Computational models of the pulmonary circulation: Insights and the move towards clinically directed studies

Science.gov (United States)

Tawhai, Merryn H.; Clark, Alys R.; Burrowes, Kelly S.

2011-01-01

Biophysically-based computational models provide a tool for integrating and explaining experimental data, observations, and hypotheses. Computational models of the pulmonary circulation have evolved from minimal and efficient constructs that have been used to study individual mechanisms that contribute to lung perfusion, to sophisticated multi-scale and -physics structure-based models that predict integrated structure-function relationships within a heterogeneous organ. This review considers the utility of computational models in providing new insights into the function of the pulmonary circulation, and their application in clinically motivated studies. We review mathematical and computational models of the pulmonary circulation based on their application; we begin with models that seek to answer questions in basic science and physiology and progress to models that aim to have clinical application. In looking forward, we discuss the relative merits and clinical relevance of computational models: what important features are still lacking; and how these models may ultimately be applied to further increasing our understanding of the mechanisms occurring in disease of the pulmonary circulation. PMID:22034608

Relationship of cerebral blood flow to aortic-to-pulmonary collateral/shunt flow in single ventricles

Science.gov (United States)

Fogel, Mark A; Li, Christine; Wilson, Felice; Pawlowski, Tom; Nicolson, Susan C; Montenegro, Lisa M; Berenstein, Laura Diaz; Spray, Thomas L; Gaynor, J William; Fuller, Stephanie; Keller, Marc S; Harris, Matthew A; Whitehead, Kevin K; Clancy, Robert; Elci, Okan; Bethel, Jim; Vossough, Arastoo; Licht, Daniel J

2016-01-01

Objective Patients with single ventricle can develop aortic-to-pulmonary collaterals (APCs). Along with systemic-to-pulmonary artery shunts, these structures represent a direct pathway from systemic to pulmonary circulations, and may limit cerebral blood flow (CBF). This study investigated the relationship between CBF and APC flow on room air and in hypercarbia, which increases CBF in patients with single ventricle. Methods 106 consecutive patients with single ventricle underwent 118 cardiac magnetic resonance (CMR) scans in this cross-sectional study; 34 prior to bidirectional Glenn (BDG) (0.50±0.30 years old), 50 prior to Fontan (3.19±1.03 years old) and 34 3–9 months after Fontan (3.98±1.39 years old). Velocity mapping measured flows in the aorta, cavae and jugular veins. Analysis of variance (ANOVA) and multiple linear regression were used. Significance was p<0.05. Results A strong inverse correlation was noted between CBF and APC/shunt both on room air and with hypercarbia whether CBF was indexed to aortic flow or body surface area, independent of age, cardiopulmonary bypass time, Po2 and Pco2 (R=−0.67–−0.70 for all patients on room air, p<0.01 and R=−0.49–−0.90 in hypercarbia, p<0.01). Correlations were not different between surgical stages. CBF was lower, and APCs/shunt flow was higher prior to BDG than in other stages. Conclusions There is a strong inverse relationship between CBF and APC/shunt flow in patients with single ventricle throughout surgical reconstruction on room air and in hypercarbia independent of other factors. We speculate that APC/shunt flow may have a negative impact on cerebral development and neurodevelopmental outcome. Interventions on APC may modify CBF, holding out the prospect for improving neurodevelopmental trajectory. Trial Registration Number NCT02135081. PMID:26048877

Transit time dispersion in pulmonary and systemic circulation: effects of cardiac output and solute diffusivity.

Science.gov (United States)

Weiss, Michael; Krejcie, Tom C; Avram, Michael J

2006-08-01

We present an in vivo method for analyzing the distribution kinetics of physiological markers into their respective distribution volumes utilizing information provided by the relative dispersion of transit times. Arterial concentration-time curves of markers of the vascular space [indocyanine green (ICG)], extracellular fluid (inulin), and total body water (antipyrine) measured in awake dogs under control conditions and during phenylephrine or isoproterenol infusion were analyzed by a recirculatory model to estimate the relative dispersions of transit times across the systemic and pulmonary circulation. The transit time dispersion in the systemic circulation was used to calculate the whole body distribution clearance, and an interpretation is given in terms of a lumped organ model of blood-tissue exchange. As predicted by theory, this relative dispersion increased linearly with cardiac output, with a slope that was inversely related to solute diffusivity. The relative dispersion of the flow-limited indicator antipyrine exceeded that of ICG (as a measure of intravascular mixing) only slightly and was consistent with a diffusional equilibration time in the extravascular space of approximately 10 min, except during phenylephrine infusion, which led to an anomalously high relative dispersion. A change in cardiac output did not alter the heterogeneity of capillary transit times of ICG. The results support the view that the relative dispersions of transit times in the systemic and pulmonary circulation estimated from solute disposition data in vivo are useful measures of whole body distribution kinetics of indicators and endogenous substances. This is the first model that explains the effect of flow and capillary permeability on whole body distribution of solutes without assuming well-mixed compartments.

Relationship of cerebral blood flow to aortic-to-pulmonary collateral/shunt flow in single ventricles.

Science.gov (United States)

Fogel, Mark A; Li, Christine; Wilson, Felice; Pawlowski, Tom; Nicolson, Susan C; Montenegro, Lisa M; Diaz Berenstein, Laura; Spray, Thomas L; Gaynor, J William; Fuller, Stephanie; Keller, Marc S; Harris, Matthew A; Whitehead, Kevin K; Clancy, Robert; Elci, Okan; Bethel, Jim; Vossough, Arastoo; Licht, Daniel J

2015-08-01

Patients with single ventricle can develop aortic-to-pulmonary collaterals (APCs). Along with systemic-to-pulmonary artery shunts, these structures represent a direct pathway from systemic to pulmonary circulations, and may limit cerebral blood flow (CBF). This study investigated the relationship between CBF and APC flow on room air and in hypercarbia, which increases CBF in patients with single ventricle. 106 consecutive patients with single ventricle underwent 118 cardiac magnetic resonance (CMR) scans in this cross-sectional study; 34 prior to bidirectional Glenn (BDG) (0.50±0.30 years old), 50 prior to Fontan (3.19±1.03 years old) and 34 3-9 months after Fontan (3.98±1.39 years old). Velocity mapping measured flows in the aorta, cavae and jugular veins. Analysis of variance (ANOVA) and multiple linear regression were used. Significance was pflow or body surface area, independent of age, cardiopulmonary bypass time, Po2 and Pco2 (R=-0.67--0.70 for all patients on room air, pflow was higher prior to BDG than in other stages. There is a strong inverse relationship between CBF and APC/shunt flow in patients with single ventricle throughout surgical reconstruction on room air and in hypercarbia independent of other factors. We speculate that APC/shunt flow may have a negative impact on cerebral development and neurodevelopmental outcome. Interventions on APC may modify CBF, holding out the prospect for improving neurodevelopmental trajectory. NCT02135081. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Evaluation of pulmonary artery flow in acute massive pulmonary thromboembolism with MRI

International Nuclear Information System (INIS)

Li Yongzhong; Li Kuncheng; Zhao Xigang; Zhao Hong

2004-01-01

Objective: To probe into the value of MR imaging in evaluating the pulmonary artery hemodynamics and pulmonary artery pressure in acute massive pulmonary embolism. Methods: MR studies were performed in 21 patients with acute massive pulmonary embolism (diagnosed by contrast enhanced MR pulmonary angiography) and 20 healthy volunteers. The pulmonary artery hemodynamic parameters, such as the diameters of main and right pulmonary artery, peak velocity, average velocity, flow volume, flow patterns, and ejection acceleration time in main pulmonary artery were measured. The findings in patients and volunteers were compared. The hemodynamic parameters in patients were correlated with mean pulmonary artery pressure acquired with right heart catheterization. Results: The diameters of main pulmonary artery (2.93 vs 2.52 cm) and right pulmonary artery (2.49 vs 1.92 cm) in patients and volunteers showed significant differences (t=3.55, P<0.01 and t=4.19, P<0.01, respectively); Peak velocity (85.29 vs 100.63 cm/s), average velocity (11.00 vs 17.12 cm/s), flow volume (89.15 vs 98.96 ml/s), and ejection acceleration time (105.09 vs 163.85 ms) in main pulmonary artery were significantly different between patients and volunteers (t values were 2.89, 6.37, 2.21, and 9.46, respectively; P values were 0.01, <0.01, 0.03, and <0.01, respectively). The peak velocity-time curve of main pulmonary artery acquired with velocity encoded cine of MR in patients demonstrated earlier and lower peak velocity as well as abnormal retrograde flow. In addition, linear correlations were seen between the mean pulmonary pressure and the diameter of main pulmonary artery (r=0.62, P=0.001), diameter of right pulmonary artery (r=0.63, P=0.001), and ejection acceleration time (r=-0.55, P=0.005). Conclusion: MR imaging is a promising technique not only for the detection of pulmonary thromboemboli but also for the evaluation of hemodynamic parameters in pulmonary hypertension. (author)

Measurement of regional pulmonary blood volume in patients with increased pulmonary blood flow or pulmonary arterial hypertension

International Nuclear Information System (INIS)

Wollmer, P.; Rozcovek, A.; Rhodes, C.G.; Allan, R.M.; Maseri, A.

1984-01-01

The effects of chronic increase in pulmonary blood flow and chronic pulmonary hypertension on regional pulmonary blood volume was measured in two groups of patients. One group of patients had intracardiac, left-to-right shunts without appreciable pulmonary hypertension, and the other consisted of patients with Eisenmenger's syndrome or primary pulmonary hypertension, i.e. patients with normal or reduced blood flow and severe pulmonary hypertension. A technique based on positron tomography was used to measure lung density (by transmission scanning) and regional pulmonary blood volume (after inhalation of /sup 11/CO). The distribution of pulmonary blood volume was more uniform in patients with chronic increase in pulmonary blood flow than in normal subjects. There were also indications of an absolute increase in intrapulmonary blood volume by about 15%. In patients with chronic pulmonary arterial hypertension, the distribution of pulmonary blood volume was also abnormally uniform. There was, however, no indication that overall intrapulmonary blood volume was substantially different from normal subjects. The abnormally uniform distribution of pulmonary blood volume can be explained by recruitment and/or dilatation of vascular beds. Intrapulmonary blood volume appears to be increased in patients with intracardiac, left-to-right shunts. With the development of pulmonary hypertension, intrapulmonary blood volume falls, which may be explained by reactive changes in the vasculature and/or obliteration of capillaries

Transesophageal Echocardiographically-Confirmed Pulmonary Vein Thrombosis in Association with Posterior Circulation Infarction.

LENUS (Irish Health Repository)

Kinsella, Justin A

2010-01-01

Pulmonary venous thromboembolism has only been identified as a cause of stroke with pulmonary arteriovenous malformations\\/fistulae, pulmonary neoplasia, transplantation or lobectomy, and following percutaneous radiofrequency ablation of pulmonary vein ostia in patients with atrial fibrillation. A 59-year-old man presented with a posterior circulation ischemic stroke. \\'Unheralded\\' pulmonary vein thrombosis was identified on transesophageal echocardiography as the likely etiology. He had no further cerebrovascular events after intensifying antithrombotic therapy. Twenty-eight months after initial presentation, he was diagnosed with metastatic pancreatic adenocarcinoma and died 3 months later. This report illustrates the importance of doing transesophageal echocardiography in presumed \\'cardioembolic\\' stroke, and that potential \\'pulmonary venous thromboembolic\\' stroke may occur in patients without traditional risk factors for venous thromboembolism. Consideration should be given to screening such patients for occult malignancy.

Hypoxia-induced pulmonary vascular remodeling requires recruitment of circulating mesenchymal precursors of a monocyte/macrophage lineage.

Science.gov (United States)

Frid, Maria G; Brunetti, Jacqueline A; Burke, Danielle L; Carpenter, Todd C; Davie, Neil J; Reeves, John T; Roedersheimer, Mark T; van Rooijen, Nico; Stenmark, Kurt R

2006-02-01

Vascular remodeling in chronic hypoxic pulmonary hypertension includes marked fibroproliferative changes in the pulmonary artery (PA) adventitia. Although resident PA fibroblasts have long been considered the primary contributors to these processes, we tested the hypothesis that hypoxia-induced pulmonary vascular remodeling requires recruitment of circulating mesenchymal precursors of a monocyte/macrophage lineage, termed fibrocytes. Using two neonatal animal models (rats and calves) of chronic hypoxic pulmonary hypertension, we demonstrated a dramatic perivascular accumulation of mononuclear cells of a monocyte/macrophage lineage (expressing CD45, CD11b, CD14, CD68, ED1, ED2). Many of these cells produced type I collagen, expressed alpha-smooth muscle actin, and proliferated, thus exhibiting mesenchymal cell characteristics attributed to fibrocytes. The blood-borne origin of these cells was confirmed in experiments wherein circulating monocytes/macrophages of chronically hypoxic rats were in vivo-labeled with DiI fluorochrome via liposome delivery and subsequently identified in the remodeled pulmonary, but not systemic, arterial adventitia. The DiI-labeled cells that appeared in the vessel wall expressed monocyte/macrophage markers and procollagen. Selective depletion of this monocytic cell population, using either clodronate-liposomes or gadolinium chloride, prevented pulmonary adventitial remodeling (ie, production of collagen, fibronectin, and tenascin-C and accumulation of myofibroblasts). We conclude that circulating mesenchymal precursors of a monocyte/macrophage lineage, including fibrocytes, are essential contributors to hypoxia-induced pulmonary vascular remodeling.

Vascular structure determines pulmonary blood flow distribution

Science.gov (United States)

Hlastala, M. P.; Glenny, R. W.

1999-01-01

Scientific knowledge develops through the evolution of new concepts. This process is usually driven by new methodologies that provide observations not previously available. Understanding of pulmonary blood flow determinants advanced significantly in the 1960s and is now changing rapidly again, because of increased spatial resolution of regional pulmonary blood flow measurements.

Pulmonary scanning: quantitative evaluation of pulmonary arterial flow

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Papaleo Netto, M; Fujioka, T [Sao Paulo Univ. (Brazil). Faculdade de Medicina; Dias Neto, A; Carvalho, N [Sao Paulo Univ. (Brazil). Centro de Medicina Nuclear

1974-01-01

From ten normal subjects of both sexes, the quantitative regional blood flow of the pulmonary artery was evaluated using scanning with macroaggregated radio-iodinated (/sup 131/I) albumin. It was possible to conclude that: the digital recording of data (counts/cm/sup 2/), from any particular area of interest, is the best method for this evaluation; the lung, even being a thick organ, can be well studied by quantitative scanning, since its structure doesn't hinder the passage of radiations because it is covered only by the thoracic wall; scanning can be used to evaluate regional perfusion of the pulmonary artery, based on the proportionality between density of aggregates and blood flux in the different areas; the concentration of macroaggregates on the lung's superior section never reaches more than 40% of the radioactivity of the whole lung; there is no significant difference between left and right lungs, concerning the relationship between radioactivity on the superior section and the total area and quantitative analysis of pulmonary artery flow by means of scanning is a possible, reliable, and safe technique, without distress for the patient.

Pulmonary scanning: quantitative evaluation of pulmonary arterial flow

International Nuclear Information System (INIS)

Papaleo Netto, M.; Fujioka, T.; Dias Neto, A.; Carvalho, N.

1974-01-01

From ten normal subjects of both sexes, the quantitative regional blood flow of the pulmonary artery was evaluated using scanning with macroaggregated radio-iodinated ( 131 I) albumin. It was possible to conclude that: the digital recording of data (counts/cm 2 ), from any particular area of interest, is the best method for this evaluation; the lung, even being a thick organ, can be well studied by quantitative scanning, since its structure doesn't hinder the passage of radiations because it is covered only by the thoracic wall; scanning can be used to evaluate regional perfusion of the pulmonary artery, based on the proportionality between density of aggregates and blood flux in the different areas; the concentration of macroaggregates on the lung's superior section never reaches more than 40% of the radioactivity of the whole lung; there is no significant difference between left and right lungs, concerning the relationship between radioactivity on the superior section and the total area and quantitative analysis of pulmonary artery flow by means of scanning is a possible, reliable and safe technique, without distress for the patient [pt

[PULMONARY COMPLICATIONS IN CHILDREN, OPERATED ON FOR INBORN HEART FAILURES IN THE ARTIFICIAL BLOOD CIRCULATION ENVIRONMENT].

Science.gov (United States)

Moshkivska, L V; Nastenko, E A; Golovenko, O S; Lazoryshynets, V V

2015-11-01

The risk factors of pulmonary complications occurrence were analyzed in children, operated on for inborn heart failures in atrificial blood circulation environment. Pulmonary complications rate and the risk factors of their occurrence were analyzed.

Pulmonary circulation

International Nuclear Information System (INIS)

Bongartz, G.; Boos, M.; Scheffler, K.; Steinbrich, W.

1998-01-01

Evaluation of the pulmonary vasculature is mainly indicated in patients with suspected pulmonary thromboembolism. The routine procedure so far is ventilation-perfusion scintigraphy alone or in combination with diagnostic assessment of the legs to rule out deep venous thrombosis. The results are still not reliable for the majority of patients. In the case of equivocal diagnosis, invasive conventional angiography is considered the gold standard. With steady improvements in tomographic imaging techniques, such as computed tomography (CT) or magnetic resonance imaging (MRI), non-invasive alternatives to the routine diagnostic work-up are given. Helical CT and CTA techniques are already in clinical use and estimated to sufficiently serve the demands for detection/exclusion of pulmonary thromboembolism. The disadvantages mainly concern peripheral disease and reconstruction artifacts. MRI and MR angiography have been implemented in the diagnosis of pulmonary vascular disease since the introduction of contrast-enhanced MRA. In breath-hold techniques, the entire lung vascularization can be delineated and thromboemboli can be detected. The clinical experience in this field is limited, but MRI has the potential to demonstrate its superiority over CT due to its improved delineation of the vascular periphery and the more comprehensive three-dimensional reconstruction. (orig.)

Complement, circulating immine complexes and cenral hemodynamics in patients with pulmonary tuberculosis

International Nuclear Information System (INIS)

Ershov, A.I.; Fedoseeva, V.N.; Mol'kov, Yu.N.; Evstaf'ev, Yu.A.; Bochkarev, E.G.; Shcheglova, V.T.

1987-01-01

By means of radiocardiography and radiometry central hemodynamic parameters were measured, using 131 I-labelled human serum albumin, pulmonary-artery systolic pressure (PASP) was assessed indirectly, and serum complement and circulating immune complexes (CIC) were measured before 48 hours after subcutaneous administration of 20 TU tuberculin in 65 patients with active pulmonary tuberculosis, 25 clinically-cured tuberculosis patients and 16 patients with chronic nonspecific pulmonary diseases (CNPD). A potent direct correlation was demonstrated between the CIC level and PASP elevation. It is suggested that close correlation between CIC and PASP elevation may be evidence of their pathogenetic involvement in chronic pulmonary heart, as well as the fact that prolonged and effective chemotherapy weakens adverse cardiovascular effects of immunologic factors, which can however persist in some individuals even after they are apparently cured from tuberculosis

The effect of altering pulmonary blood flow on pulmonary gas exchange in the turtle Trachemys (Pseudemys) scripta.

Science.gov (United States)

Hopkins, S R; Wang, T; Hicks, J W

1996-10-01

In resting reptiles, the PO2 of pulmonary venous return (PLAO2; left atrial blood) may be 20 mmHg (1 mmHg = 0.1333 kPa) lower than the PO2 of gas in the lung. This level of PO2 is considerably higher than that observed in resting mammals and birds and results from ventilation-perfusion (V/Q) heterogeneity, pulmonary diffusion limitation and intrapulmonary shunting. However, the relative contribution of each of these factors is unknown. Many reptiles, particularly chelonians, exhibit an intermittent ventilation pattern where pulmonary blood flow (QL) increases during the ventilatory periods and, therefore, we hypothesized that V/Q matching would improve with increasing QL. We applied the multiple inert gas elimination technique in anaesthetized turtles at 22 degrees C. Turtles were continuously ventilated at a rate of 140 ml kg-1 min-1, equivalent to the rate of ventilation within a ventilatory period. Trace amounts of six inert gases were infused through the jugular vein. Blood samples from the pulmonary artery and the left atrium and mixed expired gases were collected for analysis. QL was reduced by a factor of six (low flow) using a vascular occluder placed around the common pulmonary artery or increased by a factor of two (high flow) through bolus injection of adrenaline. V/Q heterogeneity was significantly reduced with increasing pulmonary blood flow (P means +/- S.E.M.) and PLAO2 increased significantly (P < 0.05) from 88 +/- 17 mmHg (low flow) to 120 +/- 14 mmHg (high flow). There was evidence of pulmonary diffusion limitation under all conditions, which was unchanged with increasing blood flow. These findings suggest that increased pulmonary blood flow during a ventilatory period results in both temporal and spatial matching of ventilation and perfusion, without altering pulmonary diffusion limitation.

Supercritical water natural circulation flow stability experiment research

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Ma, Dongliang; Zhou, Tao; Li, Bing [North China Electric Power Univ., Beijing (China). School of Nuclear Science and Engineering; North China Electric Power Univ., Beijing (China). Inst. of Nuclear Thermalhydraulic Safety and Standardization; North China Electric Power Univ., Beijing (China). Beijing Key Lab. of Passive Safety Technology for Nuclear Energy; Huang, Yanping [Nuclear Power Institute of China, Chengdu (China). Science and Technology on Reactor System Design Technology Lab.

2017-12-15

The Thermal hydraulic characteristics of supercritical water natural circulation plays an important role in the safety of the Generation-IV supercritical water-cooled reactors. Hence it is crucial to conduct the natural circulation heat transfer experiment of supercritical water. The heat transfer characteristics have been studied under different system pressures in the natural circulation systems. Results show that the fluctuations in the subcritical flow rate (for natural circulation) is relatively small, as compared to the supercritical flow rate. By increasing the heating power, it is observed that the amplitude (and time period) of the fluctuation tends to become larger for the natural circulation of supercritical water. This tends to show the presence of flow instability in the supercritical water. It is possible to observe the flow instability phenomenon when the system pressure is suddenly reduced from the supercritical pressure state to the subcritical state. At the test outlet section, the temperature is prone to increase suddenly, whereas the blocking effect may be observed in the inlet section of the experiment.

Aortopulmonary collateral flow is related to pulmonary artery size and affects ventricular dimensions in patients after the fontan procedure.

Directory of Open Access Journals (Sweden)

Heiner Latus

Full Text Available BACKGROUND: Aortopulmonary collaterals (APCs are frequently found in patients with a single-ventricle (SV circulation. However, knowledge about the clinical significance of the systemic-to-pulmonary shunt flow in patients after the modified Fontan procedure and its potential causes is limited. Accordingly, the aim of our study was to detect and quantify APC flow using cardiovascular magnetic resonance (CMR and assess its impact on SV volume and function as well as to evaluate the role of the size of the pulmonary arteries in regard to the development of APCs. METHODS: 60 patients (mean age 13.3 ± 6.8 years after the Fontan procedure without patent tunnel fenestration underwent CMR as part of their routine clinical assessment that included ventricular functional analysis and flow measurements in the inferior vena cava (IVC, superior vena cava (SVC and ascending aorta (Ao. APC flow was quantified using the systemic flow estimator: (Ao - (IVC + SVC. Pulmonary artery index (Nakata index was calculated as RPA + LPA area/body surface area using contrast enhanced MR angiography. The patient cohort was divided into two groups according to the median APC flow: group 1 0.495 l/min/m(2. RESULTS: Group 1 patients had significant smaller SV enddiastolic (71 ± 16 vs 87 ± 25 ml/m(2; p=0.004 and endsystolic volumes (29 ± 11 vs 40 ± 21 ml/m(2; p=0.02 whereas ejection fraction (59 ± 9 vs 56 ± 13%; p=0.38 differed not significantly. Interestingly, pulmonary artery size showed a significant inverse correlation with APC flow (r=-0.50, p=0.002. CONCLUSIONS: Volume load due to APC flow in Fontan patients affected SV dimensions, but did not result in an impairment of SV function. APC flow was related to small pulmonary artery size, suggesting that small pulmonary arteries represent a potential stimulus for the development of APCs.

Factors affecting regional pulmonary blood flow in chronic ischemic heart disease

International Nuclear Information System (INIS)

Pistolesi, M.; Miniati, M.; Bonsignore, M.

1988-01-01

To assess the effect of left heart disease on pulmonary blood flow distribution, we measured mean pulmonary arterial and wedge pressures, cardiac output, pulmonary vascular resistance, pulmonary blood volume, and arterial oxygen tension before and after treatment in 13 patients with longstanding ischemic heart failure and pulmonary edema. Pulmonary edema was evaluated by a radiographic score, and regional lung perfusion was quantified on a lung scan by the upper to lower third ratio (U:L ratio) of pulmonary blood flow per unit of lung volume. In all cases, redistribution of lung perfusion toward the apical regions was observed; this pattern was not affected by treatment. After treatment, pulmonary vascular pressures, resistance, and edema were reduced, while pulmonary blood volume did not change. At this time, pulmonary vascular resistance showed a positive correlation with the U:L ratio (r = 0.78; P less than 0.01), whereas no correlation was observed between U:L ratio and wedge pressure, pulmonary edema, or arterial oxygen tension. Hence, redistribution of pulmonary blood flow, in these patients, reflects chronic structural vascular changes prevailing in the dependent lung regions

Diagnosis of pulmonary hypertension and pulmonary heart at Berylliosis and plutonium pneumosclerosis (Clinical-functional investigation)

International Nuclear Information System (INIS)

Metlyaeva, N. A.

2004-01-01

The subject of the research was 54 workers with Beryllium and Plutonium incorporation from 33 to 60 old, all of them had 41- Berylliosis and 13- Plutonium pneumosclerosis. Patient were investigated with ECG, pulmonary, kinetocordiography, echocardiography. Hypertension in the pulmonary artery developed due to a combination of anatomical and functional disturbances and also with increasing of a stroke and minutely volumes at a definite stage of the disease with Beryllium and Plutonium pneumosclerosis. Two type of hypertension were discovered with pulmonary reography in the Beryllium and the Plutonium pneumosclerosis patients: hyper volume and hypertension type. Hyper volume type of pulmonary circulation (31.7% and 53.8%) consist ed of a high amplitude systolic wave. It was revealed in patients at the early stage of disease, when the pulmonary vessels stretching and right ventricle function kept still at a good condition. Hypertensive type of pulmonary circulation (68.3% and 46.2%) had a low amplitude systolic wave. The low amplitude systolic wave caused by increasing resistance of the pulmonary vessels, decreasing in the flow of blood in arterial system and the injection fraction and a low circulatory volume. (Author) 17 refs

Nonthrombotic artificial mass in right ventricle and pulmonary circulation as a sequence of vertebroplasty

International Nuclear Information System (INIS)

Monovska, T.; Kirova, G.; Bojinov, D.; Kichukov, K.

2013-01-01

Full text: Introduction: Percutaneous vertebroplasty for the treatment of the vertebral body fractures is considered to be relatively safe therapeutic procedure. Nevertheless there is a potential risk of spread of emboli from artificial material through external vertebral venous plexus. What you will learn: This is a 60 -year-old patient with primary diagnosis of multiple myeloma and conducted vertebroplasty due to the vertebral bodies fractures. Accompanying symptoms are: coughing up blood and pain in the right the chest with medication for micro thromboembolism form of Pulmonary thromboembolism (PTE). There are echocardiographic data on hospitalization for a formation in the right ventricle. Based on additionally performed CT study, a ‘foreign body’ - artificial material in right ventricle and subsegmentary branches of the pulmonary arteries as a complication of previous vertebroplasty has been recorded. Paravertebral venous vessels in the area of the thoracic section filled with cement have been noticed. Discussion: non-thrombotic embolism of artificial material prior vertebroplasty can be asymptomatic, or condition may be associated with life-threatening symptoms - compression of the spinal cord resulting in paraplegia, emboli in the cerebral vessels, right ventricle, kidney arteries. The frequency of the topical flowing of the used material is relatively high (80-90 %) to the para-vertebral vein (over 24%), with subsequent pulmonary emboli (4.6 to 6.8 %). The path of the embolization material dissemination is in the course of the para-vertebral veins, v. azygos and v. cafa inf., with the end goal pulmonary circulation. Conclusion: Follow-up of patients after the therapeutic vertebroplasty and integrated diagnostic approach with appropriate imaging methods allow timely diagnosis and treatment of this unusual form of non-thrombotic embolism

Study of turbulent natural-circulation flow and low-Prandtl-number forced-convection flow

International Nuclear Information System (INIS)

Chung, K.S.; Thompson, D.H.

1980-01-01

Calculational methods and results are discussed for the coupled energy and momentum equations of turbulent natural circulation flow and low Prandtl number forced convection flow. The objective of this paper is to develop a calculational method for the study of the thermal-hydraulic behavior of coolant flowing in a liquid metal fast breeder reactor channel under natural circulation conditions. The two-equation turbulence model is used to evaluate the turbulent momentum transport property. Because the analogy between momentum transfer and heat transfer does not generally hold for low Prandtl number fluid and natural circulation flow conditions, the turbulent thermal conductivity is calculated independently using equations similar to the two-equation turbulence model. The numerical technique used in the calculation is the finite element method

Natural circulation in single-phase and two-phase flow

International Nuclear Information System (INIS)

Cheung, F.B.; El-Genk, M.S.

1989-01-01

Natural circulation usually arises in a closed loop between a heat source and a heat sink were the fluid motion is driven by density difference. It may also occur in enclosures or cavities where the flow is induced primarily by temperature or concentration gradients within the fluid. The subject has recently received special attention by the heat transfer and nuclear reactor safety communities because of it importance to the areas of energy extraction, decay, heat removal in nuclear reactors, solar and geothermal heating, and cooling of electronic equipment. Although many new results and physical insights have been gained of the various natural circulation phenomena, a number of critical issues remain unresolved. These include, for example, transition from laminar to turbulent flow, buoyancy-induced turbulent flow modeling, change of flow regimes, flow field visualization, variable property effects, and flow instability. This symposium volume contains papers presented in the Natural Circulation in Single-Phase and Two-Phase Flow session at the 1989 Winter Annual Meeting of ASME, by authors from different countries including the United States, Japan, Canada, and Brazil. The papers deal with experimental and theoretical studies as well as state-of-the-art reviews, covering a broad spectrum of topics in natural circulation including: variable-conductance thermosyphons, microelectronic chip cooling, natural circulation in anisotropic porous media and in cavities, heat transfer in flat plat solar collectors, shutdown heat removal in fast reactors, cooling of light-water and heavy-water reactors. The breadth of papers contained in this volume clearly reflect the importance of the current interest in natural circulation as a means for passive cooling and heating

Transit of micro-bubbles through the pulmonary circulation of Thoroughbred horses during exercise.

Science.gov (United States)

La Gerche, A; Daffy, J R; Mooney, D J; Forbes, G; Davie, A J

2013-10-01

It has been observed that microbubbles may pass through the pulmonary circulation of dogs and humans during exercise. In humans, this phenomenon has been associated with lower pulmonary artery pressures, enhanced right ventricular function and greater exercise capacity. In the exercising Thoroughbred horse, extraordinarily high cardiac outputs exert significant pulmonary vascular stresses. The aim of this study was to determine, using contrast echocardiography, whether Thoroughbred horses performing strenuous exercise developed pulmonary transit of agitated contrast microbubbles (PTAC). At rest, agitated contrast was observed in the right ventricle, but not in the left ventricle. However, post-exercise microbubbles were observed in the left ventricle, confirming the occurrence of PTAC with exercise but not at rest. Further investigation is warranted to investigate whether this phenomenon may be associated with superior physiology and performance measures as has been implicated in other species. Copyright © 2013 Elsevier Ltd. All rights reserved.

Cloud-processed 4D CMR flow imaging for pulmonary flow quantification

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Chelu, Raluca G., E-mail: ralucachelu@hotmail.com [Department of Radiology, Erasmus MC, Rotterdam (Netherlands); Department of Cardiology, Erasmus MC, Rotterdam (Netherlands); Wanambiro, Kevin W. [Department of Radiology, Erasmus MC, Rotterdam (Netherlands); Department of Radiology, Aga Khan University Hospital, Nairobi (Kenya); Hsiao, Albert [Department of Radiology, University of California, San Diego, CA (United States); Swart, Laurens E. [Department of Radiology, Erasmus MC, Rotterdam (Netherlands); Department of Cardiology, Erasmus MC, Rotterdam (Netherlands); Voogd, Teun [Department of Radiology, Erasmus MC, Rotterdam (Netherlands); Hoven, Allard T. van den; Kranenburg, Matthijs van [Department of Cardiology, Erasmus MC, Rotterdam (Netherlands); Coenen, Adriaan [Department of Radiology, Erasmus MC, Rotterdam (Netherlands); Department of Cardiology, Erasmus MC, Rotterdam (Netherlands); Boccalini, Sara [Department of Radiology, Erasmus MC, Rotterdam (Netherlands); Department of Radiology, University Hospital, Genoa (Italy); Wielopolski, Piotr A. [Department of Radiology, Erasmus MC, Rotterdam (Netherlands); Vogel, Mika W. [MR Applications and Workflow – Europe, GE Healthcare B.V. Hoevelaken (Netherlands); Krestin, Gabriel P. [Department of Radiology, Erasmus MC, Rotterdam (Netherlands); Vasanawala, Shreyas S. [Department of Radiology, Stanford University, Stanford, CA (United States); Budde, Ricardo P.J. [Department of Radiology, Erasmus MC, Rotterdam (Netherlands); Department of Cardiology, Erasmus MC, Rotterdam (Netherlands); Roos-Hesselink, Jolien W. [Department of Cardiology, Erasmus MC, Rotterdam (Netherlands); Nieman, Koen [Department of Radiology, Erasmus MC, Rotterdam (Netherlands); Department of Cardiology, Erasmus MC, Rotterdam (Netherlands)

2016-10-15

Highlights: • With 4D flow, any plane of interest can be interactively chosen for quantitative measurements. • Anatomical and flow data are obtained during an approximately 10-min free-breathing scan. • 4D CMR flow measurements correlated well with the 2D PC ones. • Eddy current correction is important for good results with 4D flow. - Abstract: Objectives: In this study, we evaluated a cloud-based platform for cardiac magnetic resonance (CMR) four-dimensional (4D) flow imaging, with fully integrated correction for eddy currents, Maxwell phase effects, and gradient field non-linearity, to quantify forward flow, regurgitation, and peak systolic velocity over the pulmonary artery. Methods: We prospectively recruited 52 adult patients during one-year period from July 2014. The 4D flow and planar (2D) phase-contrast (PC) were acquired during same scanning session, but 4D flow was scanned after injection of a gadolinium-based contrast agent. Eddy-currents were semi-automatically corrected using the web-based software. Flow over pulmonary valve was measured and the 4D flow values were compared against the 2D PC ones. Results: The mean forward flow was 92 (±30) ml/cycle measured with 4D flow and 86 (±29) ml/cycle measured with 2D PC, with a correlation of 0.82 and a mean difference of −6 ml/cycle (−41–29). For the regurgitant fraction the correlation was 0.85 with a mean difference of −0.95% (−17–15). Mean peak systolic velocity measured with 4D flow was 92 (±49) cm/s and 108 (±56) cm/s with 2D PC, having a correlation of 0.93 and a mean difference of 16 cm/s (−24–55). Conclusion: 4D flow imaging post-processed with an integrated cloud-based application accurately quantifies pulmonary flow. However, it may underestimate the peak systolic velocity.

Cloud-processed 4D CMR flow imaging for pulmonary flow quantification

International Nuclear Information System (INIS)

Chelu, Raluca G.; Wanambiro, Kevin W.; Hsiao, Albert; Swart, Laurens E.; Voogd, Teun; Hoven, Allard T. van den; Kranenburg, Matthijs van; Coenen, Adriaan; Boccalini, Sara; Wielopolski, Piotr A.; Vogel, Mika W.; Krestin, Gabriel P.; Vasanawala, Shreyas S.; Budde, Ricardo P.J.; Roos-Hesselink, Jolien W.; Nieman, Koen

2016-01-01

Highlights: • With 4D flow, any plane of interest can be interactively chosen for quantitative measurements. • Anatomical and flow data are obtained during an approximately 10-min free-breathing scan. • 4D CMR flow measurements correlated well with the 2D PC ones. • Eddy current correction is important for good results with 4D flow. - Abstract: Objectives: In this study, we evaluated a cloud-based platform for cardiac magnetic resonance (CMR) four-dimensional (4D) flow imaging, with fully integrated correction for eddy currents, Maxwell phase effects, and gradient field non-linearity, to quantify forward flow, regurgitation, and peak systolic velocity over the pulmonary artery. Methods: We prospectively recruited 52 adult patients during one-year period from July 2014. The 4D flow and planar (2D) phase-contrast (PC) were acquired during same scanning session, but 4D flow was scanned after injection of a gadolinium-based contrast agent. Eddy-currents were semi-automatically corrected using the web-based software. Flow over pulmonary valve was measured and the 4D flow values were compared against the 2D PC ones. Results: The mean forward flow was 92 (±30) ml/cycle measured with 4D flow and 86 (±29) ml/cycle measured with 2D PC, with a correlation of 0.82 and a mean difference of −6 ml/cycle (−41–29). For the regurgitant fraction the correlation was 0.85 with a mean difference of −0.95% (−17–15). Mean peak systolic velocity measured with 4D flow was 92 (±49) cm/s and 108 (±56) cm/s with 2D PC, having a correlation of 0.93 and a mean difference of 16 cm/s (−24–55). Conclusion: 4D flow imaging post-processed with an integrated cloud-based application accurately quantifies pulmonary flow. However, it may underestimate the peak systolic velocity.

Pulmonary blood flow distribution measured by radionuclide computed tomography

International Nuclear Information System (INIS)

Maeda, H.; Itoh, H.; Ishii, Y.

1982-01-01

Distributions of pulmonary blood flow per unit lung volume were measured in sitting patients with a radionuclide computed tomography (RCT) by intravenously administered Tc-99m macroaggregates of human serum albumin (MAA). Four different types of distribution were distinguished, among which a group referred as type 2 had a three zonal blood flow distribution as previously reported (West and co-workers, 1964). The pulmonary arterial pressure (Pa) and the venous pressure (Pv) were determined in this group of distribution. These values showed satifactory agreements with the pulmonary artery pressure (Par) and the capillary wedged pressure (Pcw) measured by Swan-Ganz catheter in eighteen supine patients. Those good correlations enable to establish a noninvasive methodology for measurement of pulmonary vascular pressures

Flow Cytometric Quantification of Peripheral Blood Cell β-Adrenergic Receptor Density and Urinary Endothelial Cell-Derived Microparticles in Pulmonary Arterial Hypertension.

Science.gov (United States)

Rose, Jonathan A; Wanner, Nicholas; Cheong, Hoi I; Queisser, Kimberly; Barrett, Patrick; Park, Margaret; Hite, Corrine; Naga Prasad, Sathyamangla V; Erzurum, Serpil; Asosingh, Kewal

2016-01-01

Pulmonary arterial hypertension (PAH) is a heterogeneous disease characterized by severe angiogenic remodeling of the pulmonary artery wall and right ventricular hypertrophy. Thus, there is an increasing need for novel biomarkers to dissect disease heterogeneity, and predict treatment response. Although β-adrenergic receptor (βAR) dysfunction is well documented in left heart disease while endothelial cell-derived microparticles (Ec-MPs) are established biomarkers of angiogenic remodeling, methods for easy large clinical cohort analysis of these biomarkers are currently absent. Here we describe flow cytometric methods for quantification of βAR density on circulating white blood cells (WBC) and Ec-MPs in urine samples that can be used as potential biomarkers of right heart failure in PAH. Biotinylated β-blocker alprenolol was synthesized and validated as a βAR specific probe that was combined with immunophenotyping to quantify βAR density in circulating WBC subsets. Ec-MPs obtained from urine samples were stained for annexin-V and CD144, and analyzed by a micro flow cytometer. Flow cytometric detection of alprenolol showed that βAR density was decreased in most WBC subsets in PAH samples compared to healthy controls. Ec-MPs in urine was increased in PAH compared to controls. Furthermore, there was a direct correlation between Ec-MPs and Tricuspid annular plane systolic excursion (TAPSE) in PAH patients. Therefore, flow cytometric quantification of peripheral blood cell βAR density and urinary Ec-MPs may be useful as potential biomarkers of right ventricular function in PAH.

Development of pulmonary vascular response to oxygen

International Nuclear Information System (INIS)

Morin, F.C. III; Egan, E.A.; Ferguson, W.; Lundgren, C.E.

1988-01-01

The ability of the pulmonary circulation of the fetal lamb to respond to a rise in oxygen tension was studied from 94 to 146 days of gestation. The unanesthetized ewe breathed room air at normal atmospheric pressure, followed by 100% oxygen at three atmospheres absolute pressure in a hyperbaric chamber. In eleven near-term lambs, fetal arterial oxygen tension (Pa O 2 ) increased from 25 to 55 Torr, which increased the proportion or right ventricular output distributed to the fetal lungs from 8 to 59%. In five very immature lambs fetal Pa O 2 increased from 27 to 174 Torr, but the proportion of right ventricular output distributed to the lung did not change. In five of the near-term lambs, pulmonary blood flow was measured. For each measurement of the distribution of blood flow, approximately 8 x 10 5 spheres of 15-μm diameter, labeled with either 153 Gd, 113 Sn, 103 Ru, 95 Nb, or 46 Sc were injected. It increased from 34 to 298 ml · kg fetal wt -1 · min -1 , an 8.8-fold increase. The authors conclude that the pulmonary circulation of the fetal lamb does not respond to an increase in oxygen tension before 101 days of gestation; however, near term an increase in oxygen tension alone can induce the entire increase in pulmonary blood flow that normally occurs after the onset of breathing at birth

Cardiorespiratory Interactions in Paediatrics: 'It's (almost always) the circulation stupid!'

Science.gov (United States)

Rigby, M L; Rosenthal, M

2017-03-01

The interaction of the heart and lungs is probably the most important aspect of life and survival. Fortunately, it is not difficult to understand the fundamentals. The purpose of the lungs and their ventilation is to present oxygen to the circulation via the alveoli and to receive carbon dioxide from the circulation and then expel it. The relations of the heart and lungs and the matching of blood flow to the various organs with ventilation and lung perfusion may be disrupted by a variety of congenital or acquired heart malformations. They include those giving rise to an increased or reduced pulmonary blood flow, elevated pulmonary venous pressure or external physical pressure on the airways or lung parenchyma. Respiratory disorders which compromise cardiac function include states with reduced alveolar ventilation, those with a barrier to ventilation or perfusion, ventilation/perfusion mismatch and pulmonary vascular disease. There is also a fascinating group in which congenital disorders of the heart and lung co-exist to produce very particular modes of abnormal cardiopulmonary interaction. Copyright © 2016. Published by Elsevier Ltd.

Leucocyte depletion in a drowning victim during rewarming with extracorporeal circulation may limit pulmonary oedema

NARCIS (Netherlands)

Vermeijden, Wytze J.; de Vries, Hans; Kieboom, Joke; Waterbolk, Tjalling

2006-01-01

We report two drowning victims with hypothermic circulatory arrest who were resuscitated with the use of extracorporeal circulation (ECC). The first patient developed severe post-bypass pulmonary oedema and inspired us to use a leucocyte-depletion filter in the second patient to attenuate

Noninvasive estimation of pulmonary arterial pressure by analysis of pulmonary blood-flow distribution

International Nuclear Information System (INIS)

Konstam, M.A.; Strauss, H.W.; Alpert, N.M.; Miller, S.W.; Murphy, R.X.; Greene, R.E.; McKusick, K.A.

1979-01-01

To determine whether a correlation exists between pulmonary arterial (PA) pressure (P/sub a/) and the distribution of pulmonary blood flow, this distribution was measured in four upright dogs in the control state and during intravenous infusions of epinephrine or prostaglandin F/sub 2α/. During suspension of respiration, 15 mCi of Xe-133 were injected intravenously, and perfusion and equilibration lung images were recorded with a scintillation camera. The procedure was performed several times on each dog, with and without pharmacological elevation of PA pressure by 5 to 50 cm H 2 O. For each scintigram, the relative blood flow per unit ventilated lung volume (F) was plotted against centimeters above the hilum (h). Pulmonary arterial pressure was derived from each curve, assuming the relation F = B(P/sub a/ - hD) 2 , where B = constant and D = specific gravity of blood. Calculated PA pressure correlated strongly (r = 0.83) with measured PA pressure, suggesting a possible means of noninvasive estimation of PA pressure

Pulmonary venous flow index as a predictor of pulmonary vascular resistance variability in congenital heart disease with increased pulmonary flow: a comparative study before and after oxygen inhalation.

Science.gov (United States)

Rivera, Ivan Romero; Mendonça, Maria Alayde; Andrade, José Lázaro; Moises, Valdir; Campos, Orlando; Silva, Célia Camelo; Carvalho, Antonio Carlos

2013-09-01

There is no definitive and reliable echocardiographic method for estimating the pulmonary vascular resistance (PVR) to differentiate persistent vascular disease from dynamic pulmonary hypertension. The aim of this study was to analyze the relationship between the pulmonary venous blood flow velocity-time integral (VTIpv) and PVR. Eighteen patients (10 females; 4 months to 22 years of age) with congenital heart disease and left to right shunt were studied. They underwent complete cardiac catheterization, including measurements of the PVR and Qp:Qs ratio, before and after 100% oxygen inhalation. Simultaneous left inferior pulmonary venous flow VTIpv was obtained by Doppler echocardiography. The PVR decreased significantly from 5.0 ± 2.6 W to 2.8 ± 2.2 W (P = 0.0001) with a significant increase in the Qp:Qs ratio, from 3.2 ± 1.4 to 4.9 ± 2.4 (P = 0.0008), and the VTIpv increased significantly from 22.6 ± 4.7 cm to 28.1 ± 6.2 cm (P = 0.0002) after 100% oxygen inhalation. VTIpv correlated well with the PVR and Qp:Qs ratio (r = -0.74 and 0.72, respectively). Diagnostic indexes indicated a sensitivity of 86%, specificity of 75%, accuracy of 83%, a positive predictive value of 92% and a negative predictive value of 60%. The VTIpv correlated well with the PVR. The measurement of this index before and after oxygen inhalation may become a useful noninvasive test for differentiating persistent vascular disease from dynamic and flow-related pulmonary hypertension. © 2013, Wiley Periodicals, Inc.

Theoretical analysis of effect of ocean condition on natural circulation flow

International Nuclear Information System (INIS)

Gong Houjun; Yang Xingtuan; Jiang Shengyao; Liu Zhiyong

2010-01-01

According to the simulation loop of Integrated natural circulation reactor,the mathematical model of natural circulation in non-inertial reference system is established, and the influence mechanism of ocean condition upon natural circulation is analyzed. Software is programmed to investigate the behaviors in the cases of rolling without heating power, static state with different power and rolling with heating power, and calculation results show that: the inertia force added by rolling causes the periodical fluctuating of the flow rate of channels, but it is not the direct reason of core flow fluctuation. The heave changes the driving head, and causes the same flow rate fluctuation of all channels. Inclining makes the core flow rate decrease, but the change of flow rate of different channels is different.(authors)

Flow Cytometric Quantification of Peripheral Blood Cell β-Adrenergic Receptor Density and Urinary Endothelial Cell-Derived Microparticles in Pulmonary Arterial Hypertension.

Directory of Open Access Journals (Sweden)

Jonathan A Rose

Full Text Available Pulmonary arterial hypertension (PAH is a heterogeneous disease characterized by severe angiogenic remodeling of the pulmonary artery wall and right ventricular hypertrophy. Thus, there is an increasing need for novel biomarkers to dissect disease heterogeneity, and predict treatment response. Although β-adrenergic receptor (βAR dysfunction is well documented in left heart disease while endothelial cell-derived microparticles (Ec-MPs are established biomarkers of angiogenic remodeling, methods for easy large clinical cohort analysis of these biomarkers are currently absent. Here we describe flow cytometric methods for quantification of βAR density on circulating white blood cells (WBC and Ec-MPs in urine samples that can be used as potential biomarkers of right heart failure in PAH. Biotinylated β-blocker alprenolol was synthesized and validated as a βAR specific probe that was combined with immunophenotyping to quantify βAR density in circulating WBC subsets. Ec-MPs obtained from urine samples were stained for annexin-V and CD144, and analyzed by a micro flow cytometer. Flow cytometric detection of alprenolol showed that βAR density was decreased in most WBC subsets in PAH samples compared to healthy controls. Ec-MPs in urine was increased in PAH compared to controls. Furthermore, there was a direct correlation between Ec-MPs and Tricuspid annular plane systolic excursion (TAPSE in PAH patients. Therefore, flow cytometric quantification of peripheral blood cell βAR density and urinary Ec-MPs may be useful as potential biomarkers of right ventricular function in PAH.

Phase-contrast MR assessment of pulmonary venous blood flow in children with surgically repaired pulmonary veins

International Nuclear Information System (INIS)

Valsangiacomo, Emanuela R.; Yoo, Shi-Joon; Barrea, Catherine; Smallhorn, Jeffrey F.; Macgowan, Christopher K.; Coles, John G.

2003-01-01

Pulmonary venous (PV) obstruction may complicate surgical repair of PV abnormalities. By combining phase-contrast cine (PC) imaging and contrast-enhanced angiography, magnetic resonance (MR) imaging can provide physiological information complementing anatomical diagnosis. To compare the PV flow pattern observed after surgical repair of PV abnormalities with normal PV flow pattern and to investigate the changes occurring in the presence of PV stenosis by using PC MR in children. By using PC MR, PV flow was evaluated in 14 patients (3 months-14 years) who underwent surgical repair for PV abnormalities. Eleven children (8-18 years) were studied as normal controls. Peak flow velocities and patterns were compared among three groups: normal veins (n=23), surgically repaired veins without (n=44) and with stenosis (n=10). Normal and unobstructed pulmonary veins after surgery showed a biphasic or triphasic flow pattern with one or two systolic peaks and a diastolic peak. Unobstructed surgically repaired veins showed decreased peak systolic velocity (P =0.001) and an increased peak diastolic velocity (P=0.005) when compared to normal values. Obstructed veins showed decreased systolic and diastolic velocities when measured upstream from the stenosis. PC MR shows different flow patterns among normal, surgically repaired pulmonary veins with and without stenosis. (orig.)

Gold-195m for studies on regional pulmonary circulation

International Nuclear Information System (INIS)

Eriksson, L.; Andersson, L.; Jonson, B.; Westling, H.; White, T.; Wollmer, P.

1985-01-01

Six healthy controls, seven patients with coronary heart disease (CHD), and five patients with exercise-induced asthma (EIA) were studied in the sitting position at rest and during maximum exercise. The radionuclide gold-195m was used in the studies. A redistribution of activity toward the lung apex was found during exercise, the change being more pronounced in the healthy controls than in the patients with CHD. In two of the three patients in which exercise induced an asthmatic attack, gross reductions in the activity were seen in different areas of the lung. The authors conclude that gold-195m can be used for studies of rapid changes in regional pulmonary circulation

Reactive Oxygen and Nitrogen Species in the Development of Pulmonary Hypertension

Directory of Open Access Journals (Sweden)

David J.R. Fulton

2017-07-01

Full Text Available Pulmonary arterial hypertension (PAH is a progressive disease of the lung vasculature that involves the loss of endothelial function together with inappropriate smooth muscle cell growth, inflammation, and fibrosis. These changes underlie a progressive remodeling of blood vessels that alters flow and increases pulmonary blood pressure. Elevated pressures in the pulmonary artery imparts a chronic stress on the right ventricle which undergoes compensatory hypertrophy but eventually fails. How PAH develops remains incompletely understood and evidence for the altered production of reactive oxygen and nitrogen species (ROS, RNS respectively in the pulmonary circulation has been well documented. There are many different types of ROS and RNS, multiple sources, and collective actions and interactions. This review summarizes past and current knowledge of the sources of ROS and RNS and how they may contribute to the loss of endothelial function and changes in smooth muscle proliferation in the pulmonary circulation.

Flow visualization of bubble behavior under two-phase natural circulation flow conditions using high speed digital camera

Energy Technology Data Exchange (ETDEWEB)

Lemos, Wanderley F.; Su, Jian, E-mail: wlemos@con.ufrj.br, E-mail: sujian@lasme.coppe.ufrj.br [Coordenacao dos Programas de Pos-Graduacao em Engenharia (COPPE/UFRJ), Rio de Janeiro, RJ (Brazil). Programa de Engenharia Nuclear; Faccini, Jose L.H., E-mail: faccini@ien.gov.br [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil). Lab. de Termo-Hidraulica Experimental

2013-07-01

The The present work aims at identifying flow patterns and measuring interfacial parameters in two-phase natural circulation by using visualization technique with high-speed digital camera. The experiments were conducted in the Natural Circulation Circuit (CCN), installed at Nuclear Engineering Institute/CNEN. The thermo-hydraulic circuit comprises heater, heat exchanger, expansion tank, the pressure relief valve and pipes to interconnect the components. A glass tube is installed at the midpoint of the riser connected to the heater outlet. The natural circulation circuit is complemented by acquisition system of values of temperatures, flow and graphic interface. The instrumentation has thermocouples, volumetric flow meter, rotameter and high-speed digital camera. The experimental study is performed through analysis of information from measurements of temperatures at strategic points along the hydraulic circuit, besides natural circulation flow rates. The comparisons between analytical and experimental values are validated by viewing, recording and processing of the images for the flows patterns. Variables involved in the process of identification of flow regimes, dimensionless parameters, the phase velocity of the flow, initial boiling point, the phenomenon of 'flashing' pre-slug flow type were obtained experimentally. (author)

Flow visualization of bubble behavior under two-phase natural circulation flow conditions using high speed digital camera

International Nuclear Information System (INIS)

Lemos, Wanderley F.; Su, Jian; Faccini, Jose L.H.

2013-01-01

The The present work aims at identifying flow patterns and measuring interfacial parameters in two-phase natural circulation by using visualization technique with high-speed digital camera. The experiments were conducted in the Natural Circulation Circuit (CCN), installed at Nuclear Engineering Institute/CNEN. The thermo-hydraulic circuit comprises heater, heat exchanger, expansion tank, the pressure relief valve and pipes to interconnect the components. A glass tube is installed at the midpoint of the riser connected to the heater outlet. The natural circulation circuit is complemented by acquisition system of values of temperatures, flow and graphic interface. The instrumentation has thermocouples, volumetric flow meter, rotameter and high-speed digital camera. The experimental study is performed through analysis of information from measurements of temperatures at strategic points along the hydraulic circuit, besides natural circulation flow rates. The comparisons between analytical and experimental values are validated by viewing, recording and processing of the images for the flows patterns. Variables involved in the process of identification of flow regimes, dimensionless parameters, the phase velocity of the flow, initial boiling point, the phenomenon of 'flashing' pre-slug flow type were obtained experimentally. (author)

Study on reverse flow characteristics under natural circulation in inverted U-tube steam generator

International Nuclear Information System (INIS)

Duan Jun; Zhou Tao; Zhang Lei; Hong Dexun; Liu Ping

2013-01-01

Natural circulation is important for application in the nuclear power industry. Aiming at the steam generator of AP1000 pressurized water reactor loop, the mathematical model was established to analysis the reverse flow of single-phase water in the inverted U-tubes of a steam generator in a natural circulation system. The length distribution and the mass flow rates in both tubes with normal and reverse flow were determined respectively. The research results show that the reverse flow may result in sharp decrease of gravity pressure head, circulation mass flow rate and heat release rate of natural circulation. It has adverse influence on natural circulation. (authors)

Pulmonary abnormalities in mitral valve disease. Comparison between pulmonary wedge pressure, regional pulmonary blood flow and chest films

Energy Technology Data Exchange (ETDEWEB)

Andersen, L H; Andersen, Jr, P E [Odense Univ. (Denmark)

1978-01-01

Chest films, right sided heart catheterization, and measurement of the regional lung perfusion, using /sup 133/Xe, were carried out 31 times on patients with mitral valve disease. A relationship was found between the radiologic evaluation in 3 grades, and the values of pulmonary wedge pressure and the apical and basal perfusion. Changes in flow distribution as reflected in altered appearance of the vessels and the presence of interstitial edema were found to be the most sensitive factors in the evaluation of pulmonary wedge pressure. Chest radiography was thus found suitable for the evaluation of pulmonary wedge pressure in mitral valve disease.

Effect of carbon dioxide inhalation on pulmonary hypertension induced by increased blood flow and hypoxia

Directory of Open Access Journals (Sweden)

I-Chun Chuang

2011-08-01

Full Text Available There is now increasing evidence from the experimental and clinical setting that therapeutic hypercapnia from intentionally inspired carbon dioxide (CO2 or lower tidal volume might be a beneficial adjunct to the strategies of mechanical ventilation in critical illness. Although previous reports indicate that CO2 exerts a beneficial effect in the lungs, the pulmonary vascular response to hypercapnia under various conditions remains to be clarified. The purpose of the present study is to characterize the pulmonary vascular response to CO2 under the different conditions of pulmonary hypertension secondary to increased pulmonary blood flow and secondary to hypoxic pulmonary vasoconstriction. Isolated rat lung (n = 32 was used to study (1 the vasoactive action of 5% CO2 in either N2 (hypoxic-hypercapnia or air (normoxic-hypercapnia at different pulmonary arterial pressure levels induced by graded speed of perfusion flow and (2 the role of nitric oxide (NO in mediating the pulmonary vascular response to hypercapnia, hypoxia, and flow-associated pulmonary hypertension. The results indicated that inhaled CO2 reversed pulmonary hypertension induced by hypoxia but not by flow alteration. Endogenous NO attenuates hypoxic pulmonary vasoconstriction but does not augment the CO2-induced vasodilatation. Acute change in blood flow does not alter the endogenous NO production.

Self-organizing maps applied to two-phase flow on natural circulation loop studies

Energy Technology Data Exchange (ETDEWEB)

Castro, Leonardo F.; Cunha, Kelly de P.; Andrade, Delvonei A.; Sabundjian, Gaiane; Torres, Walmir M.; Macedo, Luiz A.; Rocha, Marcelo da S.; Masotti, Paulo H.F.; Mesquita, Roberto N. de, E-mail: rnavarro@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

2015-07-01

Two-phase flow of liquid and gas is found in many closed circuits using natural circulation for cooling purposes. Natural circulation phenomenon is important on recent nuclear power plant projects for heat removal on 'loss of pump power' or 'plant shutdown' accidents. The accuracy of heat transfer estimation has been improved based on models that require precise prediction of pattern transitions of flow. Self-Organizing Maps are trained to digital images acquired on natural circulation flow instabilities. This technique will allow the selection of the more important characteristics associated with each flow pattern, enabling a better comprehension of each observed instability. This periodic flow oscillation behavior can be observed thoroughly in this facility due its glass-made tubes transparency. The Natural Circulation Facility (Circuito de Circulacao Natural - CCN) installed at Instituto de Pesquisas Energeticas e Nucleares, IPEN/CNEN, is an experimental circuit designed to provide thermal hydraulic data related to one and two phase flow under natural circulation conditions. (author)

Radionuclide scanning in a study of the pulmonary blood flow with the open arterial canal

International Nuclear Information System (INIS)

Rizaev, M.N.; Gulyamov, D.S.; Khodzhibekov, M.Kh.; Anvarov, M.A.

