简介:AbstractBackground:It is still unclear what the minimal infusion volume is to effectively predict fluid responsiveness. This study was designed to explore the minimal infusion volume to effectively predict fluid responsiveness in septic shock patients. Hemodynamic effects of fluid administration on arterial load were observed and added values of effective arterial elastance (Ea) in fluid resuscitation were assessed.Methods:Intensive care unit septic shock patients with indwelling pulmonary artery catheter (PAC) received five sequential intravenous boluses of 100 mL 4% gelatin. Cardiac output (CO) was measured with PAC before and after each bolus. Fluid responsiveness was defined as an increase in CO >10% after 500 mL fluid infusion.Results:Forty-seven patients were included and 35 (74.5%) patients were fluid responders. CO increasing >5.2% after a 200 mL fluid challenge (FC) provided an improved detection of fluid responsiveness, with a specificity of 80.0% and a sensitivity of 91.7%. The area under the ROC curve (AUC) was 0.93 (95% CI: 0.84-1.00, P < 0.001). Fluid administration induced a decrease in Ea from 2.23 (1.46-2.78) mmHg/mL to 1.83 (1.34-2.44) mmHg/mL (P = 0.002), especially for fluid responders in whom arterial pressure did not increase. Notably, the baseline Ea was able to detect the fluid responsiveness with an AUC of 0.74 (95% CI: 0.59-0.86, P < 0.001), whereas Ea failed to predict the pressure response to FC with an AUC of 0.50 (95% CI: 0.33-0.67, P = 0.086).Conclusion:In septic shock patients, a minimal volume of 200 mL 4% gelatin could reliably detect fluid responders. Fluid administration reduced Ea even when CO increased. The loss of arterial load might be the reason for patients who increased their CO without pressure responsiveness. Moreover, a high level of Ea before FC was able to predict fluid responsiveness rather than to detect the pressure responsiveness.Trial registration:ClinicalTrials.gov, NCT04515511
简介:Abundantfluid-meltinclusionsarefoundintheaegirine-augite-baritepegmatiteandcarbonatiteveinsintheMianningREEdeposit,Sichuan,Theyweretrappedinearlystagefluoriteandquartzfromasalt-meltsystemattemperatureshigherthan5000℃,Meanwhile,fluidinclusionsarealsopresentinalrgeamountsinbastnaesite.Homogenizedbetween150and270℃,theseinclusionsarethoughttoberepresentativeofthephysico-chemicalconditionsofREEmineralization.TheseresultsshowthattheMianningREEdepositisoftypicalhydrothermalorigindevelopedfromasalt-meltsystem.
简介:Laminarheattransferproblemisanalyzedforadiskrotatingwiththeangularspeedωinaco-rotatingfluid(withtheangularspeedΩ).Thefluidisswirledinaccordancewithaforced-vortexlaw,itrotatesasasolidbodyatβ=Ω/ω=const.Radialvariationofthedisk’ssurfacetemperaturefollowsapowerlaw.Anexactnumericalsolutionoftheproblemisobtainedbasingontheself-similarprofilesofthelocaltemperatureoffluid,itsstaticpressureandvelocitycomponents.NumericalcomputationsweredoneatthePrandtlnumbersPr=1(?)0.71.Itisshownthatwithincreasingβbothradialandtangentialcomponentsofshearstressesdecrease,andtozerovalueatβ=1.Nusseltnumberispracticallyconstantatβ=0(?)0.3(andevenhasapointofamaximuminthisregion);Nudecreasenoticeablyforlargerβvalues.
简介:Anewflowtheoryisestablishedthroughtheobjectivityrequirementonthefluiddynamics.Itwasknownthatinhomogeneousfluidmotiongaverisetoviscousforcewhiletheselectionofobserversondifferentspace-timepointswouldchangesuchaninhomogeneouscharacter.Therefore,whentheviscousforcewasconsideredasanobjectiveexistenceforeigntotheselectionofobservers,theforminvariancesofviscousforceandmomentumequationunderlocalrotationtransformationrequiredanewdynamicfield,namelythevortexfieldtobeintroduced.ThenthedynamicalequationsofallflowfieldswereobtainedthroughconstructingtheLagrangiandensityoffluidsystemandusingthevariationalapproachofenergy.
