Distribution of Flow in an Arteriovenous Fistula Using Reduced-order Models

Author(s):  
Jeanne Ventre ◽  
Salam Abou Taam ◽  
Jose-Maria Fullana ◽  
Pierre-Yves Lagrée

Abstract The creation of a communication between an artery and a vein (arteriovenous fistula or AVF), to speed up the blood purification during hemodialysis of patients with renal insufficiency, induces significant rheological and mechanical modifications of the vascular network. In this study, we investigated the impact of the creation of an AVF with a zero-dimensional network model of the vascular system of an upper limb and a one-dimensional model around the anastomosis. We compared the simulated distribution of flow rate in this vascular system with Doppler ultrasound measurements. We studied three configurations: before the creation of the AVF, after the creation of the AVF, and after a focal reduction due to a hyper flow rate. The 0D model predicted the bounds of the diameter of the superficial vein that respects the flow constraints, assuming a high capillary resistance. We indeed highlighted the importance of knowing the capillary resistance as it is a decisive parameter in the models. We also found that the model reproduced the Doppler measurements of flow rate in every configuration and predicted the distribution of flow in cases where the Doppler was not available. The 1D model allowed studying the impact of a venous constriction on the flow distribution, and the capillary resistance was still a crucial parameter.

Author(s):  
Qi Wang ◽  
Lanxue Ren ◽  
Zhou Zhang ◽  
Ting Wang ◽  
Mingcong Luo

Abstract This paper presents a numerical model based on the mass flow rate of seal leakage. This numerical model is considered as a correct method for 3-D numerical simulation. It can be used to simulate the effect of seal leakage at the stator root of a multistage axial compressor. Implementation of the correct method is using a numerical model based on the flux conservation which can control the mass flow rate of seal leakage accurately at the seal cavity of compressor. The mass flow rate of seal leakage is chosen as the key research parameter on the aerodynamic performance effect of the seal engineering application in a multistage axial compressor. Combined with the 3-D numerical simulation methods, an engineering numerical approach is set up in this study. A nine-stage axial compressor is taken as the research object in this paper and its aerodynamic performance is tested for proving the applicability of the numerical model for seal leakage. In the cases of several operating rotation speeds, numerical results of the nine-stage axial compressor performance characteristic curves are in good agreement with the experimental data. It is considered that the numerical approach based on the simplified numerical model in this paper can predict the performance of multistage axial compressor accurately. Then, comparisons are made against different cases of seal leakage mass flow rate for analyzing the impact of seal leakage increasing on the aerodynamic performance of the nine-stage axial compressor. The main point of comparisons is focused on the changes of the overall performance and the flow distribution in the compressor with the seal leakage changing. The results indicate that performance of multistage axial compressor is degenerated faster and faster with seal leakage increasing in all operating working points. An overall decline is appeared in the flow capacity, working capacity, efficiency and surge margin of the compressor. For the impact investigation on the changes of flow distribution, the total pressure loss coefficient, the relative Mach number contours and the movement of streamlines are studied in different seal leakage cases under several operating working points. The result also shows that stators located in front stages of multistage axial compressor are affected more seriously with the increasing mass flow rate of seal leakage. Under the influence of seal leakage, degradation of flow condition in stators located in front stages is more severely than that in back stages, the total pressure loss coefficient and entropy are increased, and the flow separations at the root of stators in front stages are developed faster with seal leakage increasing. So it can be confirmed that relatively larger flow losses in front stages bring significant impact on the decay of aerodynamic performance for a multistage axial compressor.


2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Hyung-Jong Kim ◽  
Mi Jung Lee

Abstract Background and Aims It is known that maintenance of function of arteriovenous fistula (AVF) is very important in the management of hemodialysis (HD) patients. Therefore, identifying a risk factor for decreased vascular access flow has a clinical relevance in real world practice. Although hyperphosphatemia plays a crucial role in the pathogenesis of vascular calcification, there is lack of studies evaluating the effect of hyperphosphatemia on AVF. This study investigated the impact of serum phosphorous (P) on vascular access flow in HD patients. Method Sixty-two maintenance HD patients who visited dialysis unit of Bundang CHA Medical Center from November 2016 to December 2017 were included in this study. Serum P levels were determined every month and time-averaged serum P was calculated. All patients had left arm AVF (side to side anastomosis) and vascular access flow was assessed by Transonic HD 03. Decreased vascular access flow was defined as less than 600 mL/min. Results The mean age was 57.9 ± 12.1 years, 32 patients (51.6%) were men. The mean serum P levels were 5.1 ± 1.1 mg/dL and the vascular access flow was 1,071.4 ± 504.2 mL/min. Decreased vascular access flow was observed in 14 of 62 patients (22.6%). In univariate analysis, higher serum P was significantly associated with decreased vascular access flow (odds ratio [OR]=2.089, 95% confidence interval [CI]=1.159-3.766, P=0.014). But there was no significant association of dialysis blood flow rate, ejection fraction on echocardiography and serum calcium (Ca) levels with vascular access flow. Multivariable analysis indicated that higher serum P was independently associated with greater risk of decreased vascular access flow (OR=4.012, 95% CI=1.651-9.711, P=0.002). Old age, reduced EF, low dialysis blood flow rate and higher serum Ca was not associated with vascular access flow. Conclusion This study demonstrated that higher serum P was the independent risk factor for decreased vascular access flow in maintenance HD patients. Serial monitoring of serum P may be helpful to stratify the risk of vascular access dysfunction in these patients.


