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Early fluid loading for septic patients: Any safety limit needed? 被引量:1
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作者 Yi-Chun Gong Jing-Tao Liu Peng-Lin Ma 《Chinese Journal of Traumatology》 CAS CSCD 2018年第1期1-3,共3页
Early adequate fluid loading was the corner stone of hemodynamic optimization for sepsis and septic shock. Meanwhile, recent recommended protocol for fluid resuscitation was increasingly debated on hemodynamic stabili... Early adequate fluid loading was the corner stone of hemodynamic optimization for sepsis and septic shock. Meanwhile, recent recommended protocol for fluid resuscitation was increasingly debated on hemodynamic stability vs risk of overloading. In recent publications, it was found that a priority was often given to hemodynamic stability rather than organ function alternation in the early fluid resusci- tation of sepsis. However, no safety limits were used at all in most of these reports. In this article, the rationality and safety of early aggressive fluid loading for septic patients were discussed. It was concluded that early aggressive fluid loading improved hemodynamics transitorily, but was probably traded off with a follow-up organ function impairment, such as worsening oxygenation by reduction of lung aeration, in a part of septic patients at least. Thus, a safeguard is needed against unnecessary excessive fluids in early aggressive fluid loading for set)tic patients. 展开更多
关键词 Sepsis fluid loading Hemodynamic stability Safety
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A multiscale 3D finite element analysis of fluid/solute transport in mechanically loaded bone 被引量:4
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作者 Lixia Fan Shaopeng Pei +1 位作者 X Lucas Lu Liyun Wang 《Bone Research》 SCIE CAS CSCD 2016年第3期154-163,共10页
The transport of fluid, nutrients, and signaling molecules in the bone lacunar-canalicular system (LCS) is critical for osteocyte survival and function. We have applied the fluorescence recovery after photobleaching... The transport of fluid, nutrients, and signaling molecules in the bone lacunar-canalicular system (LCS) is critical for osteocyte survival and function. We have applied the fluorescence recovery after photobleaching (FRAP) approach to quantify load-induced fluid and solute transport in the LCS in situ, but the measurements were limited to cortical regions 30-50 μm underneath the periosteum due to the constrains of laser penetration. With this work, we aimed to expand our understanding of load-induced fluid and solute transport in both trabecular and cortical bone using a multiscaled image-based finite element analysis (FEA) approach. An intact murine tibia was first re-constructed from microCT images into a three-dimensional (3D) linear elastic FEA model, and the matrix deformations at various locations were calculated under axial loading. A segment of the above 3D model was then imported to the biphasic poroelasticity analysis platform (FEBio) to predict load-induced fluid pressure fields, and interstitial solute/fluid flows through LCS in both cortical and trabecular regions. Further, secondary flow effects such as the shear stress and/or drag force acting on osteocytes, the presumed mechano-sensors in bone, were derived using the previously developed ultrastructural model of Brinkman flow in the canaliculi. The material properties assumed in the FEA models were validated against previously obtained strain and FRAP transport data measured on the cortical cortex. Our results demonstrated the feasibility of this computational approach in estimating the fluid flux in the LCS and the cellular stimulation forces (shear and drag forces) for osteocytes in any cortical and trabecular bone locations, allowing further studies of how the activation of osteocytes correlates with in vivo functional bone formation. The study provides a promising platform to reveal potential cellular mechanisms underlying the anabolic power of exercises and physical activities in treating patients with skeletal deficiencies. 展开更多
