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1.
3D Print Addit Manuf ; 11(4): e1656-e1669, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39360132

RESUMEN

The present study proposes a comprehensive 3D computational fluid dynamics-discrete element method (CFD-DEM) coupled simulation model to investigate the particle dynamics induced by SS316L metal vapor spouting during single-scan-track laser powder bed fusion (L-PBF) processing. The model provides the ability to examine the effects of nonconventional process variables such as the chamber pressure and gravitational force on the suppression of the spatter and denudation phenomena. The simulation results imply that adjusting the gravitational force provides an effective technique for suppressing both spatter formation and powder bed denudation. In addition, the chamber pressure has only a marginal effect on the denudation phenomenon. In particular, under a higher operating pressure, the metal vapor tends to spout in the upward direction, while under a lower pressure, the spouting is more radially distributed. As a result, the simulation results obtained in this study have suggested that the chamber pressure and gravitational force may both provide feasible approaches for suppressing the spattering and denudation phenomena, particularly in the L-PBF processing of light-weight materials.

2.
Cureus ; 16(8): e67260, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39310420

RESUMEN

BACKGROUND: Acute myeloid leukemia (AML) is a hematologic malignancy characterized by aggressive proliferation and a poor prognosis. The objective of this study is to elucidate the specific role of complement factor D (CFD) in AML, with the aim of identifying robust prognostic markers for the disease. METHODS: We performed a systematic investigation on clinical significance and potential function of CFD in AML by using the R Programming Language with The Cancer Genome Atlas (TCGA), Gene Expression Omnibus (GEO), The Human Protein Atlas (HPA), The University of ALabama at Birmingham CANcer data analysis Portal (UALCAN), Gene Expression Profiling Interactive Analysis (GEPIA), Kaplan-Meier plotter, Cancer Cell Line Encyclopedia (CCLE) database, and Comprehensive Analysis on Multi-Omics of Immunotherapy in Pan-cancer (CAMOIP) database. The expression of CFD in AML patients was verified by reverse transcription-quantitative polymerase chain reaction (RT-qPCR). RESULTS: The expression of CFD was the highest in AML cells than in other tumor cell lines. The expression of CFD was also higher in AML patients than in the matched normal group. Compared with the low expression of the CFD group, high expression of CFD predicted better overall survival (OS) and lower tumor mutational burden (TMB) in AML patients. Moreover, a nomogram model based on CFD was successfully constructed to predict the OS of AML patients. Notably, the expression of CFD was associated with drug sensitivity and monocyte cell infiltration. CONCLUSION: CFD could serve as a potential OS prognostic biomarker and guide clinical treatment for AML.

3.
Chemosphere ; 364: 143280, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39243899

RESUMEN

This paper addresses the influence of bubbling flow and service life of the Ti|Ti-Ru-Ir-oxides anode during the electrosynthesis of HClO in a laboratory-scale filter-press-type electrolyzer. The electrolyzer was assembled in a flow plant in recirculation mode. Polarization curves in rotating disk electrode (RDE) revealed the coexistence of the oxygen evolution reaction (OER) during HClO electrosynthesis in diluted chloride solutions (containing 35 mM NaCl at pH 3). CFD simulations of the two-phase (O2-H2O) flow were obtained by solving simultaneously the Navier-Stokes and charge conservation equations using a finite element method code. The O2-H2O simulations show the efficient gas release in the electrolyzer provoked by the continuous phase (H2O) inertia and the well-engineered cell design. The moderated O2 dispersion caused a quasi-homogeneous current distribution along the anode. However, the current efficiency during HClO electrosynthesis gave values of ∼32% provoked by the OER on the anode. The HClO accumulations (from 3.02 to 6.64 mM) showed excellent agreement with CFD simulations. The accelerated life tests revealed that the Ti | Ti-Ru-Ir-oxides anode has a lifetime of at least 26 years during the HClO electrosynthesis in diluted chloride solutions.


