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1.
J Immunol ; 212(4): 607-616, 2024 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-38169327

RESUMO

Helminth infections are common in animals. However, the impact of a helminth infection on the function of hematopoietic stem cells (HSCs) and other hematopoietic cells has not been comprehensively defined. In this article, we describe the hematopoietic response to infection of mice with Schistosoma mansoni, a parasitic flatworm that causes schistosomiasis. We analyzed the frequency or number of hematopoietic cell types in the bone marrow, spleen, liver, thymus, and blood and observed multiple hematopoietic changes caused by infection. Schistosome infection impaired bone marrow HSC function after serial transplantation. Functional HSCs were present in the infected liver. Infection blocked bone marrow erythropoiesis and augmented spleen erythropoiesis, observations consistent with the anemia and splenomegaly prevalent in schistosomiasis patients. This work defines the hematopoietic response to schistosomiasis, a debilitating disease afflicting more than 200 million people, and identifies impairments in HSC function and erythropoiesis.


Assuntos
Medula Óssea , Esquistossomose , Humanos , Camundongos , Animais , Células-Tronco Hematopoéticas/metabolismo , Hematopoese/fisiologia , Eritropoese , Baço , Esquistossomose/complicações
2.
bioRxiv ; 2023 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-36798229

RESUMO

Helminth infections are common in animals. However, the impact of a helminth infection on the function of hematopoietic stem cells (HSCs) and other hematopoietic cells has not been comprehensively defined. Here we describe the hematopoietic response to infection of mice with Schistosoma mansoni, a parasitic flatworm which causes schistosomiasis. We analyzed the frequency or number of hematopoietic cell types in the bone marrow, spleen, liver, thymus, and blood, and observed multiple hematopoietic changes caused by infection. Schistosome infection impaired bone marrow HSC function after serial transplantation. Functional HSCs were present in the infected liver. Infection blocked bone marrow erythropoiesis and augmented spleen erythropoiesis, observations consistent with the anemia and splenomegaly prevalent in schistosomiasis patients. This work defines the hematopoietic response to schistosomiasis, a debilitating disease afflicting more than 200 million people, and identifies impairments in HSC function and erythropoiesis.

3.
Ultrasonics ; 67: 212-219, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26746159

RESUMO

Of great concern for many structures, particularly critical sections of rotary and fixed wing aircrafts, is the ability to detect ice either on grounded or in-flight vehicles. As a consequence, some work is reported here that could be useful for a variety of different industries where ice formation is an important problem. This paper presents experimental validations of a probability-based reconstruction algorithm (PRA) on ice detection of plate-like structures. The ice detection tests are performed for three different specimens: a single layer aluminum plate with a circular ice sensing array, a titanium plate with a sparse rectangular ice sensing array, and a carbon-fiber-reinforced titanium plate with an embedded ice sensing array mounted on a carbon fiber back plate. Cases from the simple to the more challenging exemplify that special modes can be used to differentiate ice from water, a sparse rectangular array could also be used for ice detection, and an ice sensing array could be further used to detect the ice on the sensor free side, a very useful application of ice sensing for aircraft wings, for example. Ice detection images for the respective cases are reconstructed to investigate the feasibility of ice sensing with ultrasonic guided wave tomography technology. The results show that the PRA based ultrasonic guided wave tomography method successfully detected and showed ice spots correctly for all three cases. This corroborates the fact that ultrasonic guided wave imaging technology could be a potential useful ice sensing tool in plate-like structures.

4.
Ergonomics ; 57(4): 536-44, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24606493

RESUMO

The objective of this study was to identify how physiological measures relate to self-reported vehicle seating discomfort. Twelve subjects of varied anthropometric characteristics were enrolled in the study. Subjects sat in two seats over a 2-h period and were evaluated via three physiological measures (near-infrared spectroscopy, electromyography and pressure mapping) yielding six testing sessions. Subjective discomfort surveys were recorded before and after each session for nine regions of the body. Conditional classification discomfort models were developed through dichotomised physiological responses and anthropometry to predict subjective discomfort in specific body locations. Models revealed that subjects taller than 171 cm with reduced blood oxygenation in the biceps femoris or constant, low-level muscle activity in the trapezius tended to report discomfort in the lower extremities or neck, respectively. Subjects weighing less than 58 kg with reduced blood oxygenation in the biceps femoris or unevenly distributed pressure patterns tended to report discomfort in the buttocks. The sensitivities and specificities of cross-validated models ranged between 0.69 and 1.00.


