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Review of devices and clinical need for non-blood contacting mechanical circulatory support 非血液接触式机械循环支持设备及临床需求综述
Pub Date : 2022-12-01 DOI: 10.1016/j.apples.2022.100122
Shannon N. Ingram , Melanie P. Hager , Michael R. Moreno , John C. Criscione

LVADs have been in clinical use for a half-century and have advanced through at least 3 generations resulting in compact, durable, and powerful pumps that can deliver blood flow that exceeds the needs of the body at rest. In so doing, these devices have become the best alternative to transplant for patients with end-stage heart failure. That said, the blood contacting interface of these pumps is likely the cause of complications and contraindications that persist with successive generations. Patients with elevated risk for side effects or patients with biventricular failure and other conditions represent the 25% of patients that are not candidates for LVAD therapy. Such patients represent the clinical need for non-blood contacting mechanical circulatory support. The clinical use of direct cardiac compression devices is limited, and there are no devices available for human use. Technological challenges remain, yet these devices continue to be developed and tested in animal models of heart failure.

lvad已经在临床上使用了半个世纪,并且已经发展了至少三代,产生了紧凑,耐用,强大的泵,可以提供超过身体休息需要的血液流量。这样,这些装置已经成为终末期心力衰竭患者移植的最佳选择。也就是说,这些泵的血液接触界面可能是导致并发症和禁忌症的原因,这些并发症和禁忌症会持续几代人。副作用风险较高的患者或双心室衰竭和其他情况的患者占25%,不适合LVAD治疗。这类患者代表临床需要非血液接触机械循环支持。直接心脏压迫装置的临床使用是有限的,并且没有可供人类使用的装置。技术挑战依然存在,但这些设备仍在继续开发并在心力衰竭的动物模型中进行测试。
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引用次数: 1
Thermal-structural reduced order models for unsteady/dynamic response of heated structures in large deformations 大变形加热结构非定常/动力响应的热结构降阶模型
Pub Date : 2022-12-01 DOI: 10.1016/j.apples.2022.100119
Andrew Matney , Ricardo Perez , Pengchao Song , X.Q. Wang , Marc P. Mignolet , S. Michael Spottswood

This paper focuses on applications of recently developed thermoelastic reduced order models (ROMs) for the geometrically nonlinear response and temperature of heated structures. In these ROMs, both displacements and temperature fields with respect to the undeformed, unheated configuration are expressed in a reduced order modeling format, i.e., as modal-type expansions of the spatial and temporal variables with constant basis functions. Accordingly, the time varying generalized coordinates of the response and temperature expansions satisfy a generic set of coupled nonlinear differential equations derived from finite deformations thermoelasticity using a Galerkin approach. Finally, the coefficients of these governing equations, which characterize the structure considered and its loading conditions, are determined from structural and thermal finite element models non intrusively so that commercial finite element software can be used. This approach is considered here for the prediction of the displacements and stress fields in the presence of unsteady temperature distributions to enrich previous investigations limited to steady temperature distributions. Specifically considered here are: (i) a panel undergoing rapid heating and (ii) an oscillating flux on a panel. These problems not only demonstrate the extension of the thermal-structural reduced order framework to unsteady problems but also show the importance of the selection of the basis functions. It is also noted that the temperature dependence of the linear stiffness coefficients on temperature can induce in the unsteady situation the existence of a parametric-type excitation of the structure. This behavior is studied in the oscillating flux example and a strong sub-harmonic resonance is in particular found. The computational benefit of using ROMs is discussed and demonstrated.

本文重点介绍了热弹性降阶模型(ROMs)在加热结构几何非线性响应和温度方面的应用。在这些rom中,相对于未变形、未加热结构的位移和温度场都以降阶建模格式表示,即作为具有恒定基函数的空间和时间变量的模态型展开。因此,响应和温度展开式的时变广义坐标满足用伽辽金方法从有限变形热弹性中导出的一组耦合非线性微分方程。最后,这些控制方程的系数,表征所考虑的结构及其加载条件,由结构和热有限元模型非侵入性地确定,以便商业有限元软件可以使用。本文将这种方法用于非稳态温度分布下的位移和应力场预测,以丰富以往仅限于稳态温度分布的研究。这里具体考虑的是:(i)经历快速加热的面板和(ii)面板上的振荡通量。这些问题不仅证明了热结构降阶框架在非定常问题上的推广,而且表明了基函数选择的重要性。同时指出,在非定常情况下,线性刚度系数对温度的温度依赖性会导致结构存在参数型激励。在振荡磁通的例子中研究了这种行为,特别发现了强次谐波共振。讨论并论证了使用rom的计算效益。
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引用次数: 1
2D and 3D in-Vitro models for mimicking cardiac physiology 用于模拟心脏生理的2D和3D体外模型
Pub Date : 2022-12-01 DOI: 10.1016/j.apples.2022.100115
Gerges Abdelsayed , Danish Ali , Andrew Malone , Jemil Saidi , Manoj Myneni , Keshava Rajagopal , Faisal H. Cheema , Aamir Hameed