2021 ◽  
Vol 9 ◽  
Author(s):  
Qi Wang ◽  
Zhou Zhang ◽  
Qingsong Hong ◽  
Lanxue Ren

In this paper, a numerical model based on the mass flow rate of seal leakage is presented, and a 3D numerical method of a multistage axial compressor with good engineering practicability is established. Validation consists of modeling a nine-stage axial compressor in all operating rotation speeds and calculating results of the performance characteristic curves in good agreement with test data. Comparisons are made against different cases of seal leakage mass flow rate for analyzing the impact of increasing seal leakage on the aerodynamic performance of the multistage axial compressor. The results indicate that the performance of the nine-stage axial compressor is degenerated faster and faster with seal leakage increasing in all operating working points, and the degeneration of performance of this compressor can be evaluated by the relationships of main performance parameters with the mass flow rate of seal leakage. Comparisons of flow distribution in the compressor for different cases of seal leakage also show that stators located in front stages of the multistage axial compressor are affected more seriously by the increasing seal leakage, and it can be confirmed that relatively larger flow losses in front stages bring significant impact on the decay of aerodynamic performance of a multistage axial compressor.


2020 ◽  
Vol 16 (1) ◽  
pp. 11-15
Author(s):  
Md Waliul Islam ◽  
Md Abul Hossain ◽  
Md Nurul Hooda ◽  
Kazi Rafiqul Abedin ◽  
Husne Ara

Objectives: To evaluate urinary symptoms and quality of life in patient with BPH before and after TURP. To determine the impact of TURP on the urinary symptoms (IPSS) and peak urinary flow rate. Methods: This study is prospective study carried out between 2010 and 2011 in the department of Urology, National Institute of Kidney Diseases & Urology. Total 102 cases were selected purposively according to selection criteria. Each patient was observed and followed up at 8 weeks (1st visit), 16 weeks (2nd visit) 24 weeks (3rd visit) after transurethral resection of prostate (TURP). IPSS score, QOL score also recorded and uroflowmetry was done to see the peak urinary flow rate (Qmax) of urine and voiding time. USG was done to see post voidal residual urine volume and DRE also done in selected cases. Data was complied and statistical analysis were done using computer based software, Statistical Package for Social Science (SPSS), using paired ‘t’ test. A P value <0.05 was taken as significance. Results: Before TURP, IPSS range 17-25 and mean 21.61+2.43, after TURP, range 0-7 and mean 4.27+1.71). Hence a significant improvement of IPSS was found from 2 months to 6 months follow up after TURP. The change was tested using “paired student ‘t’ test”. Before TURP Qmax range 7-12.2 and mean was 9.96+1.69, which became range 18-25 and mean was 22.61+2.28 after TURP and therefore change of mean Qmax was 12.64+2.69. The change was tested using “paired student ‘t’ test”. The change was found significant (P<0.001). Conclusion: Transurethral resection of prostate resolves obstructive symptoms, rapid improvement of urinary flow rate Bangladesh Journal of Urology, Vol. 16, No. 1, Jan 2013 p.11-15


2020 ◽  
Author(s):  
Christopher Welker ◽  
David France ◽  
Alice Henty ◽  
Thalia Wheatley

Advances in artificial intelligence (AI) enable the creation of videos in which a person appears to say or do things they did not. The impact of these so-called “deepfakes” hinges on their perceived realness. Here we tested different versions of deepfake faces for Welcome to Chechnya, a documentary that used face swaps to protect the privacy of Chechen torture survivors who were persecuted because of their sexual orientation. AI face swaps that replace an entire face with another were perceived as more human-like and less unsettling compared to partial face swaps that left the survivors’ original eyes unaltered. The full-face swap was deemed the least unsettling even in comparison to the original (unaltered) face. When rendered in full, AI face swaps can appear human and avoid aversive responses in the viewer associated with the uncanny valley.


Author(s):  
V.K. Grigoriev ◽  
A.A. Biryukova ◽  
A. Yu. Volk ◽  
A.S. Ilyushechkin

The article discusses the automation of the creation and use of e-learning programs. The impact of automating the learning of a large number of users on the effectiveness of the introduction of a new software product is analyzed. The methods and algorithms that increase the efficiency of creating electronic training programs on example of the author’s automated system “Tutor Builder” are described. The results of experimental verification of the automated system are provided.


