912 research outputs found
A Study on the Factors That Influence the Acoustic Performance of a Steel Stud Wall Assembly
With the recent introduction of light gauge steel framing systems in the concrete-dominated Korean construction industry, more buildings are built with drywall that is mainly composed of steel studs and gypsum boards. While load-bearing steel studs are extensively applied in residential construction, nonload-bearing steel studs are applied in various building fields such as commercial, educational, as well as residential. As building projects involving steel stud walls are becoming to increase, higher demands in performance are requested from architects and builders, especially in the field of sound performance. A series of acoustic test were performed in the nationally certified sound-testing laboratory at Korean Institute of Construction Technology (KICT) in order to evaluate and analyze factors that influence acoustic performance of steel stud wall assemblies. Factors affecting the acoustic performance of steel stud walls that are analyzed in this paper include among others, the composition and structure of steel studs, stud spacing, stud thickness, stud size, use of resilient channel, screw spacing, etc. Factors relating to gypsum boards that were tested as part of the evaluation of acoustic performance are not included in this paper. Results of this study, which is co-funded by 3 major gypsum board companies in Korea, are being used to develop stud wall assemblies that meet the required acoustic performance for unit-to-unit separating walls, as well as present architects and builders with a better understanding on the sound behavior of steel stud drywall
Surgical repair of descending thoracic and thoracoabdominal aortic aneurysm involving the distal arch: Open proximal anastomosis under deep hypothermia versus arch clamping technique
BackgroundSurgical repair of a descending thoracic and thoracoabdominal aortic aneurysm (DTA/TAAA) involving the distal arch is challenging and requires either deep hypothermic circulatory arrest (DHCA) or crossclamping of the distal arch. The aim of this study was to compare these 2 techniques in the treatment of DTA/TAAA involving the distal arch.MethodsFrom 1994 to 2012, 298 patients underwent open repair of DTA/TAAA through a left thoracotomy. One hundred seventy-four patients with distal arch involvement who were suitable for either DHCA (n = 81) or arch clamping (AC; n = 93), were analyzed. In-hospital outcomes were compared using propensity scores and inverse-probability-of-treatment weighting adjustment to reduce treatment selection bias.ResultsEarly mortality was 11.1% in the DHCA group and 8.6% in the AC group (P = .58). Major adverse outcomes included stroke in 16 patients (9.2%), low cardiac output syndrome in 15 (8.6%), paraplegia in 10 (5.7%), and multiorgan failure in 10 (5.7%). After adjustment, patients who underwent DHCA were at similar risk of death (odds ratio [OR], 1.14; P = .80) and permanent neurologic injury (OR, 0.95; P = .92) to those who underwent AC. Although prolonged ventilator support (>24 hours) was more frequent with DHCA than with AC (OR, 2.60; P = .003), DHCA showed a tendency to lower the risk of paraplegia (OR, 0.15; P = .057).ConclusionsCompared with AC, DHCA did not increase postoperative mortality and morbidity, except for prolonged ventilator support. However, DHCA may offer superior spinal cord protection to AC during repair of DTA/TAAA involving the distal arch
Hybrid Procedure for a Traumatic Aortic Rupture Consisting of Endovascular Repair and Minimally Invasive Arch Vessel Transposition without Sternotomy
Emergency surgical repair for acute traumatic aortic ruptures has been associated with a high peri-procedural mortality rate. Endovascular stent-grafting, as a less invasive procedure, has shown encouraging results. This report describes a patient with a short landing zone, who was treated by transposing the supra-aortic branch without sternotomy, followed by covered stent-grafting with an extended proximal bare portion to enhance fixation
Recommended from our members
Crystal structure of xenotropic murine leukaemia virus-related virus (XMRV) ribonuclease H
RNase H (retroviral ribonuclease H) cleaves the phosphate backbone of the RNA template within an RNA/DNA hybrid to complete the synthesis of double-stranded viral DNA. In the present study we have determined the complete structure of the RNase H domain from XMRV (xenotropic murine leukaemia virus-related virus) RT (reverse transcriptase). The basic protrusion motif of the XMRV RNase H domain is folded as a short helix and an adjacent highly bent loop. Structural superposition and subsequent mutagenesis experiments suggest that the basic protrusion motif plays a role in direct binding to the major groove in RNA/DNA hybrid, as well as in establishing the co-ordination among modules in RT necessary for proper function.Molecular and Cellular Biolog
- …