Asunto(s)
Electrodos , Ácido Hipocloroso , Oxígeno , Titanio , Ácido Hipocloroso/química , Titanio/química , Oxígeno/química , Óxidos/química , Electrólisis
4.
J Am Heart Assoc ; 13(19): e037129, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39291505

RESUMEN

Coronary artery blood flow is influenced by various factors including vessel geometry, hemodynamic conditions, timing in the cardiac cycle, and rheological conditions. Multiple patterns of disturbed coronary flow may occur when blood flow separates from the laminar plane, associated with inefficient blood transit, and pathological processes modulated by the vascular endothelium in response to abnormal wall shear stress. Current simulation techniques, including computational fluid dynamics and fluid-structure interaction, can provide substantial detail on disturbed coronary flow and have advanced the contemporary understanding of the natural history of coronary disease. However, the clinical application of these techniques has been limited to hemodynamic assessment of coronary disease severity, with the potential to refine the assessment and management of coronary disease. Improved computational efficiency and large clinical trials are required to provide an incremental clinical benefit of these techniques beyond existing tools. This contemporary review is a clinically relevant overview of the disturbed coronary flow and its associated pathological consequences. The contemporary methods to assess disturbed flow are reviewed, including clinical applications of these techniques. Current limitations and future opportunities in the field are also discussed.


Asunto(s)
Enfermedad de la Arteria Coronaria , Circulación Coronaria , Vasos Coronarios , Modelos Cardiovasculares , Estrés Mecánico , Humanos , Circulación Coronaria/fisiología , Vasos Coronarios/fisiopatología , Vasos Coronarios/diagnóstico por imagen , Enfermedad de la Arteria Coronaria/fisiopatología , Enfermedad de la Arteria Coronaria/diagnóstico , Enfermedad de la Arteria Coronaria/diagnóstico por imagen , Velocidad del Flujo Sanguíneo/fisiología , Hemodinámica/fisiología , Simulación por Computador , Hidrodinámica
5.
Sci Rep ; 14(1): 22693, 2024 09 30.
Artículo en Inglés | MEDLINE | ID: mdl-39349728

RESUMEN

Wall Shear Stress (WSS) is one of the most important parameters used in cardiovascular fluid mechanics, and it provides a lot of information like the risk level caused by any vascular occlusion. Since WSS cannot be measured directly and other available relevant methods have issues like low resolution, uncertainty and high cost, this study proposes a novel method by combining computational fluid dynamics (CFD), fluid-structure interaction (FSI), conditional generative adversarial network (cGAN) and convolutional neural network (CNN) to predict coronary artery occlusion risk using only noninvasive images accurately and rapidly. First, a cGAN model called WSSGAN was developed to predict the WSS contours on the vessel wall by training and testing the model based on the calculated WSS contours using coupling CFD-FSI simulations. Then, an 11-layer CNN was used to classify the WSS contours into three grades of occlusions, i.e. low risk, medium risk and high risk. To verify the proposed method for predicting the coronary artery occlusion risk in a real case, the patient's Magnetic Resonance Imaging (MRI) images were converted into a 3D geometry for use in the WASSGAN model. Then, the predicted WSS contours by the WSSGAN were entered into the CNN model to classify the occlusion grade.


Asunto(s)
Oclusión Coronaria , Redes Neurales de la Computación , Humanos , Oclusión Coronaria/diagnóstico por imagen , Hidrodinámica , Imagen por Resonancia Magnética/métodos , Estrés Mecánico , Modelos Cardiovasculares , Masculino , Vasos Coronarios/diagnóstico por imagen
6.
Heliyon ; 10(17): e37067, 2024 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-39319127

