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Structural Health Monitoring of Large Civil Engineering Structures
by
Chen Hua-Peng
,
Ni Yi-Qing
in
Civil Engineering & Construction Materials
,
Deformations (Mechanics)
,
Fracture mechanics
2018
Structural Health Monitoring (SHM) provides the facilities for in-service monitoring of structural performance and damage assessment, and is a key element of condition based maintenance and damage prognosis. This comprehensive book brings readers up to date on the most important changes and advancements in the structural health monitoring technologies applied to civil engineering structures. It covers all aspects required for such monitoring in the field, including sensors and networks, data acquisition and processing, damage detection techniques and damage prognostics techniques. The book also includes a number of case studies showing how the techniques can be applied in the development of sustainable and resilient civil infrastructure systems. This book offers in-depth chapter coverage of: Sensors and Sensing Technology for Structural Monitoring; Data Acquisition, Transmission, and Management; Structural Damage Identification Techniques; Modal Analysis of Civil Engineering Structures; Finite Element Model Updating; Vibration Based Damage Identification Methods; Model Based Damage Assessment Methods; Monitoring Based Reliability Analysis and Damage Prognosis; and Applications of SHM Strategies to Large Civil Structures.
Safety and efficacy of gene replacement therapy for X-linked myotubular myopathy (ASPIRO): a multinational, open-label, dose-escalation trial
2023
X-linked myotubular myopathy is a rare, life-threatening, congenital muscle disease observed mostly in males, which is caused by mutations in MTM1. No therapies are approved for this disease. We aimed to assess the safety and efficacy of resamirigene bilparvovec, which is an adeno-associated viral vector serotype 8 delivering human MTM1.
ASPIRO is an open-label, dose-escalation trial at seven academic medical centres in Canada, France, Germany, and the USA. We included boys younger than 5 years with X-linked myotubular myopathy who required mechanical ventilator support. The trial was initially in two parts. Part 1 was planned as a safety and dose-escalation phase in which participants were randomly allocated (2:1) to either the first dose level (1·3 × 1014 vector genomes [vg]/kg bodyweight) of resamirigene bilparvovec or delayed treatment, then, for later participants, to either a higher dose (3·5 × 1014 vg/kg bodyweight) of resamirigene bilparvovec or delayed treatment. Part 2 was intended to confirm the dose selected in part 1. Resamirigene bilparvovec was administered as a single intravenous infusion. An untreated control group comprised boys who participated in a run-in study (INCEPTUS; NCT02704273) or those in the delayed treatment cohort who did not receive any dose. The primary efficacy outcome was the change from baseline to week 24 in hours of daily ventilator support. After three unexpected deaths, dosing at the higher dose was stopped and the two-part feature of the study design was eliminated. Because of changes to the study design during its implementation, analyses were done on an as-treated basis and are deemed exploratory. All treated and control participants were included in the safety analysis. The trial is registered with ClinicalTrials.gov, NCT03199469. Outcomes are reported as of Feb 28, 2022. ASPIRO is currently paused while deaths in dosed participants are investigated.
Between Aug 3, 2017 and June 1, 2021, 30 participants were screened for eligibility, of whom 26 were enrolled; six were allocated to the lower dose, 13 to the higher dose, and seven to delayed treatment. Of the seven children whose treatment was delayed, four later received the higher dose (n=17 total in the higher dose cohort), one received the lower dose (n=7 total in the lower dose cohort), and two received no dose and joined the control group (n=14 total, including 12 children from INCEPTUS). Median age at dosing or enrolment was 12·1 months (IQR 10·0–30·9; range 9·5–49·7) in the lower dose cohort, 31·1 months (16·0–64·7; 6·8–72·7) in the higher dose cohort, and 18·7 months (10·1–31·5; 5·9–39·3) in the control cohort. Median follow-up was 46·1 months (IQR 41·0–49·5; range 2·1–54·7) for lower dose participants, 27·6 months (24·6–29·1; 3·4–41·0) for higher dose participants, and 28·3 months (9·7–46·9; 5·7–32·7) for control participants. At week 24, lower dose participants had an estimated 77·7 percentage point (95% CI 40·22 to 115·24) greater reduction in least squares mean hours per day of ventilator support from baseline versus controls (p=0·0002), and higher dose participants had a 22·8 percentage point (6·15 to 39·37) greater reduction from baseline versus controls (p=0·0077). One participant in the lower dose cohort and three in the higher dose cohort died; at the time of death, all children had cholestatic liver failure following gene therapy (immediate causes of death were sepsis; hepatopathy, severe immune dysfunction, and pseudomonal sepsis; gastrointestinal haemorrhage; and septic shock). Three individuals in the control group died (haemorrhage presumed related to hepatic peliosis; aspiration pneumonia; and cardiopulmonary failure).
Most children with X-linked myotubular myopathy who received MTM1 gene replacement therapy had important improvements in ventilator dependence and motor function, with more than half of dosed participants achieving ventilator independence and some attaining the ability to walk independently. Investigations into the risk for underlying hepatobiliary disease in X-linked myotubular myopathy, and the need for monitoring of liver function before gene replacement therapy, are ongoing.
Astellas Gene Therapies.
Journal Article
Advanced modeling techniques in structural design
by
Fu, Feng
in
Mathematical models
,
Structural & Building Engineering
,
Structural analysis (Engineering)
2015
The successful design and construction of iconic new buildings relies on a range of advanced technologies, in particular on advanced modelling techniques. In response to the increasingly complex buildings demanded by clients and architects, structural engineers have developed a range of sophisticated modelling software to carry out the necessary structural analysis and design work.
Advanced Modelling Techniques in Structural Design introduces numerical analysis methods to both students and design practitioners. It illustrates the modelling techniques used to solve structural design problems, covering most of the issues that an engineer might face, including lateral stability design of tall buildings; earthquake; progressive collapse; fire, blast and vibration analysis; non-linear geometric analysis and buckling analysis . Resolution of these design problems are demonstrated using a range of prestigious projects around the world, including the Buji Khalifa; Willis Towers; Taipei 101; the Gherkin; Millennium Bridge; Millau viaduct and the Forth Bridge, illustrating the practical steps required to begin a modelling exercise and showing how to select appropriate software tools to address specific design problems.
Evolutionary topology optimization of continuum structures
2010
Evolutionary Topology Optimization of Continuum Structures treads new ground with a comprehensive study on the techniques and applications of evolutionary structural optimization (ESO) and its later version bi-directional ESO (BESO) methods.
Optimization and anti-optimization of structures under uncertainty
by
Elishakoff, Isaac
,
Ohsaki, Makoto
in
Aerospace engineering
,
Civil Engineering (including Earthquake and Tsunami)
,
Coastal and Ocean Engineering
2010
The volume presents a collaboration between internationally recognized experts on anti-optimization and structural optimization, and summarizes various novel ideas, methodologies and results studied over 20 years. The book vividly demonstrates how the concept of uncertainty should be incorporated in a rigorous manner during the process of designing real-world structures. The necessity of anti-optimization approach is first demonstrated, then the anti-optimization techniques are applied to static, dynamic and buckling problems, thus covering the broadest possible set of applications. Finally, anti-optimization is fully utilized by a combination of structural optimization to produce the optimal design considering the worst-case scenario. This is currently the only book that covers the combination of optimization and anti-optimization. It shows how various optimization techniques are used in the novel anti-optimization technique, and how the structural optimization can be exponentially enhanced by incorporating the concept of worst-case scenario, thereby increasing the safety of the structures designed in various fields of engineering.