Tricuspid annular plane systolic excursion has been proposed as a simple and reproducible parameter for quantitative assessment of the right ventricular ejection fraction. The prognostic importance of preoperative TAP...Tricuspid annular plane systolic excursion has been proposed as a simple and reproducible parameter for quantitative assessment of the right ventricular ejection fraction. The prognostic importance of preoperative TAPSE in patients with mitral valve replacement for rheumatic mitral stenosis patients is still under focused. Therefore, the objective of the study was to predict the outcome after MVR in rheumatic mitral stenosis patients in relation to preoperative TAPSE. This comparative cross-sectional study was conducted at the Department of Cardiac Surgery, National Heart Foundation Hospital and Research Institute. A total of 72 patients of rheumatic mitral stenosis patients who underwent mitral valve replacement were included in the study. They were divided into two groups: Group A and B. Group A included 36 patients with TAPSE 0.05) except for the preoperative TAPSE. Mean TAPSE of Group A was 13.17 (±1.40) and Group B was 18.61 (±1.57), the difference was statistically significant (p 0.05). Among the postoperative complications, including postoperative atrial fibrillation was higher in Group A (30.56%) than Group B (11.11%), mean ventilation time was higher in Group A (27.78%) than Group B (5.56%), length of intensive care was higher in Group A (33.33%) than Group B (11.12%), and hospital stay was higher in Group A (25.0%) than Group B (5.56%), (p < 0.05). Higher preoperative TASPE could be used as a prognostic tool for MVR in rheumatic mitral stenosis patients in our settings.展开更多
In the present paper, bending and stress analyses of two-directional functionally graded （FG） annular plates resting on non-uniform two-parameter Winkler-Pasternak founda- tions and subjected to normal and in-plane-...In the present paper, bending and stress analyses of two-directional functionally graded （FG） annular plates resting on non-uniform two-parameter Winkler-Pasternak founda- tions and subjected to normal and in-plane-shear tractions is investigated using the exact three- dimensional theory of elasticity. Neither the in-plane shear loading nor the influence of the two- directional material heterogeneity has been investigated by the researchers before. The solution is obtained by employing the state space and differential quadrature methods. The material proper- ties are assumed to vary in both transverse and radial directions. Three different types of variations of the stiffness of the foundation are considered in the radial direction： linear, parabolic, and sinu- soidal. The convergence analysis and the comparative studies demonstrate the high accuracy and high convergence rate of the present approach. A parametric study consisting of evaluating effects of different parameters （e.g., exponents of the material properties laws, the thickness to radius ratio, trends of variations of the foundation stiffness, and different edge conditions） is carried out. The results are reported for the first time and are discussed in detail.展开更多
环形椭圆平面弦支穹顶是弦支穹顶结构的一种新型结构形式,它综合了单层网壳结构和索穹顶结构的优点.本文结合一长轴67m,短轴51m的环形椭圆平面弦支穹顶结构,通过有限元计算软件AN SY S对该结构环索处理和支承条件进行了分析,并对其缩比...环形椭圆平面弦支穹顶是弦支穹顶结构的一种新型结构形式,它综合了单层网壳结构和索穹顶结构的优点.本文结合一长轴67m,短轴51m的环形椭圆平面弦支穹顶结构,通过有限元计算软件AN SY S对该结构环索处理和支承条件进行了分析,并对其缩比模型进行了静力试验研究,全面考察了该结构在不同的荷载工况下的静力性能,得出了一些对工程设计有意义的结论.展开更多
文摘Tricuspid annular plane systolic excursion has been proposed as a simple and reproducible parameter for quantitative assessment of the right ventricular ejection fraction. The prognostic importance of preoperative TAPSE in patients with mitral valve replacement for rheumatic mitral stenosis patients is still under focused. Therefore, the objective of the study was to predict the outcome after MVR in rheumatic mitral stenosis patients in relation to preoperative TAPSE. This comparative cross-sectional study was conducted at the Department of Cardiac Surgery, National Heart Foundation Hospital and Research Institute. A total of 72 patients of rheumatic mitral stenosis patients who underwent mitral valve replacement were included in the study. They were divided into two groups: Group A and B. Group A included 36 patients with TAPSE 0.05) except for the preoperative TAPSE. Mean TAPSE of Group A was 13.17 (±1.40) and Group B was 18.61 (±1.57), the difference was statistically significant (p 0.05). Among the postoperative complications, including postoperative atrial fibrillation was higher in Group A (30.56%) than Group B (11.11%), mean ventilation time was higher in Group A (27.78%) than Group B (5.56%), length of intensive care was higher in Group A (33.33%) than Group B (11.12%), and hospital stay was higher in Group A (25.0%) than Group B (5.56%), (p < 0.05). Higher preoperative TASPE could be used as a prognostic tool for MVR in rheumatic mitral stenosis patients in our settings.
文摘In the present paper, bending and stress analyses of two-directional functionally graded （FG） annular plates resting on non-uniform two-parameter Winkler-Pasternak founda- tions and subjected to normal and in-plane-shear tractions is investigated using the exact three- dimensional theory of elasticity. Neither the in-plane shear loading nor the influence of the two- directional material heterogeneity has been investigated by the researchers before. The solution is obtained by employing the state space and differential quadrature methods. The material proper- ties are assumed to vary in both transverse and radial directions. Three different types of variations of the stiffness of the foundation are considered in the radial direction： linear, parabolic, and sinu- soidal. The convergence analysis and the comparative studies demonstrate the high accuracy and high convergence rate of the present approach. A parametric study consisting of evaluating effects of different parameters （e.g., exponents of the material properties laws, the thickness to radius ratio, trends of variations of the foundation stiffness, and different edge conditions） is carried out. The results are reported for the first time and are discussed in detail.
文摘环形椭圆平面弦支穹顶是弦支穹顶结构的一种新型结构形式,它综合了单层网壳结构和索穹顶结构的优点.本文结合一长轴67m,短轴51m的环形椭圆平面弦支穹顶结构,通过有限元计算软件AN SY S对该结构环索处理和支承条件进行了分析,并对其缩比模型进行了静力试验研究,全面考察了该结构在不同的荷载工况下的静力性能,得出了一些对工程设计有意义的结论.
