Mechanical ventilation is a specialized oxygen therapy and life support technology with significant importance for critically ill patients. In fact, 40%–66% of patients in the intensive care unit(ICU) require mechani...Mechanical ventilation is a specialized oxygen therapy and life support technology with significant importance for critically ill patients. In fact, 40%–66% of patients in the intensive care unit(ICU) require mechanical ventilation.^([1,2]) However, the mechanical ventilation can lead to ventilatorassociated lung injury(VALI),^([3]) ultimately resulting in difficulties in weaning from mechanical ventilation,prolonged hospital stays, and even increased mortality.展开更多
A recent study on the rapid imaging of pulmonary ventilation using hyperpolarized ^(129)Xe MRI has demonstrated the ability to achieve isotropic 3D ventilation imaging with a spatial resolution of 3×3×3mm^(3...A recent study on the rapid imaging of pulmonary ventilation using hyperpolarized ^(129)Xe MRI has demonstrated the ability to achieve isotropic 3D ventilation imaging with a spatial resolution of 3×3×3mm^(3) in humans,within an acquisition time of just 3.5 seconds(https://doi.org/10.1002/mrm.30120).展开更多
Aim To determine the global optimal solution for a mine ventilation network under given network topology and airway characteristics. Methods\ The genetic algorithm was used to find the global optimal solution of the ...Aim To determine the global optimal solution for a mine ventilation network under given network topology and airway characteristics. Methods\ The genetic algorithm was used to find the global optimal solution of the network. Results\ A modified genetic algorithm is presented with its characteristics and principle. Instead of working on the conventional bit by bit operation, both the crossover and mutation operators are handled in real values by the proposed algorithms. To prevent the system from turning into a premature problem, the elitists from two groups of possible solutions are selected to reproduce the new populations. Conclusion\ The simulation results show that the method outperforms the conventional nonlinear programming approach whether from the viewpoint of the number of iterations required to find the optimum solutions or from the final solutions obtained.展开更多
The purpose of ventilation management systems is to ensure the health and safety of underground workers by creating and incorporating structured plans, procedures and processes on the day-to-day operations of the mine...The purpose of ventilation management systems is to ensure the health and safety of underground workers by creating and incorporating structured plans, procedures and processes on the day-to-day operations of the mine ventilation system. The application of ventilation management programs consists of audit, verification, and corrective action procedures to:(1) ensure adherence to regulatory standards,or to(2) return to compliance and safety standards when an upset condition arises. This paper describes how a ventilation management program can be developed and implemented to ensure regulation compliance, to increase safety, to improve operational efficiency and to reduce the operating costs of an operating mine. Two case applications are presented in this paper. The first case is presented to demonstrate use of a ventilation management program in response to a site inspection and audit, with follow-up application of corrective actions. The second case application describes how air quality conditions has been substantially improved with the development and implementation of a ventilation management program for an operating underground hard rock mine.展开更多
Spontaneous combustion of residual coal in longwall goaf is a long standing hazard. Airflow leakage into goaf is a major driver to the hazard and this issue deteriorates where longwalls are operating in multiple seams...Spontaneous combustion of residual coal in longwall goaf is a long standing hazard. Airflow leakage into goaf is a major driver to the hazard and this issue deteriorates where longwalls are operating in multiple seams and shallow covers because mining-induced cracks are very likely to draw fresh airflow into goaf due to presence of pressure differential between longwall face and surface. To study the problem more critically, a ventilation simulation package ‘‘Ventsim" is used to conduct a case study from Bulianta colliery. It was found that isolating and pressurizing active longwall panel can mitigate the problem and the pressure differential can be adjusted by varying performance of auxiliary fan and resistance of ventilation regulator. A booster ventilation system can also mitigate the problem by adjusting fan duties. Ventilation simulation is a powerful tool to study spontaneous combustion control in underground coal mine.展开更多
Coal mine ventilation is an extremely complicated system that can be affected by many factors. Gas ventilation pressure is one of important factors that can disturb the stabilization of airflow in airways.The formatio...Coal mine ventilation is an extremely complicated system that can be affected by many factors. Gas ventilation pressure is one of important factors that can disturb the stabilization of airflow in airways.The formation and characteristics of gas ventilation pressure were further elaborated, and numerical simulations were conducted to verify the role of gas ventilation pressure in the stability of airway airflow.Then a case study of airflow stagnation accident that occurred in the Tangshan Coal Mine was performed.The results show that under the condition of upward ventilation, the direction of gas ventilation pressure in the branch is the same to that of the main fan, airflow of the branches beside the branch may be reversed. The greater the gas ventilation pressure is, the more obvious the reversion is. Moreover, reversion sequence of paralleled branches is related to the airflow velocity and length of the branch. Under the condition of downward ventilation, the airflow in the branch filled with gas may be reversed. Methane in downward ventilation is hard to discharge; therefore, accumulation in downward ventilation is more harmful than that in upward ventilation.展开更多
Mature technologies exist to reduce the heating,ventilation,and air-conditioning(HVAC) energy associated with ventilation and use ventilation proactively to save energy.This study investigated the energy use impacts i...Mature technologies exist to reduce the heating,ventilation,and air-conditioning(HVAC) energy associated with ventilation and use ventilation proactively to save energy.This study investigated the energy use impacts in U.S.office buildings of multiple alternative ventilation strategies that combined:economizing,demand controlled ventilation(DCV),supply air temperature reset(SR),and/or a doubled ventilation rate.We used energy simulations in a Monte Carlo analysis,sampling 17 building inputs and varying locations to match the climate zone distribution of the U.S.office stock.Results indicated the possibility for significant savings compared to a baseline that ventilated constantly at a minimum rate in both a small office type with a constant air volume(CAV) HVAC system and a medium office type with a variable air volume(VAV) system.In 95%of instances,HVAC source energy savings were 5-25%in the small-CAV office(median:11%) and 6-42%in the medium-VAV office(median:27%).In the small-CAV office,DCV typically saved the most energy,usually from heating,and heating degree days and occupant density were decisive influences.In the medium-VAV office,economizing and SR were most important,DCV usually only had minor impacts,and zone temperature setpoints,along with climate indicators,were the critical influences.Other than infiltration,envelope characteristics did not strongly influence energy impacts.The untapped primary energy savings of alternative ventilation strategies over the 74%of U.S.office floorspace reasonably represented by our modeling was estimated at 36 TWh per year,with an annual value of U.S.$ 1.25 billion.展开更多
