Correlation of Human Arterial Morphology With Hemodynamic Measurements in Arterial Casts

1981 ◽  
Vol 103 (3) ◽  
pp. 204-207 ◽  
Author(s):  
M. H. Friedman ◽  
G. M. Hutchins ◽  
C. B. Bargeron ◽  
O. J. Deters ◽  
F. F. Mark

A realistic pulsatile flow was passed through a cast of the aortic bifurcation of a 63-yr-old male with mild atherosclerosis, and a laser Doppler anemometer was used to measure fluid velocities in the cast at 15 selected sites near the lateral and medial walls. Intimal, medial and adventitial thicknesses were measured and sudanophilia was scored at corresponding sites in the vessel from which the cast had been made. A negative correlation was found between intimal thickness (IT) and wall shear rate. The strongest negative correlation (p<0.005) was between IT and “pulse shear rate” (PSR), defined by analogy with pulse pressure. Sudanophilia also correlated negatively with PSR (p<0.01). Medial thickness correlated positively with shear rate, and most strongly with the mean (i.e., time-average) rate (p<0.005). From an analysis of the fluid mechanical data, it appears possible to separate the effects of bifurcation geometry and the shape of the arterial cross section on inter facial shear.

1995 ◽  
Vol 117 (2) ◽  
pp. 219-223 ◽  
Author(s):  
Barry D. Kuban ◽  
Morton H. Friedman

A realistically compliant flow-through cast of a human aortic bifurcation was perfused with two almost identical physiological flow waves differing in pulsatile frequency. Near-wall fluid velocities were measured with a laser Doppler velocimeter at 14 sites along the flow divider and the lateral walls of the aorta and iliac arteries. The wall position at each site was tracked using a linescan camera. The temporal wall shear rate at each site was then calculated from the near-wall velocity profile and the instantaneous wall position. Increasing the frequency reduced the oscillatory component of shear rate at sites where it was greater than average, and increased it at sites where it was less, effectively reducing its site to site variability. Pulsatile frequency had no significant effect on mean shear rate at most sites. The phase shift between wall shear and radial strain was governed by the phase of the shear, and was linearly related to the extent of site dependent shear reversal The mean shear rate was inversely related to the extent of shear reversal. If atherosclerotic development depends chiefly on mean shear rate, heart rate would not be expected to affect susceptibility, however, if only the wall sites experiencing the lowest maximum shears are vulnerable, then the effect of increasing the heart rate would seem to be beneficial.


1987 ◽  
Vol 88 (1) ◽  
pp. 73-80
Author(s):  
M. Hola ◽  
P.A. Riley

Genealogies of a line of mammalian epithelial cells (GPK) have been constructed from time-lapse film of monolayer cultures and measurements made of initial (post-divisional) cell size, final (pre-divisional) cell size and interdivision time (IDT). The mean initial cell volume was 2696 +/− 404 (S.D.) micron3, the mean final volume was 5247 +/− 696 micron3 and the mean IDT was 985 +/− 84 min. Cell size regulation must be by modulation of either the growth rate or the length of the growth period. Increase in size was strongly correlated with the average rate of growth (increase in volume per unit time) (R = 0.94, P much less than 0.001), whilst no correlation was found between increase in size and IDT. Although a negative correlation was found between initial volume and IDT (P less than 0.02), this appeared to be due to differences in IDT between sister cells being correlated with differences in their initial volumes (P less than 0.02), as indicated by the lack of correlation between mean sister IDT and mean sister initial volume. The regulatory effect of growth rate was demonstrated by a negative correlation between growth rate and the initial volume of the cell (P less than 0.005), which is independent of differences between siblings. The mean growth rate of sibling cells was found to be negatively correlated with both the maternal growth rate (P less than 0.01) and the maternal volume increase (P less than 0.005). This implies that the growth rate of division products (which manifest similar growth rates) is influenced by the growth of the progenitor cell.


