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  • Open Access

    ARTICLE

    Comparison of valvar and right ventricular function following transcatheter and surgical pulmonary valve replacement

    Wendy F. Li1, Heidi Pollard2, Mohsen Karimi3, Jeremy D. Asnes1, William E. Hellenbrand1, Veronika Shabanova4, Constance G. Weismann1,5

    Congenital Heart Disease, Vol.13, No.1, pp. 140-146, 2018, DOI:10.1111/chd.12544

    Abstract Objective: Trans-catheter (TC) pulmonary valve replacement (PVR) has become common practice for patients with right ventricular outflow tract obstruction (RVOTO) and/or pulmonic insufficiency (PI). Our aim was to compare PVR and right ventricular (RV) function of patients who received TC vs surgical PVR.
    Design: Retrospective review of echocardiograms obtained at three time points: before, immediately after PVR, and most recent.
    Patients: Sixty-two patients (median age 19 years, median follow-up 25 months) following TC (N = 32) or surgical (N = 30) PVR at Yale-New Haven Hospital were included.
    Outcome Measures: Pulmonary valve and right ventricular function before, immediately after,… More >

  • Open Access

    ARTICLE

    Influence and Enhancement of Damping Properties of Wire Rope Isolators for Naval Applications

    Claude Prost, Bruno Abdelnour

    Sound & Vibration, Vol.52, No.2, pp. 7-10, 2018, DOI:10.32604/sv.2018.03641

    Abstract Wire Rope Isolators (WRI) are well known and used for the protection of sensitive equipment against non-contact underwater explosions (UNDEX) on board Naval Ships, amongst others, which are extremely destructive and can comple`tely impair the ship’s combat capability.
    Traditional WRI exhibit a number of definite advantages, such as large deflection capability, modularity and insensitivity to aggressive environment when proper materials are used. However, their inherent nonlinearity does not always provide the best solution in terms of shock attenuation. (Stiffening tension characteristics)
    Fortunately, there are ways to overcome this problem, namely increasing their damping and/ or changing… More >

  • Open Access

    ARTICLE

    Reinforcement of Thermoplastic Starch Films with Cellulose Fibres Obtained from Rice and Coffee Husks

    Sofía Collazo-Bigliardi1,*, Rodrigo Ortega-Toro2, Amparo Chiralt Boix1

    Journal of Renewable Materials, Vol.6, No.6, pp. 599-610, 2018, DOI:10.32604/JRM.2018.00127

    Abstract Cellulosic fibres from coffee (CF) and rice (RF) husks have been obtained applying chemical treatments and characterized as to their microstructure and thermal behaviour. These materials have been incorporated into glycerol plasticised thermoplastic starch (TPS) films obtained by melt blending and compression moulding at 1 wt%, 5 wt% and 10 wt%. Microstructure, thermal behaviour and optical, tensile and barrier properties of the composites were analysed. Both kinds of micro-fibres improve the film stiffness while reduced the film stretchability. However, CF better maintained the film ductility at 1 and 5 wt%. A network of fine oriented More >

  • Open Access

    ARTICLE

    Instability Analysis of Strike-Slip Fault Based on Cusp Catastrophe Model

    Zaitie Chen1,*, Wei Wang2, Dayang Li3

    Structural Durability & Health Monitoring, Vol.12, No.1, pp. 19-33, 2018, DOI:10.3970/sdhm.2018.012.019

    Abstract The distribution of many active faults in western China is an important reason for the frequent earthquakes. With the rapid development of the western region, many major projects have been built there and the existence of active faults is bound to have an influence on the safety of the engineering structure. Therefore, it is of great significance to study the mechanism of fault slip instability for evaluating the geological stability of the region and for the site selection of major projects. In this paper, cusp catastrophe theory is used to establish a cusp catastrophe model… More >

  • Open Access

    ARTICLE

    Combining Smaller Patch, RV Remodeling and Tissue Regeneration in Pulmonary Valve Replacement Surgery Design May Lead to Better Post-Surgery RV Cardiac Function for Patients with Tetralogy of Fallot

    Zhedian Zhou1, Tal Geva2, Rahul H. Rathod2, Alexander Tang2, Chun Yang3, Kristen L. Billiar4, Dalin Tang1,*,3, Pedro del Nido5

    Molecular & Cellular Biomechanics, Vol.15, No.2, pp. 99-115, 2018, DOI:10.3970/mcb.2018.00558

    Abstract Patients with repaired Tetralogy of Fallot (ToF), a congenital heart defect which includes a ventricular septal defect and severe right ventricular outflow obstruction, account for the majority of cases with late onset right ventricle (RV) failure. The current surgical approach, which includes pulmonary valve replacement/insertion (PVR), has yielded mixed results. A computational parametric study using 7 patient-specific RV/LV models based on cardiac magnetic resonance (CMR) data as "virtual surgery" was performed to investigate the impact of patch size, RV remodeling and tissue regeneration in PVR surgery design on RV cardiac functions. Two patch sizes, three… More >

