Autologous cricoid cartilage as a graft for airway reconstruction in an emergent technique - A case report

Introduction: Laryngotracheal stenosis can be caused after traumatic injuries to the neck from the subglottic larynx to the trachea. Patients with laryngotracheal stenosis often need a tracheotomy and occasionally may become tracheotomy dependent. Different procedures have been described for the management of these lesions. Management options include techniques of endoscopic dilation, laser resection, laryngo-fissure, and an innovative array of plastic reconstructions with or without the use of stents. Case Report: This paper presents airway reconstruction in a young patient with severe subglottic stenosis due to a blunt trauma to the neck, who was treated using particles of an autologous fractured cricoid cartilage as the source for airway augmentation. An incision was made in the anterior midline of the cricoid lamina and deepened through the scar tissue to the posterior cricoid lamina. Then two lateral incisions (right&left) were made in the cricoid lamina and fractured cartilage particles and the scar tissue were removed via these two lateral incisions. The mucosal lining at the right and left of the midline incision, after debulking, were sutured to a lateral position. Thereafter three cartilage particles were used to reconstruct the anterior cricoid lamina and augment the lumen. Conclusion: It is worth to mention that an autologus cartilage graft can be used for certain cases with traumatic airway stenosis. Further follow up and more patients are needed to approve this method of reconstructive surgery in emergent situations

Kinetic Theory of Collisionless Self-Gravitating Gases: Post-Newtonian Polytropes

In this paper we study the kinetic theory of many-particle astrophysical systems and we present a consistent version of the collisionless Boltzmann equation in the 1PN approximation. We argue that the equation presented by Rezania and Sobouti in A&A 354 1110 (2000) is not the correct expression to describe the evolution of a collisionless self-gravitating gas. One of the reasons that account for the previous statement is that the energy of a free-falling test particle, obeying the 1PN equations of motion for static gravitational fields, is not a static solution of the mentioned equation. The same statement holds for the angular momentum, in the case of spherical systems. We provide the necessary corrections and obtain an equation that is consistent with the corresponding equations of motion and the 1PN conserved quantities. We suggest some potential relevance for the study of high density astrophysical systems and as an application we construct the corrected version of the post-Newtonian polytropes.Comment: 23 pages, 24 figures. Accepted for publication in PR

Wide binaries as a critical test of Classical Gravity

Modified gravity scenarios where a change of regime appears at acceleration scales $a<a_{0}$ have been proposed. Since for $1 M_{\odot}$ systems the acceleration drops below $a_{0}$ at scales of around 7000 AU, a statistical survey of wide binaries with relative velocities and separations reaching $10^{4}$ AU and beyond should prove useful to the above debate. We apply the proposed test to the best currently available data. Results show a constant upper limit to the relative velocities in wide binaries which is independent of separation for over three orders of magnitude, in analogy with galactic flat rotation curves in the same $a<a_{0}$ acceleration regime. Our results are suggestive of a breakdown of Kepler's third law beyond $a \approx a_{0}$ scales, in accordance with generic predictions of modified gravity theories designed not to require any dark matter at galactic scales and beyond.Comment: accepted for publication in EPJ

Megathrust and accretionary wedge properties and behaviour in the Makran subduction zone

We study the Makran subduction zone, along the southern coasts of Iran and Pakistan, to gain insights into the kinematics and dynamics of accretionary prism deformation. By combining techniques from seismology, geodesy and geomorphology, we are able to put constraints on the shape of the subduction interface and the style of strain across the prism. We also address the long-standing tectonic problem of how the right-lateral shear taken up by strike-slip faulting in the Sistan Suture Zone in eastern Iran is accommodated at the zone’s southern end. We find that the subduction interface in the western Makran may be locked, accumulating elastic strain, and move in megathrust earthquakes. Such earthquakes, and associated tsunamis, present a significant hazard to populations around the Arabian Sea. The time-dependent strain within the accretionary prism, resulting from the megathrust earthquake cycle, may play an important role in the deformation of the Makran region. By considering the kinematics of the 2013 Balochistan and Minab earthquakes, we infer that the local gravitational and far-field compressive forces in the Makran accretionary prism are in balance. This force balance allows us to calculate the mean shear stress and effective coefficient of friction on the Makran megathrust, which we find to be 5–35 MPa and 0.01–0.03, respectively. These values are similar to those found in other subduction zones, showing that the abnormally high sediment thickness in the offshore Makran does not significantly reduce the shear stress on the megathrust.This work forms part of the NERC- and ESRC-funded project ‘Earthquakes without Frontiers’ and was partially supported by the NERC large grant ‘Looking inside the Continents from Space’. CP is funded by an NERC studentship. The facilities of IRIS Data Services, and specifically the IRIS Data Management Center, were used for access to waveforms, related metadata, and/or derived products used in this study. IRIS Data Services are funded through the Seismological Facilities for the Advancement of Geoscience and EarthScope (SAGE) Proposal of the National Science Foundation under Cooperative Agreement EAR-1261681