2017 ◽  
pp. 88-92
Author(s):  
Van Hien Pham ◽  
Huu Vu Quang Nguyen ◽  
Tam Vo

Background: Cardiovascular diseases are the leading cause of death in patients with chronic renal failure. When a patient undergoes dialysis, making AVF or AVG causes cardiovascular events. Understanding the relationship between complications: hypertension, heart failure, AVF or AVG (formation time, position, diameter) helps us monitor, detect, prevent and treatment of complications to limit the risk of death in patients with dialysis. Objective: Relationship between cardiovascular diseases and anatomosis of arteriovenous fistular in patients with regularly hemodialysis at Cho Ray Hospital. Methods: A cross-sectional study was conducted at Cho Ray Hospital from 2015 to 2016. The survey some cardiovascular diseases are done by clinical examination, tests for diagnostic imaging such as X-ray, electrocardiogram and echocardiogram: heart and diameter of anastomosis AVF, AVG. Results: The study population included 303 patients with chronic renal failure who were dialysis. Of which, patients aged 25-45 accounted for the highest proportion (43.9%). The proportion of male and female patients was similar (48.5% and 51.5% respectively). The mean value of systolic blood pressure on patients made AVF, AVG less than 12 months is higher than patients made AVF, AVG over 12 months, and there is negative correlation (r = -0.43) between AVF, AVG and systolic blood pressure (p <0.05). The mean value of diastolic blood pressure on patients made AVF, AVG less than 12 months is lower than patients made AVF, AVG over 12 months, and and there is positive correlation (r = -0.43) between AVF, AVG and diastolic blood pressure (p <0.05) (p <0.05). The prevalence of patients with heart failure made AVF, AVG over 12 months is higher than that of the under 12 months group, there is a negative correlation (r = - 0.43) between AVF, AVG diameter and EF index (p <0.05). Conclusion: It is important to note the diameter of anastomosis AVF, AVG in patients with chronic renal failure dialysis to limit cardiovascular complications, especially heart failure. Key words: Chronic kidney disease, hemodialysis.


Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Sheilla Achieng ◽  
John A Reynolds ◽  
Ian N Bruce ◽  
Marwan Bukhari

Abstract Background/Aims  We aimed to establish the validity of the SLE-key® rule-out test and analyse its utility in distinguishing systemic lupus erythematosus (SLE) from other autoimmune rheumatic connective tissue diseases. Methods  We used data from the Lupus Extended Autoimmune Phenotype (LEAP) study, which included a representative cross-sectional sample of patients with a variety of rheumatic connective tissue diseases, including SLE, mixed connective tissue disease (MCTD), inflammatory myositis, systemic sclerosis, primary Sjögren’s syndrome and undifferentiated connective tissue disease (UCTD). The modified 1997 ACR criteria were used to classify patients with SLE. Banked serum samples were sent to Immune-Array’s CLIA- certified laboratory Veracis (Richmond, VA) for testing. Patients were assigned test scores between 0 and 1 where a score of 0 was considered a negative rule-out test (i.e. SLE cannot be excluded) whilst a score of 1 was assigned for a positive rule-out test (i.e. SLE excluded). Performance measures were used to assess the test’s validity and measures of association determined using linear regression and Spearman’s correlation. Results  Our study included a total of 155 patients of whom 66 had SLE. The mean age in the SLE group was 44.2 years (SD 13.04). 146 patients (94.1%) were female. 84 (54.2%) patients from the entire cohort had ACR SLE scores of ≤ 3 whilst 71 (45.8%) had ACR SLE scores ≥ 4. The mean ACR SLE total score for the SLE patients was 4.85 (SD 1.67), ranging from 2 to 8, with mean disease duration of 12.9 years. The Sensitivity of the SLE-Key® Rule-Out test in diagnosing SLE from other connective tissue diseases was 54.5%, specificity was 44.9%, PPV 42.4% and NPV 57.1 %. 45% of the SLE patients had a positive rule-out test. SLE could not be ruled out in 73% of the MCTD patients whilst 51% of the UCTD patients had a positive Rule-Out test and &gt;85% of the inflammatory myositis patients had a negative rule-out test. ROC analysis generated an AUC of 0.525 illustrating weak class separation capacity. Linear regression established a negative correlation between the SLE-key Rule-Out score and ACR SLE total scores. Spearman’s correlation was run to determine the relationship between ACR SLE total scores and SLE-key rule-out score and showed very weak negative correlation (rs = -0.0815, n = 155, p = 0.313). Conclusion  Our findings demonstrate that when applied in clinical practice in a rheumatology CTD clinic setting, the SLE-key® rule-out test does not accurately distinguish SLE from other CTDs. The development of a robust test that could achieve this would be pivotal. It is however important to highlight that the test was designed to distinguish healthy subjects from SLE patients and not for the purpose of differentiating SLE from other connective tissue diseases. Disclosure  S. Achieng: None. J.A. Reynolds: None. I.N. Bruce: Other; I.N.B is a National Institute for Health Research (NIHR) Senior Investigator and is funded by the NIHR Manchester Biomedical Research Centre. M. Bukhari: None.


