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- 저자 : Caroline Ong (검색결과 2 건)
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Craig Basman,Caroline Ong,Tikal Kansara,Zain Kassam,Caleb Wutawunashe,Jennifer Conroy,Arber Kodra,Biana Trost,Priti Mehla,Luigi Pirelli,Jacob Scheinerman,Varinder P Singh,Chad A Kliger 한국심초음파학회 2023 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.31 No.1
BACKGROUND: Three-dimensional (3D) transesophageal echocardiogram (TEE) is the gold standard for the diagnosis of degenerative mitral regurgitation (dMR) and preoperative planning for transcatheter mitral valve repair (TMVr). TEE is an invasive modality requiring anesthesia and esophageal intubation. The severe acute respiratory syndrome coronavirus 2 pandemic has limited the number of elective invasive procedures. Multi-detector computed tomographic angiography (MDCT) provides high-resolution images and 3D reconstructions to assess complex mitral anatomy. We hypothesized that MDCT would reveal similar information to TEE relevant to TMVr, thus deferring the need for a preoperative TEE in certain situations like during a pandemic. METHODS: We retrospectively analyzed data on patients who underwent or were evaluated for TMVr for dMR with preoperative MDCT and TEE between 2017 and 2019. Two TEE and 2 MDCT readers, blinded to patient outcome, analyzed: leaflet pathology (flail, degenerative, mixed), leaflet location, mitral valve area (MVA), flail width/gap, anterior-posterior (AP) and commissural diameters, posterior leaflet length, leaflet thickness, presence of mitral valve cleft and degree of mitral annular calcification (MAC). RESULTS: A total of 22 (out of 87) patients had preoperative MDCT. MDCT correctly identified the leaflet pathology in 77% (17/22), flail leaflet in 91% (10/11), MAC degree in 91% (10/11) and the dysfunctional leaflet location in 95% (21/22) of patients. There were no differences in the measurements for MVA, flail width, commissural or AP diameter, posterior leaflet length, and leaflet thickness. MDCT overestimated the measurements of flail gap. CONCLUSIONS: For preoperative TMVr planning, MDCT provided similar measurements to TEE in our study.
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Wind Effects on Tall Buildings with a Porous Double-Skin Façade
Shengyu Tian,Cassandra Brigden,Caroline Kingsford,Gang Hu,Robert Ong,K.C.S. Kwok Council on Tall Building and Urban Habitat Korea 2022 International journal of high-rise buildings Vol.11 No.4
Double-Skin Facades (DSF) on tall buildings are becoming increasingly common in urban environments due to their ability to provide architectural merit, passive design, acoustic control and even improved structural efficiency. This study aims to understand the effects of porous DSF on the aerodynamic characteristics of tall buildings using wind tunnel tests. High Frequency Force Balance and pressure tests were performed on the CAARC standard tall building model with a variable porous DSF on the windward face. The introduction of a porous DSF did not adversely affect the overall mean forces and moments experienced by the building, with few differences compared to the standard tall building model. There was also minimal variation between the results for the three porosities tested: 50%, 65% and 80%. The presence of a full-height porous DSF was shown to effectively reduce the mean and fluctuating wind pressure on the side face of the building by about 10%, and a porous DSF over the lower half height of the building was almost as effective. This indicates that the porous DSF could be used to reduce the design load on cladding and fixtures on the side faces of tall buildings, where most damage to facades typically occurs.
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