다중혈관 관상동맥 환자에서 y-문합을 이용하여 양쪽 내흉동맥만을 사용한 우회술의 조기 성적

Authors/Task Force Members: John J.V. McMurray (Chairperson) (UK)*, Stamatis Adamopoulos (Greece), Stefan D. Anker (Germany), Angelo Auricchio (Switzerland), Michael Böhm (Germany), Kenneth Dickstein (Norway), Volkmar Falk (Switzerland), Gerasimos Filippatos (Greece), Cândida Fonseca (Portugal), Miguel Angel Gomez-Sanchez (Spain), Tiny Jaarsma (Sweden), Lars Køber (Denmark), Gregory Y.H. Lip (UK), Aldo Pietro Maggioni (Italy), Alexander Parkhomenko (Ukraine), Burkert M. Pieske (Austria), Bogdan A. Popescu (Romania), Per K. Rønnevik (Norway), Frans H. Rutten (The Netherlands), Juerg Schwitter (Switzerland), Petar Seferovic (Serbia), Janina Stepinska (Poland), Pedro T. Trindade (Switzerland), Adriaan A. Voors (The Netherlands), Faiez Zannad (France), Andreas Zeiher (Germany).

ESC Guidelines for the Diagnosis And Treatment of Acute And Chronic Heart Failure 2008

ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012 : The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC

https://anmco.it/uploads/u_cms/media/2014/12/798e9298d77b7b8c9aa0514e43fe95a2.pdf

ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC.

March 5, 2019 e1 WRITING GROUP MEMBERS Emelia J. Benjamin, MD, ScM, FAHA, Chair Paul Muntner, PhD, MHS, FAHA, Vice Chair Alvaro Alonso, MD, PhD, FAHA Marcio S. Bittencourt, MD, PhD, MPH Clifton W. Callaway, MD, FAHA April P. Carson, PhD, MSPH, FAHA Alanna M. Chamberlain, PhD Alexander R. Chang, MD, MS Susan Cheng, MD, MMSc, MPH, FAHA Sandeep R. Das, MD, MPH, MBA, FAHA Francesca N. Delling, MD, MPH Luc Djousse, MD, ScD, MPH Mitchell S.V. Elkind, MD, MS, FAHA Jane F. Ferguson, PhD, FAHA Myriam Fornage, PhD, FAHA Lori Chaffin Jordan, MD, PhD, FAHA Sadiya S. Khan, MD, MSc Brett M. Kissela, MD, MS Kristen L. Knutson, PhD Tak W. Kwan, MD, FAHA Daniel T. Lackland, DrPH, FAHA Tené T. Lewis, PhD Judith H. Lichtman, PhD, MPH, FAHA Chris T. Longenecker, MD Matthew Shane Loop, PhD Pamela L. Lutsey, PhD, MPH, FAHA Seth S. Martin, MD, MHS, FAHA Kunihiro Matsushita, MD, PhD, FAHA Andrew E. Moran, MD, MPH, FAHA Michael E. Mussolino, PhD, FAHA Martin O’Flaherty, MD, MSc, PhD Ambarish Pandey, MD, MSCS Amanda M. Perak, MD, MS Wayne D. Rosamond, PhD, MS, FAHA Gregory A. Roth, MD, MPH, FAHA Uchechukwu K.A. Sampson, MD, MBA, MPH, FAHA Gary M. Satou, MD, FAHA Emily B. Schroeder, MD, PhD, FAHA Svati H. Shah, MD, MHS, FAHA Nicole L. Spartano, PhD Andrew Stokes, PhD David L. Tirschwell, MD, MS, MSc, FAHA Connie W. Tsao, MD, MPH, Vice Chair Elect Mintu P. Turakhia, MD, MAS, FAHA Lisa B. VanWagner, MD, MSc, FAST John T. Wilkins, MD, MS, FAHA Sally S. Wong, PhD, RD, CDN, FAHA Salim S. Virani, MD, PhD, FAHA, Chair Elect On behalf of the American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee

Heart Disease and Stroke Statistics—2019 Update: A Report From the American Heart Association

ALAT
: alanine aminotransferase
ASAT
: aspartate aminotransferase
APAH
: associated pulmonary arterial hypertension
BAS
: balloon atrial septostomy
BMPR2
: bone morphogenetic protein receptor 2
BNP
: brain natriuretic peptide
BPA
: balloon pulmonary angioplasty
BREATHE
: Bosentan

/pdf/2015-esc-ers-guidelines-for-the-diagnosis-and-treatment-of-y26yabnnom.pdf

2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT).