1980-01-01

Characteristic features of the distribution of the arterial pulmonary blood flow have been studied in 32 patients with the open arterial flow by lung scanning with albumin macroaggregate and 131 I. Research was conducted using the gamma-Ochamber ''Fo Gamma LFV'' and the scanner ''Magnaskaner 500I''. Disordered distribution of the pulmonary blood flow expressed in its unilateral decrease was detected in 17 patients (52.9%). A higher frequency of pulmonary hypertension was noted in these patients versus those with a relatively normal distribution of the pulmonary blood flow. A severe course of the disease was observed in high pulmonary hypertension combined with sharp suppression of the blood flow in one of the lungs or with signs of the shift from the right to the left side

Post Analysis of Two Phase Natural Circulation Mass Flow Rate for CE-PECS

Energy Technology Data Exchange (ETDEWEB)

Park, R. J.; Ha, K. S.; Rhee, B. W.; Kim, H. Y. [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2015-10-15

The coolant in the inclined channel absorbs the decay heat and sensible heat transferred from the corium through the structure of the core catcher body and flows up to the pool as a two phase mixture. On the other hand, some of the pool water will flow into the inlet of the downcomer piping, and will flow into the inclined cooling channel of the core catcher by gravity. The engineered cooling channel is designed to provide effective long-term cooling and stabilization of the corium mixture in the core catcher body while facilitating steam venting. To maintain the integrity of the ex-vessel core catcher, however, it is required that the coolant be circulated at a rate along the inclined cooling channel sufficient to avoid CHF (Critical Heat Flux) on the heating surface of the cooling channel. In this study, post simulations of two phase natural circulation in the CEPECS have been performed to evaluate two phase flow characteristics and the natural circulation mass flow rate in the flow channel using the RELAP5/MOD3 computer code. Post simulations of two phase natural circulation in the CE-PECS have been conducted to evaluate two phase flow characteristics and the natural circulation mass flow rate in the flow channel using the RELAP5/MOD3 computer code. The RELAP5/MOD3 results have shown that the water circulation mass flow rate is approximately 8.7 kg/s in the base case.

Post Analysis of Two Phase Natural Circulation Mass Flow Rate for CE-PECS

International Nuclear Information System (INIS)

Park, R. J.; Ha, K. S.; Rhee, B. W.; Kim, H. Y.

2015-01-01

The coolant in the inclined channel absorbs the decay heat and sensible heat transferred from the corium through the structure of the core catcher body and flows up to the pool as a two phase mixture. On the other hand, some of the pool water will flow into the inlet of the downcomer piping, and will flow into the inclined cooling channel of the core catcher by gravity. The engineered cooling channel is designed to provide effective long-term cooling and stabilization of the corium mixture in the core catcher body while facilitating steam venting. To maintain the integrity of the ex-vessel core catcher, however, it is required that the coolant be circulated at a rate along the inclined cooling channel sufficient to avoid CHF (Critical Heat Flux) on the heating surface of the cooling channel. In this study, post simulations of two phase natural circulation in the CEPECS have been performed to evaluate two phase flow characteristics and the natural circulation mass flow rate in the flow channel using the RELAP5/MOD3 computer code. Post simulations of two phase natural circulation in the CE-PECS have been conducted to evaluate two phase flow characteristics and the natural circulation mass flow rate in the flow channel using the RELAP5/MOD3 computer code. The RELAP5/MOD3 results have shown that the water circulation mass flow rate is approximately 8.7 kg/s in the base case

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.

Simulated Flow Pattern in Massive Pulmonary Embolism: Significance for Selective Intrapulmonary Thrombolysis

International Nuclear Information System (INIS)

Schmitz-Rode, Thomas; Kilbinger, Markus; Guenther, Rolf W.

1998-01-01

Purpose: The flow pattern in the central pulmonary arteries proximal to large pulmonary emboli was studied experimentally. The currents to which thrombolytic agents are exposed when administered via an intrapulmonary catheter were visualized in order to explain the lack of benefit of local versus systemic administration. Methods: By illumination of suspended microspheres, the flow pattern proximal to an obstructing embolus was visualized in an in vitro pulmonary arterial flow model. In six dogs massive pulmonary embolism was created. A pigtail catheter was positioned in the pulmonary artery immediately proximal to the central edge of the occluding embolus. To allow visualization of the local flow pattern, a small amount of contrast material (4 ml) was injected through the catheter at a high flow rate (25 ml/sec). The course of the radiopaque spot that emerged from the catheter tip within 160 msec was monitored with digital subtraction angiography at a frame rate of 12.5 frames/sec. In two dogs, the study was repeated after embolus fragmentation with the same catheter position. Results: The flow model study revealed formation of a vortex proximal to the occluding embolus. In vivo experiments showed that the radiopaque spot was whirled by the vortex proximal to the embolus and made only evanescent contact with the edge of the embolus. Regardless of the embolus location, the contrast spot was washed into the non-occluded ipsilateral and contralateral pulmonary arteries within 0.40-0.64 sec. After embolus fragmentation, the contrast spot was carried completely into the formerly occluded artery. Conclusion: Flow studies explain why thrombolytic agents administered via a catheter positioned adjacent to the embolus may have no more effect than systemically administered agents. An enhanced local effect is precluded by the rapid washout into the non-occluded pulmonary arteries and subsequent systemic dilution. These results support the practice of direct intrathrombic

In vitro and in vivo studies of pulmonary artery flow

International Nuclear Information System (INIS)

Sahn, D.J.; Yoganathan, A.P.

1986-01-01

A variety of interesting intracardiac flow patterns have been recorded by pulsed and continuous wave Doppler technologies in humans with heart disease. Some of these patterns have, in fact, been difficult to explain and are now more easily understood using color Doppler flow mapping systems which show the spatial location of flow. The authors performed a number of studies in patients, as well as studies in in vitro systems to model some of the phenomenon that the authors observed in the pulmonary artery. Their studies with Doppler flow mapping in the clinical situation, in the in vitro model, and in the animal models of congenital heart disorders lend insights into the complex hydrodynamics present in the pulmonary artery

Congenital absence of the portal vein presenting as pulmonary hypertension

International Nuclear Information System (INIS)

Jun, Sur Young; Lee, Whal; Cheon, Jung Eun; Kim, Woo Sun; Kim, In One; Yeon, Kyung Mo

2007-01-01

Congenital absence of the portal vein (CAPV) is a rare malformation in which intestinal and splenic venous flow bypasses the liver and drains directly into the systemic circulation via a congenital portosystemic shunt. We describe two cases of CAPV presenting as pulmonary hypertension that were initially suspected as primary pulmonary hypertension. However, subsequent ultrasonography and CT detected the absence of a portal vein and the presence of a portosystemic shunt. Pulmonary hypertension is a recognized complication of liver disease and portal hypertension. However, these two cases illustrate that CAPV may result in pulmonary hypertension without liver disease or portal hypertension

Congenital absence of the portal vein presenting as pulmonary hypertension

Energy Technology Data Exchange (ETDEWEB)

Jun, Sur Young; Lee, Whal; Cheon, Jung Eun; Kim, Woo Sun; Kim, In One; Yeon, Kyung Mo [Seoul National University Hospital, Seoul (Korea, Republic of)

2007-11-15

Congenital absence of the portal vein (CAPV) is a rare malformation in which intestinal and splenic venous flow bypasses the liver and drains directly into the systemic circulation via a congenital portosystemic shunt. We describe two cases of CAPV presenting as pulmonary hypertension that were initially suspected as primary pulmonary hypertension. However, subsequent ultrasonography and CT detected the absence of a portal vein and the presence of a portosystemic shunt. Pulmonary hypertension is a recognized complication of liver disease and portal hypertension. However, these two cases illustrate that CAPV may result in pulmonary hypertension without liver disease or portal hypertension.

Reverse primary-side flow in steam generators during natural circulation cooling

International Nuclear Information System (INIS)

Stumpf, H.; Motley, F.; Schultz, R.; Chapman, J.; Kukita, Y.

1987-01-01

A TRAC model of the Large Scale Test Facility with a 3-tube steam-generator model was used to analyze natural-circulation test ST-NC-02. For the steady state at 100% primary mass inventory, TRAC was in excellent agreement with the natural-circulation flow rate, the temperature distribution in the steam-generator tubes, and the temperature drop from the hot leg to the steam-generator inlet plenum. TRAC also predicted reverse flow in the long tubes. At reduced primary mass inventories, TRAC predicted the three natural-circulation flow regimes: single phase, two phase, and reflux condensation. TRAC did not predict the cyclic fill-and-dump phenomenon seen briefly in the test. TRAC overpredicted the two-phase natural-circulation flow rate. Since the core is well cooled at this time, the result is conservative. An important result of the analysis is that TRAC was able to predict the core dryout and heatup at approximately the same primary mass inventory as in the test. 4 refs., 8 figs., 2 tabs

Quantitative determination of pulmonary artery flow by scintiscanning in patients with mitral stenosis

International Nuclear Information System (INIS)

Carvalho, N.; Fujioka, T.; Dias Neto, A.; Papaleo Netto, M.

1974-01-01

In twenty-two patients with pure or predominant mitral stenosis, with pulmonary hypertension, the quantitative blood flow of the pulmonary artery systems through the distribution of macroaggregated radio-iodinated ( 131 I) albumin is studied, by pulmonary digital scanning. Through the relations ship between the radioactive concentration in each organ, it is possible to classify three types of images: normal, balanced and inverted. This technique is useful for quantitative analysis of pulmonary artery flow, as a test that should preced cardiac catheterization and in the follow-up of the surgical results [pt

Study on natural circulation flow under reactor cavity flooding condition in advanced PWRs

International Nuclear Information System (INIS)

Tao Jun; Yang Jiang; Cao Jianhua; Lu Xianghui; Guo Dingqing

2015-01-01

Cavity flooding is an important severe accident management measure for the in-vessel retention of a degraded core by external reactor vessel cooling in advanced PWRs. A code simulation study on the natural circulation flow in the gap between the reactor vessel wall and insulation material under cavity flooding condition is performed by using a detailed mechanistic thermal-hydraulic code package RELAP 5. By simulating of an experiment carried out for studying the natural circulation flow for APR1400 shows that the code is applicable for analyzing the circulation flow under this condition. The analysis results show that heat removal capacity of the natural circulation flow in AP1000 is sufficient to prevent thermal failure of the reactor vessel under bounding heat load. Several conclusions can be drawn from the sensitivity analysis. Larger coolant inlet area induced larger natural circulation flow rate. The outlet should be large enough and should not be submerged by the cavity water to vent the steam-water mixture. In the implementation of cavity flooding, the flooding water level should be high enough to provide sufficient natural circulation driven force. (authors)

Self-organizing maps applied to two-phase flow on natural circulation loop study

International Nuclear Information System (INIS)

Castro, Leonardo Ferreira

2016-01-01

Two-phase flow of liquid and gas is found in many closed circuits using natural circulation for cooling purposes. Natural circulation phenomenon is important on recent nuclear power plant projects for decay heat removal. The Natural Circulation Facility (Circuito de Circulacao Natural CCN) installed at Instituto de Pesquisas Energeticas e Nucleares, IPEN/CNEN, is an experimental circuit designed to provide thermal hydraulic data related to single and two-phase flow under natural circulation conditions. This periodic flow oscillation behavior can be observed thoroughly in this facility due its glass-made tubes transparency. The heat transfer estimation has been improved based on models that require precise prediction of pattern transitions of flow. This work presents experiments realized at CCN to visualize natural circulation cycles in order to classify two-phase flow patterns associated with phase transients and static instabilities of flow. Images are compared and clustered using Kohonen Self-organizing Maps (SOM's) applied on different digital image features. The Full Frame Discret Cosine Transform (FFDCT) coefficients were used as input for the classification task, enabling good results. FFDCT prototypes obtained can be associated to each flow pattern, enabling a better comprehension of each observed instability. A systematic test methodology was used to verify classifier robustness.

Flow and separation in gas centrifuge with Beams type circulation

International Nuclear Information System (INIS)

Ajsen, Eh.M.; Borisevich, V.D.; Levin, E.V.

1992-01-01

Structure of the secondary circulation flows in the working chamber of gas centrifuge for uranium isotope separation is studied using the numerical methods. Influence of the circulation thermal component on the centrifuge efficiency is analyzed. The contribution of useful component concentration difference of binary isotope mixture in feeding flows to the centrifuge efficiency is determined. Dependence of concentration optimal difference, whereby the maximum efficiency is achieved, on temperature distribution on the rotor side wall is found

High-Flow Nasal Cannula Therapy in a Patient with Reperfusion Pulmonary Edema following Percutaneous Transluminal Pulmonary Angioplasty

Directory of Open Access Journals (Sweden)

Kiyoshi Moriyama

2014-01-01

Full Text Available A 62-year-old woman with Wolff-Parkinson-White syndrome was with recent worsening of dyspnea to New York Heart Association functional status Class III. The patient was diagnosed as having central type chronic thromboembolic pulmonary hypertension. By cardiac catheterization, her mean pulmonary artery pressure was 53 mmHg with total pulmonary resistance 2238 dynes·sec·cm−5. After medical therapies with tadalafil, furosemide, ambrisentan, beraprost, and warfarin were initiated, percutaneous transluminal pulmonary angioplasty (PTPA was performed. Following PTPA, life-threating hypoxemia resulting from postoperative reperfusion pulmonary edema developed. High-flow nasal cannula therapy (HFNC was applied, and 100% oxygen at 50 L/min of flow was required to keep oxygenation. HFNC was continued for 3 days, and the patient was discharged on 8th postoperative day with SpO2 of 97% on 3 L/min of oxygen inhalation. Because of the simplicity of the technique, the lower cost of equipment, and remarkable patient tolerance to the treatment, we speculate that HFNC can take over the post of noninvasive ventilation as first-line therapy for patients with acute respiratory failure.

Effect of furosemide on pulmonary blood flow distribution in resting and exercising horses

Science.gov (United States)

Erickson, H. H.; Bernard, S. L.; Glenny, R. W.; Fedde, M. R.; Polissar, N. L.; Basaraba, R. J.; Walther, S. M.; Gaughan, E. M.; McMurphy, R.; Hlastala, M. P.

1999-01-01

We determined the spatial distribution of pulmonary blood flow (PBF) with 15-micron fluorescent-labeled microspheres during rest and exercise in five Thoroughbred horses before and 4 h after furosemide administration (0.5 mg/kg iv). The primary finding of this study was that PBF redistribution occurred from rest to exercise, both with and without furosemide. However, there was less blood flow to the dorsal portion of the lung during exercise postfurosemide compared with prefurosemide. Furosemide did alter the resting perfusion distribution by increasing the flow to the ventral regions of the lung; however, that increase in flow was abated with exercise. Other findings included 1) unchanged gas exchange and cardiac output during rest and exercise after vs. before furosemide, 2) a decrease in pulmonary arterial pressure after furosemide, 3) an increase in the slope of the relationship of PBF vs. vertical height up the lung during exercise, both with and without furosemide, and 4) a decrease in blood flow to the dorsal region of the lung at rest after furosemide. Pulmonary perfusion variability within the lung may be a function of the anatomy of the pulmonary vessels that results in a predominantly fixed spatial pattern of flow distribution.

Analysis of reverse flow in inverted U-tubes of steam generator under natural circulation condition

International Nuclear Information System (INIS)

Yang Ruichang; Liu Ruolei; Liu Jinggong; Qin Shiwei

2008-01-01

In this paper, we report on the analysis of reverse flow in inverted U-tubes of a steam generator under natural circulation condition. The mechanism of reverse flow in inverted U-tubes of the steam generator with natural circulation is graphically analyzed by using the full-range characteristic curve of parallel U-tubes. The mathematical model and numerical calculation method for analyzing the reverse flow in inverted U-tubes of the steam generator with natural circulation have been developed. The reverse flow in an inverted U-tube steam generator of a simulated pressurized water reactor with natural circulation in analyzed. Through the calculation, the mass flow rates of normal and reverse flows in individual U-tubes are obtained. The predicted sharp drop of the fluid temperature in the inlet plenum of the steam generator due to reverse flow agrees very well with the experimental data. This indicates that the developed mathematical model and solution method can be used to correctly predict the reverse flow in the inverted U-tubes of the steam generator with natural circulation. The obtained results also show that in the analysis of natural circulation flow in the primary circuit, the reverse flow in the inverted U-tubes of the steam generator must be taken into account. (author)

Experimental study of natural circulation flow instability in rectangular channels

Energy Technology Data Exchange (ETDEWEB)

Zhou, Tao; Qi, Shi; Song, Mingqiang [North China Electric Power Univ., Beijing (China). School of Nuclear Science and Engineering; Passive Nuclear Safety Technology, Beijing (China). Beijing Key Lab.; Xiao, Zejun [Nuclear, Reactor Thermal Hydraulics Technology, Chengdu (China). CNNC Key Lab.

2017-05-15

Experiments of natural circulation flow instability were conducted in rectangular channels with 5 mm and 10 mm wide gaps. Results for different heating powers were obtained. The results showed that the flow will tend to be instable with the growing of heating power. The oscillation period of pressure D-value and volume flow are the same, but their phase positions are opposite. They both can be described by trigonometric functions. The existence of edge position and secondary flow will strengthen the disturbance of fluid flow in rectangle channels, which contributes to heat transfer. The disturbance of bubble and fluid will be strengthened, especially in the saturated boiling section, which make it possible for the mixing flow. The results also showed that the resistance in 5 mm channel is bigger than that in 10 mm channel, it is less likely to form stable natural circulation in the subcooled region.

An experimental study on the flow instabilities and critical heat flux under natural circulation

International Nuclear Information System (INIS)

Kim, Yun II; Chang, Soon Heung

2004-01-01

This study has been carried out to investigate the hydrodynamic stabilities and Critical Heat Flux (CHF) characteristics for the natural and forced circulation. A low pressure experimental loop was constructed, and experiments under various conditions have been performed. In the experiments of the natural circulation, flow oscillations has been observed and the average mass flux under flow oscillation have been measured. Several parameters such as heat flux, the inlet temperature of test section, friction valve opening and riser length have been varied in order to investigate their effects on the flow stability of the natural circulation system. And the CHF data from low flow experiments, namely the natural and forced circulation, have been compared with each other to identify the effects of the flow instabilities on the CHF for the natural circulation mode. The test conditions for the CHF experiments were a low flow of less than 70 kg/m 2 s of water in a vertical round tube with diameter of 0.008 m at near atmospheric pressure. (author)

Radiological Diagnosis of Recirculatory Congenital Heart Disease with Increased Pulmonary Blood Flow

International Nuclear Information System (INIS)

Bartusevichiene, A.; Rulevichius, A.; Dobrovolskis, K.R.

1995-01-01

The number of patients with congenital diseases is increasing therefore early diagnosis of these diseases is of crucial importance. Radiological diagnostics of recirculatory congenital heart disease with increased pulmonary blood flow, i.e. atrial septal defect (ASD), ventricle septal defect (VSD), ductus arteriosus (Botalli) persistence (DAP) and atrioventricular communication (AVC) have been analysed. Recirculatory congenital heart disease with increased pulmonary blood flow (ASD, VSD, DAP)radiologically causes similar lung, lung roots and pulmonary arterial changes. After the radiomorphological and radiofunctional examination of chest organs the following symptoms of the disease were defined: all the patients had hypervolemy, enlarged structural lungs roots, enlarged pulmonary arterial arch. These radiofunctional symptoms help to differentiate congenital heart diseases case by case. (author). 7 refs., 6 figs., 1 tab

Theoretical study of inspiratory flow waveforms during mechanical ventilation on pulmonary blood flow and gas exchange.

Science.gov (United States)

Niranjan, S C; Bidani, A; Ghorbel, F; Zwischenberger, J B; Clark, J W

1999-08-01

A lumped two-compartment mathematical model of respiratory mechanics incorporating gas exchange and pulmonary circulation is utilized to analyze the effects of square, descending and ascending inspiratory flow waveforms during mechanical ventilation. The effects on alveolar volume variation, alveolar pressure, airway pressure, gas exchange rate, and expired gas species concentration are evaluated. Advantages in ventilation employing a certain inspiratory flow profile are offset by corresponding reduction in perfusion rates, leading to marginal effects on net gas exchange rates. The descending profile provides better CO2 exchange, whereas the ascending profile is more advantageous for O2 exchange. Regional disparities in airway/lung properties create maldistribution of ventilation and a concomitant inequality in regional alveolar gas composition and gas exchange rates. When minute ventilation is maintained constant, for identical time constant disparities, inequalities in compliance yield pronounced effects on net gas exchange rates at low frequencies, whereas the adverse effects of inequalities in resistance are more pronounced at higher frequencies. Reduction in expiratory air flow (via increased airway resistance) reduces the magnitude of upstroke slope of capnogram and oxigram time courses without significantly affecting end-tidal expired gas compositions, whereas alterations in mechanical factors that result in increased gas exchanges rates yield increases in CO2 and decreases in O2 end-tidal composition values. The model provides a template for assessing the dynamics of cardiopulmonary interactions during mechanical ventilation by combining concurrent descriptions of ventilation, capillary perfusion, and gas exchange. Copyright 1999 Academic Press.

Alteration of pulmonary blood flow in tetralogy of Fallot

International Nuclear Information System (INIS)

Hashimoto, Kazuhiro; Matsui, Michihiko; Kurosawa, Hiromi; Arai, Tatsuta; Nakamura, Yuzuru.

1992-01-01

The pulmonary blood distribution was examined in 17 patients with tetralogy of Fallot (TOF) pre and postoperatively with macroaggregates of 99m TC-labeled human serum albumin. Most of the patients with TOF demonstrated an abnormal preoperative distribution pattern. The abnormalities included not only an unbalanced distribution between the right and left lungs but also a maldistribution of peripheral vessels in each lung. The right/left lung counts ratio and pulmonary peripheral index (calculated in order to express the severity of peripheral maldistribution) correlated neither to the diameter nor the cross-sectional area of either right or left pulmonary arteries which were measured angiographically. Postoperatively, the pulmonary blood was shunted toward the developed side of the lung which further contributed to maldistribution of blood flow and unbalanced pulmonary growth. Since the patients with an unbalanced pulmonary blood distribution demonstrated a higher right ventricular pressure one year after the operation, a palliative operation facilitating the growth of the underdeveloped side of the lung might be considered as an effective procedure to precede intracardiac repair. (author)

Non-invasive pulmonary blood flow analysis and blood pressure mapping derived from 4D flow MRI

Science.gov (United States)

Delles, Michael; Rengier, Fabian; Azad, Yoo-Jin; Bodenstedt, Sebastian; von Tengg-Kobligk, Hendrik; Ley, Sebastian; Unterhinninghofen, Roland; Kauczor, Hans-Ulrich; Dillmann, Rüdiger

2015-03-01

In diagnostics and therapy control of cardiovascular diseases, detailed knowledge about the patient-specific behavior of blood flow and pressure can be essential. The only method capable of measuring complete time-resolved three-dimensional vector fields of the blood flow velocities is velocity-encoded magnetic resonance imaging (MRI), often denoted as 4D flow MRI. Furthermore, relative pressure maps can be computed from this data source, as presented by different groups in recent years. Hence, analysis of blood flow and pressure using 4D flow MRI can be a valuable technique in management of cardiovascular diseases. In order to perform these tasks, all necessary steps in the corresponding process chain can be carried out in our in-house developed software framework MEDIFRAME. In this article, we apply MEDIFRAME for a study of hemodynamics in the pulmonary arteries of five healthy volunteers. The study included measuring vector fields of blood flow velocities by phase-contrast MRI and subsequently computing relative blood pressure maps. We visualized blood flow by streamline depictions and computed characteristic values for the left and the right pulmonary artery (LPA and RPA). In all volunteers, we observed a lower amount of blood flow in the LPA compared to the RPA. Furthermore, we visualized blood pressure maps using volume rendering and generated graphs of pressure differences between the LPA, the RPA and the main pulmonary artery. In most volunteers, blood pressure was increased near to the bifurcation and in the proximal LPA, leading to higher average pressure values in the LPA compared to the RPA.

Thermodilution versus inert gas rebreathing for estimation of effective pulmonary blood flow

DEFF Research Database (Denmark)

Christensen, P; Clemensen, P; Andersen, P K

2000-01-01

To compare measurements of the effective pulmonary blood flow (Qep, i.e., nonshunted fraction of cardiac output, Qt) by the inert gas rebreathing (RB) method and the thermodilution (TD) technique in critically ill patients.......To compare measurements of the effective pulmonary blood flow (Qep, i.e., nonshunted fraction of cardiac output, Qt) by the inert gas rebreathing (RB) method and the thermodilution (TD) technique in critically ill patients....

Axial flow velocity patterns in a normal human pulmonary artery model: pulsatile in vitro studies.

Science.gov (United States)

Sung, H W; Yoganathan, A P

1990-01-01

It has been clinically observed that the flow velocity patterns in the pulmonary artery are directly modified by disease. The present study addresses the hypothesis that altered velocity patterns relate to the severity of various diseases in the pulmonary artery. This paper lays a foundation for that analysis by providing a detailed description of flow velocity patterns in the normal pulmonary artery, using flow visualization and laser Doppler anemometry techniques. The studies were conducted in an in vitro rigid model in a right heart pulse duplicator system. In the main pulmonary artery, a broad central flow field was observed throughout systole. The maximum axial velocity (150 cm s-1) was measured at peak systole. In the left pulmonary artery, the axial velocities were approximately evenly distributed in the perpendicular plane. However, in the bifurcation plane, they were slightly skewed toward the inner wall at peak systole and during the deceleration phase. In the right pulmonary artery, the axial velocity in the perpendicular plane had a very marked M-shaped profile at peak systole and during the deceleration phase, due to a pair of strong secondary flows. In the bifurcation plane, higher axial velocities were observed along the inner wall, while lower axial velocities were observed along the outer wall and in the center. Overall, relatively low levels of turbulence were observed in all the branches during systole. The maximum turbulence intensity measured was at the boundary of the broad central flow field in the main pulmonary artery at peak systole.

Analysis of Two Phase Natural Circulation Flow in the Cooling Channel of the PECS

Energy Technology Data Exchange (ETDEWEB)

Park, R. J; Ha, K. S; Rhee, B. W; Kim, H. Y [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2014-10-15

Decay heat and sensible heat of the relocated and spread corium are removed by the natural circulation flow at the bottom and side wall of the core catcher and the top water cooling of the corium. The coolant in the inclined channel absorbs the decay heat and sensible heat transferred from the corium through the structure of the core catcher body and flows up to the pool as a two phase mixture. On the other hand, some of the pool water will flow into the inlet of the downcomer piping, and will flow into the inclined cooling channel of the core catcher by gravity. As shown in Fig. 1, the engineered cooling channel is designed to provide effective long-term cooling and stabilization of the corium mixture in the core catcher body while facilitating steam venting in the PECS. To maintain the integrity of the ex-vessel core catcher, however, it is necessary that the coolant be sufficiently circulated along the inclined cooling channel to avoid CHF (Critical Heat Flux) on the heating surface of the cooling channel. For this reason, a verification experiment on the cooling capability of the EU-APR1400 core catcher has been performed in the CE (Cooling Experiment)-PECS facility at KAERI. Preliminary simulations of two-phase natural circulation in the CE-PECS were performed to predict two-phase flow characteristics and to determine the natural circulation mass flow rate in the flow channel. In this study, simulations of two-phase natural circulation in a real core catcher of the PECS have been performed to determine the natural circulation mass flow rate in the flow channel using the RELAP5/MOD3 computer code.

An experimental study on the flow instabilities and critical heat flux under natural circulation

International Nuclear Information System (INIS)

Kim, Yun Il

1993-02-01

This study has been carried out to investigate the hydrodynamic stabilities of natural circulation and to analyze Critical Heat Flux (CHF) characteristics for the natural and forced circulation. A low pressure experimental loop was constructed, and experiments under various conditions have been performed. In the experiments of the natural circulation, flow oscillations and the average mass flux have been observed. Several parameters such as heat flux, the inlet temperature of test section, friction valve opening and riser length have been varied in order to investigate their effects on the flow stability of the natural circulation system. The results show that the flow instability has strongly dependent on geometric conditions and operating parameters, the inlet temperature and the heat flux of test section. It was found that unstable region for the heat flux and the inlet temperature exists between the single-phase stable region of low heat and low inlet temperature and the two-phase stable region of very high heat flux and high inlet temperature. The CHF data from the natural and forced circulation experiments have been compared each other to identify the effects of the flow instabilities on the CHF for the natural circulation mode. The test conditions were low flow less than 70 kg/m 2 s of water in vertical round tube with diameter of 0.008m at near atmospheric pressure. In this study, no difference in CHF values is observed between natural and fored circulation. Since low flow usually has the oscillation characteristic of relatively low amplitude and high frequency, the effect of the flow instabilities on the CHF seems to be negligible

Analytical evaluation of two-phase natural circulation flow characteristics under external reactor vessel cooling

International Nuclear Information System (INIS)

Park, Jong Woon

2009-01-01

This work proposes an analytical method of evaluating the effects of design and operating parameters on the low-pressure two-phase natural circulation flow through the annular shaped gap at the reactor vessel exterior surface heated by corium (molten core) relocated to the reactor vessel lower plenum after loss of coolant accidents. A natural circulation flow velocity equation derived from steady-state mass, momentum, and energy conservation equations for homogeneous two-phase flow is numerically solved for the core melting conditions of the APR1400 reactor. The solution is compared with existing experiments which measured natural circulation flow through the annular gap slice model. Two kinds of parameters are considered for this analytical method. One is the thermal-hydraulic conditions such as thermal power of corium, pressure and inlet subcooling. The others are those for the thermal insulation system design for the purpose of providing natural circulation flow path outside the reactor vessel: inlet flow area, annular gap clearance and system resistance. A computer program NCIRC is developed for the numerical solution of the implicit flow velocity equation.

Right Ventricular Hemodynamics in Patients with Pulmonary Hypertension

Science.gov (United States)

Browning, James; Fenster, Brett; Hertzberg, Jean; Schroeder, Joyce

2012-11-01

Recent advances in cardiac magnetic resonance imaging (CMR) have allowed for characterization of blood flow in the right ventricle (RV), including calculation of vorticity and circulation, and qualitative visual assessment of coherent flow patterns. In this study, we investigate qualitative and quantitative differences in right ventricular hemodynamics between subjects with pulmonary hypertension (PH) and normal controls. Fifteen (15) PH subjects and 10 age-matched controls underwent same day 3D time resolved CMR and echocardiography. Echocardiography was used to determine right ventricular diastolic function as well as pulmonary artery systolic pressure (PASP). Velocity vectors, vorticity vectors, and streamlines in the RV were visualized in Paraview and total RV Early (E) and Atrial (A) wave diastolic vorticity was quantified. Visualizations of blood flow in the RV are presented for PH and normal subjects. The hypothesis that PH subjects exhibit different RV vorticity levels than normals during diastole is tested and the relationship between RV vorticity and PASP is explored. The mechanics of RV vortex formation are discussed within the context of pulmonary arterial pressure and right ventricular diastolic function coincident with PH.

Functional morphology and patterns of blood flow in the heart of Python regius.

Science.gov (United States)

Starck, J Matthias

2009-06-01

Brightness-modulated ultrasonography, continuous-wave Doppler, and pulsed-wave Doppler-echocardiography were used to analyze the functional morphology of the undisturbed heart of ball pythons. In particular, the action of the muscular ridge and the atrio-ventricular valves are key features to understand how patterns of blood flow emerge from structures directing blood into the various chambers of the heart. A step-by-step image analysis of echocardiographs shows that during ventricular diastole, the atrio-ventricular valves block the interventricular canals so that blood from the right atrium first fills the cavum venosum, and blood from the left atrium fills the cavum arteriosum. During diastole, blood from the cavum venosum crosses the muscular ridge into the cavum pulmonale. During middle to late systole the muscular ridge closes, thus prohibiting further blood flow into the cavum pulmonale. At the same time, the atrio-ventricular valves open the interventricular canal and allow blood from the cavum arteriosum to flow into the cavum venosum. In the late phase of ventricular systole, all blood from the cavum pulmonale is pressed into the pulmonary trunk; all blood from the cavum venosum is pressed into both aortas. Quantitative measures of blood flow volume showed that resting snakes bypass the pulmonary circulation and shunt about twice the blood volume into the systemic circulation as into the pulmonary circulation. When digesting, the oxygen demand of snakes increased tremendously. This is associated with shunting more blood into the pulmonary circulation. The results of this study allow the presentation of a detailed functional model of the python heart. They are also the basis for a functional hypothesis of how shunting is achieved. Further, it was shown that shunting is an active regulation process in response to changing demands of the organism (here, oxygen demand). Finally, the results of this study support earlier reports about a dual pressure

Study of core flow distribution for small modular natural circulation lead or lead-alloy cooled fast reactors

International Nuclear Information System (INIS)

Chen, Zhao; Zhao, Pengcheng; Zhou, Guangming; Chen, Hongli

2014-01-01

Highlights: • A core flow distribution calculation code for natural circulation LFRs was developed. • The comparison study between the channel method and the CFD method was conducted. • The core flow distribution analysis and optimization design for a 10MW natural circulation LFR was conducted. - Abstract: Small modular natural circulation lead or lead-alloy cooled fast reactor (LFR) is a potential candidate for LFR development. It has many attractive advantages such as reduced capital costs and inherent safety. The core flow distribution calculation is an important issue for nuclear reactor design, which will provide important input parameters to thermal-hydraulic analysis and safety analysis. The core flow distribution calculation of a natural circulation LFR is different from that of a forced circulation reactor. In a forced circulation reactor, the core flow distribution can be controlled and adjusted by the pump power and the flow distributor, while in a natural circulation reactor, the core flow distribution is automatically adjusted according to the relationship between the local power and the local resistance feature. In this paper, a non-uniform heated parallel channel flow distribution calculation code was developed and the comparison study between the channel method and the CFD method was carried out to assess the exactness of the developed code. The core flow distribution analysis and optimization design for a 10MW natural circulation LFR was conducted using the developed code. A core flow distribution optimization design scheme for a 10MW natural circulation LFR was proposed according to the optimization analysis results

Value of MR phase-contrast flow measurements for functional assessment of pulmonary arterial hypertension

International Nuclear Information System (INIS)

Ley, Sebastian; Mereles, Derliz; Gruenig, Ekkehard; Puderbach, Michael; Schoeck, Helena; Eichinger, Monika; Ley-Zaporozhan, Julia; Fink, Christian; Kauczor, Hans-Ulrich

2007-01-01

Goals of our study were to compare the pulmonary hemodynamics between healthy volunteers and patients with pulmonary arterial hypertension (PAH) and correlate MR flow measurements with echocardiography. Twenty-five patients with PAH and 25 volunteers were examined at 1.5 T. Phase-contrast flow measurements were performed in the ascending aorta and pulmonary trunk, resulting in the following parameters: peak velocity (cm/s), average blood flow (l/min), time to peak velocity (ms), velocity rise gradient and pulmonary distensibility (cm 2 ). The bronchosystemic shunt was calculated. In PAH patients transthoracic echocardiography and right-heart catheterization (RHC) served as the gold standard. In comparison to volunteers, the PAH patients showed significantly reduced pulmonary velocities (P = 0.002), blood flow (P = 0.002) and pulmonary distensibility (P = 0.008). In patients, the time to peak velocity was shorter (P<0.001), and the velocity rise gradient was steeper (P = 0.002) than in volunteers. While in volunteers the peak velocity in the aorta was reached earlier, it was the reverse in patients. Patients showed a significant bronchosystemic shunt (P = 0.01). No meaningful correlation was found between MRI measurements and echocardiography or RHC. MRI is a feasible technique for the differentiation between PAH and volunteers. Further studies have to be conducted for the absolute calculation of pressure estimates. (orig.)

Calculation of reverse flow in inverted U-Tubes of steam generator during natural circulation

International Nuclear Information System (INIS)

Yang Ruichang; Liu Jinggong; Liu Ruolei; Qin Shiwei; Huang Yanping

2010-01-01

The mechanism of reverse flow in inverted U-tubes of steam generators of pressurized water reactors during natural circulation is analyzed by using the full range characteristic curve of parallel U-tubes. A lumped-distributed model to calculate the reverse flow occurred in inverted U-tubes of real steam generators with a large number of U-tubes during natural circulation is developed. The model has the advantages of quick calculation and high accuracy for the analysis of reverse flow in inverted U-tubes of real steam generators with natural circulation. This model has been used to calculate the normal and reverse flows occurred in inverted U-tubes of a steam generator with natural circulation. The comparison of calculated results indicates a well agreement with that predicted by the model in which normal or reverse flow in each individual U-tube is analyzed, which verifies the reliability of the model developed in this paper. (authors)

Energy efficiency and pulmonary artery flow after balloon pulmonary angioplasty for inoperable, chronic thromboembolic pulmonary hypertension: Analysis by phase-contrast MRI

Energy Technology Data Exchange (ETDEWEB)

Nagao, Michinobu, E-mail: nagao.michinobu@twmu.ac.jp [Department of Diagnostic Imaging & Nuclear Medicine, Tokyo Women’s Medical University, Tokyo (Japan); Yamasaki, Yuzo [Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka (Japan); Abe, Kohtaro; Hosokawa, Kazuya [Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka (Japan); Kawanami, Satoshi [Department of Molecular Imaging & Diagnosis, Graduate School of Medical Sciences, Kyushu University, Fukuoka (Japan); Kamitani, Takeshi; Yamanouchi, Torahiko [Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka (Japan); Yabuuchi, Hidetake [Department of Medical Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka (Japan); Fukushima, Kenji [Department of Diagnostic Imaging & Nuclear Medicine, Tokyo Women’s Medical University, Tokyo (Japan); Honda, Hiroshi [Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka (Japan)

2017-02-15

Purpose: The aims of this study were to propose a new quantitative method for pulmonary artery (PA) flow energetics using phase-contrast magnetic resonance imaging (PC-MRI), and to investigate how balloon pulmonary angioplasty (BPA) impacts energetics in chronic thromboembolic pulmonary hypertension (CTEPH). Materials and methods: PC-MRI at 3-Teslar and with a flow sensitive gradient echo was used to examine energetics prior to and following BPA for 24 CTEPH patients. Stroke volume (m; ml) and mean velocity (V; mm/s) for the main pulmonary artery (PA), right PA, and left PA were calculated from a time-flow curve derived from PC-MRI. Based on the Bernoulli principle, PA energy was identified as 1/2 mV{sup 2} (μj/kg), and energy loss was defined as the following equation “energy loss = main PA energy − (rt. PA energy + lt. PA energy)”. Results: Right PA energy was significantly greater post-BPA than pre-BPA (61 ± 55 vs. 32 ± 40 μj/kg). There was no difference in main PA and left PA energies. Energy loss was significantly decreased post-BPA (18 ± 97 μj/kg) than pre-BPA (79 ± 125 μj/kg). An optimal cutoff of left PA energy of 45 μj/kg pre-BPA can be used to predict patients with mPAP ≥ 30 mmHg after BPA, with an area under the curve of 0.91, 78% sensitivity, and 92% specificity. Conclusion: Analysis of PA energetics using phase-contrast MRI demonstrates that BPA improves energy loss in CTEPH. In addition, BPA responses can be predicted by PA energy status pre-treatment.

Detection of experimentally produced acute pulmonary arterial occlusion by methyl iodide-131 inhalation imaging

International Nuclear Information System (INIS)

Grossman, Z.D.; McAfee, J.G.; Subramanian, G.

1981-01-01

Methyl iodide-131 (CH 3 I-131) is described as an agent for detection of acute experimentally produced pulmonary arterial occlusion in dogs. When gaseous CH 3 I-131 is inhaled, radioactivity passes instantaneously from the alveoli to the lung capillary bed. Where pulmonary blood flow exists, activity is washed out into the systemic circulation, but in areas of blood stasis, a transient pulmonary hot spot remains. CH 3 I-131 is easily produced and inexpensive, but administration is awkward and strict radiation safety precautions are mandatory

Distribution of the pulmonary blood flow measured by ECT

Energy Technology Data Exchange (ETDEWEB)

Maeda, H.; Itoh, H.; Todo, Y.; Ishii, Y.; Mukai, T. (Kyoto Univ. (Japan). Hospital)

1981-05-01

Distributions of pulmonary blood flow per unit lung volume were observed by using the combination of Tc-99m-MAA and radionuclide CT. Administration of Tc-99m-MAA to the patients were performed in sitting position. Ten patients were studied with this method. In nine patients, the blood flow distribution was greater in the direction of the gravity, namely, more blood flow in the lower than the upper lung region. In six patients were demonstrated the relation between blood flow and the vertical distance described by West et al. Thus, it was possible to evaluate the arterial and venous pressures of the lung with the estimated pressure of 4.15 +- 1.93 cmH/sub 2/O and -5.55 +- 2.48 cmH/sub 2/O in relation to the angle of Louis. The agreement was reasonably well with that reported by Butler and Paley. Three patients had pulmonary hypertension with the distribution of monotonous increase, of which slope was similar to that of zone III in other six patients. The last patient with COPD had quite different distribution from other nine patients.

A RELAP5 study to identify flow regime in natural circulation phenomenon

Energy Technology Data Exchange (ETDEWEB)

Sabundjian, Gaiane; Torres, Walmir M.; Macedo, Luiz A.; Mesquita, Roberto N.; Andrade, Delvonei A.; Umbehaun, Pedro E.; Conti, Thadeu N.; Masotti, Paulo H.F.; Belchior Junior, Antonio; Angelo, Gabriel, E-mail: gdjian@ipen.b, E-mail: umbehaun@ipen.b, E-mail: wmtorres@ipen.b, E-mail: tnconti@ipen.b, E-mail: rnavarro@ipen.b, E-mail: lamacedo@ipen.b, E-mail: pmasotti@ipen.b, E-mail: abelchior@ipen.b [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

2011-07-01

There has been a crescent interest in the scientific community in the study of natural circulation phenomenon. New generation of compact nuclear reactors uses the natural circulation of the fluid as a system of cooling and of residual heat removal in case of accident or shutdown. The objective of this paper is to compare the flow patterns of experimental data and numerical simulation for the natural circulation phenomenon in two-phase flow regime. An experimental circuit built with glass tubes is used for the experiments. Thus, it allows the thermal hydraulic phenomena visualization. There is an electric heater as the heat source, a heat exchanger as the heat sink and an expansion tank to accommodate fluid density excursions. The circuit instrumentation consists of thermocouples and pressure meters to better keep track of the flow and heat transfer phenomena. Data acquisition is performed through a computer interface developed with LABVIEW. The characteristic of the regime is identified using photography techniques. Numerical modeling and simulation is done with the thermal hydraulic code RELAP5, which is widely used for this purpose. This numerical simulation is capable to reproduce some of the flow regimes which are present in the circuit for the natural circulation phenomenon. Comparison between experimental and numerical simulation is presented in this work. (author)

Classification of natural circulation two-phase flow patterns using fuzzy inference on image analysis

International Nuclear Information System (INIS)

Mesquita, R.N. de; Masotti, P.H.F.; Penha, R.M.L.; Andrade, D.A.; Sabundjian, G.; Torres, W.M.

2012-01-01

Highlights: ► A fuzzy classification system for two-phase flow instability patterns is developed. ► Flow patterns are classified based on images of natural circulation experiments. ► Fuzzy inference is optimized to use single grayscale profiles as input. - Abstract: Two-phase flow on natural circulation phenomenon has been an important theme on recent studies related to nuclear reactor designs. The accuracy of heat transfer estimation has been improved with new models that require precise prediction of pattern transitions of flow. In this work, visualization of natural circulation cycles is used to study two-phase flow patterns associated with phase transients and static instabilities of flow. A Fuzzy Flow-type Classification System (FFCS) was developed to classify these patterns based only on image extracted features. Image acquisition and temperature measurements were simultaneously done. Experiments in natural circulation facility were adjusted to generate a series of characteristic two-phase flow instability periodic cycles. The facility is composed of a loop of glass tubes, a heat source using electrical heaters, a cold source using a helicoidal heat exchanger, a visualization section and thermocouples positioned over different loop sections. The instability cyclic period is estimated based on temperature measurements associated with the detection of a flow transition image pattern. FFCS shows good results provided that adequate image acquisition parameters and pre-processing adjustments are used.

Computational Fluid Dynamics Modeling of the Human Pulmonary Arteries with Experimental Validation.

Science.gov (United States)

Bordones, Alifer D; Leroux, Matthew; Kheyfets, Vitaly O; Wu, Yu-An; Chen, Chia-Yuan; Finol, Ender A

2018-05-21

Pulmonary hypertension (PH) is a chronic progressive disease characterized by elevated pulmonary arterial pressure, caused by an increase in pulmonary arterial impedance. Computational fluid dynamics (CFD) can be used to identify metrics representative of the stage of PH disease. However, experimental validation of CFD models is often not pursued due to the geometric complexity of the model or uncertainties in the reproduction of the required flow conditions. The goal of this work is to validate experimentally a CFD model of a pulmonary artery phantom using a particle image velocimetry (PIV) technique. Rapid prototyping was used for the construction of the patient-specific pulmonary geometry, derived from chest computed tomography angiography images. CFD simulations were performed with the pulmonary model with a Reynolds number matching those of the experiments. Flow rates, the velocity field, and shear stress distributions obtained with the CFD simulations were compared to their counterparts from the PIV flow visualization experiments. Computationally predicted flow rates were within 1% of the experimental measurements for three of the four branches of the CFD model. The mean velocities in four transversal planes of study were within 5.9 to 13.1% of the experimental mean velocities. Shear stresses were qualitatively similar between the two methods with some discrepancies in the regions of high velocity gradients. The fluid flow differences between the CFD model and the PIV phantom are attributed to experimental inaccuracies and the relative compliance of the phantom. This comparative analysis yielded valuable information on the accuracy of CFD predicted hemodynamics in pulmonary circulation models.

Circulation shedding in viscous starting flow past a flat plate

International Nuclear Information System (INIS)

Nitsche, Monika; Xu, Ling

2014-01-01

Numerical simulations of viscous flow past a flat plate moving in the direction normal to itself reveal details of the vortical structure of the flow. At early times, most of the vorticity is attached to the plate. This paper introduces a definition of the shed circulation at all times and shows that it indeed represents vorticity that separates and remains separated from the plate. During a large initial time period, the shed circulation satisfies the scaling laws predicted for self-similar inviscid separation. Various contributions to the circulation shedding rate are presented. The results show that during this initial time period, viscous diffusion of vorticity out of the vortex is significant but appears to be independent of the value of the Reynolds number. At later times, the departure of the shed circulation from its large Reynolds number behaviour is significantly affected by diffusive loss of vorticity through the symmetry axis. A timescale is proposed that describes when the viscous loss through the axis becomes relevant. The simulations provide benchmark results to evaluate simpler separation models such as point vortex and vortex sheet models. A comparison with vortex sheet results is included. (paper)

Self-induced oscillation of free surface in a tank with circulating flow, 2

International Nuclear Information System (INIS)

Okamoto, Koji; Madarame, Haruki; Hagiwara, Tsuyoshi

1991-01-01

An energy supply mechanism to self-induced sloshing in a tank with circulating flow is proposed. The circulating flow impinges on the free surface making it swell partially. The amount of swell increases with increasing water level under the condition of growing sloshing. The change of the free surface contour by this effect supplies sufficient energy to the sloshing. The dependency of the sloshing growth on the flow rate and the water level is explained well by this model. (author)

Detailed evaluation of the natural circulation mass flow rate of water propelled by using an air injection

International Nuclear Information System (INIS)

Park, Rae-Joon; Ha, Kwang-Soon; Kim, Jae-Cheol; Hong, Seong-Wan; Kim, Sang-Baik

2008-01-01

One-dimensional (1D) air-water two-phase natural circulation flow in the thermohydraulic evaluation of reactor cooling mechanism by external self-induced flow - one-dimensional' (THERMES-1D) experiment has been verified and evaluated by using the RELAP5/MOD3 computer code. Experimental results on the 1D natural circulation mass flow rate of water propelled by using an air injection have been evaluated in detail. The RELAP5 results have shown that an increase in the air injection rate to 50% of the total heat flux leads to an increase in the water circulation mass flow rate. However, an increase in the air injection rate from 50 to 100% does not affect the water circulation mass flow rate, because of the inlet area condition. As the height increases in the air injection part, the void fraction increases. However, the void fraction in the upper part of the air injector maintains a constant value. An increase in the air injection mass flow rate leads to an increase in the local void fraction, but it has no influence on the local pressure. An increase in the coolant inlet area leads to an increase in the water circulation mass flow rate. However, the water outlet area does not have an influence on the water circulation mass flow rate. As the coolant outlet moves to a lower position, the water circulation mass flow rate decreases. (author)

Congenital pulmonary steal associated with Tetralogy of Fallot, right aortic arch and an isolated left carotid artery

Energy Technology Data Exchange (ETDEWEB)

Tozzi, R.; Kiley, R.; Doyle, E.; Hernanz-Schulman, M.; Genieser, N.; Ambrosino, M.; Pinto, R.

1989-07-01

In patients with Tetralogy of Fallot, collateral supply to the pulmonary artery from systemic arterial sources is frequently encountered. However, collateral blood flow arising from the cerebral circulation has, to our knowledge, not been reported in this condition. We describe a patient with Tetralogy of Fallot in whom the left pulmonary artery filled directly via retrograde flow from the left carotid artery. Review of the literature in search of a similar case was unrevealing. A theoretical embryologic basis for this anomaly is discussed. (orig.).

Congenital pulmonary steal associated with Tetralogy of Fallot, right aortic arch and an isolated left carotid artery

International Nuclear Information System (INIS)

Tozzi, R.; Kiley, R.; Doyle, E.; Hernanz-Schulman, M.; Genieser, N.; Ambrosino, M.; Pinto, R.

1989-01-01

In patients with Tetralogy of Fallot, collateral supply to the pulmonary artery from systemic arterial sources is frequently encountered. However, collateral blood flow arising from the cerebral circulation has, to our knowledge, not been reported in this condition. We describe a patient with Tetralogy of Fallot in whom the left pulmonary artery filled directly via retrograde flow from the left carotid artery. Review of the literature in search of a similar case was unrevealing. A theoretical embryologic basis for this anomaly is discussed. (orig.)

Intra-arterial digital subtraction angiography of the pulmonary arteries using a flow-directed balloon catheter in the diagnosis of pulmonary embolism

International Nuclear Information System (INIS)

Rooij, W.J.J. van; Heeten, G.J. den

1992-01-01

Selective intra-arterial digital subtraction angiography (IA-DSA) of the pulmonary vessels was performed in 70 patients suspected of acute pulmonary embolism. A flow-directed Swan-Ganz pulmonary angiography catheter was used. The spatial resolution of the equipment used was 3.3 lp/mm for DSA and 6.0 lp/mm for conventional pulmonary angiography (CPA). Image quality of the angiograms was assessed by determining the highest visible branching division of the main pulmonary artery. The mean visible branching division for IA-DSA was 4.71 (range 3-7). In 10 patients where IA-DSA and CPA were performed during the same procedure there was no difference in visualization of peripheral arteries (mean 4.70 visible or for both modalities). IA-DSA makes the procedure rapid, saves on films and contrast material and allows good visualization of areas where exposure is difficult. The spatial resolution of state-of-the-art equipment permits sufficient definition of subsegmental vessels. The use of the flow-directed balloon catheter makes the examination easy to perform and minimizes the risk of catheter induced cardiac arrhythmias. (orig.) [de

Maintenance of pulmonary vasculature tone by blood derived from the inferior vena cava in a rabbit model of cavopulmonary shunt.

Science.gov (United States)

Ikai, Akio; Shirai, Mikiyasu; Nishimura, Kazunobu; Ikeda, Tadashi; Kameyama, Takayuki; Ueyama, Koji; Komeda, Masashi

2005-01-01

After cavopulmonary shunt in which the superior vena cava is anastomosed to the right pulmonary artery, the right lung is in a unique condition without flow pulsatility and hepatic venous effluent. In a previous study, we reported that hypoxic pulmonary vasoconstriction disappeared in the pulmonary circulation after cavopulmonary shunt. In this study, however, to investigate the influence of pulsatility and hepatic venous effluent on hypoxic pulmonary vasoconstriction in the pulmonary circulation, we developed an alternative cavopulmonary shunt rabbit model that included hepatic venous effluent in the pulmonary circulation and reduced the pulsatility of the pulmonary arterial blood flow. We then observed the physiologic characteristics of the peripheral pulmonary artery after cavopulmonary shunt, specifically the disappearance of hypoxic pulmonary vasoconstriction. Sixteen Japanese white rabbits (12-16 weeks old) were used in this study. With general anesthesia, a cavopulmonary shunt was established by anastomosing the right superior vena cava to the right pulmonary artery in an end-to-side fashion. Of the 16 rabbits for the study, the proximal right pulmonary artery was completely ligated in 5 (atresia group) and partially ligated in 6 (stenosis group). Sham operation was performed in the remaining 5 rabbits. Two weeks later, we analyzed the response of the pulmonary artery (which was divided into three categories: segmental, lobular, and acinar level artery) to hypoxia (8% oxygen inhalation) with a specially designed video radiographic system. Morphometric analysis of the resistance pulmonary artery was done in each group after angiography. Mean pressure and pulse pressure in the right pulmonary artery were not significantly different between the atresia and stenosis groups. The mean pulmonary artery pressures in the atresia and stenosis groups were 8 and 11 mm Hg, respectively. However, the pulse pressure was less than 2 mm Hg in both groups. The baseline

Measurement of pulmonary vascular resistance of Fontan candidates with pulmonary arterial distortion by means of pulmonary perfusion imaging

International Nuclear Information System (INIS)

Park, In-Sam; Mizukami, Ayumi; Tomimatsu, Hirofumi; Kondou, Chisato; Nakanishi, Toshio; Nakazawa, Makoto; Momma, Kazuo

1998-01-01

We measured the distribution of blood flow to the right (R) and left lung (L) by means of pulmonary perfusion imaging and calculated pulmonary vascular resistance (Rp) in 13 patients, whose right and left pulmonary artery pressures were different by 2 to 9 mmHg due to pulmonary arterial distortion (5 interruption, 8 stenosis). The right lung/left lung blood flow ratio was determined and from the ratio and the total pulmonary blood flow, which was determined using the Fick's principle, the absolute values of right and left pulmonary blood flow were calculated. Using the right and left pulmonary blood flow and the right and left pulmonary arterial pressures, right and left pulmonary vascular resistance were calculated, separately. Vascular resistance of the whole lung (Rp) was then calculated using the following equation. 1/(Rp of total lung)=1/(Rp of right lung)+1/(Rp of left lung). Rp calculated from this equation was 1.8+/-0.8 U·m 2 and all values were less than 3 U·m 2 (range 0.3-2.8). Rp estimated from the conventional method using the total pulmonary blood flow and pulmonary arterial pressures, without using the right/left blood flow ratio, ranging from 0.4 to 3.8 U·m 2 and 5 of 13 patients showed Rp>3 U·m 2 . All patients underwent Fontan operation successfully. These data indicated that this method is useful to estimate Rp and to determine the indication of Fontan operation in patients with pulmonary arterial distortions. (author)

Pulmonary artery wave propagation and reservoir function in conscious man: impact of pulmonary vascular disease, respiration and dynamic stress tests.

Science.gov (United States)

Su, Junjing; Manisty, Charlotte; Simonsen, Ulf; Howard, Luke S; Parker, Kim H; Hughes, Alun D

2017-10-15

Wave travel plays an important role in cardiovascular physiology. However, many aspects of pulmonary arterial wave behaviour remain unclear. Wave intensity and reservoir-excess pressure analyses were applied in the pulmonary artery in subjects with and without pulmonary hypertension during spontaneous respiration and dynamic stress tests. Arterial wave energy decreased during expiration and Valsalva manoeuvre due to decreased ventricular preload. Wave energy also decreased during handgrip exercise due to increased heart rate. In pulmonary hypertension patients, the asymptotic pressure at which the microvascular flow ceases, the reservoir pressure related to arterial compliance and the excess pressure caused by waves increased. The reservoir and excess pressures decreased during Valsalva manoeuvre but remained unchanged during handgrip exercise. This study provides insights into the influence of pulmonary vascular disease, spontaneous respiration and dynamic stress tests on pulmonary artery wave propagation and reservoir function. Detailed haemodynamic analysis may provide novel insights into the pulmonary circulation. Therefore, wave intensity and reservoir-excess pressure analyses were applied in the pulmonary artery to characterize changes in wave propagation and reservoir function during spontaneous respiration and dynamic stress tests. Right heart catheterization was performed using a pressure and Doppler flow sensor tipped guidewire to obtain simultaneous pressure and flow velocity measurements in the pulmonary artery in control subjects and patients with pulmonary arterial hypertension (PAH) at rest. In controls, recordings were also obtained during Valsalva manoeuvre and handgrip exercise. The asymptotic pressure at which the flow through the microcirculation ceases, the reservoir pressure related to arterial compliance and the excess pressure caused by arterial waves increased in PAH patients compared to controls. The systolic and diastolic rate constants

Production circulator fabrication and testing for core flow test loop. Final report, Phase III

Energy Technology Data Exchange (ETDEWEB)

1981-05-01

The performance testing of two production helium circulators utilizing gas film lubrication is described. These two centrifugal-type circulators plus an identical circulator prototype will be arranged in series to provide the helium flow requirements for the Core Flow Test Loop which is part of the Gas-Cooled Fast Breeder Reactor Program (GCFR) at the Oak Ridge National Laboratory. This report presents the results of the Phase III performance and supplemental tests, which were carried out by MTI during the period of December 18, 1980 through March 19, 1981. Specific test procedures are outlined and described, as are individual tests for measuring the performance of the circulators. Test data and run descriptions are presented.