2021 ◽  
pp. 174425912098418
Author(s):  
Toivo Säwén ◽  
Martina Stockhaus ◽  
Carl-Eric Hagentoft ◽  
Nora Schjøth Bunkholt ◽  
Paula Wahlgren

Timber roof constructions are commonly ventilated through an air cavity beneath the roof sheathing in order to remove heat and moisture from the construction. The driving forces for this ventilation are wind pressure and thermal buoyancy. The wind driven ventilation has been studied extensively, while models for predicting buoyant flow are less developed. In the present study, a novel analytical model is presented to predict the air flow caused by thermal buoyancy in a ventilated roof construction. The model provides means to calculate the cavity Rayleigh number for the roof construction, which is then correlated with the air flow rate. The model predictions are compared to the results of an experimental and a numerical study examining the effect of different cavity designs and inclinations on the air flow rate in a ventilated roof subjected to varying heat loads. Over 80 different test set-ups, the analytical model was found to replicate both experimental and numerical results within an acceptable margin. The effect of an increased total roof height, air cavity height and solar heat load for a given construction is an increased air flow rate through the air cavity. On average, the analytical model predicts a 3% higher air flow rate than found in the numerical study, and a 20% lower air flow rate than found in the experimental study, for comparable test set-ups. The model provided can be used to predict the air flow rate in cavities of varying design, and to quantify the impact of suggested roof design changes. The result can be used as a basis for estimating the moisture safety of a roof construction.


Author(s):  
Yuchuan Zhu ◽  
Chang Liu ◽  
Yunze Song ◽  
Long Chen ◽  
Yulei Jiang ◽  
...  

In this paper, an electro-hydrostatic actuator driven by dual axial-mounted magnetostrictive material rods-based pumps (MMPs) with a new type of active rectification valve is designed in the current study. Based on flow distribution of the active rectification valve and driving energy provided by two MMPs, the actuator can output continuous and bidirectional displacement. By establishing a mathematical model of the actuating system, using simulation techniques, the change rule of hydraulic cylinder’s motion state caused by different driving signals are studied and analyzed. Test equipment platform is constructed in the laboratory to test the output characteristics and confirm the feasibility of the new concept. The experimental results indicate that the maximum flow rate can reach approximately 2.7 L·min−1, while the operating frequency is 180 Hz.


2020 ◽  
pp. 147387162098012
Author(s):  
Alon Friedman

Scholars in scientific disciplines face unique challenges in the creation of visualizations, especially in publications that require insights derived from analyses to be visually displayed. The literature on visualizations describes different techniques and best practices for the creation of graphs. However, these techniques have not been used to evaluate the impact of visualizations in academic publications. In the field of ecology, as in other scientific fields, graphs are an essential part of journal articles. Little is known about the connections between the kind of data presented and domain in which the researchers conducted their study that together produces the visual graphics. This study focused on articles published in the Journal of Ecology between 1996 and 2016 to explore possible connections between data type, domain, and visualization type. Specifically, this study asked three questions: How many of the graphics published between 1996 and 2016 follow a particular set of recommendations for best practices? What can Pearson correlations reveal about the relationships between type of data, domain of study, and visual displays? Can the findings be examined through an inter-reliability test lens? Out of the 20,080 visualizations assessed, 54% included unnecessary graphical elements in the early part of the study (1996–2010). The most common type of data was univariate (35%) and it was often displayed using line graphs. Twenty-one percent of the articles in the period studied could be categorized under the domain type “single species.” Pearson correlation analysis showed that data type and domain type was positively correlated ( r = 0.08; p ≤ 0.05). Cohen’s kappa for the reliability test was 0.86, suggesting good agreement between the two categories. This study provides evidence that data type and domain types are equally important in determining the type of visualizations found in scientific journals.


2021 ◽  
pp. 112972982110011
Author(s):  
Francini Porcher Andrade ◽  
Heloíse Benvenutti ◽  
Kacylen Costa da Silva ◽  
Paula Maria Eidt Rovedder

Background: The arteriovenous fistula (AVF) is a commonly used vascular access for chronic kidney disease (CKD) patients; exercise interventions may boost its maturation and help in its maintenance. A systematic review and meta-analysis of clinical trials on the effects of upper limb exercise programs on the AVF was conducted. Methods: The primary outcomes were draining vein diameter (DVD) and draining vein blood flow rate (DVBFR), and secondary outcomes were handgrip strength (HGS) and brachial artery flow rate (BAFR). Quality of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Results: Four studies met the inclusion criteria. When compared to usual care groups, the experimental groups did not improve DVD (mean difference [MD] 0.23, confidence interval [CI] −0.20–0.65). There were significant differences in DVBFR (mL/min) according to the fixed-effect model (MD 141.13, CI 36.84–245.42). HGS (kg) was significantly different between groups (MD 2.95, CI 0.55–5.35), but BAFR (mL/min) was not (MD 91.65, CI −94.72–278.01). Conclusions: Although exercise programs did not improve DVD and BAFR, they increased muscle strength and DVBFR. Therefore, experimental exercise programs should be emphasized for AVF maturation and maintenance. Research Registry number: reviewregistry924.


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