown an improved electron core energy confinement during neutral beam injection. While carried out with a regular limiter, this Z-mode of operation is ideal for use with pump limiters and should be a way to achieve energy confinement times similar to values for H-mode tokamak plasmas. The implication of all these results for the design of a reactor pump limiter is described

  19. Inservice testing of vertical pumps

    International Nuclear Information System (INIS)

    Cornman, R.E. Jr.; Schumann, K.E.

    1994-01-01

    This paper focuses on the problems that may occur with vertical pumps while inservice tests are conducted in accordance with existing American Society of Mechanical Engineers Code, Section XI, standards. The vertical pump types discussed include single stage, multistage, free surface, and canned mixed flow pumps. Primary emphasis is placed on the hydraulic performance of the pump and the internal and external factors to the pump that impact hydraulic performance. In addition, the paper considers the mechanical design features that can affect the mechanical performance of vertical pumps. The conclusion shows how two recommended changes in the Code standards may increase the quality of the pump's operational readiness assessment during its service life

  20. The measured field performances of eight different mechanical and air-lift water-pumping wind-turbines

    Energy Technology Data Exchange (ETDEWEB)

    Kentfield, J.A.C. [Univ. of Calgary, Alberta (Canada)

    1996-12-31

    Results are presented of the specific performances of eight, different, water-pumping wind-turbines subjected to impartial tests at the Alberta Renewable Energy Test Site (ARETS), Alberta, Canada. The results presented which were derived from the test data, obtained independently of the equipment manufacturers, are expressed per unit of rotor projected area to eliminate the influence of machine size. Hub-height wind speeds and water flow rates for a common lift of 5.5 m (18 ft) constitute the essential test data. A general finding was that, to a first approximation, there were no major differences in specific performance between four units equipped with conventional reciprocating pumps two of which employed reduction gearing and two of which did not. It was found that a unit equipped with a Moyno pump performed well but three air-lift machines had, as was expected, poorer specific performances than the more conventional equipment. 10 refs., 9 figs.

  1. Pre-operative high sensitive C-reactive protein predicts cardiovascular events after coronary artery bypass grafting surgery: A prospective observational study

    Directory of Open Access Journals (Sweden)

    Balciunas Mindaugas

    2009-01-01

    Full Text Available C-reactive protein is a powerful independent predictor of cardiovascular events in patients with coronary artery disease. The relation between C-reactive protein (CRP concentration and in-hospital outcome, after coronary artery bypass grafting (CABG, has not yet been established. The study aims to evaluate the predictive value of pre-operative CRP for in-hospital cardiovascular events after CABG surgery. High-sensitivity CRP (hs-CRP levels were measured pre-operatively on the day of surgery in 66 patients scheduled for elective on pump CABG surgery. Post-operative cardiovascular events such as death from cardiovascular causes, ischemic stroke, myocardial damage, myocardial infarction and low output heart failure were recorded. During the first 30 days after surgery, 54 patients were free from observed events and 14 developed the following cardiovascular events: 10 (15% had myocardial damage, four (6% had low output heart failure and two (3% suffered stroke. No patients died during the follow-up period. Serum concentration of hs-CRP ≥ 3.3 mg/l (cut-off point obtained by ROC analysis was related to higher risk of post-operative cardiovascular events (36% vs 6%, P = 0.01, myocardial damage (24% vs 6%, P = 0.04 and low output heart failure (12% vs 0%, P = 0.04. Multivariate logistic regression analysis showed that hs-CRP ≥ 3.3 mg/l ( P = 0.002, O.R.: 19.3 (95% confidence interval (CI 2.9-128.0, intra-operative transfusion of red blood cells ( P = 0.04, O.R.: 9.9 (95% C.I. 1.1-85.5 and absence of diuretics in daily antihypertensive treatment ( P = 0.02, O.R.: 15.1 (95% C.I. 1.4-160.6 were independent predictors of combined cardiovascular event. Patients having hs-CRP value greater or equal to 3.3 mg/l pre-operatively have an increased risk of post-operative cardiovascular events after on pump coronary artery bypass grafting surgery.

  2. Analytical studies on pump-induced optical resonances in an M-type six-level system

    International Nuclear Information System (INIS)

    Ghosh, Saswata; Mandal, Swapan

    2010-01-01

    In the domain of semiclassical formulation and for the Doppler-free atom-field interaction, we construct the optical Bloch equations involving an M-type six-level system coupled to two pump fields and a probe field. The response of the system is probed for different pump-induced transitions in double and triple-resonance situations. In order to obtain the coherent lineshapes (absorptive and dispersive), we use the usual perturbation method for obtaining the approximate analytical solutions to these coupled optical Bloch equations for the density matrix elements. The interferences between the probability amplitudes for different energy levels (dipole allowed and dipole forbidden) are taken care of. For off-resonance pump positions, the linewidths of the three probe transitions are insensitive to the pump Rabi frequencies. On the other hand, the shifts of the three resonance peaks are extremely sensitive to the pump Rabi frequencies. However, for on-resonance pump conditions, the sensitivities of pump Rabi frequencies on the linewidths of the resonance peaks and on the shifts of the resonance peak positions are opposite to those of their off-resonance counterparts. In particular, we have shown the asymmetric and symmetric Rabi splittings under different physical conditions, for non-zero and near-zero probe detuning, respectively. The Rabi splitting under triple-resonance conditions, significantly, modifies the dispersive lineshape at the centre of the absorption line. The two- and three-photon absorptions are also reported for different off-resonant pump positions.

  3. Virtual 5-French intra-aortic pumping using a Glidesheath Slender and 6-French intra-aortic balloon catheter

    Energy Technology Data Exchange (ETDEWEB)

    Takahashi, Akihiko, E-mail: a-takahashi@wine.ocn.ne.jp; Taniguchi, Norimasa; Mizuguchi, Yukio; Yamada, Takeshi; Nakajima, Shunsuke; Hashimoto, Sho; Hata, Tetsuya

    2015-07-15

    Objectives: The aim of this study was to evaluate the feasibility and safety of the 6-Fr Glidesheath Slender, which has equivalent outer size to the conventional 5-Fr sheath, for use with the 6-Fr intra-aortic balloon pump (IABP) catheter. Methods: Between May 2014 and March 2015, 24 patients with acute coronary syndrome underwent percutaneous coronary intervention using a 6-Fr IABP catheter through a 6-Fr Glidesheath Slender for support. The adverse events, including access site complications, kinking of the sheath during the procedure, and any evidence of balloon pump failure, were retrospectively investigated. Results: Insertion of the IABP catheter through either the femoral or brachial artery was successful in all patients. The mean support time was 32.4 ± 22.0 h. No major hemorrhagic event or severe limb ischemia was observed. Kinking of the shaft occurred during insertion in one patient; however, the subsequent balloon pumping was well maintained and did not require exchange of the sheath or IABP catheter. No kind of IABP failure was observed. Conclusion: Although this sheath was originally designed to allow radial access, our results suggest that the use of the Glidesheath Slender is feasible for insertion of the 6-Fr IABP catheter through the brachial and femoral arteries, and may reduce vascular complications in patients who undergo percutaneous coronary intervention.

  4. Titanium sublimation pumping systems and performances on the Tandem Mirror Experiment-Upgrade (TMX-U)

    International Nuclear Information System (INIS)

    Pico, R.E.

    1986-01-01

    This paper presents a brief history of the TMX-U Titanium Sublimation Pumping process (gettering). Titanium sublimation pumps offer an economical means of pumping chemically active gases (especially hydrogen) at high speeds, and serves as additional pumps, along with liquid nitrogen-cooled panels, to provide pumping during each physics experiment. Because of the size of the system, a complex computer program was written which is run-time compiled, and then run by the computer. With the multi-tasking capability of the computer, five programs are used in operation and run simultaneously. All getter wire history, deposition, and system notes are stored on the external disc drive. The progress and performance in the four years the system has been used, two year manually controlled, and two computer controlled with be covered. Emphasis on the computer control system and its by-products, which enhance the operation of the TMX-U, will be the subject of this paper

  5. Performance of a Solar Heating System with Photovoltaic Thermal Hybrid Collectors and Heat Pump

    DEFF Research Database (Denmark)

    Dannemand, Mark; Furbo, Simon; Perers, Bengt

    2017-01-01

    . When the solar collectors are unable to supply the heat demand an auxiliary heat source is used. Heat pumps can generate this heat. Liquid/water heat pumps have better performance than air/water heat pumps in cold climates but requires installation of a tubing system for the cold side of the heat pump....... The tubes are typically placed in the ground, requires a significant land area and increase the installation cost. A new system design of a solar heating system with two storage tanks and a liquid/water heat pump is presented. The system consists of PVT collectors that generate both heat and electricity......The energy consumption in buildings accounts for a large part of the World’s CO2 emissions. Much energy is used for appliances, domestic hot water preparation and space heating. In solar heating systems, heat is captured by solar collectors when the sun is shining and used for heating purposes...

  6. Exercise left ventricular performance in patients with chest pain, ischemic-appearing exercise electrocardiograms, and angiographically normal coronary arteries

    International Nuclear Information System (INIS)

    Berger, H.J.; Sands, M.J.; Davies, R.A.; Wackers, F.J.; Alexander, J.; Lachman, A.S.; Williams, B.W.; Zaret, B.L.

    1981-01-01

    Left ventricular performance was evaluated using first-pass radionuclide angiocardiography in 31 patients with chest pain, an ischemic-appearing exercise electrocardiogram, and angiographically normal coronary arteries at rest and during maximal upright bicycle exercise. 201 Tl imaging was done in all patients after treadmill exercise and in selected patients after ergonovine provocation. Resting left ventricular performance was normal in all patients. An abnormal ejection fraction response to exercise was detected in 12 of 31 patients. Regional dysfunction was present during exercise in four patients, all of whom also had abnormal global responses. Three of these 12 patients and two additional patients had exercise-induced 201 Tl perfusion defects. In all nine patients who underwent ergonovine testing, there was no suggestion of coronary arterial spasm. Thus, left ventricular dysfunction during exercise, in the presence of normal resting performance, was found in a substantial number of patients with chest pain, an ischemic-appearing exercise electrocardiogram, and normal coronary arteries

  7. Revascularização do miocárdio sem circulação extracorpórea em idosos: análise da morbidade e mortalidade Off-pump myocardial revascularization in the elderly: analysis of morbidity and mortality

    Directory of Open Access Journals (Sweden)

    Ana Maria Rocha Pinto e Silva

    2008-03-01

    Full Text Available OBJETIVO: Analisar a evolução intra-hospitalar de doentes com 70 anos de idade ou mais, submetidos a revascularização do miocárdio sem circulação extracorpórea, com uso de shunt intracoronário, operados na urgência, emergência e eletivamente. MÉTODOS: Foram submetidos à cirurgia 87 doentes com idade entre 70 e 92 anos de julho de 1989 a julho de 2005. Dos 87 doentes, 50 (57,5% eram portadores de angina instável, sendo três (3,4% na vigência de infarto agudo do miocárdio. Foram operados em caráter de emergência e urgência 31 (35,6% doentes. De todo o grupo, havia 13 (14,9% doentes com infarto ocorrido em até 30 dias e 34 (39,1% com infarto ocorrido há mais de 30 dias. RESULTADOS: As complicações mais freqüentes foram: fibrilação atrial (32,2%, insuficiência cardíaca congestiva (12,6%, broncopneumonia (10,3%, sepse (3,4%, infarto agudo do miocárdio peri-operatório (2,3%, mediastinite (1,1%, acidente isquêmico transitório (1,1%, pneumotórax (1,1%. O tempo médio de intubação foi de 18,50±19,09 horas; permanência em UTI, 2,92±2,03 dias, e hospitalar, 10,55±7,16 dias. Apenas nove (10,3% doentes receberam concentrado de hemácias no pós-operatório e nenhum foi reoperado por sangramento. A mortalidade hospitalar foi de 4,6%. CONCLUSÃO: Em doentes acima de 70 anos, operados na emergência, urgência e eletivamente, a revascularização do miocárdio sem extracorpórea com shunt intracoronário apresentou adequada evolução pós-operatória e baixos índices de complicações e mortalidade em relação à população estudada.OBJECTIVE: To analyze the in-hospital outcome of elderly patients aged 70 years and older who underwent off-pump coronary artery bypass graft surgery with an intraluminal shunt in urgent, emergent, and elective coronary revascularizations. METHODS: From July 1989 to July 2005, we analyzed 87 patients ranging in age from 70 to 92 years. Of the 87 patients enrolled, 50 (57.5% patients had

  8. Performance of a small wind powered water pumping system

    Science.gov (United States)

    Lorentz helical pumps (Henstedt-Ulzburg, Germany) have been powered by solar energy for remote water pumping applications for many years, but from October 2005 to March 2008 a Lorentz helical pump was powered by wind energy at the USDA-ARS Conservation and Production Research Laboratory (CPRL) near ...

