68 research outputs found
The Modeling of Anisotropic Fuselage Lining Material
In this paper a theoretical model that can account for the effect of lining anisotropy on sound transmission through fuselage structures is developed. The model allows for anisotropic flow resistivity, tortuosity and elastic moduli. Implicit to the theory is a characteristic dispersion relation of sixth order that yields the allowed wave numbers for wave propagation in anisotropic elastic porous media. In addition, explicit expressions for field variables such as displacements and stresses appropriate for anisotropic foams are derived. Predictions of random incidence sound transmission loss for double panels with anisotropic linings have been performed. To verify the prediction, the theoretical results have been compared with random incidence transmission loss measurements
Co-infection and ICU-acquired infection in COIVD-19 ICU patients: a secondary analysis of the UNITE-COVID data set
Background: The COVID-19 pandemic presented major challenges for critical care facilities worldwide. Infections which develop alongside or subsequent to viral pneumonitis are a challenge under sporadic and pandemic conditions; however, data have suggested that patterns of these differ between COVID-19 and other viral pneumonitides. This secondary analysis aimed to explore patterns of co-infection and intensive care unit-acquired infections (ICU-AI) and the relationship to use of corticosteroids in a large, international cohort of critically ill COVID-19 patients.Methods: This is a multicenter, international, observational study, including adult patients with PCR-confirmed COVID-19 diagnosis admitted to ICUs at the peak of wave one of COVID-19 (February 15th to May 15th, 2020). Data collected included investigator-assessed co-infection at ICU admission, infection acquired in ICU, infection with multi-drug resistant organisms (MDRO) and antibiotic use. Frequencies were compared by Pearson's Chi-squared and continuous variables by Mann-Whitney U test. Propensity score matching for variables associated with ICU-acquired infection was undertaken using R library MatchIT using the "full" matching method.Results: Data were available from 4994 patients. Bacterial co-infection at admission was detected in 716 patients (14%), whilst 85% of patients received antibiotics at that stage. ICU-AI developed in 2715 (54%). The most common ICU-AI was bacterial pneumonia (44% of infections), whilst 9% of patients developed fungal pneumonia; 25% of infections involved MDRO. Patients developing infections in ICU had greater antimicrobial exposure than those without such infections. Incident density (ICU-AI per 1000 ICU days) was in considerable excess of reports from pre-pandemic surveillance. Corticosteroid use was heterogenous between ICUs. In univariate analysis, 58% of patients receiving corticosteroids and 43% of those not receiving steroids developed ICU-AI. Adjusting for potential confounders in the propensity-matched cohort, 71% of patients receiving corticosteroids developed ICU-AI vs 52% of those not receiving corticosteroids. Duration of corticosteroid therapy was also associated with development of ICU-AI and infection with an MDRO.Conclusions: In patients with severe COVID-19 in the first wave, co-infection at admission to ICU was relatively rare but antibiotic use was in substantial excess to that indication. ICU-AI were common and were significantly associated with use of corticosteroids
Clinical and organizational factors associated with mortality during the peak of first COVID-19 wave: the global UNITE-COVID study
Purpose: To accommodate the unprecedented number of critically ill patients with pneumonia caused by coronavirus disease 2019 (COVID-19) expansion of the capacity of intensive care unit (ICU) to clinical areas not previously used for critical care was necessary. We describe the global burden of COVID-19 admissions and the clinical and organizational characteristics associated with outcomes in critically ill COVID-19 patients. Methods: Multicenter, international, point prevalence study, including adult patients with SARS-CoV-2 infection confirmed by polymerase chain reaction (PCR) and a diagnosis of COVID-19 admitted to ICU between February 15th and May 15th, 2020. Results: 4994 patients from 280 ICUs in 46 countries were included. Included ICUs increased their total capacity from 4931 to 7630 beds, deploying personnel from other areas. Overall, 1986 (39.8%) patients were admitted to surge capacity beds. Invasive ventilation at admission was present in 2325 (46.5%) patients and was required during ICU stay in 85.8% of patients. 60-day mortality was 33.9% (IQR across units: 20%–50%) and ICU mortality 32.7%. Older age, invasive mechanical ventilation, and acute kidney injury (AKI) were associated with increased mortality. These associations were also confirmed specifically in mechanically ventilated patients. Admission to surge capacity beds was not associated with mortality, even after controlling for other factors. Conclusions: ICUs responded to the increase in COVID-19 patients by increasing bed availability and staff, admitting up to 40% of patients in surge capacity beds. Although mortality in this population was high, admission to a surge capacity bed was not associated with increased mortality. Older age, invasive mechanical ventilation, and AKI were identified as the strongest predictors of mortality
Ameliorative potential of Butea monosperma on chronic constriction injury of sciatic nerve induced neuropathic pain in rats