关键词 A multiscale 3D finite element analysis of fluid/solute transport in mechanically loaded bone FIGURE
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DYNAMIC BUCKLING OF STATICALLY PRELOADED RING-STIFFENED CYLINDRICAL SHELLS UNDER AXIAL FLUID-SOLID IMPACT LOADING 被引量:1
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作者 Jiang Songqing Li Yongchi +1 位作者 Hu Xiuzhang Zheng Jijia 《Acta Mechanica Solida Sinica》 SCIE EI 2000年第3期189-197,共9页
The Initial Imperfection Amplified Criterion is applied toinvestigate the geometric nonlinear dynamic buckling of staticallypreloaded ring-stiffened cylindrical shells under axial fluid-solidimpact. Tak- ing account o... The Initial Imperfection Amplified Criterion is applied toinvestigate the geometric nonlinear dynamic buckling of staticallypreloaded ring-stiffened cylindrical shells under axial fluid-solidimpact. Tak- ing account of the effects of large deformation andinitial geometric imperfection, the governing equations are obtainedby the Galerkin method and solved by the Runge-Kutta method. Theeffects of static preloading (uniform external radial pressure) onthe buckling features and the load-carrying ability of ring-stiffenedcy- lindrical shells against axial impact are discussed. 展开更多
关键词 statically preloaded ring-stiffened cylindrical shells axial fluid-solidimpact loading
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Elastodynamic analysis at an interface of viscous fluid/thermoelastic micropolar honeycomb medium due to inclined load
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作者 Rajneesh Kumar Rajani Rani Gupta Li-qun CHEN 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 2009年第3期353-364,共12页
In this paper, the effect of angle inclination at the interface of a viscous fluid and thermoelastic micropolar honeycomb solid due to inclined load is investigated. The inclined load is assumed to be a linear combina... In this paper, the effect of angle inclination at the interface of a viscous fluid and thermoelastic micropolar honeycomb solid due to inclined load is investigated. The inclined load is assumed to be a linear combination of normal load and tangential load. Laplace transform with respect to time variable and Fourier transform with respect to space variable are applied to solve the problem. Expressions of stresses, temperature distribution, and pressures in the transformed domain are obtained by introducing potential functions. The numerical inversion technique is used to obtain the solution in the physical domain. The frequency domain expressions for steady state are also obtained with appropriate change of variables. Graphic representations due to the response of different sources and changes of angle inclination are shown. Some particular cases are also discussed. 展开更多
关键词 viscous fluid thermoelastic micropolar honeycomb material inclined load time harmonic steady state
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THEORETICAL PREDICTION OF SOUND RADIATION FROM A HEAVY FLUID-LOADED CYLINDRICAL COATED SHELL
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作者 Wu, Chengjun Chen, Hualing Huang, Xieqing 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 1998年第4期2-9,共8页
A theoretical model is developed to predict the sound radiation ability of a cylindrical thin elastic shell of finite length, covered with a damp layer and terminated with infinite cylindrical rigid baffles. This shel... A theoretical model is developed to predict the sound radiation ability of a cylindrical thin elastic shell of finite length, covered with a damp layer and terminated with infinite cylindrical rigid baffles. This shell is immersed in a heavy fluid extending up to infinity, and excited by a constant point load continuously traveling along the circumferential direction. A frequency-domain representation of the rotating load and three equations of the vibroacoustic coupling problem are given. The equations are solved by means of modal analysis method and asymptotic expansion method. Also, a mathematical expression of modal amplitude of shell radial displacement is obtained. The sound radiation ability of this kind of shell is evaluated and the corresponding numerical results are given. 展开更多