  9. Enhanced Component Performance Study: Motor-Driven Pumps 1998–2014

    Energy Technology Data Exchange (ETDEWEB)

    Schroeder, John Alton [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2016-02-01

    This report presents an enhanced performance evaluation of motor-driven pumps at U.S. commercial nuclear power plants. The data used in this study are based on the operating experience failure reports from fiscal year 1998 through 2014 for the component reliability as reported in the Institute of Nuclear Power Operations (INPO) Consolidated Events Database (ICES). The motor-driven pump failure modes considered for standby systems are failure to start, failure to run less than or equal to one hour, and failure to run more than one hour; for normally running systems, the failure modes considered are failure to start and failure to run. An eight hour unreliability estimate is also calculated and trended. The component reliability estimates and the reliability data are trended for the most recent 10-year period while yearly estimates for reliability are provided for the entire active period. Statistically significant increasing trends were identified in pump run hours per reactor year. Statistically significant decreasing trends were identified for standby systems industry-wide frequency of start demands, and run hours per reactor year for runs of less than or equal to one hour.

  10. The development of a cavitation free sodium pump for the breeder reactor

    International Nuclear Information System (INIS)

    Baladi, J.Y.; Nyilas, C.P.

    1986-12-01

    The sodium pumps for a liquid metal fast breeder reactor must be designed for exceptionally high reliability and long life. The principal adverse factor which tends to limit the primary pump life is cavitation which becomes potentially severe under off-design flow conditions caused by the requirement of two loop operations which resulted in a large operating flow range. This problem prompted an extensive study which included experimental investigations of scaled down and full size pumps. The investigations involved visual observations, acoustic signature recordings, and physical characteristic measurements of the model and full size impellers. The blade configuration of the model was modified several times. After each modification intensive testing was conducted with feedback to established design criteria. The results obtained from the final configuration showed excellent cavitation performance. This configuration was then machined on the full scale impeller and tested. The results confirmed acceptable performance in the entire range of operating conditions. This paper describes the test facilities erected for this study, discusses the experimental techniques employed, and presents the experimental techniques employed, and presents a sample of the experimental results

  11. A Performance Prediction Method for Pumps as Turbines (PAT Using a Computational Fluid Dynamics (CFD Modeling Approach

    Directory of Open Access Journals (Sweden)

    Emma Frosina

    2017-01-01

    Full Text Available Small and micro hydropower systems represent an attractive solution for generating electricity at low cost and with low environmental impact. The pump-as-turbine (PAT approach has promise in this application due to its low purchase and maintenance costs. In this paper, a new method to predict the inverse characteristic of industrial centrifugal pumps is presented. This method is based on results of simulations performed with commercial three-dimensional Computational Fluid Dynamics (CFD software. Model results have been first validated in pumping mode using data supplied by pump manufacturers. Then, the results have been compared to experimental data for a pump running in reverse. Experimentation has been performed on a dedicated test bench installed in the Department of Civil Construction and Environmental Engineering of the University of Naples Federico II. Three different pumps, with different specific speeds, have been analyzed. Using the model results, the inverse characteristic and the best efficiency point have been evaluated. Finally, results have been compared to prediction methods available in the literature.

  12. Trial design and manufacture of double spiral grooved vacuum pump; Double neji mizoshiki shinku pump no shisaku

    Energy Technology Data Exchange (ETDEWEB)

    Iguchi, M.; Sawada, T.; Sugiyama, W. [Akita University, Akita (Japan). Faculty of Mining; Watanabe, M.

    1997-04-25

    A spiral grooved vacuum pump and a compound molecular pump (the combination of a spiral grooved pump and a turbomolecular pump) are widely used in the thin-film industry for processes such as semiconductor production. Pumping performance is high at pressures below 1 000 Pa and low at pressures above 1000 Pa when the clearance between rotor and stator is on the order of 0.1 mm, which is the practical value for industrial use. The double spiral grooved vacuum pump is thought to have better pumping performance at such high pressures than the conventional spiral grooved vacuum pump. The aim of this study is to investigate the feasibility of use of the double spiral grooved vacuum pump at pressures above 1000 Pa. A double spiral grooved vacuum pump with a rotor of 150 mm diameter and 190 mm length has been designed and manufactured. Its pumping performance has been tested by experiments. The test results show the improvement in the performance at pressures above 1000 Pa compared to the conventional spiral grooved vacuum pump. 2 refs., 12 figs., 2 tabs.

  13. A cryocondensation pump for the DIII-D Advanced Divertor Program

    International Nuclear Information System (INIS)

    Smith, J.P.; Baxi, C.; Reis, E.; Sevier, L.

    1992-03-01

    A cryocondensation pump was designed for the baffle chamber of General Atomics DIII-D tokamak and will be installed in the fall of 1992. The purpose of the pump is to study plasma density control by pumping the divertor. The pump is toroidally continuous, approximately 10 m long and located in the lower outer corner of the vacuum chamber of the machine. It consists of a 1 m 2 liquid helium-cooled surface surrounded by a liquid nitrogen-cooled shield to limit the heat load on the helium-cooled surface. The liquid nitrogen-cooled surface is surrounded by a radiation/particle shield to prevent energetic particles from impacting and releasing condensed water molecules. A thermal enhancement coating was applied to the nitrogen shell to lower the maximum temperature of the shell. The coating is non-continuous to keep the toroidal electrical resistance high. The whole pump is supported off the water-cooled vacuum vessel wall. Supports for the pump were designed to accommodate the thermal differences between the 4 K helium surface, the 77 K nitrogen shells, and the 300 K vacuum vessel supporting the pump and to provide a low heat leak structural support. Disruption loading on the pump was analyzed and a finite element structural analysis of the pump was completed. A testing program was completed to evaluate coating techniques to enhance heat transfer and emissivity of the various surfaces. Fabrication tests were performed to determine the best method of attaching the liquid nitrogen flow tubes to their shield surfaces and to determine the best alternative to fabricating the different shells of the pump. A prototype sector of the pump was built to verify fabrication and assembly techniques

  14. The Best Efficiency Point of the Performance of Solar Cell Panel System for Pumping Water at Various Lifting Heads Using 100 W Motor Pump Unit

    OpenAIRE

    Himran, Sukri

    2013-01-01

    This study was carried out experimentally and analytically about the performance of solar cell panel system for operating the pump coupled by dc motor. The solar cell panel with total area 1.9848 m2 consists of three modules of 80 Wp each. The small centrifugal pump powered by dc motor is operated to lift water from 1m to 7m heads in sequence and gives the amount of water pumped over the whole day from 08.00 to 16.00 h are 11988, 10851, 8874, 7695, 5760, 3600...

  15. Geothermal source heat pump performance for a greenhouse heating system: an experimental study

    Directory of Open Access Journals (Sweden)

    Alexandros Sotirios Anifantis

    2016-09-01

    Full Text Available Greenhouses play a significant function in the modern agriculture economy even if require great amount of energy for heating systems. An interesting solution to alleviate the energy costs and environmental problems may be represented by the use of geothermal energy. The aim of this paper, based on measured experimental data, such as the inside greenhouse temperature and the heat pump performance (input and output temperatures of the working fluid, electric consumption, was the evaluation of the suitability of low enthalpy geothermal heat sources for agricultural needs such as greenhouses heating. The study was carried out at the experimental farm of the University of Bari, where a greenhouse was arranged with a heating system connected to a ground-source heat pump (GSHP, which had to cover the thermal energy request. The experimental results of this survey highlight the capability of the geothermal heat source to ensue thermal conditions suitable for cultivation in greenhouses even if the compressor inside the heat pump have operated continuously in a fluctuating state without ever reaching the steady condition. Probably, to increase the performance of the heat pump and then its coefficient of performance within GSHP systems for heating greenhouses, it is important to analyse and maximise the power conductivity of the greenhouse heating system, before to design an expensive borehole ground exchanger. Nevertheless, according to the experimental data obtained, the GSHP systems are effective, efficient and environmental friendly and may be useful to supply the heating energy demand of greenhouses.

  16. An Examination of Corporate Spin-Offs on Company Performance and Shareholder Value

    OpenAIRE

    Scicluna, Karl

    2015-01-01

    The aim of this study is to examine the implications of corporate spin-offs on company performance and shareholder value. The study uses both event study and accounting-based study methodologies to assess the stock price response of parent companies to the announcement of spin-offs, and to analyse the long-run operating performance of spin-offs for both parent and subsidiary companies. The study focuses on UK and US firms between 2001 and 2011. Evidence collected from the ev...

  17. The impact of aortic manipulation on neurologic outcomes after coronary artery bypass surgery: a risk-adjusted study.

    Science.gov (United States)

    Kapetanakis, Emmanouil I; Stamou, Sotiris C; Dullum, Mercedes K C; Hill, Peter C; Haile, Elizabeth; Boyce, Steven W; Bafi, Ammar S; Petro, Kathleen R; Corso, Paul J

    2004-11-01

    Cerebral embolization of atherosclerotic plaque debris caused by aortic manipulation during conventional coronary artery bypass grafting (CABG) is a major mechanism of postoperative cerebrovascular accidents (CVA). Off-pump CABG (OPCABG) reduces stroke rates by minimizing aortic manipulation. Consequently, the effect of different levels of aortic manipulation on neurologic outcomes after CABG surgery was examined. From January 1998 to June 2002, 7,272 patients underwent isolated CABG surgery through three levels of aortic manipulation: full plus tangential (side-biting) aortic clamp application (on-pump surgery; n = 4,269), only tangential aortic clamp application (OPCABG surgery; n = 2,527) or an "aortic no-touch" technique (OPCABG surgery; n = 476). A risk-adjusted logistic regression analysis was performed to establish the likelihood of postoperative stroke with each technique. Preoperative risk factors for stroke from the literature, and those found significant in a univariable model were used. A significant association for postoperative stroke correspondingly increasing with the extent of aortic manipulation was demonstrated by the univariable analysis (CVA incidence respectively increasing from 0.8% to 1.6% to a maximum of 2.2%, p < 0.01). In the logistic regression model, patients who had a full and a tangential aortic clamp applied were 1.8 times more likely to have a stroke versus those without any aortic manipulation (95% confidence interval: 1.15 to 2.74, p < 0.01) and 1.7 times more likely to develop a postoperative stroke than those with only a tangential aortic clamp applied (95% confidence interval: 1.11 to 2.48, p < 0.01). Aortic manipulation during CABG is a contributing mechanism for postoperative stroke. The incidence of postoperative stroke increases with increased levels of aortic manipulation.

  18. TFCX pumped limiter and vacuum pumping system design and analysis

    International Nuclear Information System (INIS)

    Haines, J.R.

    1985-04-01

    Impurity control system design and performance studies were performed in support of the Tokamak Fusion Core Experiment (TFCX) pre-conceptual design. Efforts concentrated on pumped limiter and vacuum pumping system design configuration, thermal/mechanical and erosion lifetime performance of the limiter protective surface, and helium ash removal performance. The reference limiter design forms a continuous toroidal belt at the bottom of the device and features a flat surface with a single leading edge. The vacuum pumping system features large vacuum ducts (diameter approximately 1 m) and high-speed, compound cryopumps. Analysis results indicate that the limiter/vacuum pumping system design provides adequate helium ash removal. Erosion, primarily by disruption-induced vaporization and/or melting, limits the protective surface lifetime to about one calendar year or only about 60 full-power hours of operation. In addition to evaluating impurity control system performance for nominal TFCX conditions, these studies attempt to focus on the key plasma physics and engineering design issues that should be addressed in future research and development programs

  19. Consequences in the pumps operation during a large loss of coolant accident

    International Nuclear Information System (INIS)

    Santos, G.A. dos; Sabundjian, G.