2021 ◽  
Vol 22 (15) ◽  
pp. 8256
Author(s):  
Adolfas K. Gaigalas ◽  
Yu-Zhong Zhang ◽  
Linhua Tian ◽  
Lili Wang

A stochastic model of the flow cytometer measurement process was developed to assess the nature of the observed coefficient of variation (CV%) of the mean fluorescence intensity (MFI) from a population of labeled microspheres (beads). Several sources of variability were considered: the total number of labels on a bead, the path through the laser beam, the optical absorption cross-section, the quantum yield, the numerical aperture of the collection optics, and the photoelectron conversion efficiency of the photomultiplier (PMT) cathode. The variation in the number of labels on a bead had the largest effect on the CV% of the MFI of the bead population. The variation in the path of the bead through the laser beam was minimized using flat-top lasers. The variability in the average optical properties of the labels was of minor importance for beads with sufficiently large number of labels. The application of the bead results to the measured CV% of labeled B cells indicated that the measured CV% was a reliable measure of the variability of antibodies bound per cell. With some modifications, the model can be extended to multicolor flow cytometers and to the study of CV% from cells with low fluorescence signal.


1984 ◽  
Vol 106 (1) ◽  
pp. 252-257 ◽  
Author(s):  
D. E. Metzger ◽  
C. S. Fan ◽  
S. W. Haley

Modern high-performance gas turbine engines operate at high turbine inlet temperatures and require internal convection cooling of many of the components exposed to the hot gas flow. Cooling air is supplied from the engine compressor at a cost to cycle performance and a design goal is to provide necessary cooling with the minimum required cooling air flow. In conjunction with this objective, two families of pin fin array geometries which have potential for improving airfoil internal cooling performance were studied experimentally. One family utilizes pins of a circular cross section with various orientations of the array with respect to the mean flow direction. The second family utilizes pins with an oblong cross section with various pin orientations with respect to the mean flow direction. Both heat transfer and pressure loss characteristics are presented. The results indicate that the use of circular pins with array orientation between staggered and inline can in some cases increase heat transfer while decreasing pressure loss. The use of elongated pins increases heat transfer, but at a high cost of increased pressure loss. In conjunction with the present measurements, previously published results were reexamined in order to estimate the magnitude of heat transfer coefficients on the pin surfaces relative to those of the endwall surfaces. The estimate indicates that the pin surface coefficients are approximately double the endwall values.


A theory is developed which describes the scattering of radio waves by the random thermal fluctuations of electron density in a collision-free plasma. The frequency spectrum, as well as the amplitude, of the scattered radiation is calculated. Particular attention is paid to the part of the spectrum which corresponds to small Doppler shifts, this being the region of greatest significance in connexion with the phenomenon of incoherent scattering from the ionosphere. The calculations are based on a generalized version of Nyquist’s noise theorem, and they lead to the following conclusions: (1) The mean scattering cross-section for the ionosphere is equal to that which would exist if each of the electrons scattered independently with a cross-section of one-half the classical Thomson cross-section. (2) The mean Doppler broadening of the scattered signal corresponds roughly to the speed of the ions rather than to that of the electrons. (3) The spectral shape of this signal is not Gaussian. There is a mild maximum in the spectrum away from the central frequency, as can be seen in figure 1. (4) Plasma resonance effects contribute only negligibly to the scattering for frequencies currently of interest.