关键词 Rotating load Heavy fluid Cylindrical shell Sound radiation
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基于流固耦合的特高压节流压井管汇强度分析
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作者 戴启平 张绪亮 +3 位作者 刘鸣 魏军会 张耀明 甯尤军 《石油矿场机械》 2026年第1期39-45,共7页
针对特高压节流压井管汇系统的流场载荷特性及管道强度等问题,利用Ansys Workbench软件对节流压井管汇的管道进行流固耦合进行模拟分析。为验证不同介质对管道流场和管道受力特性的影响,模拟了三种流体介质(钻井液、甲烷以及钻井液与甲... 针对特高压节流压井管汇系统的流场载荷特性及管道强度等问题,利用Ansys Workbench软件对节流压井管汇的管道进行流固耦合进行模拟分析。为验证不同介质对管道流场和管道受力特性的影响,模拟了三种流体介质(钻井液、甲烷以及钻井液与甲烷的两相流)的流动情况和管道受力状况;为研究出口闭合对流场及管道的影响,分析了不同出口开闭组合的管道流场特性和管道受力特性。结果表明,甲烷流体产生的流场局部流速更大,对管道的压力也更大;出口开启越小,管道受到的压力越大,管道的危险性越大;在甲烷流体作用下,节流压井管汇管道会在管道相贯处出现局部屈服,但管道大部分区域仍处于弹性范围内。研究成果可为特高压管道的设计、制造及工程应用提供理论依据。 展开更多
关键词 特高压 节流压井管汇 流固耦合 载荷特性 管道强度
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Vertical Crustal Displacements Due to Surface Fluid Changes
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作者 ZHANG Shiyu ZHONG Min 《Geo-Spatial Information Science》 2007年第4期260-264,共5页
Using the model data for surface mass changes of the atmosphere, ocean, soil moisture and snow depth, the vertical crustal displacements of 25 ficual stations in China were calculated according to the loading theory. ... Using the model data for surface mass changes of the atmosphere, ocean, soil moisture and snow depth, the vertical crustal displacements of 25 ficual stations in China were calculated according to the loading theory. From the spectral analysis of the results, we can see that the periods of displacements are 12 months and the semi-periods are 6 months. The results also show that the maximum seasonal displacements can reach 20 mm and even larger. The covariance analyses and significance tests show that the coefficients of 96 percent of the stations are significant at the 0.1 significance level. The results show that one of the reasons of the vertical crustal displacements is the changing surface fluid loads. 展开更多
关键词 vertical crustal displacements fluid loading effects GPS significance analysis
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短峰不规则波中船舶水弹性响应的流固耦合模拟
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作者 焦甲龙 陈振威 +2 位作者 蒋彩霞 陈帅 司海龙 《哈尔滨工程大学学报》 北大核心 2026年第1期139-148,共10页
为得到更接近实际三维海况中的船舶耐波性与水弹性响应,本文基于计算流体动力学及有限元方法,采用STAR-CCM+与Abaqus开展双向流固耦合,以模拟三维短峰不规则波下的船舶运动与波浪载荷响应。首先,基于线性叠加波理论,通过Matlab自编代码... 为得到更接近实际三维海况中的船舶耐波性与水弹性响应,本文基于计算流体动力学及有限元方法,采用STAR-CCM+与Abaqus开展双向流固耦合,以模拟三维短峰不规则波下的船舶运动与波浪载荷响应。首先,基于线性叠加波理论,通过Matlab自编代码建立适用于该软件的三维多向不规则波模拟方法。分别在流体和结构求解器中建立含船体的数值水池和船体结构有限元模型,并针对大规模数值计算给出基于超算平台的仿真方案。最后,将三维短峰不规则波中的船体响应与二维长峰不规则波中的数值模拟与水池试验结果进行比较与讨论,定性与定量研究两者结果的差异性。研究表明,传统的二维长峰不规则波假设会夸大船舶的波浪载荷的预报结果,使船体结构设计偏于保守。 展开更多
关键词 短峰波 三维海浪 不规则波 船舶运动 水弹性 波浪载荷 VOF波模型 流固耦合
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穿堤管道流激振动特性分析及堤防渗流稳定研究
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作者 杨杰峰 《水电与新能源》 2026年第1期93-96,共4页
为分析穿堤管道在水流作用下的流激振动特性及其对堤防渗流稳定性的影响,基于流固耦合理论和穿堤管道土压力分析,建立了管土流耦合振动方程,进行了穿堤管道自振特性分析、流激振动荷载反演和穿堤管道流激振动特性分析,之后构建了渗流方... 为分析穿堤管道在水流作用下的流激振动特性及其对堤防渗流稳定性的影响,基于流固耦合理论和穿堤管道土压力分析,建立了管土流耦合振动方程,进行了穿堤管道自振特性分析、流激振动荷载反演和穿堤管道流激振动特性分析,之后构建了渗流方程,分析了流激振动对堤防渗流影响。结果表明穿堤管道应尽量选择使用上部穿堤管道,以降低管道周围土体的最大渗流速度、最大孔隙压力。 展开更多
关键词 耦合震动 载荷反演 穿堤管道 流激振动 堤防渗流
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Research on Modeling and Fuzzy Control of Magneto-Rheological Intelligent Buffer System for Impact Load 被引量:3
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作者 傅莉 林丽平 徐心和 《Journal of Shanghai Jiaotong university(Science)》 EI 2012年第5期567-572,共6页