    1991-08-01

    The event of living on or turning off the operation of the Reactor Cooling Pumps - RCPs, in the case of a Loss of Coolant Accident - LOCA, has been a reason of a lot of studies after the Three Mile Island 2 accident. Thus, it was investigated a large break LOCA in the cold leg of Angra 1, with the RELAP4/MOD5 Code during the blowdown. The attained results indicated that the best performance of the core was in the case where the RCPs had been turned off in the beginning of the transient, when compared with different operation conditions of the RCPs. (author)

  20. Percutaneous brachial artery catheterization for coronary angiography and percutaneous coronary interventions (pci): an encouraging experience of 100 cases

    International Nuclear Information System (INIS)

    Islam, Z.U.; Maken, G.R.; Saif, M.; Khattak, Z.A.

    2013-01-01

    Objective: To evaluate the practicability and safety of the percutaneous transbrachial approach (TBA) for diagnostic coronary angiography and therapeutic percutaneous coronary interventions. Study Design: Quasi experimental study. Place and Duration of Study: The study was carried out in Armed Forces Institute of Cardiology- National Institute of Heart Diseases (AFIC-NIHD) from March 2009 to May 2011. Patients and Methods: We collected data of 100 consecutive patients who underwent coronary catheterization by the percutaneous transbrachial approach. Transbrachial catheterization was performed only if the radial access failed or radial pulse was feeble. Study endpoints included successful brachial artery catheterization, vascular and neurological complications at access site and procedure success rate. Results: Mean age of the patients was 54 years (range 33-79 yrs) and 65(65%) were males and 35 (35%) were females. The right brachial artery was used in all of the cases. Procedural success was achieved in 100% of the patients. Coronary angiography was performed in 70 patients and percutaneous coronary interventions were done in 30 cases. Out of these 30 cases, PCI to left coronary arteries (LAD and LCX) were performed in 19 patients while 11 patients had PCI to right coronary artery (RCA). No case of vascular complications such as major access site bleeding, vascular perforation, brachial artery occlusion causing forearm ischemia, compartment syndrome, vascular spasm or failure to catheterize coronary arteries requiring alternate vascular access were observed. Conclusion: Brachial artery is a safe and easily accessible approach for coronary angiography and percutaneous coronary interventions. (author)

  1. High performance hydraulic design techniques of mixed-flow pump impeller and diffuser

    International Nuclear Information System (INIS)

    Kim, Sung; Lee, Kyoung Yong; Kim, Joon Hyung; Kim, Jin Hyuk; Jung, Uk Hee; Choi, Young Seok

    2015-01-01

    In this paper, we describe a numerical study about the performance improvement of a mixed-flow pump by optimizing the design of the impeller and diffuser using a commercial computational fluid dynamics (CFD) code and design-of-experiments (DOE). The design variables of impeller and diffuser in the vane plane development were defined with a fixed meridional plane. The design variables were defined by the vane plane development, which indicates the blade-angle distributions and length of the impeller and diffuser. The vane plane development was controlled using the blade-angle in a fixed meridional plane. The blade shape of the impeller and diffuser were designed using a traditional method in which the inlet and exit angles are connected smoothly. First, the impeller optimum design was performed with impeller design variables. The diffuser optimum design was performed with diffuser design variables while the optimally designed impeller shape was fixed. The importance of the impeller and diffuser design variables was analyzed using 2 k factorial designs, and the design optimization of the impeller and diffuser design variables was determined using the response surface method (RSM). The objective functions were defined as the total head (Ht) and the total efficiency (ηt) at the design flow rate. The optimally designed model was verified using numerical analysis, and the numerical analysis results for both the optimum model and the reference model were compared to determine the reasons for the improved pump performance. A pump performance test was carried out for the optimum model, and its reliability was proved by a comparative analysis of the results of the numerical analysis and an experiment using the optimum model.

  2. Regulatory analysis for Generic Issue 23: Reactor coolant pump seal failure. Draft report for comment

    Energy Technology Data Exchange (ETDEWEB)

    Shaukat, S K; Jackson, J E; Thatcher, D F

    1991-04-01

    This report presents the regulatory/backfit analysis for Generic Issue 23 (GI-23), 'Reactor Coolant Pump Seal Failure'. A backfit analysis in accordance with 10 CFR 50.109 is presented in Appendix E. The proposed resolution includes quality assurance provisions for reactor coolant pump seals, instrumentation and procedures for monitoring seal performance, and provisions for seal cooling during off-normal plant conditions involving loss of all seal cooling such as station blackout. Research, technical data, and other analyses supporting the resolution of this issue are summarized in the technical findings report (NUREG/CR-4948) and cost/benefit report (NUREG/CR-5167). (author)

  3. Prevalence of Congenital Coronary Artery Anomalies and Variants in 2697 Consecutive Patients Using 64-Detector Row Coronary CTAngiography

    International Nuclear Information System (INIS)

    Shabestari, Abbas Arjmand; Akhlaghpoor, Shahram; Tayebivaljozi, Reza; Fattahi Masrour, Farzaneh

    2012-01-01

    Coronary artery anomalies are not common, but could be very serious. This study determines the frequency of coronary anomalies and normal variants by multi-detector-row computed tomography (MDCT). The results of cardiac MDCT study in 2697 consecutive patients were analyzed retrospectively. Acquisition was performed by a 64-detector row CT machine. Imaging results were assessed by experienced radiologists. Myocardial bridging was by far the most frequent coronary variant (n = 576, 21.3%). Eighty-three subjects (3.1%) showed other coronary anomalies and variants. Anomalies of origination and course of the left main coronary artery (LMCA) were detected in 1.09% of the subjects. The frequency of these anomalies in the right coronary artery (RCA), left circumflex artery (LCx), left anterior descending artery (LAD), posterior descending artery (PDA) and obtuse marginal (OM) artery were 1.24%, 0.33%, 0.1%, 0.07% and 0.03%, respectively. The single coronary pattern was seen in 0.18% and coronary fistulas in 0.07%. Based on the fact that coronary CT-angiography using MDCT can display different coronary anomalies, this study shows similar results to other reports on the subject. Future advances in the performance of CT machines will further improve the quality of CT-based cardiac imaging

  4. A rare anomaly: Double right coronary artery

    Directory of Open Access Journals (Sweden)

    Dursun Çayan Akkoyun

    2013-01-01

    Full Text Available Coronary artery anomalies are rare anomalies. Theseare usually asymptomatic and are discovered incidentally.Double right coronary artery (RCA is a rare coronaryartery anomaly. Although there is controversy aboutidentification and classification of double RCA, it is oftena benign condition, but it can be complicated by atherosclerosisand can lead to serious conditions such asmyocardial infarction (MI and may be accompanied byother anomalies. In our case, double RCA were detectedin coronary angiography for acute anterior MI, and in thenext session successful percutaneous coronary interventionwas performed.Key words: Coronary anomaly, coronary angiography,coronary stenosis

  5. Energy Efficiency Modelling of Residential Air Source Heat Pump Water Heater

    Directory of Open Access Journals (Sweden)

    Cong Toan Tran

    2016-03-01

    Full Text Available The heat pump water heater is one of the most energy efficient technologies for heating water for household use. The present work proposes a simplified model of coefficient of performance and examines its predictive capability. The model is based on polynomial functions where the variables are temperatures and the coefficients are derived from the Australian standard test data, using regression technics. The model enables to estimate the coefficient of performance of the same heat pump water heater under other test standards (i.e. US, Japanese, European and Korean standards. The resulting estimations over a heat-up phase and a full test cycle including a draw off pattern are in close agreement with the measured data. Thus the model allows manufacturers to avoid the need to carry out physical tests for some standards and to reduce product cost. The limitations of the methodology proposed are also discussed.

  6. Coronary artery anatomy and variants

    Energy Technology Data Exchange (ETDEWEB)

    Malago, Roberto; Pezzato, Andrea; Barbiani, Camilla; Alfonsi, Ugolino; Nicoli, Lisa; Caliari, Giuliana; Pozzi Mucelli, Roberto [Policlinico G.B. Rossi, University of Verona, Department of Radiology, Verona (Italy)

    2011-12-15

    Variants and congenital anomalies of the coronary arteries are usually asymptomatic, but may present with severe chest pain or cardiac arrest. The introduction of multidetector CT coronary angiography (MDCT-CA) allows the detection of significant coronary artery stenosis. Improved performance with isotropic spatial resolution and higher temporal resolution provides a valid alternative to conventional coronary angiography (CCA) in many patients. MDCT-CA is now considered the ideal tool for three-dimensional visualization of the complex and tortuous anatomy of the coronary arteries. With multiplanar and volume-rendered reconstructions, MDCT-CA may even outperform CCA in determining the relative position of vessels, thus providing a better view of the coronary vascular anatomy. The purpose of this review is to describe the normal anatomy of the coronary arteries and their main variants based on MDCT-CA with appropriate reconstructions. (orig.)

  7. Design and Thermodynamic Analysis of a Steam Ejector Refrigeration/Heat Pump System for Naval Surface Ship Applications

    Directory of Open Access Journals (Sweden)

    Cüneyt Ezgi

    2015-12-01

    Full Text Available Naval surface ships should use thermally driven heating and cooling technologies to continue the Navy’s leadership role in protecting the marine environment. Steam ejector refrigeration (SER or steam ejector heat pump (SEHP systems are thermally driven heating and cooling technologies and seem to be a promising technology to reduce emissions for heating and cooling on board naval surface ships. In this study, design and thermodynamic analysis of a seawater cooled SER and SEHP as an HVAC system for a naval surface ship application are presented and compared with those of a current typical naval ship system case, an H2O-LiBr absorption heat pump and a vapour-compression heat pump. The off-design study estimated the coefficient of performances (COPs were 0.29–0.11 for the cooling mode and 1.29–1.11 for the heating mode, depending on the pressure of the exhaust gas boiler at off-design conditions. In the system operating at the exhaust gas boiler pressure of 0.2 MPa, the optimum area ratio obtained was 23.30.

  8. Experimental performance evaluation and validation of dynamical models of the Ocean Grazer

    NARCIS (Netherlands)

    van Rooij, Marijn; Meijer, Harmen; Prins, Wouter; Vakis, Antonis I.

    2015-01-01

    A functional scale prototype has been constructed for a single-piston pump (SPP) that will be used as a building block in the core technology of a novel wave energy converter termed the Ocean Grazer: the multi-pump, multi-piston power take-off (MP2PTO) system. Experimental measurements performed

  9. ASSESSMENT OF WATER PUMPING SYSTEM AND IMPROVEMENT IN HYDRO-ENERGETIC PERFORMANCE

    Directory of Open Access Journals (Sweden)

    Augusto da Gama Rego

    2017-01-01

    Full Text Available Within the policy of sanitation services for all and the need t o lower electricity consumption, the current analysis evaluates the water pumping s ystem and defines actions for the improvement of hydro-energetic performance. The present research was divided into two sections: assessment of the water pumping syst em (based on hydro- energetic simulation and an analysis of the impact of ineffici ency on electric energy consumption (based on computer simulation. Results revealed th at methodology was satisfactory and that the main operational issues could be iden tified and corrections could be computer-simulated. A potential 16% reduction in consu mption and in electricity costs could be obtained.

  10. Congenital coronary artery fistula

    International Nuclear Information System (INIS)

    Oh, Yeon Hee; Kim, Hong; Zeon, Seoc Kil; Suh, Soo Jhi

    1986-01-01

    Congenital coronary artery fistula (CCAF) is communication of a coronary artery or its main branch with one of the atria or ventricles, the coronary sinus, the superior vena cava, or the pulmonary artery. In Korean peoples, only 4 cases of the CCAF were reported as rare as worldwide and authors want to report another case of CCAF, confirmed by operation. 10-year-old girl shows a fistula between sinus node artery of the right coronary artery and right atrium on root aortogram with left-to-right shunt and Qp/Qs=1.58, in which simple ligation of the sinus node artery from right coronary artery was performed. All of the 5 Korean CCAF (4 were previously reported and 1 of authors) were originated from right coronary artery, and of which 4 were opening into right ventricle and 1 of authors were into right atrium. Associated cardiac anomaly was noted in only 1 case as single coronary artery. Ages were from 9 months of age to 10 years old and no adult left case were found. 3 were female and 2 were male patients.

