The use of diameter stenosis (DS), as revealed by coronary angiography, for predicting fractional flow reserve (FFR) usually results in a high error rate of detection. In this study, we investigated a method for predicting FFR in patients with coronary stenosis based on multiple independent risk factors. The aim of the study was to improve the accuracy of detection. First, we searched the existing literature to identify multiple independent risk factors and then calculated the corresponding odds ratios. The improved analytic hierarchy process (IAHP) was then used to determine the weighted value of each independent risk factor, based on the corresponding odds ratio. Next, we developed a novel method, based on the top seven independent risk factors with the highest weighted values, to predict FFR. This model was then used to predict the FFR of 253 patients with coronary stenosis, and the results were then compared with previous methods (DS alone and a simplified scoring system). In addition to DS, we identified a range of other independent risk factors, with the highest weighted values, for predicting FFR, including gender, body mass index, location of stenosis, type of coronary artery distribution, left ventricular ejection fraction, and left myocardial mass. The area under the receiver-operating characteristic curve (AUC) for the newly developed method was 84.3% (95% CI: 79.2–89.4%), which was larger than 65.3% (95% CI: 61.5–69.1%) of DS alone and 74.8% (95% CI: 68.4–81.2%) of the existing simplified scoring system. The newly developed method, based on multiple independent risk factors, effectively improves the prediction accuracy for FFR.
An experimental study of the SNCR process with urea as reducing agent and sodium salts as additive has been carried out, and detailed analysis of the reaction mechanism has been given here. In the temperature range of 800-975 o C, NO concentration decreases at first and then increases while the concentration of N 2 O increases at first and then decreases with the increasing of temperature, and the turning point is 900 o C. With increasing of normalized stoichiometric ratio of reduction nitrogen to NO x (NSR), NO removal efficiency increases, while the concentration of N 2 O also increases, which decreases overall NO x removal efficiency. With sodium salts as additive, the concentration of N 2 O decreases with increasing of sodium salts addition at all temperatures, while the concentration of NO decreases at first and then increases at low-temperature side of the temperature window and increases at high-temperature side with additional increasing, whose changing extent is smaller than N 2 O. Since sodium salts as additive can remove N 2 O effectively and have no large influence on the removal of NO, the effect of sodium salts as additive is the combined effect of the production of active radicals and the removal of HNCO produced by the decomposition of urea through neutralization reactions, which is more important. To achieve the same effect under each condition, the needed addition of NaOH and CH 3 COONa is less than that of Na 2 CO 3 counting as Na atom. For the decomposition of CH 3 COONa can produce CH 3 COO, its addition can promote the reduction of NO more obviously at the lower temperature than Na 2 CO 3 or NaOH. Overall NO x removal efficiency at 900 o C with NSR=1.5 had been improved from about 30% to 70.45% through the addition of sodium salts. Sodium salts as additive caused the flue gas to become alkaline gas, but it was not serious for sodium salts existing as NaNCO.
Percutaneous coronary intervention with stent implantation is one of the most commonly used approaches to treat coronary artery stenosis. Stent malapposition (SM) can increase the incidence of stent thrombosis, but the quantitative association between SM distance and stent thrombosis is poorly clarified. The objective of this study is to determine the biomechanical reaction mechanisms underlying stent thrombosis induced by SM and to quantify the effect of different SM severity grades on thrombosis. The thrombus simulation was performed in a continuous model based on the diffusion-convection response of blood substance transport. Simulated models included well-apposed stents and malapposed stents with various severities where the detachment distances ranged from 0 to 400 μm. The abnormal shear stress induced by SM was considered a critical contributor affecting stent thrombosis, which was dependent on changing SM distances in the simulation. The results illustrate that the proportion of thrombus volume was 1.88% at a SM distance of 75 μm (mild), 3.46% at 150 μm, and 3.93% at 400 μm (severe), but that a slight drop (3.18%) appeared at the detachment distance of 225 μm (intermediate). The results indicate that when the SM distance was less than 150 μm, the thrombus rose notably as the gap distance increased, whereas the progression of thrombogenicity weakened when it exceeded 150 μm. Therefore, more attention should be paid when SM is present at a gap distance of 150 μm. Moreover, when the SM length of stents are the same, thrombus tends to accumulate downstream towards the distal end of the stent as the SM distance increases.
The experimental study on the optimization of ammonia injection in the denitration system of a 300MW coal-fired unit in a power plant. Under the premise of meeting the ultra-low emission standards of environmental protection requirements, the ammonia injection amount of the denitration device can be reasonably adjusted by adjusting the opening degree of the manual ammonia valve. It significantly improves the uniformity of the NOx concentration distribution in the denitration system. It eliminates local ammonia slip peaks and reduces ammonia slip rate. The deviation of the NOx concentration distribution at the outlet of the denitration system decreased by 70.1% and 46.7%, respectively. The ammonia slip concentration decreased by an average of 0.80 mg/m3 and 1.05 mg/m3. Ammonia consumption decreased by 8 kg/h and 15 kg/h, respectively.
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