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A new assumed strain solid–shell formulation “SHB6” for the six-node prismatic finite element
Vuong-Dieu Trinh,Farid Abed-Meraim,Alain Combescure 대한기계학회 2011 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.25 No.9
This paper presents the development of a new prismatic solid–shell finite element, denoted SHB6, obtained using a purely threedimensional approach. This element has six nodes with displacements as the only degrees of freedom, and only requires two integration points distributed along a preferential direction, designated as the “thickness”. Although geometrically three-dimensional, this element can be conveniently used to model thin structures while taking into account the various phenomena occurring across the thickness. A reduced integration scheme and specific projections of the strains are introduced, based on the assumed-strain method, in order to improve performance and to eliminate most locking effects. It is first shown that the adopted in-plane reduced integration does not generate “hourglass” modes, but the resulting SHB6 element exhibits some shear and thickness-type locking. This is common in linear triangular elements, in which the strain is constant. The paper details the formulation of this element and illustrates its capabilities through a set of various benchmark problems commonly used in the literature. In particular, it is shown that this new element plays a useful role as a complement to the SHB8PS hexahedral element, which enables one to mesh arbitrary geometries. Examples using both SHB6 and SHB8PS elements demonstrate the advantage of mixing these two solid–shell elements.
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Trinh Dieu-Thuong Thi,Tran An Hoa,Bui Minh-Man Pham,Vuong Nguyen Lam 한국한의학연구원 2023 Integrative Medicine Research Vol.12 No.3
Background: Various traditional medicine treatments have been investigated to treat GERD. Among those, thread-embedding acupuncture (TEA) has the advantage that patients need to undergo the procedure infrequently; however, its efficacy is unclear. This study evaluated the efficacy of TEA in treating GERD. Methods: A randomized controlled trial was conducted with 66 participants with GERD: 33 received two sessions of TEA + standard therapy (proton-pump inhibitor [PPI]) (TEA+PPI group) and 33 received PPI alone (PPI group). Primary outcomes included GerdQ score and heartburn and regurgitation resolution. Secondary outcomes were antacids requirement, the Frequency Scale for Symptoms of GERD (FSSG) score, and Gastroesophageal Reflux Disease-Health Related Quality of Life (GERD-HRQL) score. The safety outcome was adverse events (AEs). Results: After four weeks of treatment, the TEA+PPI group significantly reduced the GerdQ score (mean difference [MD] and 95% confidence interval [CI]: -1.8 [-2.4, -1.1]) and increased the rate of heartburn and regurgitation resolution compared to PPI (54.5% versus 9.1%, respectively) compared to PPI. The TEA+PPI group also significantly reduced the number of antacid packs used (MD [95%-CI]: -9.4 [-12.1, -6.7]), FSSG score (MD [95%-CI]: -9.4 [-11.0, -7.8]), and GERD-HRQL score (MD [95%-CI]: -5.6 [-7.7, -3.5]) compared to PPI. Five patients experienced AEs, which were mild local complications at the acupoints. Conclusion: TEA combined with PPI is more effective than PPI alone in treating GERD. Further studies with longer follow-ups are required to confirm these findings.
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