  11. Operation and control strategies in pre-series testing of cold circulating pumps for ITER

    International Nuclear Information System (INIS)

    Bhattacharya, R.; Vaghela, H.; Sarkar, B.; Srinivas, M.; Choukekar, K.

    2013-01-01

    Cryo-distribution system of ITER is responsible for the distribution and control of forced-flow supercritical helium for cooling of the superconducting magnets and the cryo-pumps. The requirements of cold circulating pumps (CCP) for mass flow rates and performance are much higher than presently existing and commercially available one used at 4.0 K helium. Design up-scaling with pre-series test of CCP has been proposed including test infrastructure. Operation and control strategies for the test distribution box (TDB) of test infrastructure have been developed and analyzed using steady state and dynamic process simulation to cope with the functional requirements of CCPs. Off-normal scenario with CCP inlet pressure variation is an important concern, dynamic process responses during such scenario have been evaluated to verify the operability of CCP. The paper describes process simulation to cope with the functional requirements of CCPs along with evaluation of off-normal scenario to verify the operability of CCP. (author)

  12. Pumping station design for a pumped-storage wind-hydro power plant

    International Nuclear Information System (INIS)

    Anagnostopoulos, John S.; Papantonis, Dimitris E.

    2007-01-01

    This work presents a numerical study of the optimum sizing and design of a pumping station unit in a hybrid wind-hydro plant. The standard design that consists of a number of identical pumps operating in parallel is examined in comparison with two other configurations, using one variable-speed pump or an additional set of smaller jockey pumps. The aim is to reduce the amount of the wind generated energy that cannot be transformed to hydraulic energy due to power operation limits of the pumps and the resulting step-wise operation of the pumping station. The plant operation for a period of one year is simulated by a comprehensive evaluation algorithm, which also performs a detailed economic analysis of the plant using dynamic evaluation methods. A preliminary study of the entire plant sizing is carried out at first using an optimization tool based on evolutionary algorithms. The performance of the three examined pumping station units is then computed and analyzed in a comparative study. The results reveal that the use of a variable-speed pump constitutes the most effective and profitable solution, and its superiority is more pronounced for less dispersed wind power potential

  13. Comparison of Different Approaches to Predict the Performance of Pumps As Turbines (PATs

    Directory of Open Access Journals (Sweden)

    Mauro Venturini

    2018-04-01

    Full Text Available This paper deals with the comparison of different methods which can be used for the prediction of the performance curves of pumps as turbines (PATs. The considered approaches are four, i.e., one physics-based simulation model (“white box” model, two “gray box” models, which integrate theory on turbomachines with specific data correlations, and one “black box” model. More in detail, the modeling approaches are: (1 a physics-based simulation model developed by the same authors, which includes the equations for estimating head, power, and efficiency and uses loss coefficients and specific parameters; (2 a model developed by Derakhshan and Nourbakhsh, which first predicts the best efficiency point of a PAT and then reconstructs their complete characteristic curves by means of two ad hoc equations; (3 the prediction model developed by Singh and Nestmann, which predicts the complete turbine characteristics based on pump shape and size; (4 an Evolutionary Polynomial Regression model, which represents a data-driven hybrid scheme which can be used for identifying the explicit mathematical relationship between PAT and pump curves. All approaches are applied to literature data, relying on both pump and PAT performance curves of head, power, and efficiency over the entire range of operation. The experimental data were provided by Derakhshan and Nourbakhsh for four different turbomachines, working in both pump and PAT mode with specific speed values in the range 1.53–5.82. This paper provides a quantitative assessment of the predictions made by means of the considered approaches and also analyzes consistency from a physical point of view. Advantages and drawbacks of each method are also analyzed and discussed.

  14. Ventricular distension and diastolic coronary blood flow in the anaesthetized dog.

    Science.gov (United States)

    Gattullo, D; Linden, R J; Losano, G; Pagliaro, P; Westerhof, N

    1993-01-01

    There appears to be no agreement as to whether or not an increase in diastolic left ventricular pressure and/or volume can cause a decrease in diastolic coronary blood flow. We investigated the problem in the anaesthetized dog using a flaccid freely distensible latex balloon inserted into the left ventricle with the animal on extracorporeal circulation and the coronary perfusion pressure constant at about 45 mm Hg. Maximal vasodilatation and suppression of autoregulation in coronary vasculature was obtained by the intracoronary infusion of dipyridamole (10-40 mg/h). Ventricular volume was changed in steps of 10 ml from 10 to 70 ml and back to 10 ml, whilst recording coronary blood flow and left ventricular pressure in the left circumflex coronary artery. Over a range of ventricular volumes from 20 to 50 ml and a concomitant rise in diastolic ventricular pressure to about 20 mm Hg there was no change in the diastolic coronary flow. Only when the ventricular volume was more than two times the control value (i.e. exceeded 50 ml) and left ventricular pressure was more than 20 mm Hg, was there a decrease in coronary flow. During the return of the volume to the control level there was a fall in diastolic flow and ventricular contractility with respect to the values obtained when the volume was increased; these two effects were transient lasting less than 10 min. It was not considered that any of the three models of the coronary circulation, waterfall, intramyocardial pump or varying elastance model could explain our results.(ABSTRACT TRUNCATED AT 250 WORDS)

  15. Heat pumps: planning, optimisation, operation and maintenance; Waermepumpen. Planung - Optimierung - Betrieb - Wartung

    Energy Technology Data Exchange (ETDEWEB)

    Kunz, P. [Kunz-Beratungen, Dietlikon (Switzerland); Afjei, T. [Fachhochschule Nordwestschweiz, Institut fuer Energie am Bau, Muttenz (Switzerland); Betschart, W.; Prochaska, V. [Hochschule Luzern, Technik und Architektur, Horw (Switzerland); Hubacher, P. [Hubacher Engineering, Engelburg (Switzerland); Loehrer, R. [Scheco AG, Winterthur (Switzerland); Mueller, A. [Mueller und Pletscher AG, Winterthur (Switzerland)

    2008-01-15

    This handbook issued by the Swiss Federal Office of Energy (SFOE) in co-operation with a trade publication takes a look at the planning, optimisation, operation and maintenance of heat pumps. First of all, the basics of heat pump technology, heat pump components and refrigerants are discussed. Then, heat sources and heat distribution are looked at, followed by chapters on the integration of heat pumps into heating systems and noise protection topics. The definition of projects, commissioning and operation of heat pump systems are then discussed. Examples of installations round off the handbook.

  16. Reactor coolant pump seals: improving their performance

    International Nuclear Information System (INIS)

    Pothier, N.E.; Metcalfe, R.

    1986-06-01

    Large CANDU plants are benefitting from transient-resistant four-year reliable reactor coolant pump seal lifetimes, a direct result of AECL's 20-year comprehensive seal improvement program involving R and D staff, manufacturers, and plant designers and operators. An overview of this program is presented, which covers seal modification design, testing, post-service examination, specialized maintenance and quality control. The relevancy of this technology to Light Water Reactor Coolant Pump Seals is also discussed

  17. Dependence of Intramyocardial Pressure and Coronary Flow on Ventricular Loading and Contractility: A Model Study

    NARCIS (Netherlands)

    Bovendeerd, P.H.M.; Borsje, P.; Arts, M.G.J.; Vosse, van de F.N.

    2006-01-01

    The phasic coronary arterial inflow during the normal cardiac cycle has been explained with simple (waterfall, intramyocardial pump) models, emphasizing the role of ventricular pressure. To explain changes in isovolumic and low afterload beats, these models were extended with the effect of

  18. An experimental study on pump clogging

    International Nuclear Information System (INIS)

    Isono, M; Nohmi, M; Uchida, H; Kawai, M; Kudo, H; Kawahara, T; Miyagawa, K; Saito, S

    2014-01-01

    For sewage pump that various foreign substance is flowed into, anti-clogging performance is a factor as important as pump efficiency in order to avoid clogging trouble by foreign substance. Many investigations about pump inner flow and pump efficiency estimation have been carried out conventionally in order to realize coexistence with anti-clogging performance and pump performance. And these results have been reflected in construction of the running water section design method. As a index of anti-clogging performance, ''impeller passage diameter'' which is diameter of spherical solid that can pass through the pump is used widely. And there are various type of the sewage pump which have large impeller passage diameter. However real cause of clog is not a solid, and it is fibrous material such as towel and clothes, vinyl and paper diaper. In most case these material accumulate in the pump, so that clog is occurred. In this study, for the purpose of quantification of anti-clogging performance against fibrous materials, the factor that affect to clogging of pump was investigated by pump model test using a string. The test is done based on Taguchi method. In this test, type of the pump model, diameter of the string, material of the string, length of the string and flow rate are selected for the factor, and the effect that they have on the clogging of the pump was investigated. As a result of this test, it was made clear that length of the string has a strong influence on the clogging of the pump. And from the result of this test, evaluation method of anti-clogging performance of the pump against fibrous material by using string was considered. According to the result of above test based on Taguchi method, it was assumed that quantification of anti-clogging performance against fibrous materials is possible by flowing plural strings into the pump and calculating the probability of passing. Plurality sewage pumps of different types were evaluated based

  19. Vacuum Pumping Performance Comparison of Non-Evaporable Getter Thin Films Deposited Using Argon and Krypton as Sputtering Gases

    CERN Document Server

    Liu, Xianghong; He, Yun; Li, Yulin

    2005-01-01

    Owing to the outstanding vacuum performance and the low secondary electron yield, non-evaporable getter (NEG) thin film deposited onto interior walls has gained widespread acceptance and has been incorporated into many accelerator vacuum system designs. The titanium-zirconium-vanadium (T-Zr-V) NEG thin films were deposited onto the interior wall of stainless steel pipes via DC magnetron sputtering method using either argon or krypton gas as sputtering gas. Vacuum pumping evaluation tests were carried out to compare vacuum pumping performances of the Ti-Zr-V NEG thin films deposited using argon or krypton. The results showed much higher initial pumping speed for the Kr-sputtered NEG film than the Ar-sputtered film, though both films have similar activation behavior. The compositions and textures of both thin films were measured to correlate to the pumping performances.

  20. High-vacuum pumping out of hydrogen isotopes by compressed and electrophysical pumps

    International Nuclear Information System (INIS)

    Bychkova, A.D.; Ershova, Z.V.; Saksaganskij, G.L.; Serebrennikov, D.V.

    1982-01-01

    To explain the selection of parameters of vacuum systems of projected thermonuclear devices, experiments are performed on the pumping-out of deuterium and tritium by high-vacuum pumps of different types. The values of the fast response of turbomolecular, diffusion vapour-mercury, magneto-discharge and titanium getter pumps in the operation pressure range are determined. The rate of sorption of hydrogen isotopes by non-spraying gas absorber of cial alloy depending on the amount of the gas absorbed and temperature, is measured. Gas current is determined by the pressure drop on the diagram of the known conductivity. Individual calibration of manometric converters for different gases using a mercury burette is performed preliminarily. The means of high-vacuum pumping-out that have been studied have the following values of fast response for tritium (relatively to protium): turbomolecular pump-0.95; evaporation getter pump-0.25; magneto-discharge pumps-0.65-0.9; cial alloy-0.1...0.5

  1. Three-Dimensional Respiratory-Gated Coronary Mr Angiography with Reference to X-Ray Coronary Angiography

    International Nuclear Information System (INIS)

    Ikonen, A. E. J.; Manninen, H. I.; Vainio, P.; Vanninen, R. L.; Matsi, P. J.; Soimakallio, S.; Hirvonen, T.P.J.; Hartikainen, J.E.K.