Hard coal mines are required to constantly ventilate mine workings to ensure that the air composition is at a certain humidity and temperature level that is comfortable for underground mine workers,especially in deep ...Hard coal mines are required to constantly ventilate mine workings to ensure that the air composition is at a certain humidity and temperature level that is comfortable for underground mine workers,especially in deep deposits.All underground workings,which are part of the mine ventilation network,should be ventilated in a way that allows maintaining proper oxygen concentration not lower than 19%(by volume),and limits concentration of gases in the air such as methane,carbon monoxide or carbon dioxide.The air flow in the mine ventilation network may be disturbed due to the natural convergence(deformation)and lead to change in its original cross-section.Reducing the cross-sectional area of the mining excavation causes local resistances in the air flow and changes in aerodynamic potentials,which leads to emergency states in the mine ventilation network.This paper presents the results of numerical simulations of the influence of gateroad convergence on the ventilation process of a selected part of the mine ventilation network.The gateroad convergence was modelled with the finite element software PHASE 2.The influence of changes in the cross-sectional area of the gateroad on the ventilation process was carried out using the computational fluid dynamics software Ansys-Fluent.展开更多
Convergence of roof and floor in underground mine openings is a common occurrence. This convergence not only adversely affects the ability of workers, equipment and supplies to travel through the mine, it also reduces...Convergence of roof and floor in underground mine openings is a common occurrence. This convergence not only adversely affects the ability of workers, equipment and supplies to travel through the mine, it also reduces the effectiveness of the mine ventilation system, which is essential for the dilution of methane gas and airborne respirable dust. While installing secondary standing supports to control floor and roof convergence, such supports, by nature, partially obstruct a portion of the airway. These added obstructions inhibit the ability of the ventilation system to operate as efficiently as it could by increasing the resistance in and reducing the cross-sectional area of the airway. This study introduces and demonstrates the benefits of The Eye CAN^(TM) standing roof support, which controls floor and roof convergence and is less obstructive to air flow than conventional wooden cribs. Laboratory findings show that the normal resistance of a supported lined airway is reduced by using this new product from Burrell Mining Products, Inc., while providing the same roof support characteristics of an established product—The CANò. Load vs. displacement curves generated from laboratory tests demonstrated that this new product behaves with the same roof support characteristics as others in The CAN product family. Ventilation data gathered from a simulated mine entry was then used for computational fluid dynamics(CFD) modeling.The CFD analysis showed an improvement with The Eye CAN vs. other accepted forms of standing roof support. This proof-of-concept study suggests that, when using this new product made by Burrell Mining Products, Inc., not only will the convergence from the roof and floor be controlled, but airway resistance will also be reduced.展开更多
BACKGROUND:Early withdrawal of invasive mechanical ventilation(IMV) followed by noninvasive MV(NIMV) is a new strategy for changing modes of treatment in patients with acute exacerbations of chronic obstructive pulmon...BACKGROUND:Early withdrawal of invasive mechanical ventilation(IMV) followed by noninvasive MV(NIMV) is a new strategy for changing modes of treatment in patients with acute exacerbations of chronic obstructive pulmonary disease(AECOPD) with acute respiratory failure(ARF).Using pulmonary infection control window(PIC window) as the switch point for transferring from invasive to noninvasive MV,the time for early extubation can be more accurately judged,and therapy efficacy can be improved.This study aimed to prospectively investigate the clinical effectiveness of fiberoptic bronchscopy(FOB) in patients with AECOPD during sequential weaning of invasive-noninvasive MV.METHODS:Since July 2006 to January 2011,106 AECOPD patients with ARF were treated with comprehensive medication and IMV after hospitalization.Patients were randomly divided into two groups according to whether fiberoptic bronchoscope is used(group A,n=54) or not(group B,n=52) during sequential weaning from invasive to noninvasive MV.In group A,for sputum suction and bronchoalveolar lavage(BAL),a fiberoptic bronchoscope was put into the airway from the outside of an endotracheal tube,which was accompanied with uninterrupted use of a ventilator.After achieving PIC window,patients of both groups changed to NIMV mode,and weaned from ventilation.The following listed indices were used to compare between the groups after treatment:1) the occurrence time of PIC,the duration of MV,the length of ICU stay,the success rate of weaning from MV for the first time,the rate of reventilatJon and the occurrence rate of ventilator-associated pneumonia(VAP);2) the convenience and safety of FOB manipulation.The results were compared using Student's f test and the Chi-square test.RESULTS:The occurrence time of PIC was(5.01 ±1.49) d,(5.87±1.87) d in groups A and B,respectively(P<0.05);the duration of MV was(6.98±1.84) d,(8.69±2.41) d in groups A and B,respectively(P<0.01);the length of ICU stay was(9.25±1.84) d,(11.10±2.63) d in groups A and B,respectively(P<0.01);the success rate of weaning for the first time was 96.30%,76.92%in groups A and B,respectively(P<0.01);the rate of reventilation was 5.56%,19.23%in groups A and B,respectively(P<0.05);and the occurrence rate of VAP was 3.70%,23.07%in groups A and B,respectively(P<0.01).Moreover,it was easy and safe to manipulate FOB,and no side effect was observed.CONCLUSIONS:The application of FOB in patients with AECOPD during sequential weaning of invasive-noninvasive MV is effective in ICU.It can decrease the duration of MV and the length of ICU stay,increase the success rate from weaning MV for the first time,reduce the rate of reventilation and the occurrence rate of VAP.In addition,such a method is convenient and safe in patients of this kind.展开更多
BACKGROUND: Metronome guidance is a feasible and effective feedback technique to improve the quality of cardiopulmonary resuscitation(CPR). The rate of the metronome should be set between 100 to 120 ticks/minute and t...BACKGROUND: Metronome guidance is a feasible and effective feedback technique to improve the quality of cardiopulmonary resuscitation(CPR). The rate of the metronome should be set between 100 to 120 ticks/minute and the speed of ventilation may have crucial effect on the quality of ventilation. We compared three different metronome rates(100, 110, 120 ticks/minute) to investigate its effect on the quality of ventilation during metronome-guided 30:2 CPR.METHODS: This is a prospective, randomized, crossover observational study using a Respi Trainer r. To simulate 30 chest compressions, one investigator counted from 1 to 30 in cadence with the metronome rate(1 count for every 1 tick), and the participant performed 2 consecutive ventilations immediately following the counting of 30. Thirty physicians performed 5 sets of 2 consecutive(total 10) bag-mask ventilations for each metronome rate. Participants were instructed to squeeze the bag over 2 ticks(1.0 to 1.2 seconds depending on the rate of metronome) and defl ate the bag over 2 ticks. The sequence of three different metronome rates was randomized.RESULTS: Mean tidal volume significantly decreased as the metronome rate was increased from 110 ticks/minute to 120 ticks/minute(343±84 m L vs. 294±90 m L, P=0.004). Peak airway pressure significantly increased as metronome rate increased from 100 ticks/minute to 110 ticks/minute(18.7 vs. 21.6 mm Hg, P=0.006).CONCLUSION: In metronome-guided 30:2 CPR, a higher metronome rate may adversely affect the quality of bag-mask ventilations. In cases of cardiac arrest where adequate ventilation support is necessary, 100 ticks/minute may be better than 110 or 120 ticks/minute to deliver adequate tidal volume during audio tone guided 30:2 CPR.展开更多