RESUMEN

Spinal cord enlargement (SCE) includes conditions such as Syringomyelia, tumors, and tumor-like cases of demyelination, edema, or inflammation. These conditions involve fluid-filled cysts, known as syrinx, or masses of tissue, referred to as tumors, which cause increased pressure within the spinal cord (SC) and obstruct cerebrospinal fluid (CSF) circulation. To assess the impact of SCE location and diameter, we constructed fifteen computational SC models, each featuring a SCE placed in one of five probable locations with 20 %, 40 %, and 60 % stenosis. Our objective was to investigate how the location, diameter, and length of the SCE influence CSF velocity pattern and to identify the most critical location in the SC associated with this condition. The results indicated a velocity increase of 0.5 cm/(s) near models with 60 % stenosis. Importantly, SCE located from T1 to T5 exhibit a more pronounced reduction, exceeding 6.5, in the Womersley number. Our finding suggests that this region is the most vulnerable for SCE formation due to its significant impact on fluid circulation. The identification of specific locations within the SC associated with heightened risk can contribute to an improved understanding, treatment and management of SCE.

7.
J Appl Physiol (1985) ; 137(4): 984-994, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39262335

RESUMEN

The underlying pathophysiological mechanisms of exercise-induced laryngeal obstruction (EILO) remain to be fully established. It is hypothesized that high inspiratory flow rates can exert a force on laryngeal airway walls that contribute to its inward collapse causing obstruction. Computational fluid dynamics (CFD) presents an opportunity to explore the distribution of forces in a patient-specific upper airway geometry. The current study combined exercise physiological data and CFD simulation to explore differences in airflow and force distribution between a patient with EILO and a healthy matched control. Participants underwent incremental exercise testing with continuous recording of respiratory airflow and laryngoscopic video, followed by an MRI scan. The respiratory and MRI data were used to generate a subject-specific CFD model of upper respiratory airflow. In patient with EILO, the posterior supraglottis experiences an inwardly directed net force, whose magnitude increases nonlinearly with larger flow rates, with slight changes in the direction toward the center of the airway. The control demonstrated an outwardly directed force at all regions of the wall, with a magnitude that increases linearly with larger flow rates. A comparison is made between the CFD results and endoscopic visualization of supraglottic collapse, and a very good agreement is found. The current study presents the first hybrid physiological and computational approach to investigate the pathophysiological mechanisms of EILO, with preliminary findings showing great potential, but should be used in larger sample sizes to confirm findings.NEW & NOTEWORTHY The current study is the first to use a hybrid combined computational fluid dynamics (CFD) and exercise physiology approach to investigate pathophysiology in exercise-induced laryngeal obstruction (EILO). The hybrid methodology is a promising approach to explore the pathophysiological mechanisms underlying the condition. Notable differences occur in the distribution of airflow and wall forces between the EILO and control participants, which align with symptoms and visual observations.


Asunto(s)
Ejercicio Físico , Hidrodinámica , Laringe , Humanos , Ejercicio Físico/fisiología , Masculino , Laringe/fisiopatología , Laringe/diagnóstico por imagen , Obstrucción de las Vías Aéreas/fisiopatología , Simulación por Computador , Adulto , Prueba de Esfuerzo/métodos
8.
Artif Organs ; 2024 Sep 26.
Artículo en Inglés | MEDLINE | ID: mdl-39324509

RESUMEN

BACKGROUND: Hemocompatibility remains the dominant challenge in rotary blood pumps, and more information on the relationship between individual pump design features, hemodynamics, and blood trauma in various operation conditions is necessary. The study evaluated the variation of gap sizes in extracorporeal blood pumps concerning their influence on blood compatibility, particularly during off-design conditions. METHODS: We developed a parametric generic blood pump framework for in-silico and in-vitro design feature analysis. Thirty-six designs with varying axial and radial gap sizes between 0.5 mm and 3 mm were generated. CFD was applied to calculate and compare device hemodynamics and evaluate the performance and hemocompatibility during off-design and target operation conditions. The following quantities were analyzed: pressure difference, hemolysis potential, residence times, hydraulic efficiency, and recirculation ratio. RESULTS: The in-vitro prototype showed excellent agreement with in-silico predictions regarding hydraulic performance (R2 = 0.996 with a RMSE = 2.07). Our results show a modest impact of gap size variations ±10% on key metrics. Domain-resolved analyses revealed a significant contribution of the gap regions to the device's overall hemolytic performance, with an increasing contribution for off-design flow rates. Overall elevated hemolysis levels were identified if at least one gap size was held minimal. CONCLUSIONS: We introduced and showed the feasibility of a parametric rotary blood pump framework to systematically investigate design feature impact. Results suggest, larger and uniformly sized gaps being overall beneficial regarding hemocompatibility.