    2003-01-01

    Purpose: To assess the clinical value of three-dimensional coronary MR angiography (CMRA) in the detection of significant coronary artery stenosis using conventional X-ray angiography as the standard reference. Material and Methods: Sixty-nine patients underwent X-ray coronary angiography and CMRA because of suspected or previously diagnosed coronary artery disease. MRI was performed with a 1.5-T whole body imaging system using ECG-triggered 3D gradient echo sequence with retrospective navigator echo respiratory gating and fat suppression. Results: A total of 276 coronary artery segments were analyzed. The X-ray coronary angiography was normal in 22 patients. Significant proximal stenoses (exceeding 50%) or occlusions were present in 102 coronary artery segments. In all, 120 stenoses or occlusions were identified in CMRA. Sixteen percent of the coronary artery segments had to be excluded because of poor image quality. The overall sensitivity and specificity for MRA for identification of significant stenosis were 75% and 62%, respectively. CMRA correctly detected 89% of patients with at least one vessel disease, but 6 patients with coronary artery disease would have been missed. Conclusions: Because of the high data exclusion and false-negative case rate, CMRA with retrospective navigator echo triggering is at present not suitable as a clinical screening method in coronary artery disease

  2. The Best Efficiency Point of the Performance of Solar Cell Panel System for Pumping Water at Various Lifting Heads Using 100 W Motor- Pump Unit

    OpenAIRE

    S. Himran; B. Mire; N. Salam; L. Sule

    2013-01-01

    This study was carried out experimentally and analytically about the performance of solar cell panel system for operating the pump coupled by dc-motor. The solar cell panel with total area 1.9848 m2 consists of three modules of 80 Wp each. The small centrifugal pump powered by dc-motor is operated to lift water from 1m to 7m heads in sequence and gives the amount of water pumped over the whole day from 08.00 to 16.00 h are 11988, 10851, 8874, 7695, 5760, 3600, 2340 L/d respectively. The hourl...

  3. Hourly simulation of a Ground-Coupled Heat Pump system

    Science.gov (United States)

    Naldi, C.; Zanchini, E.

    2017-01-01

    In this paper, we present a MATLAB code for the hourly simulation of a whole Ground-Coupled Heat Pump (GCHP) system, based on the g-functions previously obtained by Zanchini and Lazzari. The code applies both to on-off heat pumps and to inverter-driven ones. It is employed to analyse the effects of the inverter and of the total length of the Borehole Heat Exchanger (BHE) field on the mean seasonal COP (SCOP) and on the mean seasonal EER (SEER) of a GCHP system designed for a residential house with 6 apartments in Bologna, North-Center Italy, with dominant heating loads. A BHE field with 3 in line boreholes is considered, with length of each BHE either 75 m or 105 m. The results show that the increase of the BHE length yields a SCOP enhancement of about 7%, while the SEER remains nearly unchanged. The replacement of the on-off heat pump by an inverter-driven one yields a SCOP enhancement of about 30% and a SEER enhancement of about 50%. The results demonstrate the importance of employing inverter-driven heat pumps for GCHP systems.

  4. Tritium evacuataion performance of a large oil-free reciprocating pump

    International Nuclear Information System (INIS)

    Hayashi, T.; Yamada, M.; Konishi, S.

    1994-01-01

    In fusion reactors large dry vacuum and transfer pumps are needed for various applications such as backing and roughing for torus evacuation, gas transfer and processing in the fuel cycle, and facility vacuum for safety systems. There are some commercial use oil-free pumps, however, most of all these pumps have low pumping function for hydrogen gases and also at high discharge pressure. A large oil-free reciprocating pump has been developed for high tritium services at the Tritium Process Laboratory (TPL) in the Japan Atomic Energy Research Institute (JAERI). This pump is mainly composed four-stage compression vertical cylinders, a single acting piston with piston rings made by carbon polyimide composite and two buffer tanks. Each stage in the cylinder has 16 special check valves. The process line is isolated completely to crank-case oil by dynamic metal bellows. Design pumping speed is 54 m 3 /hr for hydrogen gas at 5 Torr of discharge pressures. After cold testing in TPL, this pump was shipped and installed in the Tritium Systems Test Assembly (TSTA) loop of the Los Alamos National Laboratory under the US-Japan Collaboration program on fusion technology

  5. [Comparison of 64 MDCT coronary CTA and coronary angiography in the detection of coronary artery stenosis in low risk patients with stable angina and acute coronary syndrome].

    Science.gov (United States)

    Cazalas, G; Sarran, A; Amabile, N; Chaumoitre, K; Marciano-Chagnaud, S; Jacquier, A; Paganelli, F; Panuel, M

    2009-09-01

    To determine the accuracy of 64 MDCT coronary CTA (CCTA) compared to coronary angiography in low risk patients with stable angina and acute coronary syndrome and determine the number of significant coronary artery stenoses ( 50%) in these patients. Materials and methods. Fifty-five patients underwent CCTA using a 32 MDCT unit with z flying focus allowing the acquisition of 64 slices of 0.6 mm thickness as well as coronary angiography (gold standard). Nine patients were excluded due to prior coronary artery bypass surgery (n=4), insufficient breath hold (n=3), calcium scoring>1000 (n=1) and delay between both examinations over 4 months (n=1). Forty-six patients: 27 males and 19 females were included. CCTA results were compared to coronary angiography per segment and artery with threshold detection of stenoses 50%. The degree of correlation between both examinations was performed using a regression analysis with a Pearson correlation coefficient<0.05 considered significant. The overall accuracy of CCTA was 90%; limitations related to the presence of calcifications, motion artifacts or insufficient vessel opacification. The correlation for all analyzed segments was 96.4%. Thirty-eight of 50 significant stenoses seen on coronary angiography were correctly detected on CCTA. Sensitivity, specificity, PPVC and NPV for detection of stenoses 50% were 76%, 98.3%, 80.3% and 97.7% respectively. Evaluation per segment had a NPV of 96.8% (interventricular and diagonal segments) to 100% (main trunk). Our results for specificity and NPV are similar to reports from the literature. This suggests that CCTA in this clinical setting may replace coronary angiography.

  6. Coronary spasm induced by dipyridamole

    International Nuclear Information System (INIS)

    Wartski, M.; Caussin, C.; Lancelin, B.

    2001-01-01

    A 59 years old man was admitted at hospital for recurrent instable angina 1 month after coronary artery bypass surgery. Coronary artery disease started with a transmural antero-septo-apical myocardial infarction without thrombolysis and a percutaneous angioplasty with endo-prothesis on proximal left anterior descendant artery (LAD) is performed Because of recurrent rest angina and subacute stent thrombosis, a coronary artery bypass surgery (CABG) is performed with anastomosis of the left internal thoracic artery on LAD. The patient is admitted for recurrent rest angina one month after CABG. On ECG performed during chest pain, a ST-T segment elevation occurred on inferior leads. Coronary angiography showed no significant stenosis on endo-prothesis and no bypass graft dysfunction. Dipyridamole scintigraphy was realized. 2 minutes after the beginning of Dipyridamole infusion, a ST-T elevation occurred on inferior leads and two marked antero-septal and inferior defects were noticed on myocardial scintigraphy. Images at rest showed a clear improvement in the anterior wall and the inferior wall became normally perfused Patient was treated with anti-spastic drugs and a new coronarography with methyl-ergotamine test was performed inducing chest pain, ST-T elevation on inferior leads and tri-truncular coronary spasm. Patient's treatment was then modified with introduction of Nifedipine. The patient did not experienced new recurrent chest pain and remained totally asymptomatic few months later. (authors)

  7. Comparison between design and actual energy performance of a HVAC-ground coupled heat pump system in cooling and heating operation

    Energy Technology Data Exchange (ETDEWEB)

    Magraner, T.; Quilis, S. [Energesis Ingenieria S.L., Ciudad Politecnica de la Innovacion, Camino de Vera s/n, 46022 Valencia (Spain); Montero, A. [Instituto de Ingenieria Energetica, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Urchueguia, J.F. [Instituto Universitario de Matematica Pura y Aplicada, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain)

    2010-09-15

    This work compares the experimental results obtained for the energy performance study of a ground coupled heat pump system with the design values predicted by means of standard methodology. The system energy performance of a monitored ground coupled heat pump system is calculated using the instantaneous measurements of temperature, flow and power consumption and these values are compared with the numerical predictions. These predictions are performed with the TRNSYS software tool following standard procedures taking the experimental thermal loads as input values. The main result of this work is that simulation results solely based on nominal heat pump capacities and performances overestimate the measured overall energy performance by a percentage between 15% and 20%. A sensitivity analysis of the simulation results to changes in percentage of its input parameters showed that the heat pump nominal coefficient of performance is the parameter that mostly affects the energy performance predictions. This analysis supports the idea that the discrepancies between experimental results and simulation outputs for this ground coupled system are mainly due to heat pump performance degradation for being used at partial load. An estimation of the impact of this effect in energy performance predictions reduces the discrepancies to values around 5%. (author)

  8. Particles pumping in Tore Supra

    International Nuclear Information System (INIS)

    Bonnel, P.; Chappuis, P.; Lipa, M.

    1989-01-01

    TORE SUPRA and its peripheral equipments are provided with routine clean high vacuum by turbomolecular pumping. During plasma discharges large quantity of very hot gases activating at plasma edge and plasma density in scrape off layer has to be controlled before they strike violently solid wall provoking increase in impurities content and make density up to disruptive level. A Magnetic Ergodic Divertor made of six winding structures - MED - six Vertical Pumped Limiters - VPL - and one Horizontal Pumped Limiter - HPL - are set in the vacuum chamber in order to cope with plasma-wall interactions and neutral gas recycling. Each apparatus is equipped at front side with thermal shield respectively made of polycristallin and pyrolitic graphite bolted on stainless steel support for MED and HPL whereas for VPL it is made of CFC Aerolor 05 brazed on hardened copper. The total heat removal capacity of these plasma facing components is 12 MW. Design of particles collection openings and ducts conductance allow 10% of capture efficiency, that means for TORE SUPRA a flux of 3 x 10 21 particles/second has to be sorbed by water cooled titanium getter pumps, settled at rear side. All those facilities were put into plasma operation at the beginning of 1989 for a short time. Preliminary observations go along with theoretical predictions, that actions in scrappe-off layer may provoke effects in bulk plasma. Very first results drawn out, show that particle collection and heat removal were effective by MED, VPL and HPL and that plasma behaviour was not disturbed by their presence and actions but instead tendency to improvement was observed

  9. Lithium bromide high-temperature absorption heat pump: coefficient of performance and exergetic efficiency

    Energy Technology Data Exchange (ETDEWEB)

    Izquierdo, M [Consejo Superior de Investigaciones Cientificas, Madrid (ES). Inst. de Optica; Aroca, S [Escuela Tecnica Superior de Ingenieros Industriales, Valladolid (ES). Catedratico de Ingenieria Termica

    1990-04-01

    A theoretical study of a lithium bromide absorption heat pump, used as a machine type I and aimed to produce heat at 120{sup 0}C via waste heat sources at 60{sup 0}C, is given. Real performance conditions are stated for each component of the machine. By means of thermodynamic diagrams (p, t, x) and (h, x), the required data are obtained for calculation of the heat recovered in the evaporator Q{sub e}, the heat delivered to the absorber Q{sub a} and to the condenser Q{sub c}, and the heat supplied to the generator Q{sub g}. The heat delivered by the hot solution to the cold solution in the heat recovered Q{sub r}, and the work W{sub p} done by the solution pump are calculated. The probable COP is calculated as close to 1.4 and the working temperature in the generator ranges from 178 to 200{sup 0}C. The heat produced by the heat pump is 22% cheaper than that obtained from a cogeneration system comprising a natural gas internal combustion engine and high temperature heat pump with mechanical compression. Compared with a high temperature heat pump with mechanical compression, the heat produced by the absorption heat pump is 31% cheaper. From (h, x) and (s, x) diagrams, exergy losses for each component can be determined leading to an exergetic efficiency of 75% which provides the quality index of the absorption cycle. (author).