Mines are continually expanding in size and depth,leading to an increased reliance on localised subsurface ventilation systems.The use of underground auxiliary fans is a favoured method to increase and control airflow...Mines are continually expanding in size and depth,leading to an increased reliance on localised subsurface ventilation systems.The use of underground auxiliary fans is a favoured method to increase and control airflow in working areas.However,the effectiveness of auxiliary fans in this regard is not clear.This paper evaluated the performance of these underground fan systems in four different South African deeplevel gold mines.A total auxiliary fan system efficiency of 5%was found across six systems,with the average fan efficiency of 33 fans at 38%.The results showed that these fans deviate significantly from their design operating points.Therefore,there are significant shortcomings in current underground fan practices.Our detailed investigations led to the conclusion that the assemblage of underground auxiliary fan systems results in significant energy inefficiencies.Therefore,maintaining good underground fan practice such as optimal fan selection,ducting design and maintenance is crucial for the efficacy of a mine ventilation network.展开更多
Based on the fluid mechanics and mass transfer theory,a mathematical model of the spatial-temporal variation of gas was derived to avoid the gas accident caused by the main fan stopping ventilation under the condition...Based on the fluid mechanics and mass transfer theory,a mathematical model of the spatial-temporal variation of gas was derived to avoid the gas accident caused by the main fan stopping ventilation under the condition of intermittent ventilation in the tunnel.According to the actual parameters of the tunnel,a numerical calculation model was established.The spatial-temporal variation of gas concentration in the fully mechanized working face under the condition of intermittent ventilation was calculated by using the commercial package Fluent,and the correctness of the calculated results was verified by the actual monitoring data of the mine.Firstly,the gas concentration was calculated under different wind velocities at driving face in coal tunnel,and the result showed that the gas can be carried effectively by the wind when the wind velocity is about 1.8 m/s.Secondly,the distributions of wind velocity and gas concentration at driving face were studied at 1.8 m/s,and the result showed the gas concentration increased gradually with the distance close to the outlet,but the gas concentration almost kept constant at the height of driving face.Thirdly,the distribution of gas concentration was investigated with time after the ventilation was stopped and restarted,respectively.The gas concentration of test point gradually increased with the increment of downtime,when the downtime was 40 min,the gas concentration of test point 3 reached the maximum value.The gas concentration increased gradually and reached the maximum after10 min of restart,then sharply decreased and kept constant.展开更多
Background Hypoxemia sometimes occurs in the emergency room in the patients with acute myocardial infarction （AMI） after percutaneous coronary intervention （PCI）, even in those with administration of conventional ...Background Hypoxemia sometimes occurs in the emergency room in the patients with acute myocardial infarction （AMI） after percutaneous coronary intervention （PCI）, even in those with administration of conventional high-flow oxygen inhalation. The objective of the present study was to evaluate the effectiveness of non-invasive ventilation （NIV） in improving blood oxygen content and hemorheology in patients with AMI and hypoxemia. Methods This prospective study enrolled 50 consecutive eligible patients with AMI （aged 72.3 ± 9.5 years）, who had undergone PCI and been administered high-flow oxygen but still had hypoxemia. Blood was taken before NIV and at 0.5, 1, and 2 h after NIV. Blood gases, hemorheological variables including erythrocyte deformability, erythrocyte aggregation, erythrocyte osmotic fragility, membrane fluidity, and oxidative stress level were measured. Results Blood PaO2 increased to normal by 1 h after NIV. Assessed hemorheological variables had all improved and plasma malondialdehyde concentration decreased significantly after 2 h of NIV. Conclusions Our data suggest that NIV can help to improve blood oxygen content, hemorheological status, and minimize plasma lipid peroxidation injury in hypoxemic patients with AMI who have undergone PCI.展开更多
In early 2018,the Boliden Garpenberg operation implemented an optimized control strategy as an addition to the existing ventilation on demand system.The purpose of the strategy is to further minimize energy use for ma...In early 2018,the Boliden Garpenberg operation implemented an optimized control strategy as an addition to the existing ventilation on demand system.The purpose of the strategy is to further minimize energy use for main and booster fans,whilst also fulfilling airflow setpoints without violating constraints such as min/max differential pressure over fans and interaction of air between areas in mines.Using air flow measurements and a dynamical model of the ventilation system,a mine-wide coordination control of fans can be carried out.The numerical model is data driven and derived from historical operational data or step changes experiments.This makes both initial deployment and lifetime model maintenance,as the mine evolves,a comparably easy operation.The control has been proven to operate in a stable manner over long periods without having to re-calibrate the model.Results prove a 40%decrease in energy use for the fans involved and a greater controllability of air flow.Moreover,a 15%decrease of the total air flow into the mine will give additional proportional heating savings during winter periods.All in all,the multivariable controller shows a correlation between production in the mine and the ventilation system performance superior to all of its predecessors.展开更多
