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      • KCI등재

        Research and Optimization of Lateral Compressive Performance of the 3-D Printed Beetle Elytron Plate

        Caiqi Zhao,Tengteng Zheng,Lijie Shang,Haitao Lan,Shuo Yang 대한토목학회 2023 KSCE Journal of Civil Engineering Vol.27 No.8

        In this paper, two types of beetle elytron plates (end-trabecular beetle elytron plate (EBEP) and middle-trabecular beetle elytron plate (MBEP)) and honeycomb plate (HP) were manufactured by 3-D printed and applied to large-span spatial structure. The lateral compressive performance of the 3-D printed beetle elytron plate was investigated by lateral compression bearing capacity test and numerical analysis. The influence of number of cylinders, ratio of the radius of the cylinder to the side length of the hexagonal honeycomb core (ratio of radius-length), thickness of core layer and configuration of beetle elytron plate on the lateral compressive performance of the beetle elytron plates were studied and the optimization method for lateral compressive performance of the beetle elytron plates was proposed. The result shows that the lateral compression bearing capacity of EBEP is greater than that of MBEP, and both are greater than of HP. The lateral compression bearing capacity of the beetle elytron plate with six cylinders is about 25% higher than that of the HP without cylinders. The lateral compression bearing capacity of beetle elytron plate can be improved by increasing the thickness of plates. The results of the study will promote the application of beetle elytron plates in large-span spatial structures.

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        Effects of the costoclavicular block versus interscalene block in patients undergoing arthroscopic shoulder surgery under monitored anesthesia care: a randomized, prospective, non-inferiority study

        Luo Quehua,Zheng Junyi,Yang Caiqi,Wei Wei,Wang Kejia,Xiang Xiaobing,Yao Weifeng 대한마취통증의학회 2023 Korean Journal of Anesthesiology Vol.76 No.5

        Background: Recent studies have reported that costoclavicular blocks (CCBs) can consistently block almost all branches of the brachial plexus while sparing the phrenic nerve and provide effective analgesia after shoulder surgery. We aimed to compare the efficacy of the CCB with that of the interscalene block (ISB) as the sole blocking technique for shoulder surgery.Methods: A total of 212 patients undergoing elective arthroscopic shoulder surgery were randomized to receive an ISB or CCB based on a non-inferiority design. All patients received titration sedation with propofol under monitored anesthesia during surgery. The primary outcomes were the proportion of patients with complete motor blockade of the suprascapular nerve (SSN) and incidence of hemidiaphragmatic paralysis (HDP). The secondary outcomes included block-related variables, complications, and postoperative pain scores. Results: The proportion of patients with complete motor blockade of the SSN at 20 min between the CCB and ISB groups (53% vs. 66%) exceeded the predefined non-inferiority margin of −5%, but was comparable at 30 min (87% vs. 91%). The CCB resulted in a significantly lower incidence of HDP (7.55% vs. 92.45%), Horner’s syndrome (0% vs. 18.87%), and dyspnea (0% vs. 10.38%) than the ISB. None of the patients experienced failed blocks or required conversion to general anesthesia. Pain scores were comparable between the groups.Conclusions: Ultrasound-guided CCBs may be comparable to ISBs, with fewer unfavorable complications in patients with impaired lung function undergoing arthroscopic shoulder surgery.

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