Assuntos
Automóveis , Desenho de Equipamento , Dor Musculoesquelética/prevenção & controle , Fenômenos Fisiológicos Musculoesqueléticos , Postura , Adolescente , Adulto , Nádegas , Eletromiografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Músculo Esquelético , Dor Musculoesquelética/fisiopatologia , Pescoço , Pressão , Espectroscopia de Luz Próxima ao Infravermelho , Adulto Jovem
5.
J Acoust Soc Am ; 133(5): 2541-53, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23654363

RESUMO

The nonlinear forcing terms for the wave equation in general curvilinear coordinates are derived based on an isotropic homogeneous weakly nonlinear elastic material. The expressions for the nonlinear part of the first Piola-Kirchhoff stress are specialized for axisymmetric torsional and longitudinal fundamental waves in a circular cylinder. The matrix characteristics of the nonlinear forcing terms and secondary mode wave structures are manipulated to analyze the higher harmonic generation due to the guided wave mode self-interactions and mutual interactions. It is proved that both torsional and longitudinal secondary wave fields can be cumulative by a specific type of guided wave mode interactions. A method for the selection of preferred fundamental excitations that generate strong cumulative higher harmonics is formulated, and described in detail for second harmonic generation. Nonlinear finite element simulations demonstrate second harmonic generation by T(0,3) and L(0,4) modes at the internal resonance points. A linear increase of the normalized modal amplitude ratio A2/A1(2) over the propagation distance is observed for both cases, which indicates that mode L(0,5) is effectively generated as a cumulative second harmonic. Counter numerical examples demonstrate that synchronism and sufficient power flux from the fundamental mode to the secondary mode must occur for the secondary wave field to be strongly cumulative.


Assuntos
Dinâmica não Linear , Som , Ultrassom , Simulação por Computador , Elasticidade , Desenho de Equipamento , Análise de Elementos Finitos , Movimento (Física) , Análise Numérica Assistida por Computador , Processamento de Sinais Assistido por Computador , Espectrografia do Som , Fatores de Tempo , Torção Mecânica , Ultrassom/instrumentação
6.
J Acoust Soc Am ; 133(5): 2624-33, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23654370

RESUMO

Ultrasonic guided wave inspection of structures containing adhesively bonded joints requires an understanding of the interaction of guided waves with geometric and material discontinuities or transitions in the waveguide. Such interactions result in mode conversion with energy being partitioned among the reflected and transmitted modes. The step transition between an aluminum layer and an aluminum-adhesive-aluminum multi-layer waveguide is analyzed as a model structure. Dispersion analysis enables assessment of (i) synchronism through dispersion curve overlap and (ii) wavestructure correlation. Mode-pairs in the multi-layer waveguide are defined relative to a prescribed mode in a single layer as being synchronized and having nearly perfect wavestructure matching. Only a limited number of mode-pairs exist, and each has a unique frequency range. A hybrid model based on semi-analytical finite elements and the normal mode expansion is implemented to assess mode conversion at a step transition in a waveguide. The model results indicate that synchronism and wavestructure matching is associated with energy transfer through the step transition, and that the energy of an incident wave mode in a single layer is transmitted almost entirely to the associated mode-pair, where one exists. This analysis guides the selection of incident modes that convert into transmitted modes and improve adhesive joint inspection with ultrasonic guided waves.