9.
Artículo en Inglés | MEDLINE | ID: mdl-39340608

RESUMEN

Odor emission has become a great issue for kitchen waste management plants. Among all, unorganized emission source such as waste storage tank is the key cause. It is necessary to understand the odor emission characteristics and provide a proper control solution. In this study, a typical kitchen waste treatment plant located in Guangdong Province of China was selected to investigate the odor emission characteristics. According to the survey, the main complaint due to odor emission is on waste storage workshop. Hence, its odor emission has been investigated in this study. The gas samples were collected from the workshop in different season. According to the results, the odor emission during summer is the worst. In total, 105 odorous gases were detected from the waste storage workshop. The main odorous gases can be categorized into sulfur compounds, oxygen-containing organic compounds and terpenes. In specific, ethanol, acetic acid, methylmercaptan, α-pinene, methioether and limonene were the major odorous pollutants. Based on grey correlation, principal component analysis (PCA) and step-up regression analysis, methylmercaptan contributes the most to the odor concentration. It suggests that the odor emission control should pay more attention on methylmercaptan. The Computational Fluid Dynamics (CFD) stimulation was employed to investigate the odor distribution with applying air blowing as a curtain to separate the inside and outside atmosphere or suction to vacuum the inside air to prevent the odor emission. It was found that it could efficiently prevent odor emission by setting a 45° inclined air suction port at the top of the entrance gate. The study provides a theoretical basis on odor control for the waste storage workshop of kitchen waste management plants.

10.
Heliyon ; 10(17): e36904, 2024 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-39296148

RESUMEN

Urbanization presents significant challenges to air quality and climate resilience, necessitating pioneering urban design solutions to enhance air circulation and mitigate pollutants. This urgency intensifies in densely populated and rapidly evolving regions like Wuhan, China, where effective strategies are crucial for sustainable development. This study introduces an innovative 3D Urban Form Optimization (3D-UFO) methodology aimed at advancing urban block design configurations to improve urbanization quality. The 3D-UFO approach systematically addresses the multifaceted challenges of climate change and air quality degradation in rapidly urbanizing areas. Integrating GIS-based analysis for comprehensive Land-Use and Land-Cover Change (LULCC) evaluation with Computational Fluid Dynamics (CFD), our approach employs systematic exploration guided by established urban airflow study protocols. Robust metrics-Airspeed-Ratio (ASR) and Average-Age-of-Local-Air (ALA)-quantify the impact of diverse urban block design strategies on air-circulation efficiency and pollutant dispersion. Analysis across various urban scenarios, yielded by the proposed 3D-UFO approach, reveal significant variations in air-circulation efficiency at street and building levels (SBLs). Optimal urban air circulation achieves efficiency levels of 50-70 % when airflow aligns orthogonally across and parallel to streets. Adjusting street-level building heights, especially incorporating taller structures, boosts ventilation efficiency by 20-30 %, which is crucial for improving airflow dynamics in urban settings. Higher Height-to-Width (H/W) ratios (>5.5) yield a 218.5 % increase in ventilation in specific urban layouts. Notably, the synergy of street-aspect-ratio and building-height-ratio adjustments significantly enhance ASR and ALA, providing a quantitative foundation for sustainable urban development. This 3D-UFO methodology, fusing LULCC analysis, CFD simulations, and systematic exploration, emerge as a valuable framework for urban planners and designers. The study offers informed insights into urban sustainability challenges, demonstrating advancements in addressing environmental concerns and improving living conditions within densely populated environments.

