57,950 research outputs found

    Diagnosis and treatment of hereditary hemorrhagic telangiectasia in a pediatric patient with chronic cyanosis.

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    Background: Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disorder of vascular dysplasias that is characterized by mucocutaneous telangiectasias, gastrointestinal tract bleeding, and arteriovenous malformations (AVMs) of the pulmonary, hepatic, and cerebral vascular systems. Case Summary: A seven-year-old boy presented to his primary care provider with a five-day history of watery diarrhea and was incidentally found to have oxygen saturations in the low eighties, perioral cyanosis, and clubbing on physical exam. He was referred to the pediatric emergency department (ED) for evaluation. Upon presentation to the pediatric ED, oxygen saturation ranged from 74-85%. He was in no acute distress and was afebrile with normal vital signs. The patient was small for his age with height and weight in the thirteenth and third percentiles, respectively, and had central cyanosis and clubbing of fingers and toes. Auscultation revealed diminished lung sounds in the right lower lobe. No mucocutaneous telangiectasias or cardiac murmurs were appreciated. Family history was positive for hereditary hemorrhagic telangiectasia (HHT) with gastrointestinal bleeding and anemia in his maternal great grandmother and maternal grandmother, minor bleeding and mucocutaneous telangiectasias in his mother, and cyanosis with exercise and recurrent epistaxis in his brother. Complete blood count was significant for a hemoglobin level of 18.1 g/dL. A chest x-ray (Figure 1) showed an airspace opacification within the superior segment of the right lower lobe suspicious for an arteriovenous malformation (AVM).peer-reviewe

    Pion Light-Cone Wave Functions and Light-Front Quark Model

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    We discuss a relation between the light-front quark model and QCD. We argue that this model can be used for an evaluation of the light-cone wave functions for moderate values of "u", but that it is inapplicable for this purpose in the region near the ends points u=0,1. We find additional support for a recent analysis in which it was claimed that the twist-two pion wave function attains its asymptotic form. The asymptotic twist-four two-particle wave function is also in good agreement with the light-front quark model.Comment: 11 pages and 2 PS-figures in one gz-compressed .tar file. Minor chang

    Turbulent transport and length scale measurement experiments with comfined coaxial jets

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    A three phase experimental study of mixing downstream of swirling and nonswirling confined coaxial jets was conducted to obtain data for the evaluation and improvement of turbulent transport models currently employed in a variety of computational procedures. The present effort was directed toward the acquisition of length scale and dissipation rate data that provide more accurate inlet boundary conditions for the computational procedures and a data base to evaluate the turbulent transport models in the near jet region where recirculation does not occur, and the acquisition of mass and momentum turbulent transport data for a nonswirling flow condition with a blunt inner jet inlet configuration rather than the tapered inner jet inlet. A measurement technique, generally used to obtain approximate integral length and microscales of turbulence and dissipation rates, was computerized. Results showed the dissipation rate varied by 2 1/2 orders of magnitude across the inlet plane, by 2 orders of magnitude 51 mm from the inlet plane, and by 1 order of magnitude at 102 mm from the inlet plane for a nonswirling flow test conditions

    Experimental study of one- and two-component low-turbulence confined coaxial flows

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    Fluid mechanics experiments to investigate methods for reducing mixing between confined coaxial flows in cylindrical chambers for application to open-cycle gaseous-core nuclear rocket

    Semi-automatic crop inventory from sequential ERTS-1 imagery

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    The detection of a newly introduced crop into the Imperial (California) Valley by sequential ERTS-1 imagery is proving that individual crop types can be identified by remote sensing techniques. Initial results have provided an extremely useful product for water agencies. A system for the identification of field conditions enables the production of a statistical summary within two to three days of receipt of the ERTS-1 imagery. The summary indicates the total acreage of producing crops and irrigated planted crops currently demanding water and further indicates freshly plowed fields that will be demanding water in the near future. Relating the field conditions to the crop calendar of the region by means of computer techniques will provide specific crop identification for the 8000 plus fields

    Uncovering Droop Control Laws Embedded Within the Nonlinear Dynamics of Van der Pol Oscillators

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    This paper examines the dynamics of power-electronic inverters in islanded microgrids that are controlled to emulate the dynamics of Van der Pol oscillators. The general strategy of controlling inverters to emulate the behavior of nonlinear oscillators presents a compelling time-domain alternative to ubiquitous droop control methods which presume the existence of a quasi-stationary sinusoidal steady state and operate on phasor quantities. We present two main results in this work. First, by leveraging the method of periodic averaging, we demonstrate that droop laws are intrinsically embedded within a slower time scale in the nonlinear dynamics of Van der Pol oscillators. Second, we establish the global convergence of amplitude and phase dynamics in a resistive network interconnecting inverters controlled as Van der Pol oscillators. Furthermore, under a set of non-restrictive decoupling approximations, we derive sufficient conditions for local exponential stability of desirable equilibria of the linearized amplitude and phase dynamics
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