Nonlinear mode coupling in rotating stars and the r-mode instability in neutron stars

We develop the formalism required to study the nonlinear interaction of modes in rotating Newtonian stars in the weakly nonlinear regime. The formalism simplifies and extends previous treatments. At linear order, we elucidate and extend slightly a formalism due to Schutz, show how to decompose a general motion of a rotating star into a sum over modes, and obtain uncoupled equations of motion for the mode amplitudes under the influence of an external force. Nonlinear effects are added perturbatively via three-mode couplings. We describe a new, efficient way to compute the coupling coefficients, to zeroth order in the stellar rotation rate, using spin-weighted spherical harmonics. We apply this formalism to derive some properties of the coupling coefficients relevant to the nonlinear interactions of unstable r-modes in neutron stars, postponing numerical integrations of the coupled equations of motion to a later paper. From an astrophysical viewpoint, the most interesting result of this paper is that many couplings of r-modes to other rotational modes (modes with zero frequencies in the non-rotating limit) are small: either they vanish altogether because of various selection rules, or they vanish to lowest order in the angular velocity. In zero-buoyancy stars, the coupling of three r-modes is forbidden entirely and the coupling of two r-modes to one hybrid rotational mode vanishes to zeroth order in rotation frequency. In incompressible stars, the coupling of any three rotational modes vanishes to zeroth order in rotation frequency.Comment: 62 pages, no figures. Corrected error in computation of coupling coefficients, added new selection rule and an appendix on energy and angular momentum of mode

Third Order Effect of Rotation on Stellar Oscillations of a β\beta-Cephei Star

Here the effect of rotation up to third order in the angular velocity of a star on the p, f and g modes is investigated. To do this, the third-order perturbation formalism presented by Soufi et al. (1998) and revised by Karami (2008), was used. I quantify by numerical calculations the effect of rotation on the oscillation frequencies of a uniformly rotating $\beta$-Cephei star with 12 $M_\odot$. For an equatorial velocity of 90 $\rm km s^{-1}$, it is found that the second- and third-order corrections for $(l,m)=(5,-4)$, for instance, are of order of 0.07% of the frequency for radial order $n=-3$ and reaches up to 0.6% for $n=-20$.Comment: 13 pages, 2 figures, 10 table

Modified gravity and its reconstruction from the universe expansion history

We develop the reconstruction program for the number of modified gravities: scalar-tensor theory, $f(R)$, $F(G)$ and string-inspired, scalar-Gauss-Bonnet gravity. The known (classical) universe expansion history is used for the explicit and successful reconstruction of some versions (of special form or with specific potentials) from all above modified gravities. It is demonstrated that cosmological sequence of matter dominance, decceleration-acceleration transition and acceleration era may always emerge as cosmological solutions of such theory. Moreover, the late-time dark energy FRW universe may have the approximate or exact $\Lambda$CDM form consistent with three years WMAP data. The principal possibility to extend this reconstruction scheme to include the radiation dominated era and inflation is briefly mentioned. Finally, it is indicated how even modified gravity which does not describe the matter-dominated epoch may have such a solution before acceleration era at the price of the introduction of compensating dark energy.Comment: LaTeX file, 24 pages, no figure, prepared for the proceedings of ERE 2006, minor correction

QCD ghost f(T)-gravity model

Within the framework of modified teleparallel gravity, we reconstruct a f(T) model corresponding to the QCD ghost dark energy scenario. For a spatially flat FRW universe containing only the pressureless matter, we obtain the time evolution of the torsion scalar T (or the Hubble parameter). Then, we calculate the effective torsion equation of state parameter of the QCD ghost f(T)-gravity model as well as the deceleration parameter of the universe. Furthermore, we fit the model parameters by using the latest observational data including SNeIa, CMB and BAO data. We also check the viability of our model using a cosmographic analysis approach. Moreover, we investigate the validity of the generalized second law (GSL) of gravitational thermodynamics for our model. Finally, we point out the growth rate of matter density perturbation. We conclude that in QCD ghost f(T)-gravity model, the universe begins a matter dominated phase and approaches a de Sitter regime at late times, as expected. Also this model is consistent with current data, passes the cosmographic test, satisfies the GSL and fits the data of the growth factor well as the LCDM model.Comment: 19 pages, 9 figures, 2 tables. arXiv admin note: substantial text overlap with arXiv:1111.726

f(R) theories

Over the past decade, f(R) theories have been extensively studied as one of the simplest modifications to General Relativity. In this article we review various applications of f(R) theories to cosmology and gravity - such as inflation, dark energy, local gravity constraints, cosmological perturbations, and spherically symmetric solutions in weak and strong gravitational backgrounds. We present a number of ways to distinguish those theories from General Relativity observationally and experimentally. We also discuss the extension to other modified gravity theories such as Brans-Dicke theory and Gauss-Bonnet gravity, and address models that can satisfy both cosmological and local gravity constraints.Comment: 156 pages, 14 figures, Invited review article in Living Reviews in Relativity, Published version, Comments are welcom