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1.
Gastrointest Endosc ; 99(3): 377-386.e3, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37863243

RESUMEN

BACKGROUND AND AIMS: Stent migration and subsequent adverse events are frequently observed in the use of fully covered self-expandable metal stents (FCSEMSs) for distal biliary stenosis. In this study, we identified predictors for stent migration based on biomechanical stent characteristics and associated these findings with clinical outcomes. METHODS: The migration resistance of FCSEMSs was quantified by measuring the pull-out force. We analyzed a single-center retrospective cohort of 178 FCSEMSs for treatment success and adverse events occurring during 180 days of follow-up. RESULTS: Biomechanical measurements revealed a 4-fold higher migration resistance of FCSEMSs with anchoring fins (AF-FCSEMSs; Fmax = 14.2 ± .1 N) compared with FCSEMSs with flared ends (FE-FCSEMSs; Fmax = 3.8 ± 1.0 N; P < .0001). Clinically, AF-FCSEMSs showed lower rates of migration compared with FE-FCSEMSs (5% vs 34%, P < .0001). Unscheduled ERCP procedures because of stent dysfunction were less frequent in the AF group compared with the FE group (15% vs 29%, P = .046). Cholangitis because of stent dysfunction was observed in 5% of the AF group compared with 19% in the FE group (P = .02). Stent patency rates at 1, 3, and 6 months were higher in the AF group (96%, 90%, and 80%, respectively) compared with the FE group (90%, 74%, and 66%; log-rank test: P = .03). CONCLUSIONS: The pull-out force as a biomechanical stent property predicts the migration resistance of FCSEMSs in distal biliary stenosis and may thus be used to classify stents for this application. AF-FCSEMSs showed a significantly lower rate of migration and adverse events compared with FE-FCSEMSs.


Asunto(s)
Colestasis , Stents Metálicos Autoexpandibles , Humanos , Estudios Retrospectivos , Constricción Patológica/etiología , Stents/efectos adversos , Stents Metálicos Autoexpandibles/efectos adversos , Colestasis/etiología , Colestasis/cirugía , Resultado del Tratamiento
2.
Polymers (Basel) ; 15(16)2023 Aug 12.
Artículo en Inglés | MEDLINE | ID: mdl-37631444

RESUMEN

This paper investigates water absorption in polyamide 6.6 and the resulting hygroscopic swelling and changes in mechanical properties. First, sorption and swelling experiments on specimens from injection molded plates are presented. The observed swelling behavior is dependent on the melt flow direction of the injection molding process. Additionally, thermal analysis and mechanical tensile tests were performed for different conditioning states. The water sorption is accompanied by a decrease in the glass transition temperature and a significant reduction in stiffness and strength. Next, a sequentially coupled modeling approach is presented. A nonlinear diffusion model is followed by mechanical simulations accounting for swelling and concentration-dependent properties. For the mechanical properties, the notion of a "gap" temperature caused by the shift of the glass transition range due to water-induced plasticization is employed. This model enables the computation of local moisture concentration fields and the resultant swelling and changes in stress-strain behavior.

3.
Nanoscale Horiz ; 8(3): 383-395, 2023 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-36723240

RESUMEN

The superlattice in a quantum dot (QD) film on a flexible substrate deformed by uniaxial strain shows a phase transition in unit cell symmetry. With increasing uniaxial strain, the QD superlattice unit cell changes from tetragonal to cubic to tetragonal phase as measured with in situ grazing-incidence small-angle X-ray scattering (GISAXS). The respective changes in the optoelectronic coupling are probed with photoluminescence (PL) measurements. The PL emission intensity follows the phase transition due to the resulting changing inter-dot distances. The changes in PL intensity accompany a redshift in the emission spectrum, which agrees with the Förster resonance energy transfer (FRET) theory. The results are essential for a fundamental understanding of the impact of strain on the performance of flexible devices based on QD films, such as wearable electronics and next-generation solar cells on flexible substrates.

4.
Polymers (Basel) ; 13(18)2021 Sep 17.
Artículo en Inglés | MEDLINE | ID: mdl-34578044

RESUMEN

Polyamide 6 (PA6) is able to absorb water from the surrounding air and bond to it by forming hydrogen bonds between the carbonamide groups of its molecular chains. Diffusion processes cause locally different water concentrations in the (component) cross-section during the sorption process, resulting in locally different mechanical properties due to the water-induced plasticisation effect. However, the water content of PA6 is usually specified as an integral value, so no information about a local water distribution within a component is provided. This paper shows a method to characterise moisture distributions within PA6 samples using low-energy computer tomography (CT) techniques and comparing the reconstructed results with a developed finite elements (FE) modelling method based on Fick's diffusion laws with concentration-dependent diffusion coefficients. For this purpose, the ageing of the samples at two different water bath temperatures as well as at different integral water contents are considered. The results obtained by CT reconstruction and FE modelling are in very good agreement, so that the concentration distributions by water sorption of PA6 calculated by FEM can be regarded as validated.

5.
Polymers (Basel) ; 13(9)2021 May 04.
Artículo en Inglés | MEDLINE | ID: mdl-34064355

RESUMEN

Polyamide 6 (PA6) is known to absorb water from its environment due to its chemical structure. This water absorption leads to a change in the mechanical properties as well as an increase in volume (swelling) of the polyamide. In the present work, the sorption and swelling behaviour of polyamide 6 in different conditioning environments was experimentally investigated on different part geometries to develop a finite element (FE) method on the basis of the measured data that numerically calculates the sorption and swelling behaviour. The developed method includes two analyses using the Abaqus software. Both the concentration-dependent implementation of the simulation parameters and the calculation of swelling-induced stresses are performed. This enables the modelling of the sorption curves until maximum saturation is reached and the simulation of the characteristic S-shaped swelling curves. Therefore, the developed methodology represents an efficient method for predicting the sorption and swelling behaviour of polyamide 6 parts during conditioning in a water bath. The determined properties provide the basis for the development of an FE-based simulation environment to take moisture absorption into account during the part design. This enables the calculation of moisture-induced swelling processes and the resulting initial stresses in a given part.

6.
Polymers (Basel) ; 9(6)2017 Jun 13.
Artículo en Inglés | MEDLINE | ID: mdl-30970898

RESUMEN

The interphase in short fiber thermoplastic composites is defined as a three-dimensional, several hundred nanometers-wide boundary region at the interface of fibers and the polymer matrix, exhibiting altered mechanical properties. This region is of key importance in the context of fiber-matrix adhesion and the associated mechanical strength of the composite material. An interphase formation is caused by morphological, as well as thermomechanical processes during cooling of the plastic melt close to the glass fibers. In this study, significant injection molding processing parameters are varied in order to investigate the influence on the formation of an interphase and the resulting mechanical properties of the composite. The geometry of the interphase is determined using nano-tribological techniques. In addition, the influence of the glass fiber sizing on the geometry of the interphase is examined. Tensile tests are used in order to determine the resulting mechanical properties of the produced short fiber composites. It is shown that the interphase width depends on the processing conditions and can be linked to the mechanical properties of the short fiber composite.

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