Cardiovascular diseases are the leading cause of morbidity and mortality and a huge economic burden on the healthcare system globally. Both pharmacological and device based treatment options have emerged over the years, however, it is still a ‘holy grail’ to effectively treat some cardiovascular conditions, for example, heart failure. Any treatment option whether it is drug therapy or a device therapy, has to go through a rigorous regulatory approval process. This requires robust pre-clinical research and clinical trial results. In order to proceed to the clinical trials, pre-clinical research is very important and may take methodologies which are at the interface of biology and engineering, for example, in-vitro, ex-vivo and in-vivo models. This paper focusses on the 2D and 3D in-vitro models to mimic the pathophysiology of a specific cardiovascular disease and their advantages and limitations.

心血管疾病是发病率和死亡率的主要原因,也是全球卫生保健系统的巨大经济负担。近年来,药物治疗和器械治疗都出现了,然而,有效治疗一些心血管疾病,例如心力衰竭,仍然是一个“圣杯”。任何治疗选择,无论是药物治疗还是设备治疗,都必须经过严格的监管批准程序。这需要强有力的临床前研究和临床试验结果。为了进行临床试验,临床前研究非常重要,可能采用生物学和工程学相结合的方法,例如体外、离体和体内模型。本文重点介绍了用于模拟特定心血管疾病病理生理的2D和3D体外模型及其优点和局限性。
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引用次数: 3
A model for multiphase moisture and heat transport below and above the saturation point of deformable and swelling wood fibers-II: Hygro-mechanical response 变形和膨胀木纤维饱和点以下和饱和点以上的多相湿热输送模型- ii:水力学响应
Pub Date : 2022-12-01 DOI: 10.1016/j.apples.2022.100118
Winston Mmari, Björn Johannesson

A non-linear elastic constitutive model for a swelling/shrinking orthotropic wood matrix is proposed. The model is thermodynamically consistent, derived based on the principles of continuum mechanics and the hybrid mixture theory. Moisture induced strains are introduced considering finite deformations by assuming a multiplicative split of the deformation gradient tensor into a swelling and an elastic part. Novel definitions of the Cauchy stress tensor and the moisture-dependent elastic material tangent matrix are obtained. The model is coupled to a multi-phase transient mass and heat transport model developed in Part I of this work. In this part of the work 2-D and 3-D test examples are used to describe the ability of the model to simulate moisture-induced distortions when drying wood within the hygroscopic and also from the over-hygroscopic moisture ranges. Despite deriving the model considering wood, the obtained constitutive relations can be suitably adopted to other orthotropic porous materials displaying properties similar to that of wood.

提出了一种膨胀/收缩正交各向异性木材基体的非线性弹性本构模型。该模型是基于连续介质力学原理和混合动力理论推导的热力学一致性模型。通过假设变形梯度张量的乘法分裂为膨胀部和弹性部,引入了考虑有限变形的湿致应变。给出了柯西应力张量和与水分相关的弹性材料切矩阵的新定义。该模型与本工作第一部分中开发的多相瞬态质量和热传递模型相耦合。在这部分工作中,二维和三维测试实例用于描述模型在吸湿和过度吸湿湿度范围内干燥木材时模拟水分引起的变形的能力。尽管推导了考虑木材的模型,但所得到的本构关系也适用于其他具有与木材相似性能的正交各向异性多孔材料。
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引用次数: 0
Engineered tissue vascular grafts: Are we there yet? 工程组织血管移植:我们成功了吗?
Pub Date : 2022-12-01 DOI: 10.1016/j.apples.2022.100114
Joao S. Soares , Sarah K. Saunders , Federica Potere , Stefano Toldo , Antonio Abbate

Over the last 20 years, a diverse number of different approaches have been explored in trying to produce engineered tissue vascular grafts (ETVGs). If successful, this alternative source of living vascular conduits with the ability to grow, remodel, and self-repair could revolutionize vascular surgery by relieving the limiting need for autologous grafts or providing substantial benefit and improved performance over their synthetic counterparts. However, despite tissue engineering being one of the hottest topics in biotechnology in the last three decades, it is generally acknowledged that the field's performance and its potential clinical translation have been somewhat disappointing. Pilot studies with ETVGs in animal models and preclinical human trials have been encouraging, but our understanding of the design requirements for ETVGs, how to effectively create them, and how to direct ETVG integration once implanted must be improved. This article reviews the current state-of-the-art of ETVGs with emphasis on the different manufacturing approaches explored in the past and challenges encountered and tackled, with particular focus on ETVGs that are very close to making a clinical impact and may potentially begin a new era of therapy for vascular disease.