Assuntos
Som , Ultrassom , Adesivos , Alumínio , Transferência de Energia , Análise de Elementos Finitos , Teste de Materiais , Modelos Teóricos , Movimento (Física) , Fatores de Tempo
7.
J Acoust Soc Am ; 133(1): 127-35, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23297889

RESUMO

Transducer arrays can be utilized in ultrasonic guided wave applications to achieve preferential excitation of particular points on a dispersion curve. These arrays are designed according to the principles of wave interference and the influence of the wavelength excitation spectrum. This paper develops the relationships between the peak wavelength in the excitation spectra and the element spacing of linear comb and annular arrays. The excitation spectra are developed by applying Fourier and Hankel transforms to the spatial loading distribution functions of the comb and annular arrays, respectively. Although the peak wavelength of excitation of a comb array is typically assumed to be equal to the element spacing, it is shown that this can be an inaccurate assumption for annular arrays. The ratio of element spacing to the peak wavelength in the excitation spectrum is termed the spacing compensation factor, and is dependent on the number of array elements and the inner radius. It is determined that the compensation factor is negligible for comb arrays but is crucial for annular arrays in order to achieve optimal mode selection. Finite element analyses and experimental data are used to verify the calculations and demonstrate the significance of the compensation factor.


Assuntos
Som , Transdutores , Ultrassom/instrumentação , Simulação por Computador , Desenho de Equipamento , Análise de Elementos Finitos , Análise de Fourier , Modelos Lineares , Modelos Teóricos , Movimento (Física) , Análise Numérica Assistida por Computador , Fatores de Tempo
8.
J Acoust Soc Am ; 134(6): 4351, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25669246

RESUMO

Interface waves traveling along the boundary between two solids have been studied for nearly a century. However, little attention has been given to the case where interface waves travel at the boundary between a soft and stiff solid and when the soft material is relatively light and viscoelastic. In this paper, the characteristics of interface waves that propagate along a soft-stiff boundary are described. These waves are similar to a leaky Rayleigh-like wave on the stiff solid in terms of the wave velocity and displacement wave structure. Analytical and finite element models are used to model and simulate wave propagation. An example problem of bond evaluation for coatings on metal structures is considered. Experiments on 2.5 cm thick steel plate with 2.5 cm viscoelastic coatings show good agreement to models. Additionally, the results of models and experiments show several promising features that may be used to evaluate bonds in a non-destructive evaluation approach.

9.
Hum Factors ; 55(6): 1077-87, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24745200

RESUMO

OBJECTIVE: The objective of this study was to quantify shoulder muscle fatigue during repetitive exertions similar to motions found in automobile assembly tasks. BACKGROUND: Shoulder musculoskeletal disorders (MSDs) are a common and costly problem in automotive manufacturing. METHOD: Ten subjects participated in the study. There were three independent variables: shoulder angle, frequency, and force. There were two types of dependent measures: percentage change in near-infrared spectroscopy (NIRS) measures and change in electromyography (EMG) median frequency. The anterior deltoid and trapezius muscles were measured for both NIRS and EMG. Also, EMG was collected on the middle deltoid and biceps muscles. RESULTS: The results showed that oxygenated hemoglobin decreased significantly due to the main effects (shoulder angle, frequency, and force). The percentage change in oxygenated hemoglobin had a significant interaction attributable to force and repetition for the anterior deltoid muscle, indicating that as repetition increased, the magnitude of the differences between the forces increased. The interaction of repetition and shoulder angle was also significant for the percentage change in oxygenated hemoglobin. The median frequency decreased significantly for the main effects; however, no interactions were statistically significant. CONCLUSIONS: There was significant shoulder muscle fatigue as a function of shoulder angle, task frequency, and force level. Furthermore, percentage change in oxygenated hemoglobin had two statistically significant interactions, enhancing our understanding of these risk factors. APPLICATION: Ergonomists should examine interactions of force and repetition as well as shoulder angle and repetition when evaluating the risk of shoulder MSDs.


