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1.
Intensive Care Med ; 37(1): 156-63, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20878386

RESUMO

PURPOSE: To describe the mechanics and possible clinical importance of left ventricular (LV) rotation, exemplify techniques to quantify LV rotation and illustrate the temporal relationship of cardiac pressures, electrocardiogram and LV rotation. MATERIALS AND METHODS: Review of the literature combined with selected examples of echocardiographic measurements. RESULTS: Rotation of the left ventricle around its longitudinal axis is an important but thus far neglected aspect of the cardiac cycle. LV rotation during systole maximizes intracavitary pressures, increases stroke volume, and minimizes myocardial oxygen demand. Shearing and restoring forces accumulated during systolic twisting are released during early diastole and result in diastolic LV untwisting or recoil promoting early LV filling. LV twist and untwist are disturbed in a number of cardiac diseases and can be influenced by several therapeutic interventions by altering preload, afterload, contractility, heart rate, and/or sympathetic tone. CONCLUSIONS: The concept of LV twisting and untwisting closely linking LV systolic and diastolic function may carry potential diagnostic and therapeutic importance for the management of critically ill patients. Future clinical studies need to address the feasibility of assessing LV twist and untwist as well as the relevance of its therapeutic modulation in critically ill patients.


Assuntos
Coração/fisiologia , Função Ventricular Esquerda , Fenômenos Biomecânicos , Cardiopatias/fisiopatologia , Humanos , Contração Miocárdica , Rotação
2.
Ultrasonics ; 44 Suppl 1: e1269-75, 2006 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-16797048

RESUMO

In computer chips, aluminum is being replaced with copper in order to produce smaller, faster and more efficient electronic devices. The usage of copper allows higher current densities and thus higher packaging densities than aluminum. However, copper leads to new challenges and problems. It has different mechanical properties and a tendency to migrate into the surrounding dielectric and/or semiconducting layers. These diffusion processes can be prevented by so called diffusion barriers. A diffusion barrier is a very thin layer consisting of tantalum and tantalum nitride or titanium and titanium nitride, deposited between the copper and the substrate. A pump-probe setup is used to determine the mechanical properties of the barrier layers and of the copper layer. This short-pulse-laser-acoustic method is contact-free and non-destructive. Mechanical waves are excited and detected thermoelastically using laser pulses of 70 fs duration. Thin film measurements of buried diffusion layers are provided and compared with scanning electron microscopy (SEM), transmission electron microscopy (TEM), and Rutherford Backscattering Spectroscopy measurements (RBS). Results of a thermo-elasto-mechanical simulation are presented and a short overview of the simulation procedure is given. Current limits of the presented method are discussed and future directions of the on-going research project are presented.

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