Production circulator fabrication and testing for core flow test loop. Final report, Phase III

International Nuclear Information System (INIS)

1981-05-01

The performance testing of two production helium circulators utilizing gas film lubrication is described. These two centrifugal-type circulators plus an identical circulator prototype will be arranged in series to provide the helium flow requirements for the Core Flow Test Loop which is part of the Gas-Cooled Fast Breeder Reactor Program (GCFR) at the Oak Ridge National Laboratory. This report presents the results of the Phase III performance and supplemental tests, which were carried out by MTI during the period of December 18, 1980 through March 19, 1981. Specific test procedures are outlined and described, as are individual tests for measuring the performance of the circulators. Test data and run descriptions are presented

Endothelial progenitor cells in chronic obstructive pulmonary disease and emphysema

Science.gov (United States)

Tracy, Russell P.; Parikh, Megha A.; Hoffman, Eric A.; Shimbo, Daichi; Austin, John H. M.; Smith, Benjamin M.; Hueper, Katja; Vogel-Claussen, Jens; Lima, Joao; Gomes, Antoinette; Watson, Karol; Kawut, Steven; Barr, R. Graham

2017-01-01

Endothelial injury is implicated in the pathogenesis of COPD and emphysema; however the role of endothelial progenitor cells (EPCs), a marker of endothelial cell repair, and circulating endothelial cells (CECs), a marker of endothelial cell injury, in COPD and its subphenotypes is unresolved. We hypothesized that endothelial progenitor cell populations would be decreased in COPD and emphysema and that circulating endothelial cells would be increased. Associations with other subphenotypes were examined. The Multi-Ethnic Study of Atherosclerosis COPD Study recruited smokers with COPD and controls age 50–79 years without clinical cardiovascular disease. Endothelial progenitor cell populations (CD34+KDR+ and CD34+KDR+CD133+ cells) and circulating endothelial cells (CD45dimCD31+CD146+CD133-) were measured by flow cytometry. COPD was defined by standard spirometric criteria. Emphysema was assessed qualitatively and quantitatively on CT. Full pulmonary function testing and expiratory CTs were measured in a subset. Among 257 participants, both endothelial progenitor cell populations, and particularly CD34+KDR+ endothelial progenitor cells, were reduced in COPD. The CD34+KDR+CD133+ endothelial progenitor cells were associated inversely with emphysema extent. Both endothelial progenitor cell populations were associated inversely with extent of panlobular emphysema and positively with diffusing capacity. Circulating endothelial cells were not significantly altered in COPD but were inversely associated with pulmonary microvascular blood flow on MRI. There was no consistent association of endothelial progenitor cells or circulating endothelial cells with measures of gas trapping. These data provide evidence that endothelial repair is impaired in COPD and suggest that this pathological process is specific to emphysema. PMID:28291826

Non-linear time series analysis on flow instability of natural circulation under rolling motion condition

International Nuclear Information System (INIS)

Zhang, Wenchao; Tan, Sichao; Gao, Puzhen; Wang, Zhanwei; Zhang, Liansheng; Zhang, Hong

2014-01-01

Highlights: • Natural circulation flow instabilities in rolling motion are studied. • The method of non-linear time series analysis is used. • Non-linear evolution characteristic of flow instability is analyzed. • Irregular complex flow oscillations are chaotic oscillations. • The effect of rolling parameter on the threshold of chaotic oscillation is studied. - Abstract: Non-linear characteristics of natural circulation flow instabilities under rolling motion conditions were studied by the method of non-linear time series analysis. Experimental flow time series of different dimensionless power and rolling parameters were analyzed based on phase space reconstruction theory. Attractors which were reconstructed in phase space and the geometric invariants, including correlation dimension, Kolmogorov entropy and largest Lyapunov exponent, were determined. Non-linear characteristics of natural circulation flow instabilities under rolling motion conditions was studied based on the results of the geometric invariant analysis. The results indicated that the values of the geometric invariants first increase and then decrease as dimensionless power increases which indicated the non-linear characteristics of the system first enhance and then weaken. The irregular complex flow oscillation is typical chaotic oscillation because the value of geometric invariants is at maximum. The threshold of chaotic oscillation becomes larger as the rolling frequency or rolling amplitude becomes big. The main influencing factors that influence the non-linear characteristics of the natural circulation system under rolling motion are thermal driving force, flow resistance and the additional forces caused by rolling motion. The non-linear characteristics of the natural circulation system under rolling motion changes caused by the change of the feedback and coupling degree among these influencing factors when the dimensionless power or rolling parameters changes

A tale of two cases of pulmonary arteriovenous malformation: How they fared after cardiac transplantation.

Science.gov (United States)

Wisotzkey, Bethany L; Magyar, Dari L; Jones, Thomas K; Boucek, Robert J; Permut, Lester C; Kemna, Mariska S; Law, Yuk M

2018-02-01

In single ventricle patients, aortopulmonary collaterals (APCs) and pulmonary arteriovenous malformations (PAVMs) following superior cavopulmonary shunt (CPS) can complicate orthotopic heart transplant (OHT) by cyanosis and hemoptysis. Although PAVMs can regress with the restoration of hepatic venous flow to the pulmonary circulation, the effects of hypoxemia on the "unconditioned" allograft are not known. Two patients with significant PAVMs after CPS were cyanotic following OHT. One patient with predominantly unilateral left PAVMs had arterial saturation levels less than 70% despite pulmonary vasodilators and ventilation. A custom flow restrictor-covered stent was deployed in the pulmonary artery of the affected side, redirecting the blood flow to the contralateral lung, immediately improving cyanosis. When the PAVMs regressed, the flow restrictor stent was dilated to eliminate the constriction. The second patient with PAVMs had cyanosis and severe hemoptysis from APCs post-OHT. The APCs required an extensive coil embolization, while the cyanosis responded to oxygen and pulmonary vasodilators. Both recipients did well with gradual resolution of PAVMs within 8 months. Despite cyanosis from right-to-left intrapulmonary shunting, allograft function recovered. Novel transcatheter interventions can play a role in patients with significant APCs or PAVM following cardiac transplantation. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Shunt Surgery, Right Heart Catheterization, and Vascular Morphometry in a Rat Model for Flow-induced Pulmonary Arterial Hypertension

NARCIS (Netherlands)

van der Feen, Diederik E.; Weij, Michel; Smit-van Oosten, Annemieke; Jorna, Lysanne M.; Hagdorn, Quint A. J.; Bartelds, Beatrijs; Berger, Rolf M. F.

2017-01-01

In this protocol, PAH is induced by combining a 60 mg/kg monocrotalin (MCT) injection with increased pulmonary blood flow through an aorto-caval shunt (MCT+Flow). The shunt is created by inserting an 18-G needle from the abdominal aorta into the adjacent caval vein. Increased pulmonary flow has been

Effects of water immersion to the neck on pulmonary circulation and tissue volume in man

Science.gov (United States)

Begin, R.; Epstein, M.; Sackner, M. A.; Levinson, R.; Dougherty, R.; Duncan, D.

1976-01-01

A rapid noninvasive breathing method is used to obtain serial measurements of the pulmonary capillary blood flow, diffusing capacity per unit of alveolar volume, combined pulmonary tissue plus capillary volume, functional residual capacity, and oxygen consumption in five normal subjects undergoing 6 h of sitting, 4 h of sitting while immersed to the neck in thermoneutral water, and 4 h of lying in thermoneutral water to the neck. The rebreathing method employed a test gas mixture containing 0.5% C2H2, 0.3% C(18)O, 10% He, 21% O2, and balance N2. It is shown that immersion to the neck in the seated posture results in significant increases in sodium excretion cardiac output, and diffusing capacity per unit of alveolar volume. The pulmonary tissue plus capillary volume did not change, demonstrating that the central vascular engorgement induced by water immersion is not accompanied by significant extravasation of fluid into the pulmonary interstitial space.

In situ cardiac perfusion reveals interspecific variation of intraventricular flow separation in reptiles.

Science.gov (United States)

Joyce, William; Axelsson, Michael; Altimiras, Jordi; Wang, Tobias

2016-07-15

The ventricles of non-crocodilian reptiles are incompletely divided and provide an opportunity for mixing of oxygen-poor blood and oxygen-rich blood (intracardiac shunting). However, both cardiac morphology and in vivo shunting patterns exhibit considerable interspecific variation within reptiles. In the present study, we develop an in situ double-perfused heart approach to characterise the propensity and capacity for shunting in five reptile species: the turtle Trachemys scripta, the rock python Python sebae, the yellow anaconda Eunectes notaeus, the varanid lizard Varanus exanthematicus and the bearded dragon Pogona vitticeps To simulate changes in vascular bed resistance, pulmonary and systemic afterloads were independently manipulated and changes in blood flow distribution amongst the central outflow tracts were monitored. As previously demonstrated in Burmese pythons, rock pythons and varanid lizards exhibited pronounced intraventricular flow separation. As pulmonary or systemic afterload was raised, flow in the respective circulation decreased. However, flow in the other circulation, where afterload was constant, remained stable. This correlates with the convergent evolution of intraventricular pressure separation and the large intraventricular muscular ridge, which compartmentalises the ventricle, in these species. Conversely, in the three other species, the pulmonary and systemic flows were strongly mutually dependent, such that the decrease in pulmonary flow in response to elevated pulmonary afterload resulted in redistribution of perfusate to the systemic circuit (and vice versa). Thus, in these species, the muscular ridge appeared labile and blood could readily transverse the intraventricular cava. We conclude that relatively minor structural differences between non-crocodilian reptiles result in the fundamental changes in cardiac function. Further, our study emphasises that functionally similar intracardiac flow separation evolved independently in

Abnormal arterial flows by a distributed model of the fetal circulation.

Science.gov (United States)

van den Wijngaard, Jeroen P H M; Westerhof, Berend E; Faber, Dirk J; Ramsay, Margaret M; Westerhof, Nico; van Gemert, Martin J C

2006-11-01

Modeling the propagation of blood pressure and flow along the fetoplacental arterial tree may improve interpretation of abnormal flow velocity waveforms in fetuses. The current models, however, either do not include a wide range of gestational ages or do not account for variation in anatomical, vascular, or rheological parameters. We developed a mathematical model of the pulsating fetoumbilical arterial circulation using Womersley's oscillatory flow theory and viscoelastic arterial wall properties. Arterial flow waves are calculated at different arterial locations from which the pulsatility index (PI) can be determined. We varied blood viscosity, placental and brain resistances, placental compliance, heart rate, stiffness of the arterial wall, and length of the umbilical arteries. The PI increases in the umbilical artery and decreases in the cerebral arteries, as a result of increasing placental resistance or decreasing brain resistance. Both changes in resistance decrease the flow through the placenta. An increased arterial stiffness increases the PIs in the entire fetoplacental circulation. Blood viscosity and peripheral bed compliance have limited influence on the flow profiles. Bradycardia and tachycardia increase and decrease the PI in all arteries, respectively. Umbilical arterial length has limited influence on the PI but affects the mean arterial pressure at the placental cord insertion. The model may improve the interpretation of arterial flow pulsations and thus may advance both the understanding of pathophysiological processes and clinical management.

Respiratory Biomechanics, Intrapulmonary Water, and Pulmonary Oxygenizing Function During Uncomplicated Operations under Extracorporeal Circulation

Directory of Open Access Journals (Sweden)

I. A. Kozlov

2007-01-01

Full Text Available Objective: to study the time course of changes in the respiratory biomechanics, extravascular water of the lung (EVWL and its oxygenizing function and their relationship at different stages of surgical interventions under extracorporeal circulation (EC. Subjects and methods. 29 patients aged 37 to 72 years were examined during uncomplicated operations under EC. The parameters of artificial ventilation (AV and lung biomechanics were recorded in real time on a Servo-I monitoring apparatus. PaO2/FiO2, Qs/Qt, and body mass index (BMI were calculated. The EVWL index (EVWLI was determined by the transpulmonary thermodilution technique. Studies were conducted at stages: 1 after tracheal intubation and the initiation of AV; 2 before sternotomy; 3 after sternal uniting at the end of surgery. Results. Pressures in the airways and their resistance were statistically significantly unchanged. There were significant reductions in Cdyn and Cst at the end of surgery (Stage 3. The mean values of PaO2/FiO2, Qs/Qt, and EVWLI did not undergo considerable changes. There was a significant correlation between PaO2/FiO2 and Qs/Qt (r=-0.5 to -0.8; p<0.05. At Stage 1, BMI proved to be a significant predictor of the level of PaO2/FiO2 and Qs/Qt (r=-0.5 and 0.65; p<0.05. A significant moderate relationship between Qs/Qt and Cdyn was found at Stage 3 (r=-0.44; p<0.05. There were no statistically significant correlations between the parameters of respiratory biomechanics, PaO2/FiO2, Qs/Qt, and EVWLI. At the end of surgery, pulmonary oxygenizing dysfunction (POD was detected in 5 (17.2% patients with increased BMI. Alveolar mobilization with a steady-state effect was used to correct POD. Conclusion. When cardiac surgery is uncomplicated and the AV and EC protocols are carefully followed, the rate of intraoperative POD is not greater than 20%, its leading causes are obesity and, most likely, microatelectasis under AV. Key words: pulmonary oxygenizing dysfunction

The role of disturbed blood flow in the development of pulmonary arterial hypertension: lessons from preclinical animal models.

Science.gov (United States)

Dickinson, Michael G; Bartelds, Beatrijs; Borgdorff, Marinus A J; Berger, Rolf M F

2013-07-01

Pulmonary arterial hypertension (PAH) is a progressive pulmonary vasoproliferative disorder characterized by the development of unique neointimal lesions, including concentric laminar intima fibrosis and plexiform lesions. Although the histomorphology of neointimal lesions is well described, the pathogenesis of PAH and neointimal development is largely unknown. After three decades of PAH pathobiology research the focus has shifted from vasoconstriction towards a mechanism of cancer-like angioproliferation. In this concept the role of disturbed blood flow is seen as an important trigger in the development of vascular remodeling. For instance, in PAH associated with congenital heart disease, increased pulmonary blood flow (i.e., systemic-to-pulmonary shunt) is an essential trigger for the occurrence of neointimal lesions and PAH development. Still, questions remain about the exact role of these blood flow characteristics in disease progression. PAH animal models are important for obtaining insight in new pathobiological processes and therapeutical targets. However, as for any preclinical model the pathophysiological mechanism and clinical course has to be comparable to the human disease that it mimics. This means that animal models mimicking human PAH ideally are characterized by: a hit recognized in human disease (e.g., altered pulmonary blood flow), specific vascular remodeling resembling human neointimal lesions, and disease progression that leads to right ventriclular dysfunction and death. A review that underlines the current knowledge of PAH due to disturbed flow is still lacking. In this review we will summarize the current knowledge obtained from PAH animal models associated with disturbed pulmonary blood flow and address questions for future treatment strategies for PAH.

Pulmonary Circulation Transvascular Fluid Fluxes Do Not Change during General Anesthesia in Dogs

Directory of Open Access Journals (Sweden)

Olga Frlic

2018-02-01

Full Text Available General anesthesia (GA can cause abnormal lung fluid redistribution. Pulmonary circulation transvascular fluid fluxes (JVA are attributed to changes in hydrostatic forces and erythrocyte volume (EV regulation. Despite the very low hydraulic conductance of pulmonary microvasculature it is possible that GA may affect hydrostatic forces through changes in pulmonary vascular resistance (PVR, and EV through alteration of erythrocyte transmembrane ion fluxes (ionJVA. Furosemide (Fur was also used because of its potential to affect pulmonary hydrostatic forces and ionJVA. A hypothesis was tested that JVA, with or without furosemide treatment, will not change with time during GA. Twenty dogs that underwent castration/ovariectomy were randomly assigned to Fur (n = 10 (4 mg/kg IV or placebo treated group (Con, n = 10. Baseline arterial (BL and mixed venous blood were sampled during GA just before treatment with Fur or placebo and then at 15, 30 and 45 min post-treatment. Cardiac output (Q and pulmonary artery pressure (PAP were measured. JVA and ionJVA were calculated from changes in plasma protein, hemoglobin, hematocrit, plasma and whole blood ions, and Q. Variables were analyzed using random intercept mixed model (P < 0.05. Data are expressed as means ± SE. Furosemide caused a significant volume depletion as evident from changes in plasma protein and hematocrit (P < 0.001. However; Q, PAP, and JVA were not affected by time or Fur, whereas erythrocyte fluid flux was affected by Fur (P = 0.03. Furosemide also affected erythrocyte transmembrane K+ and Cl−, and transvascular Cl− metabolism (P ≤ 0.05. No other erythrocyte transmembrane or transvascular ion fluxes were affected by time of GA or Fur. Our hypothesis was verified as JVA was not affected by GA or ion metabolism changes due to Fur treatment. Furosemide and 45 min of GA did not cause significant hydrostatic changes based on Q and PAP. Inhibition of Na+/K+/2Cl− cotransport caused by Fur

Pulmonary artery wave propagation and reservoir function in conscious man: impact of pulmonary vascular disease, respiration and dynamic stress tests

DEFF Research Database (Denmark)

Su, Junjing; Manisty, Charlotte; Simonsen, Ulf

2017-01-01

Detailed haemodynamic analysis may provide novel insights into the pulmonary circulation. Therefore, wave intensity and reservoir-excess pressure analyses were applied in the pulmonary artery to characterize changes in wave propagation and reservoir function during spontaneous respiration......, recordings were also obtained during Valsalva manoeuvre and handgrip exercise. The asymptotic pressure at which the flow through the microcirculation ceases, the reservoir pressure related to arterial compliance and the excess pressure caused by arterial waves increased in PAH patients compared to controls....... The systolic and diastolic rate constants also increased, while the diastolic time constant decreased. The forward compression wave energy decreased by ∼8% in controls and ∼6% in PAH patients during expiration compared to inspiration, while the wave speed remained unchanged throughout the respiratory cycle...

Hybrid Continuous-Flow Total Artificial Heart.

Science.gov (United States)

Fox, Carson; Chopski, Steven; Murad, Nohra; Allaire, Paul; Mentzer, Robert; Rossano, Joseph; Arabia, Francisco; Throckmorton, Amy

2018-05-01

Clinical studies using total artificial hearts (TAHs) have demonstrated that pediatric and adult patients derive quality-of-life benefits from this form of therapy. Two clinically-approved TAHs and other pumps under development, however, have design challenges and limitations, including thromboembolic events, neurologic impairment, infection risk due to large size and percutaneous drivelines, and lack of ambulation, to name a few. To address these limitations, we are developing a hybrid-design, continuous-flow, implantable or extracorporeal, magnetically-levitated TAH for pediatric and adult patients with heart failure. This TAH has only two moving parts: an axial impeller for the pulmonary circulation and a centrifugal impeller for the systemic circulation. This device will utilize the latest generation of magnetic bearing technology. Initial geometries were established using pump design equations, and computational modeling provided insight into pump performance. The designs were the basis for prototype manufacturing and hydraulic testing. The study results demonstrate that the TAH is capable of delivering target blood flow rates of 1-6.5 L/min with pressure rises of 1-92 mm Hg for the pulmonary circulation and 24-150 mm Hg for the systemic circulation at 1500-10 000 rpm. This initial design of the TAH was successful and serves as the foundation to continue its development as a novel, more compact, nonthrombogenic, and effective therapeutic alternative for infants, children, adolescents, and adults with heart failure. © 2018 International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.

Investigation of the correlation between noise and vibration characteristics and unsteady flow in a circulator pump

Energy Technology Data Exchange (ETDEWEB)

Wu, Denghao; Ren, Yun; Mou, Jiegang; Gu, Yunqing [Zhejiang University of Technology, Hangzhou (China)

2017-05-15

Circulator pumps have wide engineering applications but the acoustics, vibration and unsteady flow structures of the circulator pump are still not fully understood. We investigated the noise and vibration characteristics and unsteady flow structures in a circulator pump at different flow rates. Three-dimensional, unsteady RANS equations were solved on high-quality structured meshes with SST k-ω turbulence model numerically. Measurements were made in a semi-anechoic chamber to get an overview of noise and vibration level of a pump at different flow rates. The 1/3 octave-band filter technique was applied to obtain the explicit frequency spectra of sound, pressure fluctuations and vibration signals and their principal frequencies were identified successfully. The air-borne noise level of the designed condition is lower than that of the off-design conditions, and the highest sound pressure level is found at part-load condition. The acoustic emission from the pump is mainly caused by unsteady flow structures and pressure fluctuations. In addition, both the link between air- borne noise and pressure fluctuation, and the correlation between vibration and unsteady hydrodynamic forces, were quantitatively examined and verified. This work offers good data to understand noise and vibration characteristics of circulator pumps and the relationships among the noise, vibration and unsteady flow structures.

On a sparse pressure-flow rate condensation of rigid circulation models

Science.gov (United States)

Schiavazzi, D. E.; Hsia, T. Y.; Marsden, A. L.

2015-01-01

Cardiovascular simulation has shown potential value in clinical decision-making, providing a framework to assess changes in hemodynamics produced by physiological and surgical alterations. State-of-the-art predictions are provided by deterministic multiscale numerical approaches coupling 3D finite element Navier Stokes simulations to lumped parameter circulation models governed by ODEs. Development of next-generation stochastic multiscale models whose parameters can be learned from available clinical data under uncertainty constitutes a research challenge made more difficult by the high computational cost typically associated with the solution of these models. We present a methodology for constructing reduced representations that condense the behavior of 3D anatomical models using outlet pressure-flow polynomial surrogates, based on multiscale model solutions spanning several heart cycles. Relevance vector machine regression is compared with maximum likelihood estimation, showing that sparse pressure/flow rate approximations offer superior performance in producing working surrogate models to be included in lumped circulation networks. Sensitivities of outlets flow rates are also quantified through a Sobol’ decomposition of their total variance encoded in the orthogonal polynomial expansion. Finally, we show that augmented lumped parameter models including the proposed surrogates accurately reproduce the response of multiscale models they were derived from. In particular, results are presented for models of the coronary circulation with closed loop boundary conditions and the abdominal aorta with open loop boundary conditions. PMID:26671219

Diphasic flow downstream of circulation-water condenser during priming

International Nuclear Information System (INIS)

Ibler, B.; Sabaton, M.; Canavelis, R.

1982-01-01

The experimental study presented here describes the experiments for visualizing diphasic flow carried out on a 1/10 model of a circulation-water condenser for a 1,300-MW nuclear power unit. The essential object of the experiments was to validate the layout for the tubing proposed by the Design Office, from the point of view of its incidence on the stability of the flows and the mechanical solidity of the structures during the relatively anarchical phase of automatic priming of the condenser. The observations made have rendered it possible firstly to analyse the pattern of flows in greater detail and secondly to conclude that a simplified and cheaper layout of pipes is acceptable without great risk [fr

Effects of chronic acetazolamide administration on gas exchange and acid-base control in pulmonary circulation in exercising horses.

Science.gov (United States)

Vengust, M; Stämpfli, H; De Moraes, A N; Teixeiro-Neto, F; Viel, L; Heigenhauser, G

2010-11-01

Carbonic anhydrase (CA) catalyses the hydration/dehydration reaction of CO(2) and increases the rate of Cl(-) and HCO(3)(-) exchange between the erythrocytes and plasma. Therefore, chronic inhibition of CA has a potential to attenuate CO(2) output and induce greater metabolic and respiratory acidosis in exercising horses. To determine the effects of Carbonic anhydrase inhibition on CO(2) output and ionic exchange between erythrocytes and plasma and their influence on acid-base balance in the pulmonary circulation (across the lung) in exercising horses with and without CA inhibition. Six horses were exercised to exhaustion on a treadmill without (Con) and with CA inhibition (AczTr). CA inhibition was achieved with administration of acetazolamide (10 mg/kg bwt t.i.d. for 3 days and 30 mg/kg bwt before exercise). Arterial, mixed venous blood and CO(2) output were sampled at rest and during exercise. An integrated physicochemical systems approach was used to describe acid base changes. AczTr decreased the duration of exercise by 45% (P changes across the lung with exception of lactate. CO(2) and chloride changes in erythrocytes across the lung seem to be the major contributors to acid-base and ions balance in pulmonary circulation in exercising horses. © 2010 EVJ Ltd.

Status of systemic to pulmonary arterial collateral flow after the fontan procedure.

Science.gov (United States)

Whitehead, Kevin K; Harris, Matthew A; Glatz, Andrew C; Gillespie, Matthew J; DiMaria, Michael V; Harrison, Neil E; Dori, Yoav; Keller, Marc S; Rome, Jonathan J; Fogel, Mark A

2015-06-15

The investigators recently validated a method of quantifying systemic-to-pulmonary arterial collateral flow using phase-contrast magnetic resonance imaging velocity mapping. Cross-sectional data suggest decreased collateral flow in patients with total cavopulmonary connections (TCPCs) compared with those with superior cavopulmonary connections (SCPCs). However, no studies have examined serial changes in collateral flow from SCPCs to TCPCs in the same patients. The aim of this study was to examine differences in collateral flow between patients with SCPCs and those with TCPCs. Collateral flow was quantified by 2 independent measures from 250 single-ventricle studies in 219 different patients (115 SCPC and 135 TCPC studies, 31 patients with both) and 18 controls, during routine studies using through-plane phase-contrast magnetic resonance imaging. Collateral flow was indexed to body surface area, aortic flow, and pulmonary venous flow. Regardless of indexing method, SCPC patients had significantly higher collateral flow than TCPC patients (1.64 ± 0.8 vs 1.03 ± 0.8 L/min/m(2), p <0.001). In 31 patients who underwent serial examinations, collateral flow as a fraction of aortic flow increased early after TCPC completion. In TCPC patients, indexed collateral flow demonstrated a significant negative correlation with time from TCPC. In conclusion, SCPC and TCPC patients demonstrate substantial collateral flow, with SCPC patients having higher collateral flow than TCPC patients overall. On the basis of the paired subset analysis, collateral flow does not decrease in the short term after TCPC completion and trends toward an increase. In the long term, however, collateral flow decreases over time after TCPC completion. Copyright © 2015 Elsevier Inc. All rights reserved.

Feasibility of quantification of the distribution of blood flow in the normal human fetal circulation using CMR: a cross-sectional study.

Science.gov (United States)

Seed, Mike; van Amerom, Joshua F P; Yoo, Shi-Joon; Al Nafisi, Bahiyah; Grosse-Wortmann, Lars; Jaeggi, Edgar; Jansz, Michael S; Macgowan, Christopher K

2012-11-26

We present the first phase contrast (PC) cardiovascular magnetic resonance (CMR) measurements of the distribution of blood flow in twelve late gestation human fetuses. These were obtained using a retrospective gating technique known as metric optimised gating (MOG). A validation experiment was performed in five adult volunteers where conventional cardiac gating was compared with MOG. Linear regression and Bland Altman plots were used to compare MOG with the gold standard of conventional gating. Measurements using MOG were then made in twelve normal fetuses at a median gestational age of 37 weeks (range 30-39 weeks). Flow was measured in the major fetal vessels and indexed to the fetal weight. There was good correlation between the conventional gated and MOG measurements in the adult validation experiment (R=0.96). Mean flows in ml/min/kg with standard deviations in the major fetal vessels were as follows: combined ventricular output (CVO) 540 ± 101, main pulmonary artery (MPA) 327 ± 68, ascending aorta (AAo) 198 ± 38, superior vena cava (SVC) 147 ± 46, ductus arteriosus (DA) 220 ± 39,pulmonary blood flow (PBF) 106 ± 59,descending aorta (DAo) 273 ± 85, umbilical vein (UV) 160 ± 62, foramen ovale (FO)107 ± 54. Results expressed as mean percentages of the CVO with standard deviations were as follows: MPA 60 ± 4, AAo37 ± 4, SVC 28 ± 7, DA 41 ± 8, PBF 19 ± 10, DAo50 ± 12, UV 30 ± 9, FO 21 ± 12. This study demonstrates how PC CMR with MOG is a feasible technique for measuring the distribution of the normal human fetal circulation in late pregnancy. Our preliminary results are in keeping with findings from previous experimental work in fetal lambs.

Feasibility of quantification of the distribution of blood flow in the normal human fetal circulation using CMR: a cross-sectional study

Directory of Open Access Journals (Sweden)

Seed Mike

2012-11-01

Full Text Available Abstract Background We present the first phase contrast (PC cardiovascular magnetic resonance (CMR measurements of the distribution of blood flow in twelve late gestation human fetuses. These were obtained using a retrospective gating technique known as metric optimised gating (MOG. Methods A validation experiment was performed in five adult volunteers where conventional cardiac gating was compared with MOG. Linear regression and Bland Altman plots were used to compare MOG with the gold standard of conventional gating. Measurements using MOG were then made in twelve normal fetuses at a median gestational age of 37 weeks (range 30–39 weeks. Flow was measured in the major fetal vessels and indexed to the fetal weight. Results There was good correlation between the conventional gated and MOG measurements in the adult validation experiment (R=0.96. Mean flows in ml/min/kg with standard deviations in the major fetal vessels were as follows: combined ventricular output (CVO 540±101, main pulmonary artery (MPA 327±68, ascending aorta (AAo 198±38, superior vena cava (SVC 147±46, ductus arteriosus (DA 220±39,pulmonary blood flow (PBF 106±59,descending aorta (DAo 273±85, umbilical vein (UV 160±62, foramen ovale (FO107±54. Results expressed as mean percentages of the CVO with standard deviations were as follows: MPA 60±4, AAo37±4, SVC 28±7, DA 41±8, PBF 19±10, DAo50±12, UV 30±9, FO 21±12. Conclusion This study demonstrates how PC CMR with MOG is a feasible technique for measuring the distribution of the normal human fetal circulation in late pregnancy. Our preliminary results are in keeping with findings from previous experimental work in fetal lambs.

Experimental study on convective heat transfer of water flow in a heated tube under natural circulation

International Nuclear Information System (INIS)

Yang Ruichang; Liu Ruolei; Zhong Yong; Liu Tao

2006-01-01

This paper reports on an experimental study on transitional heat transfer of water flow in a heated vertical tube under natural circulation conditions. In the experiments the local and average heat transfer coefficients were obtained. The experimental data were compared with the predictions by a forced flow correlation available in the literature. The comparisons show that the Nusselt number value in the fully developed region is about 30% lower than the predictions by the forced flow correlation due to flow laminarization in the layer induced by co-current bulk natural circulation and free convection. By using the Rayleigh number Ra to represent the influence of free convection on heat transfer, the empirical correlations for the calculation of local and average heat transfer behavior in the tube at natural circulation have been developed. The empirical correlations are in good agreement with the experimental data. Based on the experimental results, the effect of the thermal entry-length behavior on heat transfer design in the tube under natural circulation was evaluated

Evaluations of two-phase natural circulation flow induced in the reactor vessel annular gap under ERVC conditions

Energy Technology Data Exchange (ETDEWEB)

Ha, Kwang Soon, E-mail: tomo@kaeri.re.kr [Korea Atomic Energy Research Institute, 1045 Daedeok-daero, Yuseong-gu, Daejeon 305-353 (Korea, Republic of); Cheung, Fan-Bill [The Pennsylvania State University, University Park, PA 16802 (United States); Park, Rae Joon; Kim, Sang Baik [Korea Atomic Energy Research Institute, 1045 Daedeok-daero, Yuseong-gu, Daejeon 305-353 (Korea, Republic of)

2012-12-15

Highlights: Black-Right-Pointing-Pointer Two-phase natural circulation flow induced in insulation gap was investigated. Black-Right-Pointing-Pointer Half-scaled non-heating experiments were performed to evaluate flow behavior. Black-Right-Pointing-Pointer The loop-integrated momentum equation was formulated and solved asymptotically. Black-Right-Pointing-Pointer First-order approximate solution was obtained and agreed with experimental data. - Abstract: The process of two-phase natural circulation flow induced in the annular gap between the reactor vessel and the insulation under external reactor vessel cooling conditions was investigated experimentally and analytically in this study. HERMES-HALF experiments were performed to observe and quantify the induced two-phase natural circulation flow in the annular gap. A half-scaled non-heating experimental facility was designed by utilizing the results of a scaling analysis to simulate the APR1400 reactor and its insulation system. The behavior of the boiling-induced two-phase natural circulation flow in the annular gap was observed, and the liquid mass flow rates driven by the natural circulation loop and the void fraction distribution were measured. Direct flow visualization revealed that choking would occur under certain flow conditions in the minimum gap region near the shear keys. Specifically, large recirculation flows were observed in the minimum gap region for large air injection rates and small outlet areas. Under such conditions, the injected air could not pass through the minimum gap region, resulting in the occurrence of choking near the minimum gap with a periodical air back flow being generated. Therefore, a design modification of the minimum gap region needs to be done to facilitate steam venting and to prevent choking from occurring. To complement the HERMES-HALF experimental effort, an analytical study of the dependence of the induced natural circulation mass flow rate on the inlet area and the

The Critical Role of Pulmonary Arterial Compliance in Pulmonary Hypertension

Science.gov (United States)

Prins, Kurt W.; Pritzker, Marc R.; Scandurra, John; Volmers, Karl; Weir, E. Kenneth

2016-01-01

The normal pulmonary circulation is a low-pressure, high-compliance system. Pulmonary arterial compliance decreases in the presence of pulmonary hypertension because of increased extracellular matrix/collagen deposition in the pulmonary arteries. Loss of pulmonary arterial compliance has been consistently shown to be a predictor of increased mortality in patients with pulmonary hypertension, even more so than pulmonary vascular resistance in some studies. Decreased pulmonary arterial compliance causes premature reflection of waves from the distal pulmonary vasculature, leading to increased pulsatile right ventricular afterload and eventually right ventricular failure. Evidence suggests that decreased pulmonary arterial compliance is a cause rather than a consequence of distal small vessel proliferative vasculopathy. Pulmonary arterial compliance decreases early in the disease process even when pulmonary artery pressure and pulmonary vascular resistance are normal, potentially enabling early diagnosis of pulmonary vascular disease, especially in high-risk populations. With the recognition of the prognostic importance of pulmonary arterial compliance, its impact on right ventricular function, and its contributory role in the development and progression of distal small-vessel proliferative vasculopathy, pulmonary arterial compliance is an attractive target for the treatment of pulmonary hypertension. PMID:26848601

Two-phase flow patterns recognition and parameters estimation through natural circulation test loop image analysis

Energy Technology Data Exchange (ETDEWEB)

Mesquita, R.N.; Libardi, R.M.P.; Masotti, P.H.F.; Sabundjian, G.; Andrade, D.A.; Umbehaun, P.E.; Torres, W.M.; Conti, T.N.; Macedo, L.A. [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil). Nuclear Engineering Center], e-mail: rnavarro@ipen.br

2009-07-01

Visualization of natural circulation test loop cycles is used to study two-phase flow patterns associated with phase transients and static instabilities of flow. Experimental studies on natural circulation flow were originally related to accidents and transient simulations relative to nuclear reactor systems with light water refrigeration. In this regime, fluid circulation is mainly caused by a driving force ('thermal head') which arises from density differences due to temperature gradient. Natural circulation phenomenon has been important to provide residual heat removal in cases of 'loss of pump power' or plant shutdown in nuclear power plant accidents. The new generation of compact nuclear reactors includes natural circulation of their refrigerant fluid as a security mechanism in their projects. Two-phase flow patterns have been studied for many decades, and the related instabilities have been object of special attention recently. Experimental facility is an all glass-made cylindrical tubes loop which contains about twelve demineralized water liters, a heat source by an electrical resistor immersion heater controlled by a Variac, and a helicoidal heat exchanger working as cold source. Data is obtained through thermo-pairs distributed over the loop and CCD cameras. Artificial intelligence based algorithms are used to improve (bubble) border detection and patterns recognition, in order to estimate and characterize, phase transitions patterns and correlate them with the periodic static instability (chugging) cycle observed in this circuit. Most of initial results show good agreement with previous numerical studies in this same facility. (author)

Two-phase flow patterns recognition and parameters estimation through natural circulation test loop image analysis

International Nuclear Information System (INIS)

Mesquita, R.N.; Libardi, R.M.P.; Masotti, P.H.F.; Sabundjian, G.; Andrade, D.A.; Umbehaun, P.E.; Torres, W.M.; Conti, T.N.; Macedo, L.A.

2009-01-01

Visualization of natural circulation test loop cycles is used to study two-phase flow patterns associated with phase transients and static instabilities of flow. Experimental studies on natural circulation flow were originally related to accidents and transient simulations relative to nuclear reactor systems with light water refrigeration. In this regime, fluid circulation is mainly caused by a driving force ('thermal head') which arises from density differences due to temperature gradient. Natural circulation phenomenon has been important to provide residual heat removal in cases of 'loss of pump power' or plant shutdown in nuclear power plant accidents. The new generation of compact nuclear reactors includes natural circulation of their refrigerant fluid as a security mechanism in their projects. Two-phase flow patterns have been studied for many decades, and the related instabilities have been object of special attention recently. Experimental facility is an all glass-made cylindrical tubes loop which contains about twelve demineralized water liters, a heat source by an electrical resistor immersion heater controlled by a Variac, and a helicoidal heat exchanger working as cold source. Data is obtained through thermo-pairs distributed over the loop and CCD cameras. Artificial intelligence based algorithms are used to improve (bubble) border detection and patterns recognition, in order to estimate and characterize, phase transitions patterns and correlate them with the periodic static instability (chugging) cycle observed in this circuit. Most of initial results show good agreement with previous numerical studies in this same facility. (author)

Influence of Gravity on Blood Volume and Flow Distribution

Science.gov (United States)

Pendergast, D.; Olszowka, A.; Bednarczyk, E.; Shykoff, B.; Farhi, L.

1999-01-01

In our previous experiments during NASA Shuttle flights SLS 1 and 2 (9-15 days) and EUROMIR flights (30-90 days) we observed that pulmonary blood flow (cardiac output) was elevated initially, and surprisingly remained elevated for the duration of the flights. Stroke volume increased initially and then decreased, but was still above 1 Gz values. As venous return was constant, the changes in SV were secondary to modulation of heart rate. Mean blood pressure was at or slightly below 1 Gz levels in space, indicating a decrease in total peripheral resistance. It has been suggested that plasma volume is reduced in space, however cardiac output/venous return do not return to 1 Gz levels over the duration of flight. In spite of the increased cardiac output, central venous pressure was not elevated in space. These data suggest that there is a change in the basic relationship between cardiac output and central venous pressure, a persistent "hyperperfusion" and a re-distribution of blood flow and volume during space flight. Increased pulmonary blood flow has been reported to increase diffusing capacity in space, presumably due to the improved homogeneity of ventilation and perfusion. Other studies have suggested that ventilation may be independent of gravity, and perfusion may not be gravity- dependent. No data for the distribution of pulmonary blood volume were available for flight or simulated microgravity. Recent studies have suggested that the pulmonary vascular tree is influenced by sympathetic tone in a manner similar to that of the systemic system. This implies that the pulmonary circulation is dilated during microgravity and that the distribution of blood flow and volume may be influenced more by vascular control than by gravity. The cerebral circulation is influenced by sympathetic tone similarly to that of the systemic and pulmonary circulations; however its effects are modulated by cerebral autoregulation. Thus it is difficult to predict if cerebral perfusion is

Circulation system for flowing uranium hexafluoride cavity reactor experiments

International Nuclear Information System (INIS)

Jaminet, J.F.; Kendall, J.S.

1976-01-01

Accomplishment of the UF 6 critical cavity experiments, currently in progress, and planned confined flowing UF 6 initial experiments requires development of reliable techniques for handling heated UF 6 throughout extended ranges of temperature, pressure, and flow rate. The development of three laboratory-scale flow systems for handling gaseous UF 6 at temperatures up to 500 K, pressures up to approximately 40 atm, and continuous flow rates up to approximately 50 g/s is presented. A UF 6 handling system fabricated for static critical tests currently being conducted at Los Alamos Scientific Laboratory (LASL) is described. The system was designed to supply UF 6 to a double-walled aluminum core canister assembly at temperatures between 300 K and 400 K and pressures up to 4 atm. A second UF 6 handling system designed to provide a circulating flow of up to 50 g/s of gaseous UF 6 in a closed-loop through a double-walled aluminum core canister with controlled temperature and pressure is described

Doppler ultrasonography of the human fetal pulmonary circulation

NARCIS (Netherlands)

J.A.M. Laudij (Jacqueline)

2000-01-01

textabstractPulmonary hypoplasia is a condition characterized by a decrease in the number of lung cells, airways and alveoli with a resulting decrease in organ size and weight. The reported incidence of pulmonary hypoplasia in the general population is about 1 per 1000 live births and it is one of

Pulmonary Arterial Stiffness: Toward a New Paradigm in Pulmonary Arterial Hypertension Pathophysiology and Assessment.

Science.gov (United States)

Schäfer, Michal; Myers, Cynthia; Brown, R Dale; Frid, Maria G; Tan, Wei; Hunter, Kendall; Stenmark, Kurt R

2016-01-01

Stiffening of the pulmonary arterial bed with the subsequent increased load on the right ventricle is a paramount feature of pulmonary hypertension (PH). The pathophysiology of vascular stiffening is a complex and self-reinforcing function of extracellular matrix remodeling, driven by recruitment of circulating inflammatory cells and their interactions with resident vascular cells, and mechanotransduction of altered hemodynamic forces throughout the ventricular-vascular axis. New approaches to understanding the cell and molecular determinants of the pathophysiology combine novel biopolymer substrates, controlled flow conditions, and defined cell types to recapitulate the biomechanical environment in vitro. Simultaneously, advances are occurring to assess novel parameters of stiffness in vivo. In this comprehensive state-of-art review, we describe clinical hemodynamic markers, together with the newest translational echocardiographic and cardiac magnetic resonance imaging methods, to assess vascular stiffness and ventricular-vascular coupling. Finally, fluid-tissue interactions appear to offer a novel route of investigating the mechanotransduction processes and disease progression.

Stressed lungs: unveiling the role of circulating stress ...

Science.gov (United States)

Ozone, a major component of smog generated through the interaction of light and anthropogenic emissions, induces adverse pulmonary, cardiovascular, and systemic health effects upon inhalation. It is generally accepted that ozone-induced lung injury is mediated by its interaction with lung lining components causing local oxidative changes, which then leads to cell damage and recruitment of inflammatory cells. It is postulated that the spillover of reactive intermediates and pro-inflammatory molecules from lung to systemic circulation mediates extra-pulmonary effects. However, recent work from our laboratory supports an alternative hypothesis that circulating stress hormones, such as epinephrine and corticosterone/cortisol, are involved in mediating ozone pulmonary effects. We have shown in rats and humans that ozone increases the levels of circulating stress hormones through activation of the hypothalamus- pituitary-adrenal (HPA) axis before any measurable effects are observed in the lung. The surgical removal of adrenals diminishes circulating stress hormones and at the same time, the pulmonary effects of ozone suggesting a significant contribution of these hormones in ozone-induced lung injury and inflammation. While ozone effects in the lung have been extensively studied, the contribution of central nervous system -mediated hormonal stress response has not been examined. In order to understand the signaling pathways that might be involved in ozone-induced lun

Regulation of Pulmonary Vascular Tone in Health and Disease: Special emphasis on exercise and pulmonary hypertension after myocardial infarction

NARCIS (Netherlands)

B. Houweling (Birgit)

2007-01-01

textabstractHigh bloodpressure in the pulmonary circulation is called pulmonary hypertension (PH). In patients with PH, the balance between vasodilators and vasoconstrictors is disturbed. PH is an important cause of death; it is characterized by elevated levels of pulmonary artery pressure

Unsteady flow model for circulation-control airfoils

Science.gov (United States)

Rao, B. M.

1979-01-01

An analysis and a numerical lifting surface method are developed for predicting the unsteady airloads on two-dimensional circulation control airfoils in incompressible flow. The analysis and the computer program are validated by correlating the computed unsteady airloads with test data and also with other theoretical solutions. Additionally, a mathematical model for predicting the bending-torsion flutter of a two-dimensional airfoil (a reference section of a wing or rotor blade) and a computer program using an iterative scheme are developed. The flutter program has a provision for using the CC airfoil airloads program or the Theodorsen hard flap solution to compute the unsteady lift and moment used in the flutter equations. The adopted mathematical model and the iterative scheme are used to perform a flutter analysis of a typical CC rotor blade reference section. The program seems to work well within the basic assumption of the incompressible flow.

PROGNOSTIC ALGORITHM FOR DISEASE FLOW IN PULMONARY AND THORACIC LYMPH NODES SARCOIDOSIS

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S. A. Terpigorev

2014-01-01

Full Text Available Background: Sarcoidosis is a systemic granulomatosis commonly affecting respiratory system. Variable and often unpredictable flow of the disease provides rationale for the development of prognostic algorithm. Aim: To detect predictive parameters in pulmonary and thoracic lymph nodes sarcoidosis; to develop prognostic algorithm. Materials and methods: The results of examination of 113 patients (85 women and 28 men, 19–77 years old with morphologically verified sarcoidosis has been assessed. Clinical manifestations, functional, radiographic (including CT numerical scores and morphological features of the disease were analyzed against 3-year outcomes in prednisolon/hydroxychloroquine-treated or treatment-naive patients. Results: Radiographic stage, CT-pattern scores, several parameters of pulmonary function tests (DLCO, RV, FEV1, FVC and dyspnoe had the greatest prognostic significance for disease flow. Prognostic accuracy was 87.8% and increased to 94.5% after one-year dynamics of symptoms was taken into account. Therapy with systemic glucocorticosteroids did not influence outcomes in sarcoidosis with asymptomatic enlargement of thoracic lymph nodes. Conclusion: We have developed an algorithm for prognosis assessment in pulmonary sarcoidosis. Taking into account the results of patients follow-up significantly improves the accuracy of the prognosis.

A generalised correlation for the steady state flow in single-phase natural circulation loops

International Nuclear Information System (INIS)

Vijayan, P.K.; Bade, M.H.; Saha, D.; Sinha, R.K.; Venkat Raj, V.

2000-08-01

To establish the heat transport capability of natural circulation loops, it is essential to know the flow rate. A generalized correlation for steady state flow valid for uniform and non-uniform diameter loops has been theoretically derived

Effect of different saline chaser volumes and flow rates on intravascular contrast enhancement in CT using a circulation phantom

International Nuclear Information System (INIS)

Behrendt, Florian F.; Bruners, Philipp; Keil, Sebastian; Plumhans, Cedric; Mahnken, Andreas H.; Das, Marco; Ackermann, Diana; Guenther, Rolf W.; Muehlenbruch, Georg

2010-01-01

Purpose: To evaluate the influence of different saline chaser volumes and different saline chaser flow rates on the intravascular contrast enhancement in MDCT. Materials and methods: In a physiological flow phantom contrast medium (120 ml, 300 mgI/ml, Ultravist 300) was administered at a flow rate of 6 ml/s followed by different saline chaser volumes (0, 30, 60 and 90 ml) at the same injection rate or followed by a 30-ml saline chaser at different injection rates (2, 4, 6 and 8 ml/s). Serial CT-scans at a level covering the pulmonary artery, the ascending and the descending aorta replica were obtained. Time-enhancement curves were computed and both pulmonary and aortic peak enhancement and peak time were determined. Results: Compared to contrast medium injection without a saline chaser the pushing with a saline chaser (30, 60, and 90 ml) resulted in a statistically significant increased pulmonary peak enhancement (all p = 0.008) and prolonged peak time (p = 0.032, p = 0.024 and p = 0.008, respectively). Highest aortic peak enhancement values were detected for a saline chaser volume of 30 ml. A saline chaser flow rate of 8 ml/s resulted in the highest pulmonary peak enhancement values compared to flow rates of 2, 4 and 6 ml/s (all p = 0.008). Aortic peak enhancement showed the highest values for a flow rate of 6 ml/s. Conclusion: A saline chaser volume of 30 ml and an injection rate of 6 ml/s are sufficient to best improve vascular contrast enhancement in the pulmonary artery and the aorta in MDCT.

Anomlus pulmonary venous return aaccompanied by normal superior pulmonary veins in the left upper lobe: A case report

International Nuclear Information System (INIS)

Kim, Dong Eon; Kang, Min Jin; Lee, Ji Hae; Bae, Kyung Eun; Kim, Jae Hyung; Kang, Tae Kyung; Kim, Soung Hee; Kim, Ji Young; Jeong, Myeong Ja; Kim, Soo Hyun

2017-01-01

Partial anomalous pulmonary venous return is a rare congenital pulmonary venous anomaly, in which some of the pulmonary veins drain into the systemic circulation rather than the left atrium. Many variants of partial anomalous pulmonary venous return have been reported. We present a rare type of partial anomalous pulmonary venous return in which the anomalous left upper lobe pulmonary vein drained into the left innominate vein via the vertical vein, accompanying the left upper lobe pulmonary vein in the normal location

Anomlus pulmonary venous return aaccompanied by normal superior pulmonary veins in the left upper lobe: A case report

Energy Technology Data Exchange (ETDEWEB)

Kim, Dong Eon; Kang, Min Jin; Lee, Ji Hae; Bae, Kyung Eun; Kim, Jae Hyung; Kang, Tae Kyung; Kim, Soung Hee; Kim, Ji Young; Jeong, Myeong Ja; Kim, Soo Hyun [Sanggye Paik Hospital, Inje University College of Medicine, Seoul (Korea, Republic of)

2017-08-15

Partial anomalous pulmonary venous return is a rare congenital pulmonary venous anomaly, in which some of the pulmonary veins drain into the systemic circulation rather than the left atrium. Many variants of partial anomalous pulmonary venous return have been reported. We present a rare type of partial anomalous pulmonary venous return in which the anomalous left upper lobe pulmonary vein drained into the left innominate vein via the vertical vein, accompanying the left upper lobe pulmonary vein in the normal location.

Endothelin B receptor blockade attenuates pulmonary vasodilation in oxygen-ventilated fetal lambs.

Science.gov (United States)

Ivy, D Dunbar; Lee, Dong-Seok; Rairigh, Robyn L; Parker, Thomas A; Abman, Steven H

2004-01-01

Endothelin-1 (ET-1) contributes to the regulation of pulmonary vascular tone in the normal ovine fetus and in models of perinatal pulmonary hypertension. In the fetal lamb lung, the effects of ET-1 depend on the balance of at least two endothelin receptor subtypes: ETA and ETB. ETA receptors are located on smooth muscle cells and mediate vasoconstriction and smooth muscle proliferation. Stimulation of endothelial ETB receptors causes vasodilation through release of nitric oxide and also functions to remove ET-1 from the circulation. However, whether activation of ETB receptors contributes to the fall in pulmonary vascular tone at birth is unknown. To determine the role of acute ETB receptor blockade in pulmonary vasodilation in response to birth-related stimuli, we studied the hemodynamic effects of selective ETB receptor blockade with BQ-788 during mechanical ventilation with low (<10%) and high FiO2 (100%) in near-term fetal sheep. Intrapulmonary infusion of BQ-788 did not change left pulmonary artery (LPA) blood flow and pulmonary vascular resistance (PVR) at baseline. In comparison with controls, BQ-788 treatment attenuated the rise in LPA flow with low and high FiO2 ventilation (p <0.001 vs. control for each FiO2 concentration). PVR progressively decreased during mechanical ventilation with low and high FiO2 in both groups, but PVR remained higher after BQ-788 treatment throughout the study period (p <0.001). We conclude that selective ETB receptor blockade attenuates pulmonary vasodilation at birth. We speculate that ETB receptor stimulation contributes to pulmonary vasodilation at birth in the ovine fetus.

Steady state flow analysis of two-phase natural circulation in multiple parallel channel loop

International Nuclear Information System (INIS)

Bhusare, V.H.; Bagul, R.K.; Joshi, J.B.; Nayak, A.K.; Kannan, Umasankari; Pilkhwal, D.S.; Vijayan, P.K.

2016-01-01

Highlights: • Liquid circulation velocity increases with increasing superficial gas velocity. • Total two-phase pressure drop decreases with increasing superficial gas velocity. • Channels with larger driving force have maximum circulation velocities. • Good agreement between experimental and model predictions. - Abstract: In this work, steady state flow analysis has been carried out experimentally in order to estimate the liquid circulation velocities and two-phase pressure drop in air–water multichannel circulating loop. Experiments were performed in 15 channel circulating loop. Single phase and two-phase pressure drops in the channels have been measured experimentally and have been compared with theoretical model of Joshi et al. (1990). Experimental measurements show good agreement with model.

Hydrodynamic Instability and Dynamic Burnout in Natural Circulation Two-Phase Flow. An Experimental and Theoretical Study

Energy Technology Data Exchange (ETDEWEB)

Becker, Kurt M; Jahnberg, S; Haga, I; Hansson, P T; Mathisen, R P

1964-09-15

A theoretical model for predicting the threshold of instability for two phase flow in a natural circulation loop is presented. The model calculates the flow transient caused by a step disturbance of the heat input, and is based upon the conservation laws of mass, momentum and energy in one dimensional form. Empirical correlations are used in the model for estimating the void fractions and the two-phase flow pressure drops. The equations are solved numerically in a finite difference approximation coded for a digital computer. An experimental study of the hydrodynamic instability and dynamic burnout in two-phase flow has been performed in a natural circulation loop in the pressure range from 10 to 70 atg. The test sections were round ducts of 20, 30 and 36 mm inner diameter and 4890 mm heated length. The experimental results showed that within the ranges tested, the stability of the flow increases with increasing pressure and increasing throttling before the test section, but decreases with increasing Inlet subcooling and increasing throttling after the test section. Comparing the natural circulation burnout steam qualities with corresponding forced circulation data shoved that the former data were low by a factor up to 2.5. However, by applying inlet throttling of the flow the burnout values approached and finally coincided with the forced circulation data. The present experimental results as well as data available from other sources have been compared with the stability thresholds obtained with the theoretical model. The comparisons included circular, annular and rod cluster geometries, and the agreement between the experimental and theoretical stability limits was good. Finally the application of the experimental and theoretical results on the assessment of boiling heavy water reactor design is discussed.

Hydrodynamic Instability and Dynamic Burnout in Natural Circulation Two-Phase Flow. An Experimental and Theoretical Study

International Nuclear Information System (INIS)

Becker, Kurt M.; Jahnberg, S.; Haga, I.; Hansson, P.T.; Mathisen, R.P.

1964-09-01

A theoretical model for predicting the threshold of instability for two phase flow in a natural circulation loop is presented. The model calculates the flow transient caused by a step disturbance of the heat input, and is based upon the conservation laws of mass, momentum and energy in one dimensional form. Empirical correlations are used in the model for estimating the void fractions and the two-phase flow pressure drops. The equations are solved numerically in a finite difference approximation coded for a digital computer. An experimental study of the hydrodynamic instability and dynamic burnout in two-phase flow has been performed in a natural circulation loop in the pressure range from 10 to 70 atg. The test sections were round ducts of 20, 30 and 36 mm inner diameter and 4890 mm heated length. The experimental results showed that within the ranges tested, the stability of the flow increases with increasing pressure and increasing throttling before the test section, but decreases with increasing Inlet subcooling and increasing throttling after the test section. Comparing the natural circulation burnout steam qualities with corresponding forced circulation data shoved that the former data were low by a factor up to 2.5. However, by applying inlet throttling of the flow the burnout values approached and finally coincided with the forced circulation data. The present experimental results as well as data available from other sources have been compared with the stability thresholds obtained with the theoretical model. The comparisons included circular, annular and rod cluster geometries, and the agreement between the experimental and theoretical stability limits was good. Finally the application of the experimental and theoretical results on the assessment of boiling heavy water reactor design is discussed

Bond Graph Model of Cerebral Circulation: Toward Clinically Feasible Systemic Blood Flow Simulations

Science.gov (United States)

Safaei, Soroush; Blanco, Pablo J.; Müller, Lucas O.; Hellevik, Leif R.; Hunter, Peter J.

2018-01-01

We propose a detailed CellML model of the human cerebral circulation that runs faster than real time on a desktop computer and is designed for use in clinical settings when the speed of response is important. A lumped parameter mathematical model, which is based on a one-dimensional formulation of the flow of an incompressible fluid in distensible vessels, is constructed using a bond graph formulation to ensure mass conservation and energy conservation. The model includes arterial vessels with geometric and anatomical data based on the ADAN circulation model. The peripheral beds are represented by lumped parameter compartments. We compare the hemodynamics predicted by the bond graph formulation of the cerebral circulation with that given by a classical one-dimensional Navier-Stokes model working on top of the whole-body ADAN model. Outputs from the bond graph model, including the pressure and flow signatures and blood volumes, are compared with physiological data. PMID:29551979

PROGRESSIVE MUSCLE RELAXATION INCREASE PEAK EXPIRATORY FLOW RATE ON CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS

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Tintin Sukartini

2017-07-01

Full Text Available Introduction: Limited progressive air flow in Chronic Obstructive Pulmonary Disease (COPD can caused by small airway disease (bronchiolitis obstructive and loss of elasticity of the lung (emphysema. Further it can be decreasing the quality of life in COPD patients because dyspnea and uncomfortable in activity. Progressive muscle relaxation (PMR is one of the relaxation technique that can repair pulmonary ventilation by decreasing chronic constriction of the respiratory muscles. The objective of this study was to analyze the effect of progressive muscle relaxation on raised peak expiratory flow rate (PEFR. Method: A pre-experimental one group pre-post test design was used in this study. Population was all of the COPD patients at Pulmonary Specialist Polyclinic Dr Mohamad Soewandhie Surabaya. There were 8 respondents taken by using purposive sampling. PEFR was counted by using peak flow meter every six day. Data were analyzed by using Paired t-Test with significance level  p≤0.05. Result: The result showed that PMR had significance level on increasing of PEFR (p=0.012. Discussion: It can be concluded that PMR has an effect on raise PEFR. Further studies are recommended to measure the effect of PMR on respiratory rate (RR, heart rate (HR subjective dyspnoe symptoms, forced expiration volume on the first minute (FEV1 and mid maximum flow rate (MMFR in COPD patients.

Transient behavior of natural circulation for boiling two-phase flow, 2

International Nuclear Information System (INIS)

Aritomi, Masanori; Chiang, Jing-Hsien; Mori, Michitugu.

1991-01-01

In this set of experiments, natural circulation in boiling two-phase flow has been investigated for power transients, simulating the start-up process in a natural circulation BWR. This was done in order to understand the underlying mechanism of thermo-hydraulic instability which may appear during a start-up. In this paper, geysering is dealt with especially and the driving mechanism is clarified by investigating the stability related to effects of inlet velocity, subcooling, temperature in an outlet plenum and non-heated length between heated section and the outlet plenum. Furthermore, by considering these results and the operational experience in the Dodewaard reactor, recommendations on how the thermo-hydraulic instabilities can be prevented from occurring are proposed concerning a reactor configuration and start-up procedure for natural circulation BWRs. (author)

Clinical evaluation of pulmonary perfusion MRI using FAIR (flow-sensitive alternating inversion recovery)-HASTE (Half-Fourier Single-Shot TurboSE) method

International Nuclear Information System (INIS)

Togami, Izumi; Sasai, Nobuya; Tsunoda, Masatoshi; Sei, Tetsurou; Sato, Shuhei; Yabuki, Takayuki; Hiraki, Yoshio

2002-01-01

The FAIR-HASTE method is a kind of noninvasive perfusion MR imaging obtained without the use of contrast media. By subtracting a flow-insensitive image from a flow-sensitive image, contrast enhancement of inflowing blood achieved. In the present study, we applied pulmonary perfusion FAIR-HASTE sequence for 23 patients with various pulmonary diseases, and compared the findings with those by pulmonary perfusion scintigraphy and Gadolinium perfusion MRI. Pulmonary perfusion imaging with the FAIR-HASTE method was possible in all clinical cases, and the findings corresponded well to those obtained by perfusion MRI using contrast media or pulmonary scintigraphy. The FAIR-HASTE method is a promising method for the evaluation of pulmonary perfusion. (author)

Relationship between interatrial communication, ductus arteriosus, and pulmonary flow patterns in fetuses with transposition of the great arteries: prediction of neonatal desaturation.

