Topographic influences on transient harbor oscillations excited by N-waves

The main objective of this paper is to comprehensively study influences of the variation of the bottom profile inside the harbor on the transient harbor oscillations excited by normally-incident N-waves. The specific physical phenomena investigated consist of wave profile evolution, maximum runup, relative wave energy distribution and total wave energy inside the harbor. A series of numerical experiments are implemented using a fully nonlinear Boussinesq model, FUNWAVE-TVD. Results show that when the harbor is subjected to the leading-elevation N-waves (LEN waves), the evolution of the maximum free surface elevation during the wave shoaling process inside the harbor coincides well with Green's law overall. When the incident wave amplitude is small, the maximum runup inside the harbor is almost only determined by the incident wave amplitude. As the incident wave amplitude increases, effects of the bottom profile on the maximum runup closely depend on both the incident wave type and amplitude. As the mean water depth inside the harbor decreases, the relative wave energy distribution tends to become more uniform, regardless of the incident wave amplitude and type. Finally, the variation trend of the total wave energy with the bottom profile is found to depend on the incident wave amplitude

Numerical investigation of harbor oscillations induced by focused transient wave groups

Focused wave groups are traveling waves characterized by extremely-large transient wave amplitudes and very short durations. These waves usually cause serious damage to marine/offshore structures and coastal infrastructures, and can even result in human casualties (Nikolkina and Didenkulova, 2011). The studies on natural disasters related to the focused wave groups near the coastal zone have been mostly confined to wave evolution over beaches, wave runup, overtopping, and their impact forces acting on the coastal infrastructures (e.g., the seawall and the circular cylinder); the influence of focused transient wave groups on harbors has not yet been studied. In this study, the generation and propagation of focused transient wave groups and their interactions with the harbor are simulated using a fully nonlinear Boussinesq model, FUNWAVE 2.0. To this end, four elongated harbors with constant depth and a series of focused wave groups with various focused wave amplitudes, spectral width parameters, and incident directions are considered. Based on the Morlet wavelet transform and discrete Fourier transform techniques, the capability of focused transient wave groups to trigger the harbor resonance phenomenon is revealed for the first time. Subsequently, the influences of spectral width parameter, incident wave direction, and resonant mode on different resonant wave parameters (including maximum runup and resonant intensity of various resonant modes inside a harbor) are comprehensively investigated, and it is found that these three factors have significant effects on resonant wave parameters.</p

Effects of two-week machine massage on muscle properties in adolescent wrestlers

Objective: This study aimed to investigate the effect of a two-week machine massage on the physical properties of the erector spinae and serum biochemical indexes of adolescent athletes after training.Methods: Sixteen male adolescent wrestlers were recruited (age: 15 ± 1 year; height: 166 ± 7 cm; weight: 56 ± 7 kg) and randomly assigned to machine massage (MA, 8) and control (CO, 8) groups. Participants in the MA group received machine massage for 20 min after each wrestling training from Monday to Saturday (except on Thursday) for two weeks, while the participants in the CO group recovered naturally. Over the course of two weeks, all the participants underwent similar wrestling training program under the guidance of a professional coach. Before and after the intervention, serum urea and creatine kinase (CK) levels were measured in a fasting state. A Myoton Pro digital muscle evaluation system was used to measure the physical properties of the erector spinae, including the oscillation frequency, logarithmic decrement of a muscle’s natural oscillation, and dynamic stiffness.Results: After two weeks of machine massage treatment, the dynamic stiffness of the erector spinae in the MA group decreased by 12.90% and that in the CO group increased by 2.34%, indicating a significant difference between the two groups (p = 0.04, ƞ2 = 0.286). The decrease in the logarithmic decrement of a muscle’s natural oscillation value in the MA was significantly greater than that in the CO (p = 0.003, ƞ2 = 0.286). Moreover, the serum CK values decreased by 33.84% in the MA group and by 1.49% in the CO group, despite a trend of change between the groups (p = 0.062, ƞ2 = 0.084). No significant difference was found in the improvement in serum urea levels between the two groups after two weeks of treatment.Conclusion: Results of the present study indicated that a two-week machine massage had a positive effect on the improvement of the physical properties of the erector spinae of wrestlers during training