So far the magneto-rheological(MR) effect mechanism of MR damper has not been known completely, especially in the impact load,and the problem becomes more complicated and difficult for analyzing.A set of characteristi... So far the magneto-rheological(MR) effect mechanism of MR damper has not been known completely, especially in the impact load,and the problem becomes more complicated and difficult for analyzing.A set of characteristic tests and parameters' identification are made to the MR damper by the experimental platform. The dynamical model of the damper is constructed based on the Bingham plastic model,and the buffer control strategy of aircraft undercarriage based on MR technology is established.Finally,the fuzzy control algorithm is applied to the process of automatic control for landing buffer of aircraft undercarriage.The simulation results show that the proposed MR damper pulley buffer can effectively recognize the impact energy.The research has a better application in the engineering. 展开更多
关键词 magneto-rheological fluid(MRF) impact load characteristic test parameter identification fuzzy control
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Non-Newtonian Effect of Temperature on Load Carrying Capacity of Thrust Bearings
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作者 张广军 孟惠荣 +1 位作者 黄平 温诗铸 《International Journal of Mining Science and Technology》 SCIE EI 1997年第1期37-41,共5页
The influeuce of temperature on rheological characteristics of lubricants is analyzed. The constitutive equation, which describes the non-Newtonian properties of lubricants caused by thermal effect, is founded and cou... The influeuce of temperature on rheological characteristics of lubricants is analyzed. The constitutive equation, which describes the non-Newtonian properties of lubricants caused by thermal effect, is founded and coupled with equations or continuity and momentum of fluid to calculate the load carrying capacity of thrust bearings. The results or numerical solution show that lubricants have ultimate shear strength as a result or nou-Newtonian effect of temperature, and the thermal effect plays an.important role in load carrying capacity of thrust bearings The mechanism of film failure in thrust bearings is investigated initially’ Theoretlcal bases for predicting the lubrication situatlon and improving the design of thrust bearings are provided in this paper. 展开更多
关键词 TEMPERATURE non-Newtonian fluid load carrying capacity THRUST beaings FAILURE
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Earth's deformation due to the dynamical perturbations of the fluid outer core 被引量:2
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作者 XU Jian-qiao +3 位作者 (徐建桥) SUN He-ping (孙和平) 《Acta Seismologica Sinica(English Edition)》 CSCD 2002年第4期414-424,共11页
The elasto-gravitational deformation response of the Earths solid parts to the perturbations of the pressure and gravity on the core-mantle boundary (CMB) and the solid inner core boundary (ICB), due to the dynamical ... The elasto-gravitational deformation response of the Earths solid parts to the perturbations of the pressure and gravity on the core-mantle boundary (CMB) and the solid inner core boundary (ICB), due to the dynamical behaviors of the fluid outer core (FOC), is discussed. The internal load Love numbers, which are formulized in a general form in this study, are employed to describe the Earths deformation. The preliminary reference Earth model (PREM) is used as an example to calculate the internal load Love numbers on the Earths surface, CMB and ICB, respectively. The characteristics of the Earths deformation variation with the depth and the perturbation periods on the boundaries of the FOC are also investigated. The numerical results indicate that the internal load Love numbers decrease quickly with the increasing degree of the spherical harmonics of the displacement and depend strongly on the perturbation frequencies, especially on the high frequencies. The results, obtained in this work, can be used to construct the boundary conditions for the core dynamics of the long-period oscillations of the Earths fluid outer core. 展开更多