11.
Int J Mol Sci ; 25(18)2024 Sep 12.
Artículo en Inglés | MEDLINE | ID: mdl-39337364

RESUMEN

Atherosclerosis involves an inflammatory response due to plaque formation within the arteries, which can lead to ischemic stroke and heart disease. It is one of the leading causes of death worldwide, with various contributing factors such as hyperlipidemia, hypertension, obesity, diabetes, and smoking. Wall shear stress (WSS) is also known as a contributing factor of the formation of atherosclerotic plaques. Since the causes of atherosclerosis cannot be attributed to a single factor, clearly understanding the mechanisms and causes of its occurrence is crucial for preventing the disease and developing effective treatment strategies. To better understand atherosclerosis and define the correlation between various contributing factors, computational fluid dynamics (CFD) analysis is primarily used. CFD simulates WSS, the frictional force caused by blood flow on the vessel wall with various hemodynamic changes. Using apolipoprotein E knockout (ApoE-KO) mice subjected to partial ligation and a high-fat diet at 1-week, 2-week, and 4-week intervals as an atherosclerosis model, CFD analysis was conducted along with the reconstruction of carotid artery blood flow via magnetic resonance imaging (MRI) and compared to the inflammatory factors and pathological staining. In this experiment, a comparative analysis of the effects of high WSS and low WSS was conducted by comparing the standard deviation of time-averaged wall shear stress (TAWSS) at each point within the vessel wall. As a novel approach, the standard deviation of TAWSS within the vessel was analyzed with the staining results and pathological features. Since the onset of atherosclerosis cannot be explained by a single factor, the aim was to find the correlation between the thickness of atherosclerotic plaques and inflammatory factors through standard deviation analysis. As a result, the gap between low WSS and high WSS widened as the interval between weeks in the atherosclerosis mouse model increased. This finding not only linked the occurrence of atherosclerosis to WSS differences but also provided a connection to the causes of vulnerable plaques.


Asunto(s)
Apolipoproteínas E , Aterosclerosis , Hidrodinámica , Estrés Mecánico , Animales , Masculino , Ratones , Apolipoproteínas E/genética , Aterosclerosis/patología , Aterosclerosis/etiología , Aterosclerosis/metabolismo , Arterias Carótidas/patología , Arterias Carótidas/fisiopatología , Dieta Alta en Grasa/efectos adversos , Modelos Animales de Enfermedad , Hemodinámica , Ratones Noqueados , Ratones Noqueados para ApoE , Modelos Cardiovasculares , Placa Aterosclerótica/patología , Resistencia al Corte
12.
Eur J Mech B Fluids ; 107: 165-174, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39220585

RESUMEN

The cochlea, situated within the inner ear, is a spiral-shaped, liquid-filled organ responsible for hearing. The physiological significance of its shape remains uncertain. Previous research has scarcely addressed the occurrence of transverse flow within the cochlea, particularly in relation to its unique shape. This study aims to investigate the impact of the geometric features of the cochlea on fluid dynamics by characterizing transverse flow induced by harmonically oscillating axial flow in square ducts with curvature and torsion resembling human cochlear anatomy. We examined four geometries to investigate curvature and torsion effects on axial and transverse flow components. Twelve frequencies from 0.125 Hz to 256 Hz were studied, covering infrasound and low-frequency hearing, with mean inlet velocity amplitudes representing levels expected for normal conversation or louder situations. Our simulations show that torsion contributes significantly to transverse flow in unsteady conditions, and that its contribution increases with increasing oscillation frequency. Curvature alone has a small effect on transverse flow strength, which decreases rapidly with increasing frequency. Strikingly, the combined effect of curvature and torsion on transverse flow is greater than expected from a simple superposition of the two effects, especially when the relative contribution of curvature alone becomes negligible. These findings may be relevant to understanding physiological processes in the cochlea, including metabolite transport and wall shear stress. Further studies are needed to investigate possible implications for cochlear mechanics.