Science.gov (United States)

Vaujois, Laurence; Boucoiran, Isabelle; Preuss, Christophe; Brassard, Myriam; Houde, Christine; Fouron, Jean C; Raboisson, Marie-Josée

2017-09-01

The relationship between interatrial communication, ductus arteriosus, and pulmonary flow in transposition of the great arteries and intact ventricular septum may help predict postnatal desaturation. Echocardiographic data of 45 fetuses with transposition of the great arteries and intact ventricular septum and 50 age-matched controls were retrospectively reviewed. Interatrial communication, left and right ventricular output, flow in the ductus arteriosus, as well as effective pulmonary flow were measured. Patients were divided into two groups on the basis of postnatal saturations: group 1 had saturations ⩽50% and group 2 >50%. Of 45 fetuses, 13 (26.7%) were classified into group 1. Compared with fetuses in group 2, they had a smaller interatrial communication (2.9 versus 4.0 mm, p=0.004) and more retrograde diastolic flow in the ductus arteriosus (92 versus 23%, p=0.002). Both groups showed a significant decrease in ductal flow compared with controls. Patients in group 2 had a higher effective pulmonary flow compared with controls. There was a mild correlation between left ventricular output and size of the interatrial communication (Spearman's rank correlation 0.44). A retrograde diastolic flow is present in most of the fetuses with postnatal desaturation. Fetuses with transposition of the great arteries have a lower flow through the ductus arteriosus compared with controls. Fetuses without restrictive foramen ovale have higher effective pulmonary flow. Peripheral pulmonary vasodilatation due to higher oxygen saturation in pulmonary arteries in the case of transposition of the great arteries could be one possible cause.

Velocity Fields Measurement of Natural Circulation Flow inside a Pool Using PIV Technique

International Nuclear Information System (INIS)

Kim, Seok; Kim, Dong Eok; Youn, Young Jung; Euh, Dong Jin; Song, Chul Hwa

2012-01-01

Thermal stratification is encountered in large pool of water increasingly being used as heat sink in new generation of advanced reactors. These large pools at near atmospheric pressure provide a heat sink for heat removal from the reactor or steam generator, and the containment by natural circulation as well as a source of water for core cooling. For examples, the PAFS (passive auxiliary feedwater system) is one of the advanced safety features adopted in the APR+ (Advanced Power Reactor Plus), which is intended to completely replace the conventional active auxiliary feedwater system. The PAFS cools down the steam generator secondary side and eventually removes the decay heat from the reactor core by adopting a natural convection mechanism. In a pool, the heat transfer from the PCHX (passive condensation heat exchanger) contributed to increase the pool temperature up to the saturation condition and induce the natural circulation flow of the PCCT (passive condensate cooling tank) pool water. When a heat rod is placed horizontally in a pool of water, the fluid adjacent to the heat rod gets heated up. In the process, its density reduces and by virtue of the buoyancy force, the fluid in this region moves up. After reaching the top free surface, the heated water moves towards the other side wall of the pool along the free surface. Since this heated water is cooling, it goes downward along the wall at the other side wall. Above heater rod, a natural circulation flow is formed. However, there is no flow below heater rod until pool water temperature increases to saturation temperature. In this study, velocity measurement was conducted to reveal a natural circulation flow structure in a small pool using PIV (particle image velocimetry) measurement technique

[The repercussions of pulmonary congestion on ventilatory volumes, capacities and flows].

Science.gov (United States)

Carmo, M M; Ferreira, T; Lousada, N; Bárbara, C; Neves, P R; Correia, J M; Rendas, A B

1994-10-01

To evaluate the effects of pulmonary congestion on pulmonary function. Prospective study performed in patients with left ventricular failure or mitral stenosis. Forty-eight hospitalized patients were included suffering from pulmonary congestion either from left ventricular failure or mitral stenosis. While in hospital all patients were submitted to right heart catheterization by the Swan-Ganz method and also to an echocardiographic examination. Within 48 hours after the patients were submitted to the following lung function studies: lung volumes and capacities by the multi-breath helium dilution method and airway flows by pneumotachography. Respiratory symptoms were evaluated by the Medical Research Council Questionnaire and the functional class classified according to the NYHA. Correlations were made between the functional and clinical data. Regarding the cardiac evaluation patients presented with a mean pulmonary wedge pressure of 19.9 +/- 8.6 mmHg, a cardiac index of 2.5 +/- 0.8 l/min/m2, an end diastolic dimension of the left ventricle of 65.9 +/- 10.1 mm, and end systolic dimension of 51.2 +/- 12.2 mm, with a shortening fraction of 21.8 +/- 9.5%. The pulmonary evaluation showed a restrictive syndrome with a reduction in the mean values of the following parameters: total pulmonary capacity 71 +/- 14.4% of the predicted value (pv), forced vital capacity (FVC) 69.8 +/- 20.5% pv, and forced expiratory volume (FEV1) of 64 +/- 21.8% vp. The index FEV1/FVC was within the normal value of 72.7 +/- 9.7%. These lung function results did not correlate significantly with either the clinical, the hemodynamic or echocardiographic findings. In these group of patients pulmonary congestion led to the development of a restrictive syndrome which failed to correlate in severity with the duration of the disease, the pulmonary wedge pressure and the left ventricular function.

High altitude pulmonary edema: case report

International Nuclear Information System (INIS)

Garcia P, Edward; Contreras Zuniga, Eduardo; Zuluaga, Sandra Ximena

2006-01-01

Acute pulmonary edema is characterized by the accumulation of liquid in the pulmonary interstice, the alveoli, the bronchi and bronchioles; it is from the excessive circulation from the pulmonary vascular system towards extra vascular and the respiratory spaces. The Liquid filters first at the interstitial space to soon perivascular and peri bronchial and, gradually, towards the alveoli and bronchi

Ação da adenosina na circulação pulmonar de pacientes com hipertensão pulmonar primária Effect of adenosine on pulmonary circulation in patients with primary pulmonary hypertension

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Rogerio Souza

2005-02-01

. Although its effect on the pulmonary arteries is well known, its influence on capillaries and veins has yet to be described. OBJECTIVE: To evaluate the pre- and post-administration effects of adenosine on arterial and venous resistance in the pulmonary circulation of patients with primary pulmonary hypertension. METHOD: The study involved 7 patients with primary pulmonary hypertension and presenting a positive response to adenosine on the acute test. Before and after adenosine administration, arterial and venous resistances were determined by estimating pulmonary capillary pressure through analysis of pulmonary artery pressure decay curves. RESULTS: Following adenosine administration, there was an increase in the cardiac index (from 1.71 ± 0.23 to 2.72 ± 0.74 L/min-1/m-2 and a decrease in pulmonary vascular resistance (from 2924 ± 1060 to 1975 ± 764 dynes/s/cm-5/m-2 with no significant variations in mean pulmonary artery pressure (pre: 75.6 ± 16.8 mmHg; post: 78.1 ± 18.8 mmHg, pulmonary wedge pressure (pre: 15.3 ± 1.5 mmHg; post: 15.4 ± 1.9 mmHg and pulmonary capillary pressure (pre: 43.8 ± 5.8 mmHg; post: 44.5 ± 4.9 mmHg. The ratio between arterial resistance and total pulmonary vascular resistance also presented a less than significant variation (pre: 50 ± 15%; post: 49 ± 17%. These findings suggest that adenosine affects the capillaries and veins as well as the arteries. CONCLUSION: We can conclude that the adenosine mechanism is not restricted to the arterial aspect of the pulmonary circulation, and that analysis of pulmonary capillary pressure could prove useful in the study of various drugs that affect the pulmonary circulation.

Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial

Science.gov (United States)

Kumar, Amaravadi Sampath; Augustine, Alfred Joseph; Pazhyaottayil, Zulfeequer Chundaanveetil; Ramakrishna, Anand; Krishnakumar, Shyam Krishnan

2016-01-01

Introduction Surgical procedures in abdominal area lead to changes in pulmonary function, respiratory mechanics and impaired physical capacity leading to postoperative pulmonary complications, which can affect up to 80% of upper abdominal surgery. Aim To evaluate the effects of flow and volume incentive spirometry on pulmonary function and exercise tolerance in patients undergoing open abdominal surgery. Materials and Methods A randomized clinical trial was conducted in a hospital of Mangalore city in Southern India. Thirty-seven males and thirteen females who were undergoing abdominal surgeries were included and allocated into flow and volume incentive spirometry groups by block randomization. All subjects underwent evaluations of pulmonary function with measurement of Forced Vital Capacity (FVC), Forced Expiratory Volume in the first second (FEV1), Peak Expiratory Flow (PEF). Preoperative and postoperative measurements were taken up to day 5 for both groups. Exercise tolerance measured by Six- Minute Walk Test during preoperative period and measured again at the time of discharge for both groups. Pulmonary function was analysed by post-hoc analysis and carried out using Bonferroni’s ‘t’-test. Exercise tolerance was analysed by Paired ‘T’-test. Results Pulmonary function (FVC, FEV1, and PEFR) was found to be significantly decreased in 1st, 2nd and 3rd postoperative day when compared with preoperative day. On 4th and 5th postoperative day the pulmonary function (FVC, FEV1, and PEFR) was found to be better preserved in both flow and volume incentive spirometry groups. The Six-Minute Walk Test showed a statistically significant improvement in pulmonary function on the day of discharge than in the preoperative period. In terms of distance covered, the volume- incentive spirometry group showed a greater statistically significant improvement from the preoperative period to the time of discharge than was exhibited by the flow incentive spirometry group

Quantitative evaluation of regional blood flow in pulmonary sarcoidosis with Bull's eye analysis

International Nuclear Information System (INIS)

Akaki, Shiro

1991-01-01

Lung perfusion scintigraphy was performed in 23 patients with pulmonary sarcoidosis and in 11 normal volunteers. Bull's eye analysis was used to analyze regional pulmonary blood flow quantitatively. First, whole lung perfusion images were divided into three regions by three concentric circles. Then radial axes were projected from the center to define 36 x 10deg sectors. The counts for each sector were calculated and a Bull's eye image was displayed. The counts were compared with the lower limit of normal (mean -2SD), and as the indices of reduction in perfusion, extent score (ES) and severity score (SS) were calculated. ES and SS showed significant reduction in perfusion 16 patients (70%) with sarcoidosis. In stage II sarcoidosis, both ES and SS were significantly higher than in stage I sarcoidosis (p 67 Ga scintigraphy findings. In comparison with clinical data, ES had a positive correlation with serum angiotensin-converting enzyme activity (p + /CD8 + ratio (p<0.05). The Bull's eye analysis was considered useful for the quantitative evaluation of regional pulmonary blood flow in pulmonary sarcoidosis, and it was suggested that the mechanism of reduction in perfusion might result mainly in its alveolitis and angitis. Ventilation abnormality, which may happen prior to reduction in perfusion, may be an important factor of reduction in perfusion. (author)

Pulmonary edema: radiographic differential diagnosis

International Nuclear Information System (INIS)

Yoo, Dong Soo; Choi, Young Hi; Kim, Seung Cheol; An, Ji Hyun; Lee, Jee Young; Park, Hee Hong

1997-01-01

To evaluate the feasibility of using chest radiography to differentiate between three different etiologies of pulmonary edema. Plain chest radiographs of 77 patients, who were clinically confirmed as having pulmonary edema, were retrospectively reviewed. The patients were classified into three groups : group 1 (cardiogenic edema : n = 35), group 2 (renal pulmonary edema : n = 16) and group 3 (permeability edema : n = 26). We analyzed the radiologic findings of air bronchogram, heart size, peribronchial cuffing, septal line, pleural effusion, vascular pedicle width, pulmonary blood flow distribution and distribution of pulmonary edema. In a search for radiologic findings which would help in the differentiation of these three etiologies, each finding was assessed. Cardiogenic and renal pulmonary edema showed overlapping radiologic findings, except for pulmonary blood flow distribution. In cardiogenic pulmonary edema (n=35), cardiomegaly (n=29), peribronchial cuffing (n=29), inverted pulmonary blood flow distribution (n=21) and basal distribution of edema (n=20) were common. In renal pulmonary edema (n=16), cardiomegaly (n=15), balanced blood flow distribution (n=12), and central (n=9) or basal distribution of edema (n=7) were common. Permeability edema (n=26) showed different findings. Air bronchogram (n=25), normal blood flow distribution (n=14) and peripheral distribution of edema (n=21) were frequent findings, while cardiomegaly (n=7), peribronchial cuffing (n=7) and septal line (n=5) were observed in only a few cases. On plain chest radiograph, permeability edema can be differentiated from cardiogenic or renal pulmonary edema. The radiographic findings which most reliably differentiated these two etiologies were air bronchogram, distribution of pulmonary edema, peribronchial cuffing and heart size. Only blood flow distribution was useful for radiographic differentiation of cardiogenic and renal edema

The clinical value of circulating tumour cells (CTCs) in patients undergoing pulmonary metastasectomy for metastatic colorectal cancer.

Science.gov (United States)

Hashimoto, Masaki; Tanaka, Fumihiro; Yoneda, Kazue; Takuwa, Teruhisa; Kuroda, Ayumi; Matsumoto, Seiji; Okumura, Yoshitomo; Kondo, Nobuyuki; Tsujimura, Tohru; Nakano, Takashi; Hasegawa, Seiki

2018-03-01

Circulating tumour cells (CTCs) are a potential surrogate for distant metastasis and are considered a useful clinical prognostic marker for metastatic colorectal cancer (mCRC). This prospective study evaluated the preoperative CTC count as a prognostic factor for pulmonary metastasectomy in mCRC patients. Seventy-nine mCRC patients who underwent curative-intent pulmonary metastasectomy were included. Preoperatively, 7.5 mL of peripheral blood from each patient was quantitatively evaluated for CTCs with the CellSearch ® system. The clinical significance of CTC count was evaluated according to Kaplan-Meier analyses and log-rank test. Multivariate analyses of the perioperative variables were performed. The distribution of CTC counts were as follows; 0 in 66 patients (83.5%), 1 in eight patients (10.1%), 2 in three patients (3.8%), and 3 and 6 in one patient (1.3%). The patients with multiple CTCs (CTC count ≥2) had significant shorter disease-free survival (DFS) (P=0.005, median DFS; 19.8 vs . 8.6 months) and overall survival (OS) (P=0.035, median DFS; not reached vs. 37.8 months), respectively. Multivariate analysis showed the patients with multiple CTCs had elevated risk of recurrence [hazard ratio (HR), 3.28; 95% confidence interval (CI), 1.24-8.67; P=0.017]. The detected rate of CTCs was quite low in mCRC patients who underwent pulmonary metastasectomy. The patient with multiple CTCs had shorter DFS in this study. The larger prospective clinical study is needed to establish the meaning of CTC in mCRC candidate for pulmonary metastasectomy.

A Dual Lung Scan for the Evaluation of Pulmonary Function in Patients with Pulmonary Tuberculosis before and after Treatment

International Nuclear Information System (INIS)

Rhee, Chong Heon

1967-01-01

In 20 normal cases and 39 pulmonary tuberculosis cases, regional pulmonary arterial blood flow measurement and lung perfusion scans by 131 I-Macroaggregated albumin, lung inhalation scans by colloidal 198 Au and spirometries by respirometer were done at the Radiological Research Institute. The measured lung function tests were compared and the results were as the following: 1) The normal distribution of pulmonary blood flow was found to be 54.5±2.82% to the right lung and 45.5±2.39% to the left lung. The difference between the right and left pulmonary arterial blood flow was significant statistically (p 131 I-MAA in patients with pulmonary tuberculosis was as follows: a) In the pretreated minimal pulmonary tuberculosis, the decreased area of pulmonary arterial blood flow was corresponding to the chest roentgenogram, but the decrease of pulmonary arterial blood flow was more extensive than had been expected from the chest roentgenogram in the apparently healed minimal pulmonary tuberculosis. b) In the pretreated moderately advanced pulmonary tuberculosis, the decrease of pulmonary arterial blood flow to the diseased area was corresponding to the chest roentgenogram, but the decrease of pulmonary arterial blood flow was more extensive in the treated moderately advanced pulmonary tuberculosis as in the treated minimal pulmonary tuberculosis. c) Pulmonary arterial blood flow in the patients with far advanced pulmonary tuberculosis both before and after chemotherapy were almost similar to the chest roentgenogram. Especially the decrease of pulmonary arterial blood flow to the cavity was usually greater than had been expected from the chest roentgenogram. 3) Lung inhalation scan by colloidal 198 Au in patients with pulmonary tuberculosis was as follows: a) In the minimal pulmonary tuberculosis, lung inhalation scan showed almost similar decrease of radioactivity corresponding to the chest roentgenogram. b) In the moderately advanced pulmonary tuberculosis the decrease

Experimental study of the transition from forced to natural circulation in EBR-II at low power and flow

International Nuclear Information System (INIS)

Gillette, J.L.; Singer, R.M.; Tokar, J.V.; Sullivan, J.E.

1979-01-01

A series of tests have been conducted in EBR-II which studied the dynamics of the transition from forced to natural circulation flow in a liquid-metal-cooled fast breeder reactor (LMFBR). Each test was initiated by abruptly tripping an electromagnetic pump which supplies 5 to 6% of the normal full operational primary flow rate. The ensuing flow coast-down reached a minimum value after which the flow increased as natural circulation was established. The effects of secondary system flow through the intermediate heat exchanger and reactor decay power level on the minimum in-core flow rates and maximum in-core temperatures were examined

[Pulmonary reperfusion syndrome after pulmonary stent implants in a patient with vascular tortuosity syndrome].

Science.gov (United States)

Berenguer Potenciano, M; Piris Borregas, S; Mendoza Soto, A; Velasco Bayon, J M; Caro Barri, A

2015-01-01

Vascular tortuosity syndrome is a rare genetic disorder that causes tortuosity and stenosis of the pulmonary, systemic and / or coronary circulations. As a result of treatment of pulmonary stenosis, symptoms of pulmonary edema, known as lung reperfusion syndrome, may occur. The case is presented of an adolescent patient with vascular tortuosity syndrome who presented with a pulmonary reperfusion syndrome after multiple stent implants in the left pulmonary artery. After the procedure, the patient immediately developed an acute pulmonary edema with severe clinical deterioration, which required assistance with extracorporeal membrane oxygenation for recovery. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

Numerical Modelling Approaches for Assessing Improvements to the Flow Circulation in a Small Lake

Directory of Open Access Journals (Sweden)

Cheng He

2011-01-01

Full Text Available Kamaniskeg Lake is a long, narrow, and deep small lake located in the northern part of Ontario, Canada. The goals of this paper were to examine various options to improve the water quality in the northern part of the lake by altering the local hydraulic flow conditions. Towards this end, a preliminary screening suggested that the flow circulation could be increased around a central island (Mask Island in the northern part of the lake by opening up an existing causeway connecting the mainland and central island. Three-dimensional (3D hydraulic and transport models were adopted in this paper to investigate the hydraulic conditions under various wind forces and causeway structures. The modelling results show that opening the causeway in a few places is unlikely to generate a large flow circulation around the central island. Full circulation only appears to be possible if the causeway is fully removed and a strong wind blows in a favourable direction. The possible reasons for existing water quality variations at the intake of a local WTP (water treatment plant are also explored in the paper.

An experimental study on the two-phase natural circulation flow through the gap between reactor vessel and insulation under ERVC

Energy Technology Data Exchange (ETDEWEB)

Ha, Kwang-Soon; Park, Rae-Joon; Cho, Young-Ro; Kim, Sang-Baik; Kim, Hwan-Yeol; Kim, Hee-dong

2005-04-01

As part of a study on a two-phase natural circulation flow between the outer reactor vessel and the insulation material in the reactor cavity under an external reactor vessel cooling of APR1400, T-HERMES-SMALL and HERMES-HALF experiments have been performed. For the T-HERMES-SMALL experiments, an 1/21.6 scaled experimental facility was prepared utilizing the results of a scaling analysis to simulate the APR1400 reactor and insulation system. The liquid mass flow rates driven by natural circulation loop were measured by varying the wall heat flux, upper outlet area and configuration, and water head condition. The experimental data were also compared with numerical ones given by simple loop analysis. And non-heating small-scaled experiments have also been performed to certify the hydraulic similarity of the heating experiments by injecting air equivalent to the steam generated in the heating experimental condition. The HERMES-HALF experiment is a half-scaled / non-heating experimental study on the two-phase natural circulation through the annular gap between the reactor vessel and the insulation. The behaviors of the two-phase natural circulation flow in the insulation gap were observed, and the liquid mass flow rates driven by natural circulation loop were measured by varying the air injection rate, the coolant inlet area and configuration, and the outlet area and also the water head condition of coolant reservoir. From the experimental flow observation, the recirculation flows in the near region of the shear key were identified. At a higher air injection rate condition, higher recirculation flows and choking phenomenon in the near region of the shear key were observed. As the water inlet areas increased, the natural circulation mass flow rates asymptotically increased, that is, they converged at a specific value. And the experimental correlations for the natural circulation mass flow rates along with a variation of the inlet / outlet area and wall heat flux were

Pulmonary capillary pressure in pulmonary hypertension.

Science.gov (United States)

Souza, Rogerio; Amato, Marcelo Britto Passos; Demarzo, Sergio Eduardo; Deheinzelin, Daniel; Barbas, Carmen Silvia Valente; Schettino, Guilherme Paula Pinto; Carvalho, Carlos Roberto Ribeiro

2005-04-01

Pulmonary capillary pressure (PCP), together with the time constants of the various vascular compartments, define the dynamics of the pulmonary vascular system. Our objective in the present study was to estimate PCPs and time constants of the vascular system in patients with idiopathic pulmonary arterial hypertension (IPAH), and compare them with these measures in patients with acute respiratory distress syndrome (ARDS). We conducted the study in two groups of patients with pulmonary hypertension: 12 patients with IPAH and 11 with ARDS. Four methods were used to estimate the PCP based on monoexponential and biexponential fitting of pulmonary artery pressure decay curves. PCPs in the IPAH group were considerably greater than those in the ARDS group. The PCPs measured using the four methods also differed significantly, suggesting that each method measures the pressure at a different site in the pulmonary circulation. The time constant for the slow component of the biexponential fit in the IPAH group was significantly longer than that in the ARDS group. The PCP in IPAH patients is greater than normal but methodological limitations related to the occlusion technique may limit interpretation of these data in isolation. Different disease processes may result in different times for arterial emptying, with resulting implications for the methods available for estimating PCP.

Initial in vitro testing of a paediatric continuous-flow total artificial heart.

Science.gov (United States)

Fukamachi, Kiyotaka; Karimov, Jamshid H; Horvath, David J; Sunagawa, Gengo; Byram, Nicole A; Kuban, Barry D; Moazami, Nader

2018-06-01

Mechanical circulatory support has become standard therapy for adult patients with end-stage heart failure; however, in paediatric patients with congenital heart disease, the options for chronic mechanical circulatory support are limited to paracorporeal devices or off-label use of devices intended for implantation in adults. Congenital heart disease and cardiomyopathy often involve both the left and right ventricles; in such cases, heart transplantation, a biventricular assist device or a total artificial heart is needed to adequately sustain both pulmonary and systemic circulations. We aimed to evaluate the in vitro performance of the initial prototype of our paediatric continuous-flow total artificial heart. The paediatric continuous-flow total artificial heart pump was downsized from the adult continuous-flow total artificial heart configuration by a scale factor of 0.70 (1/3 of total volume) to enable implantation in infants. System performance of this prototype was evaluated using the continuous-flow total artificial heart mock loop set to mimic paediatric circulation. We generated maps of pump performance and atrial pressure differences over a wide range of systemic vascular resistance/pulmonary vascular resistance and pump speeds. Performance data indicated left pump flow range of 0.4-4.7 l/min at 100 mmHg delta pressure. The left/right atrial pressure difference was maintained within ±5 mmHg with systemic vascular resistance/pulmonary vascular resistance ratios between 1.4 and 35, with/without pump speed modulation, verifying expected passive self-regulation of atrial pressure balance. The paediatric continuous-flow total artificial heart prototype met design requirements for self-regulation and performance; in vivo pump performance studies are ongoing.

Model of pulmonary fluid traffic homeostasis based on respiratory cycle pressure, bidirectional bronchiolo-pulmonar shunting and water evaporation.

Science.gov (United States)

Kurbel, Sven; Kurbel, Beatrica; Gulam, Danijela; Spajić, Borislav

2010-06-01

The main puzzle of the pulmonary circulation is how the alveolar spaces remain dry over a wide range of pulmonary vascular pressures and blood flows. Although normal hydrostatic pressure in pulmonary capillaries is probably always below 10 mmHg, well bellow plasma colloid pressure of 25 mmHg, most textbooks state that some fluid filtration through capillary walls does occur, while the increased lymph drainage prevents alveolar fluid accumulation. The lack of a measurable pressure drop along pulmonary capillaries makes the classic description of Starling forces unsuitable to the low pressure, low resistance pulmonary circulation. Here presented model of pulmonary fluid traffic describes lungs as a matrix of small vascular units, each consisting of alveoli whose capillaries are anastomotically linked to the bronchiolar capillaries perfused by a single bronchiolar arteriole. It proposes that filtration and absorption in pulmonary and in bronchiolar capillaries happen as alternating periods of low and of increased perfusion pressures. The model is based on three levels of filtration control: short filtration phases due to respiratory cycle of the whole lung are modulated by bidirectional bronchiolo-pulmonar shunting independently in each small vascular unit, while fluid evaporation from alveolar groups further tunes local filtration. These mechanisms are used to describe a self-sustaining regulator that allows optimal fluid traffic in different settings. The proposed concept is used to describe development of pulmonary edema in several clinical entities (exercise in wet or dry climate, left heart failure, people who rapidly move to high altitudes, acute cyanide and carbon monoxide poisoning, large pulmonary embolisms). .

Evaluation of regional pulmonary blood flow in mitral valvular heart disease using single-pass radionuclide angiocardiography

International Nuclear Information System (INIS)

Chang-Soon Koh; Byung Tae Kim; Myung Chul Lee; Bo Yeon Cho

1982-01-01

Pulmonary hypertension in mitral valvular cardiac disease has been evaluated in 122 patients by a modified upper lung/lower count ratio using single-pass radionuclide angiocardiography. The mean upper lung/lower lung radio correlates well with pulmonary artery mean (r=0.483) and wedge pressure (r=0.804). After correction surgery of the cardiac valve, the ratio decreases and returns to normal range in patients judged clinically to have good surgical benifit. This modified method using single-pass technique provides additional simple, reproducible and nontraumatic results of regional pulmonary blood flow and appears to be correlated with the degree of pulmonary hypertension in mitral heart disease

A Dual Lung Scan for the Evaluation of Pulmonary Function in Patients with Pulmonary Tuberculosis before and after Treatment

Energy Technology Data Exchange (ETDEWEB)

Rhee, Chong Heon [Seoul National University College of Medicine, Seoul (Korea, Republic of)

1967-09-15

In 20 normal cases and 39 pulmonary tuberculosis cases, regional pulmonary arterial blood flow measurement and lung perfusion scans by {sup 131}I-Macroaggregated albumin, lung inhalation scans by colloidal {sup 198}Au and spirometries by respirometer were done at the Radiological Research Institute. The measured lung function tests were compared and the results were as the following: 1) The normal distribution of pulmonary blood flow was found to be 54.5{+-}2.82% to the right lung and 45.5{+-}2.39% to the left lung. The difference between the right and left pulmonary arterial blood flow was significant statistically (p<0.01). In the minimal pulmonary tuberculosis, the average distribution of pulmonary arterial blood flow was found to be 52.5{+-}5.3% to the right lung and 47.5{+-}1.0% to the left lung when the tuberculous lesion was in the right lung, and 56.2{+-}4.4% to the right lung and 43.8{+-}3.1% to the left lung when the tuberculous lesion was in the left lung. The difference of pulmonary arterial blood flow between the right and left lung was statistically not significant compared with the normal distribution. In the moderately advanced pulmonary tuberculosis, the average distribution of pulmonary arterial blood flow was found to be 26.9{+-}13.9% to the right lung and 73.1{+-}13.9% to the left lung when the tuberculous lesion was more severe in the right lung, and 79.6{+-}12.8% to the right lung and 20.4{+-}13.0% to the left lung when the tuberculous lesion was more severe in the left lung. These were found to be highly significant statistically compared with the normal distribution of pulmonary arterial blood flow (p<0.01). When both lungs were evenly involved, the average distribution of pulmonary arterial blood flow was found to be 49.5{+-}8.01% to the right lung and 50.5{+-}8.01% to the left lung. In the far advanced pulmonary tuberculosis, the average distribution of pulmonary arterial blood flow was found to be 18.5{+-}11.6% to the right lung and 81

Systemic-to-pulmonary collateral flow in patients with palliated univentricular heart physiology: measurement using cardiovascular magnetic resonance 4D velocity acquisition

Directory of Open Access Journals (Sweden)

Valverde Israel

2012-04-01

Full Text Available Abstract Background Systemic-to-pulmonary collateral flow (SPCF may constitute a risk factor for increased morbidity and mortality in patients with single-ventricle physiology (SV. However, clinical research is limited by the complexity of multi-vessel two-dimensional (2D cardiovascular magnetic resonance (CMR flow measurements. We sought to validate four-dimensional (4D velocity acquisition sequence for concise quantification of SPCF and flow distribution in patients with SV. Methods 29 patients with SV physiology prospectively underwent CMR (1.5 T (n = 14 bidirectional cavopulmonary connection [BCPC], age 2.9 ± 1.3 years; and n = 15 Fontan, 14.4 ± 5.9 years and 20 healthy volunteers (age, 28.7 ± 13.1 years served as controls. A single whole-heart 4D velocity acquisition and five 2D flow acquisitions were performed in the aorta, superior/inferior caval veins, right/left pulmonary arteries to serve as gold-standard. The five 2D velocity acquisition measurements were compared with 4D velocity acquisition for validation of individual vessel flow quantification and time efficiency. The SPCF was calculated by evaluating the disparity between systemic (aortic minus caval vein flows and pulmonary flows (arterial and venour return. The pulmonary right to left and the systemic lower to upper body flow distribution were also calculated. Results The comparison between 4D velocity and 2D flow acquisitions showed good Bland-Altman agreement for all individual vessels (mean bias, 0.05±0.24 l/min/m2, calculated SPCF (−0.02±0.18 l/min/m2 and significantly shorter 4D velocity acquisition-time (12:34 min/17:28 min,p 2; Fontan 0.62±0.82 l/min/m2 and not in controls (0.01 + 0.16 l/min/m2, (3 inverse relation of right/left pulmonary artery perfusion and right/left SPCF (Pearson = −0.47,p = 0.01 and (4 upper to lower body flow distribution trend related to the weight (r = 0.742, p  Conclusions 4D

Changes in pulmonary blood flow do not affect gas exchange during intermittent ventilation in resting turtles

DEFF Research Database (Denmark)

Wang, Tobias; Hicks, James W.

2008-01-01

The breathing pattern of many different air-breathing vertebrates, including lungfish, anuran amphibians, turtles, crocodiles and snakes, is characterized by brief periods of lung ventilation interspersed among apnoeas of variable duration. These intermittent ventilatory cycles are associated...... experimentally. The present study measured pulmonary gas exchange in fully recovered, freely diving turtles, where changes in pulmonary blood flow were prevented by partial occlusion of the pulmonary artery. Prevention of L-R shunt during ventilation did not impair CO2 excretion and overall, oxygen uptake and CO...

Two-phase flow stability structure in a natural circulation system

Energy Technology Data Exchange (ETDEWEB)

Zhou, Zhiwei [Nuclear Engineering Laboratory Zurich (Switzerland)

1995-09-01

The present study reports a numerical analysis of two-phase flow stability structures in a natural circulation system with two parallel, heated channels. The numerical model is derived, based on the Galerkin moving nodal method. This analysis is related to some design options applicable to integral heating reactors with a slightly-boiling operation mode, and is also of general interest to similar facilities. The options include: (1) Symmetric heating and throttling; (2) Asymmetric heating and symmetric throttling; (3) Asymmetric heating and throttling. The oscillation modes for these variants are discussed. Comparisons with the data from the INET two-phase flow stability experiment have qualitatively validated the present analysis.

Protein S is protective in pulmonary fibrosis.

Science.gov (United States)

Urawa, M; Kobayashi, T; D'Alessandro-Gabazza, C N; Fujimoto, H; Toda, M; Roeen, Z; Hinneh, J A; Yasuma, T; Takei, Y; Taguchi, O; Gabazza, E C

2016-08-01

Essentials Epithelial cell apoptosis is critical in the pathogenesis of idiopathic pulmonary fibrosis. Protein S, a circulating anticoagulant, inhibited apoptosis of lung epithelial cells. Overexpression of protein S in lung cells reduced bleomycin-induced pulmonary fibrosis. Intranasal therapy with exogenous protein S ameliorated bleomycin-induced pulmonary fibrosis. Background Pulmonary fibrosis is the terminal stage of interstitial lung diseases, some of them being incurable and of unknown etiology. Apoptosis plays a critical role in lung fibrogenesis. Protein S is a plasma anticoagulant with potent antiapoptotic activity. The role of protein S in pulmonary fibrosis is unknown. Objectives To evaluate the clinical relevance of protein S and its protective role in pulmonary fibrosis. Methods and Results The circulating level of protein S was measured in patients with pulmonary fibrosis and controls by the use of enzyme immunoassays. Pulmonary fibrosis was induced with bleomycin in transgenic mice overexpressing human protein S and wild-type mice, and exogenous protein S or vehicle was administered to wild-type mice; fibrosis was then compared in both models. Patients with pulmonary fibrosis had reduced circulating levels of protein S as compared with controls. Inflammatory changes, the levels of profibrotic cytokines, fibrosis score, hydroxyproline content in the lungs and oxygen desaturation were significantly reduced in protein S-transgenic mice as compared with wild-type mice. Wild-type mice treated with exogenous protein S showed significant decreases in the levels of inflammatory and profibrotic markers and fibrosis in the lungs as compared with untreated control mice. After bleomycin infusion, mice overexpressing human protein S showed significantly low caspase-3 activity, enhanced expression of antiapoptotic molecules and enhanced Akt and Axl kinase phosphorylation as compared with wild-type counterparts. Protein S also inhibited apoptosis of alveolar

Pulsatile operation of a continuous-flow right ventricular assist device (RVAD) to improve vascular pulsatility.

Science.gov (United States)

Ng, Boon C; Kleinheyer, Matthias; Smith, Peter A; Timms, Daniel; Cohn, William E; Lim, Einly

2018-01-01

Despite the widespread acceptance of rotary blood pump (RBP) in clinical use over the past decades, the diminished flow pulsatility generated by a fixed speed RBP has been regarded as a potential factor that may lead to adverse events such as vasculature stiffening and hemorrhagic strokes. In this study, we investigate the feasibility of generating physiological pulse pressure in the pulmonary circulation by modulating the speed of a right ventricular assist device (RVAD) in a mock circulation loop. A rectangular pulse profile with predetermined pulse width has been implemented as the pump speed pattern with two different phase shifts (0% and 50%) with respect to the ventricular contraction. In addition, the performance of the speed modulation strategy has been assessed under different cardiovascular states, including variation in ventricular contractility and pulmonary arterial compliance. Our results indicated that the proposed pulse profile with optimised parameters (Apulse = 10000 rpm and ωmin = 3000 rpm) was able to generate pulmonary arterial pulse pressure within the physiological range (9-15 mmHg) while avoiding undesirable pump backflow under both co- and counter-pulsation modes. As compared to co-pulsation, stroke work was reduced by over 44% under counter-pulsation, suggesting that mechanical workload of the right ventricle can be efficiently mitigated through counter-pulsing the pump speed. Furthermore, our results showed that improved ventricular contractility could potentially lead to higher risk of ventricular suction and pump backflow, while stiffening of the pulmonary artery resulted in increased pulse pressure. In conclusion, the proposed speed modulation strategy produces pulsatile hemodynamics, which is more physiologic than continuous blood flow. The findings also provide valuable insight into the interaction between RVAD speed modulation and the pulmonary circulation under various cardiovascular states.

Retrospective review of neonates with persistent pulmonary ...

African Journals Online (AJOL)

Background. Persistent pulmonary hypertension of the newborn (PPHN) is a clinical syndrome characterised by high pulmonary pressures, low systemic pressures and severe hypoxaemia due to circulation transition failure after birth. Objective. To determine the incidence of and describe the risk factors, infant ...

Pulmonary edema predictive scoring index (PEPSI), a new index to predict risk of reperfusion pulmonary edema and improvement of hemodynamics in percutaneous transluminal pulmonary angioplasty.

Science.gov (United States)

Inami, Takumi; Kataoka, Masaharu; Shimura, Nobuhiko; Ishiguro, Haruhisa; Yanagisawa, Ryoji; Taguchi, Hiroki; Fukuda, Keiichi; Yoshino, Hideaki; Satoh, Toru

2013-07-01

This study sought to identify useful predictors for hemodynamic improvement and risk of reperfusion pulmonary edema (RPE), a major complication of this procedure. Percutaneous transluminal pulmonary angioplasty (PTPA) has been reported to be effective for the treatment of chronic thromboembolic pulmonary hypertension (CTEPH). PTPA has not been widespread because RPE has not been well predicted. We included 140 consecutive procedures in 54 patients with CTEPH. The flow appearance of the target vessels was graded into 4 groups (Pulmonary Flow Grade), and we proposed PEPSI (Pulmonary Edema Predictive Scoring Index) = (sum total change of Pulmonary Flow Grade scores) × (baseline pulmonary vascular resistance). Correlations between occurrence of RPE and 11 variables, including hemodynamic parameters, number of target vessels, and PEPSI, were analyzed. Hemodynamic parameters significantly improved after median observation period of 6.4 months, and the sum total changes in Pulmonary Flow Grade scores were significantly correlated with the improvement in hemodynamics. Multivariate analysis revealed that PEPSI was the strongest factor correlated with the occurrence of RPE (p PEPSI to be a useful marker of the risk of RPE (cutoff value 35.4, negative predictive value 92.3%). Pulmonary Flow Grade score is useful in determining therapeutic efficacy, and PEPSI is highly supportive to reduce the risk of RPE after PTPA. Using these 2 indexes, PTPA could become a safe and common therapeutic strategy for CTEPH. Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Parametric study of natural circulation flow in molten salt fuel in molten salt reactor

Energy Technology Data Exchange (ETDEWEB)

Pauzi, Anas Muhamad, E-mail: Anas@uniten.edu.my [Centre of Nuclear Energy, Universiti Tenaga Nasional (UNITEN), Jalan IKRAM-UNITEN, 43000 Kajang, Selangor (Malaysia); Cioncolini, Andrea; Iacovides, Hector [School of Mechanical, Aerospace, and Civil Engineering (MACE), University of Manchester, Oxford Road, M13 9PL Manchester (United Kingdom)

2015-04-29

The Molten Salt Reactor (MSR) is one of the most promising system proposed by Generation IV Forum (GIF) for future nuclear reactor systems. Advantages of the MSR are significantly larger compared to other reactor system, and is mainly achieved from its liquid nature of fuel and coolant. Further improvement to this system, which is a natural circulating molten fuel salt inside its tube in the reactor core is proposed, to achieve advantages of reducing and simplifying the MSR design proposed by GIF. Thermal hydraulic analysis on the proposed system was completed using a commercial computation fluid dynamics (CFD) software called FLUENT by ANSYS Inc. An understanding on theory behind this unique natural circulation flow inside the tube caused by fission heat generated in molten fuel salt and tube cooling was briefly introduced. Currently, no commercial CFD software could perfectly simulate natural circulation flow, hence, modeling this flow problem in FLUENT is introduced and analyzed to obtain best simulation results. Results obtained demonstrate the existence of periodical transient nature of flow problem, hence improvements in tube design is proposed based on the analysis on temperature and velocity profile. Results show that the proposed system could operate at up to 750MW core power, given that turbulence are enhanced throughout flow region, and precise molten fuel salt physical properties could be defined. At the request of the authors and the Proceedings Editor the name of the co-author Andrea Cioncolini was corrected from Andrea Coincolini. The same name correction was made in the Acknowledgement section on page 030004-10 and in reference number 4. The updated article was published on 11 May 2015.

Pulmonary function in space

Science.gov (United States)

West, J. B.; Elliott, A. R.; Guy, H. J.; Prisk, G. K.

1997-01-01

The lung is exquisitely sensitive to gravity, and so it is of interest to know how its function is altered in the weightlessness of space. Studies on National Aeronautics and Space Administration (NASA) Spacelabs during the last 4 years have provided the first comprehensive data on the extensive changes in pulmonary function that occur in sustained microgravity. Measurements of pulmonary function were made on astronauts during space shuttle flights lasting 9 and 14 days and were compared with extensive ground-based measurements before and after the flights. Compared with preflight measurements, cardiac output increased by 18% during space flight, and stroke volume increased by 46%. Paradoxically, the increase in stroke volume occurred in the face of reductions in central venous pressure and circulating blood volume. Diffusing capacity increased by 28%, and the increase in the diffusing capacity of the alveolar membrane was unexpectedly large based on findings in normal gravity. The change in the alveolar membrane may reflect the effects of uniform filling of the pulmonary capillary bed. Distributions of blood flow and ventilation throughout the lung were more uniform in space, but some unevenness remained, indicating the importance of nongravitational factors. A surprising finding was that airway closing volume was approximately the same in microgravity and in normal gravity, emphasizing the importance of mechanical properties of the airways in determining whether they close. Residual volume was unexpectedly reduced by 18% in microgravity, possibly because of uniform alveolar expansion. The findings indicate that pulmonary function is greatly altered in microgravity, but none of the changes observed so far will apparently limit long-term space flight. In addition, the data help to clarify how gravity affects pulmonary function in the normal gravity environment on Earth.

Study of flow instabilities in double-channel natural circulation boiling systems

International Nuclear Information System (INIS)

Durga Prasad, Gonella V.; Pandey, Manmohan; Pradhan, Santosh K.; Gupta, Satish K.

2008-01-01

Natural circulation boiling systems consisting of parallel channels can undergo different types of oscillations (in-phase or out-of-phase) depending on the geometric parameters and operating conditions. Disturbances in one channel affect the flow in other channels, which triggers thermal-hydraulic oscillations. In the present work, the modes of oscillation under different operating conditions and channel-to-channel interaction during power fluctuations and on-power refueling in a double-channel natural circulation boiling system are investigated. The system is modeled using a lumped parameter mathematical model and RELAP5/MOD3.4. Parametric studies are carried out for an equal-power double-channel system, at different operating conditions, with both the models, and the results are compared. Instabilities, non-linear oscillations, and effects of recirculation loop dynamics and geometric parameters on the mode of oscillations, are studied using the lumped model. The two channels oscillate out-of-phase in Type-I region, but in Type-II region, both the modes of oscillation are observed under different conditions. Channel-to-channel interaction and on-power refueling studies are carried out using the RELAP model. At high powers, disturbances in one channel significantly affect the stability of the other channel. During on-power refueling, a near-stagnation condition or low-velocity reverse flow can occur, the possibility of reverse flow being higher at lower pressures

Estudo angiográfico da circulação pulmonar na tetralogia de Fallot com atresia pulmonar Angiographic study of pulmonary circulation in tetralogy of Fallot with pulmonary atresia

Directory of Open Access Journals (Sweden)

Marco Aurélio Santos

2005-02-01

arteriosus and aortopulmonary collaterals. The patients were classified into 6 types depending on the type of pulmonary vascular perfusion and the presence or absence of vascular structures that compose the pulmonary circulation in tetralogy of Fallot with pulmonary atresia. CONCLUSION: This type of approach enables the obtainment of information necessary for the correct clinicosurgical management of patients, due to the great complexity and extreme variability of the pulmonary blood supply in tetralogy of Fallot with pulmonary atresia.

CTPA for the diagnosis of acute pulmonary embolism during pregnancy

Energy Technology Data Exchange (ETDEWEB)

Schaefer-Prokop, C. [Dept. of Radiology, Academic Medical Center, Amsterdam (Netherlands); Prokop, M. [Dept. of Radiology, Utrecht Medical Center (Netherlands)

2008-12-15

CT pulmonary angiography (CTPA) has been suggested by the Fleischner society as the first test following a negative leg ultrasound in pregnant patients with suspected pulmonary embolism. This editorial discusses the use of CTPA as a diagnostic tool in pregnant women and comments on the need for specifically adapting CT protocols during pregnancy in the light of new research describing a substantial number of non-diagnostic examinations in pregnant women if routine scanning protocols are used for CTA of the pulmonary arteries. Potential reasons for these high numbers of insufficient examinations are physiological changes occurring during pregnancy that lead to a hyperdynamic circulation, which reduces average enhancement of the pulmonary vasculature. In addition, there are possible breathing-related effects that include an increased risk for Valsalva manoeuvre with devastating effects for pulmonary vascular enhancement. Techniques to overcome these problems are discussed: bolus triggering with short start delays, high flow rates or high contrast medium concentration, preferential use of fast CT systems and the use of low kVp CT techniques. CT data acquisition during deep inspiration should be avoided and shallow respiration may be considered as an alternative to suspended breathing in this patient group. All these factors can contribute to optimization of the quality of pulmonary CTA in pregnant patients. It is time now to adapt our protocols and provide optimum care for this sensitive patient group.

Differential visceral blood flow in the hyperdynamic circulation of patients with liver cirrhosis.

Science.gov (United States)

McAvoy, N C; Semple, S; Richards, J M J; Robson, A J; Patel, D; Jardine, A G M; Leyland, K; Cooper, A S; Newby, D E; Hayes, P C

2016-05-01

With advancing liver disease and the development of portal hypertension, there are major alterations in somatic and visceral blood flow. Using phase-contrast magnetic resonance angiography, we characterised alterations in blood flow within the hepatic, splanchnic and extra-splanchnic circulations of patients with established liver cirrhosis. To compare blood flow in splanchnic and extra-splanchnic circulations in patients with varying degrees of cirrhosis and healthy controls. In a single-centre prospective study, 21 healthy volunteers and 19 patients with established liver disease (Child's stage B and C) underwent electrocardiogram-gated phase-contrast-enhanced 3T magnetic resonance angiography of the aorta, hepatic artery, portal vein, superior mesenteric artery, and the renal and common carotid arteries. In comparison to healthy volunteers, resting blood flow in the descending thoracic aorta was increased by 43% in patients with liver disease (4.31 ± 1.47 vs. 3.31 ± 0.80 L/min, P = 0.011). While portal vein flow was similar (0.83 ± 0.38 vs. 0.77 ± 0.35 L/min, P = 0.649), hepatic artery flow doubled (0.50 ± 0.46 vs. 0.25 ± 0.15 L/min, P = 0.021) and consequently total liver blood flow increased by 30% (1.33 ± 0.84 vs. 1.027 ± 0.5 L/min, P = 0.043). In patients with liver disease, superior mesenteric artery flow was threefold higher (0.65 ± 0.35 vs. 0.22 ± 0.13 L/min, P phenomenon. These circulatory disturbances may underlie many of the manifestations of advanced liver disease. © 2016 John Wiley & Sons Ltd.

Experimental study of core thermohydraulics in fast reactors during transition from forced to natural circulation. Influence of inter-wrapper flow

International Nuclear Information System (INIS)

Kamide, H.; Hayashi, K.; Momoi, K.

1997-01-01

The evaluation of core thermohydraulics under natural circulation conditions is important to utilize inherent safety features of Fast Reactors. When heat exchangers of a decay heat removal system are operated in an upper plenum of reactor vessel, cold sodium is provided by the heat exchangers. Core-plenum interactions will occur during a natural circulation condition due to this cold sodium in the upper plenum, e.g., it can penetrate into gap regions between fuel subassemblies (inter-wrapper flow, IWF) and the flow may reverse in low power core channels. These interactions will significantly modify the flow and temperature distributions in the core. Sodium experiments were carried out to study these phenomena. In a test section, seven subassemblies are housed and connected to an upper plenum. The influences of core-plenum interactions on the core thermohydraulics were investigated under steady state conditions and also in transitions from forced to natural circulation. Cooling effects of IWF on the fuel subassemblies were found in spite of natural circulation flow reduction in the primary loop due to temperature decreases in the upper non-heated section in the core. The inter-wrapper flow can effectively cool the core under extreme conditions of low flow rates through the core. (author)

Flow-related Right Ventricular - Pulmonary Arterial Pressure Gradients during Exercise.

Science.gov (United States)

Wright, Stephen P; Opotowsky, Alexander R; Buchan, Tayler A; Esfandiari, Sam; Granton, John T; Goodman, Jack M; Mak, Susanna

2018-06-06

The assumption of equivalence between right ventricular and pulmonary arterial systolic pressure is fundamental to several assessments of right ventricular or pulmonary vascular hemodynamic function. Our aims were to 1) determine whether systolic pressure gradients develop across the right ventricular outflow tract in healthy adults during exercise, 2) examine the potential correlates of such gradients, and 3) consider the effect of such gradients on calculated indices of right ventricular function. Healthy untrained and endurance-trained adult volunteers were studied using right-heart catheterization at rest and during submaximal cycle ergometry. Right ventricular and pulmonary artery pressures were simultaneously transduced, and cardiac output was determined by thermodilution. Systolic pressures, peak and mean gradients, and indices of chamber, vascular, and valve function were analyzed offline. Summary data are reported as mean ± standard deviation or median [interquartile range]. No significant right ventricular outflow tract gradients were observed at rest (mean gradient = 4 [3-5] mmHg), and calculated effective orifice area was 3.6±1.0 cm2. Right ventricular systolic pressure increases during exercise were greater than that of pulmonary artery systolic pressure. Accordingly, mean gradients developed during light exercise (8 [7-9] mmHg) and increased during moderate exercise (12 [9-14] mmHg, p < 0.001). The magnitude of the mean gradient was linearly related to cardiac output (r2 = 0.70, p < 0.001). In healthy adults without pulmonic stenosis, systolic pressure gradients develop during exercise, and the magnitude is related to blood flow rate.

Ultrasound diagnosis of pulmonary hypertension in children with chronic bronchopulmonary diseases

International Nuclear Information System (INIS)

Kondrat'ev, V.O.

2000-01-01

Ultrasound criteria of diagnosis of pulmonary hypertension and study this complication frequency in children with chronic bronchopulmonary diseases was determined. As diagnostic criteria of pulmonary hypertension Doppler echocardiographic indices of circulation in the pulmonary arteries are suggested

Critical rate of electrolyte circulation for preventing zinc dendrite formation in a zinc-bromine redox flow battery

Science.gov (United States)

Yang, Hyeon Sun; Park, Jong Ho; Ra, Ho Won; Jin, Chang-Soo; Yang, Jung Hoon

2016-09-01

In a zinc-bromine redox flow battery, a nonaqueous and dense polybromide phase formed because of bromide oxidation in the positive electrolyte during charging. This formation led to complicated two-phase flow on the electrode surface. The polybromide and aqueous phases led to different kinetics of the Br/Br- redox reaction; poor mixing of the two phases caused uneven redox kinetics on the electrode surface. As the Br/Br- redox reaction was coupled with the zinc deposition reaction, the uneven redox reaction on the positive electrode was accompanied by nonuniform zinc deposition and zinc dendrite formation, which degraded battery stability. A single-flow cell was operated at varying electrolyte circulation rates and current densities. Zinc dendrite formation was observed after cell disassembly following charge-discharge testing. In addition, the flow behavior in the positive compartment was observed by using a transparent version of the cell. At low rate of electrolyte circulation, the polybromide phase clearly separated from the aqueous phase and accumulated at the bottom of the flow frame. In the corresponding area on the negative electrode, a large amount of zinc dendrites was observed after charge-discharge testing. Therefore, a minimum circulation rate should be considered to avoid poor mixing of the positive electrolyte.

Pathophysiology of Pulmonary Hypertension in Chronic Parenchymal Lung Disease.

Science.gov (United States)

Singh, Inderjit; Ma, Kevin Cong; Berlin, David Adam

2016-04-01

Pulmonary hypertension commonly complicates chronic obstructive pulmonary disease and interstitial lung disease. The association of chronic lung disease and pulmonary hypertension portends a worse prognosis. The pathophysiology of pulmonary hypertension differs in the presence or absence of lung disease. We describe the physiological determinants of the normal pulmonary circulation to better understand the pathophysiological factors implicated in chronic parenchymal lung disease-associated pulmonary hypertension. This review will focus on the pathophysiology of 3 forms of chronic lung disease-associated pulmonary hypertension: idiopathic pulmonary fibrosis, chronic obstructive pulmonary disease, and sarcoidosis. Copyright © 2016 Elsevier Inc. All rights reserved.

Experimental study of gas–liquid two-phase flow through packed bed under natural circulation conditions

International Nuclear Information System (INIS)

Chen, Shao-Wen; Miwa, Shuichiro; Griffiths, Matt

2016-01-01

Dry-out phenomena in packed beds or porous media may cause a significant digression of cooling/reaction performance in heat transfer/chemical reactor systems. One of the phenomena responsible for the dry-out in packed beds is known as the counter-current flow limitation (CCFL). In order to investigate the CCFL phenomena induced by gas–liquid two-phase flow in packed beds inside a pool, a natural circulation packed bed test facility was designed and constructed. A total of 27 experimental conditions covering various packing media sizes (sphere diameters: 3.0, 6.4 and 9.5 mm), packed bed heights (15, 35 and 50 cm) and water level heights (1.0, 1.5 and 2.0 m) were tested to examine the CCFL criteria with adiabatic air–water two-phase flow under natural circulation conditions. Both CCFL and flow reversal phenomena were observed, and the experimental data including instantaneous and time-averaged void fraction, differential pressure and superficial gas–liquid velocities were collected. The CCFL criteria were determined when periodical oscillations of void fraction and differential pressure appear. In addition, the Wallis correlation for CCFL was utilized for data analysis, and the Wallis coefficient, C, was determined experimentally from the packed bed CCFL tests. Compared to the existing data-sets in literature, the higher C values obtained in the present experiment suggest a possibly higher dry-out heat flux for natural circulation debris systems, which may be due to the water supply from both top and bottom surfaces of the packed beds. Considering the effects of bed height and hydraulic diameter of the packing media, a newly developed model for the Wallis coefficient, C, under natural circulation CCFL is presented. The present model can predict the experimental data with an averaged absolute error of ±7.9%. (author)

Evaluation method for core thermohydraulics during natural circulation in fast reactors numerical predictions of inter-wrapper flow

International Nuclear Information System (INIS)

Kamide, H.; Kimura, N.; Miyakoshi, H.; Nagasawa, K.

2001-01-01

Decay heat removal using natural circulation is one of the important functions for the safety of fast reactors. As a decay heat removal system, direct reactor auxiliary cooling system has been selected in current designs of fast reactors. In this design, dumped heat exchanger provides cold sodium and it covers the reactor core outlet. The cold sodium can penetrate into the gap region between the subassemblies. This gap flow is referred as inter-wrapper flow (IWF). A numerical estimation method for such natural circulation phenomena in a reactor core has been developed, which models each subassembly as a rectangular duct with gap region between the subassemblies and also the upper plenum in a reactor vessel. This numerical simulation method was verified based on experimental data of a sodium test using 7- subassembly core model and also a water test which simulates IWF using the 1/12 sector model of a reactor core. We applied the estimation method to the natural circulation in a 600 MW class fast reactor. The temperature in the core strongly depended on IWF, flow redistribution in the core, and inter-subassembly heat transfer. It is desired for prediction methods on the natural circulation to simulate these phenomena. (author)

Unsteady single-phase natural circulation flow mixing prediction using CATHARE three-dimensional capabilities

Energy Technology Data Exchange (ETDEWEB)

Salah, Anis Bousbia; Vlassenbroeck, Jacques [Bel V - Subsidiary of the Belgian Federal Agency for Nuclear Contro, Brussels (Belize)

2017-04-15

Coolant mixing under natural circulation flow regime constitutes a key parameter that may play a role in the course of an accidental transient in a nuclear pressurized water reactor. This issue has motivated some experimental investigations carried out within the OECD/NEA PKL projects. The aim was to assess the coolant mixing phenomenon in the reactor pressure vessel downcomer and the core lower plenum under several asymmetric steady and unsteady flow conditions, and to provide experimental data for code validations. Former studies addressed the mixing phenomenon using, on the one hand, one-dimensional computational approaches with cross flows that are not fully validated under transient conditions and, on the other hand, expensive computational fluid dynamic tools that are not always justified for large-scale macroscopic phenomena. In the current framework, an unsteady coolant mixing experiment carried out in the Rossendorf coolant mixing test facility is simulated using the three-dimensional porous media capabilities of the thermal–hydraulic system CATHARE code. The current study allows highlighting the current capabilities of these codes and their suitability for reproducing the main phenomena occurring during asymmetric transient natural circulation mixing conditions.

An experimental study of two-phase natural circulation in an adiabatic flow loop

International Nuclear Information System (INIS)

Tan, M.J.; Lambert, G.A.; Ishii, Mamoru.

1988-01-01

An experimental investigation was conducted to study the two-phase flow aspect of the phenomena of interruption and resumption of natural circulation, two-phase flow patterns and pattern transitions in the hot legs of B and W light water reactor systems. The test facility was a scaled adiabatic loop designed in accordance with the scaling criteria developed by Kocamustafaogullari and Ishii. The diameter and the height of the hot leg were 10 cm and 5.5 m, respectively; the working fluid pair was nitrogen-water. The effects of the thermal center in the steam generators, friction loss in the cold leg, and configuration of the inlet to the hot leg on the flow conditions in the hot leg were investigated by varying the water level in a gas separator, controlling the size of opening of a friction loss control valve, and using two inlet geometries. Methods for estimating the distribution parameter and the average drift velocity are proposed so that they may be used in the application of one-dimensional drift-flux model to the analysis of the interruption and resumption of natural circulation in a similar geometry. 7 refs., 17 figs., 4 tabs

DETECTION OF EQUATORWARD MERIDIONAL FLOW AND EVIDENCE OF DOUBLE-CELL MERIDIONAL CIRCULATION INSIDE THE SUN

International Nuclear Information System (INIS)

Zhao Junwei; Bogart, R. S.; Kosovichev, A. G.; Hartlep, Thomas; Duvall, T. L. Jr.

2013-01-01

Meridional flow in the solar interior plays an important role in redistributing angular momentum and transporting magnetic flux inside the Sun. Although it has long been recognized that the meridional flow is predominantly poleward at the Sun's surface and in its shallow interior, the location of the equatorward return flow and the meridional flow profile in the deeper interior remain unclear. Using the first 2 yr of continuous helioseismology observations from the Solar Dynamics Observatory/Helioseismic Magnetic Imager, we analyze travel times of acoustic waves that propagate through different depths of the solar interior carrying information about the solar interior dynamics. After removing a systematic center-to-limb effect in the helioseismic measurements and performing inversions for flow speed, we find that the poleward meridional flow of a speed of 15 m s –1 extends in depth from the photosphere to about 0.91 R ☉ . An equatorward flow of a speed of 10 m s –1 is found between 0.82 and 0.91 R ☉ in the middle of the convection zone. Our analysis also shows evidence of that the meridional flow turns poleward again below 0.82 R ☉ , indicating an existence of a second meridional circulation cell below the shallower one. This double-cell meridional circulation profile with an equatorward flow shallower than previously thought suggests a rethinking of how magnetic field is generated and redistributed inside the Sun

DETECTION OF EQUATORWARD MERIDIONAL FLOW AND EVIDENCE OF DOUBLE-CELL MERIDIONAL CIRCULATION INSIDE THE SUN

Energy Technology Data Exchange (ETDEWEB)

Zhao Junwei; Bogart, R. S.; Kosovichev, A. G.; Hartlep, Thomas [W. W. Hansen Experimental Physics Laboratory, Stanford University, Stanford, CA 94305-4085 (United States); Duvall, T. L. Jr. [Solar Physics Laboratory, NASA Goddard Space Flight Center, Greenbelt, MD 20771 (United States)

2013-09-10

Meridional flow in the solar interior plays an important role in redistributing angular momentum and transporting magnetic flux inside the Sun. Although it has long been recognized that the meridional flow is predominantly poleward at the Sun's surface and in its shallow interior, the location of the equatorward return flow and the meridional flow profile in the deeper interior remain unclear. Using the first 2 yr of continuous helioseismology observations from the Solar Dynamics Observatory/Helioseismic Magnetic Imager, we analyze travel times of acoustic waves that propagate through different depths of the solar interior carrying information about the solar interior dynamics. After removing a systematic center-to-limb effect in the helioseismic measurements and performing inversions for flow speed, we find that the poleward meridional flow of a speed of 15 m s{sup -1} extends in depth from the photosphere to about 0.91 R{sub Sun }. An equatorward flow of a speed of 10 m s{sup -1} is found between 0.82 and 0.91 R{sub Sun} in the middle of the convection zone. Our analysis also shows evidence of that the meridional flow turns poleward again below 0.82 R{sub Sun }, indicating an existence of a second meridional circulation cell below the shallower one. This double-cell meridional circulation profile with an equatorward flow shallower than previously thought suggests a rethinking of how magnetic field is generated and redistributed inside the Sun.