BACKGROUND: We sought to demonstrate the superiority of a targeted therapy strategy involving high-flow nasal cannula oxygen(HFNCO_(2)) therapy and noninvasive ventilation(NIV) using lung ultrasound score(LUS) in comp...BACKGROUND: We sought to demonstrate the superiority of a targeted therapy strategy involving high-flow nasal cannula oxygen(HFNCO_(2)) therapy and noninvasive ventilation(NIV) using lung ultrasound score(LUS) in comparison with standard care among patients in the intensive care unit(ICU) who undergo successful weaning to decrease the incidence of extubation failure at both 48 hours and seven days.METHODS: During the study period, 98 patients were enrolled in the study, including 49 in the control group and 49 in the treatment group. Patients in the control group and patients with an LUS score <14 points(at low risk of extubation failure) in the treatment group were extubated and received standard preventive care without NIV or HFNCO_(2). Patients with an LUS score ≥14 points(at high risk of extubation failure) in the treatment group were extubated with a second review of the therapeutic optimization to identify and address any persisting risk factors for postextubation respiratory distress;patients received HFNCO2 therapy combined with sessions of preventive NIV(4-8 hours per day for 4-8 sessions total) for the first 48 hours after extubation.RESULTS: In the control group, 13 patients had the LUS scores ≥14 points, while 36 patients had scores <14 points. In the treatment group, 16 patients had the LUS scores ≥14 points, while 33 patients had scores <14 points. Among patients with the LUS score ≥14 points, the extubation failure rate within 48 hours was 30.8% in the control group and 12.5% in the treatment group, constituting a statistically significant difference(P<0.05). Conversely, among patients with an LUS score <14 points, 13.9% in the control group and 9.1% in the treatment group experienced extubation failure(P=0.61). The length of ICU stay(9.4±3.1 days vs. 7.2±2.4 days) was significantly different and the re-intubation rate(at 48 hours: 18.4% vs. 10.2%;seven days: 22.4% vs. 12.2%) significantly varied between the two groups(P<0.05). There was no significant difference in the 28-day mortality rate(6.1% vs. 8.2%) between the control and treatment groups.CONCLUSIONS: Among high-risk adults being weaned from mechanical ventilation and assessed by LUS, the NIV+HFNCO_(2) protocol does not lessen the mortality rate but reduce the length of ICU stay, the rate of extubation failure at both 48 hours and seven days.展开更多
BACKGROUND: For patients in intensive care unit(ICU), mechanical ventilation is an effective treatment to survive from acute illness and improve survival rates. However, long periods of bed rest and restricted physica...BACKGROUND: For patients in intensive care unit(ICU), mechanical ventilation is an effective treatment to survive from acute illness and improve survival rates. However, long periods of bed rest and restricted physical activity can result in side effects. This study aimed to investigate the feasibility of early rehabilitation therapy in patients with mechanical ventilation.METHODS: A randomized controlled trial was carried out. Sixty patients, with tracheal intubation or tracheostomy more than 48 hours and less than 72 hours, were admitted to the ICU of the Affiliated Hospital of Medical College, Qingdao University, from May 2010 to May 2012. These patients were randomly divided into a rehabilitation group and a control group. In the rehabilitation group, rehabilitation therapy was performed twice daily, and the training time and intensity were adjusted according to the condition of the patients. Early rehabilitation therapy included heading up actively, transferring from the supine position to sitting position, sitting at the edge of the bed, sitting in chair, transferring from sitting to standing, and ambulating bedside. The patient's body mass index, days to first out of bed, duration of mechanical ventilation, length of ICU stay, APACHE II score, highest FiO2, lowest PaO2/FiO2 and hospital mortality of patients were all compared between the rehabilitation group and the control group. The differences between the two groups were compared using Student's t test.RESULTS: There was no significant difference in body mass index, APACHE II score, highest FiO2, lowest PaO2/FiO2 and hospital mortality between the rehabilitation group and the control group(P>0.05). Patients in the rehabilitation group had shorter days to first out of bed(3.8±1.2 d vs. 7.3±2.8 d; P=0.00), duration of mechanical ventilation(5.6±2.1 d vs. 12.7±4.1 d; P=0.005) and length of ICU stay(12.7±4.1 d vs. 15.2±4.5 d; P=0.01) compared with the control group.CONCLUSION: Early rehabilitation therapy was feasible and effective in improving the outcomes of patients with mechanical ventilation.展开更多
In large mines,single fan is usually not enough to ventilate all the working areas.Single mine-fan approach cannot be directly applied to multiple-fan networks because the present of multiple pressures and air quantit...In large mines,single fan is usually not enough to ventilate all the working areas.Single mine-fan approach cannot be directly applied to multiple-fan networks because the present of multiple pressures and air quantities associated with each fan in the network.Accordingly,each fan in a multiple-fan system has its own mine characteristic curve,or a subsystem curve.Under some consideration,the conventional concept of a mine characteristic curve of a single-fan system can be directly extended to that of a particular fan within a multiple-fan system.In this paper the mutual effect of the fans on each other and their effect on the stability of the ventilation network were investigated by Hardy Cross algorithm combined with a switching-parameters technique.To show the validity and reliability of this algorithm,the stability of the ventilation system of Abu-Tartur Mine(one of the largest underground mine in Egypt)has been studied.展开更多
The practice of ventilation is continually evolving with new technological advances developed in the mining industry.In recent years the advances in diesel engine technologies,ventilation modeling software,and ventila...The practice of ventilation is continually evolving with new technological advances developed in the mining industry.In recent years the advances in diesel engine technologies,ventilation modeling software,and ventilation management capacities have redefined the historical methods used to evaluate systems.The advances re-evaluate previous methods used to calculate the airflow requirements for the dilution of diesel exhaust fumes.Modeling software has become an integral part of planning and developing ventilation systems in partnership with graphical mine design software packages to generate realistic representations of the mine.Significant advances in ventilation control strategies through remote sensors and monitoring capabilities have been developed to results in cost savings.Though there has been much advancement in mine ventilation technology,the practices and basic ventilation principals enacted through the ventilation engineer cannot be placated with technological advances only.展开更多
Tracer gas technique is a method to analyze the airflow path, measure the airflow quantity, and detect any recirculation or leakages in underground mine. In addition, it is also possible to evaluate the axial gas diff...Tracer gas technique is a method to analyze the airflow path, measure the airflow quantity, and detect any recirculation or leakages in underground mine. In addition, it is also possible to evaluate the axial gas diffusion of gas in turbulent bulk flow by utilizing the tracer gas data. This paper discussed about the measurement using tracer gas technique in Cibaliung Underground Mine, Indonesia and the evaluation of effective axial diffusion coefficient, E, by numerical simulation. In addition, a scheme to treat network flow in mine ventilation system was also proposed. The effective axial diffusion coefficient for each airway was evaluated based on Taylor's theoretical equation. It is found that the evaluated diffusion coefficient agrees well with Taylor's equation by considering that the wall friction factor, f, is higher than those for smooth pipe flow. It also shows that the value of effective diffusion coefficient can be inherently determined and the value is constant when matching with other measurements. Furthermore, there are possibilities to utilize the tracer gas measurement data to evaluate the airway friction factors.展开更多
文摘Mechanical ventilation is a specialized oxygen therapy and life support technology with significant importance for critically ill patients. In fact, 40%–66% of patients in the intensive care unit(ICU) require mechanical ventilation.^([1,2]) However, the mechanical ventilation can lead to ventilatorassociated lung injury(VALI),^([3]) ultimately resulting in difficulties in weaning from mechanical ventilation,prolonged hospital stays, and even increased mortality.