13.
Eur Heart J Imaging Methods Pract ; 2(3): qyae082, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-39224624

RESUMEN

Aims: The HeartMate 3 (HM3) implantable left ventricular assist device connects the left ventricle apex to the aorta via an outflow graft. Extrinsic obstruction of the graft (eOGO) is associated with serious morbidity and mortality and recently led to a Food and Drug Administration Class 1 device recall of HM3. This study aimed to provide a better understanding of the haemodynamic impact of extrinsic stenoses. Methods and results: Computed tomography (CT) images of two retrospectively identified patients with eOGO (29 and 36% decrease in cross-sectional area, respectively, by radiological evaluation) were acquired with a novel photon-counting CT system. Numerical evaluations of haemodynamics were conducted using a high-fidelity 3D computational fluid dynamics approach on both the patient-specific graft geometries and in two virtually augmented stenotic severities and three device flows. Visual analysis identified increased velocity, pressure, and turbulent flow in the outer anterior curvature of the outflow graft; however, changes in graft pressure gradients were slight (1-9 mmHg) across the range of stenosis severities and flow rates tested. Conclusion: Evidence of eOGO during HM3 support and the recent device recall can provoke clinical apprehension and interventions. The haemodynamic impact of a stenosis detected visually or by quantification of cross-sectional area reduction may be difficult to predict and easily overestimated. This numerical study suggests that, for clinically encountered flow rates and stenosis severities below 61% in cross-sectional area decrease, eOGO may have low haemodynamic impact. This suggests that patients without symptoms or signs consistent with haemodynamically significant obstruction might be managed expectantly.

14.
Animals (Basel) ; 14(17)2024 Sep 09.
Artículo en Inglés | MEDLINE | ID: mdl-39272408

RESUMEN

Mechanical ventilation is an important means of environmental control in multitier laying hen cages. The mainstream ventilation mode currently in use, negative-pressure ventilation (NPV), has the drawbacks of a large temperature difference before and after adjustment and uneven air velocity distribution. To solve these problems, this study designed and analyzed a combined positive and negative-pressure ventilation system for laying hen cages. According to the principle of the conservation of mass to increase the inlet flow in the negative-pressure ventilation system on the basis of the addition of the pressure-wind body-built positive-and-negative-pressure-combined ventilation (PNCV) system, further, computational fluid dynamics (CFD) simulation was performed to analyze the distribution of environmental parameters in the chicken cage zone (CZ) with inlet angles of positive-pressure fans set at 45°, 90°, and 30°. Simulation results showed that the PNCV system increased the average air velocity in the CZ from 0.94 m/s to 1.04 m/s, 1.28 m/s, and 0.99 m/s by actively blowing air into the cage. The maximum temperature difference in the CZ with the PNCV system was 2.91 °C, 1.80 °C, and 3.78 °C, which were all lower than 4.46 °C, the maximum temperature difference in the CZ with the NPV system. Moreover, the relative humidity remained below 80% for the PNCV system and between 80% and 85% for the NPV system. Compared with the NPV system, the PNCV system increased the vertical airflow movement, causing significant cooling and dehumidifying effects. Hence, the proposed system provides an effective new ventilation mode for achieving efficient and accurate environmental control in laying hen cages.

15.
Sci Rep ; 14(1): 21294, 2024 Sep 12.
Artículo en Inglés | MEDLINE | ID: mdl-39266603

RESUMEN

With the increase in high-rise buildings in cities, public flue exhaust systems have a direct impact on residential air quality and the living environment. Although existing studies have analyzed the problems in public flue exhaust systems through computational fluid dynamics (CFD) numerical simulations and experimental tests, these studies often lack an in-depth exploration of the specific impacts of individual components in the system. To solve this problem, this study not only thoroughly analyzes the key components in the public flue system, such as branch pipes, check valves, and tee pipes, but also develops a parametric public flue simulation system software based on C# and verifies the accuracy of the simulation through experiments. The study first determines the key parameters affecting the comprehensive resistance coefficient of the branch pipe, check valve, tee pipe, and other components through CFD simulation and experimental testing. Subsequently, a visualization program is developed using the C# language, which can quickly simulate and visualize the flow changes in the flue according to different building parameters such as the number of floors, height of floors, and size of the flue. The results confirm that the program can efficiently predict the flow distribution under different design options, providing a practical tool for the optimal design and performance evaluation of public flues, which is important for improving the air quality of the living environment.