  10. Relationship between different push-off variables and start performance in experienced swimmers.

    Science.gov (United States)

    García-Ramos, Amador; Feriche, Belén; de la Fuente, Blanca; Argüelles-Cienfuegos, Javier; Strojnik, Vojko; Strumbelj, Boro; Štirn, Igor

    2015-01-01

    The objective of this study was to determine the relationship between different variables measured with a force plate during the swimming start push-off phase and start performance presented by times to 5, 10 and 15 m. Twenty-one women from the Slovenian national swimming team performed two different swim starts (freestyle and undulatory) on a portable force plate to a distance further than 15 m. Correlations between push-off variables and times to 5, 10 and 15 m were quantified through Pearson's product-moment correlation coefficient (r). The variables that significantly correlated (p  .05). Based on the results of this study, we can conclude that horizontal take-off velocity and average horizontal acceleration (calculated as the average horizontal force divided by swimmer's body mass) are the variables most related to swimming start performance in experienced swimmers, and therefore could be the preferred measures to monitor swimmers' efficiency during the push-off phase.

  11. Cooling and heating performances of a CO2 heat pump with the variations of operating conditions

    International Nuclear Information System (INIS)

    Baek, Chang Hyun; Lee, Eung Chan; Kang, Hun; Kim, Yong Chan; Cho, Hong Hyun

    2008-01-01

    Since operating conditions are significantly different for heating and cooling mode operations in a CO 2 heat pump system, it is difficult to optimize the performance of the CO 2 cycle. In addition, the performance of a CO 2 heat pump is very sensitive to outdoor temperature and gascooler pressure. In this study, the cooling and heating performances of a variable speed CO 2 heat pump with a twin-rotary compressor were measured and analyzed with the variations of EEV opening and compressor frequency. As a result, the cooling and heating COPs were 2.3 and 3.0, respectively, when the EEV opening was 22%. When the optimal EEV openings for heating and cooling were 28% and 16%, the cooling and heating COPs increased by 3.3% and 3.9%, respectively, over the COPs at the EEV opening of 22%. Beside, the heating performance was more sensitive to EEV opening than the cooling performance. As the compressor speed decreased by 5 Hz, the cooling COP increased by 2%, while the heating COP decreased by 8%

  12. Low-cost, high-performance nonevaporable getter pumps using nonevaporable getter pills

    International Nuclear Information System (INIS)

    Kodama, Hiraku; Ohno, Shinya; Tanaka, Masatoshi; Tanaka, Masato; Okudaira, Koji K.; Mase, Kazuhiko; Kikuchi, Takashi

    2016-01-01

    Nonevaporable getter (NEG) pumps are widely used for maintaining a clean ultrahigh vacuum (UHV) of ≤10"−"8" Pa because of their high pumping speeds for hydrogen (H_2) and active gases in the UHV region. In addition, they are oil free, evaporation free, sputtering free, sublimation free, magnetic field free, vibration free, economical, compact, lightweight, and energy saving. In the present paper, the authors report a new NEG pump which is composed of commercial 60 NEG pills (ϕ10 × 3 mm; 70 wt. % Zr, 24.6 wt. % V, and 5.4 wt. % Fe), titanium parts, a DN 40 conflat flange, and a tantalum heater. The NEG pills are vertically and radially aligned around the heater to maximize the effective area for pumping. After activation at 400 °C for 30 min, the pumping speeds of the NEG pump were measured with the orifice method. Pumping speeds of 140–130, 200–140, 190–130, and 35–17 l/s were estimated for H_2, CO, CO_2, and N_2 gasses, respectively, in a pumped-quantity range of 0.01–0.1 Pa l. Since the NEG pump is composed of a heating unit and a NEG module, the pumping speeds can be improved by increasing the number of NEG modules. These NEG pumps are favorable alternatives to sputtering ion pumps or titanium sublimation pumps.

  13. Low-cost, high-performance nonevaporable getter pumps using nonevaporable getter pills

    Energy Technology Data Exchange (ETDEWEB)

    Kodama, Hiraku; Ohno, Shinya; Tanaka, Masatoshi [Faculty of Engineering, Yokohama National University, 79-5 Tokiwadai, Hodogaya-ku, Yokohama 240-8501 (Japan); Tanaka, Masato; Okudaira, Koji K. [Faculty of Engineering, Chiba University, 1-33 Yayoi-cho, Inage-ku 263-8522 (Japan); Mase, Kazuhiko, E-mail: mase@post.kek.jp; Kikuchi, Takashi [Institute of Materials Structure Science, KEK, 1-1 Oho, Tsukuba 305-0801 (Japan)

    2016-09-15

    Nonevaporable getter (NEG) pumps are widely used for maintaining a clean ultrahigh vacuum (UHV) of ≤10{sup −8 }Pa because of their high pumping speeds for hydrogen (H{sub 2}) and active gases in the UHV region. In addition, they are oil free, evaporation free, sputtering free, sublimation free, magnetic field free, vibration free, economical, compact, lightweight, and energy saving. In the present paper, the authors report a new NEG pump which is composed of commercial 60 NEG pills (ϕ10 × 3 mm; 70 wt. % Zr, 24.6 wt. % V, and 5.4 wt. % Fe), titanium parts, a DN 40 conflat flange, and a tantalum heater. The NEG pills are vertically and radially aligned around the heater to maximize the effective area for pumping. After activation at 400 °C for 30 min, the pumping speeds of the NEG pump were measured with the orifice method. Pumping speeds of 140–130, 200–140, 190–130, and 35–17 l/s were estimated for H{sub 2}, CO, CO{sub 2}, and N{sub 2} gasses, respectively, in a pumped-quantity range of 0.01–0.1 Pa l. Since the NEG pump is composed of a heating unit and a NEG module, the pumping speeds can be improved by increasing the number of NEG modules. These NEG pumps are favorable alternatives to sputtering ion pumps or titanium sublimation pumps.

  14. Performance Evaluation Criterion at Equal Pumping Power for Enhanced Performance Heat Transfer Surfaces

    Directory of Open Access Journals (Sweden)

    Rajendra Karwa

    2013-01-01

    Full Text Available The existing equations for the thermal performance evaluation, at equal pumping power for the artificially roughened and smooth surfaced multitube and rectangular duct heat exchangers, have been critically reviewed because the literature survey indicates that a large number of researchers have not interpreted these equations correctly. Three of the most widely used equations have been restated with clearly defined constraints and conditions for their application. Two new equations have been developed for the design constraints not covered earlier.

  15. Subclinical Coronary Plaque Burden in Asymptomatic Relatives of Patients With Documented Premature Coronary Artery Disease

    DEFF Research Database (Denmark)

    Christiansen, Morten Krogh; Jensen, Jesper Møller; Bøtker, Hans Erik

    Introduction: A family history of premature coronary artery disease (CAD) is a well-known risk factor for adverse coronary events with age of onset being inversely related to the degree of heritability. Hypothesis: We hypothesized that asymptomatic first degree relatives, of patients with premature...... CAD, suffer a high burden of subclinical coronary atherosclerosis. Methods: First degree relatives, aged 30-65 years, of patients with a documented coronary revascularization procedure before the age of 40 years, were invited to participate in the study. Participants were matched by age, sex...... and absence of a family history, with patients referred for coronary CT angiography (CTA) because of atypical angina or non-anginal chest pain. A pooled blinded analysis was performed. The main outcome measure was the number of plaque-affected coronary segments. Results: 88 relatives and 88 symptomatic...

  16. A High Performance Pulsatile Pump for Aortic Flow Experiments in 3-Dimensional Models.

    Science.gov (United States)

    Chaudhury, Rafeed A; Atlasman, Victor; Pathangey, Girish; Pracht, Nicholas; Adrian, Ronald J; Frakes, David H

    2016-06-01

    Aortic pathologies such as coarctation, dissection, and aneurysm represent a particularly emergent class of cardiovascular diseases. Computational simulations of aortic flows are growing increasingly important as tools for gaining understanding of these pathologies, as well as for planning their surgical repair. In vitro experiments are required to validate the simulations against real world data, and the experiments require a pulsatile flow pump system that can provide physiologic flow conditions characteristic of the aorta. We designed a newly capable piston-based pulsatile flow pump system that can generate high volume flow rates (850 mL/s), replicate physiologic waveforms, and pump high viscosity fluids against large impedances. The system is also compatible with a broad range of fluid types, and is operable in magnetic resonance imaging environments. Performance of the system was validated using image processing-based analysis of piston motion as well as particle image velocimetry. The new system represents a more capable pumping solution for aortic flow experiments than other available designs, and can be manufactured at a relatively low cost.

  17. Data on coronary artery calcium score performance and cardiovascular risk reclassification across gender and ethnicities

    Directory of Open Access Journals (Sweden)

    Marat Fudim

    2016-03-01

    Full Text Available The current guidelines recommend the new risk score, Atherosclerotic Cardiovascular Disease score (ASCVD, to assess an individual׳s risk of future cardiovascular disease (CVD events. No data exist on the predictive utility of ASCVD score with the incremental value of coronary artery calcium scoring (CACS across ethnicities and gender. Multi-Ethnic Study of Atherosclerosis (MESA is a population based study (n=6814 of White (38%, Black (28%, Chinese (22% and Hispanic (12% subjects, aged 45–84 years, free from clinical cardiovascular disease. We performed a post-hoc analysis of 6742 participants (mean age 62, 53% female from the MESA cohort. We evaluated the predictive accuracy for the ASCVD score for each participant in accord with the American College of Cardiology/American Heart Association guidelines using pooled cohort equations. Similar to the publication by Fudim et al. “The Metabolic Syndrome, Coronary Artery Calcium Score and Cardiovascular Risk Reclassification” [1] the analytic properties of models incorporating the ASCVD score with and without CACS were compared for cardiovascular disease CVD prediction. Here the analysis focused on ASCVD score (with and without CACS performance across gender and ethnicities. Keywords: Risk stratification, Coronary calcium scoring, Gender, Ethnicity, MESA, {C}{C}

  18. Breath-hold two-dimensional MR angiography of coronary arteries. Comparison with conventional coronary angiography in ten cases

    International Nuclear Information System (INIS)

    Li Liwei; Zhang Wanshi; Liu Chaozhong; Lu Xiaoyan; Xu Jiaxing

    1997-01-01

    Purpose: To assess the diagnostic value of two-dimensional coronary magnetic resonance (MR) angiography in patients evaluated for ischemic heart disease. Materials and methods: Ten patients who underwent selective cardiac catheterization with coronary MR angiography were evaluated with two-dimensional coronary MR angiography. Coronary MR angiography was performed with breath-hold fat-suppressed ECG-gated Turbo-FLASH with K-space segmentation using a 1.5 T imager. Results: The left main coronary artery, proximal left anterior descending artery, circumflex artery and right coronary artery were demonstrated in all cases. Continuous segments (mean) of left anterior descending, circumflex and right coronary arteries visualized on MRA were 6.72 +- 3.16 cm, 3.67 +- 4.81 cm and 7.93 +- 3.12 cm respectively. The overall sensitivity for detection of hemodynamically significant coronary artery lesion (≥50%) was 62.5% respectively. Conclusion: Breath-hold two-dimensional coronary MR angiography was useful in showing relatively long segments of the main coronary arteries and also has potential in depicting hemodynamically significant coronary artery lesions

  19. Browse Title Index

    African Journals Online (AJOL)

    Items 1 - 50 of 81 ... ... afraid of Information Regarding the Complications of Spinal anaesthesia? ... Vol 11, No 1 (2011), Assessment of Knowledge of Cardiopulmonary .... Vol 15, No 1 (2015), Off-pump Coronary Artery Bypass Graft in a High Risk ...

  20. High temperature thermoacoustic heat pump

    Energy Technology Data Exchange (ETDEWEB)

    Tijani, H.; Spoelstra, S. [Energy research Centre of the Netherlands, 1755 ZG Petten (Netherlands)

    2012-06-15

    Thermoacoustic technology can provide new types of heat pumps that can be deployed in different applications. A thermoacoustic heat pumps can for example be applied in dwellings to generate cooling or heating. Typically, space and water heating makes up about 60% of domestics and offices energy consumption. The application of heat pumps can contribute to achieve energy savings and environmental benefits by reducing CO2 and NOx emissions. This paper presents the study of a laboratory scale thermoacoustic-Stirling heat pump operating between 10C and 80C which can be applied in domestics and offices. The heat pump is driven by a thermoacoustic-Stirling engine. The experimental results show that the heat pump pumps 250 W of heat at 60C at a drive ratio of 3.6% and 200 W at 80C at a drive ratio of 3.5 %. The performance for both cases is about 40% of the Carnot performance. The design, construction, and performance measurements of the heat pump will be presented and discussed.

