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Kansara, Kunal D.,Ibell, Tim J.,Darby, Antony P.,Evernden, Mark Korea Concrete Institute 2010 International Journal of Concrete Structures and M Vol.4 No.1
This paper presents the influence of various flexural strengthening design criteria specified by three important design guidelines (ACI440, TR55, FIB14) on the resulting strength, ductility and conservativeness of FRP strengthened RC elements. Various generalised mathematical relations in non-dimensional form are presented that can be employed to develop design aids for the FRP-strengthening process. A design methodology is prescribed based on these equations enabling the designer to optimally and intuitively incorporate sufficient ductility while designing for strength. In order to better interpret conservativeness within design codes, four distinct levels of embedded conservativeness are identified, which cover the entire range of sources of conservativeness. Finally, a detailed parametric study is presented, using the proposed design equations and methodology, to determine the influence of each of these four levels of conservativeness on final design solutions. Specific criteria that are useful while calibrating design guidelines are also presented.
Kunal D. Kansara,Tim J. Ibell,Antony P. Darby,Mark Evernden 한국콘크리트학회 2010 International Journal of Concrete Structures and M Vol.4 No.1
This paper presents the influence of various flexural strengthening design criteria specified by three important design guidelines (ACI440, TR55, FIB14) on the resulting strength, ductility and conservativeness of FRP strengthened RC elements. Various generalised mathematical relations in non-dimensional form are presented that can be employed to develop design aids for the FRP-strengthening process. A design methodology is prescribed based on these equations enabling the designer to optimally and intuitively incorporate sufficient ductility while designing for strength. In order to better interpret conservativeness within design codes, four distinct levels of embedded conservativeness are identified, which cover the entire range of sources of conservativeness. Finally, a detailed parametric study is presented, using the proposed design equations and methodology, to determine the influence of each of these four levels of conservativeness on final design solutions. Specific criteria that are useful while calibrating design guidelines are also presented.
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.