About the Effect on the Airfoil Wake Induced by Periodic Mobile Flap

The flow in the wake of an aerodynamic airfoil gives us information about the flow pattern that generates the aerodynamic forces. This wake will depend not only on the geometry of the model, but also on the characteristics of the incident flow. If the airfoil has a flow control system, it can modify the characteristics of the resulting flow field. The wake turbulence in this case will be modified. In the near wake, it will be possible to study the mechanisms of generation and vortex shedding, while the analysis of the distant wake provides us with information on the general fluid-dynamic field resulting from the aero-dynamic forces. The objective of the present work is to study the develop of the fluid-dynamic structures found in the NACA 4412 airfoil wake, as well as the development of the same structures when flow control techniques are applied by means of an oscillating Gurney Flap place in the lower surface of the wing model, close to the trailing edge. The flow control system was set at different frequencies. In order to study the effect of the control mechanism on the wake, hot wire anemometry techniques were used. Two components of the velocity vector were measured - longitudinal and vertical by means of a vertical array of three sensors acquiring simultaneously. Velocity fluctuations will be analyzed, as well as turbulence intensities, integral scales and flow energy, in order to quantify the turbulent wake generated and understand the mechanisms involved in its generation.Fil: Marañon Di Leo, Julio. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; ArgentinaFil: Delnero, Juan Sebastian. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; ArgentinaFil: Echapresto Garay, Iban. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; ArgentinaFil: Gamarra, Ariel Nicolas. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; ArgentinaFil: Mantelli, Pablo Marcelo. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; ArgentinaFil: Donati, Javier. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentin

Analytical and experimental study of flutter phenomena at low numbers of reynolds

En el presente trabajo se analiza experimentalmente el fenómenoaeroelástico denominado fluttersobre diferentes superficies sustentadoras con el objetivo de generar herramientas para la medición de fenómenosaeroelásticos en túnel de viento. Para ello se estudiaron 3 placas planas con diferentes rigidices y dos alas sin comandos en un túnelaerodinámico, con el objetivo de obtener la frecuencia de movimiento y la velocidad de ocurrencia. La velocidad de ocurrencia se determinó mediante la utilización de anemómetros y la frecuencia de movimiento mediante filmaciones de alta velocidad y software de seguimiento de imágenes.La combinación de esta herramienta junto con la técnica de balanza de alta frecuencia y la medición de presiones instantáneas a elevadas frecuencias de muestreo nos permite completar los estudios de acoplamiento aero-estructurales de aquellas estructuras donde el modelo de cuerpo rígido no es suficiente y/o adecuado.In the present work, the fl anteroelectric phenomena called flutter on different supporting surfaces is experimentally analyzed in order to generate tools for the measurement of wind tunneling phenomena. To do this, 3 flat plates with different rigidices and two wings without commands were studied in a dynamic tunnel, with the aim of obtaining the frequency of movement and the speed of occurrence. The speed of occurrence was determined by the use of anemometers and the frequency of movement by means of high-speed filming and image tracking software. The combination of this tool together with the technique of high frequency balance and the measurement of instantaneous pressures at high sampling frequencies allows us to complete the studies of aero-structural coupling of those structures where the rigid body model is not enough and / or suitable.Fil: Gamarra, Ariel Nicolas. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; Argentina. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas; ArgentinaFil: García Saínz, Mariano Oscar. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; ArgentinaFil: Capittini, Guillermo Martin. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; ArgentinaFil: Marañon Di Leo, Julio. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentin

Experimental study for the optimization of wind generation in the urban environment

