39 research outputs found

    Re: ‘Preferred Strategy for Hemodialysis Access Creation in Elderly Patients’

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    INVESTIGATION OF GEOTECHNICAL SPECIFICATIONS OF SAND DUNE SOIL: A CASE STUDY AROUND BAIJI IN IRAQ

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    ABSTRACT: While more than half the land surface of Iraq consists of deserts covered mainly with sand dunes, little research has taken place to study the characteristics and the behavior of dune soils. This paper directed toward studying the geotechnical properties of dune sands taken from Baiji city (northwest of Iraq). A vast laboratory testing program was carried out to achieve the purpose of this paper. The physical tests, chemical tests, X-ray diffraction analysis, permeability test, compaction characteristics, compressibility and collapsibility tests; and shear strength tests were included in this program. The results indicate that soil of Baiji sand dune exhibits prefer engineering properties according to their state. As such, this soil is considered suitable for use in geotechnical constructions.   ABSTRAK: Walaupun lebih separuh daripada bumi Iraq terdiri daripada gurun yang dipenuhi dengan bukit-bukit pasir, tidak banyak penyelidikan dijalankan untuk mengkaji sifat-sifat dan ciri-ciri tanah pasir  tersebut. Kertas kerja ini menyelidik sifat geoteknikal bukit pasir yang diambil dari pekan Baiji (di bahagian barat utara Iraq).  Program penyelidikan makmal yang menyeluruh telah  dijalankan bagi mencapai objektif kajian ini. Ujian fizikal, ujian kimia, analisis belauan sinar-x, ujian kebolehtelapan, ciri pemadatan, faktor ketermampatan, ujian keruntuhan dan ujian kekuatan ricih diambilkira dalam program ini. Keputusan menunjukkan bahawa tanih bukit pasir Baiji mengutamakan ciri kejuruteraan berdasarkan keadaannya. Oleh itu, tanah ini dianggap sesuai untuk kegunaan pembinaan geoteknikal

    BATTER PILES UNDER INCLINED COMPRESSIVE LOADS

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    The behaviour of batter piles under inclined compressive loads is of considerable importance,yet, not enough information is available in literature on the subject. The tests canied out in this paper were performed on a single inclined pile under various load inclinations in sand. The results indicate that the highest ultimate compressive load for vertical pile occurs at (30) load inclination. At small load inclinations, a positive batter pile has greater ultimate compressive load than that of a negative batter pile. The trend changes at higher Ioad inclinations. The slip surface analysis is recognised to be too complicated to have a definite solution

    INVESTIGATION ON THE USE OF MICROPILES FOR SUBSTITUTION OF DEFECTED PILES BY THE FINITE ELEMENT METHOD

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    Micropiles are small diameter, cast in – place or grouted piles with steel pipes of (50 to 300 mm) diameters and driven by boring machine. Despite their small wall thickness, high bearing capacity of micropiles provides both axial and pullout resistance.nThis paper is directed to study the behavior of micropiles under static and dynamic loading conditions using the finite element method. The program OpenSees is used in the analysis, it is open – source program, provides information about the software architecture, access to the source code, and the development process. The program is based on the basic commands, which are written in Tcl (pronounced, "tickle"; tool command language). A model for groups of laterally loaded pipe piles in sand was adopted to study the effect of defects on their lateral performance. The geometric arrangement consisted of group series of 2, 4 and 6 equally spaced piles. Eight node brick elements are used to model the pile and the surrounding soil. It was concluded that the deflection of laterally loaded piles decreases when inserting steel micropiles beside the defect pile at two opposite directions. The increase in the group deflection is greater when the defected pile is modeled in the front row

    Cardiac resynchronization therapy in inotrope‐dependent heart failure: a meta‐analysis

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    Aims: The viability of cardiac resynchronization therapy (CRT) in inotrope‐dependent heart failure (HF) has been a matter of debate. Methods and results: We searched Medline, EMBASE, Scopus, and the Cochrane Library until 31 December 2022. Studies were included if (i) HF patients required inotropic support at CRT implantation; (ii) patients were ≄18 years old; and (iii) they provided a clear definition of ‘inotrope dependence’ or ‘inability to wean’. A meta‐analysis was performed in R (Version 3.5.1). Nineteen studies comprising 386 inotrope‐dependent HF patients who received CRT (mean age 64.4 years, 76.9% male) were included. A large majority survived until discharge at 91.1% [95% confidence interval (CI): 81.2% to 97.6%], 89.3% were weaned off inotropes (95% CI: 77.6% to 97.0%), and mean discharge time post‐CRT was 7.8 days (95% CI: 3.9 to 11.7). After 1 year of follow‐up, 69.7% survived (95% CI: 58.4% to 79.8%). During follow‐up, the mean number of HF hospitalizations was reduced by 1.87 (95% CI: 1.04 to 2.70, P < 0.00001). Post‐CRT mean QRS duration was reduced by 29.0 ms (95% CI: −41.3 to 16.7, P < 0.00001), and mean left ventricular ejection fraction increased by 4.8% (95% CI: 3.1% to 6.6%, P < 0.00001). The mean New York Heart Association (NYHA) class post‐CRT was 2.7 (95% CI: 2.5 to 3.0), with a pronounced reduction of individuals in NYHA IV (risk ratio = 0.27, 95% CI: 0.18 to 0.41, P < 0.00001). On univariate analysis, there was a higher prevalence of males (85.7% vs. 40%), a history of left bundle branch block (71.4% vs. 30%), and more pronounced left ventricular end‐diastolic dilation (274.3 ± 7.2 vs. 225.9 ± 6.1 mL). Conclusions: CRT appears to be a viable option for inotrope‐dependent HF, with some of these patients seeming more likely to respond

    SHEAR STRENGTH, COLLAPSIBILITY AND COMPRESSIBILITY CHARACTERISTICS OF COMPACTED BAIJI DUNE SOILS

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    Baiji city is a vital industrial centre in Iraq since it has the biggest oil refinery. Therefore, Baiji has become an attractive site for strategic construction projects. Dune sand covers about 220 km2 of the area of Baiji city. However, few researches had attempted to study its behaviour. In this study laboratory tests were conducted to determine the shear strength, collapsibility and compressibility of the dune sand at its natural and compacted status. The effect of dry unit weight, moisture content, relative density and soaking on mechanical properties of dune soil was investigated. The results demonstrated that dry and soaked dune specimens tested at their in-situ condition exhibited similar volume changes during shear and identical friction angles. The results of shear tests of both of compacted soaked and unsoaked samples were identical. The collapse potential of dune soil is inversely proportional with the relative density. The minimum axial strain is observed when the samples are compacted to modified effort. The compression index of the compacted specimens is affected by moulding water content, while the rebound index is less sensitive
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