基金supported by the National Natural Science Foundation of China(81930049 and 82171926).
文摘A recent study on the rapid imaging of pulmonary ventilation using hyperpolarized ^(129)Xe MRI has demonstrated the ability to achieve isotropic 3D ventilation imaging with a spatial resolution of 3×3×3mm^(3) in humans,within an acquisition time of just 3.5 seconds(https://doi.org/10.1002/mrm.30120).
文摘Aim To determine the global optimal solution for a mine ventilation network under given network topology and airway characteristics. Methods\ The genetic algorithm was used to find the global optimal solution of the network. Results\ A modified genetic algorithm is presented with its characteristics and principle. Instead of working on the conventional bit by bit operation, both the crossover and mutation operators are handled in real values by the proposed algorithms. To prevent the system from turning into a premature problem, the elitists from two groups of possible solutions are selected to reproduce the new populations. Conclusion\ The simulation results show that the method outperforms the conventional nonlinear programming approach whether from the viewpoint of the number of iterations required to find the optimum solutions or from the final solutions obtained.
文摘The purpose of ventilation management systems is to ensure the health and safety of underground workers by creating and incorporating structured plans, procedures and processes on the day-to-day operations of the mine ventilation system. The application of ventilation management programs consists of audit, verification, and corrective action procedures to:(1) ensure adherence to regulatory standards,or to(2) return to compliance and safety standards when an upset condition arises. This paper describes how a ventilation management program can be developed and implemented to ensure regulation compliance, to increase safety, to improve operational efficiency and to reduce the operating costs of an operating mine. Two case applications are presented in this paper. The first case is presented to demonstrate use of a ventilation management program in response to a site inspection and audit, with follow-up application of corrective actions. The second case application describes how air quality conditions has been substantially improved with the development and implementation of a ventilation management program for an operating underground hard rock mine.
基金provided by the University of Wollongong (4390490)Australia and the Shenhua Group Innovative Technology Research Fund (SHGF-13-07)State Key Laboratory Cultivation Base for Gas Geology and Gas Control (Henan Polytechnic University) Open Funding (WS2017A01)
文摘Spontaneous combustion of residual coal in longwall goaf is a long standing hazard. Airflow leakage into goaf is a major driver to the hazard and this issue deteriorates where longwalls are operating in multiple seams and shallow covers because mining-induced cracks are very likely to draw fresh airflow into goaf due to presence of pressure differential between longwall face and surface. To study the problem more critically, a ventilation simulation package ‘‘Ventsim" is used to conduct a case study from Bulianta colliery. It was found that isolating and pressurizing active longwall panel can mitigate the problem and the pressure differential can be adjusted by varying performance of auxiliary fan and resistance of ventilation regulator. A booster ventilation system can also mitigate the problem by adjusting fan duties. Ventilation simulation is a powerful tool to study spontaneous combustion control in underground coal mine.
基金financially supported by the National Natural Science Foundation of China (Grant Nos. 51774292, 51474219, 51604278)the State Key Research Development Program of China (Grant Nos. 2016YFC0801402, 2016YFC0600708)
文摘Coal mine ventilation is an extremely complicated system that can be affected by many factors. Gas ventilation pressure is one of important factors that can disturb the stabilization of airflow in airways.The formation and characteristics of gas ventilation pressure were further elaborated, and numerical simulations were conducted to verify the role of gas ventilation pressure in the stability of airway airflow.Then a case study of airflow stagnation accident that occurred in the Tangshan Coal Mine was performed.The results show that under the condition of upward ventilation, the direction of gas ventilation pressure in the branch is the same to that of the main fan, airflow of the branches beside the branch may be reversed. The greater the gas ventilation pressure is, the more obvious the reversion is. Moreover, reversion sequence of paralleled branches is related to the airflow velocity and length of the branch. Under the condition of downward ventilation, the airflow in the branch filled with gas may be reversed. Methane in downward ventilation is hard to discharge; therefore, accumulation in downward ventilation is more harmful than that in upward ventilation.