Assuntos
Transtornos Traumáticos Cumulativos/fisiopatologia , Fadiga Muscular/fisiologia , Músculo Esquelético/fisiopatologia , Amplitude de Movimento Articular/fisiologia , Articulação do Ombro/fisiopatologia , Suporte de Carga/fisiologia , Adulto , Transtornos Traumáticos Cumulativos/etiologia , Eletromiografia , Feminino , Humanos , Indústrias , Masculino , Pessoa de Meia-Idade , Traumatismos Ocupacionais/etiologia , Traumatismos Ocupacionais/fisiopatologia , Espectroscopia de Luz Próxima ao Infravermelho , Análise e Desempenho de Tarefas
10.
Ergonomics ; 55(9): 1104-14, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22676341

RESUMO

The objective of this study was to investigate potential associations between an individual's psychophysical maximum acceptable force (MAF) during pushing tasks and biomechanical tissue loads within the lumbar spine. Ten subjects (eight males, two females) pushed a cart with an unknown weight at one push every two minute for a distance of 3.9 m. Two independent variables were investigated, cart control and handle orientation while evaluating their association with the MAF. Dependent variables of hand force and tissue loads for each MAF determination and preceding push trial were assessed using a validated, electromyography-assisted biomechanical model that calculated spinal load distribution throughout the lumbar spine. Results showed no association between spinal loads and the MAF. Only hand forces were associated with the MAF. Therefore, MAFs may be dependent upon tactile sensations from the hands, not the loads on the spine and thus may be unrelated to risk of low back injury. Practitioner Summary: Pushing tasks have become common in manual materials handling (MMH) and these tasks impose different tissue loads compared to lifting tasks. Industry has commonly used the psychophysical tables for job assent and decision of MMH tasks. However, due to the biomechanical complexity of pushing tasks, psychophysics may be misinterpreting risk.


Assuntos
Dor Lombar/etiologia , Região Lombossacral/fisiologia , Músculo Esquelético/fisiologia , Psicofísica , Análise e Desempenho de Tarefas , Suporte de Carga/fisiologia , Análise de Variância , Fenômenos Biomecânicos , Eletromiografia , Ergonomia , Feminino , Humanos , Dor Lombar/psicologia , Masculino , Medição de Risco , Adulto Jovem
11.
Am J Obstet Gynecol ; 206(6): 530.e1-3, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22541611

RESUMO

OBJECTIVE: To determine the use of endocervical curettage at the time of colposcopy for low-grade cytologic abnormalities. STUDY DESIGN: We conducted a retrospective chart review of women with low-grade Papanicolaou smears who had undergone satisfactory colposcopic examinations with identifiable lesions. We evaluated results during a 2-year period thereafter to determine whether endocervical curettage increased the diagnosis of high-grade dysplasia. RESULTS: The study group consisted of 374 patients. Of these patients, 16 had endocervical curettages suggestive of high-grade dysplasia. Of these 16 patients, 4 did not have concomitant high-grade dysplasia identified on ectocervical biopsy. Therefore, 93 to 94 endocervical curettages needed to be performed to detect 1 case of high-grade dysplasia that would not have been identified otherwise. CONCLUSION: Routine endocervical curettage at the time of satisfactory colposcopy for low-grade cytologic abnormalities with a visible lesion does not significantly improve the diagnosis of high-grade dysplasia.


Assuntos
Colo do Útero/patologia , Colposcopia , Curetagem , Neoplasias do Colo do Útero/patologia , Adulto , Idoso , Biópsia , Feminino , Humanos , Pessoa de Meia-Idade , Gradação de Tumores , Teste de Papanicolaou , Estudos Retrospectivos , Esfregaço Vaginal
12.
Artigo em Inglês | MEDLINE | ID: mdl-19251520

RESUMO

Ice accumulation on airfoils has been identified as a primary cause of many accidents in commercial and military aircraft. To improve aviation safety as well as reduce cost and environmental threats related to aircraft icing, sensitive, reliable, and aerodynamically compatible ice detection techniques are in great demand. Ultrasonic guided-wave-based techniques have been proved reliable for "go" and "no go" types of ice detection in some systems including the HALO system, in which the second author of this paper is a primary contributor. In this paper, we propose a new model that takes the ice layer into guided-wave modeling. Using this model, the thickness and type of ice formation can be determined from guided-wave signals. Five experimental schemes are also proposed in this paper based on some unique features identified from the guided- wave dispersion curves. A sample experiment is also presented in this paper, where a 1 mm thick glaze ice on a 2 mm aluminum plate is clearly detected. Quantitative match of the experiment data to theoretical prediction serves as a strong support for future implementation of other testing schemes proposed in this paper.