16.
Int J Pharm ; 665: 124660, 2024 Sep 03.
Artículo en Inglés | MEDLINE | ID: mdl-39236773

RESUMEN

The objectives of this study were to expand and implement a Computational Fluid Dynamics (CFD)-Dissolution, Absorption and Clearance (DAC)-Pharmacokinetics (PK) multi-physics modeling framework for simulating the transport of suspension-based nasal corticosteroid sprays. The mean CFD-predicted peak plasma concentration (Cmax) and area under the curve (AUC) of the plasma concentration-time profile, based on three representative nasal airway models (capturing low, medium and high posterior spray deposition), were within one standard deviation of available in vivo PK data for a representative corticosteroid drug (triamcinolone acetonide). The relative differences in mean Cmax between predictions and in vivo data for low dose (110 µg) and high dose (220 µg) cases were 27.8% and 10.1%, respectively. The models confirmed the dose-dependent dissolution-limited behavior of nasally delivered triamcinolone acetonide observed in available in vivo data. The total uptake from the nasal cavity decreased from 68.3% to 51.3% for the medium deposition model as dose was increased from 110 to 220 µg due to concentration-limited dissolution. The modeling framework is envisioned to facilitate faster development and testing of generic locally acting suspension nasal spray products due to its ability to predict the impact of differences in spray characteristics and patient use parameters on systemic PK.

17.
J Biomech ; 175: 112266, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39232449

RESUMEN

We introduce a new computational framework that utilises Pulse Wave Velocity (PWV) extracted directly from 4D flow MRI (4DMRI) to inform patient-specific compliant computational fluid dynamics (CFD) simulations of a Type-B aortic dissection (TBAD), post-thoracic endovascular aortic repair (TEVAR). The thoracic aortic geometry, a 3D inlet velocity profile (IVP) and dynamic outlet boundary conditions are derived from 4DMRI and brachial pressure patient data. A moving boundary method (MBM) is applied to simulate aortic wall displacement. The aortic wall stiffness is estimated through two methods: one relying on area-based distensibility and the other utilising regional pulse wave velocity (RPWV) distensibility, further fine-tuned to align with in vivo values. Predicted pressures and outlet flow rates were within 2.3 % of target values. RPWV-based simulations were more accurate in replicating in vivo hemodynamics than the area-based ones. RPWVs were closely predicted in most regions, except the endograft. Systolic flow reversal ratios (SFRR) were accurately captured, while differences above 60 % in in-plane rotational flow (IRF) between the simulations were observed. Significant disparities in predicted wall shear stress (WSS)-based indices were observed between the two approaches, especially the endothelial cell activation potential (ECAP). At the isthmus, the RPWV-driven simulation indicated a mean ECAP>1.4 Pa-1 (critical threshold), indicating areas potentially prone to thrombosis, not captured by the area-based simulation. RPWV-driven simulation results agree well with 4DMRI measurements, validating the proposed pipeline and facilitating a comprehensive assessment of surgical decision-making scenarios and potential complications, such as thrombosis and aortic growth.