关键词 dynamical effect of the fluid outer core boundaries of the fluid outer core internal load Love
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Diffraction of Water Waves by A Vertically Floating Cylinder in A Two-Layer Fluid 被引量:3
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作者 石强 尤云祥 缪国平 《China Ocean Engineering》 SCIE EI 2008年第2期181-193,共13页
In this paper, the diffraction of water waves by a vertically floating cylinder in a two-layer fluid of a finite depth is studied. Analytical expressions for the hydrodynamic loads on the vertically floating cylinder ... In this paper, the diffraction of water waves by a vertically floating cylinder in a two-layer fluid of a finite depth is studied. Analytical expressions for the hydrodynamic loads on the vertically floating cylinder are obtained by use of the method of eigenfunction expansions. The hydrodynamic loads on the vertically floating cylinder in a two-layer fluid inelude not only the surge, heave and pitch exciting forces due to the incident wave of the surface-wave mode, but also those due to the incident wave of the internal-wave mode. This is different from the case of a homogenous fluid. Some given examples show that, for a two-layer fluid system with a small density difference, the hydrodynamic loads for the surface-wave mode do not differ significantly from those due to surface waves in a single-layer fluid, but the hydrodynamic loads for the internal-wave mode are important over a wide range of frequencies. Moreover, also considered are the free surface and interface elevations generated by the diffraction wave due to the incident wave of the surface-wave and interhal-wave modes, and transfer of energy between modes. 展开更多
关键词 two-layer fluid vertically floating cylinder hydrodynamic loads surface-wave mode internal-wave hurtle
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Numerical Investigation of Green Water Loading on Flexible Structures Using Three-Step CFD-BEM-FEM Approach 被引量:1
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作者 Sumit Kumar Pal Ravindra Babu Kudupudi +1 位作者 Mohammed Rabius Sunny Ranadev Datta 《Journal of Marine Science and Application》 CSCD 2018年第3期432-442,共11页
In this paper, the effect of green water impact on a flexible structure is studied based on three-step computational fluid dynamics(CFD)–boundary element method(BEM)–finite element method(FEM) approach. The impact d... In this paper, the effect of green water impact on a flexible structure is studied based on three-step computational fluid dynamics(CFD)–boundary element method(BEM)–finite element method(FEM) approach. The impact due to shipping of water on the deck of the vessel is computed using commercial CFD software and used as an external force in coupled BEM-FEM solver. Other hydrodynamic forces such as radiation, diffraction, and Froude-Krylov forces acting on the structure are evaluated using 3 D time domain panel method. To capture the structural responses such as bending moment and shear force, 1 D finite element method is developed. Moreover, a direct integration scheme based on the Newmark–Beta method is employed to get the structural velocity,displacement, etc., at each time step. To check the effect of the green water impact on the structure, a rectangular barge without forward speed is taken for the analysis. The influence is studied in terms of bending moment, shear force, etc. Results show that the effect of green water impact on the bow region can be severe in extreme seas and lead to various structural damages. Similarly,it is also verified that vessel motion affects green water loading significantly and therefore one must consider its effect while designing a vessel. 展开更多