简介:WithoutsimplifyingtheN-SequationsofGermano’s,westudytheflowinahelicalcircularpipeemployingperturbationmethod.Athirdperturbationsolutionisfullypresented.Thefirst-second-andthird-ordereffectsofcurvatureкandtorsionтonthesecondaryflowandaxialvelocityarediscussedindetail.Thefirst-ordereffectofcurvatureistoformtwocounter-rotatingcellsofthesecondaryflowandtopushthemaximurnaxialvelocitytotheouterbend.Thetwocellsarepushedtotheouterbendbythepuresecond-ordereffectofcurvature.Thecombinedhigher-order(second-,third-)effectsofcurvatureandtorsion,arefoundtobeanenlargementofthelowervortexofthesecondaryflowatexpenseoftheupperoneandaclockwiseshiftofthecentersofthesecondaryvorticesandthelocationofmaximumaxialvelocity.Whentheaxialpressuregradientissmallenoughorthetorsionissufficientlylargerthanthecurvature,thelocationofthemaximalaxialvelocityisneartheinnerbend.Theequationofthevolumefluxisobtainedfromintegratingtheperturbationsolutionsofaxialvelocity.Fromtheequationthevalidityrangeoftheperturbationsolutionsinthispapercanbeobtainedandtheconclusionthatthethreetermsoftorsionhavenoeffectonthevolumefluxcaneasilybedrawn.Whentheaxialpressuregradientislessthan22.67,thevolumefluxinahelicalpipeislargerthanthatinastraightpipe.
简介:Theflowcharacteristicsinaspouted-fluidbeddifferfromthoseinspoutedorfluidizedbedsbecauseoftheinjectionofthespoutinggasandtheintroductionofafluidizinggas.Theflowbehaviorofgas-solidphaseswaspredictedusingtheEulerian-Euleriantwo-fluidmodel(TFM)approachwithkinetictheoryforgranularflowtoobtaintheflowpatternsinspouted-fluidbeds.Thegasfluxandgasincidentanglehaveasignificantinfluenceontheporosityandparticleconcentrationingas-solidspouted-fluidbeds.Thefluidizinggasfluxaffectstheflowbehaviorofparticlesinthefountain.Inthespouted-fluidbed,thesolidsvolumefractionislowinthespoutandhighintheannulus.However,thesolidsvolumefractionisreducednearthewall.
简介:Thispaperdescribesanovelsharpinterfaceapproachformodelingthecavitationphenomenainincompressibleviscousflows.Aone-fieldformulationisadoptedforthevapor-liquidtwo-phaseflowandtheinterfaceistrackedusingavolumeoffluid(VOF)method.PhasechangeattheinterfaceismodeledusingasimplificationoftheRayleigh-Plessetequation.Interfacejumpconditionsinvelocityandpressurefieldaretreatedusingalevelsetbasedghostfluidmethod.Thelevelsetfunctionisconstructedfromthevolumefractionfunction.Amarchingcubesmethodisusedtocomputetheinterfaceareaattheinterfacegridcells.Aparallelfastmarchingmethodisemployedtopropagateinterfaceinformationintothefield.Adescriptionoftheequationsandnumericalmethodsispresented.Resultsforacavitatinghydrofoilarecomparedwithexperimentaldata.
