5 research outputs found
Relação das propriedades mecânicas e densidade de postes de madeira de eucalipto com seu estado de deterioração
Este trabalho apresenta correlações obtidas entre propriedades mecânicas, densidade e o estado de deterioração de postes de eucalipto novos e retirados de serviço. O estado de deterioração foi determinado por inspeções em campo de postes da rede de distribuição de energia elétrica no sul do Brasil. Postes em diferentes estados de deterioração foram retirados da rede para os ensaios de flexão estática e medidas de densidade. Os testes mecânicos indicaram que os valores médios da resistência a flexão e da rigidez decrescem com o estado de deterioração do eucalipto. Entretanto, verificou-se uma grande variação nessas medidas com diferentes classes de deterioração apresentando resistência mecânica residual similar. Esse comportamento pode ser explicado pela influência da densidade da madeira nas correlações entre propriedades mecânicas e o estado de deterioração dos postes. Madeiras menos densas podem apresentar baixa resistência mecânica residual mesmo sem apresentar sinais de deterioração. O estudo da caracterização da madeira de eucalipto indicou que o estado de deterioração avaliado pela inspeção em campo, por si só não é um bom indicativo para prever a durabilidade das estruturas de madeiras, fazendo-se necessária uma análise preliminar da densidade da mesma
Relação das propriedades mecânicas e densidade de postes de madeira de eucalipto com seu estado de deterioração Relationship between mechanical properties and density of the eucalyptus wood poles with their deterioration staturs
Este trabalho apresenta correlações obtidas entre propriedades mecânicas, densidade e o estado de deterioração de postes de eucalipto novos e retirados de serviço. O estado de deterioração foi determinado por inspeções em campo de postes da rede de distribuição de energia elétrica no sul do Brasil. Postes em diferentes estados de deterioração foram retirados da rede para os ensaios de flexão estática e medidas de densidade. Os testes mecânicos indicaram que os valores médios da resistência a flexão e da rigidez decrescem com o estado de deterioração do eucalipto. Entretanto, verificou-se uma grande variação nessas medidas com diferentes classes de deterioração apresentando resistência mecânica residual similar. Esse comportamento pode ser explicado pela influência da densidade da madeira nas correlações entre propriedades mecânicas e o estado de deterioração dos postes. Madeiras menos densas podem apresentar baixa resistência mecânica residual mesmo sem apresentar sinais de deterioração. O estudo da caracterização da madeira de eucalipto indicou que o estado de deterioração avaliado pela inspeção em campo, por si só não é um bom indicativo para prever a durabilidade das estruturas de madeiras, fazendo-se necessária uma análise preliminar da densidade da mesma.This paper presents the correlations obtained among mechanical properties, density and deterioration status of new eucalyptus poles and those removed from service. The deterioration status was determined in the field in sections of poles of the distribution of electric energy in southern Brazil. Poles in various status of deterioration were removed from the network for static bending tests and density measurements. The mechanical tests indicated that the average values of bending strength and stiffness decline with the deteriorating state of eucalyptus. However, there was a large variation in these measures with different classes of deterioration presenting similar residual mechanical strength. This behavior can be explained by the influence of wood density on the correlations between mechanical properties and the state of deterioration of the poles. Less dense woods can have residual mechanical strength low even without present signs of deterioration. The study of the characterization of eucalyptus wood indicated that the state of deterioration measured by field inspection alone is not a good indicator for predicting the durability of wood structures, making necessary a preliminary analysis of the density
Management of coronary disease in patients with advanced kidney disease
BACKGROUND Clinical trials that have assessed the effect of revascularization in patients with stable coronary disease have routinely excluded those with advanced chronic kidney disease. METHODS We randomly assigned 777 patients with advanced kidney disease and moderate or severe ischemia on stress testing to be treated with an initial invasive strategy consisting of coronary angiography and revascularization (if appropriate) added to medical therapy or an initial conservative strategy consisting of medical therapy alone and angiography reserved for those in whom medical therapy had failed. The primary outcome was a composite of death or nonfatal myocardial infarction. A key secondary outcome was a composite of death, nonfatal myocardial infarction, or hospitalization for unstable angina, heart failure, or resuscitated cardiac arrest. RESULTS At a median follow-up of 2.2 years, a primary outcome event had occurred in 123 patients in the invasive-strategy group and in 129 patients in the conservative-strategy group (estimated 3-year event rate, 36.4% vs. 36.7%; adjusted hazard ratio, 1.01; 95% confidence interval [CI], 0.79 to 1.29; P=0.95). Results for the key secondary outcome were similar (38.5% vs. 39.7%; hazard ratio, 1.01; 95% CI, 0.79 to 1.29). The invasive strategy was associated with a higher incidence of stroke than the conservative strategy (hazard ratio, 3.76; 95% CI, 1.52 to 9.32; P=0.004) and with a higher incidence of death or initiation of dialysis (hazard ratio, 1.48; 95% CI, 1.04 to 2.11; P=0.03). CONCLUSIONS Among patients with stable coronary disease, advanced chronic kidney disease, and moderate or severe ischemia, we did not find evidence that an initial invasive strategy, as compared with an initial conservative strategy, reduced the risk of death or nonfatal myocardial infarction
Health status after invasive or conservative care in coronary and advanced kidney disease
BACKGROUND In the ISCHEMIA-CKD trial, the primary analysis showed no significant difference in the risk of death or myocardial infarction with initial angiography and revascularization plus guideline-based medical therapy (invasive strategy) as compared with guideline-based medical therapy alone (conservative strategy) in participants with stable ischemic heart disease, moderate or severe ischemia, and advanced chronic kidney disease (an estimated glomerular filtration rate of <30 ml per minute per 1.73 m2 or receipt of dialysis). A secondary objective of the trial was to assess angina-related health status. METHODS We assessed health status with the Seattle Angina Questionnaire (SAQ) before randomization and at 1.5, 3, and 6 months and every 6 months thereafter. The primary outcome of this analysis was the SAQ Summary score (ranging from 0 to 100, with higher scores indicating less frequent angina and better function and quality of life). Mixed-effects cumulative probability models within a Bayesian framework were used to estimate the treatment effect with the invasive strategy. RESULTS Health status was assessed in 705 of 777 participants. Nearly half the participants (49%) had had no angina during the month before randomization. At 3 months, the estimated mean difference between the invasive-strategy group and the conservative-strategy group in the SAQ Summary score was 2.1 points (95% credible interval, 120.4 to 4.6), a result that favored the invasive strategy. The mean difference in score at 3 months was largest among participants with daily or weekly angina at baseline (10.1 points; 95% credible interval, 0.0 to 19.9), smaller among those with monthly angina at baseline (2.2 points; 95% credible interval, 122.0 to 6.2), and nearly absent among those without angina at baseline (0.6 points; 95% credible interval, 121.9 to 3.3). By 6 months, the between-group difference in the overall trial population was attenuated (0.5 points; 95% credible interval, 122.2 to 3.4). CONCLUSIONS Participants with stable ischemic heart disease, moderate or severe ischemia, and advanced chronic kidney disease did not have substantial or sustained benefits with regard to angina-related health status with an initially invasive strategy as compared with a conservative strategy