  1. High Temperature Thermoacoustic Heat Pump

    Energy Technology Data Exchange (ETDEWEB)

    Tijani, H.; Spoelstra, S. [ECN Biomass and Energy Efficiency, Petten (Netherlands)

    2012-07-15

    Thermoacoustic technology can provide new types of heat pumps that can be deployed in different applications. Thermoacoustic heat pumps can for example be applied in dwellings to generate cooling or heating. Typically, space and water heating makes up about 60% of domestic and office energy consumption. The application of heat pumps can contribute to achieve energy savings and environmental benefits by reducing CO2 and NOx emissions. This paper presents the study of a laboratory scale thermoacoustic-Stirling heat pump operating between 10C and 80C which can be applied in domestics and offices. The heat pump is driven by a thermoacoustic-Stirling engine. The experimental results show that the heat pump pumps 250 W of heat at 60C at a drive ratio of 3.6 % and 200 W at 80C at a drive ratio of 3.5 %. The performance for both cases is about 40% of the Carnot performance. The design, construction, and performance measurements of the heat pump will be presented and discussed.

  2. Comparative Evaluation of Different Computational Models for Performance of Air Source Heat Pumps Based on Real World Data

    NARCIS (Netherlands)

    Tabatabaei, Seyed Amin; Treur, Jan; Waumans, Erik

    2015-01-01

    To reduce energy usage and CO2 emission due to heating, heat pumps have turned out a good option. For example, to obtain a net zero house, often a combination of solar panels and a heat pump is used. A computational model of the performance of a heat pump provides a useful tool for prediction and

  3. Single-Lung Ventilation with Contralateral Lung Deflation

    Science.gov (United States)

    Dallan, Luís Alberto O.; Lisboa, Luiz Augusto F.; Platania, Fernando; Oliveira, Sérgio A.; Stolf, Noedir A.

    2007-01-01

    There are many new alternative methods of minimally invasive myocardial revascularization that can be applied in selected patients who have multivessel coronary artery disease. However, these techniques often require new and expensive equipment. Most multivessel myocardial revascularization is performed via median sternotomy and involves the use of a conventional endotracheal tube. Both lungs are ventilated, and frequently the left pleural cavity is opened. In contrast, single-lung deflation naturally moves the mediastinum within the thorax toward the collapsed lung, without the need to open the pleural cavities. Herein, we describe a simple alternative procedure that facilitates off-pump multivessel coronary artery bypass grafting via complete median sternotomy: single-lung ventilation with contralateral lung deflation. This technique better exposes the more distal right and circumflex coronary artery branches with or without the opening of the pleural cavities. PMID:17622364

  4. Effect of piracetam on the cognitive performance of patients undergoing coronary bypass surgery: A meta-analysis

    Science.gov (United States)

    FANG, YU; QIU, ZHANDONG; HU, WENTAO; YANG, JIA; YI, XIYAN; HUANG, LIANGJIANG; ZHANG, SUMING

    2014-01-01

    Cognitive impairments are observed in numerous patients following coronary bypass surgery, and piracetam are nootropic compounds that modulate cerebral functions by directly enhancing cognitive processes. The present meta-analysis was conducted to evaluate the protective effect of piracetam on the cognitive performance of patients undergoing coronary bypass surgery. The relevant studies were identified by searching Medline, EMBASE, PubMed and the Cochrane Library up to June 2013 and the pertinent bibliographies from the retrieved studies were reviewed. Data were selected from the studies according to predefined criteria. The meta-analysis included two randomized control trials involving 184 patients and including the Syndrom-Kurz test (SKT). Findings of the meta-analysis showed that following treatment the change from baseline observed in five SKT subtest scores, conducted with piracetam patients, indicated a significant advantage over those patients that were in the placebo group. The subtests included immediate pictured object recall, weighted mean difference (WMD)=0.91, 95% confidence interval (CI) 0.51–1.31, Ppiracetam may have been effective in improving the short-term cognitive performance of patients undergoing coronary bypass surgery. High quality, well-controlled and longer randomized trials are required to corroborate this result. PMID:24396419

  5. Advanced performance of small diaphragm vacuum pumps through the use of mechatronics

    Science.gov (United States)

    Lachenmann, R.; Dirscherl, J.

    Oil-free diaphragm vacuum pumps have proven to be the best way in vacuum generation for the chemical laboratory and they also find increasing use as backing pumps for modern wide-range turbo molecular pumps. The majority of vacuum pumps in practical use pump only a rather small percentage of their lifetime at full gas load. A pump backing a turbo molecular pump does not have to pump a significant gas load when the high-vacuum pump is running at ultimate vacuum pressure. Also, for a vacuum distillation the vacuum pump has to operate at full speed only at the beginning to lower the pressure inside the system to a vacuum level where evaporation starts. In a rather leak-tight system the distillation process continues by evaporating from the hot liquid and condensing at the cold condenser without the need of a mechanical vacuum pump. Rotational speed controlled diaphragm pumps are now available through progress in mechatronics and offer high pumping speed capability for fast pump-down cycles and precise pressure control for distillations. At low gas load the rotational speed can be reduced, improving maintenance intervals, power consumption, noise, vibration and - surprisingly - also ultimate pressure. The different behaviour in pumping speed and ultimate pressure of rotational speed controlled diaphragm pumps in comparison to constant-speed pumps is related to the mechanical properties of the valves and gas dynamics .

  6. [As cardioprotective and angiogenic biomarker, can ghrelin predict coronary collateral development and severity of coronary atherosclerosis?

    Science.gov (United States)

    Akboğa, Mehmet Kadri; Taçoy, Gülten; Yılmaz Demirtaş, Canan; Türkoğlu, Sedat; Boyacı, Bülent; Çengel, Atiye

    2017-06-01

    Ghrelin exerts protective effects on cardiovascular system by inhibiting progression of atherosclerosis, supression of vascular inflammation, and stimulating angiogenesis. Thus, the aim of this study was to investigate the effect of serum ghrelin on coronary collateral development and SYNTAX score in patients with severe coronary artery disease. Total of 91 patients who had ≥90% stenosis in at least one major coronary artery were prospectively included in this cross-sectional, observational study. Collateral degree was graded according to Rentrop-Cohen classification. Patients with grade 2 or 3 collateral degree were allocated to Good Collateral Group and patients with grade 0 or 1 collateral degree were included in Poor Collateral Group. Ghrelin and vascular endothelial growth factor A (VEGF-A) levels were measured using radioimmunoassay and ELISA kits. Serum ghrelin and VEGF-A levels were significantly higher in Good Collateral Group. Furthermore, ghrelin level showed significant inverse correlation with SYNTAX score (r=0.348; p=0.001). In multivariable regression analysis, ghrelin (Odds ratio, 1.013; 95% confidence interval, 1.011-1.017; p=0.013), VEGF-A, fasting plasma glucose and presence of chronic total occlusion were independent predictors of good collateral development. In receiver operating characteristic curve analysis, ghrelin value cut-off point of ≥781 pg/mL predicted good collateral development with sensitivity of 73.1% and specificity of 67.7%. Findings suggested that ghrelin has antioxidant and antiinflammatory properties that protect endothelial functions and also stimulate angiogenesis, which results in development of good coronary collateral and inhibition of progression of coronary atherosclerosis.

  7. Investigation on Flow-Induced Noise due to Backflow in Low Specific Speed Centrifugal Pumps

    Directory of Open Access Journals (Sweden)

    Qiaorui Si

    2013-01-01

    Full Text Available Flow-induced noise causes disturbances during the operation of centrifugal pumps and also affects their performance. The pumps often work at off-design conditions, mainly at part-load conditions, because of frequent changes in the pump device system. Consequently numerous unstable phenomena occur. In low specific speed centrifugal pumps the main disturbance is the inlet backflow, which is considered as one of the most important factors of flow-induced noise and vibration. In this study, a test rig of the flow-induced noise and vibration of the centrifugal pump was built to collect signals under various operating conditions. The three-dimensional unsteady flow of centrifugal pumps was calculated based on the Reynolds-averaged equations that resemble the shear stress transport (SST k-ω turbulence model. The results show that the blade passing frequency and shaft frequency are dominant in the spectrum of flow-induced noise, whereas the shaft component, amplitude value at shaft frequency, and peak frequencies around the shaft increase with decreasing flow. Through flow field analysis, the inlet backflow of the impeller occurs under 0.7 times the design flow. The pressure pulsation spectrum with backflow conditions validates the flow-induced noise findings. The velocity characteristics of the backflow zone at the inlet pipe were analyzed, and the dynamic characteristics of the backflow eddy during one impeller rotating period were simultaneously obtained by employing the backflow conditions. A flow visualization experiment was performed to confirm the numerical calculations.

  8. Flow Simulation and Performance Prediction of Centrifugal Pumps ...

    African Journals Online (AJOL)

    With the aid of computational fluid dynamics, the complex internal flows in water pump impellers can be well predicted, thus facilitating the product development process of pumps. In this paper a commercial CFD code was used to solve the governing equations of the flow field. A 2-D simulation of turbulent fluid flow is ...

  9. Flue gas condensing with heat pump; Roekgaskondensering med vaermepump

    Energy Technology Data Exchange (ETDEWEB)

    Axby, Fredrik; Pettersson, Camilla [Carl Bro Energikonsult AB, Malmoe (Sweden)

    2004-11-01

    Flue gas condensing is often both a technically and economically efficient method to increase the thermal efficiency in a plant using fuels with high moisture and/or high hydrogen content. The temperature of the return water in district heating systems in Sweden is normally 50 deg C, which gives quite high efficiency for a flue gas condenser. The flue gas after the flue gas condenser still contains energy that to some extent can be recovered by a combustion air humidifier or a heat pump. The object of this project is to technically and economically analyse flue gas condensing with heat pump. The aim is that plant owners get basic data to evaluate if a coupling between a flue gas condenser and a heat pump could be of interest for their plant. With a heat pump the district heating water can be 'sub cooled' to increase the heat recover in the flue gas condenser and thereby increase the total efficiency. The project is set up as a case study of three different plants that represent different types of technologies and sizes; Aabyverket in Oerebro, Amagerforbraending in Copenhagen and Staffanstorp district heating central. In this report a system with a partial flow through the condenser of the heat pump is studied. For each plant one case with the smallest heat pump and a total optimization regarding total efficiency and cost for investment has been calculated. In addition to the optimizations sensitivity analyzes has been done of the following parameters: Moisture in fuel; Type of heat pump; Temperature of the return water in the district heating system; and, Size of plant. The calculations shows that the total efficiency increases with about 6 % by the installation of the heat pump at a temperature of the return water in the district heating system of 50 deg C at Aabyverket. The cost for production of heat is just below 210 kr/MWh and the straight time for pay-off is 5,4 years at 250 kr/MWh in heat credit and at 300 kr/MWh in basic price for electricity. The

  10. Evaluation of personal air sampling pumps

    International Nuclear Information System (INIS)

    Ritter, P.D.; Novick, V.J.; Alvarez, J.L.; Huntsman, B.L.

    1987-01-01

    Personal air samplers are used to more conveniently obtain breathing zone samples from individuals over periods of several hours. Personal air sampling pumps must meet minimum performance levels under all working conditions to be suitable for use in radiation protection programs. In addition, the pumps should be simple to operate and as comfortable to wear as possible. Ten models of personal air sampling pumps were tested to evaluate their mechanical performance and physical characteristics. The pumps varied over a wide range in basic performance and operating features. Some of the pumps were found to have adequate performance for use in health physics air sampling applications. 3 references, 2 figures, 5 tables

  11. Coronary stent on coronary CT angiography: Assessment with model-based iterative reconstruction technique

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Eun Chae; Kim, Yeo Koon; Chun, Eun Ju; Choi, Sang IL [Dept. of of Radiology, Seoul National University Bundang Hospital, Seongnam (Korea, Republic of)

    2016-05-15

    To assess the performance of model-based iterative reconstruction (MBIR) technique for evaluation of coronary artery stents on coronary CT angiography (CCTA). Twenty-two patients with coronary stent implantation who underwent CCTA were retrospectively enrolled for comparison of image quality between filtered back projection (FBP), adaptive statistical iterative reconstruction (ASIR) and MBIR. In each data set, image noise was measured as the standard deviation of the measured attenuation units within circular regions of interest in the ascending aorta (AA) and left main coronary artery (LM). To objectively assess the noise and blooming artifacts in coronary stent, we additionally measured the standard deviation of the measured attenuation and intra-luminal stent diameters of total 35 stents with dedicated software. All image noise measured in the AA (all p < 0.001), LM (p < 0.001, p = 0.001) and coronary stent (all p < 0.001) were significantly lower with MBIR in comparison to those with FBP or ASIR. Intraluminal stent diameter was significantly higher with MBIR, as compared with ASIR or FBP (p < 0.001, p = 0.001). MBIR can reduce image noise and blooming artifact from the stent, leading to better in-stent assessment in patients with coronary artery stent.