A raíz del continuo desarrollo de la generación eólica, así como también de la descentralización en la generación de esta; el presente trabajo analiza el potencial eólico en terrazas de edificios a partir de ensayos experimentales en túnel de viento. Los ensayos consistieron en visualizaciones mediante inyección de humo y mediciones con anemometría de hilo caliente, del campo de velocidades en las terrazas de un edificio típico en la región latinoamericana, así como la influencia de diferentes edificios cercanos. Se realizaron mediciones para una configuración específica de dos edificios, donde el primero se considera obstáculo ubicado únicamente a barlovento pudiendo modificar su altura respecto al edificio en estudio. Con las mediciones realizadas se cuantificaron velocidades medias y fluctuaciones en distintas ubicaciones sobre la terraza y se seleccionaron las ubicaciones más favorables para la colocación de aerogeneradores. Se encontró una gran influencia de la altura del obstáculo en las velocidades medias y turbulencias, con lo cual la elección de dichas ubicaciones dependerá del entorno circundante.As a result of the continuous development of the wind generation, as well as of the decentralization in the generation of this; The present work analyzes the wind potential in terraces of buildings from experimental tests in wind tunnel. The tests consisted of visualizations by smoke injection and measurements with anemometry of hot wire, of the velocity field on the terraces of a typical building in the Latin American region, as well as the influence of different nearby buildings. Measurements were made for a specific configuration of two buildings, where the first one is considered an obstacle located only to windward, being able to modify its height with respect to the building under study. With the measurements made, average speeds and fluctuations were quantified in different locations on the terrace and the most favorable locations were selected for the placement of wind turbines. A great influence of the height of the obstacle in the average speeds and turbulences was found, with which the election of said locations will depend on the surrounding environment.Fil: Padilla Segura, Victor. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; ArgentinaFil: Algozino, Santiago. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; ArgentinaFil: Marañon Di Leo, Julio. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; ArgentinaFil: Delnero, Juan Sebastian. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; ArgentinaFil: Mantelli, Pablo Marcelo. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; ArgentinaFil: Gamarra, Ariel Nicolas. Universidad Nacional de La Plata. Facultad de Ingeniería. Departamento de Aeronáutica. Laboratorio de Capa Límite y Fluído Dinámica Ambiental; Argentin

Physical activity and brain health in patients with atrial fibrillation

Background and purpose: Vascular brain lesions, such as ischemic infarcts, are common among patients with atrial fibrillation (AF) and are associated with impaired cognitive function. The role of physical activity (PA) in the prevalence of brain lesions and cognition in AF has not been investigated. Methods: Patients from the multicenter Swiss‐AF cohort study were included in this cross‐sectional analysis. We assessed regular exercise (RE; at least once weekly) and minutes of weekly PA using a validated questionnaire. We studied associations with ischemic infarcts, white matter hyperintensities, cerebral microbleeds, and brain volume on brain magnetic resonance imaging and with global cognition measured with a cognitive construct (CoCo) score.ResultsAmong 1490 participants (mean age = 72 ± 9 years), 730 (49%) engaged in RE. In adjusted regression analyses, RE was associated with a lower prevalence of ischemic infarcts (odds ratio [OR] = 0.78, 95% confidence interval [CI] = 0.63–0.98, p = 0.03) and of moderate to severe white matter hyperintensities (OR = 0.78, 95% CI = 0.62–0.99, p = 0.04), higher brain volume (β‐coefficient = 10.73, 95% CI = 2.37–19.09, p = 0.01), and higher CoCo score (β‐coefficient = 0.08, 95% CI = 0.03–0.12, p < 0.001). Increasing weekly PA was associated with higher brain volume (β‐coefficient = 1.40, 95% CI = 0.65–2.15, p < 0.001). Conclusions: In AF patients, RE was associated with a lower prevalence of ischemic infarcts and of moderate to severe white matter disease, with larger brain volume, and with better cognitive performance. Prospective studies are needed to investigate whether these associations are causal. Until then, our findings suggest that patients with AF should be encouraged to remain physically active