在过去的20年里,已经探索了多种不同的方法来尝试生产工程组织血管移植物(etvg)。如果成功,这种具有生长、重塑和自我修复能力的活血管导管的替代来源可能会通过减轻对自体移植物的有限需求,或提供实质性的好处,并提高其合成同类的性能,从而彻底改变血管手术。然而,尽管组织工程在过去三十年中是生物技术中最热门的话题之一,但人们普遍认为该领域的表现及其潜在的临床转化有些令人失望。ETVG在动物模型和临床前人体试验中的初步研究令人鼓舞,但我们对ETVG的设计要求,如何有效地创建它们,以及如何指导ETVG植入后的整合的理解必须改进。本文回顾了目前etvg的最新技术,重点介绍了过去探索的不同制造方法以及遇到和解决的挑战,特别关注了即将产生临床影响并可能开启血管疾病治疗新时代的etvg。
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引用次数: 3
A model for multiphase moisture and heat transport below and above the saturation point of deformable and swelling wood fibers – I: Mass transport 可变形和膨胀木纤维饱和点以下和以上的多相湿热传输模型- 1:质量传输
Pub Date : 2022-12-01 DOI: 10.1016/j.apples.2022.100117
Winston Mmari, Björn Johannesson

A thermodynamically consistent model for heat and mass transfer in deformable wood fibers is developed. The hybrid mixture theory is used to model the material as a mixture of three phases, consisting of a solid, a liquid and a gas phase. The solid phase consists of dry fibers and bound water constituents, whereas the gas phase has dry air and water vapor constituents. Emphasis is put on the mass flow and mass exchange of moisture in the material both below and above the saturation point of the solid wood fibers. Generalized forms of Fick’s, Darcy’s and Fourier’s laws are derived, and the chemical potential is used as a driving force for mass flow. Mass exchange due to sorption and evaporation/condensation processes is implemented in the model, where hysteretic properties both within and above the hygroscopic moisture range are described using Frandsen’s hysteresis model. Moisture induced swelling/shrinkage is included where the porosity of the material can vary. A large strain setting formulated for general orthotropy is adopted for the mechanical deformations. To show the performance of the resulting model, it is implemented in a finite element method framework and used to simulate the processes of heat and moisture transport dynamics of a wood sample subjected to drying from an over-hygroscopic moisture state.

建立了可变形木纤维传热传质的热力学一致模型。杂化混合理论将材料建模为由固相、液相和气相组成的三相混合物。固相由干燥的纤维和结合水组分组成,而气相则有干燥的空气和水蒸气组分。重点放在实木纤维饱和点以下和以上的材料中水分的质量流动和质量交换上。推导了菲克定律、达西定律和傅立叶定律的广义形式,并将化学势作为质量流的驱动力。由于吸附和蒸发/冷凝过程引起的质量交换在模型中实现,其中在吸湿范围内和以上的滞回特性使用Frandsen滞回模型描述。湿气引起的膨胀/收缩包括在材料的孔隙率可以变化的地方。机械变形采用一般正交异性的大应变设置。为了显示所得到的模型的性能,它在有限元方法框架中实现,并用于模拟从过度吸湿状态干燥的木材样品的热量和水分传输动力学过程。
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引用次数: 0
Placenta as a source for progenitor cells for cardiac cell-based therapies 胎盘作为心脏细胞治疗的祖细胞来源
Pub Date : 2022-09-01 DOI: 10.1016/j.apples.2022.100110
Sirisha Emani , Xiaoli Liu , Michelle Mulonea , Louise E. Wilkins-Haug , Mark A Perrella , Sitaram M. Emani

Objective: Cell-based therapies utilizing mesenchymal and cardiac progenitor cells have demonstrated promising results in the treatment of congenital heart disease. We hypothesize that autologous human placental-derived progenitor cells share similar characteristics to cardiac progenitor cells (CPC) derived from autologous bone marrow or cardiac sources.