  • Open Access

    ARTICLE

    Numerical Visualizations of Mixing Enhancement in a 2D Supersonic Ejector

    M. Dandani1,*, V. Lepiller2, A. Ghezal3, P. Desevaux4

    FDMP-Fluid Dynamics & Materials Processing, Vol.14, No.1, pp. 23-37, 2018, DOI:10.3970/fdmp.2018.014.023

    Abstract The present study deals with the numerical visualization of the mixing process in a 2D supersonic ejector. The mixing process is visualized using two CFD flow visualization methods. The first method consists in introducing discrete particles in the secondary flow and computing their trajectories. The second method consists in modeling the diffusion of a passive scalar introduced in one of the two flows. The mixing process is investigated in the case of a conventional 2D supersonic ejector and a second case of an ejector equipped with transverse micro jets. Flow visualizations obtained show the existence More >

  • Open Access

    ARTICLE

    Characterization of Loading Rate Effects on the Interactions between Crack Growth and Inclusions in Cementitious Material

    Shuai Zhou3,4, Xiaoying Zhuang1,2,*

    CMC-Computers, Materials & Continua, Vol.57, No.3, pp. 417-446, 2018, DOI:10.32604/cmc.2018.01742

    Abstract The microcapsule-enabled cementitious material is an appealing building material and it has been attracting increasing research interest. By considering microcapsules as dissimilar inclusions in the material, this paper employs the discrete element method (DEM) to study the effects of loading rates on the fracturing behavior of cementitious specimens containing the inclusion and the crack. The numerical model was first developed and validated based on experimental results. It is then used to systematically study the initiation, the propagation and the coalescence of cracks in inclusion-enabled cementitious materials. The study reveals that the crack propagation speed, the More >

  • Open Access

    PEDIATRIC UROLOGY

    Endoscopic placement of double-J ureteric stents in children as a treatment for primary hydronephrosis

    Zenon Pogorelić1,2, Tomislava Brković2, Dražen Budimir1, Jakov Todorić1, Đurđica Košuljandić3, Ana Jerončić4, Mihovil Biočić1, Marijan Saraga2,3

    Canadian Journal of Urology, Vol.24, No.3, pp. 8853-8858, 2017

    Abstract Introduction: The aim of this study was to determine the efficacy and potential complications of double-J ureteric stents in the treatment of primary hydronephrosis in pediatric patients.
    Materials and methods: A retrospective case-records review of 133 patients (45 girls and 88 boys) treated because of primary hydronephrosis with double-J ureteric stents, in Department of Pediatric Surgery, Split University Hospital, between December 1997 and December 2014, was performed. Success of treatment, results of follow up investigations and complications were recorded. Patients were followed up clinically and radiologically for a minimum of 2 years following stent insertion.
    Results: In all, 133… More >

  • Open Access

    ARTICLE

    Late gadolinium enhancement and adverse outcomes in a contemporary cohort of adult survivors of tetralogy of Fallot

    Richard J. Dobson1, Ify Mordi2, Mark H. Danton1, Niki L. Walker1, Hamish A. Walker1, Nikolaos Tzemos2

    Congenital Heart Disease, Vol.12, No.1, pp. 58-66, 2017

    Abstract Objective: Myocardial fibrosis has been associated with poorer outcomes in tetralogy of Fallot, however only a handful of studies have assessed its significance in the current era. Our aim was to quantify the amount of late gadolinium enhancement in both the LV and RV in a contemporary cohort of adults with surgically repaired tetralogy of Fallot, and assess the relationship with adverse clinical outcomes.
    Design: Single centre cohort study
    Setting: National tertiary referral center
    Patients: One hundred fourteen patients with surgically repaired tetralogy of Fallot with median age 29.5 years (range 17.5-64.2). Prospective follow-up for mean 2.4 years (SD… More >

  • Open Access

    ARTICLE

    Bicuspid and Unicuspid Aortic Valve: Fate of Moderate/Severe Mixed Aortic Valve Disease

    Alexander C. Egbe*, Heidi M. Connolly*, Joseph T. Poterucha*,†, Carole A. Warnes*

    Congenital Heart Disease, Vol.12, No.1, pp. 24-31, 2017

    Abstract Objectives. There is a paucity of data about mixed aortic valve disease (MAVD) in patients with bicuspid/unicuspid aortic valve (BAV). This study sought to describe the outcomes of patients with moderate/severe MAVD.
    Methods. We queried our database for patients with BAV and moderate/severe MAVD seen between 1994 and 2013. We excluded patients with baseline New York Heart Association (NYHA) III/IV symptoms, left ventricular ejection fraction <50%, aortic dimension >50 mm, and significant disease of other valves. The purpose of the study was to determine the freedom from NYHA III/IV symptoms and aortic valve replacement (AVR).
    Results. We identified… More >

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