Pulmonary branch arterial flow can be measured with cine MR velocity mapping

International Nuclear Information System (INIS)

Caputo, G.R.; Kondo, C.; Masui, T.; Foster, E.; Geraci, S.J.; O'Sullivan, M.; Higgins, C.B.

1990-01-01

This paper assesses the capability of cine MR phase velocity mapping (CVM) to measure main, right-sided, and left-sided pulmonary arterial (PA) blood flow. The authors examined a constant-flow phantom and nine healthy volunteers with use of 1.5-T MR imaging system (GE Signa) with phase velocity cine sequences. CVM correctly measured constant-flow phantom velocities (range, 20-190 cm/sec; r = .998, SEE = 4.2 cm/sec), and velocity with use of angulated planes to section the phantom tube perpendicularly. CVM peak systolic main PA velocity (79 cm/sec ± 10) correlated well with Doppler US measurements (80 cm/sec ± 7). CVM main PA flow correlated well with conventional cine MR LV stroke volume measurements (r = .98, SEE = 4.8 mL). Left and right PA flow on the angulated planes were 29 mL ± 7 and 34 mL ± 10, respectively

The usefulness of computed tomography in distinguishing between asthma with irreversible air-flow limitation and pulmonary emphysema

International Nuclear Information System (INIS)

Taniguchi, Hiroyuki; Ogawa, Kenji; Nakajima, Yoko; Amano, Masao; Kondo, Yasuhiro; Matsumoto, Kohei; Yokoyama, Sigeki; Matsubara, Kazuhito

1988-01-01

Chronic asthma may develop irreversible air-flow limitation and in this circumstance, it is clinically difficult to distinguish between asthma and pulmonary emphysema. Recently, it has been reported that computed tomography (CT) may assist in detecting changes in the lung specific for emphysema. We examined patients who suffered from asthma before the age of 45 which led to irreversible air-flow limitation (BA group; n = 17, mean age = 65.9) and patients with pulmonary emphysema (CPE group; n = 19, mean age = 69.8). Pulmonary function testing and CT were performed on all patients. In assessment of CT, areas of low attenuation and vascular disruption were considered to be suggestive of emphysema, and the Emphysema Score (ES) was calculated according to the method of Bergin et al. There was no significant difference in FEV1.0, % FEV1.0, % FEV1.0/FVC, % RV and RV/TLC between the BA group and the CPE group. In contrast, there was a significant decrease in the % DLco in CPE group compared with that of the BA group (p < 0.001). The ES in total lung was 54.9 ± 18.6 % in the CPE group and 7.8 ± 11.0 % in BA group (p < 0.001). There was a significant correlation between the % DLco and the ES in the CPE group (p < 0.01). We conclude that the CT is useful in distinguishing between asthma with irreversible air-flow limitation and pulmonary emphysema. (author)

Model-based characterization of the transpulmonary circulation by DCE-MRI

NARCIS (Netherlands)

Saporito, S.; Herold, I.H.F.; Houthuizen, P.; den Boer, J.; Van Den Bosch, H.; Korsten, H.; van Assen, H.C.; Mischi, M.

2016-01-01

Objective measures to assess pulmonary circulation status would improve heart failure patient care. We propose a method for the characterization of the transpulmonary circulation by DCE-MRI. Parametric deconvolution was performed between contrast agent fifirst passage time-enhancement curves derived

Review of the Association between Splenectomy and Chronic Thromboembolic Pulmonary Hypertension.

Science.gov (United States)

Kimmig, Lucas M; Palevsky, Harold I

2016-06-01

Recent evidence suggests that there may be a link between splenectomy and the later development of pulmonary hypertension, in particular World Health Organization group IV pulmonary hypertension (chronic thromboembolic pulmonary hypertension). Epidemiological studies have demonstrated an odds ratio as high as 18 for the development of chronic thromboembolic pulmonary hypertension after splenectomy in comparison with matched control subjects who have not undergone splenectomy. The mechanisms governing the association between removal of the spleen and the subsequent development of chronic thromboembolic pulmonary hypertension remain incompletely understood; however, recent advances in understanding of coagulation homeostasis have shed some light on this association. Splenectomy increases the risk of venous thromboembolic disease, a necessary precursor of chronic thromboembolic pulmonary hypertension, by generating a prothrombotic state. This prothrombotic state likely results from a reduction in the removal of circulating procoagulant factors from the bloodstream after splenectomy. Although much is to be learned, circulating microparticles have emerged as the most likely mediator for the development of thrombosis after splenectomy. Apparently because of a reduction in reticuloendothelial cell clearance, microparticle levels are elevated in patients after splenectomy. Elevated circulating microparticle levels have been linked to thromboembolism and pulmonary hypertension in a dose-dependent fashion. It is important for health care providers to be aware of the link between splenectomy and chronic thromboembolic pulmonary hypertension. We are optimistic that clarification of the exact mechanisms that govern this association will yield clinical guidelines and potential treatments.

Pulmonary decompression sickness at altitude: early symptoms and circulating gas emboli

Science.gov (United States)

Balldin, Ulf I.; Pilmanis, Andrew A.; Webb, James T.

2002-01-01

INTRODUCTION: Pulmonary altitude decompression sickness (DCS) is a rare condition. 'Chokes' which are characterized by the triad of substernal pain, cough, and dyspnea, are considered to be associated with severe accumulation of gas bubbles in the pulmonary capillaries and may rapidly develop into a life-threatening medical emergency. This study was aimed at characterizing early symptomatology and the appearance of venous gas emboli (VGE). METHODS: Symptoms of simulated-altitude DCS and VGE (with echo-imaging ultrasound) were analyzed in 468 subjects who participated in 22 high altitude hypobaric chamber research protocols from 1983 to 2001 at Brooks Air Force Base, TX. RESULTS: Of 2525 subject-exposures to simulated altitude, 1030 (41%) had symptoms of DCS. Only 29 of those included DCS-related pulmonary symptoms. Of these, only 3 subjects had all three pulmonary symptoms of chokes; 9 subjects had two of the pulmonary symptoms; and 17 subjects had only one. Of the 29 subject-exposures with pulmonary symptoms, 27 had VGE and 21 had severe VGE. The mean onset times of VGE and symptoms in the 29 subject-exposures were 42 +/- 30 min and 109 +/- 61 min, respectively. In 15 subjects, the symptoms disappeared during recompression to ground level followed by 2 h of oxygen breathing. In the remaining 14 cases, the symptoms disappeared with immediate hyperbaric oxygen treatment. CONCLUSIONS: Pulmonary altitude DCS or chokes is confirmed to be a rare condition. Our data showed that when diagnosed early, recompression to ground level pressure and/or hyperbaric oxygen treatment was 100% successful in resolving the symptoms.

A flow cytometric method for characterization of circulating cell-derived microparticles in plasma

DEFF Research Database (Denmark)

Nielsen, Morten Hjuler; Beck-Nielsen, Henning; Andersen, Morten Nørgaard

2014-01-01

BACKGROUND AND AIM: Previous studies on circulating microparticles (MPs) indicate that the majority of MPs are of a size below the detection limit of most standard flow cytometers. The objective of the present study was to establish a method to analyze MP subpopulations above the threshold...

An experimental study on two-phase flow pattern in low pressure natural circulation system

International Nuclear Information System (INIS)

Wu Shaorong; Han Bing; Zhou Lei; Zhang Youjie; Jiang Shengyao; Wu Xinxin

1991-10-01

An experimental study on two-phase flow pattern in the riser of low pressure natural circulation system was performed. The local differential pressure signal was analysed for flow pattern. It is considered that Sr f·d/v can be used to distinguish different flow patterns and it has clear and definite physical meaning. Flow patterns at different inlet temperature with different system pressures (1.5 MPa, 0.24 MPa and 0.1 MPa) are described. It is considered that the flow pattern is only bubble flow without flow pattern change during the period of low quality density-wave instability at 1.5 MPa. There is no density-wave oscillation in the system, when flow pattern is in bubble-intermittent transition area. The effect of flash vaporization on stability at low pressure is discussed

Evaluation of circulating proteins and hemodynamics towards predicting mortality in children with pulmonary arterial hypertension.

Directory of Open Access Journals (Sweden)

Brandie D Wagner

Full Text Available Although many predictors have been evaluated, a set of strong independent prognostic mortality indicators has not been established in children with pediatric pulmonary arterial hypertension (PAH. The aim of this study was to identify a combination of clinical and molecular predictors of survival in PAH.This single-center, retrospective cohort study was performed from children with PAH between 2001 and 2008 at Children's Hospital Colorado. Blood samples from 83 patients (median age of 8.3 years-old were obtained. We retrospectively analyzed 46 variables, which included 27 circulating proteins, 7 demographic variables and 12 hemodynamic and echocardiographic variables for establishing the best predictors of mortality. A data mining approach was utilized to evaluate predictor variables and to uncover complex data structures while performing variable selection in high dimensional problems.Thirteen children (16% died during follow-up (median; 3.1 years and survival rates from time of sample collection at 1 year, 3 years and 5 years were 95%, 85% and 79%, respectively. A subset of potentially informative predictors were identified, the top four are listed here in order of importance: Tissue inhibitors of metalloproteinases-1 (TIMP-1, apolipoprotein-AI, RV/LV diastolic dimension ratio and age at diagnosis. In univariate analysis, TIMP-1 and apolipoprotein-AI had significant association with survival time (hazard ratio [95% confidence interval]: 1.25 [1.03, 1.51] and 0.70 [0.54-0.90], respectively. Patients grouped by TIMP-1 and apolipoprotein-AI values had significantly different survival risks (p<0.01.Important predictors of mortality were identified from a large number of circulating proteins and clinical markers in this cohort. If confirmed in other populations, measurement of a subset of these predictors could aid in management of pediatric PAH by identifying patients at risk for death. These findings also further support a role for the clinical

[Pulmonary hypertension of the newborn--recent advances in the management and treatment].

Science.gov (United States)

Vakrilova, L; Radulova, P; Hitrova, St; Slancheva, B

2014-01-01

Pulmonary hypertension of the newborn is a clinical syndrome with diverse etiology in which the transition from fetal circulation with high pulmonary vascular resistance to postnatal circulation with low pulmonary vascular resistance failed. The persistence of high pulmonary vascular pressure leads to right-left shunts and marked cyanosis. Despite of the advances in neonatology, the treatment of some forms of PPHN is often difficult and mortality rate remains high. In infants with PPHN appropriate interventions are critical to reverse hypoxemia, improve pulmonary and systemic perfusion and preserve end-organ function. Our understanding for management of PPHN has evaluated over decades. This review summarizes the current strategies for treatment of pulmonary hypertension of the newborn: general care, cardiovascular support, the advantages and limitations of different ventilatory strategies, oxygen therapy, extracorporal membrane oxygenation, and the evidence-based inhaled nitric oxide therapy. The balance between pulmonary vasoconstrictor and vasodilator mediators plays an important role for pulmonary vascular resistance. Recent studies are designed to develop evidence-based therapies for regulation of pulmonary vascular tone, safe medications for selective pulmonary vasodilatation effective for treatment of PPHN and other forms of pulmonary hypertension in the neonatal intensive care unit.

Differentiation of chronic total occlusion and subtotal occlusion of the femoropopliteal artery-role of retrograde flow sign and collateral circulation on CT angiography images.

Science.gov (United States)

Zhang, Shujun; Su, Yanfei; Chen, Haisong

2017-08-01

To study the value of a retrograde flow sign and the collateral circulation on CT angiography (CTA) for the differential diagnosis of chronic total occlusion from subtotal occlusion of the femoropopliteal artery (FPA). 50 patients with obstruction of the FPA underwent CTA and digital subtraction angiography examinations of the lower limbs. The frequency of a retrograde flow sign and collateral circulation on CTA in chronic total and subtotal occlusion was noted and analyzed, with the results of digital subtraction angiography as a standard to judge total or subtotal occlusion. The decreasing CT value from the distal to proximal direction on CTA suggests the existence of retrograde flow. There were significant differences in the occurrence rates of a retrograde flow sign on CTA in the chronic total and subtotal obstruction groups (X 2 = 13.1, p collateral circulation sign (X 2 = 13.5, p collateral circulation sign to diagnose chronic total obstruction of the FPA had a sensitivity of 92.3% and specificity of 89.8%. The retrograde flow sign combined with a collateral circulation sign is of great clinical value for differentiation of chronic total stenosis from severe stenosis (subtotal occlusion) of the FPA. Advances in knowledge: A retrograde flow sign combined with a collateral circulation sign is of great clinical value to differentiate between chronic total stenosis and severe stenosis (subtotal occlusion) of the FPA.

Experimental and numerical study on single-phase flow characteristics of natural circulation system with heated narrow rectangular channel under rolling motion condition

International Nuclear Information System (INIS)

Yu, Shengzhi; Wang, Jianjun; Yan, Ming; Yan, Changqi; Cao, Xiaxin

2017-01-01

Highlights: • The phasic difference between flow rate and frictional pressure drop is negligible. • Effect mechanism of rolling motion on flow behaviors of NC is interpreted. • The startup model is proposed and verified. • Steady-state correlations are feasible to predict transient resistance. • The in-house code can simulate instantaneous flow behaviors of NC correctly. - Abstract: Effects of rolling motion on flow characteristics in a natural circulation system were investigated experimentally and numerically. The numerical results from validated code were mainly used to provide detailed information for the discussion and analysis of experimental results. The results indicate that under rolling motion condition, the phasic difference between flow rate and frictional pressure drop of narrow rectangular channel is negligible. Angular acceleration is the eigenvalue for the effects of rolling motion on flow rate under single-phase natural circulation condition. When angular acceleration is approximately equal, even though either the angle or the period of rolling motion is different, peak, trough and time-averaged values of flow rate are approximately equal. Under rolling motion and single-phase natural circulation conditions, the phenomenon that dimensionless time-averaged mass flow rate is smaller than that under steady state condition is controlled by the nonlinear relationship between mass flow rate and the resistance of loop. The factor also causes the result that the absolute difference of dimensionless flow rate between peak and steady state is smaller than that between trough and steady state. The startup model which is proposed in present paper can be used to predict the flow characteristics of single-phase natural circulation system at startup stage of rolling motion favorably. The self-developed code can simulate instantaneous flow characteristics of single-phase natural circulation system under rolling motion and steady state conditions

Effects of irradiation on the pulmonary hemodynamics and the pulmonary vascular permeability

International Nuclear Information System (INIS)

Ohkuda, Kazuhiro; Watanabe, Shinkichi; Okada, Shinichiroh

1982-01-01

In 4 sheeps, base lines of hemodynamics and lymph dynamics were observed for 2 hours, and then 1,000 rad of 60 Co was irradiated to the inferior lobes of the lung. Pulmonary hemodynamics and lymph dynamics were continuously observed, and water and protein permeability of the irradiated pulmonary vessels was evaluated. In 4 control sheeps, no change in pulmonary hemodynamics and lymph dynamics was noted. In the irradiated group, there was no remarkable change in pulmonary hemodynamics for 6 to 8 hours after 60 Co irradiation. Pulmonary lymph flow began to increase 2 hours after irradiation to about 1.7 times the base line level after 4 hours. The increase in pulmonary lymph flow was accompanied by decrease in plasma protein concentration and increase in protein concentration of the lung lymph, resulting in an apparent increase in the ratio of lymph/plasma protein concentration. Water and protein leak from the pulmonary vessels increased. A photomicroscopic observation revealed dilatation of the lymphatic vessels in the lung interstice and a mild pulmonary interstitial edema. Vascular damage, especially due to increased water and protein permeability of the lung capillary vessels, occurred immediately after 60 Co irradiation. (Ueda, J.)

Experimental study on two-phase flow natural circulation in a core catcher cooling channel for EU-APR1400 using air-water system

Energy Technology Data Exchange (ETDEWEB)

Song, Ki Won [Division of Advanced Nuclear Engineering, POSTECH, Pohang 790-784 (Korea, Republic of); Korea Atomic Energy Research Institute, Daejeon 34057 (Korea, Republic of); Nguyen, Thanh Hung [School of Nuclear Engineering, Purdue University, West Lafayette, IN 47906 (United States); Ha, Kwang Soon; Kim, Hwan Yeol; Song, Jinho [Korea Atomic Energy Research Institute, Daejeon 34057 (Korea, Republic of); Park, Hyun Sun [Division of Advanced Nuclear Engineering, POSTECH, Pohang 790-784 (Korea, Republic of); Revankar, Shripad T., E-mail: shripad@postech.ac.kr [Division of Advanced Nuclear Engineering, POSTECH, Pohang 790-784 (Korea, Republic of); School of Nuclear Engineering, Purdue University, West Lafayette, IN 47906 (United States); Kim, Moo Hwan [Division of Advanced Nuclear Engineering, POSTECH, Pohang 790-784 (Korea, Republic of); Korea Institute of Nuclear Safety, Daejeon 305-338 (Korea, Republic of)

2017-05-15

Highlights: • Two-phase flow regimes and transition behavior were observed in the coolant channel. • Test were conducted for natural circulation with air-water. • Data were obtained on flow regime, void fraction, flow rates and re-wetting time. • The data were related to a cooling capability of core catcher system. - Abstract: Ex-vessel core catcher cooling system driven by natural circulation is designed using a full scaled air-water system. A transparent half symmetric section of a core catcher coolant channel of a pressurized water reactor was designed with instrumentations for local void fraction measurement and flow visualization. Two designs of air-water top separator water tanks are studied including one with modified ‘super-step’ design which prevents gas entrainment into down-comer. In the experiment air flow rates are set corresponding to steam generation rate for given corium decay power. Measurements of natural circulation flow rate, spatial local void fraction distribution and re-wetting time near the top wall are carried out for various air flow rates which simulate boiling-induced vapor generation. Since heat transfer and critical heat flux are strongly dependent on the water mass flow rate and development of two-phase flow on the heated wall, knowledge of two-phase flow characteristics in the coolant channel is essential. Results on flow visualization showing two phase flow structure specifically near the high void accumulation regions, local void profiles, rewetting time, and natural circulation flow rate are presented for various air flow rates that simulate corium power levels. The data are useful in assessing the cooling capability of and safety of the core catcher system.

An experimental investigation of natural circulated air flow in the passive containment cooling system

International Nuclear Information System (INIS)

Ryu, S.H.; Oh, S.M.; Park, G.C.

2004-01-01

The objective of this study is to investigate the effects of air inlet position and external conditions on the natural circulated air flow rate in a passive containment cooling system of the advanced passive reactor. Experiments have been performed with 1/36 scaled segment type passive containment test facility. The air velocities and temperatures are measured through the air flow path. Also, the experimental results are compared with numerical calculations and show good agreement. (author)

Pulmonary Hypertension in the Intensive Care Unit.

Science.gov (United States)

Jentzer, Jacob C; Mathier, Michael A

2016-07-01

Pulmonary hypertension occurs as the result of disease processes increasing pressure within the pulmonary circulation, eventually leading to right ventricular failure. Patients may become critically ill from complications of pulmonary hypertension and right ventricular failure or may develop pulmonary hypertension as the result of critical illness. Diagnostic testing should evaluate for common causes such as left heart failure, hypoxemic lung disease and pulmonary embolism. Relatively few patients with pulmonary hypertension encountered in clinical practice require specific pharmacologic treatment of pulmonary hypertension targeting the pulmonary vasculature. Management of right ventricular failure involves optimization of preload, maintenance of systemic blood pressure and augmentation of inotropy to restore systemic perfusion. Selected patients may require pharmacologic therapy to reduce right ventricular afterload by directly targeting the pulmonary vasculature, but only after excluding elevated left heart filling pressures and confirming increased pulmonary vascular resistance. Critically-ill patients with pulmonary hypertension remain at high risk of adverse outcomes, requiring a diligent and thoughtful approach to diagnosis and treatment. © The Author(s) 2015.

Computer-assisted diagnostic procedure for multislice computed tomography for assessment of the pulmonary arterial circulation. Clinical relevance

International Nuclear Information System (INIS)

Malich, A.; Hentrich, D.; Hansch, A.; Teichgraeber, U.; Boettcher, J.

2012-01-01

A recently developed CAD software which highlights intravascular thrombotic structures from multislice computed tomography (MSCT) data was tested regarding feasibility, interobserver reliability and effect on radiology reports. The CAD system ImageChecker registered CT-Lung was tested in a randomized double-blinded study on 160 MSCT datasets (standardized technical conditions) performed for suspected pulmonary embolism (PE). The CAD data and images were analyzed by three radiologists in an independent and blinded fashion. The data from all 160 cases could be analyzed and 604 CAD prompts were set. Using the CAD analysis significantly more PEs were found in the peripheral pulmonary arterial circulation than described in the initial report. In 38 cases the 3 radiologists in consensus scored the images with the CAD adjunct as PE positive in peripheral vessels, which were initially reported as negative. Despite differences in the evaluation between two radiologists the amended assessment of the imaging data using the CAD softwear was reliable. There was a significant correlation between D-dimer values and the number of embolic structures detected by the CAD analysis. The recently developed CAD system is a useful adjunct as second reader to detect subtle emboli in peripheral vessels of MSCT datasets. (orig.) [de

Automated measurement and classification of pulmonary blood-flow velocity patterns using phase-contrast MRI and correlation analysis.

Science.gov (United States)

van Amerom, Joshua F P; Kellenberger, Christian J; Yoo, Shi-Joon; Macgowan, Christopher K

2009-01-01

An automated method was evaluated to detect blood flow in small pulmonary arteries and classify each as artery or vein, based on a temporal correlation analysis of their blood-flow velocity patterns. The method was evaluated using velocity-sensitive phase-contrast magnetic resonance data collected in vitro with a pulsatile flow phantom and in vivo in 11 human volunteers. The accuracy of the method was validated in vitro, which showed relative velocity errors of 12% at low spatial resolution (four voxels per diameter), but was reduced to 5% at increased spatial resolution (16 voxels per diameter). The performance of the method was evaluated in vivo according to its reproducibility and agreement with manual velocity measurements by an experienced radiologist. In all volunteers, the correlation analysis was able to detect and segment peripheral pulmonary vessels and distinguish arterial from venous velocity patterns. The intrasubject variability of repeated measurements was approximately 10% of peak velocity, or 2.8 cm/s root-mean-variance, demonstrating the high reproducibility of the method. Excellent agreement was obtained between the correlation analysis and radiologist measurements of pulmonary velocities, with a correlation of R2=0.98 (P<.001) and a slope of 0.99+/-0.01.

A blood circulation model for reference man

Energy Technology Data Exchange (ETDEWEB)

Leggett, R.W.; Eckerman, K.F. [Oak Ridge National Lab., TN (United States); Williams, L.R. [Indiana Univ., South Bend, IN (United States). Div. of Liberal Arts and Sciences

1996-12-31

A dynamic blood circulation model that predicts the movement and gradual dispersion of a bolus of material in the circulation after its intravenous injection into an adult human. The main purpose of the model is improve the dosimetry of internally deposited radionuclides that decay in the circulation to a significant extent. The model partitions the blood volume into 24 separate organs or tissues, right heart chamber, left heart chamber, pulmonary circulation, arterial outflow to the aorta and large arteries, and venous return via the large veins. Model results were compared to data obtained from injection of carbon 11 labeled carbon monoxide or rubidium 86.

A blood circulation model for reference man

International Nuclear Information System (INIS)

Leggett, R.W.; Eckerman, K.F.; Williams, L.R.

1996-01-01

A dynamic blood circulation model that predicts the movement and gradual dispersion of a bolus of material in the circulation after its intravenous injection into an adult human. The main purpose of the model is improve the dosimetry of internally deposited radionuclides that decay in the circulation to a significant extent. The model partitions the blood volume into 24 separate organs or tissues, right heart chamber, left heart chamber, pulmonary circulation, arterial outflow to the aorta and large arteries, and venous return via the large veins. Model results were compared to data obtained from injection of carbon 11 labeled carbon monoxide or rubidium 86

MRI-based flow measurements in the main pulmonary artery to detect pulmonary arterial hypertension in patients with cystic fibrosis

International Nuclear Information System (INIS)

Wolf, T.; Anjorin, A.; Abolmaali, N.; Posselt, H.; Smaczny, C.; Vogl, T.J.

2009-01-01

Development of pulmonary arterial hypertension (PH) is a common problem in the course of patients suffering from cystic fibrosis (CF). This study was performed to evaluate MRI based flow measurements (MR venc ; Velocity ENCoding) to detect signs of an evolving PH in patients suffering from CF. 48 patients (median age: 16 years, range: 10 - 40 years, 25 female) suffering from CF of different severity (mean FEV1: 74 % ± 23, mean Shwachman-score: 63 ± 10) were examined using MRI based flow measurements of the main pulmonary artery (MPA). Phase-contrast flash sequences (TR: 9.6 ms, TE: 2.5 ms, bandwidth: 1395 Hertz/Pixel) were utilized. Results were compared to an age- and sex-matched group of 48 healthy subjects. Analyzed flow data where: heart frequency (HF), cardiac output (HZV), acceleration time (AT), proportional acceleration time related to heart rate (ATr), mean systolic blood velocity (MFG), peak velocity (Peak), maximum flow (Fluss max ), mean flow (Fluss mitt ) and distensibility (Dist). The comparison of means revealed significant differences only for MFG, Fluss max and Dist, but overlap was marked. However, using a scatter-plot of AT versus MFG, it was possible to identify five CF-patients demonstrating definite signs of PH: AT = 81 ms ± 14, MFG = 46 ± 11 cm/s, Dist = 41 % ± 7. These CF-patients where the most severely affected in the investigated group, two of them were listed for complete heart and lung transplantation. The comparison of this subgroup and the remaining CF-patients revealed a highly significant difference for the AT (p = 0.000001) without overlap. Screening of CF-patients for the development of PH using MR venc of the MPA is not possible. In later stages of disease, the quantification of AT, MFG and Dist in the MPA may be useful for the detection, follow-up and control of therapy of PH. MR venc of the MPA completes the MRI-based follow-up of lung parenchyma damage in patients suffering from CF. (orig.)

Information content of pulmonary perfusion scintigraphy

International Nuclear Information System (INIS)

Kunieda, Takeyoshi

1982-01-01

A scinticamera computer system was used to measure the distribution of blood flow in both upright and supine lungs sequentially with the same counting geometry. The counting ratio of the upper half to the lower half lung, and the difference of distribution indices between supine lung and upright lung which is the fraction of postural change from the supine upper half to upright lower half lung to total distribution of blood flow, were referred to as ''U/L ratio'' and postural ''Change of Distribution'' respectively. U/L ratio correlated well with left atrial mean pressure (r = 0.87, p < 0.001) with the regression equation and Change of Distribution correlated well with pulmonary artery mean pressure (PAm) (r = -0.88, p < 0.001) in cardiac diseases. The relationship between the Change of Distribution and PAm was investigated using various regression analyses and the best fit was obtained by logarithmic regression (r = -0.92) with the regression equation. This regression equation means that there is no change of distribution of pulmonary blood flow with pulmonary artery pressure over 58 mmHg and that entire pulmonary blood flow comes to the lower half lung when the pulmonary artery pressure decreases to zero level. Pulmonary parenchymal and vascular disorders including primary pulmonary hypertension also held the same relationship with PAm. The relationship between upright U/L ratio and postural Change of Distribution permitted differentiation between precapillary pulmonary hypertension and postcapillary pulmonary hypertension. (J.P.N.)

Determination of the catalyst circulation rate in a FCC cold flow pilot unit using nuclear techniques

International Nuclear Information System (INIS)

Santos, Valdemir A. dos; Lima, Emerson A.O.

2013-01-01

Nuclear techniques of gamma transmission and radioactive tracer were used to estimate the catalyst circulation rate in a cold flow pilot plant unit of Fluid Catalytic Cracking (FCC). Catalyst circulation rate in a FCC unit, allow to determine operating conditions of the exchange catalyst and inlet data for fluid dynamic simulation computational program. The pilot unit was fabricated obeying geometrical parameters provided by the Petrobras Research Center (CENPES), based on hot pilot units to existing in that center. The cold flow pilot unit has a transfer line, two separation vessels flash type, a return column, a riser and a regenerator. The vertical sections as riser, return column, regenerator column and transfer line are made of transparent material (glass). The two separation vessels have bases with tapered cylindrical shapes and are made of steel plates. The riser is divided into four sections of different diameters (0.005 m, 0.010 m, 0.018 m and 0.025 m) and rising upwards, to simulate the increasing flow rate caused by the increase of volume with the increase of the number of moles due to molecules breakage. The radioactive tracer used was the catalyst itself (intrinsic tracer) irradiated by neutron activation, yielding the radioisotope 59 Fe. The velocity measurements were also obtained with aid of an electronic clock triggered by certain radiation levels across the two detectors. Besides estimates for the catalyst circulation rate was possible to identify the type of flow relative to the catalyst in return column. (author)

Pulmonary Microvascular Blood Flow in Mild Chronic Obstructive Pulmonary Disease and Emphysema. The MESA COPD Study.

Science.gov (United States)

Hueper, Katja; Vogel-Claussen, Jens; Parikh, Megha A; Austin, John H M; Bluemke, David A; Carr, James; Choi, Jiwoong; Goldstein, Thomas A; Gomes, Antoinette S; Hoffman, Eric A; Kawut, Steven M; Lima, Joao; Michos, Erin D; Post, Wendy S; Po, Ming Jack; Prince, Martin R; Liu, Kiang; Rabinowitz, Dan; Skrok, Jan; Smith, Ben M; Watson, Karol; Yin, Youbing; Zambeli-Ljepovic, Alan M; Barr, R Graham

2015-09-01

Smoking-related microvascular loss causes end-organ damage in the kidneys, heart, and brain. Basic research suggests a similar process in the lungs, but no large studies have assessed pulmonary microvascular blood flow (PMBF) in early chronic lung disease. To investigate whether PMBF is reduced in mild as well as more severe chronic obstructive pulmonary disease (COPD) and emphysema. PMBF was measured using gadolinium-enhanced magnetic resonance imaging (MRI) among smokers with COPD and control subjects age 50 to 79 years without clinical cardiovascular disease. COPD severity was defined by standard criteria. Emphysema on computed tomography (CT) was defined by the percentage of lung regions below -950 Hounsfield units (-950 HU) and by radiologists using a standard protocol. We adjusted for potential confounders, including smoking, oxygenation, and left ventricular cardiac output. Among 144 participants, PMBF was reduced by 30% in mild COPD, by 29% in moderate COPD, and by 52% in severe COPD (all P emphysema-950HU and radiologist-defined emphysema, particularly panlobular and centrilobular emphysema (all P ≤ 0.01). Registration of MRI and CT images revealed that PMBF was reduced in mild COPD in both nonemphysematous and emphysematous lung regions. Associations for PMBF were independent of measures of small airways disease on CT and gas trapping largely because emphysema and small airways disease occurred in different smokers. PMBF was reduced in mild COPD, including in regions of lung without frank emphysema, and may represent a distinct pathological process from small airways disease. PMBF may provide an imaging biomarker for therapeutic strategies targeting the pulmonary microvasculature.

Experimental observations of natural circulation flow in the NSTF

Energy Technology Data Exchange (ETDEWEB)

Lisowski, Darius D., E-mail: dlisowski@anl.gov; Kraus, Adam R.; Bucknor, Matthew D.; Hu, Rui; Farmer, Mitch T.

2016-09-15

A 1/2 scale test facility has been constructed at Argonne National Laboratory to study the heat removal performance and natural circulation flow patterns in a Reactor Cavity Cooling System (RCCS). Our test facility, the Natural convection Shutdown heat removal Test Facility (NSTF), supports the broader goal of developing an inherently safe and fully passive ex-vessel decay heat removal for advanced reactor designs. The project, initiated in 2010 to support the Advanced Reactor Technologies (ART), Small Modular Reactor (SMR), and Next Generation Nuclear Plant (NGNP) programs, has been conducting experimental operations since early 2014. The following paper provides a summary of some primary design features of the 26-m tall test facility along with a description of the data acquisition suite that guides our experimental practices. Specifics of the distributed fiber optic temperature measurements will be discussed, which introduces an unparalleled level of data density that has never before been implemented in a large scale natural circulation test facility. Results from our test series will then be presented, which provide insight into the thermal hydraulic behavior at steady-state and transient conditions for varying heat flux levels and exhaust chimney configuration states.

Correlation between the quantifiable parameters of blood flow pattern derived with dynamic CT in maliagnant solitary pulmonary nodules and tumor size

Directory of Open Access Journals (Sweden)

Chenshi ZHANG

2008-02-01

Full Text Available Background and Objective The solitary pulmonary nodules (SPNs is one of the most common findings on chest radiographs. It becomes possible to provide more accurately quantitative information about blood flow patterns of solitary pulmonary nodules (SPNs with multi-slice spiral computed tomography (MSCT. The aim of this study is to evaluate the correlation between the quantifiable parameters of blood flow pattern derived with dynamic CT in maliagnant solitary pulmonary nodules and tumor size. Methods 68 patients with maliagnant solitary pulmonary nodules (SPNs (diameter <=4 cmunderwent multi-location dynamic contrast material-enhanced (nonionic contrast material was administrated via the antecubital vein at a rate of 4mL/s by an autoinjector, 4*5mm or 4*2.5mm scanning mode with stable table were performed. serial CT. Precontrast and postcontrast attenuation on every scan was recorded. Perfusion (PSPN, peak height (PHSPNratio of peak height of the SPN to that of the aorta (SPN-to-A ratioand mean transit time(MTT were calculated. The correlation between the quantifiable parameters of blood flow pattern derived with dynamic CT in maliagnant solitary pulmonary nodules and tumor size were assessed by means of linear regression analysis. Results No significant correlations were found between the tumor size and each of the peak height (PHSPN ratio of peak height of the SPN to that of the aorta (SPN-to-A ratio perfusion(PSPNand mean transit time (r=0.18, P=0.14; r=0.20,P=0.09; r=0.01, P=0.95; r=0.01, P=0.93. Conclusion No significant correlation is found between the tumor size and each of the quantifiable parameters of blood flow pattern derived with dynamic CT in maliagnant solitary pulmonary nodules.

3.0 Tesla high spatial resolution contrast-enhanced magnetic resonance angiography (CE-MRA) of the pulmonary circulation: initial experience with a 32-channel phased array coil using a high relaxivity contrast agent.

Science.gov (United States)

Nael, Kambiz; Fenchel, Michael; Krishnam, Mayil; Finn, J Paul; Laub, Gerhard; Ruehm, Stefan G

2007-06-01

To evaluate the technical feasibility of high spatial resolution contrast-enhanced magnetic resonance angiography (CE-MRA) with highly accelerated parallel acquisition at 3.0 T using a 32-channel phased array coil, and a high relaxivity contrast agent. Ten adult healthy volunteers (5 men, 5 women, aged 21-66 years) underwent high spatial resolution CE-MRA of the pulmonary circulation. Imaging was performed at 3 T using a 32-channel phase array coil. After intravenous injection of 1 mL of gadobenate dimeglumine (Gd-BOPTA) at 1.5 mL/s, a timing bolus was used to measure the transit time from the arm vein to the main pulmonary artery. Subsequently following intravenous injection of 0.1 mmol/kg of Gd-BOPTA at the same rate, isotropic high spatial resolution data sets (1 x 1 x 1 mm3) CE-MRA of the entire pulmonary circulation were acquired using a fast gradient-recalled echo sequence (TR/TE 3/1.2 milliseconds, FA 18 degrees) and highly accelerated parallel acquisition (GRAPPA x 6) during a 20-second breath hold. The presence of artifact, noise, and image quality of the pulmonary arterial segments were evaluated independently by 2 radiologists. Phantom measurements were performed to assess the signal-to-noise ratio (SNR). Statistical analysis of data was performed by using Wilcoxon rank sum test and 2-sample Student t test. The interobserver variability was tested by kappa coefficient. All studies were of diagnostic quality as determined by both observers. The pulmonary arteries were routinely identified up to fifth-order branches, with definition in the diagnostic range and excellent interobserver agreement (kappa = 0.84, 95% confidence interval 0.77-0.90). Phantom measurements showed significantly lower SNR (P < 0.01) using GRAPPA (17.3 +/- 18.8) compared with measurements without parallel acquisition (58 +/- 49.4). The described 3 T CE-MRA protocol in addition to high T1 relaxivity of Gd-BOPTA provides sufficient SNR to support highly accelerated parallel acquisition

Effect of ship motions and flow stability in a small marine reactor driven by natural circulation

International Nuclear Information System (INIS)

Yoritsune, Tsutomu; Ishida, Toshihisa

2001-12-01

By using a small reactor as a power source for investigations and developments under sea, widely expanded activity is expectable. In this case, as for a nuclear reactor, small-size and lightweightness, and simplification of a system are needed with the safety. In JAERI, very small reactors for submersible research vessel (Deep-sea Reactor DRX and submersible Compact Reactor SCR) have been designed on the basis of needs investigation of sea research. Although the reactor is a PWR type, self-pressurization and natural circulation system are adopted in a primary system for small size and lightweightness. The fluid flow condition of the reactor core outlet is designed to be the two-phase with a low quality. Although the flow of a primary system is the two-phase flow with a low quality, the density wave oscillation may occur according to operating conditions. Moreover, since there are ship motions of heaving (the vertical direction acceleration) etc., when a submersible research vessel navigates on the sea surface, the circulation flow of the primary system is directly influenced by this external force. In order to maintain stable operations of the reactor, it is necessary to clarify effects of the flow stability characteristic of the primary coolant system and the external force. Until now, as for the flow stability of a nuclear reactor itself, many research reports have been published including the nuclear-coupled thermal oscillation of BWRs such as LaSalle-2, WNP-2 etc. As for the effect of external force, it is reported that the acceleration change based on a seismic wave affects the reactor core flow and the reactor power in a BWR. On the other hand, also in a PWR, since adoption of natural circulation cooling is considered for a generation 4 reactor, it is thought that the margin of the reactor core flow stability becomes an important parameter in the design. The reactor coolant flow mentioned in this report is the two-phase natural circulation flow coupled with

Self-organizing maps applied to two-phase flow on natural circulation loop study; Aplicacao de mapas auto-organizaveis na classificacao de padroes de escoamento bifasico

Energy Technology Data Exchange (ETDEWEB)

Castro, Leonardo Ferreira

2016-11-01

Two-phase flow of liquid and gas is found in many closed circuits using natural circulation for cooling purposes. Natural circulation phenomenon is important on recent nuclear power plant projects for decay heat removal. The Natural Circulation Facility (Circuito de Circulacao Natural CCN) installed at Instituto de Pesquisas Energeticas e Nucleares, IPEN/CNEN, is an experimental circuit designed to provide thermal hydraulic data related to single and two-phase flow under natural circulation conditions. This periodic flow oscillation behavior can be observed thoroughly in this facility due its glass-made tubes transparency. The heat transfer estimation has been improved based on models that require precise prediction of pattern transitions of flow. This work presents experiments realized at CCN to visualize natural circulation cycles in order to classify two-phase flow patterns associated with phase transients and static instabilities of flow. Images are compared and clustered using Kohonen Self-organizing Maps (SOM's) applied on different digital image features. The Full Frame Discret Cosine Transform (FFDCT) coefficients were used as input for the classification task, enabling good results. FFDCT prototypes obtained can be associated to each flow pattern, enabling a better comprehension of each observed instability. A systematic test methodology was used to verify classifier robustness.

A study of natural circulation cooling using a flow visualization rig

International Nuclear Information System (INIS)

Bowman, W.C.; Ferch, R.L.; Omar, A.M.

1985-01-01

A flow visualization rig has been built at Monserco Limited to provide visual insight into the thermalhydraulic phenomena which occur during single phase and two phase thermosyphoning in a figure-of-eight heat transport loop. Tests performed with the rig have provided design information for the scaling and instrumentation of a high pressure rig being investigated for simulating CANDU reactor conditions during natural circulation cooling. A videotape was produced, for viewing at this presentation, to show important thermalhydraulic features of the thermosyphoning process. The rig is a standard figure-of-eight loop with two steam generators and three heated channels per pass. An elevated surge tank open to atmosphere was used for pressure control. Two variable speed pumps provided forced circulation for warming up the rig, and for establishing the desired initial conditions for testing. Test rig power could be varied between 0 and 15 kW

Prediction about chaotic times series of natural circulation flow under rolling motion

International Nuclear Information System (INIS)

Yuan Can; Cai Qi; Guo Li; Yan Feng

2014-01-01

The paper have proposed a chaotic time series prediction model, which combined phase space reconstruction with support vector machines. The model has been used to predict the coolant volume flow, in which a synchronous parameter optimization method was brought up based on particle swarm optimization algorithm, since the numerical value selection of related parameter was a key factor for the prediction precision. The average relative error of prediction values and actual observation values was l,5% and relative precision was 0.9879. The result indicated that the model could apply for the natural circulation coolant volume flow prediction under rolling motion condition with high accuracy and robustness. (authors)

Teaching the effects of gravity and intravascular and alveolar pressures on the distribution of pulmonary blood flow using a classic paper by West et al.

Science.gov (United States)

Levitzky, Michael G

2006-03-01

"Distribution of blood flow in isolated lung; relation to vascular and alveolar pressures" by J. B. West, C. T. Dollery, and A. Naimark (J Appl Physiol 19: 713-724, 1964) is a classic paper, although it has not yet been included in the Essays on the American Physiological Society Classic Papers Project (http://www.the-aps.org/publications/classics/). This is the paper that originally described the "zones of the lung." The final figure in the paper, which synthesizes the results and discussion, is now seen in most textbooks of physiology or respiratory physiology. The paper is also a model of clear, concise writing. The paper and its final figure can be used to teach or review a number of physiological concepts. These include the effects of gravity on pulmonary blood flow and pulmonary vascular resistance; recruitment and distention of pulmonary vessels; the importance of the transmural pressure on the diameter of collapsible distensible vessels; the Starling resistor; the interplay of the pulmonary artery, pulmonary vein, and alveolar pressures; and the vascular waterfall. In addition, the figure can be used to generate discovery learning and discussion of several physiological or pathophysiological effects on pulmonary vascular resistance and the distribution of pulmonary blood flow.

The low-power low-pressure flow resonance in a natural circulation cooled boiling water reactor

Energy Technology Data Exchange (ETDEWEB)

Hagen, T.H.J.J. van der; Stekelenburg, A.J.C. [Delft Univ. of Technology (Netherlands)

1995-09-01

The last few years the possibility of flow resonances during the start-up phase of natural circulation cooled BWRs has been put forward by several authors. The present paper reports on actual oscillations observed at the Dodewaard reactor, the world`s only operating BWR cooled by natural circulation. In addition, results of a parameter study performed by means of a simple theoretical model are presented. The influence of relevant parameters on the resonance characteristics, being the decay ratio and the resonance frequency, is investigated and explained.

An Experimental Study of Natural Circulation in a Loop with Parallel Flow Test Sections

Energy Technology Data Exchange (ETDEWEB)

Mathisen, R P; Eklind, O

1965-10-15

The dynamic behaviour of a natural circulation loop parallel round duct channels has been studied. The test sections were both electrically heated and the power distribution was uniform along the 4300 mm heated length of the 20 mm dia. channels. The inter channel interference and the threshold of flow instability were obtained by using a dynamically calibrated flowmeter in each channel. The pressure was 50 bars and the sub-cooling 6 deg C. The main parameters varied, were the flow restrictions in the one-phase and two-phase sections. The instability data were correlated to the resistance coefficients due to these restrictions. Theoretical calculations for parallel channels in natural circulation have been compared with the experimental results. For the conditions determined by the above mentioned magnitudes, the steady-state computations are in excellent agreement with experiment. The transients are also nearly similar, except for the resonance frequency which for the theoretical case is higher by an amount between 0.3 and 0.5 c.p.s.

An Experimental Study of Natural Circulation in a Loop with Parallel Flow Test Sections

International Nuclear Information System (INIS)

Mathisen, R.P.; Eklind, O.

1965-10-01

The dynamic behaviour of a natural circulation loop parallel round duct channels has been studied. The test sections were both electrically heated and the power distribution was uniform along the 4300 mm heated length of the 20 mm dia. channels. The inter channel interference and the threshold of flow instability were obtained by using a dynamically calibrated flowmeter in each channel. The pressure was 50 bars and the sub-cooling 6 deg C. The main parameters varied, were the flow restrictions in the one-phase and two-phase sections. The instability data were correlated to the resistance coefficients due to these restrictions. Theoretical calculations for parallel channels in natural circulation have been compared with the experimental results. For the conditions determined by the above mentioned magnitudes, the steady-state computations are in excellent agreement with experiment. The transients are also nearly similar, except for the resonance frequency which for the theoretical case is higher by an amount between 0.3 and 0.5 c.p.s

Heat flow, morphology, pore fluids and hydrothermal circulation in a typical Mid-Atlantic Ridge flank near Oceanographer Fracture Zone

Science.gov (United States)

Le Gal, V.; Lucazeau, F.; Cannat, M.; Poort, J.; Monnin, C.; Battani, A.; Fontaine, F.; Goutorbe, B.; Rolandone, F.; Poitou, C.; Blanc-Valleron, M.-M.; Piedade, A.; Hipólito, A.

2018-01-01

Hydrothermal circulation affects heat and mass transfers in the oceanic lithosphere, not only at the ridge axis but also on their flanks, where the magnitude of this process has been related to sediment blanket and seamounts density. This was documented in several areas of the Pacific Ocean by heat flow measurements and pore water analysis. However, as the morphology of Atlantic and Indian ridge flanks is generally rougher than in the Pacific, these regions of slow and ultra-slow accretion may be affected by hydrothermal processes of different regimes. We carried out a survey of two regions on the eastern and western flanks of the Mid-Atlantic Ridge between Oceanographer and Hayes fracture zones. Two hundred and eight new heat flow measurements were obtained along six seismic profiles, on 5 to 14 Ma old seafloor. Thirty sediment cores (from which porewaters have been extracted) have been collected with a Kullenberg corer equipped with thermistors thus allowing simultaneous heat flow measurement. Most heat flow values are lower than those predicted by purely conductive cooling models, with some local variations and exceptions: heat flow values on the eastern flank of the study area are more variable than on the western flank, where they tend to increase westward as the sedimentary cover in the basins becomes thicker and more continuous. Heat flow is also higher, on average, on the northern sides of both the western and eastern field regions and includes values close to conductive predictions near the Oceanographer Fracture Zone. All the sediment porewaters have a chemical composition similar to that of bottom seawater (no anomaly linked to fluid circulation has been detected). Heat flow values and pore fluid compositions are consistent with fluid circulation in volcanic rocks below the sediment. The short distances between seamounts and short fluid pathways explain that fluids flowing in the basaltic aquifer below the sediment have remained cool and unaltered

Pulmonary lymphatics and radiation

International Nuclear Information System (INIS)

Leeds, S.E.

1976-01-01

Knowledge of the anatomy and physiology of the respiratory system has been more difficult to acquire than that of other organ systems owing to the complexity of the respiratory function of the lungs and to the technical difficulties involved. This is especially true of the lymphatics of the lung and is illustrated by the fact that the first measurement of pulmonary lymph flow was in 1942 by Warren and Drinker. A review of the literature reveals that few experiments have been designed to study the pulmonary lymphatics per se in relation to the effects of external radiation or after the inhalation of radioactive particles. However, the documented involvement of hilar lymph nodes implies that the lung lymphatics have a role in transporting particles from the alveoli or malignant cells from the parenchyma. Information from clinical and experimental sources, though scattered, is fairly abundant and of value in assessing the role of the pulmonary lymphatics. Our method for collecting pulmonary lymph is presented. Studies on the pulmonary lymph flow in normal dogs and in dogs with experimental congestive heart failure are described. We irradiated (4000 to 5000 R) the medial one-third of both lungs of a series of dogs. The lymph flow of the lungs was measured immediately after the course of irradiation and after a period of about 5 months. Although lung biopsies showed characteristic radiation pneumonitis in many areas, alterations in the lung parenchyma were not quantitatively reflected in the pulmonary lymph flow either in the acute stage or after fibrosis had time to develop

An Oceanic General Circulation Model (OGCM) investigation of the Red Sea circulation: 2. Three-dimensional circulation in the Red Sea

Science.gov (United States)

Sofianos, Sarantis S.; Johns, William E.

2003-03-01

The three-dimensional circulation of the Red Sea is studied using a set of Miami Isopycnic Coordinate Ocean Model (MICOM) simulations. The model performance is tested against the few available observations in the basin and shows generally good agreement with the main observed features of the circulation. The main findings of this analysis include an intensification of the along-axis flow toward the coasts, with a transition from western intensified boundary flow in the south to eastern intensified flow in the north, and a series of strong seasonal or permanent eddy-like features. Model experiments conducted with different forcing fields (wind-stress forcing only, surface buoyancy forcing only, or both forcings combined) showed that the circulation produced by the buoyancy forcing is stronger overall and dominates the wind-driven part of the circulation. The main circulation pattern is related to the seasonal buoyancy flux (mostly due to the evaporation), which causes the density to increase northward in the basin and produces a northward surface pressure gradient associated with the downward sloping of the sea surface. The response of the eastern boundary to the associated mean cross-basin geostrophic current depends on the stratification and β-effect. In the northern part of the basin this results in an eastward intensification of the northward surface flow associated with the presence of Kelvin waves while in the south the traditional westward intensification due to Rossby waves takes place. The most prominent gyre circulation pattern occurs in the north where a permanent cyclonic gyre is present that is involved in the formation of Red Sea Outflow Water (RSOW). Beneath the surface boundary currents are similarly intensified southward undercurrents that carry the RSOW to the sill to flow out of the basin into the Indian Ocean.

Detailed evaluation of two phase natural circulation flow in the cooling channel of the ex-vessel core catcher for EU-APR1400

Energy Technology Data Exchange (ETDEWEB)

Park, Rae-Joon, E-mail: rjpark@kaeri.re.kr; Ha, Kwang-Soon; Rhee, Bo-Wook; Kim, Hwan Yeol

2016-03-15

Highlights: • Ex-vessel core catcher of PECS is installed in EU-APR1400. • CE-PECS has been conducted to test a cooling capability of the PECS. • Two phase flow in CE-PECS and PECS was analyzed using RELAP5/MOD3. • RELAP5 results are very similar to the CE-PECS data. • The super-step design is suitable for steam injection into the downcomer in PECS. - Abstract: The ex-vessel core catcher of the PECS (Passive Ex-vessel corium retaining and Cooling System) is installed to retain and cool down the corium in the reactor cavity of the EU (European Union)-APR (Advanced Power Reactor) 1400. A verification experiment on the cooling capability of the PECS has been conducted in the CE (Cooling Experiment)-PECS. Simulations of a two-phase natural circulation flow using the RELAP5/MOD3 computer code in the CE-PECS and PECS have been conducted to predict the two-phase flow characteristics, to determine the natural circulation mass flow rate in the cooling channel, and to evaluate the scaling in the experimental design of the CE-PECS. Particularly from a comparative study of the prototype PECS and the scaled test facility of the CE-PECS, the orifice loss coefficient in the CE-PECS was found to be 6 to maintain the coolant circulation mass flux, which is approximately 273.1 kg/m{sup 2} s. The RELAP5 results on the coolant circulation mass flow rate are very similar to the CE-PECS experimental results. An increase in the coolant injection temperature and the heat flux lead to an increase in the coolant circulation mass flow rate. In the base case simulation, a lot of vapor was injected into the downcomer, which leads to an instability of the two-phase natural circulation flow. A super-step design at a downcomer inlet is suitable to prevent vapor injection into the downcomer piping.

Detailed evaluation of two phase natural circulation flow in the cooling channel of the ex-vessel core catcher for EU-APR1400

International Nuclear Information System (INIS)

Park, Rae-Joon; Ha, Kwang-Soon; Rhee, Bo-Wook; Kim, Hwan Yeol

2016-01-01

Highlights: • Ex-vessel core catcher of PECS is installed in EU-APR1400. • CE-PECS has been conducted to test a cooling capability of the PECS. • Two phase flow in CE-PECS and PECS was analyzed using RELAP5/MOD3. • RELAP5 results are very similar to the CE-PECS data. • The super-step design is suitable for steam injection into the downcomer in PECS. - Abstract: The ex-vessel core catcher of the PECS (Passive Ex-vessel corium retaining and Cooling System) is installed to retain and cool down the corium in the reactor cavity of the EU (European Union)-APR (Advanced Power Reactor) 1400. A verification experiment on the cooling capability of the PECS has been conducted in the CE (Cooling Experiment)-PECS. Simulations of a two-phase natural circulation flow using the RELAP5/MOD3 computer code in the CE-PECS and PECS have been conducted to predict the two-phase flow characteristics, to determine the natural circulation mass flow rate in the cooling channel, and to evaluate the scaling in the experimental design of the CE-PECS. Particularly from a comparative study of the prototype PECS and the scaled test facility of the CE-PECS, the orifice loss coefficient in the CE-PECS was found to be 6 to maintain the coolant circulation mass flux, which is approximately 273.1 kg/m"2 s. The RELAP5 results on the coolant circulation mass flow rate are very similar to the CE-PECS experimental results. An increase in the coolant injection temperature and the heat flux lead to an increase in the coolant circulation mass flow rate. In the base case simulation, a lot of vapor was injected into the downcomer, which leads to an instability of the two-phase natural circulation flow. A super-step design at a downcomer inlet is suitable to prevent vapor injection into the downcomer piping.

Pressure-Flow During Exercise Catheterization Predicts Survival in Pulmonary Hypertension.

Science.gov (United States)

Hasler, Elisabeth D; Müller-Mottet, Séverine; Furian, Michael; Saxer, Stéphanie; Huber, Lars C; Maggiorini, Marco; Speich, Rudolf; Bloch, Konrad E; Ulrich, Silvia

2016-07-01

Pulmonary hypertension manifests with impaired exercise capacity. Our aim was to investigate whether the mean pulmonary arterial pressure to cardiac output relationship (mPAP/CO) predicts transplant-free survival in patients with pulmonary arterial hypertension (PAH) and inoperable chronic thromboembolic pulmonary hypertension (CTEPH). Hemodynamic data according to right heart catheterization in patients with PAH and CTEPH at rest and during supine incremental cycle exercise were analyzed. Transplant-free survival and predictive value of hemodynamics were assessed by using Kaplan-Meier and Cox regression analyses. Seventy patients (43 female; 54 with PAH, 16 with CTEPH; median (quartiles) age, 65 [50; 73] years; mPAP, 34 [29; 44] mm Hg; cardiac index, 2.8 [2.3; 3.5] [L/min]/m(2)) were followed up for 610 (251; 1256) days. Survival at 1, 3, 5, and 7 years was 89%, 81%, 71%, and 59%. Age, World Health Organization-functional class, 6-min walk test, and mixed-venous oxygen saturation (but not resting hemodynamics) predicted transplant-free survival. Maximal workload (hazard ratio [HR], 0.94 [95% CI, 0.89-0.99]; P = .027), peak cardiac index (HR, 0.51 [95% CI, 0.27-0.95]; P = .034), change in cardiac index, 0.25 [95% CI, 0.06-0.94]; P = .040), and mPAP/CO (HR, 1.02 [95% CI, 1.01-1.03]; P = .003) during exercise predicted survival. Values for mPAP/CO predicted 3-year transplant-free survival with an area under the curve of 0.802 (95% CI, 0.66-0.95; P = .004). In this collective of patients with PAH or CTEPH, the pressure-flow relationship during exercise predicted transplant-free survival and correlated with established markers of disease severity and outcome. Right heart catheterization during exercise may provide important complementary prognostic information in the management of pulmonary hypertension. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

Experimental investigation on flow instability of forced circulation in a vertical mini-rectangular channel

International Nuclear Information System (INIS)

Yu Zhiting; Tan Sichao; Yuan Hongsheng; Zhuang Nailiang; Chen Hanying

2015-01-01

An experimental study was conducted to investigate the flow instability in a vertical mini-rectangular channel with distilled water as the working fluid. The rotational speed of the primary pump is gradually reduced to lower the inlet flow rate until the flow becomes unstable, while maintaining all other thermal parameters unchanged. Three types of instability, characterized by large amplitude oscillation, small amplitude oscillation and flow excursion, were identified from the experimental data. A stability map for the vertical mini-rectangular channel under forced circulation was established based on the Subcooling number and Phase Change number. The oscillation periods were correlated with the fluid transit time and the boiling delay time. A flow pattern map for vertical upward flow in a mini-rectangular channel was applied to confirm the flow patterns during the oscillation. The mechanisms of the three types of instability were obtained by considering several types of flow instabilities and comparing them with the oscillations observed in this work. (author)

Hemodynamic, biological, and right ventricular functional changes following intraatrial shunt repair in patients with flow-induced pulmonary hypertension.

Science.gov (United States)

Hsu, Chih-Hsin; Roan, Jun-Neng; Wang, Jieh-Neng; Huang, Chien-Chi; Shih, Chao-Jung; Chen, Jyh-Hong; Wu, Jing-Ming; Lam, Chen-Fuh

2017-07-01

Atrial septal defects may result in pulmonary hypertension and right heart remodeling. We analyzed improvements in patients with flow-induced pulmonary hypertension and the activation of endothelial progenitor cells after flow reduction. This prospective cohort study included 37 patients who were admitted for an occluder implantation. Blood samples were collected before and after the procedure. We determined the number of endothelial progenitor cells in outgrowth colonies and serum Hsp27 concentrations. Daily performance and cardiothoracic ratio were reevaluated later. Closure of the defect significantly reduced the pulmonary pressure and B-type natriuretic peptide levels. The cardiothoracic ratio and daily performance status also improved. The number of endothelial progenitor cell outgrowth colony-forming units significantly increased and was positively correlated with daily performance. In patients with enhanced colony formation, Hsp27 levels were significantly increased. The implantation of an occluder successfully improved hemodynamic, right ventricular, and daily performance. Qualitative enhancement of colony formation for endothelial progenitor cells was also noted and positively correlated with daily performance. Closure of defects may serve as a valid, reliable model to obtain a deeper understanding of the modulation of endothelial progenitor cell activity and its relationship with pulmonary hypertension prognosis. © 2017 Wiley Periodicals, Inc.