Six-Month Survival After Extracorporeal Membrane Oxygenation for Severe COVID-19

Objectives: The authors evaluated the outcome of adult patients with coronavirus disease 2019 (COVID-19)-related acute respiratory distress syndrome (ARDS) requiring the use of extracorporeal membrane oxygenation (ECMO). Design: Multicenter retrospective, observational study. Setting: Ten tertiary referral university and community hospitals. Participants: Patients with confirmed severe COVID-19-related ARDS. Interventions: Venovenous or venoarterial ECMO. Measurements and Main Results: One hundred thirty-two patients (mean age 51.1 +/- 9.7 years, female 17.4%) were treated with ECMO for confirmed severe COVID-19-related ARDS. Before ECMO, the mean Sequential Organ Failure Assessment score was 10.1 +/- 4.4, mean pH was 7.23 +/- 0.09, and mean PaO2/fraction of inspired oxygen ratio was 77 +/- 50 mmHg. Venovenous ECMO was adopted in 122 patients (92.4%) and venoarterial ECMO in ten patients (7.6%) (mean duration, 14.6 +/- 11.0 days). Sixty-three (47.7%) patients died on ECMO and 70 (53.0%) during the index hospitalization. Six-month all-cause mortality was 53.0%. Advanced age (per year, hazard ratio [HR] 1.026, 95% CI 1.000-1-052) and low arterial pH (per unit, HR 0.006, 95% CI 0.000-0.083) before ECMO were the only baseline variables associated with increased risk of six-month mortality. Conclusions: The present findings suggested that about half of adult patients with severe COVID-19 -related ARDS can be managed successfully with ECMO with sustained results at six months. Decreased arterial pH before ECMO was associated significantly with early mortality. Therefore, the authors hypothesized that initiation of ECMO therapy before severe metabolic derangements subset may improve survival rates significantly in these patients. These results should be viewed in the light of a strict patient selection policy and may not be replicated in patients with advanced age or multiple comorbidities. (C) 2021 The Authors. Published by Elsevier Inc.Peer reviewe

Silent brain infarcts impact on cognitive function in atrial fibrillation

Aims: We aimed to investigate the association of clinically overt and silent brain lesions with cognitive function in atrial fibrillation (AF) patients. Methods and results: We enrolled 1227 AF patients in a prospective, multicentre cohort study (Swiss-AF). Patients underwent standardized brain magnetic resonance imaging (MRI) at baseline and after 2 years. We quantified new small non-cortical infarcts (SNCIs) and large non-cortical or cortical infarcts (LNCCIs), white matter lesions (WML), and microbleeds (Mb). Clinically, silent infarcts were defined as new SNCI/LNCCI on follow-up MRI in patients without a clinical stroke or transient ischaemic attack (TIA) during follow-up. Cognition was assessed using validated tests. The mean age was 71 years, 26.1% were females, and 89.9% were anticoagulated. Twenty-eight patients (2.3%) experienced a stroke/TIA during 2 years of follow-up. Of the 68 (5.5%) patients with ≥1 SNCI/LNCCI, 60 (88.2%) were anticoagulated at baseline and 58 (85.3%) had a silent infarct. Patients with brain infarcts had a larger decline in cognition [median (interquartile range)] changes in Cognitive Construct score [-0.12 (-0.22; -0.07)] than patients without new brain infarcts [0.07 (-0.09; 0.25)]. New WML or Mb were not associated with cognitive decline. Conclusion: In a contemporary cohort of AF patients, 5.5% had a new brain infarct on MRI after 2 years. The majority of these infarcts was clinically silent and occurred in anticoagulated patients. Clinically, overt and silent brain infarcts had a similar impact on cognitive decline. Clinical trial registration: ClinicalTrials.gov Identifier: NCT02105844, https://clinicaltrials.gov/ct2/show/NCT02105844. Keywords: Atrial fibrillation; Brain infarction; Cognitive function; Magnetic resonance imaging; Oral anticoagulation

Analytical Parametrization of Self-Consistent Polycrystal Mechanics: Fast Calculation of Upper Mantle Anisotropy

Progressive deformation of upper mantle rocks via dislocation creep causes their constituent crystals to take on a non-random orientation distribution (crystallographic preferred orientation or CPO) whose observable signatures include shear-wave splitting and azimuthal dependence of surface wave speeds. Comparison of these signatures with mantle flow models thus allows mantle dynamics to be unraveled on global and regional scales. However, existing self-consistent models of CPO evolution are computationally expensive when used in 3-D and/or time-dependent convection models. Here we propose a new method, called ANPAR, which is based on an analytical parameterisation of the crystallographic spin predicted by the second-order (SO) self-consistent theory. Our parameterisation runs approximately 2-6x10^4 times faster than the SO model and fits its predictions for CPO and crystallographic spin with a variance reduction > 99%. We illustrate the ANPAR model predictions for the deformation of olivine with three dominant slip systems, (010)[100], (001)[100] and (010)[001], for three uniform deformations (uniaxial compression, pure shear, simple shear) and for a corner-flow model of a spreading mid-ocean ridge

