Objective:To investigate the value of(VTIQ)shear wave elastography in the diagnosis of pelvic floor dysfunction.Methods:20 patients with pelvic floor dysfunction and 40 healthy volunteers were enrolled in and devided ...Objective:To investigate the value of(VTIQ)shear wave elastography in the diagnosis of pelvic floor dysfunction.Methods:20 patients with pelvic floor dysfunction and 40 healthy volunteers were enrolled in and devided into the pelvic floor dysfunction(PFD)group and the control group.20 cases in the normal non-fertile(NNF)group and the normal fertile(NF)group respectively were including in the control group.The Young's modulus of puborectalis(PR)in three groups was measured by virtual touch tissue imaging quantification(VTIQ)at different states.The Young's modulus of PR and their differences in the three groups and between groups were compared and calculated.Receiver-operating characteristic curve(ROC)analyses were performed to assess the diagnostic value of VTIQ,and the area under the curve(AUC)was compared.Results:Young's modulus of PR at resting-state,maximun rectal state and Vasalva state in NNF group and NF group were statistical significance(all P<0.05).Young's modulus of maximun rectal state was higher than that of resting-state and Vasalva state in PFD group(P<0.05).There was no significant difference in Young's modulus between the resting-state and Vasalva state in the PFD group(P>0.05).Difference of PR Young's modulus between resting status and maximun rectal state and that between resting status and Vasalva state were of statistical significance among the three groups(all P<0.05).ROC curves analyses indicated that the AUC,cut-off value,sensitivity,specificity and Youden index of the difference between the Young's modulus of resting status and maximun rectal state measured by VTIQ in control group and PFD group were 0.788,35.45kPa,91.67%,57.14%,0.488,espectively.The AUC,cut-off value,sensitivity,specificity and Youden index of the difference between the Young's modulus of resting status and Vasalva state measured by VTIQ in control group and PFD group were 0.799,14.00kPa,63.89%,85.71%,0.496,respectively.There was no significant difference in AUC between the two groups(Z=0.130,P>0.05).Conclusion:VTIQ technology is an effective method to quantitatively assess the biomechanical properties of PR.The effect of labor on the puborectalis muscle was not significant.The increase of Young's modulus of passive stretching in vasalva state was not significant in patients with pelvic floor dysfunction.The difference between resting status and maximun rectal state and difference between resting status and Vasalva state is more advantageous to the diagnosis of pelvic floor dysfunction disorder.展开更多
Background: Quantitative biomechanical characterization of pelvic supportive structures and functions in vivo is thought to provide insight into pathophysiology of pelvic organ prolapse (POP). An innovative approach—...Background: Quantitative biomechanical characterization of pelvic supportive structures and functions in vivo is thought to provide insight into pathophysiology of pelvic organ prolapse (POP). An innovative approach—vaginal tactile imaging—allows biomechanical mapping of the female pelvic floor to quantify tissue elasticity, pelvic support, and pelvic muscle functions. The Vaginal Tactile Imager (VTI) records high definition pressure patterns from vaginal walls under an applied tissue deformation and during pelvic floor muscle contractions. Objective: To explore an extended set of 52 biomechanical parameters for differentiation and characterization of POP relative to normal pelvic floor conditions. Methods: 96 subjects with normal and POP conditions were included in the data analysis from multi-site observational, case-controlled studies;42 subjects had normal pelvic floor conditions and 54 subjects had POP. The VTI, model 2S, was used with an analytical software package to calculate automatically 52 biomechanical parameters for 8 VTI test procedures (probe insertion, elevation, rotation, Valsalva maneuver, voluntary muscle contractions in 2 planes, relaxation, and reflex contraction). The groups were equalized for subject age and parity. Results: The ranges, mean values, and standard deviations for all 52 VTI parameters were established. 33 of 52 parameters were identified as statistically sensitive (p 0.05;t-test) to the POP development. Among these 33 parameters, 11 parameters show changes (decrease) in tissue elasticity, 8 parameters show deteriorations in pelvic support and 14 parameters show weakness in muscle functions for POP versus normal conditions. Conclusions: The biomechanical mapping of the female pelvic floor with the VTI provides a unique set of parameters characterizing POP versus normal conditions. These objectively measurable biomechanical transformations of pelvic tissues, support structures, and functions under POP may be used in future research and practical applications.展开更多