Assessment of neonatal respiratory rate variability

Accurate measurement of respiratory rate (RR) in neonates is challenging due to high neonatal RR variability (RRV). There is growing evidence that RRV measurement could inform and guide neonatal care. We sought to quantify neonatal RRV during a clinical study in which we compared multiparameter continuous physiological monitoring (MCPM) devices. Measurements of capnography-recorded exhaled carbon dioxide across 60-s epochs were collected from neonates admitted to the neonatal unit at Aga Khan University-Nairobi hospital. Breaths were manually counted from capnograms and using an automated signal detection algorithm which also calculated mean and median RR for each epoch. Outcome measures were between- and within-neonate RRV, between- and within-epoch RRV, and 95% limits of agreement, bias, and root-mean-square deviation. Twenty-seven neonates were included, with 130 epochs analysed. Mean manual breath count (MBC) was 48 breaths per minute. Median RRV ranged from 11.5% (interquartile range (IQR) 6.8–18.9%) to 28.1% (IQR 23.5–36.7%). Bias and limits of agreement for MBC vs algorithm-derived breath count, MBC vs algorithm-derived median breath rate, MBC vs algorithm-derived mean breath rate were − 0.5 (− 2.7, 1.66), − 3.16 (− 12.12, 5.8), and − 3.99 (− 11.3, 3.32), respectively. The marked RRV highlights the challenge of performing accurate RR measurements in neonates. More research is required to optimize the use of RRV to improve care. When evaluating MCPM devices, accuracy thresholds should be less stringent in newborns due to increased RRV. Lastly, median RR, which discounts the impact of extreme outliers, may be more reflective of the underlying physiological control of breathing

Evaluation of non-invasive continuous physiological monitoring devices for neonates in Nairobi, Kenya: a research protocol

Introduction: Continuous physiological monitoring devices are often not available for monitoring high-risk neonates in low-resource settings. Easy-to-use, non-invasive, multiparameter, continuous physiological monitoring devices could be instrumental in providing appropriate care and improving outcomes for high-risk neonates in these low-resource settings. Methods and analysis: The purpose of this prospective, observational, facility-based evaluation is to provide evidence to establish whether two existing non-invasive, multiparameter, continuous physiological monitoring devices developed by device developers, EarlySense and Sibel, can accurately and reliably measure vital signs in neonates (when compared with verified reference devices). We will also assess the feasibility, usability and acceptability of these devices for use in neonates in low-resource settings in Africa. Up to 500 neonates are enrolled in two phases: (1) a verification and accuracy evaluation phase at Aga Khan University—Nairobi and (2) a clinical feasibility evaluation phase at Pumwani Maternity Hospital in Nairobi, Kenya. Both quantitative and qualitative data are collected and analysed. Agreement between the investigational and reference devices is determined using a priori-defined accuracy thresholds. Ethics and dissemination: This trial was approved by the Aga Khan University Nairobi Research Ethics Committee and the Western Institutional Review Board. We plan to disseminate research results in peer-reviewed journals and international conferences

Effects of offshore fringing reefs on the transient harbor resonance excited by solitary waves

In this article, effects of the variation of the offshore reef topography on the transient resonance induced by solitary waves with various wave heights are first investigated. The transient resonance is simulated by a fully nonlinear Boussinesq model, FUNWAVE-TVD. This paper focuses on investigating how the variations of the plane reef-face slope, the reef-ridge width, the lagoon width and the reef-face profile shape affect the wave energy distribution, the total wave energy and the maximum oscillation (runup) inside the harbor. Results indicate that all of the uniformity of the wave energy distribution, the total wave energy and the amplification factor of the incident solitary wave (defined as the ratio of the maximum runup to the incident wave height) are shown to gradually decrease with the plane reef-face slope. For the other three topographical parameters (i.e., the reef-ridge width, the lagoon width and the reef-face profile shape), their influences on the resonant wave parameters inside the harbor becomes more complicated. Not all of the resonant wave parameters inside the harbor (i.e., the uniformity of the wave energy distribution, the total wave energy and the amplification factor of the incident solitary wave) present monotonic changes with these three topographical parameters