Methods: Fetal portion of the placenta was harvested at the time of delivery from newborns (N = 5), and cells were isolated and expanded from the amnion and chorion layers. Flow cytometry and multi-lineage differentiation potential assays were used to characterize placental-derived progenitor cells. Placenta derived sphere cells were generated and phenotypic and functional characteristics were analyzed.

Results: CD90, CD105, and Vimentin were expressed in <10% placental-derived progenitor cells, and differentiation into mesodermal lineages was not observed. However, placental-derived progenitor cells were able to differentiate into smooth muscle and cardiomyocyte lineages. In placenta derived sphere cells, >65% expressed cardiac lineage marker (SIRPA), but <15% expressed Discoidin domain receptor 2 (DDR2). Compared to placental-derived progenitor cells, placenta derived sphere cells expressed higher levels of cardiac transcription factors, cardiac ion channel genes and cardiac structural genes.

Conclusions: Placental progenitor cells demonstrate similar characteristics to CPC currently utilized in several clinical trials that can serve as a readily available autologous source for cardiac cell therapy.

目的:利用间充质细胞和心脏祖细胞的细胞疗法在先天性心脏病的治疗中显示出有希望的结果。我们假设人类胎盘来源的自体祖细胞与来自自体骨髓或心脏来源的心脏祖细胞(CPC)具有相似的特征。方法:新生儿(N = 5)分娩时取胎盘的胎儿部分,从羊膜和绒毛膜层分离并扩增细胞。流式细胞术和多系分化电位测定用于表征胎盘源性祖细胞。制备胎盘源性球细胞,分析其表型和功能特征。结果:CD90、CD105和Vimentin在10%的胎盘源性祖细胞中表达,未观察到向中胚层谱系分化。然而,胎盘来源的祖细胞能够分化为平滑肌细胞和心肌细胞谱系。在胎盘源性球形细胞中,65%表达心脏谱系标记物(SIRPA),但15%表达盘状蛋白结构域受体2 (DDR2)。与胎盘源性祖细胞相比,胎盘源性球细胞表达了更高水平的心脏转录因子、心脏离子通道基因和心脏结构基因。结论:胎盘祖细胞表现出与CPC相似的特征,目前在一些临床试验中使用,可以作为心脏细胞治疗的现成的自体来源。
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引用次数: 1
Study on energy evolution and crack propagation of rock mass under single hole uncoupled charge blasting 单孔不耦合装药爆破作用下岩体能量演化与裂纹扩展研究
Pub Date : 2022-09-01 DOI: 10.1016/j.apples.2022.100112
Tianhui Ma , Fujie Li , Yuhao Yang , Limin Li

In drilling and blasting operation, uncoupled charge structure is widely used in pre-split blasting, smooth blasting, pressure relief blasting and other controlled blasting engineering. In order to study the evolution of energy and crack propagation in rock mass during blasting under the uncoupled charge structure, this paper established a three-dimensional numerical test model of single-hole uncoupled charge by numerical simulation method. By changing the uncoupling coefficient, the pressure of hole wall, energy evolution and crack propagation during blasting were compared and analyzed. The results show that under the condition of the same explosive quantity, the strain energy of rock mass, the strain rate and peak pressure of hole wall rock and the area of blasting crack are negatively correlated with the uncoupling coefficient of charge, and the formula of the change with the uncoupling coefficient is obtained. When the uncoupling coefficient is less than 3 and the charge uncoupling coefficient is changed, the peak pressure of hole wall, strain energy of rock mass and blast-induced crack area decrease significantly with the increase of the uncoupling coefficient. When the uncoupling coefficient is greater than 3, the change range of the uncoupling coefficient becomes smaller. The experimental conclusions are analyzed to provide reference for field blasting construction.

在钻爆作业中,不耦合装药结构广泛应用于预裂爆破、光面爆破、卸压爆破等控制爆破工程中。为了研究不耦合装药结构下爆破过程中岩体的能量演化和裂纹扩展,本文采用数值模拟方法建立了单孔不耦合装药的三维数值试验模型。通过改变不耦合系数,对爆破过程中孔壁压力、能量演化和裂纹扩展进行了对比分析。结果表明:在相同炸药量的条件下,岩体应变能、孔壁应变率、峰值压力、爆破裂缝面积与装药解耦系数呈负相关,并得到了随解耦系数的变化公式;当解耦系数小于3且改变装药解耦系数时,随着解耦系数的增大,孔壁峰值压力、岩体应变能和爆致裂纹面积均显著减小。当解耦系数大于3时,解耦系数的变化范围变小。对试验结论进行了分析,为现场爆破施工提供参考。
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引用次数: 4
A nonlinear constitutive model for some hard electro-elastic solids. Solutions of some boundary value problems 一类硬电弹性固体的非线性本构模型。若干边值问题的解
Pub Date : 2022-09-01 DOI: 10.1016/j.apples.2022.100109
N. Yévenes, R. Bustamante

