Development of a fluid-solid multiphase flow simulator by a SPH-DEM coupled method for simulating a seawall destruction due to soil foundation scour

In 2011, Tohoku-Kanto earthquake tsunami caused serious damage to the port and coastal structures such as breakwaters and seawalls. The damage mechanism of these structures has been studied in the past, and it is found that there are some causes. In this study, a new simulation tool taking account of the soil scouring and seepage flow phenomena is developed to represent and predict the collapse of the breakwater with SPH-DEM coupled method

Fatal outcome after brain stem infarction related to bilateral vertebral artery occlusion - case report of a detrimental complication of cervical spine trauma

<p>Abstract</p> <p>Background</p> <p>Vertebral artery injury (VAI) after blunt cervical trauma occurs more frequently than historically believed. The symptoms due to vertebral artery (VA) occlusion usually manifest within the first 24 hours after trauma. Misdiagnosed VAI or delay in diagnosis has been reported to cause acute deterioration of previously conscious and neurologically intact patients.</p> <p>Case presentation</p> <p>A 67 year-old male was involved in a motor vehicle crash (MVC) sustaining multiple injuries. Initial evaluation by the emergency medical response team revealed that he was alert, oriented, and neurologically intact. He was transferred to the local hospital where cervical spine computed tomography (CT) revealed several abnormalities. Distraction and subluxation was present at C5-C6 and a comminuted fracture of the left lateral mass of C6 with violation of the transverse foramen was noted. Unavailability of a spine specialist prompted the patient's transfer to an area medical center equipped with spine care capabilities. After arrival, the patient became unresponsive and neurological deficits were noted. His continued deterioration prompted yet another transfer to our Level 1 regional trauma center. A repeat cervical spine CT at our institution revealed significantly worsened subluxation at C5-C6. CT angiogram also revealed complete occlusion of bilateral VA. The following day, a repeat CT of the head revealed brain stem infarction due to bilateral VA occlusion. Shortly following, the patient was diagnosed with brain death and care was withdrawn.</p> <p>Conclusion</p> <p>Brain stem infarction secondary to bilateral VA occlusion following cervical spine trauma resulted in fatal outcome. Prompt imaging evaluation is necessary to assess for VAI in cervical trauma cases with facet joint subluxation/dislocation or transverse foramen fracture so that treatment is not delayed. Additionally, multiple transportation events are risk factors for worsening when unstable cervical injuries are present. Close attention to proper immobilization and neck position depending on the mechanism of injury is mandatory.</p

Benchmarking of Digital Gate Driven IGBTs: New Eoff-Vsurge Trade-off Approach

Digital gate driving methods have been recently proposed to control the IGBT switching transient by dynamically changing the drive power according to the input digital pattern. It has been reported that both surge voltage suppression and turn-off loss reduction can be consistently achieved. In the prior papers, however, the effect is evaluated based on only one optimum point, so that the effect of digital gate driving technology have not been accurately benchmarked for practical use. In this paper, we proposed a new benchmarking method for digital gate driven IGBTs using an approach of Eoff-Vsurge Trade-off shifts. We applied the proposed method to 12 types of IGBT samples and analyzed the benchmarking results.33rd International Symposium on Power Semiconductor Devices and ICs (ISPSD 2021), 30th of May and 3rd of June, 2021, Full Virtual Conferenc

White Light Interferometry for Quantitative Surface Characterization in Ion Sputtering Experiments

White light interferometry (WLI) can be used to obtain surface morphology information on dimensional scale of millimeters with lateral resolution as good as ~1 {\mu}m and depth resolution down to 1 nm. By performing true three-dimensional imaging of sample surfaces, the WLI technique enables accurate quantitative characterization of the geometry of surface features and compares favorably to scanning electron and atomic force microscopies by avoiding some of their drawbacks. In this paper, results of using the WLI imaging technique to characterize the products of ion sputtering experiments are reported. With a few figures, several example applications of the WLI method are illustrated when used for (i) sputtering yield measurements and time-to-depth conversion, (ii) optimizing ion beam current density profiles, the shapes of sputtered craters, and multiple ion beam superposition and (iii) quantitative characterization of surfaces processed with ions. In particular, for sputter depth profiling experiments of 25Mg, 44Ca and 53Cr ion implants in Si (implantation energy of 1 keV per nucleon), the depth calibration of the measured depth profile curves determined by the WLI method appeared to be self-consistent with TRIM simulations for such projectile-matrix systems. In addition, high depth resolution of the WLI method is demonstrated for a case of a Genesis solar wind Si collector surface processed by gas cluster ion beam: a 12.5 nm layer was removed from the processed surface, while the transition length between the processed and untreated areas was 150 {\mu}m.Comment: Applied Surface Science, accepted: 7 pages and 8 figure