Evaluation of Sibel’s Advanced Neonatal Epidermal (ANNE) wireless continuous physiological monitor in Nairobi, Kenya

Background: Neonatal multiparameter continuous physiological monitoring (MCPM) technologies assist with early detection of preventable and treatable causes of neonatal mortality. Evaluating accuracy of novel MCPM technologies is critical for their appropriate use and adoption. Methods: We prospectively compared the accuracy of Sibel’s Advanced Neonatal Epidermal (ANNE) technology with Masimo’s Rad-97 pulse CO-oximeter with capnography and Spengler’s Tempo Easy reference technologies during four evaluation rounds. We compared accuracy of heart rate (HR), respiratory rate (RR), oxygen saturation (SpO2), and skin temperature using Bland-Altman plots and root-mean-square deviation analyses (RMSD). Sibel’s ANNE algorithms were optimized between each round. We created Clarke error grids with zones of 20% to aid with clinical interpretation of HR and RR results. Results: Between November 2019 and August 2020 we collected 320 hours of data from 84 neonates. In the final round, Sibel’s ANNE technology demonstrated a normalized bias of 0% for HR and 3.1% for RR, and a non-normalized bias of -0.3% for SpO2 and 0.2°C for temperature. The normalized spread between 95% upper and lower limits-of-agreement (LOA) was 4.7% for HR and 29.3% for RR. RMSD for SpO2 was 1.9% and 1.5°C for temperature. Agreement between Sibel’s ANNE technology and the reference technologies met the a priori-defined thresholds for 95% spread of LOA and RMSD. Clarke error grids showed that all HR and RR observations were within a 20% difference. Conclusion: Our findings suggest acceptable agreement between Sibel’s ANNE and reference technologies. Clinical effectiveness, feasibility, usability, acceptability, and cost-effectiveness investigations are necessary for large-scale implementation

Evaluation of a contactless neonatal physiological monitor in Nairobi, Kenya

Background: Globally, 2.5 million neonates died in 2018, accounting for 46% of under-5 deaths. Multiparameter continuous physiological monitoring (MCPM) of neonates allows for early detection and treatment of life-threatening health problems. However, neonatal monitoring technology is largely unavailable in low-resource settings. Methods: In four evaluation rounds, we prospectively compared the accuracy of the EarlySense under-mattress device to the Masimo Rad-97 pulse CO-oximeter with capnography reference device for heart rate (HR) and respiratory rate (RR) measurements in neonates in Kenya. EarlySense algorithm optimisations were made between evaluation rounds. In each evaluation round, we compared 200 randomly selected epochs of data using Bland-Altman plots and generated Clarke error grids with zones of 20% to aid in clinical interpretation. Results: Between 9 July 2019 and 8 January 2020, we collected 280 hours of MCPM data from 76 enrolled neonates. At the final evaluation round, the EarlySense MCPM device demonstrated a bias of -0.8 beats/minute for HR and 1.6 breaths/minute for RR, and normalised spread between the 95% upper and lower limits of agreement of 6.2% for HR and 27.3% for RR. Agreement between the two MCPM devices met the a priori-defined threshold of 30%. The Clarke error grids showed that all observations for HR and 197/200 for RR were within a 20% difference. Conclusion: Our research indicates that there is acceptable agreement between the EarlySense and Masimo MCPM devices in the context of large within-subject variability; however, further studies establishing cost-effectiveness and clinical effectiveness are needed before large-scale implementation of the EarlySense MCPM device in neonates