A constitutive equation for a class of electro-elastic solid is proposed, neglecting dissipation of energy, and assuming that the gradient of the displacement field is small (the above implies the strains are small). Using the theory of implicit constitutive relations developed by Rajagopal and co-workers, a constitutive equation is proposed where the linearized strain is a function of the Cauchy stress and the electric field. The polarization field is assumed to be a function of the Cauchy stress and the electric field as well. The material parameters are adjusted to model the behaviour of some ceramic-like materials. Several boundary problems are solved to study the predictions of these new constitutive equations.

本文建立了一类电弹性固体的本构方程,忽略能量耗散,假设位移场梯度较小(即应变较小)。利用Rajagopal及其同事提出的隐式本构关系理论,提出了一个本构方程,其中线性化应变是柯西应力和电场的函数。假设极化场是柯西应力和电场的函数。调整材料参数以模拟某些类陶瓷材料的行为。为了研究这些新本构方程的预测,我们解决了几个边界问题。
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引用次数: 0
Application of mathematical modeling to quantify ventricular contribution following durable left ventricular assist device support 应用数学模型量化持久左心室辅助装置支持后的心室贡献
Pub Date : 2022-09-01 DOI: 10.1016/j.apples.2022.100107
Viswajith S. Vasudevan , Keshava Rajagopal , James F. Antaki

Ejection Fraction (EF), a measure of the ability of the heart to pump blood, is an important parameter for the diagnosis for heart failure as well as in the monitoring of the therapy provided. The standard method of calculating EF uses the left ventricular volume (LVV) by identifying the end-diastolic and end-systolic volumes. For patients implanted with a continuous flow (CF) left ventricular assist devices (LVADs), there are two pathways for blood ejection, Trans-Aortic Valve Flow (TAVF) which is intermittent and Trans-VAD Flow (TVF) that flows continuously throughout the cardiac cycle. Using the standard method to calculate EF in LVAD patients provides the fraction of the total blood ejected from the ventricle over a cardiac cycle. When monitoring the patient for recovery, it is vital to quantify the precise contribution of the Trans-Aortic Valve path independently from the Trans-VAD contribution. In this paper we demonstrate how this can be accomplished with a mathematical lumped parameter model of the interaction of the cardiovascular system and the LVAD. We introduce the Trans-Aortic Valve Ejection Fraction (TAVEF), which is the measure of the Trans-Aortic Valve contribution to the overall circulation. The dilated failing heart is represented by an unimodal End-Sytolic Pressure Volume Relationship (ESPVR). Our results indicate that TAVEF describes the contribution of the TAVF better as compared to standard EF over the entire range of LVAD speeds, and captures the point of aortic valve closure by becoming 0, whereas the standard EF is non-zero. TAVEF can be a useful, reliable, non-invasive mechanism for monitoring ventricular recovery.

射血分数(EF)是衡量心脏泵血能力的指标,是诊断心力衰竭以及监测所提供治疗的重要参数。计算EF的标准方法是通过确定舒张末期和收缩末期的容积来使用左心室容积(LVV)。对于植入连续血流(CF)左心室辅助装置(lvad)的患者,血液喷射有两种途径,即间歇性的经主动脉瓣血流(TAVF)和在整个心脏周期内连续流动的经vad血流(TVF)。使用标准方法计算LVAD患者的EF提供了在一个心动周期内从心室喷出的血液总量的百分比。在监测患者的恢复情况时,量化经主动脉瓣通道的精确贡献是至关重要的,而非经vad通道的贡献。在本文中,我们演示了如何用心血管系统和LVAD相互作用的数学集总参数模型来实现这一目标。我们介绍了经主动脉瓣射血分数(TAVEF),它是衡量经主动脉瓣对整体循环贡献的指标。扩张型衰竭心脏表现为单峰收缩压容积关系(ESPVR)。我们的研究结果表明,在整个LVAD速度范围内,与标准EF相比,TAVEF更好地描述了TAVF的贡献,并通过变为0来捕捉主动脉瓣关闭点,而标准EF则是非零的。TAVEF是一种有用、可靠、无创的监测心室恢复的机制。
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引用次数: 4
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Applications in engineering science
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