Asunto(s)
Modelos Cardiovasculares , Análisis de la Onda del Pulso , Humanos , Análisis de la Onda del Pulso/métodos , Procedimientos Endovasculares/métodos , Disección Aórtica/fisiopatología , Disección Aórtica/cirugía , Simulación por Computador , Aorta Torácica/cirugía , Aorta Torácica/fisiología , Aorta Torácica/fisiopatología , Aorta Torácica/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Velocidad del Flujo Sanguíneo/fisiología , Hemodinámica/fisiología , Reparación Endovascular de Aneurismas
18.
Heliyon ; 10(18): e37442, 2024 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-39309901

RESUMEN

In the realm of ground source heat pump (GSHP) installations, the operational efficiency of borehole heat exchangers (BHEs) is heavily dependent on the complex configurations of geological formations, including soil stratification and the movement of underground water. Our research investigated the influences of ground structure characteristics on the heat transfer performance of coaxial BHEs. A coaxial borehole heat exchanger with a three-dimensional design was constructed, setting a typical geology from the Xiong'an New Region as the boundary condition. The homogenous model with equivalent physical properties overpredicted the water temperature exiting the coaxial BHE in the stratified ground with groundwater advection by 0.2 °C, while underpredicted the heat transfer rate by 10.8 % for the 24-h period; There exists an optimal inlet flow velocity to balance the heat injection and enhanced heat transfer for the optimal heat transfer rate, which was 0.4 m/s in this study; The increase of groundwater advection velocity decreased the outlet temperature by 0.5 %, enhanced the heat transfer per meter by 15.5 % and contributed to a smaller thermal influence radius during the 24-h period. This will contribute to the design of coaxial BHEs in complex geological structure.

19.
Int J Cardiol ; 417: 132494, 2024 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-39245072

RESUMEN

OBJECTIVES: False lumen (FL) thrombosis status for Stanford type B aortic dissection (TBAD) after thoracic endovascular aortic repair (TEVAR) is critical for evaluating aortic remodeling and long-term prognosis. This study aimed to monitor the morphology evolution of partial FL thrombosis (PFLT) and its hemodynamic conditions through an innovative approach, providing a re-intervention strategy from both morphologic and hemodynamic perspectives. METHODS: Three-dimensional geometries are extracted from a five-year follow-up of CTA images for TBAD after TEVAR. The morphology and hemodynamics of PFLT are comprehensively analyzed based on patient-specific reconstructions and computational fluid dynamics (CFD). The impact of various strategies treating risk factors of PFLT, including proximal entry closure, left renal artery stenting, or accessory renal artery embolism on hemodynamics is assessed. RESULTS: The introduced morphologic approaches appropriately reflected the evolution of PFLT. Gradual dilation of FL (surface area from 82.63cm2 to 98.84cm2, volume from 45.12 mL to 63.40 mL, increase in distal tear (from 3.72 cm to 4.32 cm), and fluctuation of thrombosis-blood lumen boundary are observed. For further surgical preparation in the absence of unanimously recognized re-intervention indicators, velocity and wall shear stress distributions reveal different simulated re-interventions have distinctly suppressive effects on hemodynamic conditions within the PFLT, providing valuable insights for further surgical preparation. CONCLUSIONS: The present study demonstrates a re-intervention strategy for PFLT in TBAD patients after TEVAR utilizing morphologic and hemodynamic analyses. Acknowledging the deterioration of PFLT may result in adverse long-term outcomes, this strategy might offer an alternative approach for clinical monitoring and management of related patients.

20.
J Theor Biol ; 595: 111933, 2024 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-39260737

RESUMEN

We report the effects of varying physiological and other properties on the heat and water exchange in the maxilloturbinate structure (MT) of the bearded seal (Erignathus barbatus or Eb) in realistic environments, using a computational fluid dynamics (CFD) model. We find that the water retention in percent is very high (about 90 %) and relatively unaffected by either cold (-30 °C) or warm (10 °C) conditions. The retention of heat is also high, around 80 % . Based on a consideration of entropy production by the maxilloturbinate system, we show that anatomical and physiological properties of the seal provide good conditions for heat and water exchange at the mucus lining in the seal's nasal cavity. At normal values of tidal volume and maxilloturbinate (MT) length, the air temperature in the MT reaches the body temperature before the air has left the MT channels. This confers a safety factor which is expected to be helpful in exercise, when ventilation increases.

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