文摘Mature technologies exist to reduce the heating,ventilation,and air-conditioning(HVAC) energy associated with ventilation and use ventilation proactively to save energy.This study investigated the energy use impacts in U.S.office buildings of multiple alternative ventilation strategies that combined:economizing,demand controlled ventilation(DCV),supply air temperature reset(SR),and/or a doubled ventilation rate.We used energy simulations in a Monte Carlo analysis,sampling 17 building inputs and varying locations to match the climate zone distribution of the U.S.office stock.Results indicated the possibility for significant savings compared to a baseline that ventilated constantly at a minimum rate in both a small office type with a constant air volume(CAV) HVAC system and a medium office type with a variable air volume(VAV) system.In 95%of instances,HVAC source energy savings were 5-25%in the small-CAV office(median:11%) and 6-42%in the medium-VAV office(median:27%).In the small-CAV office,DCV typically saved the most energy,usually from heating,and heating degree days and occupant density were decisive influences.In the medium-VAV office,economizing and SR were most important,DCV usually only had minor impacts,and zone temperature setpoints,along with climate indicators,were the critical influences.Other than infiltration,envelope characteristics did not strongly influence energy impacts.The untapped primary energy savings of alternative ventilation strategies over the 74%of U.S.office floorspace reasonably represented by our modeling was estimated at 36 TWh per year,with an annual value of U.S.$ 1.25 billion.
基金research realized at the Central Mining Institute in Katowice,Poland(No.10030217-152)financed by the Polish Ministry of Science and Higher Education
文摘Hard coal mines are required to constantly ventilate mine workings to ensure that the air composition is at a certain humidity and temperature level that is comfortable for underground mine workers,especially in deep deposits.All underground workings,which are part of the mine ventilation network,should be ventilated in a way that allows maintaining proper oxygen concentration not lower than 19%(by volume),and limits concentration of gases in the air such as methane,carbon monoxide or carbon dioxide.The air flow in the mine ventilation network may be disturbed due to the natural convergence(deformation)and lead to change in its original cross-section.Reducing the cross-sectional area of the mining excavation causes local resistances in the air flow and changes in aerodynamic potentials,which leads to emergency states in the mine ventilation network.This paper presents the results of numerical simulations of the influence of gateroad convergence on the ventilation process of a selected part of the mine ventilation network.The gateroad convergence was modelled with the finite element software PHASE 2.The influence of changes in the cross-sectional area of the gateroad on the ventilation process was carried out using the computational fluid dynamics software Ansys-Fluent.
文摘Convergence of roof and floor in underground mine openings is a common occurrence. This convergence not only adversely affects the ability of workers, equipment and supplies to travel through the mine, it also reduces the effectiveness of the mine ventilation system, which is essential for the dilution of methane gas and airborne respirable dust. While installing secondary standing supports to control floor and roof convergence, such supports, by nature, partially obstruct a portion of the airway. These added obstructions inhibit the ability of the ventilation system to operate as efficiently as it could by increasing the resistance in and reducing the cross-sectional area of the airway. This study introduces and demonstrates the benefits of The Eye CAN^(TM) standing roof support, which controls floor and roof convergence and is less obstructive to air flow than conventional wooden cribs. Laboratory findings show that the normal resistance of a supported lined airway is reduced by using this new product from Burrell Mining Products, Inc., while providing the same roof support characteristics of an established product—The CANò. Load vs. displacement curves generated from laboratory tests demonstrated that this new product behaves with the same roof support characteristics as others in The CAN product family. Ventilation data gathered from a simulated mine entry was then used for computational fluid dynamics(CFD) modeling.The CFD analysis showed an improvement with The Eye CAN vs. other accepted forms of standing roof support. This proof-of-concept study suggests that, when using this new product made by Burrell Mining Products, Inc., not only will the convergence from the roof and floor be controlled, but airway resistance will also be reduced.
文摘BACKGROUND:Early withdrawal of invasive mechanical ventilation(IMV) followed by noninvasive MV(NIMV) is a new strategy for changing modes of treatment in patients with acute exacerbations of chronic obstructive pulmonary disease(AECOPD) with acute respiratory failure(ARF).Using pulmonary infection control window(PIC window) as the switch point for transferring from invasive to noninvasive MV,the time for early extubation can be more accurately judged,and therapy efficacy can be improved.This study aimed to prospectively investigate the clinical effectiveness of fiberoptic bronchscopy(FOB) in patients with AECOPD during sequential weaning of invasive-noninvasive MV.METHODS:Since July 2006 to January 2011,106 AECOPD patients with ARF were treated with comprehensive medication and IMV after hospitalization.Patients were randomly divided into two groups according to whether fiberoptic bronchoscope is used(group A,n=54) or not(group B,n=52) during sequential weaning from invasive to noninvasive MV.In group A,for sputum suction and bronchoalveolar lavage(BAL),a fiberoptic bronchoscope was put into the airway from the outside of an endotracheal tube,which was accompanied with uninterrupted use of a ventilator.After achieving PIC window,patients of both groups changed to NIMV mode,and weaned from ventilation.The following listed indices were used to compare between the groups after treatment:1) the occurrence time of PIC,the duration of MV,the length of ICU stay,the success rate of weaning from MV for the first time,the rate of reventilatJon and the occurrence rate of ventilator-associated pneumonia(VAP);2) the convenience and safety of FOB manipulation.The results were compared using Student's f test and the Chi-square test.RESULTS:The occurrence time of PIC was(5.01 ±1.49) d,(5.87±1.87) d in groups A and B,respectively(P<0.05);the duration of MV was(6.98±1.84) d,(8.69±2.41) d in groups A and B,respectively(P<0.01);the length of ICU stay was(9.25±1.84) d,(11.10±2.63) d in groups A and B,respectively(P<0.01);the success rate of weaning for the first time was 96.30%,76.92%in groups A and B,respectively(P<0.01);the rate of reventilation was 5.56%,19.23%in groups A and B,respectively(P<0.05);and the occurrence rate of VAP was 3.70%,23.07%in groups A and B,respectively(P<0.01).Moreover,it was easy and safe to manipulate FOB,and no side effect was observed.CONCLUSIONS:The application of FOB in patients with AECOPD during sequential weaning of invasive-noninvasive MV is effective in ICU.It can decrease the duration of MV and the length of ICU stay,increase the success rate from weaning MV for the first time,reduce the rate of reventilation and the occurrence rate of VAP.In addition,such a method is convenient and safe in patients of this kind.
