Effect of pulse shape on critical values of short-term external pressure for a cylindrical shell

1985 ◽  
Vol 21 (4) ◽  
pp. 319-325 ◽  
Author(s):  
I. Ya. Amiro
2021 ◽  
pp. 1-8
Author(s):  
Hao You ◽  
Xing Fan ◽  
Jiajia Liu ◽  
Dongze Guo ◽  
Zhibao Li ◽  
...  

OBJECTIVE The current study investigated the correlation between intraoperative motor evoked potential (MEP) and somatosensory evoked potential (SSEP) monitoring and both short-term and long-term motor outcomes in aneurysm patients treated with surgical clipping. Moreover, the authors provide a relatively optimal neurophysiological predictor of postoperative motor deficits (PMDs) in patients with ruptured and unruptured aneurysms. METHODS A total of 1017 patients (216 with ruptured aneurysms and 801 with unruptured aneurysms) were included. Patient demographic characteristics, clinical features, intraoperative monitoring data, and follow-up data were retrospectively reviewed. The efficacy of using changes in MEP/SSEP to predict PMDs was assessed using binary logistic regression analysis. Subsequently, receiver operating characteristic curve analysis was performed to determine the optimal critical value for duration of MEP/SSEP deterioration. RESULTS Both intraoperative MEP and SSEP monitoring were significantly effective for predicting short-term (p < 0.001 for both) and long-term (p < 0.001 for both) PMDs in aneurysm patients. The critical values for predicting short-term PMDs were amplitude decrease rates of 57.30% for MEP (p < 0.001 and area under the curve [AUC] 0.732) and 64.10% for SSEP (p < 0.001 and AUC 0.653). In patients with an unruptured aneurysm, the optimal critical values for predicting short-term PMDs were durations of deterioration of 17 minutes for MEP (p < 0.001 and AUC 0.768) and 21 minutes for SSEP (p < 0.001 and AUC 0.843). In patients with a ruptured aneurysm, the optimal critical values for predicting short-term PMDs were durations of deterioration of 12.5 minutes for MEP (p = 0.028 and AUC 0.706) and 11 minutes for SSEP (p = 0.043 and AUC 0.813). CONCLUSIONS The authors found that both intraoperative MEP and SSEP monitoring are useful for predicting short-term and long-term PMDs in patients with unruptured and ruptured aneurysms. The optimal intraoperative neuromonitoring method for predicting PMDs varies depending on whether the aneurysm has ruptured or not.


2017 ◽  
Vol 60 (4) ◽  
pp. 508-513 ◽  
Author(s):  
V. N. Bakulin ◽  
E. N. Volkov ◽  
A. I. Simonov

1971 ◽  
Vol 93 (4) ◽  
pp. 998-1006
Author(s):  
H. S. Ho ◽  
D. P. Updike

Equations describing the stress field and velocity field occurring in a circular cylindrical shell at plastic collapse are derived corresponding to stress states lying on each face of a yield surface for a uniform shell of material obeying the Tresca yield condition. They are then applied to the case of a shell under combined axisymmetric loadings (moment, shear force, and axial force) at one end and uniform internal or external pressure on the lateral surface. For a sufficiently long shell, complete solutions are obtained for a fixed far end, and for a certain range of values of axial force and pressure, they are obtained for a free far end. All the solutions are represented by either closed form or by quadratures. It is shown that in many cases the radial velocity field is proportional to the shear force.


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