Effect of steam quality on two—phase flow in a netural circulation loop

Institute of Scientific and Technical Information of China (English)

贾海军; 吴少融; 等

1996-01-01

Test pressures are 1.0-4.0MPa,heating powers 27-190kW,inlet subcoolings 5-80℃,water used as coolant,and steam quality at the outlet of test section is less than 0.05,These test conditions cover the parameters for a typical 200MW heating reactor.The experimental results show that the stema quality is the dominant factor in a natural circulation system with low pressure and low steam quality about the effect of system pressure,heating power and inlet subcooling on the flow rate,relative oscilatroy amplitude and oscilatory region of flow rate.

Development of TPNCIRC code for Evaluation of Two-Phase Natural Circulation Flow Performance under External Reactor Vessel Cooling Conditions

International Nuclear Information System (INIS)

Choi, A-Reum; Song, Hyuk-Jin; Park, Jong-Woon

2015-01-01

During a severe accident, corium is relocated to the lower head of the nuclear reactor pressure vessel (RPV). Design concept of retaining the corium inside a nuclear reactor pressure vessel (RPV) through external cooling under hypothetical core melting accidents is called external reactor vessel cooling (ERVC). In this respect, validated two-phase natural circulation flow (TPNC) model is necessary to determine the adequacy of the ERVC design and operating conditions such as inlet area, form losses, gap distance, riser length and coolant conditions. The most important model generally characterizing the TPNC are void fraction and two-phase friction factors. Typical experimental and analytical studies to be referred to on two-phase circulation flow characteristics are those by Reyes, Gartia et al. based on Vijayan et al., Nayak et al. and Dubey et al. In the present paper, two-phase natural circulation (TPNC) flow characteristics under external reactor vessel cooling (ERVC) conditions are studied using two existing TPNC flow models of Reyes and Gartia et al. incorporating more improved void fraction and two-phase friction models. These models and correlations are integrated into a computer program, TPNCIRC, which can handle candidate ERVC design parameters, such as inlet, riser and downcomer flow lengths and areas, gap size between reactor vessel and surrounding insulations, minor loss factors and operating parameters of decay power, pressure and subcooling. Accuracy of the TPNCIRC program is investigated with respect to the flow rate and void fractions for existing measured data from a general experiment and ULPU specifically designed for the AP1000 in-vessel retention. Also, the effect of some important design parameters are examined for the experimental and plant conditions. Using the flow models and correlations are integrated into a computer program, TPNCIRC, a number of correlations have been examined. This seems coming from the differences of void fractions

Correction of Pulmonary Oxygenizing Dysfunction in the Early Activation of Cardiosurgical Patients

Directory of Open Access Journals (Sweden)

I. A. Kozlov

2009-01-01

Full Text Available Objective: to justify a comprehensive approach to preventing and correcting pulmonary oxygenizing dysfunction requiring prolonged artificial ventilation in patients operated on under extracorporeal circulation for coronary heart disease. Subjects and methods. One hundred and twenty-three patients aged 55±0.6 years were examined. The study excluded patients with a complicated course of operations (perioperative myocardial infarction, acute cardiovascular insufficiency, hemorrhage, and long extracorporeal circulation. Stimulating spirometry was initiated 2 days before surgery. An alveolar opening maneuver was performed using a continuous dynamic thoracopulmonary compliance monitoring. The parameters of lung oxygenizing function and biomechanics were analyzed. Results. In 78% of the patients, preoperative inspiratory lung capacity was 5—30% lower than the age-related normal values. After extracorporeal circulation, pulmonary oxygenizing dysfunction was diagnosed in 40.9% of cases; at the same time PaO2/FiO2 was associated with an intrapulmonary shunt fraction (Qs/St (r=-0.53; p=0.002 and Qs/Qt was related to static thoracopulmonary compliance (Cst (r=-0.39; p=0.03. Preoperative stimulating spirometry provided a considerable increase in intraoperative PaO2/FiO2 values (p<0.05; improved Cst and decreased Qs/Qt. After extracorporeal circulation, the incidence of pulmonary oxygenizing dysfunction was decreased by more than twice (p<0.05. Patients with relative arterial hypoxemia showed a noticeable relationship to the magnitudes of a reduction in Cst and a rise in Qs/Qt (r=0.72; p=0.008, which served as the basis for applying the alveolar opening maneuver. This type of lung support corrected arterial hypoxemia in 67% of cases. Conclusion. In car-diosurgical patients with coronary heart disease, effective prophylaxis and correction of relative arterial hypoxemia caused by the interrelated impairments of pulmonary biomechanical properties and

Acinus-on-a-chip: a microfluidic platform for pulmonary acinar flows.

Science.gov (United States)

Fishler, Rami; Mulligan, Molly K; Sznitman, Josué

2013-11-15

Convective respiratory flows in the pulmonary acinus and their influence on the fate of inhaled particles are typically studied using computational fluid dynamics (CFD) or scaled-up experimental models. However, experiments that replicate several generations of the acinar tree while featuring cyclic wall motion have not yet been realized. Moreover, current experiments generally capture only flow dynamics, without inhaled particle dynamics, due to difficulties in simultaneously matching flow and particle dynamics. In an effort to overcome these limitations, we introduce a novel microfluidic device mimicking acinar flow characteristics directly at the alveolar scale. The model features an anatomically-inspired geometry that expands and contracts periodically with five dichotomously branching airway generations lined with alveolar-like cavities. We use micro-particle image velocimetry with a glycerol solution as the carrying fluid to quantitatively characterize detailed flow patterns within the device and reveal experimentally for the first time a gradual transition of alveolar flow patterns along the acinar tree from recirculating to radial streamlines, in support of hypothesized predictions from past CFD simulations. The current measurements show that our microfluidic system captures the underlying characteristics of the acinar flow environment, including Reynolds and Womersley numbers as well as cyclic wall displacements and alveolar flow patterns at a realistic length scale. With the use of air as the carrying fluid, our miniaturized platform is anticipated to capture both particle and flow dynamics and serve in the near future as a promising in vitro tool for investigating the mechanisms of particle deposition deep in the lung. © 2013 Elsevier Ltd. All rights reserved.

The transition criteria of circulating flow pattern of moderator in the calandria tank of CANDU nuclear power plant

International Nuclear Information System (INIS)

Jung, Yun Sik; Lee, Jae Young; Kim, Man Woong

2004-01-01

The moderator cooling system to the Calandria tank of CANDU nuclear power plant provides an alternative pass of heat sink during the hypothetical loss of coolant accident. Also, the neutron population in the CANDU plant can be affected by the moderator temperature change which strongly depends on the circulating flow pattern in the Calandria tank. It has been known that there are three distinguished flow patterns: the buoyancy dominated flow, the momentum dominated flow, and the mixed type flow. The Canadian Nuclear Safety Commission (CNSC) recommended that a series of experimental works should be performed to verify the three dimensional codes. Two existing facilities, SPEL (1982) and STERN (1990), have produced experimental data for these purposes. The present work is also motivated to build up a new scaled experimental facility named HGU for the same purposes. CANDU-6 was selected as the target plant to be scaled down. In the design for the scaled facility, the knowledge on the flow regime transitions in the circulating flow was imperative. In the present study, to pave the way for the scaling, the flow pattern maps of circulating flow were constructed based on the Reynolds number and Archimedes number. The CFX code was employed with real meshes to represent all calandria tubes in the tank. The flow pattern maps were constructed for SPEL, STERN, HGU, and CANDU6. As the key transition criterion useful for scaling law, a new Archimedes number considering the jet impingement of the feed water in the Calandria tank was found. The transition of flow patterns was made with the same Archimedes number for CANDU6, STERN and HGU. However, SPEL which has third of the modified Archimedes number showed different maps in the wider region of mixed flow pattern was observed. It was found that the Archimedes number considering the inlet nozzle velocity plays the key role in patterns classification. Also, it can be suggested that the moderator cooling system needs to be designed

The use of the cardiopulmonary flow index to detect cardiac defects in man and animal

International Nuclear Information System (INIS)

Cilliers, G.D.

1982-01-01

The efficiency of the cardiopulmonary flow index (CPFI) to detect cardiac defects and to evaluate therapy in man and animal is tested. The CPFI seems to be sensitive enough to evaluate vasodilator and inotropic therapy during cardiac failure with 'gousiekte' sheep. Pulmonary emboli in sheep is induced by injecting coagulated blood into the pulmonary circulation. These pulmonary emboli caused a decrease in the CPFI. CPFI recordings were made on patients, before and after aorta- and mitralvalve replacements. The CPFI is sensitive enough to detect the valve inefficiency and also to detect the improvement in the pump efficiency of the heart after the double valve replacement. The results obtained prove that the CPFI could have a proper place in modern cardiology to evaluate therapy (clinical and surgical) and also to distinguish between cardiac defects and pulmonary emboli

Creation of aorto-pulmonary window with pulmonary artery band is not good palliation for hypoplastic left heart syndrome.

Science.gov (United States)

Hosein, Riad B M; Mehta, Chetan; Stickley, John; Mcguirk, Simon P; Jones, Timothy J; Brawn, William J; Barron, David J

2007-11-01

A small sub-group of patients with hypoplastic left heart syndrome (HLHS) have normal-sized ascending aorta and arch. An alternative to the Norwood I procedure in these patients is the creation of an aorto-pulmonary (AP) window with a distal pulmonary artery band (PAB). We reviewed our experience with this technique and compared outcomes to the Norwood procedure for HLHS. All patients treated for HLHS in a single institution between 1992 and 2005 were analysed. This identified 13 patients treated with AP window and PAB compared to 333 patients undergoing stage I Norwood procedure. An unrestrictive AP window was created and the main PA was banded. Patient records and echocardiograms were analysed. Median follow-up was 10 (IQR 0-655) days and 100% complete. There were seven early deaths (54%) in the AP window group and two conversions to Norwood circulation. This was a significantly worse outcome than for the Norwood procedure over the same period, which had an early mortality of 29% (p=0.03). Kaplan-Meier actuarial analysis demonstrated a continued survival benefit of the Norwood group at 6 months (p=0.0005). Deaths were due to either low cardiac output syndrome (n=4) or sudden unheralded arrest (n=3). This occurred despite aortic cross-clamp and circulatory arrest times being significantly lower in the AP window group compared to the Norwood group (35+/-27 vs 55+/-16 min, p<0.01 and 16+/-29 vs 55+/-20 min, p<0.01, respectively). No differences in arterial saturations or systolic blood pressure existed between the groups, but diastolic blood pressure was significantly lower in the AP window group at 27+/-10 mmHg compared to 42+/-8 mmHg in the Norwood group (p=0.01) with evidence of flow reversal in the descending aorta. Differences in diastolic blood pressure between groups were abolished after conversion to stage II. Despite favourable anatomy and shorter ischaemic times, the AP window/PAB technique has a poor outcome compared to the Norwood procedure for HLHS. Low

Abnormal intraluminal signal within the pulmonary arteries on MR imaging: Differentiation between slow blood flow and thrombus using an ECG-gated; multiphasic: Spin-echo technique

International Nuclear Information System (INIS)

White, R.D.; Higgins, C.B.

1986-01-01

The authors evaluated abnormal MR imaging signal patterns in the pulmonary arteries of 22 patients with pulmonary hypertension (n = 13), pulmonary embolus (n = 4), or both (n = 5). Using multiphasic (five or six phases; 19 patients) or standard (three patients with pulmonary embolus) ECG-gated, double spin-echo techniques, they were able to differentiate between causes of such abnormal signal patterns. The pattern of slow blood flow (abnormal signal in systole with fluctuating distribution during cardiac cycle, and intensity increasing visually from first to second echo) was noted in 89% of patients with pulmonary hypertension alone or in combination with pulmonary embolism, and was characteristic of high systolic pulmonary pressures (12 of 12 patients with pressure > 80 mm Hg, vs. 3 of 5 patients with pressure 55 mm Hg vs. 5 of 7 patients with pressures <55 mm Hg). This pattern was differentiated from that of thrombus (persistent signal with fixed distribution during cardiac cycle, and little to no visible intensity change from first to second echo), which was noted in six of seven proved embolus cases. Thus, gated multiphase MR imaging shows potential for the noninvasive visualization of pulmonary embolus and the differentiation of this entity from the slow blood flow of pulmonary hypertension

Dynamic leaching and fractionation of trace elements from environmental solids exploiting a novel circulating-flow platform.

Science.gov (United States)

Mori, Masanobu; Nakano, Koji; Sasaki, Masaya; Shinozaki, Haruka; Suzuki, Shiho; Okawara, Chitose; Miró, Manuel; Itabashi, Hideyuki

2016-02-01

A dynamic flow-through microcolumn extraction system based on extractant re-circulation is herein proposed as a novel analytical approach for simplification of bioaccessibility tests of trace elements in sediments. On-line metal leaching is undertaken in the format of all injection (AI) analysis, which is a sequel of flow injection analysis, but involving extraction under steady-state conditions. The minimum circulation times and flow rates required to determine the maximum bioaccessible pools of target metals (viz., Cu, Zn, Cd, and Pb) from lake and river sediment samples were estimated using Tessier's sequential extraction scheme and an acid single extraction test. The on-line AIA method was successfully validated by mass balance studies of CRM and real sediment samples. Tessier's test in on-line AI format demonstrated to be carried out by one third of extraction time (6h against more than 17 h by the conventional method), with better analytical precision (15% by the conventional method) and significant decrease in blank readouts as compared with the manual batch counterpart. Copyright © 2015 Elsevier B.V. All rights reserved.

Scintigraphic study of blood perfusion of the pulmonary artery in pulmonary tuberculosis

International Nuclear Information System (INIS)

Certain, D.A.; Brolio, R.; Salomon, G.C.; Carvalho, N.; Barbosa, Z.L.M.

1972-01-01

Blood perfusion in the pulmonary artery is studied by pulmonary scintigraphy with macroaggregated albumin 131 I, in 74 cases of pulmonary tuberculosis. Results shown by scintigraphy are compared to those observed in roentgenography and also correlated with the extension and degree of the lesions, and with the presence of associated tuberculosis, considered capable of changing the scintigraphic picture. The reduction of blood flow in the pulmonary artery are observed in cases of infiltrative, fibrotic of caseous lesions, as well as in cases of minor lesions [pt

Scintigraphic study of blood perfusion of the pulmonary artery in pulmonary tuberculosis

Energy Technology Data Exchange (ETDEWEB)

Certain, D A; Brolio, R; Salomon, G C [Sao Paulo Univ. (Brazil). Faculdade de Saude Publica; Carvalho, N [Sao Paulo Univ. (Brazil). Centro de Medicina Nuclear; Barbosa, Z L.M. [Associacao dos Sanatorios Populares de Campos do Jordao, Brazil

1972-10-01

Blood perfusion in the pulmonary artery is studied by pulmonary scintigraphy with macroaggregated albumin /sup 131/I, in 74 cases of pulmonary tuberculosis. Results shown by scintigraphy are compared to those observed in roentgenography and also correlated with the extension and degree of the lesions, and with the presence of associated tuberculosis, considered capable of changing the scintigraphic picture. The reduction of blood flow in the pulmonary artery are observed in cases of infiltrative, fibrotic of caseous lesions, as well as in cases of minor lesions.

Interventional therapy of refractory hemoptysis complicated with bronchial artery to pulmonary circulation shunt

International Nuclear Information System (INIS)

Yang Qing; Yang Dakuan; Wang Jiaping; Guo Li; Yang Feifei; Tong Yuyun

2010-01-01

Objective: The presence of bronchial artery to pulmonary circulation shunt (BPS) is the pathologic reason for refractory hemoptysis. Those who have accepted traditional bronchial arterial embolization (BAE) treatment usually carry high risks of recurrence of hemoptysis. At the same time,because of the limits of BAE treatment, safety can not be ignored when we pay full attention to its therapeutic effect. This research aims to find out an effective method to treat the refractory hemoptysis with BPS. Methods: During the period from Sep. 1996 to Feb. 2010, two hundred and twelve patients of hemoptysis were treated with BAE. Of the total 212 patients, BPS was confirmed by DSA angiography in 99, including 72 males and 27 females with a mean age of 47.6 years. The primary diseases included bronchiectasis (n = 25), tuberculosis (n = 64) and inflammatory disorders(n = 10). All patients were treated with BAE. According to the embolization agent used in the treatment the patients were divided into pure Gelfoam group (n = 52) and permanent embolization group (n = 47, using PVA particles, coils, etc.). All patients were followed up regularly at one day, two weeks, four weeks, six months, one year, two years after the treatment. The data were analyzed by using chi square test and rank sum test. Results: Of 52 cases in permanent embolization group, complete cure was achieved in 49, excellent results in 2 and effective response in one. For patients in pure Gelfoam group, complete cure was obtained in 37, excellent results in 16, effective response in 2 and ineffectiveness in 2. Statistic analysis showed that a significant difference in therapeutic effectiveness existed between two groups (P < 0.05). Conclusion: This study clearly indicates that selective bronchial arterial permanent dual embolization is an effective technique for the treatment of refractory hemoptysis, which is definitely superior to the pure Gelfoam emboliztion in obtaining excellent therapeutic results. Besides

Flow pattern in the ventricle of brain with cilia beating and CSF circulation

Science.gov (United States)

Wang, Yong; Westendorf, Christian; Faubel, Regina; Eichele, Gregor; Bodenschatz, Eberhard

We recently discovered that cilia of the ventral third ventricle (v3V) of mammalian brain generate a complex flow network close to the wall. However, the flow pattern in the overall three dimensional v3V, especially under physiological condition, remains to be investigated. Computational fluid dynamics is arguably the best approach for such investigations. Several v3V geometries are reconstructed from different data for comparison study. The lattice Boltzmann method and immersed boundary method are used to reproduce the experimental set-up for an opened v3V firstly. The experimentally recorded cilia induced flow network is projected on the curved v3V wall. The flow maps obtained numerically at different heights from the v3V wall agree with the experimental data qualitatively. We then consider the entire v3V with ciliary flow network along the wall for boundary condition. Moreover, we add a time dependent flow rate to represent the CSF circulation, and study flow pattern in the ventricle. We thank the Max Planck Society (MPG) for financial support. This work is conducted within the Physics and Medicine Initiative at Goettingen Campus between MPG and University Medical Center.

Basic natural circulation characteristics of SBWR

International Nuclear Information System (INIS)

Kuran, S.; Soekmen, C. N.

2001-01-01

Natural circulation is an important passive heat removal mechanism for both existing and next generation light water reactors. Simplified Boiling Water Reactor (SBWR) is one of the advanced light water reactors that rely on natural circulation for normal as well as emergency core cooling. In this study, basic natural circulation characteristics of this reactor are examined on a flow loop that simulates the operation of SBWR. On this model, effect of system operating parameters on the steady state natural circulation characteristics inside the loop is studied via solving the transcendental equation for loop flow rate

Vorticity and circulation aspects of twin jets in cross-flow for an oblique nozzle arrangement

Czech Academy of Sciences Publication Activity Database

Kolář, Václav; Savory, E.; Takao, H.; Todoroki, T.; Okamoto, S.; Toy, N.

2006-01-01

Roč. 220, č. 4 (2006), s. 247-252 ISSN 0954-4100 R&D Projects: GA AV ČR IAA2060302 Institutional research plan: CEZ:AV0Z20600510 Keywords : twin jets in cross-flow * vorticity * circulation Subject RIV: BK - Fluid Dynamics Impact factor: 0.143, year: 2006

Hydrodynamic flow regimes, gas holdup, and liquid circulation in airlift reactors

Energy Technology Data Exchange (ETDEWEB)

Abashar, M.E.; Narsingh, U.; Rouillard, A.E.; Judd, R. [Univ. of Durban (South Africa)

1998-04-01

This study reports an experimental investigation into the hydrodynamic behavior of an external-loop airlift reactor (ALR) for the air-water system. Three distinct flow regimes are identified--namely homogeneous, transition, and heterogeneous regimes. The transition between homogeneous and heterogeneous flow is observed to occur over a wide range rather than being merely a single point as has been previously reported in the literature. A gas holdup correlation is developed for each flow regime. The correlations fit the experimental gas holdup data with very good accuracy (within {+-}5%). It would appear, therefore, that a deterministic equation to describe each flow regime is likely to exist in ALRs. This equation is a function of the reactor geometry and the system`s physical properties. New data concerning the axial variation of gas holdup is reported in which a minimum value is observed. This phenomenon is discussed and an explanation offered. Discrimination between two sound theoretical models--namely model 1 (Chisti et al., 1988) and model 2 (Garcia Calvo, 1989)--shows that model 1 predicts satisfactorily the liquid circulation velocity with an error of less than {+-} 10%. The good predictive features of model 1 may be due to the fact that it allows for a significant energy dissipation by wakes behind bubbles. Model 1 is now further improved by the new gas holdup correlations which are derived for the three different flow regimes.

Levels of circulating MMP-7 degraded elastin are elevated in pulmonary disorders

DEFF Research Database (Denmark)

Kristensen, J.H.; Larsen, L.; Dasgupta, B.

2015-01-01

for the quantification of MMP-7 generated elastin fragments (ELM7) was therefore developed to investigate MMP-7 derived elastin degradation in pulmonary disorders such as idiopathic pulmonary fibrosis (IPF) and lung cancer. Design and methods:  Monoclonal antibodies (mABs) were raised against eight carefully selected...

SCDAP/RELAP5 applications to RCS natural circulation

International Nuclear Information System (INIS)

Bayless, P.D.

1988-01-01

The effects of natural circulation flows in the reactor coolant system during a TMLB' sequence were investigated. Both in-vessel circulation and hot leg countercurrent flow were modeled in the Surry nuclear power plant using the SCDAP/RELAP5 computer code. The transient was analyzed until after fuel rod relocation had begun. The delays in the onset of relocation resulting from the natural circulation flows were not significant compared to SCDAP/RELAP5 calculations without natural circulation modeled, but were large compared to the analyses presented in NUREG-1150. The most significant aspect of the natural circulations flows was the heating of ex-vessel structures. Surge line failure is likely to occur before the vessel is breached by the molten core, while steam generator tube failure is not expected

Fundamentals of management of acute postoperative pulmonary hypertension.

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Taylor, Mary B; Laussen, Peter C

2010-03-01

In the last several years, there have been numerous advancements in the field of pulmonary hypertension as a whole, but there have been few changes in the management of children with pulmonary hypertension after cardiac surgery. Patients at particular risk for postoperative pulmonary hypertension can be identified preoperatively based on their cardiac disease and can be grouped into four broad categories based on the mechanisms responsible for pulmonary hypertension: 1) increased pulmonary vascular resistance; 2) increased pulmonary blood flow with normal pulmonary vascular resistance; 3) a combination of increased pulmonary vascular resistance and increased blood flow; and 4) increased pulmonary venous pressure. In this review of the immediate postoperative management of pulmonary hypertension, various strategies are discussed including medical therapies, monitoring, ventilatory strategies, and weaning from these supports. With early recognition of patients at particular risk for severe pulmonary hypertension, management strategies can be directed at preventing or minimizing hemodynamic instability and thereby prevent the development of ventricular dysfunction and a low output state.

Echocardiographic and hemodynamic determinants of right coronary artery flow reserve and phasic flow pattern in advanced non-ischemic cardiomyopathy

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Mady Charles

2007-09-01

Full Text Available Abstract Background In patients with advanced non-ischemic cardiomyopathy (NIC, right-sided cardiac disturbances has prognostic implications. Right coronary artery (RCA flow pattern and flow reserve (CFR are not well known in this setting. The purpose of this study was to assess, in human advanced NIC, the RCA phasic flow pattern and CFR, also under right-sided cardiac disturbances, and compare with left coronary circulation. As well as to investigate any correlation between the cardiac structural, mechanical and hemodynamic parameters with RCA phasic flow pattern or CFR. Methods Twenty four patients with dilated severe NIC were evaluated non-invasively, even by echocardiography, and also by cardiac catheterization, inclusive with Swan-Ganz catheter. Intracoronary Doppler (Flowire data was obtained in RCA and left anterior descendent coronary artery (LAD before and after adenosine. Resting RCA phasic pattern (diastolic/systolic was compared between subgroups with and without pulmonary hypertension, and with and without right ventricular (RV dysfunction; and also with LAD. RCA-CFR was compared with LAD, as well as in those subgroups. Pearson's correlation analysis was accomplished among echocardiographic (including LV fractional shortening, mass index, end systolic wall stress more hemodynamic parameters with RCA phasic flow pattern or RCA-CFR. Results LV fractional shortening and end diastolic diameter were 15.3 ± 3.5 % and 69.4 ± 12.2 mm. Resting RCA phasic pattern had no difference comparing subgroups with vs. without pulmonary hypertension (1.45 vs. 1.29, p = NS either with vs. without RV dysfunction (1.47 vs. 1.23, p = NS; RCA vs. LAD was 1.35 vs. 2.85 (p Conclusion In patients with chronic advanced NIC, RCA phasic flow pattern has a mild diastolic predominance, less marked than in LAD, with no effects from pulmonary artery hypertension or RV dysfunction. There is no significant correlation between any cardiac mechanical-structural or

Evaluation of pulmonary congestion by computed tomography

International Nuclear Information System (INIS)

Morooka, Nobuhiro; Yamamoto, Hironori; Yoshida, Hideo; Watanabe, Shigeru; Nakamura, Mamoru

1980-01-01

Pulmonary congestion and pulmonary water distribution of lung fields were evaluated by computed tomography (CT) in 31 patients with congestive heart failure and 19 normal subjects in the supine position. In normal subjects, no difference was noted in the CT value between levels of intercostal spaces as well as between right and left lung fields. CT values were greater in posterior lung fields than in anterior lung fields. A significant increase of CT values at both anterior and posterior lung fields was shown in patients with congestive heart failure compared to normal subjects. In congestive heart failure, pulmonary CT values were correlated with various clinical parameters in the order of chest X-ray findings, NYHA functional classification, venous pressure, right heart catheter findings and circulation time. CT values were decreased with the improvement of parameters by medical treatment. Thus, the increase of pulmonary CT values in patients with congestive heart failure indicated the increase of pulmonary blood content and pulmonary tissue edema in a unit volume. This method was particularly useful for the evaluation of pulmonary congestion and pulmonary water distribution. (author)

Peak flow as predictor of overall mortality in asthma and chronic obstructive pulmonary disease

DEFF Research Database (Denmark)

Hansen, Ejvind Frausing; Vestbo, Jørgen; Phanareth, K

2001-01-01

Lung function is a strong predictor of overall mortality in asthma and chronic obstructive pulmonary disease (COPD). FEV1 is considered to be the "gold standard," whereas peak expiratory flow (PEF) is mostly used in absence of FEV1 measurements. We compared the predictive power of PEF and FEV1......, measured after maximal bronchodilation, which included a short course of oral corticosteroids. The study population comprised 491 asthmatics and 1,095 subjects with COPD. Pulmonary function tests were performed between 1983 and 1988, and survival data were obtained by September 1997, when 127 asthmatics...... reflecting different components of COPD, i.e., chronic bronchitis, small airways disease, and emphysema. Furthermore, extrapulmonary components such as muscle mass and general "vigour" probably affect PEF to a greater extent than they affect FEV1....

Biventricular MR volumetric analysis and MR flow quantification in the ascending aorta and pulmonary trunk for quantification of valvular regurgitation

International Nuclear Information System (INIS)

Rominger, M.B.

2004-01-01

Purpose: To test the value of biventricular volumetric analysis and the combination of biventricular volumetric analysis with flow quantification in the ascending aorta (Ao) and pulmonary trunk (Pu) for quantification of regurgitation volume and cardiac function in valvular regurgitation (VR) according to location and presence of single or multivalvular disease. Materials and Methods: In 106 patients, the stroke volumes were assessed by measuring the biventricular volumes and the forward-stroke volumes in the great and small circulation by measuring the flow in the Ao and Pu. Valve regurgitation volumes and quotients were calculated for single and multivalvular disease and correlated with semiquantitative 2D-echocardiography (grade I-IV). For the assessment of the cardiac function in VR, the volumetric parameters of ejection fraction and end-diastolic (EDV) and end-systolic (ESV) volumes were determined. Results: The detection rate was 49% for left ventricular (LV) VR and 42% for right ventricular (RV) VR. Low LV VR and RV VR usually could not be detected quantitatively, with the detection rate improving with echocardiographically higher insufficiency grades. Quantitative MRI could detect a higher grade solitary aortic valve insufficiency (≥2) in 11 of 12 patients and higher grade mitral valve insufficiency in 4 of 10 patients. A significant increase in RV and LV ventricular EDV and ESV was seen more often with increased MR regurgitation volumes. Aortic stenosis did not interfere with flow measurements in the Ao. Conclusions: Biventricular volumetry combined with flow measurements in Ao and Pu is a robust, applicable and simple method to assess higher grade regurgitation volumes and the cardiac function in single and multivalvular regurgitation at different locations. It is an important application for the diagnosis of VR by MRI [de

Value of venous color flow duplex scan as initial screening test for geriatric inpatients with clinically suspected pulmonary embolism

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Kreidy R

2011-09-01

Full Text Available Raghid Kreidy1, Elias Stephan2, Pascale Salameh3, Mirna Waked4 1Department of Vascular Surgery, Saint George Hospital, University Medical Center, University of Balamand, Beirut, Lebanon; 2Department of Geriatrics, Saint George Hospital, University Medical Center, University of Balamand, Beirut, Lebanon; 3Laboratory of Clinical and Epidemiological Research, Faculty of Pharmacy, Lebanese University, 4Department of Pulmonary Medicine, Saint George Hospital, University Medical Center, University of Balamand, Beirut, Lebanon Aim: The contribution of lower extremity venous duplex scan to the diagnostic strategy for pulmonary embolism has been demonstrated by many authors. However, the positive diagnostic value of this noninvasive test in clinically suspected pulmonary embolism is not very high (10%–18%. Since thromboembolic risks increase considerably in hospitalized patients with advanced age, this study aims to determine the importance of lower extremity venous color flow duplex scan in this particular subgroup of patients with clinically suspected pulmonary embolism. The effects of clinical presentation and risk factors on the results of duplex scan have been also studied. Methods: Between July 2007 and January 2010, 95 consecutive Lebanese geriatric ($60 years of age inpatients with clinically suspected pulmonary embolism assessed in an academic tertiary-care center for complete lower extremity venous color flow duplex scan were retrospectively reviewed. Age varied between 60 and 96 years (mean, 79.9 years. Forty patients were males and 55 females. Absence of compressibility was the most important criteria for detecting acute venous thrombosis. Results: Out of 95 patients, 33 patients (34.7% were diagnosed with recent deep venous thrombosis of lower extremities (14 proximal and 19 distal using complete venous ultrasound. Nine of these 33 patients (27.2% had a history of venous thromboembolism and eleven (33.3% presented with edema of lower

Monitoring pulmonary function with superimposed pulmonary gas exchange curves from standard analyzers.

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Zar, Harvey A; Noe, Frances E; Szalados, James E; Goodrich, Michael D; Busby, Michael G

2002-01-01

A repetitive graphic display of the single breath pulmonary function can indicate changes in cardiac and pulmonary physiology brought on by clinical events. Parallel advances in computer technology and monitoring make real-time, single breath pulmonary function clinically practicable. We describe a system built from a commercially available airway gas monitor and off the shelf computer and data-acquisition hardware. Analog data for gas flow rate, O2, and CO2 concentrations are introduced into a computer through an analog-to-digital conversion board. Oxygen uptake (VO2) and carbon dioxide output (VCO2) are calculated for each breath. Inspired minus expired concentrations for O2 and CO2 are displayed simultaneously with the expired gas flow rate curve for each breath. Dead-space and alveolar ventilation are calculated for each breath and readily appreciated from the display. Graphs illustrating the function of the system are presented for the following clinical scenarios; upper airway obstruction, bronchospasm, bronchopleural fistula, pulmonary perfusion changes and inadequate oxygen delivery. This paper describes a real-time, single breath pulmonary monitoring system that displays three parameters graphed against time: expired flow rate, oxygen uptake and carbon dioxide production. This system allows for early and rapid recognition of treatable conditions that may lead to adverse events without any additional patient measurements or invasive procedures. Monitoring systems similar to the one described in this paper may lead to a higher level of patient safety without any additional patient risk.

Perioperative pharmacological management of pulmonary hypertensive crisis during congenital heart surgery.

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Brunner, Nathan; de Jesus Perez, Vinicio A; Richter, Alice; Haddad, François; Denault, André; Rojas, Vanessa; Yuan, Ke; Orcholski, Mark; Liao, Xiaobo

2014-03-01

Pulmonary hypertensive crisis is an important cause of morbidity and mortality in patients with pulmonary arterial hypertension secondary to congenital heart disease (PAH-CHD) who require cardiac surgery. At present, prevention and management of perioperative pulmonary hypertensive crisis is aimed at optimizing cardiopulmonary interactions by targeting prostacyclin, endothelin, and nitric oxide signaling pathways within the pulmonary circulation with various pharmacological agents. This review is aimed at familiarizing the practitioner with the current pharmacological treatment for dealing with perioperative pulmonary hypertensive crisis in PAH-CHD patients. Given the life-threatening complications associated with pulmonary hypertensive crisis, proper perioperative planning can help anticipate cardiopulmonary complications and optimize surgical outcomes in this patient population.

Low-pressure dynamics of a natural-circulation two-phase flow loop

International Nuclear Information System (INIS)

Manera, A.; Kruijf, W.J.M. de; Hartmann, H.; Mudde, R.F.; Hagen, T.H.J.J. van der

2001-01-01

Flashing induced oscillations in a natural circulation loop are studied as function of heating power and inlet subcooling in symmetrical and asymmetrical power conditions. To unveil the effects of power/velocity asymmetries on the two-phase flow stability at low power and low pressure conditions different signals at several locations in the loop are recorded. In particular a Laser Doppler Anemometry set-up is used to measure the velocity simultaneously in two parallel channels and a wire-mesh sensor is used to measure the 2D void fraction distribution in a section of the ascendant part of the loop. (orig.)

Simulation of dilated heart failure with continuous flow circulatory support.

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Yajuan Wang

Full Text Available Lumped parameter models have been employed for decades to simulate important hemodynamic couplings between a left ventricular assist device (LVAD and the native circulation. However, these studies seldom consider the pathological descending limb of the Frank-Starling response of the overloaded ventricle. This study introduces a dilated heart failure model featuring a unimodal end systolic pressure-volume relationship (ESPVR to address this critical shortcoming. The resulting hemodynamic response to mechanical circulatory support are illustrated through numerical simulations of a rotodynamic, continuous flow ventricular assist device (cfVAD coupled to systemic and pulmonary circulations with baroreflex control. The model further incorporated septal interaction to capture the influence of left ventricular (LV unloading on right ventricular function. Four heart failure conditions were simulated (LV and bi-ventricular failure with/without pulmonary hypertension in addition to normal baseline. Several metrics of LV function, including cardiac output and stroke work, exhibited a unimodal response whereby initial unloading improved function, and further unloading depleted preload reserve thereby reducing ventricular output. The concept of extremal loading was introduced to reflect the loading condition in which the intrinsic LV stroke work is maximized. Simulation of bi-ventricular failure with pulmonary hypertension revealed inadequacy of LV support alone. These simulations motivate the implementation of an extremum tracking feedback controller to potentially optimize ventricular recovery.

Patient's Guide to Recovery After Deep Vein Thrombosis or Pulmonary Embolism

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... the following A Patient’s Guide to Recovery After Deep Vein Thrombosis or Pulmonary Embolism Message Subject (Your Name) has sent you a message from Circulation Message Body (Your Name) thought you would like to see the Circulation web site. Your Personal Message Send Message Share on ...

A review of investigations on flow instabilities in natural circulation boiling loops

International Nuclear Information System (INIS)

Gonella V Durga Prasad; Manmohan Pandey; Manjeet S Kalra

2005-01-01

Full text of publication follows: Steam generation systems are subjected to flow instabilities due to parametric fluctuations, inlet conditions etc., which may result in mechanical vibrations of components (called flow induced vibrations) and system control problems. Analysis of these instabilities in natural circulation boiling loops is very important for the safety of nuclear reactors and other boiling systems. This paper presents the state of the art in this area by reviewing over 100 contributions made in the past 30 years. A large number of experimental and numerical investigations have been conducted to study and understand the conditions for inception of flow instabilities, parametric effects of instabilities, and the system behavior under such conditions. Work done on instabilities due to channel thermal-hydraulics as well as neutronics-thermohydraulics coupling has been reviewed. Different methods of analysis used by researchers and results obtained by them have been discussed. Various numerical techniques adopted and computer codes developed have also been discussed. The knowledge obtained from the investigations made in the past three decades has been summarized to present the state of the art of the understanding of flow instabilities. (authors)

Role of four-dimensional echocardiography with high-definition flow imaging and spatiotemporal image correlation in detecting fetal pulmonary veins.

Science.gov (United States)

Sun, Xue; Zhang, Ying; Fan, Miao; Wang, Yu; Wang, Meilian; Siddiqui, Faiza Amber; Sun, Wei; Sun, Feifei; Zhang, Dongyu; Lei, Wenjia; Hu, Guyue

2017-06-01

Prenatal diagnosis of fetal total anomalous pulmonary vein connection (TAPVC) remains challenging for most screening sonographers. The purpose of this study was to evaluate the use of four-dimensional echocardiography with high-definition flow imaging and spatiotemporal image correlation (4D-HDFI) in identifying pulmonary veins in normal and TAPVC fetuses. We retrospectively reviewed and performed 4D-HDFI in 204 normal and 12 fetuses with confirmed diagnosis of TAPVC. Cardiac volumes were available for postanalysis to obtain 4D-rendered images of the pulmonary veins. For the normal fetuses, two other traditional modalities including color Doppler and HDFI were used to detect the number of pulmonary veins and comparisons were made between each of these traditional methods and 4D-HDFI. For conventional echocardiography, HDFI modality was superior to color Doppler in detecting more pulmonary veins in normal fetuses throughout the gestational period. 4D-HDFI was the best method during the second trimester of pregnancy in identifying normal fetal pulmonary veins. 4D-HDFI images vividly depicted the figure, course, and drainage of pulmonary veins in both normal and TAPVC fetuses. HDFI and the advanced 4D-HDFI technique could facilitate identification of the anatomical features of pulmonary veins in both normal and TAPVC fetuses; 4D-HDFI therefore provides additional and more precise information than conventional echocardiography techniques. © 2017, Wiley Periodicals, Inc.

Comparison of vascular width and accuracy of subjective assessment of pulmonary flow X-ray films of children with left-right shunt

International Nuclear Information System (INIS)

Hegenbarth, R.; Toeroek, M.; Hannover Medizinische Hochschule

1985-01-01

The authors established a comparative relationship between accuracy of measurement of pulmonary flow and extent of vascular widening in 72 children with Left-Right shunt vitiae; this accuracy of pulmonary flow measurement had been subjectively estimated by 4 investigators without knowing the diagnosis and in comparison to the haemodynamic values (percentage of correct findings). The following procedure was adopted: In a control group of 143 healthy children, we first determined the vascular diameter of the right descending pulmonary artery, of the right upper lobal vein, and of the peripheral vessels in the upper and lower pulmonary fields, at an accurately defined distance from the point of the hilus, and compared with the vascular diameters of the children with left-right shunt, employing the method of discrimination analysis. Comparison of the judgement by the 4 investigators with the degree of increase of the vascular diameters showed an accuracy of 65-100% if the right descending pulmonary artery became wider by 2.6 mm, and an accuracy of 79-95% if the mean vascular width in the right upper field increased by 0.7 mm. The accuracy was 83-94% if the mean vascular width in the right lower field increased by 0.6 mm. Statistical studies also showed that the judgement of the 4 investigators was influenced by different vessels. (orig.) [de

Hyperthyroidism and pulmonary hypertension: an important association.

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Vallabhajosula, Sailaja; Radhi, Saba; Cevik, Cihan; Alalawi, Raed; Raj, Rishi; Nugent, Kenneth

2011-12-01

Pulmonary hypertension is a complex disorder with multiple etiologies. The World Health Organization Group 5 (unclear multifactorial mechanisms) includes patients with thyroid disorders. The authors reviewed the literature on the association between hyperthyroidism and pulmonary hypertension and identified 20 publications reporting 164 patients with treatment outcomes. The systolic pulmonary artery (PA) pressures in these patients ranged from 28 to 78 mm Hg. They were treated with antithyroid medications, radioactive iodine and surgery. The mean pretherapy PA systolic pressure was 39 mm Hg; the mean posttreatment pressure was 30 mm Hg. Pulmonary hypertension should be considered in hyperthyroid patients with dyspnea. All patients with pulmonary hypertension should be screened for hyperthyroidism, because the treatment of hyperthyroidism can reduce PA pressures, potentially avoid the side-effects and costs with current therapies for pulmonary hypertension and limit the consequences of untreated hyperthyroidism. However, the long-term outcome in these patients is uncertain, and this issue needs more study. Changes in the pulmonary circulation and molecular regulators of vascular remodeling likely explain this association.

Estimation of pulmonary water distribution and pulmonary congestion by computed tomography

International Nuclear Information System (INIS)

Morooka, Nobuhiro; Watanabe, Shigeru; Masuda, Yoshiaki; Inagaki, Yoshiaki

1982-01-01

Computed tomography (CT) of the lung in normal subjects and patients with congestive heart failure was performed in the supine position with deep inspiration to obtain pulmonary CT values and images. The mean CT value in normal subjects was higher in the posterior than anterior lung field, presumably because blood vessels were more dilated in the former than the latter due to the effects of gravity. The mean pulmonary CT value in patients with congestive heart failure was significantly increased possibly due to an increase in blood flow per unit lung volume arising from either pulmonary congestion or pulmonary interstitial and alveolar edema. The mean pulmonary CT value increased parallel to the severity of pulmonary congestion, interstitial or alveolar edema and was well correlated with the pulmonary arterial wedge pressure, indicating that such a correlation was a valuable tool in assessing therapeutic effects. The results of the present study indicatethat pulmonary CT is useful for the noninvasive estimation of intrapulmonary water content and its distribution, thereby providing an effective diagnostic clue to various conditions in congestive heart failure. (author)

Fine-scale heat flow, shallow heat sources, and decoupled circulation systems at two sea-floor hydrothermal sites, Middle Valley, northern Juan de Fuca Ridge

Science.gov (United States)

Stein, J. S.; Fisher, A. T.; Langseth, M.; Jin, W.; Iturrino, G.; Davis, E.

1998-12-01

Fine-scale heat-flow patterns at two areas of active venting in Middle Valley, a sedimented rift on the northern Juan de Fuca Ridge, provide thermal evidence of shallow hydrothermal reservoirs beneath the vent fields. The extreme variability of heat flow is explained by conductive heating immediately adjacent to vents and shallow circulation within sediments above the reservoir. This secondary circulation is hydrologically separated from the deeper system feeding the vents by a shallow conductive lid within the sediments. A similar separation of shallow and deep circulation may also occur at sediment-free ridge-crest hydrothermal environments.

The enhancement of hemodynamic performance in Fontan circulation using pain free spontaneous ventilation.

Science.gov (United States)

Lofland, G K

2001-07-01

Positive pressure ventilation is known to have a deleterious effect on pulmonary blood flow in patients with Fontan physiology. We evaluated the hemodynamic effects of pain free, spontaneous, non-positive pressure ventilation in patients undergoing Fontan staging procedures or completion. Fontan procedures, with creation of low pressure passive pulmonary circulation. Between May 1997 and May 1999 50 consecutive patients undergoing either bi-directional Glenn (BDG, n=23) or completion Fontan (n=27), were managed with early extubation. Anaesthetic management included continuous narcotics, caudal block, epidural block, or hyperbaric spinal. Post-operative management included low dose dopamine (3 mcg/kg per min), nitro-glycerine (0.3 mcg/kg per min) and nitroprusside (0.3 mcg/kg per min). Post-operative management was identical for all patients. Twelve patients were randomly selected to undergo continuous cardiac output and cardiac index (CI) determinations utilizing extra vascular Doppler probes placed on the ascending aorta, allowing for continuous aortic diameter and Doppler wave form velocity recordings. All patients were extubated either in the operating room or within one hour post-operatively. There were no deaths and no complications in the series. Mean length of stay (LOS) for BDG was 4.3+/-0.5 days. Mean LOS for Fontan patients was 11+/-4 days. Mean pulmonary artery pressure (MPAP) fell from 19+/-3.464 pre-extubation to 14+/-3.271 immediately post-extubation, 13.2+/-2.261 6 h post-extubation, and 11.7+/-2.146 12 h post-extubation. All decreases in MPAP post-extubation were significant (P=post-extubation 5.05+/-1.297, 12 h post-extubation 6.225+/-1.19. All increases in CI post-extubation were significant (P=pain free, spontaneous, non-positive pressure ventilation enhances hemodynamic performance in patients with Fontan circulation and clearly improves outcome.

Development of the Circulation Control Flow Scheme Used in the NTF Semi-Span FAST-MAC Model

Science.gov (United States)

Jones, Gregory S.; Milholen, William E., II; Chan, David T.; Allan, Brian G.; Goodliff, Scott L.; Melton, Latunia P.; Anders, Scott G.; Carter, Melissa B.; Capone, Francis J.

2013-01-01

The application of a circulation control system for high Reynolds numbers was experimentally validated with the Fundamental Aerodynamic Subsonic Transonic Modular Active Control semi-span model in the NASA Langley National Transonic Facility. This model utilized four independent flow paths to modify the lift and thrust performance of a representative advanced transport type of wing. The design of the internal flow paths highlights the challenges associated with high Reynolds number testing in a cryogenic pressurized wind tunnel. Weight flow boundaries for the air delivery system were identified at mildly cryogenic conditions ranging from 0.1 to 10 lbm/sec. Results from the test verified system performance and identified solutions associated with the weight-flow metering system that are linked to internal perforated plates used to achieve flow uniformity at the jet exit.

Natural circulation in reactor coolant system

International Nuclear Information System (INIS)

Han, J.T.

1987-01-01

Reactor coolant system (RCS) natural circulation in a PWR is the buoyancy-driven coolant circulation between the core and the upper-plenum region (in-vessel circulation) with or without a countercurrent flow in the hot leg piping between the vessel and steam generators (ex-vessel circulation). This kind of multidimensional bouyancy-driven flow circulation serves as a means of transferring the heat from the core to the structures in the upper plenum, hot legs, and possibly steam generators. As a result, the RCS piping and other pressure boundaries may be heated to high temperatures at which the structural integrity is challenged. RCS natural circulation is likely to occur during the core uncovery period of the TMLB' accident in a PWR when the vessel upper plenum and hot leg are already drained and filled with steam and possibly other gaseous species. RCS natural circulation is being studied for the Surry plant during the TMLB' accident in which station blackout coincides with the loss of auxiliary feedwater and no operator actions. The effects of the multidimensional RCS natural circulation during the TMLB' accident are discussed

Hypoxia-induced pulmonary vascular remodeling: cellular and molecular mechanisms.

Science.gov (United States)

Stenmark, Kurt R; Fagan, Karen A; Frid, Maria G

2006-09-29

Chronic hypoxic exposure induces changes in the structure of pulmonary arteries, as well as in the biochemical and functional phenotypes of each of the vascular cell types, from the hilum of the lung to the most peripheral vessels in the alveolar wall. The magnitude and the specific profile of the changes depend on the species, sex, and the developmental stage at which the exposure to hypoxia occurred. Further, hypoxia-induced changes are site specific, such that the remodeling process in the large vessels differs from that in the smallest vessels. The cellular and molecular mechanisms vary and depend on the cellular composition of vessels at particular sites along the longitudinal axis of the pulmonary vasculature, as well as on local environmental factors. Each of the resident vascular cell types (ie, endothelial, smooth muscle, adventitial fibroblast) undergo site- and time-dependent alterations in proliferation, matrix protein production, expression of growth factors, cytokines, and receptors, and each resident cell type plays a specific role in the overall remodeling response. In addition, hypoxic exposure induces an inflammatory response within the vessel wall, and the recruited circulating progenitor cells contribute significantly to the structural remodeling and persistent vasoconstriction of the pulmonary circulation. The possibility exists that the lung or lung vessels also contain resident progenitor cells that participate in the remodeling process. Thus the hypoxia-induced remodeling of the pulmonary circulation is a highly complex process where numerous interactive events must be taken into account as we search for newer, more effective therapeutic interventions. This review provides perspectives on each of the aforementioned areas.

53. Bilateral ductal stenting for nonconfluent pulmonary arteries in a newborn

Directory of Open Access Journals (Sweden)

K. Al Dhahri

2016-07-01

Full Text Available Bilateral PDA dependent pulmonary circulation with right and left pulmonary artery discontinuity is very rare. Limited data available for bilateral PDA stenting. Bilateral PDA stenting in nonconfluent pulmonary arteries is challenging procedure but can be considered as an option in the management of complex conditions like this. 12 days old Preterm (36 weeks gestation male baby with birth weight of 2.6 kg developed respiratory distress with severe cyanosis and desaturation upto 50%. Baby was intubated and started on Prostaglandin 0.05 mic/kg/mt. His saturation improved to 80%. Echocardiogram showed complex cyanotic heart disease, Situs ambiguous, dextrocardia, complete unbalanced AV septal defect, pulmonary atresia , nonconfluent small branch pulmonary arteries supplied by the bilateral patent ductus arteriosus (PDA from right aortic arch and all four pulmonary veins form a confluence and drain into superior vena cava(SVC through vertical vein with no obstruction. Baby was taken up for PDA stenting. descending aortogram showed right aortic arch with vertical tortuous duct to right pulmonary artery (RPA and another short duct with acute angle from left subclavian artery to left pulmonary artery (LPA . Both ducti stented with coronary stents. Vertical vein angiogram showed both lungs drain to a confluence and then to SVC via ascending vertical vein with no obstruction. After stenting lung perfusion improved and the baby was stable and maintained 80% saturation on room air. Bilateral PDA dependent pulmonary circulation with right and left pulmonary artery discontinuity is very rare. Our case is unique with Heterotaxy, TAPVC, Dextrocardia and double ducti. Eventhough bilateral ductal stenting is technically challenging it is successful through femoral artery approach.

Going with the flow: the role of ocean circulation in global marine ecosystems under a changing climate.

Science.gov (United States)

van Gennip, Simon J; Popova, Ekaterina E; Yool, Andrew; Pecl, Gretta T; Hobday, Alistair J; Sorte, Cascade J B

2017-07-01

Ocean warming, acidification, deoxygenation and reduced productivity are widely considered to be the major stressors to ocean ecosystems induced by emissions of CO 2 . However, an overlooked stressor is the change in ocean circulation in response to climate change. Strong changes in the intensity and position of the western boundary currents have already been observed, and the consequences of such changes for ecosystems are beginning to emerge. In this study, we address climatically induced changes in ocean circulation on a global scale but relevant to propagule dispersal for species inhabiting global shelf ecosystems, using a high-resolution global ocean model run under the IPCC RCP 8.5 scenario. The ¼ degree model resolution allows improved regional realism of the ocean circulation beyond that of available CMIP5-class models. We use a Lagrangian approach forced by modelled ocean circulation to simulate the circulation pathways that disperse planktonic life stages. Based on trajectory backtracking, we identify present-day coastal retention, dominant flow and dispersal range for coastal regions at the global scale. Projecting into the future, we identify areas of the strongest projected circulation change and present regional examples with the most significant modifications in their dominant pathways. Climatically induced changes in ocean circulation should be considered as an additional stressor of marine ecosystems in a similar way to ocean warming or acidification. © 2017 John Wiley & Sons Ltd.

Giant High-Flow Type Pulmonary Arteriovenous Malformation: Coil Embolization with Flow Control by Balloon Occlusion and an Anchored Detachable Coil

International Nuclear Information System (INIS)

Kanematsu, Masayuki; Kondo, Hiroshi; Goshima, Satoshi; Tsuge, Yusuke; Watanabe, Haruo; Moriyama, Noriyuki

2012-01-01

Pulmonary arteriovenous malformations (PAVMs) are often treated by pushable fibered or non-fibered microcoils, using an anchor or scaffold technique or with an Amplatzer plug through a guiding sheath. When performing percutaneous transcatheter microcoil embolization, there is a risk of coil migration, particularly with high-flow type PAVMs. The authors report on a unique treatment in a patient with a giant high-flow PAVM whose nidus had a maximum diameter of 6 cm. A detachable coil, not detached from a delivery wire (an anchored detachable coil), was first placed in the feeding artery under flow control by balloon occlusion, and then multiple microcoils were packed proximally to the anchored detachable coil. After confirming the stability of the microcoils during a gradual deflation of the balloon, we finally released the first detachable coil. The nidus was reduced in size to 15 mm at one year postoperatively.

Asymptomatic Primary Isolated Pulmonary Vein Stenosis in an Adult: A Case Report

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Kim, Ji Hyun; Lee, Ho Sung; Choi, Jae Sung; Na, Ju Ock; Kim, Yong Hoon; Jou, Sung Shick; Seo, Ki Hyun [Soonchunhyang University Cheonan Hospital, Cheonan (Korea, Republic of)

2010-08-15

A 31-year-old man without respiratory symptoms was transferred to our clinic with incidentally detected small nodular densities in both the upper lung zones on chest radiography. Chest computed tomography and pulmonary angiography demonstrated that the entrance of the right inferior pulmonary vein to the left atrium was completely blocked, and the venous return of the right lower lobe was achieved through the right superior pulmonary vein with a tortuous venous collateral complex in the venous phase. With echocardiography, mild pulmonary hypertension was detected. Here, we present an asymptomatic adult with isolated stenosis of the pulmonary vein with chronic compensation by venous collateral circulation in spite of mild pulmonary hypertension

Asymptomatic Primary Isolated Pulmonary Vein Stenosis in an Adult: A Case Report

International Nuclear Information System (INIS)

Kim, Ji Hyun; Lee, Ho Sung; Choi, Jae Sung; Na, Ju Ock; Kim, Yong Hoon; Jou, Sung Shick; Seo, Ki Hyun

2010-01-01

A 31-year-old man without respiratory symptoms was transferred to our clinic with incidentally detected small nodular densities in both the upper lung zones on chest radiography. Chest computed tomography and pulmonary angiography demonstrated that the entrance of the right inferior pulmonary vein to the left atrium was completely blocked, and the venous return of the right lower lobe was achieved through the right superior pulmonary vein with a tortuous venous collateral complex in the venous phase. With echocardiography, mild pulmonary hypertension was detected. Here, we present an asymptomatic adult with isolated stenosis of the pulmonary vein with chronic compensation by venous collateral circulation in spite of mild pulmonary hypertension

Experimental investigation of the effects of inserting a bovine venous valve in the inferior vena cava of Fontan circulation

Science.gov (United States)

Santhanakrishnan, Arvind; Johnson, Jacob; Kotz, Monica; Tang, Elaine; Khiabani, Reza; Yoganathan, Ajit; Maher, Kevin

2012-11-01

The Fontan procedure is a palliative surgery performed on patients with single ventricle (SV) congenital heart defects. The SV is used for systemic circulation and the venous return from the inferior vena cava (IVC) and superior vena cava (SVC) is routed to the pulmonary arteries (PA), resulting in a total cavopulmonary connection (TCPC). Hepatic venous hypertension is commonly manifested in the Fontan circulation, leading to long-term complications including liver congestion and cirrhosis. Respiratory intrathoracic pressure changes affect the venous return from the IVC to the PA. Using a physical model of an idealized TCPC, we examine placement of a unidirectional bovine venous valve within the IVC as a method of alleviating hepatic venous hypertension. A piston pump is used to provide pulsatility in the internal flow through the TCPC, while intrathoracic pressure fluctuations are imposed on the external walls of the model using a pair of linear actuators. When implanted in the extrathoracic position, the hepatic venous pressure is lowered from baseline condition. The effects of changing caval flow distribution and intrathoracic pressure on TCPC hemodynamics will be examined.

IL-6 is a potential marker for radiation pneumonitis: a prospective clinical study of circulating cytokines in predicting radiation pulmonary injury

International Nuclear Information System (INIS)

Chen Yuhchyau; Rubin, Philip; McDonald, Sandra; Finkelstein, Jacob; Smudzin, Therese; Hernady, Eric; Williams, Jacqueline

1997-01-01

Purpose/Objective: The use of radiotherapy in eradicating thoracic malignancy is limited by the normal lung tissue tolerance to ionizing radiation. Subacute and late radiation pulmonary toxicity manifests as radiation pneumonitis and ultimately lung fibrosis. Recently, the addition of chemotherapy or a biologic response modifier to radiation has become the standard therapy for inoperable lung cancer. The radiosensitizing effect of these agents is associated with an increased risk of radiation pulmonary injury and treatment related mortality. The search for a serum marker for predicting radiation pulmonary injury will help us understand the mechanism leading to such events and find possible interventions to prevent the adverse outcome. Unpublished data from our laboratory suggested that following a single dose of radiation, there was a dose-related elevation in IL-6 protein levels in the lung of radiation fibrosis prone mice. Based on this information, a prospective clinical study of circulating cytokine levels and its application to predict radiation induced pulmonary injury was conducted at University of Rochester. Preliminary results revealed promising information in identifying a circulating cytokine as a predictor for radiation pneumonitis. Materials and Methods: Eighteen patients receiving thoracic irradiation for primary thoracic malignancy were registered in the study. Radiation pneumonitis was determined by subjective respiratory symptoms assessed according to RTOG morbidity scoring criteria. Pretreatment and serial post-therapy chest X-ray, chest CT scan and pulmonary function tests were obtained. Radiation fibrosis was determined by radiographic changes in irradiated normal lung using a scoring system which quantified the extent of loss of air content, degree of opacification, anatomic extent of involvement, air bronchogram, pleural thickening, or effusion. Plasma levels of interleukin-6 (IL-6), tumor necrosis factor (TNF), transforming growth factor

Analysis of flow dynamics of main pulmonary artery by cine phase contrast MR angiography

International Nuclear Information System (INIS)

Honda, Norinari; Machida, Kikuo; Mamiya, Toshio

1996-01-01

Nineteen studies of cine phase contrast MR angiography (PCMRA) of main pulmonary artery (MPA) entered the study. Cine PCMRA was obtained by a 1.5T MR imager with a gradient echo sequence coupled with velocity encoding bipolar pulses. Retrospective EKG gating was used. Mean velocity, maximum velocity, and maximum flow rate of MPA were 6.2 to 28 cm/s (mean/SD 13/5.1, n=18), 61 to 148 cm/s (mean/SD 102/30, n=13), and 12,561 to 30,113 ml/min (mean/SD 18,730/5,464, n=18), respectively. Retrograde flow in the MPA was noted to begin at late-to mid-systole. Retrograde flow occurred first in the posterior part (15/19) or occurred from periphery (4/19). Thus hemodynamic parameters and velocity maps of MPA can be obtained by cine PCMRA. (author)

Assessment of pulmonary ventilation patterns by nonradioactive Xe enhanced CT

International Nuclear Information System (INIS)

Shiraishi, Tomokuni; Mizuno, Masayoshi; Harima, Yoko; Kobayashi, Akitomo; Hasegawa, Takeo

1984-01-01

To assess the patterns of regional pulmonary ventilation in conjunction with pulmonary blood flow, pulmonary Xe enhanced CT was performed in 26 patients with interstitial disorders including 3 with chest irradiation and 23 with old myocardial infarction and in 2 control patients. Washout time was short and its patterns were not influenced by an increased or decreased blood flow in the control group. In the group with chest irradiation, a decreased blood flow and slight disturbance were seen in the affected lung, while an increased blood flow and a slightly increased resistance of the pulmonary periphery were suspected in the opposite lung. Furthermore, a prolonged washout and relative reduction of the washout seemed to be reflective of the interstitial degeneration and decreased blood flow, respectively. In the group with old myocardial infarction, the prolongation of washout became marked because of a decreased blood flow caused by venous congestion. (Namekawa, K.)