文摘BACKGROUND: Metronome guidance is a feasible and effective feedback technique to improve the quality of cardiopulmonary resuscitation(CPR). The rate of the metronome should be set between 100 to 120 ticks/minute and the speed of ventilation may have crucial effect on the quality of ventilation. We compared three different metronome rates(100, 110, 120 ticks/minute) to investigate its effect on the quality of ventilation during metronome-guided 30:2 CPR.METHODS: This is a prospective, randomized, crossover observational study using a Respi Trainer r. To simulate 30 chest compressions, one investigator counted from 1 to 30 in cadence with the metronome rate(1 count for every 1 tick), and the participant performed 2 consecutive ventilations immediately following the counting of 30. Thirty physicians performed 5 sets of 2 consecutive(total 10) bag-mask ventilations for each metronome rate. Participants were instructed to squeeze the bag over 2 ticks(1.0 to 1.2 seconds depending on the rate of metronome) and defl ate the bag over 2 ticks. The sequence of three different metronome rates was randomized.RESULTS: Mean tidal volume significantly decreased as the metronome rate was increased from 110 ticks/minute to 120 ticks/minute(343±84 m L vs. 294±90 m L, P=0.004). Peak airway pressure significantly increased as metronome rate increased from 100 ticks/minute to 110 ticks/minute(18.7 vs. 21.6 mm Hg, P=0.006).CONCLUSION: In metronome-guided 30:2 CPR, a higher metronome rate may adversely affect the quality of bag-mask ventilations. In cases of cardiac arrest where adequate ventilation support is necessary, 100 ticks/minute may be better than 110 or 120 ticks/minute to deliver adequate tidal volume during audio tone guided 30:2 CPR.
基金ETA Operations (Pty) Ltd funded this research work
文摘Mines are continually expanding in size and depth,leading to an increased reliance on localised subsurface ventilation systems.The use of underground auxiliary fans is a favoured method to increase and control airflow in working areas.However,the effectiveness of auxiliary fans in this regard is not clear.This paper evaluated the performance of these underground fan systems in four different South African deeplevel gold mines.A total auxiliary fan system efficiency of 5%was found across six systems,with the average fan efficiency of 33 fans at 38%.The results showed that these fans deviate significantly from their design operating points.Therefore,there are significant shortcomings in current underground fan practices.Our detailed investigations led to the conclusion that the assemblage of underground auxiliary fan systems results in significant energy inefficiencies.Therefore,maintaining good underground fan practice such as optimal fan selection,ducting design and maintenance is crucial for the efficacy of a mine ventilation network.
基金funded by the National Natural Science Foundation of China (No. 51776217)the Fundamental Research Funds for the Central Universities of China (No. 2013XK08.2)
文摘Based on the fluid mechanics and mass transfer theory,a mathematical model of the spatial-temporal variation of gas was derived to avoid the gas accident caused by the main fan stopping ventilation under the condition of intermittent ventilation in the tunnel.According to the actual parameters of the tunnel,a numerical calculation model was established.The spatial-temporal variation of gas concentration in the fully mechanized working face under the condition of intermittent ventilation was calculated by using the commercial package Fluent,and the correctness of the calculated results was verified by the actual monitoring data of the mine.Firstly,the gas concentration was calculated under different wind velocities at driving face in coal tunnel,and the result showed that the gas can be carried effectively by the wind when the wind velocity is about 1.8 m/s.Secondly,the distributions of wind velocity and gas concentration at driving face were studied at 1.8 m/s,and the result showed the gas concentration increased gradually with the distance close to the outlet,but the gas concentration almost kept constant at the height of driving face.Thirdly,the distribution of gas concentration was investigated with time after the ventilation was stopped and restarted,respectively.The gas concentration of test point gradually increased with the increment of downtime,when the downtime was 40 min,the gas concentration of test point 3 reached the maximum value.The gas concentration increased gradually and reached the maximum after10 min of restart,then sharply decreased and kept constant.
文摘Background Hypoxemia sometimes occurs in the emergency room in the patients with acute myocardial infarction （AMI） after percutaneous coronary intervention （PCI）, even in those with administration of conventional high-flow oxygen inhalation. The objective of the present study was to evaluate the effectiveness of non-invasive ventilation （NIV） in improving blood oxygen content and hemorheology in patients with AMI and hypoxemia. Methods This prospective study enrolled 50 consecutive eligible patients with AMI （aged 72.3 ± 9.5 years）, who had undergone PCI and been administered high-flow oxygen but still had hypoxemia. Blood was taken before NIV and at 0.5, 1, and 2 h after NIV. Blood gases, hemorheological variables including erythrocyte deformability, erythrocyte aggregation, erythrocyte osmotic fragility, membrane fluidity, and oxidative stress level were measured. Results Blood PaO2 increased to normal by 1 h after NIV. Assessed hemorheological variables had all improved and plasma malondialdehyde concentration decreased significantly after 2 h of NIV. Conclusions Our data suggest that NIV can help to improve blood oxygen content, hemorheological status, and minimize plasma lipid peroxidation injury in hypoxemic patients with AMI who have undergone PCI.
文摘In early 2018,the Boliden Garpenberg operation implemented an optimized control strategy as an addition to the existing ventilation on demand system.The purpose of the strategy is to further minimize energy use for main and booster fans,whilst also fulfilling airflow setpoints without violating constraints such as min/max differential pressure over fans and interaction of air between areas in mines.Using air flow measurements and a dynamical model of the ventilation system,a mine-wide coordination control of fans can be carried out.The numerical model is data driven and derived from historical operational data or step changes experiments.This makes both initial deployment and lifetime model maintenance,as the mine evolves,a comparably easy operation.The control has been proven to operate in a stable manner over long periods without having to re-calibrate the model.Results prove a 40%decrease in energy use for the fans involved and a greater controllability of air flow.Moreover,a 15%decrease of the total air flow into the mine will give additional proportional heating savings during winter periods.All in all,the multivariable controller shows a correlation between production in the mine and the ventilation system performance superior to all of its predecessors.