  12. The effect of klapskate hinge position on push-off performance: a simulation study

    OpenAIRE

    Houdijk, J.H.P.; Bobbert, M.F.; de Koning, J.J.; de Groot, G.

    2003-01-01

    Purpose: The introduction of the klapskate in speed skating confronts skaters with the question of how to adjust the position of the hinge in order to maximize performance. The purpose of this study was to reveal the constraint that klapskate hinge position imposes on push-off performance in speed skating. Method: For this purpose, a model of the musculoskeletal system was designed to simulate a simplified, two-dimensional skating push off. To capture the essence of a skating push off, this m...

  13. Pump polarization insensitive and efficient laser-diode pumped Yb:KYW ultrafast oscillator.

    Science.gov (United States)

    Wang, Sha; Wang, Yan-Biao; Feng, Guo-Ying; Zhou, Shou-Huan

    2016-02-01

    We theoretically and experimentally report and evaluate a novel split laser-diode (LD) double-end pumped Yb:KYW ultrafast oscillator aimed at improving the performance of an ultrafast laser. Compared to a conventional unpolarized single-LD end-pumped ultrafast laser system, we improve the laser performance such as absorption efficiency, slope efficiency, cw mode-locking threshold, and output power by this new structure LD-pumped Yb:KYW ultrafast laser. Experiments were carried out with a 1 W output fiber-coupled LD. Experimental results show that the absorption increases from 38.7% to 48.4%, laser slope efficiency increases from 18.3% to 24.2%, cw mode-locking threshold decreases 12.7% from 630 to 550 mW in cw mode-locking threshold, and maximum output-power increases 28.5% from 158.4 to 221.5 mW when we switch the pump scheme from an unpolarized single-end pumping structure to a split LD double-end pumping structure.

  14. Comparative cath-lab assessment of coronary stenosis by radiology technician, junior and senior interventional cardiologist in patients treated with coronary angioplasty.

    Science.gov (United States)

    Brunetti, Natale Daniele; Delli Carri, Felice; Ruggiero, Maria Assunta; Cuculo, Andrea; Ruggiero, Antonio; Ziccardi, Luigi; De Gennaro, Luisa; Di Biase, Matteo

    2014-03-01

    Exact quantification of plaque extension during coronary angioplasty (PCI) usually falls on interventional cardiologist (IC). Quantitative coronary stenosis assessment (QCA) may be possibly committed to the radiology technician (RT), who usually supports cath-lab nurse and IC during PCI. We therefore sought to investigate the reliability of QCA performed by RT in comparison with IC. Forty-four consecutive patients with acute coronary syndrome underwent PCI; target coronary vessel size beneath target coronary lesion (S) and target coronary lesion length (L) were assessed by the RT, junior IC (JIC), and senior IC (SIC) and then compared. SIC evaluation, which determined the final stent selection for coronary stenting, was considered as a reference benchmark. RT performance with QCA support in assessing target vessel size and target lesion length was not significantly different from SIC (r = 0.46, p < 0.01; r = 0.64, p < 0.001, respectively) as well as JIC (r = 0.79, r = 0.75, p < 0.001, respectively). JIC performance was significantly better than RT in assessing target vessel size (p < 0.05), while not significant when assessing target lesion length. RT may reliably assess target lesion by using adequate QCA software in the cath-lab in case of PCI; RT performance does not differ from SIC.

  15. Pumping machinery theory and practice

    CERN Document Server

    Badr, Hassan M

    2014-01-01

    Pumping Machinery Theory and Practice comprehensively covers the theoretical foundation and applications of pumping machinery. Key features: Covers characteristics of centrifugal pumps, axial flow pumps and displacement pumpsConsiders pumping machinery performance and operational-type problemsCovers advanced topics in pumping machinery including multiphase flow principles, and two and three-phase flow pumping systemsCovers different methods of flow rate control and relevance to machine efficiency and energy consumptionCovers different methods of flow rate control and relevance to machine effi

  16. High average power diode pumped solid state lasers for CALIOPE

    International Nuclear Information System (INIS)

    Comaskey, B.; Halpin, J.; Moran, B.

    1994-07-01

    Diode pumping of solid state media offers the opportunity for very low maintenance, high efficiency, and compact laser systems. For remote sensing, such lasers may be used to pump tunable non-linear sources, or if tunable themselves, act directly or through harmonic crystals as the probe. The needs of long range remote sensing missions require laser performance in the several watts to kilowatts range. At these power performance levels, more advanced thermal management technologies are required for the diode pumps. The solid state laser design must now address a variety of issues arising from the thermal loads, including fracture limits, induced lensing and aberrations, induced birefringence, and laser cavity optical component performance degradation with average power loading. In order to highlight the design trade-offs involved in addressing the above issues, a variety of existing average power laser systems are briefly described. Included are two systems based on Spectra Diode Laboratory's water impingement cooled diode packages: a two times diffraction limited, 200 watt average power, 200 Hz multi-rod laser/amplifier by Fibertek, and TRW's 100 watt, 100 Hz, phase conjugated amplifier. The authors also present two laser systems built at Lawrence Livermore National Laboratory (LLNL) based on their more aggressive diode bar cooling package, which uses microchannel cooler technology capable of 100% duty factor operation. They then present the design of LLNL's first generation OPO pump laser for remote sensing. This system is specified to run at 100 Hz, 20 nsec pulses each with 300 mJ, less than two times diffraction limited, and with a stable single longitudinal mode. The performance of the first testbed version will be presented. The authors conclude with directions their group is pursuing to advance average power lasers. This includes average power electro-optics, low heat load lasing media, and heat capacity lasers

  17. Morphological study on coronary ostial and clinicoangiographic analysis of isolated coronary ostial stenosis

    International Nuclear Information System (INIS)

    Kanoh, Tatsuji

    2007-01-01

    A morphological study of coronary ostia was performed in 70 autopsied human hearts, with particular attention being focused on the funnel-shaped structure, aging changes, and relation to atherosclerosis. The following results were obtained: The ostium is particularly well-defined and forms a funnel-shaped structure. The structure is predominantly a double circular shape on the right and comet-shaped on the left. The funnel-shaped structure of coronary ostia is characterized by a longitudinal smooth muscle arrangement in the inner layer and circular one in the outer layer. Including overhang formation, coronary sclerosis of the ostium appears mainly on the upper margin of the funnel-shaped structure of the right ostium and at the upper right margin of the left. In ischemic heart disease, along with changes in coronary arteries themselves, changes in the ostia of these arteries should be paid close attention. Ostial stenosis of the coronary artery in the absence of distal vessel obstructions, isolated ostial stenosis, is a rare form of coronary artery disease. In a previous review of the international literature, the incidence of coronary ostial stenosis varied between 0.13% and 2.7%. Among 7,500 patients undergoing selective coronary cineangiography at Juntendo University Hospital and Juntendo Urayasu Hospital from 1975 to 1990, five women (0.07%) were diagnosed as having ''isolated coronary ostial stenosis'', of which the cause is unknown. Atherosclerosis, particularly early premature atherome, congenital coronary anomaly, fibro-muscular dysplasia, Takayasu's aortitis, humoral factors, spasm, and iatrogenic events have been considered as its causes. In contrast to usual atherosclerotic coronary artery disease, patients with isolated coronary ostial stenosis of unknown etiology were characterized as being middle-aged, premenopausal, slender females having few coronary risk factors, experiencing severe angina pector is with marked ischemic electrocardiogram changes

  18. Comprehensive experimental and numerical analysis of instability phenomena in pump turbines

    International Nuclear Information System (INIS)

    Gentner, Ch; Sallaberger, M; Widmer, Ch; Bobach, B-J; Jaberg, H; Schiffer, J; Senn, F; Guggenberger, M

    2014-01-01

    The changes in the electricity market have led to changed requirements for the operation of pump turbines. Utilities need to change fast and frequently between pumping and generating modes and increasingly want to operate at off-design conditions for extended periods. Operation of the units in instable areas of the machine characteristic is not acceptable and may lead to self-excited vibration of the hydraulic system. In turbine operation of pump turbines unstable behaviour can occur at low load off-design operation close to runaway conditions (S-shape of the turbine characteristic). This type of instability may impede the synchronization of the machine in turbine mode and thus increase start-up and switch over times. A pronounced S-shaped instability can also lead to significant drop of discharge in the event of load rejection. Low pressure on the suction side and in the tail-race tunnel could cause dangerous separation of the water column. Understanding the flow features that lead to the instable behaviour of pump turbines is a prerequisite to the design of machines that can fulfil the growing requirements relating to operational flexibility. Flow simulation in these instability zones is demanding due to the complex and highly unsteady flow patterns. Only unsteady simulation methods are able to reproduce the governing physical effects in these operating regions. ANDRITZ HYDRO has been investigating the stability behaviour of pump turbines in turbine operation in cooperation with several universities using simulation and measurements. In order to validate the results of flow simulation of unstable operating points, the Graz University of Technology (Austria) performed detailed experimental investigations. Within the scope of a long term research project, the operating characteristics of several pump turbine runners have been measured and flow patterns in the pump turbine at speed no load and runaway have been examined by 2D Laser particle image velocimetry (PIV

  19. A Fourier Approximation Method for the Multi-Pump Multi-Piston Power Take-Off System

    NARCIS (Netherlands)

    Wei, Yanji; Barradas Berglind, Jose de Jesus; Muhammad Zaki Almuzakki, M.; van Rooij, Marijn; Wang, Ruoqi; Jayawardhana, Bayu; Vakis, Antonis I.

    2018-01-01

    In this work, a frequency-domain method for the numerical solution of the nonlinear dynamics of a wave energy converter with a pumping system is presented. To this end, a finite Fourier series is used to describe the nonlinear force components, i.e., the pumping force. The dynamics of the buoy and

  20. Multi-point optimization on meridional shape of a centrifugal pump impeller for performance improvement

    Energy Technology Data Exchange (ETDEWEB)

    Pei, Ji; Wang, Wen Jie; Yuan, Shouqi [National Research Center of Pumps, Jiangsu University, Zhenjiang (China)

    2016-11-15

    A wide operating band is important for a pump to safely perform at maximum efficiency while saving energy. To widen the operating range, a multi-point optimization process based on numerical simulations in order to improve impeller performance of a centrifugal pump used in nuclear plant applications is proposed by this research. The Reynolds average Navier Stokes equations are utilized to perform the calculations. The meridional shape of the impeller was optimized based on the following four parameters; shroud arc radius, hub arc radius, shroud angle, and hub angle as the design variables. Efficiencies calculated under 0.6Qd, 1.0Qd and 1.62Qd were selected as the three optimized objectives. The Design of experiment method was applied to generate various impellers while 35 impellers were generated by the Latin hypercube sampling method. A Response surface function based on a second order function was applied to construct a mathematical relationship between the objectives and design variables. A multi-objective genetic algorithm was utilized to solve the response surface function to obtain the best optimized objectives as well as the best combination of design parameters. The results indicated that the pump performance predicted by numerical simulation was in agreement with the experimental performance. The optimized efficiencies based on the three operating conditions were increased by 3.9 %, 6.1 % and 2.6 %, respectively. In addition, the velocity distribution, pressure distribution, streamline and turbulence kinetic energy distribution of the optimized and reference impeller were compared and analyzed to illustrate the performance improvement.