With the opening of ancient Tibetan structures to visitors worldwide, human load has become the principal live load on these structures. This project studies the properties of the floor structure of an ancient Tibetan...With the opening of ancient Tibetan structures to visitors worldwide, human load has become the principal live load on these structures. This project studies the properties of the floor structure of an ancient Tibetan building and its behavior under human-induced load effects. Tests were conducted with static and dynamic crowd load, including stepping and jogging by people at a fixed position. The tests show that the floor structure does not behave as a continuous slab. It takes the load from local areas with minimal load transference properties. The acceleration response shows significant peaks when the footstep frequency is close to the natural frequency of the s~＇ucture, but the human jogging excitation frequency does not have any obvious effect on the structural response. The elastic modulus of the Agatu material is estimated to be close to zero from the measured natural frequency of the slab. The Agatu material is concluded to be a discrete compacted material with insignificant contribution to the structural rigidity of the floor slab.展开更多
To improve the impact sound insulation performance of building floors and meet the objective requirements for living comfort of residents,in this article,three kinds of elastic cushion materials,Portuguese cork board,...To improve the impact sound insulation performance of building floors and meet the objective requirements for living comfort of residents,in this article,three kinds of elastic cushion materials,Portuguese cork board,BGL insulation sound insulation foam board,and EPP polypropylene plastic foam board,are applied to the sound insulation of a light frame wood floor structure of the same bedroom and compared to the ordinary floor.This study uses the transfer function method and transient excitation method to measure the sound insulation,damping ratio,and elastic modulus of materials,as well as the sound insulation of the floor under the jumping excitation method of daily behavior.Through comparative analysis,the results and factors of improving the sound insulation performance of the floor are obtained,according to which three types of elastic cushion materials and the floor covering composed of them have higher vibration and noise reduction performance.Among them,the overall sound insulation performance of BGL board floor is the highest,followed by EPP board and cork board floor,and ordinary OSB floor is the lowest.Under the jumping excitation method,three floating floors can improve the impact sound insulation performance of the middle and low-frequency bands.展开更多
基金Youth Project of Hainan Natural Science Foundation(No.819QN352)。
文摘Objective:To investigate the value of(VTIQ)shear wave elastography in the diagnosis of pelvic floor dysfunction.Methods:20 patients with pelvic floor dysfunction and 40 healthy volunteers were enrolled in and devided into the pelvic floor dysfunction(PFD)group and the control group.20 cases in the normal non-fertile(NNF)group and the normal fertile(NF)group respectively were including in the control group.The Young's modulus of puborectalis(PR)in three groups was measured by virtual touch tissue imaging quantification(VTIQ)at different states.The Young's modulus of PR and their differences in the three groups and between groups were compared and calculated.Receiver-operating characteristic curve(ROC)analyses were performed to assess the diagnostic value of VTIQ,and the area under the curve(AUC)was compared.Results:Young's modulus of PR at resting-state,maximun rectal state and Vasalva state in NNF group and NF group were statistical significance(all P<0.05).Young's modulus of maximun rectal state was higher than that of resting-state and Vasalva state in PFD group(P<0.05).There was no significant difference in Young's modulus between the resting-state and Vasalva state in the PFD group(P>0.05).Difference of PR Young's modulus between resting status and maximun rectal state and that between resting status and Vasalva state were of statistical significance among the three groups(all P<0.05).ROC curves analyses indicated that the AUC,cut-off value,sensitivity,specificity and Youden index of the difference between the Young's modulus of resting status and maximun rectal state measured by VTIQ in control group and PFD group were 0.788,35.45kPa,91.67%,57.14%,0.488,espectively.The AUC,cut-off value,sensitivity,specificity and Youden index of the difference between the Young's modulus of resting status and Vasalva state measured by VTIQ in control group and PFD group were 0.799,14.00kPa,63.89%,85.71%,0.496,respectively.There was no significant difference in AUC between the two groups(Z=0.130,P>0.05).Conclusion:VTIQ technology is an effective method to quantitatively assess the biomechanical properties of PR.The effect of labor on the puborectalis muscle was not significant.The increase of Young's modulus of passive stretching in vasalva state was not significant in patients with pelvic floor dysfunction.The difference between resting status and maximun rectal state and difference between resting status and Vasalva state is more advantageous to the diagnosis of pelvic floor dysfunction disorder.