Heat Flow and Hydrothermal Circulation of the Lucky Strike Segment, Mid Atlantic Ridge

Science.gov (United States)

Bonneville, A.; Escartin, J.; Lucazeau, F.; Cannat, M.; Gouze, P.; von Herzen, R. P.; Adam, C.; Le Bars, M.; Monoury, E.; Vidal, V.

2003-12-01

In June 2003, expedition Luckyflux aboard the R/V Poseidon conducted a heat flow survey of a zone centred on the Lucky Strike segment of the Mid Atlantic ridge south of the Azores between ˜35° N and 39° N. Using a 5 m-long lance with 7 outrigger thermal probes, about 150 successful thermal gradient measurements were obtained, 140 of these with in-situ thermal conductivity. Measurements were made at ˜1 mile intervals along several profiles, where adequately sedimented sites were identified using 6-channel and 3.5 kHz seismic data from the previous Sudazores'98 cruise. We conducted heat flow measurements in two areas: a near axis region within the V-shaped ridge of overthickened crust that emanated from the Azores hotspot between ˜14 and 4 Ma, and an off-axis region East of the V-shaped ridge. The off-axis region is characterized by an homogeneous sediment cover, 300-400 m thick, and crustal ages varying between ˜6 and >10 Ma. Long wavelength (tens of km) low heat flow anomalies can be identified but the mean of 160 mWm-2 is comparable to the conductive heat flow expected for a crust of that age. Along two 80-km profiles perpendicular to the ridge, we observed coherent but different patterns. On the first profile, low heat flow values of 20-50 mWm-2 are observed at the base of the V-shaped ridge. These values are 100 mWm-2 below the profile average, showing that hydrothermal circulations can also affect oceanic crust beneath a thick and relatively impermeable sediment cover. On the other profile, heat flow generally decreases from west to east. On both profiles, higher than average values of heat flow are also present, associated on one of them with a nearly outcropping basement elevation. These contrasting overall heat flow patterns in similar geological context indicate that the likely pattern of hydrothermal circulations is mainly 3D, and not driven only by the presence of basement outcrops. In the near-axis region, where the tectonic structure is more

Constant-flow ventilation in canine experimental pulmonary emphysema.

Science.gov (United States)

Hachenberg, T; Wendt, M; Meyer, J; Struckmeier, O; Lawin, P

1989-07-01

The efficacy of constant-flow ventilation (CFV) was investigated in eight mongrel dogs before (control-phase) and after development of papain-induced panlobular emphysema (PLE-phase). For CFV, heated, humidified and oxygen-enriched air was continuously delivered via two catheters positioned within each mainstem bronchus at flow rates (V) of 0.33, 0.5 and 0.66 l/s. Data obtained during intermittent positive pressure ventilation (IPPV) served as reference. In the control-phase, Pao2 was lower (P less than or equal to 0.05) and alveolo-arterial O2 difference (P(A-a)O2) was higher (P less than or equal to 0.01) during CFV at all flow rates when compared with IPPV. This may be due to inhomogeneities of intrapulmonary gas distribution and increased ventilation-perfusion (VA/Q) mismatching. Paco2 and V showed a hyperbolic relationship; constant normocapnia (5.3 kPa) was achieved at 0.48 +/- 0.21 l/s (V53). Development of PLE resulted in an increase of functional residual capacity (FRC), residual volume (RV) and static compliance (Cstat) (P less than or equal to 0.05). PaO2 had decreased and P(A-a)O2 had increased (P less than or equal to 0.05), indicating moderate pulmonary dysfunction. Oxygenation during CFV was not significantly different in the PLE-phase when compared with the control-phase. Paco2 and V showed a hyperbolic relationship and V5.3 was even lower than in the control-group (0.42 +/- 0.13 l/s). In dogs with emphysematous lungs CFV maintains sufficient gas exchange. This may be due to preferential ventilation of basal lung units, thereby counterbalancing the effects of impaired lung morphometry and increased airtrapping. Conventional mechanical ventilation is more effective in terms of oxygenation and CO2-elimination.

Hypoxic pulmonary vasoconstriction in reptiles: a comparative study of four species with different lung structures and pulmonary blood pressures.

Science.gov (United States)

Skovgaard, Nini; Abe, Augusto S; Andrade, Denis V; Wang, Tobias

2005-11-01

Low O2 levels in the lungs of birds and mammals cause constriction of the pulmonary vasculature that elevates resistance to pulmonary blood flow and increases pulmonary blood pressure. This hypoxic pulmonary vasoconstriction (HPV) diverts pulmonary blood flow from poorly ventilated and hypoxic areas of the lung to more well-ventilated parts and is considered important for the local matching of ventilation to blood perfusion. In the present study, the effects of acute hypoxia on pulmonary and systemic blood flows and pressures were measured in four species of anesthetized reptiles with diverse lung structures and heart morphologies: varanid lizards (Varanus exanthematicus), caimans (Caiman latirostris), rattlesnakes (Crotalus durissus), and tegu lizards (Tupinambis merianae). As previously shown in turtles, hypoxia causes a reversible constriction of the pulmonary vasculature in varanids and caimans, decreasing pulmonary vascular conductance by 37 and 31%, respectively. These three species possess complex multicameral lungs, and it is likely that HPV would aid to secure ventilation-perfusion homogeneity. There was no HPV in rattlesnakes, which have structurally simple lungs where local ventilation-perfusion inhomogeneities are less likely to occur. However, tegu lizards, which also have simple unicameral lungs, did exhibit HPV, decreasing pulmonary vascular conductance by 32%, albeit at a lower threshold than varanids and caimans (6.2 kPa oxygen in inspired air vs. 8.2 and 13.9 kPa, respectively). Although these observations suggest that HPV is more pronounced in species with complex lungs and functionally divided hearts, it is also clear that other components are involved.

Multimodality imaging of pulmonary infarction

International Nuclear Information System (INIS)

Bray, T.J.P.; Mortensen, K.H.; Gopalan, D.

2014-01-01

Highlights: • A plethora of pulmonary and systemic disorders, often associated with grave outcomes, may cause pulmonary infarction. • A stereotypical infarct is a peripheral wedge shaped pleurally based opacity but imaging findings can be highly variable. • Multimodality imaging is key to diagnosing the presence, aetiology and complications of pulmonary infarction. • Multimodality imaging of pulmonary infarction together with any ancillary features often guide to early targeted treatment. • CT remains the principal imaging modality with MRI increasingly used alongside nuclear medicine studies and ultrasound. - Abstract: The impact of absent pulmonary arterial and venous flow on the pulmonary parenchyma depends on a host of factors. These include location of the occlusive insult, the speed at which the occlusion develops and the ability of the normal dual arterial supply to compensate through increased bronchial arterial flow. Pulmonary infarction occurs when oxygenation is cut off secondary to sudden occlusion with lack of recruitment of the dual supply arterial system. Thromboembolic disease is the commonest cause of such an insult but a whole range of disease processes intrinsic and extrinsic to the pulmonary arterial and venous lumen may also result in infarcts. Recognition of the presence of infarction can be challenging as imaging manifestations often differ from the classically described wedge shaped defect and a number of weighty causes need consideration. This review highlights aetiologies and imaging appearances of pulmonary infarction, utilising cases to illustrate the essential role of a multimodality imaging approach in order to arrive at the appropriate diagnosis

Multimodality imaging of pulmonary infarction

Energy Technology Data Exchange (ETDEWEB)

Bray, T.J.P., E-mail: timothyjpbray@gmail.com [Department of Radiology, Papworth Hospital NHS Foundation Trust, Ermine Street, Papworth Everard, Cambridge CB23 3RE (United Kingdom); Mortensen, K.H., E-mail: mortensen@doctors.org.uk [Department of Radiology, Papworth Hospital NHS Foundation Trust, Ermine Street, Papworth Everard, Cambridge CB23 3RE (United Kingdom); University Department of Radiology, Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Box 318, Cambridge CB2 0QQ (United Kingdom); Gopalan, D., E-mail: deepa.gopalan@btopenworld.com [Department of Radiology, Papworth Hospital NHS Foundation Trust, Ermine Street, Papworth Everard, Cambridge CB23 3RE (United Kingdom)

2014-12-15

Highlights: • A plethora of pulmonary and systemic disorders, often associated with grave outcomes, may cause pulmonary infarction. • A stereotypical infarct is a peripheral wedge shaped pleurally based opacity but imaging findings can be highly variable. • Multimodality imaging is key to diagnosing the presence, aetiology and complications of pulmonary infarction. • Multimodality imaging of pulmonary infarction together with any ancillary features often guide to early targeted treatment. • CT remains the principal imaging modality with MRI increasingly used alongside nuclear medicine studies and ultrasound. - Abstract: The impact of absent pulmonary arterial and venous flow on the pulmonary parenchyma depends on a host of factors. These include location of the occlusive insult, the speed at which the occlusion develops and the ability of the normal dual arterial supply to compensate through increased bronchial arterial flow. Pulmonary infarction occurs when oxygenation is cut off secondary to sudden occlusion with lack of recruitment of the dual supply arterial system. Thromboembolic disease is the commonest cause of such an insult but a whole range of disease processes intrinsic and extrinsic to the pulmonary arterial and venous lumen may also result in infarcts. Recognition of the presence of infarction can be challenging as imaging manifestations often differ from the classically described wedge shaped defect and a number of weighty causes need consideration. This review highlights aetiologies and imaging appearances of pulmonary infarction, utilising cases to illustrate the essential role of a multimodality imaging approach in order to arrive at the appropriate diagnosis.

Pulmonary thromboembolism as a complication of lung transplantation

DEFF Research Database (Denmark)

Kristensen, Anna Warncke; Mortensen, Jann; Berg, Ronan M G

2017-01-01

Post-transplantation mortality after lung transplantation (LTX) is higher than for other solid organ transplantations. Thoracic surgery is associated with increased risk of thromboembolic complications, and as LTX recipients lack the collateral bronchial circulation, pulmonary thromboembolism (PTE...

MDCT evaluation of pulmonary embolism in children and young adults following a lateral tunnel Fontan procedure: optimizing contrast-enhancement techniques

International Nuclear Information System (INIS)

Prabhu, Sanjay P.; Mahmood, Soran; Sena, Laureen; Lee, Edward Y.

2009-01-01

Pulmonary embolism (PE) is a life-threatening thromboembolic complication in patients who have undergone a Fontan procedure for augmenting pulmonary blood flow in the setting of single-ventricle physiology. In patients following a Fontan procedure, lack of proper contrast agent mixing in the right atrium and sluggish, low-velocity blood flow within the Fontan circulation often results in suboptimal contrast enhancement within the pulmonary artery for evaluating PE. Unfortunately, there is a paucity of information describing the optimal contrast-enhancement technique with multidetector CT (MDCT) for evaluating PE in children and young adults following a Fontan procedure. We illustrate the MDCT imaging findings of suboptimal contrast enhancement within the pulmonary artery, which can be mistaken for PE, in patients following a lateral Fontan procedure, and we discuss MDCT techniques to optimize contrast enhancement within the pulmonary artery in these patients for evaluating PE. The MDCT imaging findings in pediatric and young adult patients following a lateral Fontan procedure and with clinically suspected PE are illustrated. We describe intravenous contrast agent injection techniques that can be used to optimize the contrast enhancement in the pulmonary artery in patients following a lateral Fontan procedure. The use of a suboptimal contrast-enhancement technique led to initial misdiagnosis and incomplete evaluation of PE in the three patients following a lateral Fontan procedure. Imaging in two patients showed that optimal evaluation of thrombosis in the Fontan pathway and PE in the pulmonary arteries can be successfully achieved with simultaneous upper- and lower-limb injections of contrast agent. This series demonstrates that suboptimal contrast enhancement can result in misdiagnosis or incomplete evaluation of PE in children and young adults following a lateral Fontan procedure. Careful attention to optimizing contrast enhancement during MDCT examination for

Alterações da função pulmonar após tratamento cirúrgico de cardiopatias congênitas com hiperfluxo pulmonar Changes in pulmonary function after surgical treatment of congenital heart disease with pulmonary hyperflow

Directory of Open Access Journals (Sweden)

Lilian Goraieb

2008-08-01

Full Text Available FUNDAMENTO: Análise das condições pulmonares dos pacientes no pós-operatório de cirurgia cardíaca pediátrica. OBJETIVO: Avaliar o comportamento da complacência pulmonar e resistência da via aérea nos pacientes portadores de cardiopatias congênitas com hiperfluxo pulmonar, submetidos a tratamento cirúrgico com auxílio de circulação extracorpórea. MÉTODOS: Avaliaram-se, durante a cirurgia, 35 pacientes com medidas de complacência estática e resistência da via aérea, em quatro instantes distintos. As medidas pulmonares foram feitas de forma não-invasiva, com o método de oclusão da via aérea ao final da inspiração e uso de fórmulas matemáticas específicas. As variáveis observadas e relacionadas às alterações pulmonares foram: no período pré-operatório, idade, peso e relação entre fluxo sangüíneo sistêmico e pulmonar; no intra-operatório, tempos de perfusão, de anóxia e temperatura mínima; no pós-operatório, tempo de ventilação mecânica e de permanência na unidade de terapia intensiva. RESULTADOS: Ao final da cirurgia, a complacência pulmonar mostrou aumento significativo imediato (p BACKGROUND: Analysis of pulmonary status of pediatric patients in the postoperative phase of cardiac surgery. OBJECTIVE: To assess pulmonary compliance and airway resistance in patients with congenital heart disease and pulmonary hyperflow submitted to surgical treatment with the use of extracorporeal circulation. METHODS: Thirty-five patients were evaluated during surgery with measurements of static compliance and airway resistance at four different timepoints. Pulmonary measurements were performed non-invasively using end-inspiratory airway occlusion and specific mathematical formulas. The variables examined and related to pulmonary changes were: preoperative - age, weight, and relationship between systemic and pulmonary blood flow; intraoperative - perfusion times, anoxia times and minimum temperature; postoperative

Numerical simulation of shell-side heat transfer and flow of natural circulation heat exchanger

International Nuclear Information System (INIS)

Xue Ruojun; Deng Chengcheng; Li Chaojun; Wang Mingyuan

2012-01-01

In order to analyze the influence on the heat transfer and flow characteristics of the heat exchanger model of different solving models and structures, a variety of transformation to the model equivalent for the heat exchanger was studied. In this paper, Fluent software was used to simulate the temperature-field and flow-field of the equivalent model, and investigate its heat-transferring and flow characteristics. Through comparative analysis of the distribution of temperature-field and flow-field for different models, the heat-transferring process and natural convection situation of heat exchanger were deeply understood. The results show that the temperature difference between the inside and outside of the natural circulation heat exchanger tubes is larger and the flow is more complex, so the turbulence model is the more reasonable choice. Asymmetry of tubes position makes the flow and heat transfer of the fluid on both sides to be dissymmetrical and makes the fluid interaction, and increases the role of natural convection. The complex structure of heat exchanger makes the flow and heat transfer of the fluid on both sides to be irregular to some extent when straight tubes into C-bent are transformed, and all these make the turbulence intensity increase and improve the effect of heat transfer. (authors)

Cooling Performance of Natural Circulation for a Research Reactor

Energy Technology Data Exchange (ETDEWEB)

Park, Suki; Chun, J. H.; Yum, S. B. [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2015-10-15

This paper deals with the core cooling performance by natural circulation during normal operation and a flow channel blockage event in an open tank-in-pool type research reactor. The cooling performance is predicted by using the RELAP5/ MOD3.3 code. The core decay heat is usually removed by natural circulation to the reactor pool water in open tank-in-pool type research reactors with the thermal power less than several megawatts. Therefore, these reactors have generally no active core cooling system against a loss of normal forced flow. In reactors with the thermal power less than around one megawatt, the reactor core can be cooled down by natural circulation even during normal full power operation. The cooling performance of natural circulation in an open tank-in-pool type research reactor has been investigated during the normal natural circulation and a flow channel blockage event. It is found that the maximum powers without void generation at the hot channel are around 1.16 MW and 820 kW, respectively, for the normal natural circulation and the flow channel blockage event.

An original valveless artificial heart providing pulsatile flow tested in mock circulatory loops.

Science.gov (United States)

Tozzi, Piergiorgio; Maertens, Audrey; Emery, Jonathan; Joseph, Samuel; Kirsch, Matthias; Avellan, François

2017-11-24

We present the test bench results of a valveless total artificial heart that is potentially compatible with the pediatric population. The RollingHeart is a valveless volumetric pump generating pulsatile flow. It consists of a single spherical cavity divided into 4 chambers by 2 rotating disks. The combined rotations of both disks produce changes in the volumes of the 4 cavities (suction and ejection). The blood enters/exits the spherical cavity through 4 openings that are symmetrical to the fixed rotation axis of the first disk.Mock circulatory system: The device pumps a 37% glycerin solution through 2 parallel circuits, simulating the pulmonary and systemic circulations. Flow rates are acquired with a magnetic inductive flowmeter, while pressure sensors collect pressure in the left and right outflow and inflow tracts.In vitro test protocol: The pump is run at speeds ranging from 20 to 180 ejections per minute. The waveform of the pressure generated at the inflow and outflow of the 4 chambers and the flow rate in the systemic circulation are measured. At an ejection rate of 178 min-1, the RollingHeart pumps 5.3 L/min for a systemic maximal pressure gradient of 174 mmHg and a pulmonary maximal pressure gradient of 75 mmHg. The power input was 14 W, corresponding to an efficiency of 21%. The RollingHeart represents a new approach in the domain of total artificial heart. This preliminary study endorses the feasibility of a single valveless device acting as a total artificial heart.

Studying circulation times of liver cancer cells by in vivo flow cytometry

Energy Technology Data Exchange (ETDEWEB)

Liu, G; Li, Y; Fan, Z; Guo, J; Tan, X; Wei, X, E-mail: xwei@fudan.edu.cn [Institutes of Biomedical Sciences, Fudan University, 138 Yi Xue Yuan Road, Shanghai, 200032 (China)

2011-02-01

Hepatocellular carcinoma (HCC) may metastasize to lung kidney and many other organs. The survival rate is almost zero for metastatic HCC patients. Molecular mechanisms of HCC metastasis need to be understood better and new therapies must be developed. A recently developed 'in vivo flow cytometer' combined with real-time confocal fluorescence imaging are used to assess spreading and the circulation kinetics of liver tumor cells. The in vivo flow cytometer has the capability to detect and quantify continuously the number and flow characteristics of fluorescently labeled cells in vivo in real time without extracting blood sample. We have measured the depletion kinetics of two related human HCC cell lines high-metastatic HCCLM3 cells and low-metastatic HepG2 cells which were from the same origin and obtained by repetitive screenings in mice. >60% HCCLM3 cells are depleted within the first hour. Interestingly the low-metastatic HepG2 cells possess noticeably slower depletion kinetics. In comparison <40% HepG2 cells are depleted within the first hour. The differences in depletion kinetics might provide insights into early metastasis processes.

Paradoxical embolization via a patent foramen ovale following acute pulmonary embolism

International Nuclear Information System (INIS)

Thomas, D.V.; Bynevelt, V.; Price, R.

2005-01-01

The foramen ovale is usually obliterated following establishment of the adult circulation but remains patent in 25% of individuals. This potential communication between the venous and arterial circulations can allow thromboembolic material to bypass the lungs and enter the systemic circulation. We report two cases of paradoxical embolization through a patent foramen ovale following acute large pulmonary embolism (PE) and discuss the factors that predispose to paradoxical embolization following PE Copyright (2005) Blackwell Publishing Asia Pty Ltd

Radiological diagnosis of pulmonary edema in chronic renal failure

International Nuclear Information System (INIS)

Tret'yakov, A.E.

1983-01-01

Pulmonary edema has been revealed in 132 patients (51.6 %) during radiologic examination of 256 patients with chronic renal failure. The performance of anterio-posterior chest radiographs was in most cases necessary and quite sufficient for making diagnostic conclusions. Follow up study of patients with pulmonary edema and analysis of radiologic picture of the alterations permitted physicians to distinguish approximately 3 stages of the process development, which transit from one into another. Stage 1 involves early disorders and prodromes of pulmonary edema; Stage 2 interstitial lung edema; Stage 3 alveolar edema. The circulation enforcement of the upper lobar vessels has been the main feature of stage 1. Radiogramometry provided additional information for the pulmonary edema diagnosis. For instance, cardioradiometric data are useful for pulmonary edema diagnosis and evidence in favour of its close connection with heart disorders

Efficacy of pulmonary artery banding in patients with uneventricular defects

Directory of Open Access Journals (Sweden)

Ю. С. Синельников

2015-10-01

Full Text Available Long-term results where evaluated for different methods of pulmonary artery banding (PAB in 25 patients with univentricular congenital heart defects with used three methods. Hospital mortality was 8%. Second stage palliation was performed in 61% of patients. More tight PA banding in patients with univentriclar gave opportunity to perform 2nd stage of operation in 100% of patients, decrease complications and mortality rate, modify pulmonary circulation effectively.

Interventional catheter methods for complex tetralogy of fallot and 'Critical' PS/pulmonary atresia with intact interventional septum

International Nuclear Information System (INIS)

Issenberg, H.J.

2005-01-01

flow for 'rehabilitation' and preserving RV function. Alternatively, some surgeons perform 'unifocalization', which for the interventionist achieves the same direct antegrade access into the pulmonary arterial tree. Our eventual goals are to recruit the maximal functional pulmonary vascular bed with the lowest resistance, balancing the ventilation-perfusion ratio, while minimizing the RV pressure and volume overload. A residual ASD and/or VSD, either deliberately left as a palliative 'fenestration' or an unwanted patch leak, can later be occluded with a device in the cath lab. The natural history of RV to PA conduits has been disappointing. Frequently, these develop stenosis at the homograft valve or from an intimal peel. In these situation, short-term extension of conduit life can be accomplished with ballooning and/or stenting. If the conduit has an acute bend, usually from sternal compression, non-surgical relief is difficult to accomplish. For those chronically volume loaded and dysfunctional RVs, xenograft valves mounted into stents have been percutaneously delivered during catheterization, providing a competent pulmonary valve, leading to diminished symptoms. Early results look promising, and in select cases may prolong conduit longevity, obviating the need for surgical reoperation. A more aggressive interventional approach has evolved for the treatment of pulmonary atresia with an intact interventricular septum. If the diagnostic evaluation reveals an adequate RV morphology and size for a two-ventricle approach, along with membranous pulmonary valve atresia and a non-RV dependent coronary circulation, an attempt at valve perforations is warranted. Frequently, the valve can be crossed gently with a guide wire, followed by progressive balloon dilations. If the valve is resistant to mechanical perforation, radio frequency or excimer laser is utilized to burn a hole through the membrane, followed by progressive dilations, with a resultant drop in RV pressure. This

Experimental study of natural circulation circuit

Energy Technology Data Exchange (ETDEWEB)

Lemos, Wanderley F.; Su, Jian, E-mail: wlemos@lasme.coppe.ufrj.br, E-mail: sujian@lasme.coppe.ufrj.br [Coordenacao dos Programas de Pos-Graduacao de Engenharia (LASME/COPPE/UFRJ), Rio de Janeiro, RJ (Brazil). Lab. de Simulacao e Metodos Numericos; Faccini, Jose L.H., E-mail: faccini@ien.gov.br [Instituto de Engenharia Nuclear (LTE/IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil). Lab. de Termo-Hidraulica Experimental

2011-07-01

This work presents an experimental study about fluid flows behavior in natural circulation, under conditions of single-phase flow. The experiment was performed through experimental thermal-hydraulic circuit built at IEN. This test equipment has performance similar to passive system of residual heat removal present in Advanced Pressurized Water Reactors (APWR). This experimental study aims to observing and analyzing the natural circulation phenomenon, using this experimental circuit that was dimensioned and built based on concepts of similarity and scale. This philosophy allows the analysis of natural circulation behavior in single-phase flow conditions proportionally to the functioning real conditions of a nuclear reactor. The experiment was performed through procedures to initialization of hydraulic feeding of primary and secondary circuits and electrical energizing of resistors installed inside heater. Power controller has availability to adjust values of electrical power to feeding resistors, in order to portray several conditions of energy decay of nuclear reactor in a steady state. Data acquisition system allows the measurement and monitoring of the evolution of the temperature in various points through thermocouples installed in strategic points along hydraulic circuit. The behavior of the natural circulation phenomenon was monitored by graphical interface on computer screen, showing the temperature evolutions of measuring points and results stored in digital spreadsheets. The results stored in digital spreadsheets allowed the getting of data to graphic construction and discussion about natural circulation phenomenon. Finally, the calculus of Reynolds number allowed the establishment for a correlation of friction in function of geometric scales of length, heights and cross section of tubing, considering a natural circulation flow throughout in the region of hot leg. (author)

Experimental study of natural circulation circuit

International Nuclear Information System (INIS)

Lemos, Wanderley F.; Su, Jian; Faccini, Jose L.H.

2011-01-01

This work presents an experimental study about fluid flows behavior in natural circulation, under conditions of single-phase flow. The experiment was performed through experimental thermal-hydraulic circuit built at IEN. This test equipment has performance similar to passive system of residual heat removal present in Advanced Pressurized Water Reactors (APWR). This experimental study aims to observing and analyzing the natural circulation phenomenon, using this experimental circuit that was dimensioned and built based on concepts of similarity and scale. This philosophy allows the analysis of natural circulation behavior in single-phase flow conditions proportionally to the functioning real conditions of a nuclear reactor. The experiment was performed through procedures to initialization of hydraulic feeding of primary and secondary circuits and electrical energizing of resistors installed inside heater. Power controller has availability to adjust values of electrical power to feeding resistors, in order to portray several conditions of energy decay of nuclear reactor in a steady state. Data acquisition system allows the measurement and monitoring of the evolution of the temperature in various points through thermocouples installed in strategic points along hydraulic circuit. The behavior of the natural circulation phenomenon was monitored by graphical interface on computer screen, showing the temperature evolutions of measuring points and results stored in digital spreadsheets. The results stored in digital spreadsheets allowed the getting of data to graphic construction and discussion about natural circulation phenomenon. Finally, the calculus of Reynolds number allowed the establishment for a correlation of friction in function of geometric scales of length, heights and cross section of tubing, considering a natural circulation flow throughout in the region of hot leg. (author)

Experimental investigation on natural circulation and air-injection enhanced circulation in a simple loop

International Nuclear Information System (INIS)

Walter Ambrosini; Nicola Forgione; Francesco Oriolo; Filippo Pellacani; Mariano Tarantino; Claudio Struckmann

2005-01-01

Full text of publication follows: Natural circulation represents an interesting phenomenon because of both the complex aspects characterising it and for the widespread application in industry. On the other hand, injection of a gas into a rising branch of a loop represents a means to establish or to enhance a circulation flow, as it occurs in the so-called 'air-lift' loops. Both natural circulation and gas-injection enhanced circulation are presently considered for cooling Accelerator Driven System (ADS) reactors. These are subcritical reactors in which the fission reaction chain is maintained by the injection of neutrons obtained by spallation reactions in a target through a high energy proton beam generated in an external accelerator. The capability of such reactors to be used as incinerators of long lived fission products makes them particularly interesting in the light of the closure of the nuclear fuel cycle. Some of the fluids proposed as coolants for these reactors are liquid metals, with main interest for lead and lead-bismuth eutectic (LBE). Experimental activities are being performed in support to the design of the reactor prototype by different organisations. The university of Pisa, in addition to provide cooperation in these large scale activities performed with LBE has set up a specific experimental program aimed at studying the fundamental mechanisms involved in natural circulation and gas-injection enhanced circulation. The adopted experimental facility consists in a simple loop, having a rectangular lay-out (roughly, 4 m tall and 1 m wide), equipped with a 5 kW, 1 m tall heater, a 2 m long pipe-in-pipe heat exchanger, an air injection device and a separator. The fluid adopted in the tests performed up to now is water, though studies for evaluating the feasibility of the adoption of different fluids have been undertaken. Experimental data reported in previous publications concerning this research were related to a relatively high range of gas

Hereditary Hemorrhagic Telangiectasia (HHT) and Pulmonary Hypertension

Science.gov (United States)

... has said these might be symptoms of pulmonary hypertension. How does this relate to my HHT? About ... differences are significant. In HHT-associated pulmonary arterial hypertension, abnormal blood flow through the blood vessels in ...

Experimental study of flow instability and CHF in a natural circulation system with subcooled boiling

International Nuclear Information System (INIS)

Yang, R.C.; Shi, D.Q.; Lu, Z.Q.; Zheng, R.C.; Wang, Y.

1996-01-01

Experimental study has been performed to investigate flow instability and critical heat flux (CHF) in a natural circulation system with subcooled boiling. In the experiments three kinds of heated sections were used. Freon-12 was used as the working medium. The experiments show which one of the two phenomena, flow instability and CHF condition, may first occur in the system depends on not only the heat input power to the heated section and the parameters of the working medium, but also the construction of the heated section. The occurrence of the flow instability mainly depends on the total heat input power to the heated section and the CHF condition is mainly caused by the local heat flux of the heated section. In the experiments two kinds of flow instability, flow instability with high frequency and flow instability with low frequency, were found. But they all belong to density wave instability. The influence of the parameters of the working medium on the onset of the flow instability and CHF condition in the system were investigated. The stability boundaries were determined through the experiments. By means of dimensional analysis of integral equations, a common correlation describing the threshold condition of onset of the flow instability was obtained

A Soft Total Artificial Heart-First Concept Evaluation on a Hybrid Mock Circulation.

Science.gov (United States)

Cohrs, Nicholas H; Petrou, Anastasios; Loepfe, Michael; Yliruka, Maria; Schumacher, Christoph M; Kohll, A Xavier; Starck, Christoph T; Schmid Daners, Marianne; Meboldt, Mirko; Falk, Volkmar; Stark, Wendelin J

2017-10-01

The technology of 3D-printing has allowed the production of entirely soft pumps with complex chamber geometries. We used this technique to develop a completely soft pneumatically driven total artificial heart from silicone elastomers and evaluated its performance on a hybrid mock circulation. The goal of this study is to present an innovative concept of a soft total artificial heart (sTAH). Using the form of a human heart, we designed a sTAH, which consists of only two ventricles and produced it using a 3D-printing, lost-wax casting technique. The diastolic properties of the sTAH were defined and the performance of the sTAH was evaluated on a hybrid mock circulation under various physiological conditions. The sTAH achieved a blood flow of 2.2 L/min against a systemic vascular resistance of 1.11 mm Hg s/mL (afterload), when operated at 80 bpm. At the same time, the mean pulmonary venous pressure (preload) was fixed at 10 mm Hg. Furthermore, an aortic pulse pressure of 35 mm Hg was measured, with a mean aortic pressure of 48 mm Hg. The sTAH generated physiologically shaped signals of blood flow and pressures by mimicking the movement of a real heart. The preliminary results of this study show a promising potential of the soft pumps in heart replacements. Further work, focused on increasing blood flow and in turn aortic pressure is required. © 2017 International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.

Detection of circulating immune complexes by Raji cell assay: comparison of flow cytometric and radiometric methods

International Nuclear Information System (INIS)

Kingsmore, S.F.; Crockard, A.D.; Fay, A.C.; McNeill, T.A.; Roberts, S.D.; Thompson, J.M.

1988-01-01

Several flow cytometric methods for the measurement of circulating immune complexes (CIC) have recently become available. We report a Raji cell flow cytometric assay (FCMA) that uses aggregated human globulin (AHG) as primary calibrator. Technical advantages of the Raji cell flow cytometric assay are discussed, and its clinical usefulness is evaluated in a method comparison study with the widely used Raji cell immunoradiometric assay. FCMA is more precise and has greater analytic sensitivity for AHG. Diagnostic sensitivity by the flow cytometric method is superior in systemic lupus erythematosus (SLE), rheumatoid arthritis, and vasculitis patients: however, diagnostic specificity is similar for both assays, but the reference interval of FCMA is narrower. Significant correlations were found between CIC levels obtained with both methods in SLE, rheumatoid arthritis, and vasculitis patients and in longitudinal studies of two patients with cerebral SLE. The Raji cell FCMA is recommended for measurement of CIC levels to clinical laboratories with access to a flow cytometer

Circulation induced by diffused aeration in a shallow lake

African Journals Online (AJOL)

2017-01-01

Jan 1, 2017 ... Lastly, a simple returning flow model was proposed to describe the circulation flow patterns ... method to describe the circulation patterns induced by the bub- ... 160 holes of 1 mm, which was designed to promote high mix-.

Flow characteristic of Hijiori HDR reservoir from circulation test in 1991; Koon tantai Hijiori jikkenjo ni okeru senbu choryuso shiken (1991 nendo) kekka to ryudo kaiseki

Energy Technology Data Exchange (ETDEWEB)

Shiga, T; Hyodo, M; Shinohara, N; Takasugi, S [Geothermal Energy Research and Development Co. Ltd., Tokyo (Japan)

1996-05-01

This paper reports one example of flow analyses on a circulation test carried out in fiscal 1991 at the Hijiori hot dry rock experimental field (Yamagata Prefecture). A fluid circulation model was proposed to simulate an HDR circulation system for a shallow reservoir (at a depth of about 1800 m) demonstrated in the circulation test by using an electric circuit network (which expresses continuity impedance in resistance and fluid storage in capacitance). Storage capacity of the reservoir was estimated by deriving time constant of the system from data of time-based change in reservoir pressure associated with transition phenomena during the circulation test. The storage capacity was estimated separately by dividing change of storage in the reservoir by change in the reservoir pressure. To derive the storage in the reservoir, a method to calculate non-recovered flows in the circulation test was utilized. The results of evaluating the reservoir capacity in the shallow reservoir using the above two independent methods were found substantially consistent. 3 refs., 6 figs., 1 tab.

Videodensitometry in rats with pulmonary damage due to microembolism

Energy Technology Data Exchange (ETDEWEB)

Wegenius, G.; Wegener, T.; Ruhn, G.; Saldeen, T.; Erikson, U.

Serial pulmonary angiography with videodensitometry was performed in 18 rats with pulmonary damage caused by administration of a fibrinolysis inhibitor, tranexamic acid (200 mg/kg body weight injected intraperitoneally) and bovine thrombin (500 NIH/kg body weight injected into the right femoral vein). The mean transit time (MTT) was calculated from videodensitometry, the observed area of interest consisting of approximately one-third of the right lung, including both central and peripheral parts. The impact of the pulmonary damage was analysed by morphologic methods and correlated to MTT. Although a pressure rise presumably occurred in the pulmonary circulation, no change in MTT was found after induction of pulmonary damage, indicating opening of actual and potential anastomoses between pulmonary arterioles and venules to serve as by-pass portions and as a safety-valve mechanism for the capillary bed and the right heart, respectively. Another explanation to unchanged MTT may be opening of resting capillary beds. Two rats with very severe pulmonary damage showed prolonged MTT. These rats may have suffered from cardiac failure.

Videodensitometry in rats with pulmonary damage due to microembolism

International Nuclear Information System (INIS)

Wegenius, G.; Wegener, T.; Ruhn, G.; Saldeen, T.; Erikson, U.

1985-01-01

Serial pulmonary angiography with videodensitometry was performed in 18 rats with pulmonary damage caused by administration of a fibrinolysis inhibitor, tranexamic acid (200 mg/kg body weight injected intraperitoneally) and bovine thrombin (500 NIH/kg body weight injected into the right femoral vein). The mean transit time (MTT) was calculated from videodensitometry, the observed area of interest consisting of approximately one-third of the right lung, including both central and peripheral parts. The impact of the pulmonary damage was analysed by morphologic methods and correlated to MTT. Although a pressure rise presumably occurred in the pulmonary circulation, no change in MTT was found after induction of pulmonary damage, indicating opening of actual and potential anastomoses between pulmonary arterioles and venules to serve as by-pass portions and as a safety-valve mechanism for the capillary bed and the right heart, respectively. Another explanation to unchanged MTT may be opening of resting capillary beds. Two rats with very severe pulmonary damage showed prolonged MTT. These rats may have suffered from cardiac failure. (orig.)

PWR hot leg natural circulation modeling with MELCOR code

Energy Technology Data Exchange (ETDEWEB)

Park, Jae Hong; Lee, Jong In [Korea Institute of Nuclear Safety, Taejon (Korea, Republic of)

1998-12-31

Previous MELCOR and SCDAP/RELAP5 nodalizations for simulating the counter-current, natural circulation behavior of vapor flow within the RCS hot legs and SG U-tubes when core damage progress can not be applied to the steady state and water-filled conditions during the initial period of accident progression because of the artificially high loss coefficients in the hot legs and SG U-tubes which were chosen from results of COMMIX calculation and the Westinghouse natural circulation experiments in a 1/7-scale facility for simulating steam natural circulation behavior in the vessel and circulation modeling which can be used both for the liquid flow condition at steady state and for the vapor flow condition at the later period of in-vessel core damage. For this, the drag forces resulting from the momentum exchange effects between the two vapor streams in the hot leg was modeled as a pressure drop by pump model. This hot leg natural circulation modeling of MELCOR was able to reproduce similar mass flow rates with those predicted by previous models. 6 refs., 2 figs. (Author)

PWR hot leg natural circulation modeling with MELCOR code

Energy Technology Data Exchange (ETDEWEB)

Park, Jae Hong; Lee, Jong In [Korea Institute of Nuclear Safety, Taejon (Korea, Republic of)

1997-12-31

Previous MELCOR and SCDAP/RELAP5 nodalizations for simulating the counter-current, natural circulation behavior of vapor flow within the RCS hot legs and SG U-tubes when core damage progress can not be applied to the steady state and water-filled conditions during the initial period of accident progression because of the artificially high loss coefficients in the hot legs and SG U-tubes which were chosen from results of COMMIX calculation and the Westinghouse natural circulation experiments in a 1/7-scale facility for simulating steam natural circulation behavior in the vessel and circulation modeling which can be used both for the liquid flow condition at steady state and for the vapor flow condition at the later period of in-vessel core damage. For this, the drag forces resulting from the momentum exchange effects between the two vapor streams in the hot leg was modeled as a pressure drop by pump model. This hot leg natural circulation modeling of MELCOR was able to reproduce similar mass flow rates with those predicted by previous models. 6 refs., 2 figs. (Author)

Reevaluation of Kori Unit 4 Natural Circulation Test

Energy Technology Data Exchange (ETDEWEB)

Yassin, Nassir [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of); Woo, Sweng Woong [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

2013-10-15

The simulation results showed that the natural circulation flow developed by density difference was capable of removing decay heat from the fuel rod. The maximum pellet centerline temperature of the hot channel showed large margin to the pellet melting temperature. The maximum coolant temperature in the hot channel was well below the saturation temperature. If steam generators provide heat sink to the primary coolant system and thus natural circulation is maintained, the integrity of the fuel in the core can be sustained with large margin. Passive cooling of reactor is inevitable in case of failures in forced cooling system such as loss of electric power for cooling pumps. Fukushima accident showed the importance of the passive core cooling. During the commissioning test of PWRs, natural circulation test is performed to demonstrate the passive core cooling by natural convection. The driving force for coolant flow is developed by the density deference along the loop multiplied by the gravitation. Using the data from 'natural circulation test' and 'RCS flow coast down test' of Kori Unit 4, fuel behavior was reevaluated by FRAPTRAN code. RCS natural circulation test of Kori Unit 4 was reevaluated by FRAPTYRAN simulation to study the fuel behavior during the flow coast down transient and at the equilibrium condition in which decay heat transport and RCS flow were stabilized.

High-Flow Renal Arteriovenous Fistula Treated with the Amplatzer Vascular Plug: Implementation of an Arterial and Venous Approach

International Nuclear Information System (INIS)

Brountzos, Elias N.; Ptohis, Nikolaos; Grammenou-Pomoni, Maria; Panagiotou, Irini; Kelekis, Dimitrios; Gouliamos, Athanasios; Kelekis, Nikolaos

2009-01-01

We present a 28-year-old man with a large symptomatic arteriovenous fistula (AVF) treated with embolization using the Amplatzer vascular plug (AVP). Although embolization may be considered the first-line therapy in the treatment of AVFs, there is an inherent high risk of migration of the embolic agents into the venous and pulmonary circulations. This case is illustrative of the ease and safety of using this device in high-flow renal AVFs.

Off-pump hepatic to azygos connection via thoracotomy for relief of fistulas after a Kawashima procedure : Ten-year results

NARCIS (Netherlands)

Arrigoni, Sara C.; van den Heuvel, Freek; Willems, Tineke P.; Hillege, Hans; Lindberg, Harald L.; Berger, Rolf M. F.; Ebels, Tjark

Objectives: An almost universal incidence of developing pulmonary arteriovenous fistulas after the Kawashima operation has been reported. Exclusion of the hepatic venous flow from the pulmonary circulation causes the development of these malformations. Redirection of hepatic venous flow to the

Is insufficient pulmonary air support the cause of dysphonia in chronic obstructive pulmonary disease?

Science.gov (United States)

Hassan, Megahed M; Hussein, Mona T; Emam, Ahmed Mamdouh; Rashad, Usama M; Rezk, Ibrahim; Awad, Al Hussein

2018-08-01

Optimal pulmonary air support is essential pre-requisite for efficient phonation. The objective is to correlate pulmonary and vocal functions in chronic obstructive pulmonary disease (COPD) to find out whether the reduced pulmonary function per se could induce dysphonia. In this prospective case-control study, sixty subjects with stable COPD underwent evaluation of pulmonary and vocal functions. The pulmonary functions measured include {Forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), FEV1/FVC ratio, peak expiratory flow (PEF), maximum mid-expiratory flow (MMEF)}. The vocal functions were {jitter, shimmer, noise-to-harmonic ratio, pitch perturbation quotient, amplitude perturbation quotient, maximum phonation time (MPT), sound pressure level, phonatory efficiency, resistance and power. A control group (n=35) underwent the same measurements. These functions were compared between subjects and controls. Also, correlation of the vocal and pulmonary functions was conducted. Thirty five (58.3%) of COPD subjects have dysphonia. The pulmonary functions were lower in all COPD group than in the control group (P<0.001 for all parameters). Also, the FVC, FEV1, PEF and MMEF % of predicted values were significantly lower in subjects with dysphonia (n=35) than those without dysphonia (n=25) with P values 0.0018, <0.001, 0.0011 and 0.0026 respectively. In addition, the MPT in all subjects showed positive correlations to the 5 pulmonary functions (P=0.004 for FEV1/FVC ratio and P<0.001 for the rest). Also, the phonatory efficiency showed significant positive correlations with the pulmonary functions FVC, FEV1, PEF and MMEF (P=0.001, 0.001, 0.002 and 0.001 respectively). Unlike efficiency, the phonatory resistance revealed significant negative correlations with these pulmonary functions in the same order (P=0.001, 0.003, 0.002, 0.001 respectively). Dysphonia is a common comorbidity with COPD which attributed to multifactorial etiologies. The lower

3. Workshop for IAEA ICSP on Integral PWR Design Natural Circulation Flow Stability and Thermo-hydraulic Coupling of Containment and Primary System during Accidents. Presentations

International Nuclear Information System (INIS)

2012-04-01

Most advanced nuclear power plant designs adopted several kinds of passive systems. Natural circulation is used as a key driving force for many passive systems and even for core heat removal during normal operation such as NuScale, CAREM, ESBWR and Indian AHWR designs. Simulation of natural circulation phenomena is very challenging since the driving force of it is weak compared to forced circulation and involves a coupling between primary system and containment for integral type reactor. The IAEA ICSP (International Collaborative Standard Problem) on 'Integral PWR Design Natural Circulation Flow Stability and Thermo-hydraulic Coupling of Containment and Primary System during Accidents' was proposed within the CRP on 'Natural Circulation Phenomena, Modelling, and Reliability of Passive Systems that utilize Natural Circulation'. Oregon State University (OSU) of USA offered to host this ICSP. This ICSP plans to conduct the following experiments and blind/open simulations with system codes: 1. Quasi-steady state operation with different core power levels: Conduct quasi-steady state operation with step-wise increase of core power level in order to observe single phase natural circulation flow according to power level. The experimental facility and operating conditions for an integral PWR will be used. 2. Thermo-hydraulic Coupling between Primary system and Containment: Conduct a loss of feedwater transient with subsequent ADS blowdown and long term cooling to determine the progression of a loss of feedwater transient by natural circulation through primary and containment systems. These tests would examine the blowdown phase as well as the long term cooling using sump natural circulation by coupling the primary to containment systems. This data could be used for the evaluation of system codes to determine if they model specific phenomena in an accurate manner. OSU completed planned two ICSP tests in July 2011 and real initial and boundary conditions measured from the

Computational simulation of flow and heat transfer in single-phase natural circulation loops

International Nuclear Information System (INIS)

Pinheiro, Larissa Cunha

2017-01-01

Passive decay heat removal systems based on natural circulation are essential assets for the new Gen III+ nuclear power reactors and nuclear spent fuel pools. The aim of the present work is to study both laminar and turbulent flow and heat transfer in single-phase natural circulation systems through computational fluid dynamics simulations. The working fluid is considered to be incompressible with constant properties. In the way, the Boussinesq Natural Convection Hypothesis was applied. The model chosen for the turbulence closure problem was the k -- εThe commercial computational fluid dynamics code ANSYS CFX 15.0 was used to obtain the numerical solution of the governing equations. Two single-phase natural circulation circuits were studied, a 2D toroidal loop and a 3D rectangular loop, both with the same boundary conditions of: prescribed heat flux at the heater and fixed wall temperature at the cooler. The validation and verification was performed with the numerical data provided by DESRAYAUD et al. [1] and the experimental data provided by MISALE et al. [2] and KUMAR et al. [3]. An excellent agreement between the Reynolds number (Re) and the modified Grashof number (Gr_m), independently of Prandtl Pr number was observed. However, the convergence interval was observed to be variable with Pr, thus indicating that Pr is a stability governing parameter for natural circulation. Multiple steady states was obtained for Pr = 0,7. Finally, the effect of inclination was studied for the 3D circuit, both in-plane and out-of-plane inclinations were verified for the steady state laminar regime. As a conclusion, the Re for the out-of-plane inclination was in perfect agreement with the correlation found for the zero inclination system, while for the in-plane inclined system the results differ from that of the corresponding vertical loop. (author)

Pulmonary vascular input impedance is a combined measure of pulmonary vascular resistance and stiffness and predicts clinical outcomes better than pulmonary vascular resistance alone in pediatric patients with pulmonary hypertension.

Science.gov (United States)

Hunter, Kendall S; Lee, Po-Feng; Lanning, Craig J; Ivy, D Dunbar; Kirby, K Scott; Claussen, Lori R; Chan, K Chen; Shandas, Robin

2008-01-01

Pulmonary vascular resistance (PVR) is the current standard for evaluating reactivity in children with pulmonary arterial hypertension (PAH). However, PVR measures only the mean component of right ventricular afterload and neglects pulsatile effects. We recently developed and validated a method to measure pulmonary vascular input impedance, which revealed excellent correlation between the zero harmonic impedance value and PVR and suggested a correlation between higher-harmonic impedance values and pulmonary vascular stiffness. Here we show that input impedance can be measured routinely and easily in the catheterization laboratory, that impedance provides PVR and pulmonary vascular stiffness from a single measurement, and that impedance is a better predictor of disease outcomes compared with PVR. Pressure and velocity waveforms within the main pulmonary artery were measured during right heart catheterization of patients with normal pulmonary artery hemodynamics (n = 14) and those with PAH undergoing reactivity evaluation (49 subjects, 95 conditions). A correction factor needed to transform velocity into flow was obtained by calibrating against cardiac output. Input impedance was obtained off-line by dividing Fourier-transformed pressure and flow waveforms. Exceptional correlation was found between the indexed zero harmonic of impedance and indexed PVR (y = 1.095x + 1.381, R2 = 0.9620). In addition, the modulus sum of the first 2 harmonics of impedance was found to best correlate with indexed pulse pressure over stroke volume (y = 13.39x - 0.8058, R2 = 0.7962). Among a subset of patients with PAH (n = 25), cumulative logistic regression between outcomes to total indexed impedance was better (R(L)2 = 0.4012) than between outcomes and indexed PVR (R(L)2 = 0.3131). Input impedance can be consistently and easily obtained from pulse-wave Doppler and a single catheter pressure measurement, provides comprehensive characterization of the main components of RV afterload, and

Numerical simulation of the gas-solid flow in a square circulating fluidized bed with secondary air injection

Energy Technology Data Exchange (ETDEWEB)

Wang, Zhengyang [Harbin Institute of Technology, Harbin (China). Post-doctor Station of Civil Engineering; Harbin Institute of Technology, Harbin (China). Combustion Engineering Research Inst.; Sun, Shaozeng; Zhao, Ningbo; Wu, Shaohua [Harbin Institute of Technology, Harbin (China). Combustion Engineering Research Inst.; Tan, Yufei [Harbin Institute of Technology, Harbin (China). School of Municipal and Environmental Engineering

2013-07-01

The dynamic behavior of gas-solid flow in an experimental square circulating fluidized bed setup (0.25 m x 0.25 m x 6.07 m) is predicted with numerical simulation based on the theory of Euler-Euler gas-solid two-phase flow and the kinetic theory of granular flows. The simulation includes the operation cases with secondary injection and without air-staging. The pressure drop profile, local solids concentration and particle velocity was compared with experimental results. Both simulation and experimental results show that solids concentration increases significantly below the secondary air injection ports when air-staging is adopted. Furthermore, the flow asymmetry in the solid entrance region of the bed was investigated based on the particle concentration/velocity profile. The simulation results are in agreement with the experimental results qualitatively.

The feasibility and accuracy of enhanced MR pulmonary perfusion imaging in evaluating therapeutic effect of pulmonary embolism

International Nuclear Information System (INIS)

Wang Nana; Lv Biao; Zhao Zhaoqi; Huang Xiaoyong; Lu Dongxu; Mi Hongzhi; Yu Weiyong

2010-01-01

Objective: To investigate the feasibility and accuracy of enhanced magnetic resonance pulmonary perfusion imaging (MRPP) in the diagnosis and follow-up of pulmonary embolism (PE). Methods: Sixty patients suspected of PE underwent MRPP. Twenty-seven patients also underwent radionuclide perfusion imaging. 22 patients repeated MRPP examination after 3 day to 1 month antieoagulation or thrombolytic therapy. The feasibility and accuracy of MRPP in the diagnosis and follow-up of PE were evaluated according to the transformation rate of signal (TROS), time-signal curve and some parameters of main pulmonary artery (such as peak value of flow, mean flow velocity and flow rate). The t test and rank sum test were used for the statistics. Results: MRPP showed a high agreement with radionuclide perfusion imaging. TROS was (2.86 ± 2.48) vs(6.72 ± 2.54) (t=3.370, P 0.05). Conclusion: MRPP shows a high agreement with radionuclide perfusion imaging and is a useful method for the diagnosis and follow-up of PE. (authors)

Role of bronchodilation and pattern of breathing in increasing tidal expiratory flow with progressive induced hypercapnia in chronic obstructive pulmonary disease.

Science.gov (United States)

Finucane, Kevin E; Singh, Bhajan

2018-01-01

Hypercapnia (HC) in vitro relaxes airway smooth muscle; in vivo, it increases respiratory effort, tidal expiratory flows (V̇ exp ), and, by decreasing inspiratory duration (Ti), increases elastic recoil pressure (Pel) via lung viscoelasticity; however, its effect on airway resistance is uncertain. We examined the contributions of bronchodilation, Ti, and expiratory effort to increasing V̇ exp with progressive HC in 10 subjects with chronic obstructive pulmonary disease (COPD): mean forced expiratory volume in 1 s (FEV 1 ) 53% predicted. Lung volumes (Vl), V̇ exp , esophageal pressure (Pes), Ti, and end-tidal Pco 2 ([Formula: see text]) were measured during six tidal breaths followed by an inspiratory capacity (IC), breathing air, and at three levels of HC. V̇ exp and V̇ with submaximal forced vital capacities breathing air (V̇ sFVC ) were compared. Pulmonary resistance ( Rl) was measured from the Pes-V̇ relationship. V̇ exp and Pes at end-expiratory lung volume (EELV) + 0.3 tidal volume [V̇ (0.3Vt) and Pes (0.3Vt) , respectively], Ti, and Rl correlated with [Formula: see text] ( P pulmonary disease (COPD), progressive HC increases tidal expiratory flows by inducing bronchodilation and via an increased rate of inspiration and lung viscoelasticity, a probable increase in lung elastic recoil pressure, both changes increasing expiratory flows, promoting lung emptying and a stable end-expiratory volume. Bronchodilation with HC occurred despite optimal standard bronchodilator therapy, suggesting that in COPD further bronchodilation is possible.

Helium compressor aerodynamic design considerations for MHTGR circulators

International Nuclear Information System (INIS)

McDonald, C.F.

1988-01-01

Compressor aerodynamic design considerations for both the main and shutdown cooling circulators in the Modular High-Temperature Gas-Cooled Reactor (MHTGR) plant are addressed in this paper. A major selection topic relates to the impeller type (i.e., axial or radial flow), and the aerothermal studies leading to the selection of optimum parameters are discussed. For the conceptual designs of the main and shutdown cooling circulators, compressor blading geometries were established and helium gas flow paths defined. Both circulators are conservative by industrial standards in terms of aerodynamic and structural loading, and the blade tip speeds are particularly modest. Performance characteristics are presented, and the designs embody margin to ensure that pressure-rise growth potential can be accomodated should the circuit resistance possibly increase as the plant design advances. The axial flow impeller for the main circulator is very similar to the Fort St. Vrain (FSV) helium compressor which performs well. A significant technology base exists for the MHTGR plant circulators, and this is highlighted in the paper. (author). 15 refs, 16 figs, 12 tabs

Studies on coagulation, fibrinolysis, kallikrein-kinin and complement activation in systemic and pulmonary circulation during hip arthroplasty with acrylic cement.

Science.gov (United States)

Dahl, O E; Molnar, I; Vinje, A; Rø, J S; Kierulf, P; Andersen, A B; Dalaker, K; Prydz, H

1988-06-15

This study was designed to evaluate the contribution of the plasma cascade systems to the cardiopulmonary complications, occasionally leading to sudden death during hip arthroplasty using acrylic cement. The intraoperative pattern following uneventful surgery was therefore investigated in 8 patients with osteoarthrosis with frequent sampling from the radial and pulmonary arteries. The following general findings emerged: A gradual consumption of coagulation factors (platelets, fibrinogen, factor VII, antithrombin III), fibrinolytic components (plasminogen, alpha-2-antiplasmin), kallikrein-kinin factors (prekallikrein, kallikrein inhibitor) and complement factors (C3c, C4) was observed. Some intrapulmonary proteolytic inhibition was noticed as evidenced by lower arterial than mixed venous blood levels of alpha-2-antiplasmin and kallikrein inhibitor. Insignificant changes occurred for factor VII-phospholipid complex. A rapid, massive and transient increase in fibrinopeptide A (FPA) values in the radial artery, as opposed to the moderate increase in the pulmonary artery, was found immediately after reaming and broaching of bone. This probably reflected intrapulmonary fibrinogen to fibrin conversion, reaching a maximum 15-20 minutes before the femoral implantation. As estimated from the FPA arterial peak values and the fall in fibrinogen concentrations, approximately 5-10% of the circulating fibrinogen molecules were devoided of FPA during this intraoperative phase. The marked a-v difference in FPA level supports earlier findings of intrapulmonary fibrin formation and deposition. This process, however preceded the critical period of cardiorespiratory collapse (CRC) by at least 15 minutes, and may thus predispose to this complication.

Development and Implementation of 3-D, High Speed Capacitance Tomography for Imaging Large-Scale, Cold-Flow Circulating Fluidized Bed

Energy Technology Data Exchange (ETDEWEB)

Marashdeh, Qussai [Tech4imaging LLC, Columbus, OH (United States)

2013-02-01

A detailed understanding of multiphase flow behavior inside a Circulating Fluidized Bed (CFB) requires a 3-D technique capable of visualizing the flow field in real-time. Electrical Capacitance Volume Tomography (ECVT) is a newly developed technique that can provide such measurements. The attractiveness of the technique is in its low profile sensors, fast imaging speed and scalability to different section sizes, low operating cost, and safety. Moreover, the flexibility of ECVT sensors enable them to be designed around virtually any geometry, rendering them suitable to be used for measurement of solid flows in exit regions of the CFB. Tech4Imaging LLC has worked under contract with the U.S. Department of Energy's National Energy Technology Laboratory (DOE NETL) to develop an ECVT system for cold flow visualization and install it on a 12 inch ID circulating fluidized bed. The objective of this project was to help advance multi-phase flow science through implementation of an ECVT system on a cold flow model at DOE NETL. This project has responded to multi-phase community and industry needs of developing a tool that can be used to develop flow models, validate computational fluid dynamics simulations, provide detailed real-time feedback of process variables, and provide a comprehensive understating of multi-phase flow behavior. In this project, a complete ECVT system was successfully developed after considering different potential electronics and sensor designs. The system was tested at various flow conditions and with different materials, yielding real-time images of flow interaction in a gas-solid flow system. The system was installed on a 12 inch ID CFB of the US Department of Energy, Morgantown Labs. Technical and economic assessment of Scale-up and Commercialization of ECVT was also conducted. Experiments conducted with larger sensors in conditions similar to industrial settings are very promising. ECVT has also the potential to be developed for imaging multi

Impact of waves on the circulation flow in the Iguasu gas centrifuge

Science.gov (United States)

Bogovalov, S.; Kislov, V.; Tronin, I.

2017-01-01

2D axisymmetric transient flow induced by a pulsed braking force in the Iguasu gas centrifuge (GC) is simulated numerically. The simulation is performed for two cases: transient and stationary. The braking forces averaged over the period of rotation are equal to each other in both cases. The transient case is compared with the stationary case where the flow is excited by the stationary braking force.Two models of the gas cenrifuge is simulated. There are two cameras in the first model and three cameras in the second one. In the transient case for the two cameras model pulsations almost doubles the axial circulation flux in the working camera. In the transient case for the three cameras model the gas flux through the gap in the bottom baffle exceeds on 15 % the same flux in the stationary case for the same gas content and temperature at the walls of the rotor. We argue that the waves can reduce the gas content in the GC on the same 15 %.