简介:Thepaperstudiestheproblemoffluidflowandfluidshearstressincanaliculiwhentheosteonissubjecttoexternalmechanicalloadingandbloodpressureoscillation.Thesingleosteonismodeledasasaturatedporoelasticcylinder.Solidskeletonisregardedasaporoelastictransverselyisotropicmaterial.Togetnear-realisticresults,boththeinterstitialfluidandthesolidmatrixareregardedascompressible.BloodpressureoscillationintheHaveriancanalisconsidered.Usingtheporoelasticitytheory,ananalyticalsolutionoftheporefluidpressureisobtained.Assumingthefluidincanaliculiisincompressible,analyticalsolutionsoffluidflowvelocityandfluidshearstresswiththeNavier-Stokesequationsofincompressiblefluidareobtained.Theeffectofvariousparametersonthefluidflowvelocityandfluidshearstressisstudied.更多还原
简介:所有液体动态方程在他们的当模特儿的规模下面是有效的,意味着免费路径例如粒子并且意味着Boltzmann方程的碰撞时间规模和NavierStokes(NS)方程的水动力学规模。当前的计算液体动力学(CFD)集中于部分微分方程(PDE)的数字答案,并且它的目的是得到这些管理方程的精确答案。在如此的一个CFD惯例下面,它是难的开发盖住流动物理从的一个统一计划对水动力学运动因为没有能用Boltzmann做光滑的转变到当模特儿的NS的如此的管理方程,连续地可伸缩。液体动力学的学习需要超出传统的数字部分微分方程。出现设计应用程序,例如为近空间的飞行和流动和热转移在的空气车辆设计微设备,确实要求煤气的动力学的概念的进一步的扩大到物理现实,而非传统的可区分的管理方程的更大的域。在当前的阶段,非平衡流动物理很好还没由于适当工具的缺乏被探索了或清楚地理解。不幸地在当前的数字PDE途径下面,它是难的由于有效PDE的缺席开发如此的一个有意义的工具。以便多尺度的构造和类似于构造管理方程的Boltzmann或NS的当模特儿的过程的multiphysics模拟方法,一个数字算法的发展应该基于物理建模的第一个原则。在这份报纸,而不是跟随传统的数字PDE路径,我们介绍为CFD算法开发的作为一个原则的直接建模。因为所有计算与有限房间分辨率在一个discretized空格被进行,要当模特儿的流动物理不得不在网孔尺寸和时间步骤规模被做。这里,CFD是差不多分离数字进化方程的直接构造,在网孔尺寸和时间步骤将玩的地方,在建模的动态角色处理。与在网孔之间的比率的变化,尺寸和本地粒子意味着免费路径,从到水动力学波浪繁殖的运动粒子运输和碰撞的计划愿望俘获流动物理。基于直接建模,流动运动的连续动力学�
简介:Thispaperconsiderstheunsteadyunidirectionalflowofamicropolarfluid,producedbythesuddenapplicationofanarbitrarytimedependentpressuregradient,betweentwoparallelplates.Theno-slipandtheno-spinboundaryconditionsareused.ExactsolutionsforthevelocityandmicrorotationdistributionsareobtainedbasedontheuseofthecomplexinversionformulaofLaplacetransform.Thesolutionoftheproblemisalsoconsiderediftheupperboundaryoftheflowisafreesurface.Theparticula...
简介:AbstractEndoscopic drainage of pancreatic fluid collections (PFCs) with fewer complications and less trauma has gradually replaced surgery or percutaneous drainage to become the first-line treatment for PFCs. In recent years, the differential efficacy of various stent techniques to drain different types of PFCs has been controversial. This review summarizes the clinical applications of endoscopic ultrasound-guided stent placement for PFCs drainage.
简介:Thispaperisconcernedwiththedispersionofparticlesonthefluid-liquidinterface.Inapreviousstudywehaveshownthatwhensmallparticles,e.g.,flour,pollen,glassbeads,etc.,contactanair-liquidinterface,theydisperserapidlyasiftheywereinanexplosion.Therapiddispersionisduetothefactthatthecapillaryforcepullsparticlesintotheinterfacecausingthemtoacceleratetoalargevelocity.Inthispaperweshowthatmotionofparticlesnormaltotheinterfaceisinertiadominated;theyoscillateverticallyabouttheirequilibriumpositionbeforecomingtorestunderviscousdrag.Thisverticalmotionofaparticlecausesaradially-outwardlateral(secondary)flowontheinterfacethatcausesnearbyparticlestomoveaway.Thedispersiononaliquid-liquidinterface,whichistheprimaryfocusofthisstudy,wasrelativelyweakerthanonanair-liquidinterface,andoccurredoveralongerperiodoftime.Whenfallingthroughanupperliquidtheparticleshaveaslowervelocitythanwhenfallingthroughairbecausetheliquidhasagreaterviscosity.Anotherdifferencefortheliquid-liquidinterfaceisthattheseparationofparticlesbeginsintheupperliquidbeforetheparticlesreachtheinterface.Therateofdispersiondependedonthesizeoftheparticles,thedensitiesoftheparticleandliquids,theviscositiesoftheliquidsinvolved,andthecontactangle.Forsmallparticles,partialpinningandhysteresisofthethree-phasecontactlineonthesurfaceoftheparticleduringadsorptiononliquid-liquidinterfaceswasalsoimportant.Thefrequencyofoscillationofparticlesabouttheirfloatingequilibriumincreasedwithdecreasingparticlesizeonbothair-waterandliquid-liquidinterfaces,andthetimetoreachequilibriumdecreasedwithdecreasingparticlesize.Theseresultsareinagreementwithouranalysis.
