406 research outputs found
Modification of the ECAS reference steam power generating plant to comply with the EPA 1979 new source performance standards
Detailed capital cost estimates for the ECAS and modified reference plants in mid-1978 dollars for both 250 and 175 F (394 and 353 K) stack gas reheat temperatures based on the cost estimates developed for the ECAS study are presented. The scope of the work included technical assessment of sulfur dioxide scrubber system design, on site calcination versus purchased lime, reheat of stack gas, effect of sulfur dioxide scrubber on particulate emission, and control of nitrogen oxides
A new model for simulating colloidal dynamics
We present a new hybrid lattice-Boltzmann and Langevin molecular dynamics
scheme for simulating the dynamics of suspensions of spherical colloidal
particles. The solvent is modeled on the level of the lattice-Boltzmann method
while the molecular dynamics is done for the solute. The coupling between the
two is implemented through a frictional force acting both on the solvent and on
the solute, which depends on the relative velocity. A spherical colloidal
particle is represented by interaction sites at its surface. We demonstrate
that this scheme quantitatively reproduces the translational and rotational
diffusion of a neutral spherical particle in a liquid and show preliminary
results for a charged spherical particle. We argue that this method is
especially advantageous in the case of charged colloids.Comment: For a movie click on the link below Fig
Incidence and Outcomes of Acute Implant Extrusion Following Anterior Cervical Spine Surgery.
STUDY DESIGN: Multi-institutional retrospective case series of 8887 patients who underwent anterior cervical spine surgery.
OBJECTIVE: Anterior decompression from discectomy or corpectomy is not without risk. Surgical morbidity ranges from 9% to 20% and is likely underreported. Little is known of the incidence and effects of rare complications on functional outcomes following anterior spinal surgery. In this retrospective review, we examined implant extrusions (IEs) following anterior cervical fusion.
METHODS: A retrospective multicenter case series study involving 21 high-volume surgical centers from the AOSpine North America Clinical Research Network. Medical records for 17 625 patients who received cervical spine surgery (levels from C2 to C7) between January 1, 2005, and December 31, 2011, were reviewed to identify occurrence of 21 predefined treatment complications.
RESULTS: Following anterior cervical fusion, the incidence of IE ranged from 0.0% to 0.8% across 21 institutions with 11 cases reported. All surgeries involved multiple levels, and 7/11 (64%) involved either multilevel corpectomies or hybrid constructs with at least one adjacent discectomy to a corpectomy. In 7/11 (64%) patients, constructs ended with reconstruction or stabilization at C7. Nine patients required surgery for repair and stabilization following IE. Average length of hospital stay after IE was 5.2 days. Only 2 (18%) had residual deficits after reoperation.
CONCLUSIONS: IE is a very rare complication after anterior cervical spine surgery often requiring revision. Constructs requiring multilevel reconstruction, especially at the cervicothoracic junction, have a higher risk for failure, and surgeons should proceed with caution in using an anterior-only approach in these demanding cases. Surgeons can expect most patients to regain function after reoperation
Misplaced Cervical Screws Requiring Reoperation.
STUDY DESIGN: A multicenter, retrospective case series.
OBJECTIVE: In the past several years, screw fixation of the cervical spine has become commonplace. For the most part, this is a safe, low-risk procedure. While rare, screw backout or misplaced screws can lead to morbidity and increased costs. We report our experiences with this uncommon complication.
METHODS: A multicenter, retrospective case series was undertaken at 23 institutions in the United States. Patients were included who underwent cervical spine surgery from January 1, 2005, to December 31, 2011, and had misplacement of screws requiring reoperation. Institutional review board approval was obtained at all participating institutions, and detailed records were sent to a central data center.
RESULTS: A total of 12 903 patients met the inclusion criteria and were analyzed. There were 11 instances of screw backout requiring reoperation, for an incidence of 0.085%. There were 7 posterior procedures. Importantly, there were no changes in the health-related quality-of-life metrics due to this complication. There were no new neurologic deficits; a patient most often presented with pain, and misplacement was diagnosed on plain X-ray or computed tomography scan. The most common location for screw backout was C6 (36%).
CONCLUSIONS: This study represents the largest series to tabulate the incidence of misplacement of screws following cervical spine surgery, which led to revision procedures. The data suggest this is a rare event, despite the widespread use of cervical fixation. Patients suffering this complication can require revision, but do not usually suffer neurologic sequelae. These patients have increased cost of care. Meticulous technique and thorough knowledge of the relevant anatomy are the best means of preventing this complication
Quantum Ontologies and Mind-Matter Synthesis
Aspects of a quantum mechanical theory of a world containing efficacious
mental aspects that are closely tied to brains, but that are not identical to
brains.Comment: 69 pages. Invited contribution to Xth Max Born Symposium: "Quantum
Future". Published in "Quantum Future", eds. P. Blanchard and A. Jadczyk,
Springer-Verlag, 1999, ISBN 3-540-65218-3. LBNL 4072
A Model of Fluid-Structure and Biochemical Interactions for Applications to Subclinical Leaflet Thrombosis
Subclinical leaflet thrombosis (SLT) is a potentially serious complication of
aortic valve replacement with a bioprosthetic valve in which blood clots form
on the replacement valve. SLT is associated with increased risk of transient
ischemic attacks and strokes and can progress to clinical leaflet thrombosis.