Long-term risk of adverse outcomes according to atrial fibrillation type

Sustained forms of atrial fibrillation (AF) may be associated with a higher risk of adverse outcomes, but few if any long-term studies took into account changes of AF type and co-morbidities over time. We prospectively followed 3843 AF patients and collected information on AF type and co-morbidities during yearly follow-ups. The primary outcome was a composite of stroke or systemic embolism (SE). Secondary outcomes included myocardial infarction, hospitalization for congestive heart failure (CHF), bleeding and all-cause mortality. Multivariable adjusted Cox proportional hazards models with time-varying covariates were used to compare hazard ratios (HR) according to AF type. At baseline 1895 (49%), 1046 (27%) and 902 (24%) patients had paroxysmal, persistent and permanent AF and 3234 (84%) were anticoagulated. After a median (IQR) follow-up of 3.0 (1.9; 4.2) years, the incidence of stroke/SE was 1.0 per 100 patient-years. The incidence of myocardial infarction, CHF, bleeding and all-cause mortality was 0.7, 3.0, 2.9 and 2.7 per 100 patient-years, respectively. The multivariable adjusted (a) HRs (95% confidence interval) for stroke/SE were 1.13 (0.69; 1.85) and 1.27 (0.83; 1.95) for time-updated persistent and permanent AF, respectively. The corresponding aHRs were 1.23 (0.89, 1.69) and 1.45 (1.12; 1.87) for all-cause mortality, 1.34 (1.00; 1.80) and 1.30 (1.01; 1.67) for CHF, 0.91 (0.48; 1.72) and 0.95 (0.56; 1.59) for myocardial infarction, and 0.89 (0.70; 1.14) and 1.00 (0.81; 1.24) for bleeding. In this large prospective cohort of AF patients, time-updated AF type was not associated with incident stroke/SE

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Six-Month Survival After Extracorporeal Membrane Oxygenation for Severe COVID-19

ObjectivesThe authors evaluated the outcome of adult patients with coronavirus disease 2019 (COVID-19)–related acute respiratory distress syndrome (ARDS) requiring the use of extracorporeal membrane oxygenation (ECMO).DesignMulticenter retrospective, observational study.SettingTen tertiary referral university and community hospitals.ParticipantsPatients with confirmed severe COVID-19–related ARDS.InterventionsVenovenous or venoarterial ECMO.Measurements and Main ResultsOne hundred thirty-two patients (mean age 51.1 ± 9.7 years, female 17.4%) were treated with ECMO for confirmed severe COVID-19–related ARDS. Before ECMO, the mean Sequential Organ Failure Assessment score was 10.1 ± 4.4, mean pH was 7.23 ± 0.09, and mean PaO2/fraction of inspired oxygen ratio was 77 ± 50 mmHg. Venovenous ECMO was adopted in 122 patients (92.4%) and venoarterial ECMO in ten patients (7.6%) (mean duration, 14.6 ± 11.0 days). Sixty-three (47.7%) patients died on ECMO and 70 (53.0%) during the index hospitalization. Six-month all-cause mortality was 53.0%. Advanced age (per year, hazard ratio [HR] 1.026, 95% CI 1.000-1-052) and low arterial pH (per unit, HR 0.006, 95% CI 0.000-0.083) before ECMO were the only baseline variables associated with increased risk of six-month mortality.ConclusionsThe present findings suggested that about half of adult patients with severe COVID-19–related ARDS can be managed successfully with ECMO with sustained results at six months. Decreased arterial pH before ECMO was associated significantly with early mortality. Therefore, the authors hypothesized that initiation of ECMO therapy before severe metabolic derangements subset may improve survival rates significantly in these patients. These results should be viewed in the light of a strict patient selection policy and may not be replicated in patients with advanced age or multiple comorbidities. Clinical Trial Registration: identifier, NCT04383678.</p