简介:ThevalidityofNavier'spartialslipconditionisinvestigatedbystudyingtheoscillatoryflowinacoatedchannel.Thetwo-fluidmodelisusedtosolvetheunsteadyviscousequationsexactly.Partialslipisexperiencedbythecorefluid.ItisfoundthatNaviersconditiondoesnotholdforanunsteadycorefluid.
简介:TherevisedAtlantaclassificationofacutepancreatitiswasadoptedbyinternationalconsensus,andisbasedonactuallocalandsystemicdeterminantsofdiseaseseverity.Thelocaldeterminantispancreaticnecrosis(sterileorinfected),andthesystemicdeterminantisorganfailure.Localcomplicationsofpancreatitiscanincludeacuteperi-pancreaticfluidcollection,acutenecroticcollection,pseudocystformation,andwalledoffnecrosis.Interventionalendoscopicultrasound(EUS)hasbeenincreasingutilizedinmanagingtheselocalcomplications.AfterperformingaPubMedsearch,theauthorsmanuallyappliedpre-definedinclusioncriteriaorafiltertoidentifypublicationsrelevanttoEUSandpancreaticcollections(PFCs).Theauthorsthenreviewedtheutility,efficacy,andrisksassociatedwithusingtherapeuticEUSandinvolvedEUSdevicesintreatingPFCs.Duetothedevelopmentandregulatoryapprovalofimprovedandnovelendoscopicdevicesspecificallydesignedfortransmuraldrainageoffluidandnecroticdebris(accessandpatencydevices),theauthorspredictcontinuingevolutioninthemanagementofPFCs.WebelievethatEUSwillbecomeanindispensablepartofproceduresusedtodiagnosePFCsandperformimage-guidedinterventions.AfterdrainingaPFC,theamountoftissuenecrosisisthemostimportantpredictorofasuccessfuloutcome.Hence,itseemslogicaltoclassifythesecollectionsbasedontheirpercentageofnecroticcomponentordebrispresentwhenviewedbyimagingmethodsorEUS.Finally,theauthorsproposeanalgorithmformanagingfluidcollectionsbasedontheirsize,location,associatedsymptoms,internalechogenicpatterns,andcontent.
简介:不同液体的混乱混合生产旋绕的结构到分开这些液体的接口。为能溶合的液体(是这里考虑了),这个接口被定义为50%集体集中isosurface。为导致的冲击波(Richtmyer-Meshkov)不稳定性,我们发现接口当计算网孔被精制,逐渐地复杂。如果Kolmogorov规模相对网孔是小的,这界面的混乱被粘性,或由计算网孔割掉。在集成的接口统计的政体,我们然后检验混合,即集中统计,由质量调整了散开。为比统一显著地大的Schmidt数字,典型地代表液体或稠密的血浆,另外的网孔精炼通常被需要克服数字集体散开并且完成混合问题的一个集成的答案。然而,与前面追踪的利益并且与一个算法,那允许有限接口散开,我们能在Schmidt数字一致地保证集中。我们证明不同答案源于Schmidt数字的变化。我们建议潜水艇格子粘性和可能在现实主义的格子层次允许集成的答案的集体散开parameterizations。
简介:Multiphaseflowcontrolwithelectromagneticbraking(EMBr)iswidelyusedinthecontinuouscastingofsteelslabs.Thebasicaimoftheflowcontrolsystemoftheprocessistodelivermoltensteelfromtheladlethroughthetundish,uppertundishnozzle,slidegate,andsubmergedentrynozzleintothemoldregionwithminimaldefects.Thisrequirestheoptimizationofturbulencelevelsatameniscustoavoidbothanexcessivelyfastflow(whichcreateshighfluctuationsofthemeniscuslevelinadditiontoslagentrapment,surfacenonuniformities,andsurfacedefects)andinsufficientslowflow(whichleadstomeniscussolidification,inadequatefluxinfiltration,andsurfacedefects).Inthisstudy,aEulerian-LagrangianapproachisusedtoinvestigatetheeffectsofEMBrandArbubbleinjectiononthesurfaceflowvelocity.TheresultsshowthathighArinjectionratescanleadtoanincreaseinsurfacevelocity.