Propulsion by an Oscillating Thin Airfoil at Low Reynolds Number

This paper describes an investigation of the mechanisms producing thrust for an airfoil performing a pitching or heaving motion in a low Reynolds-number flow (Re = 1000, based on chord length) by analysis of numerically obtained flow fields and forces on the airfoil. For heaving motion the dependence on reduced frequency and non-dimensional heaving amplitude are examined. For pitching motion the reduced frequency and the center of rotation are varied. The vortex generated by the leading edge is found to be determinant for thrust by heaving motion. Pitching propulsion is shown to be an effect of coupled acceleration and inclination of the airfoil

Effective data collection scheme for real-spatial group communication over hybrid infra-ad hoc wireless networks

This paper presents an effective data collection scheme to provide group communications among appropriate members selected by each user’s geographic situation and preference (real-spatial information). When each user directly notifies central servers of user’s information via wireless network infrastructure (Wi-infra), message delivery latency and losses drastically increase due to the network congestion. Therefore, we employ representative nodes (RNs) selected in a distributed manner. The RN first collects the real-spatial information from neighboring nodes via an ad hoc network and then notifies the server via Wi-infra. From simulation experiments, our scheme can drastically reduce both message delivery latency and losses

Interruption of the circulation of an indigenous measles genotype and the introduction of other genotypes after a mass vaccination campaign in the Philippines

Molecular analysis of measles viruses in the Philippines was conducted from 2000 to 2008. No confirmed measles cases were detected in the surveillance in 2005 after the mass vaccination campaign in 2004. However, a re-emergence of measles cases occurred in 2007, which was caused by other genotypes and the previous circulating genotype had disappeared. J. Med. Virol. 83:1424–1427, 2011. © 2011 Wiley-Liss, Inc

Myocardial velocity gradient as a noninvasively determined index of left ventricular diastolic dysfunction in patients with hypertrophic cardiomyopathy

AbstractObjectivesWe investigated the utility of the peak negative myocardial velocity gradient (MVG) derived from tissue Doppler imaging (TDI) for evaluation of diastolic dysfunction in patients with hypertrophic cardiomyopathy (HCM).BackgroundHypertrophic cardiomyopathy is characterized by impaired diastolic function with abnormal stiffness and prolonged relaxation. However, it remains difficult to evaluate these defects noninvasively.MethodsBoth TDI and conventional echocardiography were performed in 36 patients with HCM and in 47 control subjects. Left ventricular (LV) pressure was measured simultaneously in all HCM patients and in 26 controls.ResultsThe peak negative MVG occurred soon after the isovolumic relaxation period during the initial phase of rapid filling (auxotonic relaxation). It was significantly smaller in HCM patients than in control subjects (2.32 ± 0.52/s vs. 4.82 ± 1.15/s, p < 0.0001); the cutoff value for differentiation between all HCM patients and 47 normal individuals was determined as 3.2/s. Both the left ventricular end-diastolic pressure (LVEDP) (19.6 ± 6.1 mm Hg vs. 6.5 ± 1.7 mm Hg, p < 0.0001) and the time constant of LV pressure decay during isovolumic diastole (tau) (44.0 ± 6.7 ms vs. 32.1 ± 5.5 ms, p < 0.0001) were increased in HCM patients compared with controls. The peak negative MVG was negatively correlated with both LVEDP (r= −0.75, p < 0.0001) and tau (r= −0.58, p < 0.0001).ConclusionsA reduced peak negative MVG reflects both prolonged relaxation and elevated LVEDP. The peak negative MVG might thus provide a noninvasive index of diastolic function, yielding unique information about auxotonic relaxation in patients with HCM

Development of laser speckle blood flowmeter for evaluating the physiological function of skin

Objective: We developed and demonstrated laser speckle flowgraphy (LSFG) for two-dimensional (2D) skin blood flow (SBF) measurements to facilitate the noninvasive comparisons of SBF between individuals. Approach: By using morphing technology with a face mesh to compare SBF spatial distributions among individuals, we examined the practicability of SBF measurement with LSFG. Main results: (1) The uniformity of SBF measurement was demonstrated by examinations at different distances and angles for healthy subjects. (2) Mean blur rate (MBR)—a blood flow index of LSFG—exhibited significant correlation with the thermal diffusion method (TDM)—an established blood flow measurement method—suggesting that MBR is an effective index of SBF. (3) Blowout time, the half-width duration/duration of one cardiac cycle, exhibited significant negative correlation with age and positive correlation with stratum corneum hydration. Significance: These results suggest that LSFG is useful for evaluating SBF-related skin properties, and it has significant potential in medicine and cosmetology

Complete response to pembrolizumab in advanced hepatocellular carcinoma with microsatellite instability

Hepatocellular carcinoma (HCC) has limited systemic treatment options and a poor prognosis. The immune checkpoint inhibitor pembrolizumab was recently approved for the treatment of solid tumors with microsatellite instability (MSI). However, its clinical utility for the management of HCC remains to be clarified. Here, we present a case of unresectable HCC with MSI that showed an impressive response to pembrolizumab treatment. A 64-year-old man with chronic HCV infection was diagnosed with a large HCC. His severe liver dysfunction and poor performance status prevented any treatment option other than sorafenib. However, sorafenib failed after a few days due to the rapid progression of the tumor. Based on the finding of MSI in a biopsy specimen, immunotherapy using pembrolizumab was initiated. A dramatic improvement in his general condition and a reduction in tumor size were observed after the initiation of pembrolizumab treatment. Among a cohort of 50 consecutive patients with advanced HCC who were refractory to standard systemic therapy, MSI was found only in the present case. Immune checkpoint blockade therapy induced prominent anti-tumor effects in HCC with MSI. Screening for defects in DNA mismatch repair function may be warranted in HCC patients despite the low frequency of MSI