关键词 Green water loadING Computational fluid dynamics 3D time domain panel METHOD Finite element METHOD Newmark-B ETA METHOD
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Finite-difference model of land subsidence caused by cluster loads in Zhengzhou,China 被引量:2
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作者 ZHAO Yue-wen WANG Xiu-yan +1 位作者 LIU Chang-li LI Bing-yan 《Journal of Groundwater Science and Engineering》 2020年第1期43-56,共14页
Groundwater exploitation has been regarded as the main reason for land subsidence in China and thus receives considerable attention from the government and the academic community.Recently,building loads have been iden... Groundwater exploitation has been regarded as the main reason for land subsidence in China and thus receives considerable attention from the government and the academic community.Recently,building loads have been identified as another important factor of land subsidence,but researches in this sector have lagged.The effect of a single building load on land subsidence was neglected in many cases owing to the narrow scope and the limited depth of the additional stress in stratum.However,due to the superposition of stresses between buildings,the additional stress of cluster loads is greater than that of a single building load under the same condition,so that the land subsidence caused by cluster loads cannot be neglected.Taking Shamen village in the north of Zhengzhou,China,as an example,a finite-difference model based on the Biot consolidation theory to calculate the land subsidence caused by cluster loads was established in this paper.Cluster loads present the characteristics of large-area loads,and the land subsidence caused by cluster loads can have multiple primary consolidation processes due to the stress superposition of different buildings was shown by the simulation results.Pore water migration distances are longer when the cluster loads with high plot ratio are imposed,so that consolidation takes longer time.The higher the plot ratio is,the deeper the effective deformation is,and thus the greater the land subsidence is.A higher plot ratio also increases the contribution that the deeper stratigraphic layers make to land subsidence.Contrary to the calculated results of land subsidence caused by cluster loads and groundwater recession,the percentage of settlement caused by cluster loads in the total settlement was 49.43%and 55.06%at two simulated monitoring points,respectively.These data suggest that the cluster loads can be one of the main causes of land subsidence. 展开更多
关键词 Land subsidence Cluster loads Additional stress fluid-solid coupling model Finite-difference model
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LOADING CAPACITY ANALYSIS OF THE MISALIGNED CONICAL-CYLINDRICAL BEARING WITH NON NEWTONIAN LUBRICANTS
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作者 YangYongkuang YangRongtai +1 位作者 HoMinghsiung JhengMingchang 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2004年第4期585-590,共6页
A novel numerical method to lubricate a conventional finite diameterconical-cylindrical bearing with a non-Newtonian lubricant, while adhering to the power-law model,is presented. The elastic deformation of bearing an... A novel numerical method to lubricate a conventional finite diameterconical-cylindrical bearing with a non-Newtonian lubricant, while adhering to the power-law model,is presented. The elastic deformation of bearing and varied viscosity of lubrication due to thepressure distribution of film thickness are also considered. Simulation results indicate that thenormal load carrying capacity is more pronounced for higher values of flow behavior index n, highereccentricity ratios and larger misalignment factors. It is found that the viscosity-pressure to theeffect of lubricant viscosity is significant. 展开更多
关键词 Conical-cylindrical bearing Pressure loading Non-Newtonian fluids POWER-LAW
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超导电动悬浮列车明线气动特性及其对悬浮状态的影响 被引量:1