Left ventricular echocardiographic and histologic changes: Impact of chronic unloading by an implantable ventricular assist device

AbstractObjectives. We studied the effects of chronic left ventricular unloading by a ventricular assist device and assessed left ventricular morphologic and histologic changes.Background. The implantable left ventricular assist device has been effective as a “bridge” to cardiac transplantation. Although there are reports documenting its circulatory support, little is known about the effects of chronic left ventricular unloading on the heart itself.Methods. We performed intraoperative transesophageal echocardiography at the insertion and explantation of a HeartMate left ventricular assist device in 19 patients with end-stage heart failure. They were supported by the assist device for 3 to 153 days (mean [±SD] 68±33). Measurements were taken retrospectively to obtain left atrial and ventricular diameters and interventricular septal and posterior wall thicknesses. Histologic examinations were made from the left ventricular myocardial specimens of 15 patients at the times of insertion and explantation for heart transplantation. Insertion and explantation specimens were compared qualitatively (0 to 3 scale) for wavy fibers, contraction band necrosis and fibrosis, with quantitative measurement of minimal myocyte diameter across the nucleus.Results. Left atrial and left ventricular diastolic and systolic diameters decreased immediately after insertion of the left ventricular assist device (from 46 to 35, 63 to 41 and 59 to 36 mm, respectively, all p < 0.001). Left ventricular wall thickness increased from 10 to 14 mm (p < 0.001) for the interventricular septum and from 10 to 13 mm for the posterior wall (p < 0.001). No echocardiographic measurements showed significant subsequent changes at the chronic stage. Myocardial histologic findings demonstrated a reduction in myocyte damage (from 1.9 to 0.5, p < 0.001, for wavy fiber and from 1.3 to 0.2, p < 0.01, for contraction band necrosis) and an increase in fibrosis (from 1.3 to 1.9, p < 0.05), but without significant change in myocyte diameter (from 15.6 to 16.8 μm, p = 0.065).Conclusions.Left ventricular unloading with the implantable assist device induces an immediate increase in wall thickness, consistent with the reduction in chamber size, thereby decreasing wall stress. Chronic unloading allows myocardial healing and fibrosis without evidence for ongoing myocyte damage or atrophy. Left ventricular assist device insertion may have a role in “resting” the ventricle for selected patients with heart failure

Building a Hybrid Training Programmes for New Graduate Nurses : Focusing on Case Study of ‘Partner for Nursing Transfer and Instruction’ in Kurume University Medical Centre

本研究の目的は，新人看護職員育成のための教育プログラムに着目し，勤務先医療機関の状況に応じた看護実践プログラムの構築とその方法について，教育社会学の観点から解明することである．2009年に「保健師助産師看護師法及び看護師等の人材確保の促進に関する法律」が一部改正され，新人看護職員への研修が努力義務化された．厚生労働省はこの初期研修を推進するためにガイドラインを2009年に作成し，2014年には「新人看護職員研修ガイドライン【改訂版】」を提示している．久留米大学医療センターでは，プリセプターシップとPNS の良さを取り入れたハイブリッド型新人教育プログラムとして「伝承・伝授パートナー」を考案し，2016年度から実施している．「実践知」の獲得を段階的な教育プログラムによって実施することで，早期離職の抑制のみならず，看護実践能力の「暗黙知」を「形式知」に変換する省察（リフレクション）と言語化は，新人看護職員だけでなく指導を担当する先輩看護師にも相互学び合いから得られる効用がみられた

Optical, vibrational, thermal, electrical, damage and phase-matching properties of lithium thioindate

Lithium thioindate (LiInS$_{2}$) is a new nonlinear chalcogenide biaxial material transparent from 0.4 to 12 $\mu$m, that has been successfully grown in large sizes and good optical quality. We report on new physical properties that are relevant for laser and nonlinear optics applications. With respect to AgGaS(e)$_2$ ternary chalcopyrite materials, LiInS$_{2}$ displays a nearly-isotropic thermal expansion behavior, a 5-times larger thermal conductivity associated with high optical damage thresholds, and an extremely low intensity-dependent absorption allowing direct high-power downconversion from the near-IR to the deep mid-IR. Continuous-wave difference-frequency generation (5-11$\mu$m) of Ti:sapphire laser sources is reported for the first time.Comment: 27 pages, 21 figures. Replaces the previous preprint (physics/0307082) with the final version as it will be published in J. Opt. Soc. Am. B 21(11) (Nov. 2004 issue