SLT following aortic valve replacement also may be related to subsequent
structural valve deterioration, which can impair the durability of the valve
replacement. Because of the difficulty in clinical imaging of SLT, models are
needed to determine the mechanisms of SLT and could eventually predict which
patients will develop SLT. To this end, we develop methods to simulate leaflet
thrombosis that combine fluid-structure interaction and a simplified thrombosis
model that allows for deposition along the moving leaflets. Additionally, this
model can be adapted to model deposition or absorption along other moving
boundaries. We present convergence results and quantify the model's ability to
realize changes in valve opening and pressures. These new approaches are an
important advancement in our tools for modeling thrombosis in which they
incorporate both adhesion to the surface of the moving leaflets and feedback to
the fluid-structure interaction.Comment: 29 pages, 11 figure
The effects of estradiol-17β on the sex reversal, survival, and growth of green sunfish Lepomis cyanellus
The feminization of green sunfish Lepomis cyanellus could expand their utility as a game fish or aquacultured species by preventing overcrowding and precocious reproduction in stocked systems. Feminization of green sunfish could also help elucidate information on their sex determination system. We report the feminization of green sunfish cohorts via oral administration of estradiol-17β (E2) during early development. A low-dose (100 E2 mg per kg of diet) and a high-dose (150 E2 mg per kg of diet) experimental E2 treatment were fed to juvenile green sunfish from 30 to 90 days post-hatch. Fish were subsequently evaluated for any treatment effect on gonadal development, survival, and growth. Both E2 treatments resulted in 100% feminization, with no morphological or histological differences detected between E2 treated ovaries and those from a control group. The control group was composed mostly of males (82.61%). Overall, there was no effect of E2 on survival (P = 0.310) and growth rate data suggested no statistical differences (P = 0.0805). However, the growth rate of the high-dose group increased slightly higher after the treatment ended than the other treatments (P = 0.042), suggesting that E2 might suppress growth in green sunfish. In addition, the control group did not exhibit a higher survival rate after the treatment period ended (P = 0.266), whereas both E2 treated groups did (P = 0.0003–0.0050). We found that the low dose, 100 E2 mg per kg of diet, was sufficient for fully feminizing green sunfish if administered during development from 30 to 90 days post-hatch and E2 dosages may result in deleterious effects on green sunfish’s health and growth
The functional anatomy of schizophrenia: A dynamic causal modeling study of predictive coding.
This paper tests the hypothesis that patients with schizophrenia have a deficit in selectively attending to predictable events. We used dynamic causal modeling (DCM) of electrophysiological responses - to predictable and unpredictable visual targets - to quantify the effective connectivity within and between cortical sources in the visual hierarchy in 25 schizophrenia patients and 25 age-matched controls. We found evidence for marked differences between normal subjects and schizophrenia patients in the strength of extrinsic backward connections from higher hierarchical levels to lower levels within the visual system. In addition, we show that not only do schizophrenia subjects have abnormal connectivity but also that they fail to adjust or optimize this connectivity when events can be predicted. Thus, the differential intrinsic recurrent connectivity observed during processing of predictable versus unpredictable targets was markedly attenuated in schizophrenia patients compared with controls, suggesting a failure to modulate the sensitivity of neurons responsible for passing sensory information of prediction errors up the visual cortical hierarchy. The findings support the proposed role of abnormal connectivity in the neuropathology and pathophysiology of schizophrenia
Sedimentation and Flow Through Porous Media: Simulating Dynamically Coupled Discrete and Continuum Phases
We describe a method to address efficiently problems of two-phase flow in the
regime of low particle Reynolds number and negligible Brownian motion. One of
the phases is an incompressible continuous fluid and the other a discrete
particulate phase which we simulate by following the motion of single
particles. Interactions between the phases are taken into account using locally
defined drag forces. We apply our method to the problem of flow through random
media at high porosity where we find good agreement to theoretical expectations
for the functional dependence of the pressure drop on the solid volume
fraction. We undertake further validations on systems undergoing gravity
induced sedimentation.Comment: 22 pages REVTEX, figures separately in uudecoded, compressed
postscript format - alternatively e-mail '[email protected]' for
hardcopies
On Propagation of Excitation Waves in Moving Media: The FitzHugh-Nagumo Model
BACKGROUND: Existence of flows and convection is an essential and integral feature of many excitable media with wave propagation modes, such as blood coagulation or bioreactors. METHODS/RESULTS: Here, propagation of two-dimensional waves is studied in parabolic channel flow of excitable medium of the FitzHugh-Nagumo type. Even if the stream velocity is hundreds of times higher that the wave velocity in motionless medium (), steady propagation of an excitation wave is eventually established. At high stream velocities, the wave does not span the channel from wall to wall, forming isolated excited regions, which we called "restrictons". They are especially easy to observe when the model parameters are close to critical ones, at which waves disappear in still medium. In the subcritical region of parameters, a sufficiently fast stream can result in the survival of excitation moving, as a rule, in the form of "restrictons". For downstream excitation waves, the axial portion of the channel is the most important one in determining their behavior. For upstream waves, the most important region of the channel is the near-wall boundary layers. The roles of transversal diffusion, and of approximate similarity with respect to stream velocity are discussed. CONCLUSIONS: These findings clarify mechanisms of wave propagation and survival in flow
- …