13.
J Acoust Soc Am ; 124(2): 866-74, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18681579

RESUMO

Guided wave propagation theories have been widely explored for about one century. Earlier theories on single-layer elastic hollow cylinders have been very beneficial for practical nondestructive testing on piping and tubing systems. Guided wave flexural (nonaxisymmetric) modes in cylinders can be generated by a partial source loading or any nonaxisymmetric discontinuity. They are especially important for guided wave mode control and defect analysis. Previous investigations on guided wave propagation in multilayered hollow cylindrical structures mostly concentrate on the axisymmetric wave mode characteristics. In this paper, the problem of guided wave propagation in free hollow cylinders with viscoelastic coatings is solved by a semianalytical finite element (SAFE) method. Guided wave dispersion curves and attenuation characteristics for both axisymmetric and flexural modes are presented. Due to the fact that dispersion curve modes obtained from SAFE calculations are difficult to differentiate from each other, a mode sorting method is established to distinguish modes by their orthogonality. Theoretical proof of the orthogonality between guided wave modes in a viscoelastic coated hollow cylinder is provided. Wave structures are also calculated and discussed in view of wave mechanics in multilayered cylindrical structures containing viscoelastic materials.


Assuntos
Compostos de Epóxi/química , Som , Aço/química , Acústica/instrumentação , Elasticidade , Desenho de Equipamento , Análise de Elementos Finitos , Modelos Teóricos , Movimento (Física) , Reprodutibilidade dos Testes , Viscosidade
14.
J Acoust Soc Am ; 121(4): 1945-55, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17471710

RESUMO

Guided wave phased array focusing has shown many advantages in long-range pipeline inspection, such as, longer inspection distance, greater wave penetration power and higher detection resolution. Viscoelastic coatings applied to a large percentage of pipes for protection purposes created some challenges in terms of focusing feasibility and inspection ability. Previous studies were all based on bare pipe models. In this work, guided wave phased array focusing in viscoelastic coated pipes is studied for the first time. Work was carried out with both numerical and experimental methods. A three-dimensional finite element model was developed for quantitatively and systematically modeling guided waves in pipes with different viscoelastic materials. A method of transforming measured coating properties to finite element method inputs was created in order to create a physically based model of guided waves in coated pipes. Guided wave focusing possibilities in viscoelastic coated pipes and the effects from coatings were comprehensively studied afterwards. A comparison of focusing and nonfocusing inspections was also studied quantitatively in coated pipe showing that focusing increased the wave energy and consequently the inspection ability tremendously. This study provides an important base line and guidance for guided wave propagation and focusing in a real field pipeline under various coating and environmental conditions.


Assuntos
Elasticidade , Modelos Teóricos , Física/métodos , Viscosidade , Física/estatística & dados numéricos
15.
Artigo em Inglês | MEDLINE | ID: mdl-16846154

RESUMO

Ultrasonic guided wave technology is being applied to a variety of gas and liquid transmission pipeline inspection applications. There are a variety of promising transduction techniques used to excite longitudinal, torsional, and flexural modes in pipe. Some of the more common methods include electromagnetic-acoustic, magnetostrictive, and piezoceramic array transducers. The objective of the work presented in this paper was to develop an array design that is simpler to manufacture and attach to pipelines compared to the current piezoceramic design. The design considerations for a flexible piezopolymer-based array are discussed in this paper along with the basic principles behind the selection of the array element width and spacing. The performance of a piezoceramic and piezopolymer array, with identical element spacing and width, are compared at four different frequencies. Tests were undertaken on a carbon steel pipe with a simulated defect. Evaluation of the different arrays was performed in terms of the defect response, in terms of amplitude, of the lower-order axisymmetric modes. It is shown that while the piezopolymer array provides comparable sensitivity to the piezoceramic array, the amplitude of the signals reflected from the simulated defect are 30 dB lower compared to those generated using the piezoceramic array.