文摘Background: Quantitative biomechanical characterization of pelvic supportive structures and functions in vivo is thought to provide insight into pathophysiology of pelvic organ prolapse (POP). An innovative approach—vaginal tactile imaging—allows biomechanical mapping of the female pelvic floor to quantify tissue elasticity, pelvic support, and pelvic muscle functions. The Vaginal Tactile Imager (VTI) records high definition pressure patterns from vaginal walls under an applied tissue deformation and during pelvic floor muscle contractions. Objective: To explore an extended set of 52 biomechanical parameters for differentiation and characterization of POP relative to normal pelvic floor conditions. Methods: 96 subjects with normal and POP conditions were included in the data analysis from multi-site observational, case-controlled studies;42 subjects had normal pelvic floor conditions and 54 subjects had POP. The VTI, model 2S, was used with an analytical software package to calculate automatically 52 biomechanical parameters for 8 VTI test procedures (probe insertion, elevation, rotation, Valsalva maneuver, voluntary muscle contractions in 2 planes, relaxation, and reflex contraction). The groups were equalized for subject age and parity. Results: The ranges, mean values, and standard deviations for all 52 VTI parameters were established. 33 of 52 parameters were identified as statistically sensitive (p 0.05;t-test) to the POP development. Among these 33 parameters, 11 parameters show changes (decrease) in tissue elasticity, 8 parameters show deteriorations in pelvic support and 14 parameters show weakness in muscle functions for POP versus normal conditions. Conclusions: The biomechanical mapping of the female pelvic floor with the VTI provides a unique set of parameters characterizing POP versus normal conditions. These objectively measurable biomechanical transformations of pelvic tissues, support structures, and functions under POP may be used in future research and practical applications.
基金National Natural Science Foundation of China Under Grant No.51178028 and No.50938008Program for New Century Excellent Talents in University(NCET-11-0571)+1 种基金the Fundamental Research Funds for the Central Universities(2012JBM007)the 111 Project(B13002)
文摘With the opening of ancient Tibetan structures to visitors worldwide, human load has become the principal live load on these structures. This project studies the properties of the floor structure of an ancient Tibetan building and its behavior under human-induced load effects. Tests were conducted with static and dynamic crowd load, including stepping and jogging by people at a fixed position. The tests show that the floor structure does not behave as a continuous slab. It takes the load from local areas with minimal load transference properties. The acceleration response shows significant peaks when the footstep frequency is close to the natural frequency of the s~＇ucture, but the human jogging excitation frequency does not have any obvious effect on the structural response. The elastic modulus of the Agatu material is estimated to be close to zero from the measured natural frequency of the slab. The Agatu material is concluded to be a discrete compacted material with insignificant contribution to the structural rigidity of the floor slab.
基金This study was funded by Co-Innovation Center of Efficient Processing and Utilization of Forest Resources(Nanjing Forestry University,Nanjing,210037,China).
文摘To improve the impact sound insulation performance of building floors and meet the objective requirements for living comfort of residents,in this article,three kinds of elastic cushion materials,Portuguese cork board,BGL insulation sound insulation foam board,and EPP polypropylene plastic foam board,are applied to the sound insulation of a light frame wood floor structure of the same bedroom and compared to the ordinary floor.This study uses the transfer function method and transient excitation method to measure the sound insulation,damping ratio,and elastic modulus of materials,as well as the sound insulation of the floor under the jumping excitation method of daily behavior.Through comparative analysis,the results and factors of improving the sound insulation performance of the floor are obtained,according to which three types of elastic cushion materials and the floor covering composed of them have higher vibration and noise reduction performance.Among them,the overall sound insulation performance of BGL board floor is the highest,followed by EPP board and cork board floor,and ordinary OSB floor is the lowest.Under the jumping excitation method,three floating floors can improve the impact sound insulation performance of the middle and low-frequency bands.