Fibronectin and laminin related to myocardial damage and repair

High EGR rates combined with turbocharging has been identified as a promising way to increase the maximum load and efficiency of heavy-duty spark ignition engines. With stoichiometric conditions a three-way catalyst can be used which means that regulated emissions can be kept at very low levels. Obtaining reliable spark ignition is difficult however with high pressure and dilution. There will be a limit to the amount of EGR that can be tolerated for each operating point. Open-loop operation based on steady state maps is difficult since there is substantial dynamics both from the turbocharger and from the wall heat interaction. The proposed approach applies standard closed-loop lambda control for controlling the overall air/fuel ratio for a heavy-duty, 6-cylinder, port-injected natural gas engine. A closed-loop load control is also applied for keeping the load at a constant level when using EGR. Furthermore, cylinder pressure-based dilution limit control is applied on the EGR in order to keep the coefficient of variation at the desired level of 5%. This way confirms that the EGR ratio is kept at its maximum stable level all times. Pumping losses decrease due to the further opening of the throttle, thereby the gas exchange efficiency improves and since the regulator keeps track of the changes the engine all the time operates in a stable region. Our findings show that excellent steady-state performance can be achieved using closed-loop combustion control for keeping the EGR level at the highest level while the stability level is still good enough. (Less)

/pdf/closed-loop-combustion-control-for-a-6-cylinder-port-3xsynmvlb2.pdf

Closed-Loop Combustion Control for a 6-Cylinder Port-Injected Natural-gas Engine

Will Swedish biomass be sufficient for future transportation-fuel demands?

Heat losses are known to decrease the efficiency of CI engines largely. Here, multiple injectors have been suggested to shrink these losses through reduction of spray wall impingement. Studies on multiple injectors have proven the concept’s heat transfer reduction but also highlighted the difficulty of using a standard piston bowl. This study proposes a two-injector concept combined with a flat bowl to reduce heat losses further. To change the spray pattern, the two injectors are injecting in a swirling motion while placed at the rim of the bowl. Four injection timings have been investigated using Reynolds-Averaged Navier-Stokes simulations. This computational method quantified the amount of heat loss reduction possible. A conventional single injector concept is compared to two injector concepts with a standard and flat bowl. A Double Compression Expansion Engine (DCEE) concept, based on a modified Volvo D13 single-cylinder engine, was the base for all simulations. The DCEE can re-use the residual exhaust energy for a second expansion meaning increased importance of reduced heat losses. Heat release effects were discarded in the evaluation as an explanation for the reduced heat losses in order to isolate the effects of the changed spray pattern. Results showed a decrease in heat losses by 25.1 % or 4.2 % of the fuel energy as well as an increased IMEP of 4.5 % or 1.9 % of the fuel energy. Together with the increased exhaust energy, results showed a possible total engine efficiency increase of 2.6 % using the DCEE concept. This work successfully proves the benefits of using two injectors with a flat bowl over a standard bowl and the conventional one-injector strategy.

/pdf/novel-geometry-reaching-high-efficiency-for-multiple-xxci2hs8us.pdf

Bengt Johansson

Papers

Fibronectin and laminin related to myocardial damage and repair

Closed-Loop Combustion Control for a 6-Cylinder Port-Injected Natural-gas Engine

Will Swedish biomass be sufficient for future transportation-fuel demands?

Novel Geometry Reaching High Efficiency for Multiple Injector Concepts

Assessing the capabilites to manage risks in energy systems–analytical perspectives and frameworks with a starting point in Swedish experiences