2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
A Nandi ◽  
N Obiechina ◽  
A Timperley ◽  
F Al-Khalidi

Abstract Introduction Spine and hip bone mineral density (BMD) have previously been shown to predict the risk of sustaining future fractures. Although these have been shown in population studies, there is a paucity of trials looking at the relationship between BMD and 10 year probability of major osteoporotic fractures (Using FRAX UK without BMD) in patients with previous fragility fractures. Aims To evaluate the correlation between spinal T-score and an absolute 10 year probability of sustaining a major osteoporotic fracture (using FRAX without BMD) in patients with prior fragility fractures. Methods A retrospective cross-sectional analysis of 202 patients (29 males and 173 females) with prior fragility fractures attending a fracture prevention clinic between January and August 2019 was performed. Patients with pathological and high impact traumatic fractures were excluded. The BMD at the spine was determined using the lowest T-score of the vertebrae from L1 to L4. Using the FRAX (UK) without BMD, the absolute 10 year probability of sustaining a major osteoporotic fracture was calculated for each patient. Statistical analysis was performed using SPSS 26 software. Results The mean T-score at the spine was −1.15 (SD +/− 1.90) for all patients, −0.68 (SD +/− 0.45) for males and − 1.23 (SD +/− 0.14) for females. The mean FRAX score without BMD for major osteoporotic fracture was 18.5% (SD +/− 8.84) for all patients, 11.41% (SD +/−0.62) and 19.7% (SD +/−0.68) for males and females respectively. Pearson correlation coefficient showed a statistically significant, slightly negative correlation between spinal T- score and the FRAX (UK) without BMD (r = −0.157; p &lt; 0.05). Correlation was not statistically significant when males (r = 0.109; p = 0.59) and females (r = 0.148; p = 0.053) were considered independently. Conclusion In patients with prior fragility fracture spinal BMD has a statistically significant negative correlation with an absolute 10 year probability of sustaining a major osteoporotic fracture.


1976 ◽  
Vol 74 (1) ◽  
pp. 59-79 ◽  
Author(s):  
T. J. Pedley

The viscous boundary layer on a finite flat plate in a stream which reverses its direction once (at t = 0) is analysed using an improved version of the approximate method described earlier (Pedley 1975). Long before reversal (t < −t1), the flow at a point on the plate will be quasi-steady; long after reversal (t > t2), the flow will again be quasi-steady, but with the leading edge at the other end of the plate. In between (−t1 < t < t2) the flow is governed approximately by the diffusion equation, and we choose a simple solution of that equation which ensures that the displacement thickness of the boundary layer remains constant at t = −t1. The results of the theory, in the form of the wall shear rate at a point as a function of time, are given both for a uniformly decelerating stream, and for a sinusoidally oscillating stream which reverses its direction twice every cycle. The theory is further modified to cover streams which do not reverse, but for which the quasi-steady solution breaks down because the velocity becomes very small. The analysis is also applied to predict the wall shear rate at the entrance to a straight pipe when the core velocity varies with time as in a dog's aorta. The results show positive and negative peak values of shear very much larger than the mean. They suggest that, if wall shear is implicated in the generation of atherosclerosis because it alters the permeability of the wall to large molecules, then an appropriate index of wall shear at a point is more likely to be the r.m.s. value than the mean.


1965 ◽  
Vol 7 (1) ◽  
pp. 1-7 ◽  
Author(s):  
P. J. Baker

This paper presents the results of heat transfer measurements taken on a two-dimensional supersonic parallel diffuser. The wall static pressure distributions and the corresponding heat transfer coefficients and fluxes have been measured for a range of initial total pressures. The effects of varying the area of the diffuser cross-section for the same upstream generating nozzle have also been studied. Mach number profiles measured at sections along the diffuser show that in the presence of shock waves and a positive pressure gradient the flow is very much underdeveloped. In general, the mean level of heat transfer is found to be much greater than that predicted by conventional empirical equations for subsonic pipe flows with zero pressure gradient. Further, on comparison between normal and oblique shock diffusion the former is found to give the higher level of heat transfer.


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