文摘BACKGROUND: We sought to demonstrate the superiority of a targeted therapy strategy involving high-flow nasal cannula oxygen(HFNCO_(2)) therapy and noninvasive ventilation(NIV) using lung ultrasound score(LUS) in comparison with standard care among patients in the intensive care unit(ICU) who undergo successful weaning to decrease the incidence of extubation failure at both 48 hours and seven days.METHODS: During the study period, 98 patients were enrolled in the study, including 49 in the control group and 49 in the treatment group. Patients in the control group and patients with an LUS score <14 points(at low risk of extubation failure) in the treatment group were extubated and received standard preventive care without NIV or HFNCO_(2). Patients with an LUS score ≥14 points(at high risk of extubation failure) in the treatment group were extubated with a second review of the therapeutic optimization to identify and address any persisting risk factors for postextubation respiratory distress;patients received HFNCO2 therapy combined with sessions of preventive NIV(4-8 hours per day for 4-8 sessions total) for the first 48 hours after extubation.RESULTS: In the control group, 13 patients had the LUS scores ≥14 points, while 36 patients had scores <14 points. In the treatment group, 16 patients had the LUS scores ≥14 points, while 33 patients had scores <14 points. Among patients with the LUS score ≥14 points, the extubation failure rate within 48 hours was 30.8% in the control group and 12.5% in the treatment group, constituting a statistically significant difference(P<0.05). Conversely, among patients with an LUS score <14 points, 13.9% in the control group and 9.1% in the treatment group experienced extubation failure(P=0.61). The length of ICU stay(9.4±3.1 days vs. 7.2±2.4 days) was significantly different and the re-intubation rate(at 48 hours: 18.4% vs. 10.2%;seven days: 22.4% vs. 12.2%) significantly varied between the two groups(P<0.05). There was no significant difference in the 28-day mortality rate(6.1% vs. 8.2%) between the control and treatment groups.CONCLUSIONS: Among high-risk adults being weaned from mechanical ventilation and assessed by LUS, the NIV+HFNCO_(2) protocol does not lessen the mortality rate but reduce the length of ICU stay, the rate of extubation failure at both 48 hours and seven days.
文摘BACKGROUND: For patients in intensive care unit(ICU), mechanical ventilation is an effective treatment to survive from acute illness and improve survival rates. However, long periods of bed rest and restricted physical activity can result in side effects. This study aimed to investigate the feasibility of early rehabilitation therapy in patients with mechanical ventilation.METHODS: A randomized controlled trial was carried out. Sixty patients, with tracheal intubation or tracheostomy more than 48 hours and less than 72 hours, were admitted to the ICU of the Affiliated Hospital of Medical College, Qingdao University, from May 2010 to May 2012. These patients were randomly divided into a rehabilitation group and a control group. In the rehabilitation group, rehabilitation therapy was performed twice daily, and the training time and intensity were adjusted according to the condition of the patients. Early rehabilitation therapy included heading up actively, transferring from the supine position to sitting position, sitting at the edge of the bed, sitting in chair, transferring from sitting to standing, and ambulating bedside. The patient's body mass index, days to first out of bed, duration of mechanical ventilation, length of ICU stay, APACHE II score, highest FiO2, lowest PaO2/FiO2 and hospital mortality of patients were all compared between the rehabilitation group and the control group. The differences between the two groups were compared using Student's t test.RESULTS: There was no significant difference in body mass index, APACHE II score, highest FiO2, lowest PaO2/FiO2 and hospital mortality between the rehabilitation group and the control group(P>0.05). Patients in the rehabilitation group had shorter days to first out of bed(3.8±1.2 d vs. 7.3±2.8 d; P=0.00), duration of mechanical ventilation(5.6±2.1 d vs. 12.7±4.1 d; P=0.005) and length of ICU stay(12.7±4.1 d vs. 15.2±4.5 d; P=0.01) compared with the control group.CONCLUSION: Early rehabilitation therapy was feasible and effective in improving the outcomes of patients with mechanical ventilation.
文摘In large mines,single fan is usually not enough to ventilate all the working areas.Single mine-fan approach cannot be directly applied to multiple-fan networks because the present of multiple pressures and air quantities associated with each fan in the network.Accordingly,each fan in a multiple-fan system has its own mine characteristic curve,or a subsystem curve.Under some consideration,the conventional concept of a mine characteristic curve of a single-fan system can be directly extended to that of a particular fan within a multiple-fan system.In this paper the mutual effect of the fans on each other and their effect on the stability of the ventilation network were investigated by Hardy Cross algorithm combined with a switching-parameters technique.To show the validity and reliability of this algorithm,the stability of the ventilation system of Abu-Tartur Mine(one of the largest underground mine in Egypt)has been studied.
文摘The practice of ventilation is continually evolving with new technological advances developed in the mining industry.In recent years the advances in diesel engine technologies,ventilation modeling software,and ventilation management capacities have redefined the historical methods used to evaluate systems.The advances re-evaluate previous methods used to calculate the airflow requirements for the dilution of diesel exhaust fumes.Modeling software has become an integral part of planning and developing ventilation systems in partnership with graphical mine design software packages to generate realistic representations of the mine.Significant advances in ventilation control strategies through remote sensors and monitoring capabilities have been developed to results in cost savings.Though there has been much advancement in mine ventilation technology,the practices and basic ventilation principals enacted through the ventilation engineer cannot be placated with technological advances only.
基金the financial support of this work by Japan Ministry of Education, Culture, Sport, Science and Technology and Kyushu University’s Global COE program
文摘Tracer gas technique is a method to analyze the airflow path, measure the airflow quantity, and detect any recirculation or leakages in underground mine. In addition, it is also possible to evaluate the axial gas diffusion of gas in turbulent bulk flow by utilizing the tracer gas data. This paper discussed about the measurement using tracer gas technique in Cibaliung Underground Mine, Indonesia and the evaluation of effective axial diffusion coefficient, E, by numerical simulation. In addition, a scheme to treat network flow in mine ventilation system was also proposed. The effective axial diffusion coefficient for each airway was evaluated based on Taylor's theoretical equation. It is found that the evaluated diffusion coefficient agrees well with Taylor's equation by considering that the wall friction factor, f, is higher than those for smooth pipe flow. It also shows that the value of effective diffusion coefficient can be inherently determined and the value is constant when matching with other measurements. Furthermore, there are possibilities to utilize the tracer gas measurement data to evaluate the airway friction factors.