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作者 赵春发 李煜寒 +3 位作者 彭也也 杨晶 宁晓芳 冯洋 《西南交通大学学报》 北大核心 2025年第4期793-802,共10页
超导电动悬浮列车设计速度达到600 km/h,车体附近流动加剧,受到的气动荷载也急剧增加.为研究超导电动悬浮列车气动荷载作用下车辆的悬浮状态,基于有限元方法,采用SST k-ω湍流模型计算并分析某型磁浮列车明线工况下的气动特性;并基于气... 超导电动悬浮列车设计速度达到600 km/h,车体附近流动加剧,受到的气动荷载也急剧增加.为研究超导电动悬浮列车气动荷载作用下车辆的悬浮状态,基于有限元方法,采用SST k-ω湍流模型计算并分析某型磁浮列车明线工况下的气动特性;并基于气动特性提出一种分部件提取气动荷载及加载方式,可以更为真实地反映气动荷载作用下的动力学响应.磁浮列车气动特性结果表明:U型轨道较大程度限制车体附近流动,尾涡在U型轨内部需要较长距离耗散;磁浮列车悬浮架与轨道间横向间隙变化使得悬浮架底部出现负压,以600km/h速度为例,整体提取头车及中间车为升力,尾车则为下压力;分部件提取三车体均为升力,且升力幅值从大到小依次为头车、尾车、中间车,悬浮架受到下压力且一位及四位悬浮架压力幅值大于二位及三位悬浮架;2种提取方式的气动荷载合力相同,但分部件提取时,仅车体气动升力幅值达到整体提取方式的约5倍.气动荷载作用下车辆动力学结果表明:气动荷载对悬浮架位移影响较为有限,最大高度变化量不超过7mm,且不同加载方式下几乎无差异;2种加载方式对动力学影响的区别主要反映于空簧受力变化量,分部件加载方式下空簧力最大为整体加载方式空簧力的2.86倍. 展开更多
关键词 磁浮列车 计算流体力学(CFD) 气动荷载 动力学特性
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Preoperative interleukin-17a as a predictor of acute pancreatitis after pancreaticoduodenectomy
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作者 Jie Zheng Wei-Kang Ye +2 位作者 Jin Wang Yi-Nong Zhou Ting-Ting Yu 《World Journal of Gastrointestinal Surgery》 2025年第8期151-160,共10页
BACKGROUND Acute pancreatitis(AP)is a potentially life-threatening complication of pancreaticoduodenectomy that increases morbidity and mortality in patients.Interleukin-17A(IL-17a)the potential preoperative marker fo... BACKGROUND Acute pancreatitis(AP)is a potentially life-threatening complication of pancreaticoduodenectomy that increases morbidity and mortality in patients.Interleukin-17A(IL-17a)the potential preoperative marker for predicting postoperative outcomes.The purpose of this study is to retrospectively assess the prognostic value of preoperative IL-17a level in prediction of AP and related postoperative pancreatic fistula(POPF)following pancreaticoduodenectomy.AIM To retrospectively assess the prognostic value of preoperative IL-17a levels in predicting AP and related POPF following pancreaticoduodenectomy.METHODS Retrospective analysis of pancreaticoduodenectomies performed on patients 150 patients between 2017 and 2023.Clinical data including pre-operative IL-17a levels were collected.The primary composite outcomes were postoperative AP and postoperative pancreatic(PP),and the predictive performances of IL-17a levels and fluid load status for postoperative complications were evaluated by statistical analysis.RESULTS A total of 150 patients were included,and 26 patients(17.3%)developed postoperative AP and 34 patients(22.7%)developed PP.Preoperative IL-17a was a risk factor for postoperative AP(P=0.03).Furthermore,excessive intraoperative fluid load was a significantly associated(P=0.01)with PP.The model(IL-17a levels+fluid load status)was highly accurate.CONCLUSION Preoperative IL-17a levels and intravascular volume status may serve as useful predictors of AP and subsequent PP following PD.These parameters provide means to evaluate preoperative risk and may guide clinical decision making to enhance postoperative recovery. 展开更多
关键词 Acute pancreatitis PANCREATICODUODENECTOMY INTERLEUKIN-17A fluid load Postoperative pancreatic fistula
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大型外浮顶储罐抗风载结构响应机制研究 被引量:1
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作者 周一卉 蔡语 《安全与环境学报》 北大核心 2025年第3期918-928,共11页
风载是导致大型外浮顶储罐结构失效的典型灾害性因素,为探究大型外浮顶储罐对风载的结构响应机制,以10万m^(3)大型外浮顶储罐为研究对象,建立了储罐罐体-双盘式外浮顶一体化全尺寸结构模型和风场模型。采用CFD方法获得了不同液位下罐体... 风载是导致大型外浮顶储罐结构失效的典型灾害性因素,为探究大型外浮顶储罐对风载的结构响应机制,以10万m^(3)大型外浮顶储罐为研究对象,建立了储罐罐体-双盘式外浮顶一体化全尺寸结构模型和风场模型。采用CFD方法获得了不同液位下罐体周向与外浮顶顶部风压分布。基于流固耦合算法,分别就外浮顶在低、中、高液位下的漂浮工况和外浮顶落底工况下罐-顶一体化结构对风载的响应机制进行了讨论。结果表明:罐体周向风压不受液位影响,在迎风侧可达到最大风压1400 Pa;外浮顶顶部风压压差随液位升高而增大,在100%液位时可达到2410 Pa,导致外浮顶发生侧倾或不平衡升降的事故概率增加;外浮顶顶板在风载作用下沿竖直方向的最大变形差值在100%液位达到最大,为16.44 mm;极端落底工况下的外浮顶对风载的响应非常敏感,相比由储液支撑的外浮顶,其最大变形量提升幅度可达到528.3%,且每圈面板变形量比无风工况增加48%~77%,应高度重视支柱支撑与风载的耦合效应。 展开更多
关键词 安全工程 大型储罐 双盘式外浮顶 风载 结构响应 流固耦合
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