A unified approach for the formulation of interaction problems by the boundary element method
A unified formulation is presented, based on boundary element method, in a form suitable for performing the interaction analyses by substructure method for solid-solid and soil-structure problems. The proposed formulation permits the evaluation of all the elements of impedance and input motion matrices simultaneously at a single step in terms of system matrices of the boundary element method without solving any special problem, such as, unit displacement or load problem, as required in conventional methods. It eliminates further the complicated procedure and the need for using scattering analysis in the evaluation of input motion functions. To explain the formulation, it is first given for an inclusion interacting with an infinite surrounding medium under the influence of a seismic input, where both the inclusion and surrounding medium are treated as viscoelastic. It is shown that the formulation for a rigid inclusion may be obtained from that for flexible inclusion as a special case through a transformation. Then, the formulation is extended to other types of interaction problems: a multi-inclusion problem and an interaction problem involving a foundation embedded in a viscoelastic half-space. It is found that the proposed formulation remains essentially the same for all kinds of interaction problems and it can be used not only in regular interaction analysis, but also in the analysis involving diffraction of waves in a medium containing holes. Copyright (c) 2005 John Wiley & Sons, Ltd
Assessment of a continuum model proposed for the dynamic shear behaviour of multi-storey frames
The continuum model proposed in reference [1] for the dynamic shear behaviour of multi-storey frames is assessed by using an earthquake excitation. The time histories of the base storey shear force are determined from the continuum model of zeroth- and first-order theories and they are compared with those of the discrete model. It is found that even the zeroth-order theory is capable of predicting the earthquake behaviour of the frame correctly and that the first-order theory brings some minor corrections when the ground excitation contains high frequency components. It is found further that the use of the effective height for the frame in the continuum model, which was suggested in reference [1], improves the prediction of the theory greatly and that employing the continuum model, rather than the discrete model, reduces the computations significantly when the number of storeys is large. For the time integration of the equations of both discrete and continuum models a numerical algorithm based on the use of the FFT is employed. The results obtained in this study indicated that the proposed algorithm can be used reliably and effectively in structural dynamics. As a by-product of the analysis, a criterion determining an optimum number for the modes to be included in mode superposition analyses is also proposed. © 1988
TRANSIENT WAVE-PROPAGATION IN A VISCOELASTIC LAYERED COMPOSITE - AN APPROXIMATE THEORY
WOS: A1987G174600013
A mathematical model for the in-plane non-linear earthquake behaviour of unreinforced masonry walls. Part 2: Completion of the model
In this part, the parameter functions for clay brick masonry appearing in the non-linear model are established for the wall material used in the experiments by means of experimental data and a particular type of optimization. This special optimization makes use of the fact that the wall behaves linearly at the intensity level of each excitation, as described in Part 1, and involves matching in frequency space the experimental and theoretical complex frequency response functions relating the Fourier transforms of the top and base accelerations of the wall. It is found that the envelope curves for the parameter functions are bilinear and that the dynamic values of mechanical properties of masonry differ greatly from their static values. The completed model is appraised by comparing how the wall will respond to strong earthquake excitations when predicted using the model and how it actually responded on the shaking table. The predicted response is remarkably close to the experimental. Copyright © 1989 John Wiley & Sons, Lt
Transmitting boundary conditions suitable for analysis of dam-reservoir interaction and wave load problems
Transmitting boundary conditions (tbcs) are developed, suitable for both boundary and finite element analyses, for the radiation of waves propagating in horizontal direction along a compressible inviscid fluid layer. The derivation of the proposed tbcs uses a completely continuum approach and is based on the spectral properties of radiating waves. The formulation is presented in Fourier space and accommodates the effects due to surface waves, as well as, due to the radiation of waves in viscoelastic foundation. The proposed tbcs may be used in the analyses of both dam-reservoir systems and wave load problems of floating or submerged bodies. Here, for assessment, they are used in the analyses of two simple benchmark problems. The results indicate that, when used in conjunction with boundary element analysis, the proposed tbcs not only improve the prediction of BEM, but also reduce the computational load of the analysis. (C) 2003 Elsevier Science Inc. All rights reserved
A REFINED DYNAMIC THEORY FOR VISCOELASTIC CYLINDRICAL-SHELLS AND CYLINDRICAL LAMINATED COMPOSITES .1. GENERAL-THEORY
WOS: A1989U215100004
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