261 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
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
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
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
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
Surrounded by sound: noise, rights and environments
Noise was probably the first environmental pollutant (apart from human waste) in the Ancient world. Yet today, by comparison with other environmental matters, noise and protection from its effects are often overlooked, except in specialist fields such as architecture or planning. One major reason for this may be that noise does not possess the same ability to spread that is characteristic of other forms of pollution. Noise is also an unusual form of environmental pollution in having a physical impact – it is ‘heard’ and can be ‘felt’ – but is predominantly interpreted subjectively. The impact and consequences of anthropogenic noise for humans and biodiversity in general, are currently under-investigated in criminology and are under-addressed in both public and private international environmental law. Here we question why noise has not (so far) been explored within green criminology and only tentatively explored within cultural criminology. The objectives are to provide an overview of noise as a topic, connecting media, culture, anti- and pro-social behaviour, and to unearth interconnections between the matter of noise and its implications for the environment
A torque-based method demonstrates increased rigidity in Parkinson’s disease during low-frequency stimulation
Low-frequency oscillations in the basal ganglia are prominent in patients with Parkinson’s disease off medication. Correlative and more recent interventional studies potentially implicate these rhythms in the pathophysiology of Parkinson’s disease. However, effect sizes have generally been small and limited to bradykinesia. In this study, we investigate whether these effects extend to rigidity and are maintained in the on-medication state. We studied 24 sides in 12 patients on levodopa during bilateral stimulation of the STN at 5, 10, 20, 50, 130 Hz and in the off-stimulation state. Passive rigidity at the wrist was assessed clinically and with a torque-based mechanical device. Low-frequency stimulation at ≤20 Hz increased rigidity by 24 % overall (p = 0.035), whereas high-frequency stimulation (130 Hz) reduced rigidity by 18 % (p = 0.033). The effects of low-frequency stimulation (5, 10 and 20 Hz) were well correlated with each other for both flexion and extension (r = 0.725 ± SEM 0.016 and 0.568 ± 0.009, respectively). Clinical assessments were unable to show an effect of low-frequency stimulation but did show a significant effect at 130 Hz (p = 0.002). This study provides evidence consistent with a mechanistic link between oscillatory activity at low frequency and Parkinsonian rigidity and, in addition, validates a new method for rigidity quantification at the wrist
Recommended from our members
Regulation of early steps of GPVI signal transduction by phosphatases: a systems biology approach
We present a data-driven mathematical model of a key initiating step in platelet activation, a central process in the prevention of bleeding following Injury. In vascular disease, this process is activated inappropriately and causes thrombosis, heart attacks and stroke. The collagen receptor GPVI is the primary trigger for platelet activation at sites of injury. Understanding the complex molecular mechanisms initiated by this receptor is important for development of more effective antithrombotic medicines. In this work we developed a series of nonlinear ordinary differential equation models that are direct representations of biological hypotheses surrounding the initial steps in GPVI-stimulated signal transduction. At each stage model simulations were compared to our own quantitative, high-temporal experimental data that guides further experimental design, data collection and model refinement. Much is known about the linear forward reactions within platelet signalling pathways but knowledge of the roles of putative reverse reactions are poorly understood. An initial model, that includes a simple constitutively active phosphatase, was unable to explain experimental data. Model revisions, incorporating a complex pathway of interactions (and specifically the phosphatase TULA-2), provided a good description of the experimental data both based on observations of phosphorylation in samples from one donor and in those of a wider population. Our model was used to investigate the levels of proteins involved in regulating the pathway and the effect of low GPVI levels that have been associated with disease. Results indicate a clear separation in healthy and GPVI deficient states in respect of the signalling cascade dynamics associated with Syk tyrosine phosphorylation and activation. Our approach reveals the central importance of this negative feedback pathway that results in the temporal regulation of a specific class of protein tyrosine phosphatases in controlling the rate, and therefore extent, of GPVI-stimulated platelet activation
- …