Assuntos
Polímeros/química , Transdutores , Ultrassom , Elasticidade , Desenho de Equipamento , Análise de Falha de Equipamento , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
16.
Artigo em Inglês | MEDLINE | ID: mdl-16529110

RESUMO

Laser-induced ultrasonic bulk wave tomography is used for density variation determination of powder metal compacts. A laser beam is used to excite ultrasonic energy, and the signals passing through the specimen are received by an air-coupled transducer. The density variations of powder metal compacts can be determined directly by the cross-sectional tomographic images of slowness obtained by using a filtered, backprojection algorithm based on measured time of flights. Interpolations with respect to sample and projection angles are used to generate the input data required for displaying a well-balanced, reconstructed image to reduce the aliasing distortions caused by insufficient input data. Results of presintered cylindrical ferrous powdered samples show that this novel approach makes the reconstruction process more cost effective than the very tedious, time-consuming, and inaccurate metallographic methods, thus making it a potentially powerful tool for studying manufacturing processes through significant parameters to obtain a more uniform density distribution.

17.
Ultrasonics ; 44(1): 35-45, 2006 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-16182330

RESUMO

The propagation of non-axisymmetric guided waves in larger diameter pipes is studied in this paper by treating the guided waves as corresponding Lamb waves in an unwrapped plate. This approximation leads to a simpler method for calculating the phase velocities of hollow cylinder guided waves, which reveals a beam focusing nature of non-axisymmetric guided waves generated by a partial source loading. The acoustic fields in a pipe generated by a partial-loading source includes axisymmetric longitudinal modes as well as non-axisymmetric flexural modes. The circumferential distribution of the total acoustic field, also referred as an angular profile, diverges circumferentially while guided waves propagate with dependence on such factors as mode, frequency, cylinder size, propagation distance, etc. Exact prediction of the angular profile of the total field can only be realized by numerical calculations. In particular cases, however, when the wall thickness is far less than the cylinder diameter and the wavelength is smaller than or comparable to the pipe wall thickness, the acoustic field can be analyzed based on the characteristics of Lamb waves that travel along a periodic unwrapped plate. Based on this assumption, a simplified model is derived to calculate the phase velocities of non-axisymmetric flexural mode guided waves. The model is then applied to discussions on some particular characteristics of guided-wave angular profiles generated by a source loading. Some features of flexural modes, such as cutoff frequency values are predicted with the simpler model. The relationship between the angular profiles and other factors such as frequency, propagation distance, and cylinder size is obtained and presented in simple equations. The angular profile rate of change with respect to propagation distance is investigated. In particular, our simplified model for non-axisymmetric guided waves predicts that the wave beam will converge to its original circumferential shape after the wave propagates for a certain distance. A concept of "natural focal point" is introduced and a simple equation is derived to compute the 1st natural focal distance of non-axisymmetric guided waves. The applicable range of the simplified equation is provided. Industrial pipes meet the requirement of wall thickness being far less than the pipe diameter. The approximate analytical algorithms presented in this paper provides a convenient method enabling quick acoustic field analysis on large-diameter industrial pipes for NDE applications.

