3 research outputs found
Structural Behavior of Composite Reinforced Ferrocement Plates
The results of an experimental investigation to examine the structural behavior of composite reinforced ferrocement concrete plates are presented in this paper. The precast permanent ferrocement forms are proposed as a viable alternative to the steel panels in some of its uses. The experimental program comprised casting and testing of eighteen reinforced ferrocement plates having the dimensions of 550mm width, 1100mm length and different thicknesses (60, 80,100) mm. Each control plate was reinforced with four steel bars of 6mm diameter at the bottom of the plate and six steel bars of 6mm diameter at the transverse direction. Two types of steel mesh were used to reinforce the ferrocement plates. These types are: galvanized welded wire mesh of size of opening 12.5x12.5mm, and (33 X 16.5mm) expanded metal wire mesh of diamond size 33x16.5mm. Single layer, double layers and three layers of each type of the steel mesh were employed. All specimens were tested under 3-lines flexural loadings. The flexural performances of the all tested plates in terms of strength, stiffness, cracking behavior, ductility and energy absorption properties were investigated. The results showed that high serviceability and ultimate loads, crack resistance control, and good energy absorption properties could be achieved by using the developed ferrocement plates.
Ventilatory capacity in CLAD is driven by dysfunctional airway structure
Background:
Chronic lung allograft dysfunction (CLAD) encompasses three main phenotypes: bronchiolitis obliterans syndrome (BOS), restrictive allograft syndrome (RAS) and a Mixed phenotype combining both pathologies. How the airway structure in its entirety is affected in these phenotypes is still poorly understood.
Methods:
A detailed analysis of airway morphometry was applied to gain insights on the effects of airway remodelling on the distribution of alveolar ventilation in end-stage CLAD. Ex vivo whole lung μCT and tissue-core μCT scanning of six control, six BOS, three RAS and three Mixed explant lung grafts (9 male, 9 female, 2014–2021, Leuven, Belgium) were used for digital airway reconstruction and calculation of airway dimensions in relation to luminal obstructions.
Findings:
BOS and Mixed explants demonstrated airway obstructions of proximal bronchioles (starting at generation five), while RAS explants particularly had airway obstructions in the most distal bronchioles (generation >12). In BOS and Mixed explants 76% and 84% of bronchioles were obstructed, respectively, while this was 22% in RAS. Bronchiolar obstructions were mainly caused by lymphocytic inflammation of the airway wall or fibrotic remodelling, i.e. constrictive bronchiolitis. Proximal bronchiolectasis and imbalance in distal lung ventilation were present in all CLAD phenotypes and explain poor lung function and deterioration of specific lung function parameters.
Interpretation:
Alterations in the structure of conducting bronchioles revealed CLAD to affect alveolar ventilatory distribution in a regional fashion. The significance of various obstructions, particularly those associated with mucus, is highlighted
Ventilatory capacity in CLAD is driven by dysfunctional airway structureResearch in context
Summary: Background: Chronic lung allograft dysfunction (CLAD) encompasses three main phenotypes: bronchiolitis obliterans syndrome (BOS), restrictive allograft syndrome (RAS) and a Mixed phenotype combining both pathologies. How the airway structure in its entirety is affected in these phenotypes is still poorly understood. Methods: A detailed analysis of airway morphometry was applied to gain insights on the effects of airway remodelling on the distribution of alveolar ventilation in end-stage CLAD. Ex vivo whole lung μCT and tissue-core μCT scanning of six control, six BOS, three RAS and three Mixed explant lung grafts (9 male, 9 female, 2014–2021, Leuven, Belgium) were used for digital airway reconstruction and calculation of airway dimensions in relation to luminal obstructions. Findings: BOS and Mixed explants demonstrated airway obstructions of proximal bronchioles (starting at generation five), while RAS explants particularly had airway obstructions in the most distal bronchioles (generation >12). In BOS and Mixed explants 76% and 84% of bronchioles were obstructed, respectively, while this was 22% in RAS. Bronchiolar obstructions were mainly caused by lymphocytic inflammation of the airway wall or fibrotic remodelling, i.e. constrictive bronchiolitis. Proximal bronchiolectasis and imbalance in distal lung ventilation were present in all CLAD phenotypes and explain poor lung function and deterioration of specific lung function parameters. Interpretation: Alterations in the structure of conducting bronchioles revealed CLAD to affect alveolar ventilatory distribution in a regional fashion. The significance of various obstructions, particularly those associated with mucus, is highlighted. Funding: This research was funded with the National research fund Flanders (G060322N), received by R.V