Secondary circulation in river junctions even at very low flow momentum ratios : The legacy effects of point bar formation

NARCIS (Netherlands)

Moradi, Gelare; Rennie, Colin; Vermeulen, Bart; Cardot, Romain; Lane, Stuart

2018-01-01

River confluences remain a challenging subject because of their 3D geometry which leads to a complex, three-dimensional mean and turbulent velocity processes. Since secondary circulation plays an important role in flow hydrodynamics and the development of bank erosion, bed scour and bar formation,

Experimental study of two-phase natural circulation circuit

Energy Technology Data Exchange (ETDEWEB)

Lemos, Wanderley Freitas; Su, Jian, E-mail: wlemos@lasme.coppe.ufrj.br, E-mail: sujian@nuclear.ufrj.br [Coordenacao dos Programas de Pos-Graduacao em Engenharia (COPPE/UFRJ), Rio de Janeiro, RJ (Brazil). Programa de Engenharia Nuclear; Faccini, Jose Luiz Horacio, E-mail: faccini@ien.gov.br [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), RIo de Janeiro, RJ (Brazil). Lab. de Termo-Hidraulica Experimental

2012-07-01

This paper reports an experimental study on the behavior of fluid flow in natural circulation under single-and two-phase flow conditions. The natural circulation circuit was designed based on concepts of similarity and scale in proportion to the actual operating conditions of a nuclear reactor. This test equipment has similar performance to the passive system for removal of residual heat presents in Advanced Pressurized Water Reactors (A PWR). The experiment was carried out by supplying water to primary and secondary circuits, as well as electrical power resistors installed inside the heater. Power controller has available to adjust the values for supply of electrical power resistors, in order to simulate conditions of decay of power from the nuclear reactor in steady state. Data acquisition system allows the measurement and control of the temperature at different points by means of thermocouples installed at several points along the circuit. The behavior of the phenomenon of natural circulation was monitored by a software with graphical interface, showing the evolution of temperature measurement points and the results stored in digital format spreadsheets. Besides, the natural circulation flow rate was measured by a flowmeter installed on the hot leg. A flow visualization technique was used the for identifying vertical flow regimes of two-phase natural circulation. Finally, the Reynolds Number was calculated for the establishment of a friction factor correlation dependent on the scale geometrical length, height and diameter of the pipe. (author)

Experimental study of two-phase natural circulation circuit

International Nuclear Information System (INIS)

Lemos, Wanderley Freitas; Su, Jian; Faccini, Jose Luiz Horacio

2012-01-01

This paper reports an experimental study on the behavior of fluid flow in natural circulation under single-and two-phase flow conditions. The natural circulation circuit was designed based on concepts of similarity and scale in proportion to the actual operating conditions of a nuclear reactor. This test equipment has similar performance to the passive system for removal of residual heat presents in Advanced Pressurized Water Reactors (A PWR). The experiment was carried out by supplying water to primary and secondary circuits, as well as electrical power resistors installed inside the heater. Power controller has available to adjust the values for supply of electrical power resistors, in order to simulate conditions of decay of power from the nuclear reactor in steady state. Data acquisition system allows the measurement and control of the temperature at different points by means of thermocouples installed at several points along the circuit. The behavior of the phenomenon of natural circulation was monitored by a software with graphical interface, showing the evolution of temperature measurement points and the results stored in digital format spreadsheets. Besides, the natural circulation flow rate was measured by a flowmeter installed on the hot leg. A flow visualization technique was used the for identifying vertical flow regimes of two-phase natural circulation. Finally, the Reynolds Number was calculated for the establishment of a friction factor correlation dependent on the scale geometrical length, height and diameter of the pipe. (author)

Ductus arteriosus stenting: A promising percutaneous palliation in patients with duct-dependent pulmonary circulation.

Science.gov (United States)

Raval, Abhishek; Thakkar, Bhavesh; Madan, Tarun; Oswal, Nilesh; Garg, Rajiv; Umalkar, Rhshikesh; Shah, Komal; Maheriya, Bhumika

2016-11-01

We aimed to study the feasibility and outcomes of ductal stenting in patients with duct-dependent pulmonary blood flow (PBF). Duct-dependent hypoxic patients with confluent pulmonary artery (PA) branches were enrolled for ductal stenting and followed regularly. Sixty patients, with a median age of 12 (1-1095) days and weight of 2.8 (2.2-8.9) kg, were enrolled. Median right PA (RPA) and left PA (LPA) Z-scores were -1.23 (-10.54 to 2.81) and -0.96 (-8.03 to 3.0), respectively. Mean narrowest ductal diameter was 1.73±0.57 mm and length was 12.78±3.32 mm. Sixty-four stents with mean diameter of 4.21±0.32 mm and length of 14.34±3.44 mm were deployed in 59 patients. The procedure was unsuccessful in one. Post-stenting mean oxygen saturation (SO 2 ) increased significantly from baseline of 68.88±7.47% to 90.43±6.04% (pedema in one patient and acute stent occlusion in another. At a median follow-up of eight (2-14) months, mean SO 2 (80.04±7.54%) was significantly higher than baseline (p<0.0001). Median RPA and LPA Z-scores, 0.56 (-2.89 to 3.29) and -0.02 (-2.81 to 3.86), respectively, were significantly higher than baseline. Six patients required re-interventions (shunt in three and angioplasty in three). Six patients died, three due to sepsis and another three with worsened cyanosis due to impaired PBF, probably due to ductal occlusion. Ductal stenting is an effective palliation in patients with duct-dependent PBF. It maintains adequate SO 2 and promotes balanced PA growth at mid-term follow-up. Copyright © 2016 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

Hydrodechlorination of TCE in a circulated electrolytic column at high flow rate.

Science.gov (United States)

Fallahpour, Noushin; Yuan, Songhu; Rajic, Ljiljana; Alshawabkeh, Akram N

2016-02-01

Palladium-catalytic hydrodechlorination of trichloroethylene (TCE) by cathodic H2 produced from water electrolysis has been tested. For a field in-well application, the flow rate is generally high. In this study, the performance of Pd-catalytic hydrodechlorination of TCE using cathodic H2 is evaluated under high flow rate (1 L min(-1)) in a circulated column system, as expected to occur in practice. An iron anode supports reduction conditions and it is used to enhance TCE hydrodechlorination. However, the precipitation occurs and high flow rate was evaluated to minimize its adverse effects on the process (electrode coverage, clogging, etc.). Under the conditions of 1 L min(-1) flow, 500 mA current, and 5 mg L(-1) initial TCE concentration, removal efficacy using iron anodes (96%) is significantly higher than by mixed metal oxide (MMO) anodes (66%). Two types of cathodes (MMO and copper foam) in the presence of Pd/Al2O3 catalyst under various currents (250, 125, and 62 mA) were used to evaluate the effect of cathode materials on TCE removal efficacy. The similar removal efficiencies were achieved for both cathodes, but more precipitation generated with copper foam cathode (based on the experiments done by authors). In addition to the well-known parameters such as current density, electrode materials, and initial TCE concentration, the high velocities of groundwater flow can have important implications, practically in relation to the flush out of precipitates. For potential field application, a cost-effective and sustainable in situ electrochemical process using a solar panel as power supply is being evaluated. Published by Elsevier Ltd.

Time course of reversed cardiac remodeling after pulmonary endarterectomy in patients with chronic pulmonary thromboembolism

Energy Technology Data Exchange (ETDEWEB)

Iino, Misako; Dymarkowski, Steven; Chaothawee, Lertlak; Bogaert, Jan [UZ Leuven, Department of Radiology, Leuven (Belgium); Delcroix, Marion [UZ Leuven, Department of Pneumology, Leuven (Belgium)

2008-04-15

To evaluate the time course of reversed remodeling after pulmonary endarterectomy (PEA) in patients with chronic thromboembolic pulmonary hypertension(CTPEH), we studied 22 patients (age: 60 {+-} 13 years) with MRI immediately before, 1 month, 3 months, and 6 months after PEA. MRI included assessment of biventricular function, aortic and pulmonary artery(PA) flow, and right ventricular (RV) overload using the ratio of RV-to-biventricular diameter. Except in one patient, who died 2 months post-surgery, clinical improvement occurred early after PEA (NYHA class: 3.3 {+-} 0.6 to 1.5 {+-} 0.8, p < 0.0001) with a decrease of systolic pulmonary artery pressures (79 {+-} 14 to 44 {+-} 14 mmHg, p < 0.0001). At 1 month post PEA, RV end-diastolic volumes decreased (198 {+-} 72 to 137 {+-} 59 ml, p < 0.0001), and the RV ejection fraction (EF) improved (31 {+-} 9 to 47 {+-} 10%, p < 0.0001). No further significant improvement in pulmonary pressures or RV function occurred at 3 months or 6 months. Although no significant change was found in LV volumes or function, aortic flow increased early after surgery. PEA had only a beneficial effect on right PA flow. RV overload decreased early after PEA (ratio RV-to-biventricular diameter: before: 0.67 {+-} 0.04, after: 0.54 {+-} 0.06, p < 0.0001), showing a good correlation with the improvement in RVEF (r = 0.7, P < 0.0001). In conclusion, reversed cardiac remodeling occurs early after PEA, to slow down after 1 month. At 6 months, cardiac remodeling is incomplete as witnessed by low-normal RV function and residually elevated PA pressures. (orig.)

Increased CD39 Nucleotidase Activity on Microparticles from Patients with Idiopathic Pulmonary Arterial Hypertension

Science.gov (United States)

Visovatti, Scott H.; Hyman, Matthew C.; Bouis, Diane; Neubig, Richard; McLaughlin, Vallerie V.; Pinsky, David J.

2012-01-01

Background Idiopathic pulmonary arterial hypertension (IPAH) is a devastating disease characterized by increased pulmonary vascular resistance, smooth muscle and endothelial cell proliferation, perivascular inflammatory infiltrates, and in situ thrombosis. Circulating intravascular ATP, ADP, AMP and adenosine activate purinergic cell signaling pathways and appear to induce many of the same pathologic processes that underlie IPAH. Extracellular dephosphorylation of ATP to ADP and AMP occurs primarily via CD39 (ENTPD1), an ectonucleotidase found on the surface of leukocytes, platelets, and endothelial cells [1]. Microparticles are micron-sized phospholipid vesicles formed from the membranes of platelets and endothelial cells. Objectives: Studies here examine whether CD39 is an important microparticle surface nucleotidase, and whether patients with IPAH have altered microparticle-bound CD39 activity that may contribute to the pathophysiology of the disease. Methodology/ Principal Findings Kinetic parameters, inhibitor blocking experiments, and immunogold labeling with electron microscopy support the role of CD39 as a major nucleotidase on the surface of microparticles. Comparison of microparticle surface CD39 expression and nucleotidase activity in 10 patients with advanced IPAH and 10 healthy controls using flow cytometry and thin layer chromatograph demonstrate the following: 1) circulating platelet (CD39+CD31+CD42b+) and endothelial (CD39+CD31+CD42b−) microparticle subpopulations in patients with IPAH show increased CD39 expression; 2) microparticle ATPase and ADPase activity in patients with IPAH is increased. Conclusions/ Significance We demonstrate for the first time increased CD39 expression and function on circulating microparticles in patients with IPAH. Further research is needed to elucidate whether these findings identify an important trigger for the development of the disease, or reflect a physiologic response to IPAH. PMID:22792409

Single photon emission computed tomography study of human pulmonary perfusion: preliminary findings

Energy Technology Data Exchange (ETDEWEB)

Carratu, L; Sofia, M [Naples Univ. (Italy). Facolta di Medicina e Chirurgia; Salvatore, M; Muto, P; Ariemma, G [Istituto Nazionale per la Prevenzione, Lo Studio e La Cura dei Tumori Fondazione Pascale, Naples (Italy); Lopez-Majano, V [Cook County Hospital, Chicago, IL (USA). Nuclear Medicine Div.

1984-02-01

Single photon emission computed tomography (SPECT) was performed with /sup 99/Tcsup(m)-albumin macroaggregates to study human pulmonary perfusion in healthy subjects and patients with respiratory diseases such as chronic obstructive pulmonary disease (COPD) and lung neoplasms. The reconstructed SPECT data was displayed in coronal, transverse, sagittal plane sections and compared to conventional perfusion scans. The SPECT data gave more complicated anatomical information about the extent of damage and morphology of the pulmonary vascular bed. In healthy subjects and COPD patients, qualitative and quantitative assessment of pulmonary perfusion could be obtained from serial SPECT scans with respect to distribution and relative concentration of the injected radiopharmaceutical. Furthermore, SPECT of pulmonary perfusion has been useful in detecting the extent of damage to the pulmonary circulation. This is useful for the preoperative evaluation and staging of lung cancer.

Decreased levels of circulating sex hormones as a biomarker of lung ...

African Journals Online (AJOL)

Background: An early differentiation of malignant from benign solitary pulmonary nodules (SPNs) is essential for management and prognosis of lung cancer. Objectives: Here we investigated whether measurement of circulating sex hormones could be useful for an early detection of malignancy among patients with SPNs.

Improved Diffuse Fluorescence Flow Cytometer Prototype for High Sensitivity Detection of Rare Circulating Cells In Vivo

Science.gov (United States)

Pestana, Noah Benjamin

Accurate quantification of circulating cell populations is important in many areas of pre-clinical and clinical biomedical research, for example, in the study of cancer metastasis or the immune response following tissue and organ transplants. Normally this is done "ex-vivo" by drawing and purifying a small volume of blood and then analyzing it with flow cytometry, hemocytometry or microfludic devices, but the sensitivity of these techniques are poor and the process of handling samples has been shown to affect cell viability and behavior. More recently "in vivo flow cytometry" (IVFC) techniques have been developed where fluorescently-labeled cells flowing in a small blood vessel in the ear or retina are analyzed, but the sensitivity is generally poor due to the small sampling volume. To address this, our group recently developed a method known as "Diffuse Fluorescence Flow Cytometry" (DFFC) that allows detection and counting of rare circulating cells with diffuse photons, offering extremely high single cell counting sensitivity. In this thesis, an improved DFFC prototype was designed and validated. The chief improvements were three-fold, i) improved optical collection efficiency, ii) improved detection electronics, and iii) development of a method to mitigate motion artifacts during in vivo measurements. In combination, these improvements yielded an overall instrument detection sensitivity better than 1 cell/mL in vivo, which is the most sensitive IVFC system reported to date. Second, development and validation of a low-cost microfluidic device reader for analysis of ocular fluids is described. We demonstrate that this device has equivalent or better sensitivity and accuracy compared a fluorescence microscope, but at an order-of-magnitude reduced cost with simplified operation. Future improvements to both instruments are also discussed.

Experimental Observations of Natural Circulation Flow in the NSTF at Steady-State Conditions

International Nuclear Information System (INIS)

Lisowski, Darius D.; Farmer, Mitch T.

2014-01-01

A ½ scale test facility has been constructed at Argonne National Laboratory (ANL) to study the heat removal performance and natural circulation flow patterns in a Reactor Cavity Cooling System (RCCS). Our test facility, the Natural convection Shutdown heat removal Test Facility (NSTF), supports the broader goal of developing an inherently safe and fully passive ex-vessel decay heat removal for advanced reactor designs. The project, initiated in 2010 to support the Advanced Reactor Concepts (ARC), Small Modular Reactor (SMR), and Next Generation Nuclear Plant (NGNP) programs, has been conducting experimental operations since early 2014. The following paper provides a summary of some primary design features of the 26-m tall test facility along with a description of the data acquisition suite that guides our experimental practices. Specifics of the distributed fiber optic temperature measurements will be discussed, which introduces an unparalleled level of data density that has never before been implemented in a large scale natural circulation test facility. Results from our first test series will then be presented, which provide insight into the thermal hydraulic behavior at steady-state conditions for varying heat flux levels and exhaust chimney configuration states. (author)

NPP Krsko natural circulation performance evaluation

International Nuclear Information System (INIS)

Segon, Velimir; Bajs, Tomislav; Frogheri, Monica

1999-01-01

The present document deals with an evaluation of the natural circulation performance of the Krsko nuclear power plant. Two calculation have been performed using the NPP Krsko nodalization (both similar to the LOBI A2-77 natural circulation experiment) - the first with the present steam generators at NPP Krsko (Westinghouse, 18% plugged), the second with the future steam generators (Siemens, 0% plugged). The results were evaluated using the natural circulation flow map derived in /1/, and were compared to evaluate the influence of the new steam generators on the natural circulation performance. (author)

Erythropoietin Attenuates Pulmonary Vascular Remodeling in Experimental Pulmonary Arterial Hypertension through Interplay between Endothelial Progenitor Cells and Heme Oxygenase

OpenAIRE

van Loon, Rosa Laura E; Bartelds, Beatrijs; Wagener, Frank A D T G; Affara, Nada; Mohaupt, Saffloer; Wijnberg, Hans; Pennings, Sebastiaan W C; Takens, Janny; Berger, Rolf M F

2015-01-01

BACKGROUND: Pulmonary arterial hypertension (PAH) is a pulmonary vascular disease with a high mortality, characterized by typical angio-proliferative lesions. Erythropoietin (EPO) attenuates pulmonary vascular remodeling in PAH. We postulated that EPO acts through mobilization of endothelial progenitor cells (EPCs) and activation of the cytoprotective enzyme heme oxygenase-1 (HO-1). METHODS: Rats with flow-associated PAH, resembling pediatric PAH, were treated with HO-1 inducer EPO in the pre...

Erythropoietin Attenuates Pulmonary Vascular Remodeling in Experimental Pulmonary Arterial Hypertension through Interplay between Endothelial Progenitor Cells and Heme Oxygenase

OpenAIRE

van Loon, Rosa Laura E.; Bartelds, Beatrijs; Wagener, Frank A. D. T. G.; Affara, Nada; Mohaupt, Saffloer; Wijnberg, Hans; Pennings, Sebastiaan W. C.; Takens, Janny; Berger, Rolf M. F.

2015-01-01

Background Pulmonary arterial hypertension (PAH) is a pulmonary vascular disease with a high mortality, characterized by typical angio-proliferative lesions. Erythropoietin (EPO) attenuates pulmonary vascular remodeling in PAH. We postulated that EPO acts through mobilization of endothelial progenitor cells (EPCs) and activation of the cytoprotective enzyme heme oxygenase-1 (HO-1). Methods Rats with flow-associated PAH, resembling pediatric PAH, were treated with HO-1 inducer EPO i...

Alteration of pulmonary blood flow in tetralogy of Fallot; Pre- and postoperative study with macroaggregates of [sup 99m]Tc-labeled human serum albumin

Energy Technology Data Exchange (ETDEWEB)

Hashimoto, Kazuhiro; Matsui, Michihiko; Kurosawa, Hiromi; Arai, Tatsuta (Jikei Univ., Tokyo (Japan). School of Medicine); Nakamura, Yuzuru

1992-10-01

The pulmonary blood distribution was examined in 17 patients with tetralogy of Fallot (TOF) pre and postoperatively with macroaggregates of [sup 99m]TC-labeled human serum albumin. Most of the patients with TOF demonstrated an abnormal preoperative distribution pattern. The abnormalities included not only an unbalanced distribution between the right and left lungs but also a maldistribution of peripheral vessels in each lung. The right/left lung counts ratio and pulmonary peripheral index (calculated in order to express the severity of peripheral maldistribution) correlated neither to the diameter nor the cross-sectional area of either right or left pulmonary arteries which were measured angiographically. Postoperatively, the pulmonary blood was shunted toward the developed side of the lung which further contributed to maldistribution of blood flow and unbalanced pulmonary growth. Since the patients with an unbalanced pulmonary blood distribution demonstrated a higher right ventricular pressure one year after the operation, a palliative operation facilitating the growth of the underdeveloped side of the lung might be considered as an effective procedure to precede intracardiac repair. (author).

Increased circulating calcitonin in cirrhosis. Relation to severity of disease and calcitonin gene-related peptide

DEFF Research Database (Denmark)

Henriksen, Jens Henrik Sahl; Schifter, S; Møller, S

2000-01-01

circulating plasma concentrations of CT in patients with cirrhosis in relation to the severity of disease and the plasma level of CGRP. Moreover, the kinetics of CT was evaluated for different organ systems by determination of arteriovenous extraction. Thirty-nine patients with cirrhosis (Child...... system, lower extremities, or peripheral circulation, but there was a substantial rate of pulmonary disposal and clearance (P

Physiology for the pulmonary functional imager

Energy Technology Data Exchange (ETDEWEB)

Levin, David L., E-mail: levin.david@mayo.edu [Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905 (United States); Schiebler, Mark L. [Department of Radiology, UW-Madison School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792-3252 (United States); Hopkins, Susan R., E-mail: shopkins@ucsd.edu [Division of Physiology 0623A, University of California, San Diego, 9500 Gilman Dr., La Jolla, CA 92093 (United States)

2017-01-15

Highlights: • An understanding of the relevant pulmonary physiology is crucial to functional lung imaging. • Spatial resolution for pulmonary functional imaging can be substantially less than that used for anatomic/clinical imaging. • Regional deformation of the lung under the influence of gravity significantly affects the measurement of pulmonary perfusion. • Large vessels identified on perfusion imaging do not represent local blood flow. • Pulmonary diseases are typically characterized by a change in the matching of ventilation and perfusion. - Abstract: As pulmonary functional imaging moves beyond the realm of the radiologist and physicist, it is important that imagers have a common language and understanding of the relevant physiology of the lung. This review will focus on key physiological concepts and pitfalls relevant to functional lung imaging.

Physiology for the pulmonary functional imager

International Nuclear Information System (INIS)

Levin, David L.; Schiebler, Mark L.; Hopkins, Susan R.

2017-01-01

Highlights: • An understanding of the relevant pulmonary physiology is crucial to functional lung imaging. • Spatial resolution for pulmonary functional imaging can be substantially less than that used for anatomic/clinical imaging. • Regional deformation of the lung under the influence of gravity significantly affects the measurement of pulmonary perfusion. • Large vessels identified on perfusion imaging do not represent local blood flow. • Pulmonary diseases are typically characterized by a change in the matching of ventilation and perfusion. - Abstract: As pulmonary functional imaging moves beyond the realm of the radiologist and physicist, it is important that imagers have a common language and understanding of the relevant physiology of the lung. This review will focus on key physiological concepts and pitfalls relevant to functional lung imaging.

Circulation in a Short Cylindrical Couette System

Energy Technology Data Exchange (ETDEWEB)

Akira Kageyama; Hantao Ji; Jeremy Goodman

2003-07-08

In preparation for an experimental study of magnetorotational instability (MRI) in liquid metal, we explore Couette flows having height comparable to the gap between cylinders, centrifugally stable rotation, and high Reynolds number. Experiments in water are compared with numerical simulations. The flow is very different from that of an ideal, infinitely long Couette system. Simulations show that endcaps co-rotating with the outer cylinder drive a strong poloidal circulation that redistributes angular momentum. Predicted toroidal flow profiles agree well with experimental measurements. Spin-down times scale with Reynolds number as expected for laminar Ekman circulation; extrapolation from two-dimensional simulations at Re less than or equal to 3200 agrees remarkably well with experiment at Re approximately equal to 106. This suggests that turbulence does not dominate the effective viscosity. Further detailed numerical studies reveal a strong radially inward flow near both endcaps. After turning vertically along the inner cylinder, these flows converge at the midplane and depart the boundary in a radial jet. To minimize this circulation in the MRI experiment, endcaps consisting of multiple, differentially rotating rings are proposed. Simulations predict that an adequate approximation to the ideal Couette profile can be obtained with a few rings.

Circulation in a Short Cylindrical Couette System

International Nuclear Information System (INIS)

Akira Kageyama; Hantao Ji; Jeremy Goodman

2003-01-01

In preparation for an experimental study of magnetorotational instability (MRI) in liquid metal, we explore Couette flows having height comparable to the gap between cylinders, centrifugally stable rotation, and high Reynolds number. Experiments in water are compared with numerical simulations. The flow is very different from that of an ideal, infinitely long Couette system. Simulations show that endcaps co-rotating with the outer cylinder drive a strong poloidal circulation that redistributes angular momentum. Predicted toroidal flow profiles agree well with experimental measurements. Spin-down times scale with Reynolds number as expected for laminar Ekman circulation; extrapolation from two-dimensional simulations at Re less than or equal to 3200 agrees remarkably well with experiment at Re approximately equal to 106. This suggests that turbulence does not dominate the effective viscosity. Further detailed numerical studies reveal a strong radially inward flow near both endcaps. After turning vertically along the inner cylinder, these flows converge at the midplane and depart the boundary in a radial jet. To minimize this circulation in the MRI experiment, endcaps consisting of multiple, differentially rotating rings are proposed. Simulations predict that an adequate approximation to the ideal Couette profile can be obtained with a few rings

A different kind of Christmas tree: anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA).

Science.gov (United States)

Afolabi-Brown, Olayinka; Witzke, Christian; Moldovan, Raul; Pressman, Gregg

2014-02-01

Anomalous right coronary artery from the pulmonary artery (ARCAPA) is a rare congenital coronary anomaly that has an incidence of 0.002%. We report a case of a previously healthy female who presented to our hospital with pneumonia and was incidentally discovered to have ARCAPA. This was initially diagnosed on echocardiography by the unusual echocardiographic finding of multiple color flow Doppler signals around the right ventricular free wall and apex which were subsequently confirmed by angiography to be due to extensive collateral circulation between the left and right coronary arteries. This represents an unusual echocardiographic manifestation of this very rare condition. © 2013, Wiley Periodicals, Inc.

Flow characteristics of natural circulation in a lead-bismuth eutectic loop

Institute of Scientific and Technical Information of China (English)

Chen-Chong Yue; Liu-Li Chen; Ke-Feng Lyu; Yang Li; Sheng Gao; Yue-Jing Liu; Qun-Ying Huang

2017-01-01

Lead and lead-alloys are proposed in future advanced nuclear system as coolant and spallation target.To test the natural circulation and gas-lift and obtain thermal-hydraulics data for computational fluid dynamics (CFD) and system code validation,a lead-bismuth eutectic rectangular loop,the KYLIN-Ⅱ Thermal Hydraulic natural circulation test loop,has been designed and constructed by the FDS team.In this paper,theoretical analysis on natural circulation thermal-hydraulic performance is described and the steady-state natural circulation experiment is performed.The results indicated that the natural circulation capability depends on the loop resistance and the temperature and center height differences between the hot and cold legs.The theoretical analysis results agree well with,while the CFD deviate from,the experimental results.

Effect of pulmonary hyperinflation on central blood volume

DEFF Research Database (Denmark)

Mijacika, Tanja; Kyhl, Kasper; Frestad, Daria

2017-01-01

(11±7%) above the total lung capacity. All cardiac chambers decreased in volume and despite a heart rate increase of 24±29 bpm (39±50%), pulmonary blood flow decreased by 2783±1820mL (43±20%). The pulmonary transit time remained unchanged at 7.5±2.2s and pulmonary blood volume decreased by 354±176m...

Sino-Danish Brain Circulation

DEFF Research Database (Denmark)

Bertelsen, Rasmus Gjedssø; Du, Xiangyun; Søndergaard, Morten Karnøe

2014-01-01

China is faced with urgent needs to develop an economically and environmentally sustainable economy based on innovation and knowledge. Brain circulation and research and business investments from the outside are central for this development. Sino-American brain circulation and research...... and investment by overseas researchers and entrepreneurs are well described. In that case, the US is the center of global R&D and S&T. However, the brain circulation and research and investments between a small open Scandinavian economy, such as Denmark, and the huge developing economy of China are not well...... understood. In this case, Denmark is very highly developed, but a satellite in the global R&D and S&T system. With time and the growth of China as a R&D and S&T power house, both Denmark and China will benefit from brain circulation between them. Such brain circulation is likely to play a key role in flows...

Blowing jets as a circulation flow control to enhancement the lift of wing or generated power of wind turbine

Directory of Open Access Journals (Sweden)

Alexandru DUMITRACHE

2014-06-01

Full Text Available The goal of this paper is to provide a numerical flow analysis based on RANS equations in two directions: the study of augmented high-lift system for a cross-section airfoil of a wing up to transonic regime and the circulation control implemented by tangentially blowing jet over a highly curved surface due to Coanda effect on a rotor blade for a wind turbine. This study were analyzed the performance, sensitivities and limitations of the circulation control method based on blowing jet for a fixed wing as well as for a rotating wing. Directions of future research are identified and discussed.

4D cardiovascular magnetic resonance velocity mapping of alterations of right heart flow patterns and main pulmonary artery hemodynamics in tetralogy of Fallot

Science.gov (United States)

2012-01-01

Background To assess changes in right heart flow and pulmonary artery hemodynamics in patients with repaired Tetralogy of Fallot (rTOF) we used whole heart, four dimensional (4D) velocity mapping (VM) cardiovascular magnetic resonance (CMR). Methods CMR studies were performed in 11 subjects with rTOF (5M/6F; 20.1 ± 12.4 years) and 10 normal volunteers (6M/4F; 34.2 ± 13.4 years) on clinical 1.5T and 3.0T MR scanners. 4D VM-CMR was performed using PC VIPR (Phase Contrast Vastly undersampled Isotropic Projection Reconstruction). Interactive streamline and particle trace visualizations of the superior and inferior vena cava (IVC and SVC, respectively), right atrium (RA), right ventricle (RV), and pulmonary artery (PA) were generated and reviewed by three experienced readers. Main PA net flow, retrograde flow, peak flow, time-to-peak flow, peak acceleration, resistance index and mean wall shear stress were quantified. Differences in flow patterns between the two groups were tested using Fisher's exact test. Differences in quantitative parameters were analyzed with the Kruskal-Wallis rank sum test. Results 4D VM-CMR was successfully performed in all volunteers and subjects with TOF. Right heart flow patterns in rTOF subjects were characterized by (a) greater SVC/IVC flow during diastole than systole, (b) increased vortical flow patterns in the RA and in the RV during diastole, and (c) increased helical or vortical flow features in the PA's. Differences in main PA retrograde flow, resistance index, peak flow, time-to-peak flow, peak acceleration and mean wall shear stress were statistically significant. Conclusions Whole heart 4D VM-CMR with PC VIPR enables detection of both normal and abnormal right heart flow patterns, which may allow for comprehensive studies to evaluate interdependencies of post-surgically altered geometries and hemodynamics. PMID:22313680

Can Preoperative Peak Expiratory Flow Predict Postoperative Pulmonary Complications in Lung Cancer Patients Undergoing Lobectomy?

Directory of Open Access Journals (Sweden)

Kun ZHOU

2017-09-01

Full Text Available Background and objective Postoperative pulmonary complications (PPCs, especially postoperative pneumonia (POP, directly affect the rapid recovery of lung cancer patients after surgery. Peak expiratory flow (PEF can reflect airway patency and cough efficiency. Moreover, cough impairment may lead to accumulation of pulmonary secretions which can increase the risk of PPCs. The aim of this study is to investigate the effect of preoperative PEF on PPCs in patients with lung cancer. Methods Retrospective research was conducted on 433 lung cancer patients who underwent lobectomy at the West China Hospital of Sichuan University from January 2014 to December 2015. The associations between preoperative PEF and PPCs were analyzed based on patients’ basic characteristics and clinical data in hospital. Results Preoperative PEF value in PPCs group (280.93±88.99 L/min was significantly lower than that in non-PPCs group (358.38±93.69 L/min (P320 L/min group (9.4%(P<0.001. Conclusion Preoperative PEF and PPCs are correlated, and PEF may be used as a predictor of PPCs.

What Limits Cardiac Performance during Exercise in Normal Subjects and in Healthy Fontan Patients?

Directory of Open Access Journals (Sweden)

André La Gerche

2010-01-01

Full Text Available Exercise is an important determinant of health but is significantly reduced in the patient with a univentricular circulation. Normal exercise physiology mandates an increase in pulmonary artery pressures which places an increased work demand on the right ventricle (RV. In a biventricular circulation with pathological increases in pulmonary vascular resistance and/or reductions in RV function, exercise-induced augmentation of cardiac output is limited. Left ventricular preload reserve is dependent upon flow through the pulmonary circulation and this requires adequate RV performance. In the Fontan patient, the reasons for exercise intolerance are complex. In those patients with myocardial dysfunction or other pathologies of the circulatory components, it is likely that these abnormalities serve as a limitation to cardiac performance during exercise. However, in the healthy Fontan patient, it may be the absence of a sub-pulmonary pump which limits normal increases in pulmonary pressures, trans-pulmonary flow requirements and cardiac output. If so, performance will be exquisitely dependent on pulmonary vascular resistance. This provides a potential explanation as to why pulmonary vasodilators may improve exercise tolerance. As has recently been demonstrated, these agents may offer an important new treatment strategy which directly addresses the physiological limitations in the Fontan patient.

Lung volumes, ventricular function and pulmonary arterial flow in children operated on for left-sided congenital diaphragmatic hernia: long-term results

International Nuclear Information System (INIS)

Abolmaali, Nasreddin; Koch, Arne; Goetzelt, Knut; Vogelberg, Christian; Hahn, Gabriele; Fitze, Guido

2010-01-01

To compare MRI-based functional pulmonary and cardiac measurements in the long-term follow-up of children operated on for left-sided congenital diaphragmatic hernia (CDH) with age- and body size-matched healthy controls. Twelve children who received immediate postnatal surgery for closure of isolated left-sided CDH were included and received basic medical examinations, pulmonary function testing and echocardiography. MRI included measurement of lung volume, ventricular function assessment and velocity-encoded imaging of the pulmonary arteries and was compared with the data for 12 healthy children matched for age and body size. While patients' clinical test results were not suspicious, comparison between the MRI data for patients and those for healthy controls revealed significant differences. In patients, the volumes of the left lungs were increased and the tidal volume was larger on the right side. While the stroke volumes of both ventricles were reduced, heart rate and ejection fraction were increased. Flow, acceleration time and cross-sectional area of the left pulmonary artery were reduced. Functional MRI detected pulmonary and cardiac findings in the late follow-up of CDH children which may be missed by standard clinical methods and might be relevant for decisions regarding late outcome and treatment. (orig.)

Lung volumes, ventricular function and pulmonary arterial flow in children operated on for left-sided congenital diaphragmatic hernia: long-term results

Energy Technology Data Exchange (ETDEWEB)

Abolmaali, Nasreddin; Koch, Arne [Dresden University of Technology, OncoRay - Molecular and Biological Imaging, Medical Faculty Carl Gustav Carus, Dresden (Germany); Goetzelt, Knut; Vogelberg, Christian [University Clinics Carl Gustav Carus, Dresden University of Technology, Clinic and Policlinic for Pediatrics - Pediatric Pulmonology, Dresden (Germany); Hahn, Gabriele [University Clinics Carl Gustav Carus, Dresden University of Technology, Institute and Policlinic for Radiology - Pediatric Radiology, Dresden (Germany); Fitze, Guido [University Clinics Carl Gustav Carus, Dresden University of Technology, Clinic and Policlinic for Pediatric Surgery, Dresden (Germany)

2010-07-15

To compare MRI-based functional pulmonary and cardiac measurements in the long-term follow-up of children operated on for left-sided congenital diaphragmatic hernia (CDH) with age- and body size-matched healthy controls. Twelve children who received immediate postnatal surgery for closure of isolated left-sided CDH were included and received basic medical examinations, pulmonary function testing and echocardiography. MRI included measurement of lung volume, ventricular function assessment and velocity-encoded imaging of the pulmonary arteries and was compared with the data for 12 healthy children matched for age and body size. While patients' clinical test results were not suspicious, comparison between the MRI data for patients and those for healthy controls revealed significant differences. In patients, the volumes of the left lungs were increased and the tidal volume was larger on the right side. While the stroke volumes of both ventricles were reduced, heart rate and ejection fraction were increased. Flow, acceleration time and cross-sectional area of the left pulmonary artery were reduced. Functional MRI detected pulmonary and cardiac findings in the late follow-up of CDH children which may be missed by standard clinical methods and might be relevant for decisions regarding late outcome and treatment. (orig.)

Lung volumes, ventricular function and pulmonary arterial flow in children operated on for left-sided congenital diaphragmatic hernia: long-term results.

Science.gov (United States)

Abolmaali, Nasreddin; Koch, Arne; Götzelt, Knut; Hahn, Gabriele; Fitze, Guido; Vogelberg, Christian

2010-07-01

To compare MRI-based functional pulmonary and cardiac measurements in the long-term follow-up of children operated on for left-sided congenital diaphragmatic hernia (CDH) with age- and body size-matched healthy controls. Twelve children who received immediate postnatal surgery for closure of isolated left-sided CDH were included and received basic medical examinations, pulmonary function testing and echocardiography. MRI included measurement of lung volume, ventricular function assessment and velocity-encoded imaging of the pulmonary arteries and was compared with the data for 12 healthy children matched for age and body size. While patients' clinical test results were not suspicious, comparison between the MRI data for patients and those for healthy controls revealed significant differences. In patients, the volumes of the left lungs were increased and the tidal volume was larger on the right side. While the stroke volumes of both ventricles were reduced, heart rate and ejection fraction were increased. Flow, acceleration time and cross-sectional area of the left pulmonary artery were reduced. Functional MRI detected pulmonary and cardiac findings in the late follow-up of CDH children which may be missed by standard clinical methods and might be relevant for decisions regarding late outcome and treatment.

Comparison of extracapillary and endocapillary blood flow oxygenators for open heart surgery in dogs: efficiency of gas exchange and platelet conservation.

Science.gov (United States)

Hoshi, Katsuichiro; Tanaka, Ryou; Shibazaki, Akira; Nagashima, Yukiko; Hirao, Hidehiro; Namiki, Ryosuke; Takashima, Kazuaki; Noishiki, Yasuharu; Yamane, Yoshihisa

2003-03-01

The goal of the current study was to compare the efficiency of gas exchange and platelet conservation of a new extracapillary blood flow oxygenator versus an endocapillary blood flow oxygenator during open heart surgery with extracorporeal circulation in dogs. Dilation and remodeling of the right ventricular outflow tract of dogs was performed using a patch graft technique to simulate pulmonary stenosis. Sequential pre- and post-operative blood analysis revealed that gas exchange efficiency and platelet conservation was significantly greater with the extracapillary blood flow oxygenator than with the endocapillary blood flow oxygenator. However, the priming volume of the extracapillary blood flow oxygenator was significantly greater, leading to hemodilution. We conclude that while the extracapillary blood flow oxygenator provided benefits in terms of gas exchange and platelet conservation, development of a smaller extracapillary blood flow type oxygenator to reduce hemodilution effects would be beneficial.

Elevated circulating PAI-1 levels are related to lung function decline, systemic inflammation, and small airway obstruction in chronic obstructive pulmonary disease

Directory of Open Access Journals (Sweden)

Wang H

2016-09-01

Full Text Available Hao Wang,1,2,* Ting Yang,1,2,* Diandian Li,1,2 Yanqiu Wu,1,2 Xue Zhang,1,2 Caishuang Pang,1,2 Junlong Zhang,3 Binwu Ying,3 Tao Wang,1,2 Fuqiang Wen1,2 1Department of Respiratory and Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan, People’s Republic of China; 2Division of Pulmonary Diseases, State Key Laboratory of Biotherapy of China, West China Hospital of Sichuan University, Chengdu, Sichuan, People’s Republic of China; 3Department of Laboratory Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan, People’s Republic of China *These authors contributed equally to this work Background: Plasminogen activator inhibitor-1 (PAI-1 and soluble urokinase-type plasminogen activator receptor (suPAR participate in inflammation and tissue remolding in various diseases, but their roles in chronic obstructive pulmonary disease (COPD are not yet clear. This study aimed to investigate if PAI-1 and suPAR were involved in systemic inflammation and small airway obstruction (SAO in COPD. Methods: Demographic and clinical characteristics, spirometry examination, and blood samples were obtained from 84 COPD patients and 51 healthy volunteers. Serum concentrations of PAI-1, suPAR, tissue inhibitor of metalloproteinase-1 (TIMP-1, Matrix metalloproteinase-9 (MMP-9, and C-reactive protein (CRP were detected with Magnetic Luminex Screening Assay. Differences between groups were statistically analyzed using one-way analysis of variance or chi-square test. Pearson’s partial correlation test (adjusted for age, sex, body mass index, cigarette status, and passive smoke exposure and multivariable linear analysis were used to explore the relationships between circulating PAI-1 and indicators of COPD. Results: First, we found that serum PAI-1 levels but not suPAR levels were significantly increased in COPD patients compared with healthy volunteers (125.56±51.74 ng/mL versus 102.98±36.62 ng/mL, P=0.007. Then, the

Effect of smoking on the central circulation at rest and during exercise as studied by radiocardiography

International Nuclear Information System (INIS)

Timisjaervi, J.; Kuikka, J.; Hirvonen, L.; Kettunen, R.; Moskinen, M.; Kari-Koskinen, O.; Tuominen, M.

1980-01-01

The pulmonary vessels are the first target of tobacco smoke in the circulatory system, but the functional changes occuring in the pulmonary circulation are poorly understood. Hence 46 volunteers were studied by radiocardiography under the following conditions: 1. At rest before and after smoking 2 cigarettes (15 men); 2. After repeated ergometer exercise (5 min. 100 W) with and without smoking (13 men); and 3. Control experiments under the corresponding conditions without smoking (18 subjects). A significant increase occured in heart rate, cardiac output and systolic arterial blood pressure after smoking when at rest, but an almost significant decrease in pulmonary dispersion volume, whereas the heart rate and pulmonary capillary pressure attained significantly higher values after than before smoking in the exercise tests, with a significant decrease observed in stroke volume, pulmonary blood volume and pulmonary dispersion volume. It is concluded that smoking impairs physical performance increases pulmonary capillary pressure and reduces pulmonary blood volume and probably the number of open capillaries. (orig.) [de

Correlation of the perfusion scintigram with pulmonary functions in chronic obstructive pulmonary disease

Energy Technology Data Exchange (ETDEWEB)

Uchida, Kou; Ashitaka, Tsuyoshi; Uchibori, Shigeyasu [Toho Univ., Tokyo (Japan). School of Medicine; Takano, Masaaki

1992-11-01

The authors carried out ventilation-perfusion scintigraphy and pulmonary function tests in 21 patients with chronic obstructive pulmonary disease. It was used [sup 99m]Tc-macroaggregate for perfusion scintigram and [sup 133]Xe gas for ventilation scintigram. It was added the radioactivities of rebreathing phase and made lung volume image using a computer. Regions of interest (ROIs) were derived from radioactivities in each image. ROIs on lung volume image included each whole lung and those on perfusion image included the areas which had relatively high radioactivity. The authors counted the area of ROIs on lung volume (L) and perfusion (P) images. Then it was used the ratio of perfusion to lung volume (P/L) as a parameter of pulmonary perfusion. P/L had the significant correlations with the vital capacity, the actual FFV[sub 1.0], arterial oxygen partial pressure, diffusing capacity, RV/TLC and peak flow rate. These results suggested that P/L was a useful parameter of pulmonary perfusion in chronic obstructive pulmonary disease. (author).

Perioperative Anesthesiological Management of Patients with Pulmonary Hypertension

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Jochen Gille

2012-01-01

Full Text Available Pulmonary hypertension is a major reason for elevated perioperative morbidity and mortality, even in noncardiac surgical procedures. Patients should be thoroughly prepared for the intervention and allowed plenty of time for consideration. All specialty units involved in treatment should play a role in these preparations. After selecting each of the suitable individual anesthetic and surgical procedures, intraoperative management should focus on avoiding all circumstances that could contribute to exacerbating pulmonary hypertension (hypoxemia, hypercapnia, acidosis, hypothermia, hypervolemia, and insufficient anesthesia and analgesia. Due to possible induction of hypotonic blood circulation, intravenous vasodilators (milrinone, dobutamine, prostacyclin, Na-nitroprusside, and nitroglycerine should be administered with the greatest care. A method of treating elevations in pulmonary pressure with selective pulmonary vasodilation by inhalation should be available intraoperatively (iloprost, nitrogen monoxide, prostacyclin, and milrinone in addition to invasive hemodynamic monitoring. During the postoperative phase, patients must be monitored continuously and receive sufficient analgesic therapy over an adequate period of time. All in all, perioperative management of patients with pulmonary hypertension presents an interdisciplinary challenge that requires the adequate involvement of anesthetists, surgeons, pulmonologists, and cardiologists alike.

Experiments on the basic behavior of supercritical CO{sub 2} natural circulation

Energy Technology Data Exchange (ETDEWEB)

Liu, Guangxu [CNNC Key Laboratory on Nuclear Reactor Thermal Hydraulics Technology, Nuclear Power Institute of China (China); Huang, Yanping, E-mail: hyanping007@163.com [CNNC Key Laboratory on Nuclear Reactor Thermal Hydraulics Technology, Nuclear Power Institute of China (China); Wang, Junfeng; Lv, Fa [CNNC Key Laboratory on Nuclear Reactor Thermal Hydraulics Technology, Nuclear Power Institute of China (China); Leung, Laurence K.H. [Canadian Nuclear Laboratories, 286 Plant Road, Chalk River, Ontario (Canada)

2016-04-15

Highlights: • Steady-state behavior of supercritical CO{sub 2} natural circulation was studied. • Effects of pressure and inlet temperature were carefully investigated. • No instabilities were found in present study. • The maximum of mass flow was obtained at outlet temperature much higher than T{sub pc}. • Inlet temperature has vital effect on mass flow rate. - Abstract: To study the steady-state characteristics of supercritical carbon dioxide natural circulation, experiments were carried out in a simple rectangular loop with vertically placed heating section. The effects of system pressure and inlet temperature on the system behavior were also investigated. No instabilities were found in the present experiments. The maximum of mass flow rate was obtained at a heating section outlet temperature much higher than the pseudo-critical temperature. The maximum value of mass flow rate increased with system pressure just as in two-phase natural circulation systems. Inlet temperature significantly affected the steady-state characteristics of supercritical carbon dioxide natural circulation system. A small temperature difference of 14 °C in the natural circulation system could induce a mass flow rate with considerably high Re up to 9.1 × 10{sup 4}, which indicates the potential for supercritical carbon dioxide to be used as a high efficient natural circulation working fluid.

Serum Cytokines in Young Pediatric Patients with Congenital Cardiac Shunts and Altered Pulmonary Hemodynamics

Directory of Open Access Journals (Sweden)

Leína Zorzanelli

2016-01-01

Full Text Available Background and Objective. Inflammation is central in the pathogenesis of pulmonary hypertension. We investigated how serum cytokines correlate with clinical features, hemodynamics, and lung histology in young patients with pulmonary hypertension associated with congenital cardiac shunts. Design. Prospective, observational study. Methods and Results. Patients (n=44 were aged 2.6 to 37.6 months. Group I patients (n=31 were characterized by pulmonary congestion and higher pulmonary blood flow compared to group II (p=0.022, with no need for preoperative cardiac catheterization. Group II patients (n=13 had no congestive features. At catheterization, they had elevated pulmonary vascular resistance (5.7 [4.4–7.4] Wood units·m2, geometric mean with 95% CI. Cytokines were measured by chemiluminescence. Macrophage migration inhibitory factor (MIF was found to be inversely related to pulmonary blood flow (r=-0.33, p=0.026 and was higher in group II (high pulmonary vascular resistance compared to group I (high pulmonary blood flow (p=0.017. In contrast, RANTES chemokine (regulated on activation, normal T cell expressed and secreted was characteristically elevated in Group I (p=0.022. Interleukin 16 was also negatively related to pulmonary blood flow (rS=-0.33, p=0.029 and was higher in patients with obstructive vasculopathy at intraoperative lung biopsy (p=0.021. Conclusion. Cytokines seem to be important and differentially regulated in subpopulations of young patients with cardiac shunts.

The role of natural circulation in the FFTF [Fast Flux Test Facility] passive safety tests

International Nuclear Information System (INIS)

Stover, R.L.; Padilla, A.; Burke, T.M.; Knecht, W.L.

1987-03-01

A series of tests were completed at the Fast Flux Test Facility to demonstrate the passive safety characteristics of liquid metal reactors with natural circulation flow. The first test consisted of transition from forced to natural circulation flow at an initial decay power of 0.3%. The second test represented an unprotected loss-of-flow transient to natural circulation from 50% power with the control rods prevented from scramming into the core. The third test was a steady-state, natural circulation condition with core fission powers up ato about 2.3%. Core sodium data and results of single and multi-channel computer models confirmed the reliability and effectiveness of natural circulation flow for liquid metal reactor safety

The role of circulating serotonin in the development of chronic obstructive pulmonary disease.

Directory of Open Access Journals (Sweden)

Way K W Lau

Full Text Available BACKGROUND: Cigarette smoking is a major risk factor in the development of age-related chronic obstructive pulmonary disease (COPD. The serotonin transporter (SERT gene polymorphism has been reported to be associated with COPD, and the degree of cigarette smoking has been shown to be a significant mediator in this relationship. The interrelation between circulating serotonin (5-hydroxytyptamine, 5-HT, cigarette smoking and COPD is however largely unknown. The current study aimed at investigating the mediation effects of plasma 5-HT on cigarette smoking-induced COPD and the relation between plasma 5-HT levels and age. METHODS: The association between plasma 5-HT, age and COPD was analyzed in a total of 62 COPD patients (ever-smokers and 117 control subjects (healthy non-smokers and ever-smokers. Plasma 5-HT levels were measured by enzyme-linked immuno assay (EIA. RESULTS: The elevated plasma 5-HT levels were significantly associated with increased odds for COPD (OR = 1.221, 95% CI = 1.123 to 1.319, p<0.0001. The effect remained significant after being adjusted for age and pack-years smoked (OR = 1.271, 95% CI = 1.134 to 1.408, p = 0.0003. Furthermore, plasma 5-HT was found to mediate the relation between pack-years smoked and COPD. A positive correlation (r = 0.303, p = 0.017 was found between plasma 5-HT levels and age in COPD, but not in the control subjects (r = -0.149, p = 0.108. CONCLUSION: Our results suggest that cigarette smoke-induced COPD is partially mediated by the plasma levels of 5-HT, and that these become elevated with increased age in COPD. The elevated plasma 5-HT levels in COPD might contribute to the pathogenesis of this disease.

Evaluation on the imaging of the bronchial blood flow using nuclear angiocardiography

International Nuclear Information System (INIS)

Fujii, Tadashige; Hirayama, Jiro; Kanai, Hisakata; Kobayashi, Toshio; Handa, Kenjiro

1979-01-01

Nuclear angiocardiography with sup(99m)TcO 4 - was performed for the purpose of the delineation of the systemic perfusion in various lung diseases, using a scintillation camera with a digital minicomputer system. The images of the bronchial blood flow were obtained in cases with primary lung cancer, pulmonary tuberculosis, lung abscess, bronchiectasis and chronic bronchitis. The fair images of the bronchial blood flow were taken in cases of peripheral type, adenocarcinoma and primary foci of atelectatic type in primary lung cancer. The grade of delineation of the bronchial blood flow and vascularity of bronchial artery in foci of primary lung cancer were correlative to the grade of accumulation of 197 HgCl 2 , respectively. The joint use of nuclear angiocardiography and other imagings such as tumor or perfusion one was useful for evaluation of the pulmonary and systemic circulation, and that made isotope diagnosis of primary lung cancer more reliable too. The image as a isocount map extracted out of the image of 197 HgCl 2 or sup(99m)Tc-MAA, was superimposed to the brightness image of the nuclear angiocardiogram (aortic phase). This image superimposition methods were valuable to improve anatomic orientation of the nuclear angiocardiogram. The delineation of the bronchial blood flow on the subtraction image, which obtained from the two time-different images in aortic phase of the nuclear angiocardiogram, was better than that of the original images. (author)

The scale of hydrothermal circulation of the Iheya-North field inferred from intensive heat flow measurements and ocean drilling

Science.gov (United States)

Masaki, Y.; Kinoshita, M.; Yamamoto, H.; Nakajima, R.; Kumagai, H.; Takai, K.

2014-12-01

Iheya-North hydrothermal field situated in the middle Okinawa trough backarc basin is one of the largest ongoing Kuroko deposits in the world. Active chimneys as well as diffuse ventings (maximum fluid temperature 311 °C) have been located and studied in detail through various geological and geophysical surveys. To clarify the spatial scale of the hydrothermal circulation system, intensive heat flow measurements were carried out and ~100 heat flow data in and around the field from 2002 to 2014. In 2010, Integrated Ocean Drilling Program (IODP) Expedition 331 was carried out, and subbottom temperature data were obtained around the hydrothermal sites. During the JAMSTEC R/V Kaiyo cruise, KY14-01 in 2014, Iheya-North "Natsu" and "Aki" hydrothermal fields were newly found. The Iheya-Noth "Natsu" and "Aki" sites are located 1.2 km and 2.6 km south from the Iheya-North original site, respectively, and the maximum venting fluid temperature was 317 °C. We obtained one heat flow data at the "Aki" site. The value was 17 W/m2. Currently, the relationship between these hydrothermal sites are not well known. Three distinct zones are identified by heat flow values within 3 km from the active hydrothermal field. They are high-heat flow zone (>1 W/m2; HHZ), moderate-heat-flow zone (1-0.1 W/m2; MHZ); and low-heat-flow zone (<0.1 W/m2; LHZ). With increasing distance east of the HHZ, heat flow gradually decreases towards MHZ and LHZ. In the LHZ, temperature at 37m below the seafloor (mbsf) was 6 °C, that is consistent with the surface low heat flow suggesting the recharge of seawater. However, between 70 and 90 mbsf, the coarser sediments were cored, and temperature increased from 25 °C to 40°C. The temperature was 905°C at 151 mbsf, which was measured with thermoseal strips. The low thermal gradient in the upper 40 m suggests downward fluid flow. We infer that a hydrothermal circulation in the scale of ~1.5 km horizontal vs. ~a few hundred meters vertical.

An interesting cause of pulmonary emboli: Acute carbon monoxide poisoning

Energy Technology Data Exchange (ETDEWEB)

Sevinc, A.; Savli, H.; Atmaca, H. [Gaziantep University, Gaziantep (Turkey). School of Medicine

2005-07-01

Carbon monoxide poisoning, a public health problem of considerable significance, is a relatively frequent event today, resulting in thousands of hospitalizations annually. A 70-year-old lady was seen in the emergency department with a provisional diagnosis of carbon monoxide poisoning. The previous night, she slept in a tightly closed room heated with coal ember. She was found unconscious in the morning with poor ventilation. She had a rare presentation of popliteal vein thrombosis, pulmonary emboli, and possible tissue necrosis with carbon monoxide poisoning. Oxygen treatment with low-molecular-weight heparin (nadroparine) and warfarin therapy resulted in an improvement in both popliteal and pulmonary circulations. In conclusion, the presence of pulmonary emboli should be sought in patients with carbon monoxide poisoning.

Contemporary Management of Pulmonary Arteriovenous Malformations.

Science.gov (United States)

Rauh, Nicholas; Gurley, John; Saha, Sibu

2017-12-01

Pulmonary arteriovenous malformations (PAVMs) are atypical vascular structures involving a direct connection between the pulmonary arterial and venous circulations. While PAVMs are a relatively uncommon disorder, unmanaged cases are at risk for the development of serious complications including embolization and infection. Since their first description in 1897, PAVMs have been identified and treated in a variety of ways. Advancements in diagnostic methods and operative techniques have allowed for more effective treatment of the disease. Most recently, the use of vascular plug transcatheter embolization has been described as an effective therapeutic procedure in the management of PAVMs. In this report, we present our experience with nine cases of PAVMs treated at the University of Kentucky, including special consideration of an exemplary case that illustrates the typical course of treatment for the disease.

Cement pulmonary embolism after vertebroplasty.

Science.gov (United States)

Sifuentes Giraldo, Walter Alberto; Lamúa Riazuelo, José Ramón; Gallego Rivera, José Ignacio; Vázquez Díaz, Mónica

2013-01-01

In recent years, the use of vertebral cementing techniques for vertebroplasty and kyphoplasty has spread for the treatment of pain associated with osteoporotic vertebral compression fractures. This is also associated with the increased incidence of complications related with these procedures, the most frequent being originated by leakage of cementation material. Cement can escape into the vertebral venous system and reach the pulmonary circulation through the azygous system and cava vein, producing a cement embolism. This is a frequent complication, occurring in up to 26% of patients undergoing vertebroplasty but, since most patients have no clinical or hemodynamical repercussion, this event usually goes unnoticed. However, some serious, and even fatal cases, have been reported. We report the case of a 74-year-old male patient who underwent vertebroplasty for persistent pain associated with osteoporotic L3 vertebral fracture and who developed a cement leak into the cava vein and right pulmonary artery during the procedure. Although he developed a pulmonary cement embolism, the patient remained asymptomatic and did not present complications during follow-up. Copyright © 2012 Elsevier España, S.L. All rights reserved.

Isolated left-sided pulmonary artery agenesis with left lung hypoplasia: A report of two cases

Directory of Open Access Journals (Sweden)

V Govindaraj

2017-01-01

Full Text Available Unilateral absence of pulmonary artery or pulmonary artery agenesis (UAPA is a rare congenital malformation that can present as an isolated lesion or in association with other cardiac anomalies. Though congenital, presentation in adults are also reported. Most common presentation in adults is of exercise intolerance. The developing lung on the affected side is hypoplastic. Diagnosis of UAPA is established by imaging methods like CT and MRI . There is no specific treatment for this condition. Treatment depends on patients symptomatology, presence of pulmonary hypertension and collateral circulation. Presence of pulmonary hypertension carries a bad prognosis. We present two adult patients with isolated left sided unilateral pulmonary artery agenesis with ipsilateral lung hypoplasia. The diagnosis was confirmed by CT chest and perfusion scan.

Isolated Unilateral Pulmonary Artery Agenesis complicated by Symptomatic Aspergilloma

LENUS (Irish Health Repository)

Daly, A

2017-11-01

Isolated unilateral pulmonary artery agenesis is a rare diagnosis. Poor blood flow to the lung parenchyma renders the tissue susceptible to opportunistic infections. We present the unusual case of isolated unilateral pulmonary artery agenesis complicated by aspergilloma. Management options and considerations are discussed.

PIV Measurement of Isothermal Flow in the Moderator Circulation Test (MCT) Facility

Energy Technology Data Exchange (ETDEWEB)

Im, Sunghyuk; Sung, Hyung Jin [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of); Seo, Han; Bang, In Cheol [Ulsan National Institute of Science and Technology, Ulsan (Korea, Republic of); Kim, Hyoung Tae [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2014-05-15

One of the important design features of a CANDU reactor (a pressurize heavy water reactor) is the use of moderator as a heat sink during some postulated accidents such as a large break Loss Of Coolant Accident (LOCA). If the moderator available subcooling at the onset of a large LOCA is greater than the subcooling requirements, a sustained calandria tube dryout is avoided. The subcooling requirements are determined from a set of experiments known as the fuel channel contact boiling experiments. The difference between available subcooling and required subcooling is called subcooling margins. The local temperature of the moderator is a key parameter in determining the available subcooling. To predict the local temperature in the calandria, Korea Atomic Energy Research Institute (KAERI) started the experimental research on moderator circulation as one of a national R and D research programs from 2012. In the present work the test vessel is equipment with 380 acrylic pipes instead of the heater rods and a preliminary measurement of velocity field using PIV is performed under the iso-thermal test conditions. The 2D velocity is measured on the cross-sectional plane normal to the axial direction of the tank. The PIV measurement results could capture the same flow pattern as that expected in the CANDU6 calandria tank under momentum dominant flow condition, where the inlet jets penetrate to the top of the tank and produce a downward flow through the center of the tube columns towards the outlet nozzle and the flow fields are in symmetric distributions. The measurements of downward velocities are performed at different locations. The velocity is shown to be axially uniform. The velocity is rapidly decreased as the measurement location is far from the center of tank, since the downward flow is dominant along the center of the tube columns. More experimental works for the iso-thermal conditions as well as the heating conditions will be performed using PIV measurement in the