18.
Artigo em Inglês | MEDLINE | ID: mdl-16048190

RESUMO

Guided wave scattering in a plate overlap is investigated by numerical calculations and experimental measurements of transmission and reflection factors from the overlap region. In the numerical study, a hybrid boundary element-finite element method is used to calculate the guided wave scattered field from the overlap region. Transmission and reflection factors are calculated for incident A0 and S0 Lamb and n0 shear horizontal waves, including higher modes generated through mode conversion phenomena. In addition, parametric studies of transmission and reflection factors in this problem are performed numerically over various incident modes, frequencies, and overlap lengths. For verification and comparison with numerical results, experiments were conducted to measure the transmission and reflection factors for incident Lamb and shear horizontal waves in steel plates with two different overlap areas. The experimental results agree well with the numerical calculations. The numerical and experimental results show that it is highly feasible to carry out efficient Lamb wave nondestructive evaluation (NDE) in overlapped plates and in multilayer structures with various lap joints by selecting various modes and tuning frequency.

19.
World J Surg ; 29(5): 621-7; discussion 627-8, 2005 May.
Artigo em Inglês | MEDLINE | ID: mdl-15827847

RESUMO

We sought to determine risk factors for sepsis and/or endocarditis (S/E) and to identify their impact on long-term survival after coronary artery bypass grafting (CABG). We studied 3760 consecutive patients who underwent isolated CABG from 1992 to 2002. Patients with CABG without S/E were compared with those who developed S/E. Long-term survival data (mean follow-up 5.2 years) were obtained from the National Death Index. Groups were compared by Cox proportional hazard models and Kaplan-Meier survival plots. The propensity for S/E was determined by logistic regression analysis and each patient with S/E was matched to one patient without S/E. Thirty-six patients (0.96%) developed S/E. Independent predictors for S/E were increased age (odds ratio [OR] 1.05 per year, 95% Confidence interval [95% CI] 1.00-1.09; p = 0.040) and the development of other major complications after CABG such as deep sternal wound infection (OR 30.80, 95% CI 9.50-99.82; p < 0.001), gastrointestinal complications (OR 19.48, 95% CI 7.14-53.18; p < 0.001), renal failure (OR 15.18, 95% CI 4.42-52.06; p < 0.001), intraoperative stroke (OR 13.11, 95% CI 4.81-35.69; p < 0.001) and respiratory failure (OR 12.95, 95% CI 5.69-29.45; p < 0.001). After adjustment for pre-, intra- and postoperative factors, the adjusted hazard ratio of long-term mortality for patients with S/E was 3.33 (95% CI 2.17-5.10; p < 0.001). There was no difference in 30-day mortality between matched groups (25.0% vs. 19.4% in patients without S/E, p = 0.778), however patients without S/E had better 5-year survival rate (52.7 +/- 8.7% vs. 16.2 +/- 6.2%; p = 0.0004). We have identified risk factors for S/E following CABG and we found that there was increased mortality in patients with S/E during a 10-year follow-up period.


Assuntos
Ponte de Artéria Coronária/mortalidade , Endocardite/epidemiologia , Sepse/epidemiologia , Idoso , Causas de Morte , Feminino , Humanos , Tempo de Internação , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Prognóstico , Modelos de Riscos Proporcionais , Estudos Retrospectivos , Fatores de Risco
20.
Artigo em Inglês | MEDLINE | ID: mdl-15600100

RESUMO

The propagation of ultrasonic guided waves in an elastic hollow cylinder with a viscoelastic coating is studied. The principle motivation is to provide tools for performing a guided wave, nondestructive inspection of piping and tubing with viscoelastic coatings. The theoretical boundary value problem is solved that describes the guided wave propagation in these structures for the purpose of finding the guided wave modes that propagate with little or no attenuation. The model uses the global matrix technique to generate the dispersion equation for the longitudinal modes of a system of an arbitrary number of perfectly bonded hollow cylinders with traction-free outer surfaces. A numerical solution of the dispersion equation produces the phase velocity and attenuation dispersion curves that describe the nature of the guided wave propagation. The attenuation dispersion curves show some guided wave modes that propagate with little or no attenuation in the coated structures of interest. The wave structure is examined for two of the modes to verify that the boundary conditions are satisfied and to explain their attenuation behavior. Experimental results are produced using an array of transducers positioned circumferentially around the pipe to evaluate the accuracy of the numerical solution.

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