The suitability of the IEC 61400-2 wind model for small wind turbines operating in the built environment

This paper investigates the applicability of the assumed wind fields in International Electrotechnical Commission (IEC) standard 61400 Part 2, the design standard for small wind turbines, for a turbine operating in the built environment, and the effects these wind fields have on the predicted performance of a 5 kW Aerogenesis turbine using detailed aeroelastic models developed in Fatigue Aerodynamics Structures and Turbulence (FAST). Detailed wind measurements were acquired at two built environment sites: from the rooftop of a Bunnings Ltd. warehouse at Port Kennedy (PK) (Perth, Australia) and from the small wind turbine site at the University of Newcastle at Callaghan (Newcastle, Australia). For both sites, IEC 61400-2 underestimates the turbulence intensity for the majority of the measured wind speeds. A detailed aeroelastic model was built in FAST using the assumed wind field from IEC 61400-2 and the measured wind fields from PK and Callaghan as an input to predict key turbine performance parameters. The results of this analysis show a modest increase in the predicted mean power for the higher turbulence regimes of PK and Callaghan as well as higher variation in output power. Predicted mean rotor thrust and blade flapwise loading showed a minor increase due to higher turbulence, with mean predicted torque almost identical but with increased variations due to higher turbulence. Damage equivalent loading for the blade flapwise moment was predicted to be 58% and 11% higher for a turbine operating at Callaghan and PK respectively, when compared with IEC 61400-2 wind field. Time series plots for blade flapwise moments and power spectral density plots in the frequency domain show consistently higher blade flapwise bending moments for the Callaghan site with both the sites showing a once-per-revolution response

Plucked hair follicles from patients with chronic discoid lupus erythematosus show a disease-specific molecular signature

Objective: When faced with clinical symptoms of scarring alopecia—the standard diagnostic pathway involves a scalp biopsy which is an invasive and expensive procedure. This project aimed to assess if plucked hair follicles (HFs) containing living epithelial cells can offer a non-invasive approach to diagnosing inflammatory scalp lesions. Methods: Lesional and non-lesional HFs were extracted from the scalp of patients with chronic discoid lupus erythematosus (CDLE), psoriasis and healthy controls. RNA was isolated from plucked anagen HFs and microarray, as well as quantitative real-time PCR was performed. Results: Here, we report that gene expression analysis of only a small number of HF plucked from lesional areas of the scalp is sufficient to differentiate CDLE from psoriasis lesions or healthy HF. The expression profile from CDLE HFs coincides with published profiles of CDLE from skin biopsy. Genes that were highly expressed in lesional CDLE corresponded to well-known histopathological diagnostic features of CDLE and included those related to apoptotic cell death, the interferon signature, complement components and CD8+ T-cell immune responses. Conclusions: We therefore propose that information obtained from this non-invasive approach are sufficient to diagnose scalp lupus erythematosus. Once validated in routine clinical settings and compared with other scarring alopecias, this rapid and non-invasive approach will have great potential for paving the way for future diagnosis of inflammatory scalp lesions

Optimising approximate entropy for assessing cardiac dyssynchrony with radionuclide ventriculography

Left ventricular dyssynchrony can be assessed with phase parameters from radionuclide ventriculography (RNVG), including approximate entropy (ApEn). The input values used to calculate ApEn will affect the results significantly, so it is essential to optimise ApEn for the application. However to date, no optimisation for ApEn applied to images has been published. In this paper, generated data were used to simulate patient phase images, allowing the input parameters for ApEn to be tested and optimised in a controlled environment. Clinical images were then used to confirm that the selected parameters were appropriate. The results demonstrate the effect of input parameters for ApEn and the most appropriate use with RNVG phase images. This work demonstrates the importance of optimisation and standardisation when using ApEn as a measure of dyssynchrony

Redefining cutaneous lupus erythematosus: a proposed international consensus approach and results of a preliminary questionnaire

There is currently no uniform definition of cutaneous lupus erythematosus (CLE) upon which to base a study population for observational and interventional trials. A preliminary questionnaire was derived from and sent to a panel of CLE experts which demonstrated consensus agreement that (1) there is a need for new definitions for CLE (2) CLE is distinct from systemic lupus erythematosus and that a CLE grouping scheme should remain apart from current systemic lupus erythematosus schema (3) current CLE grouping schemes are inadequate around communication, prognostic information and to meet the needs of researchers, clinicians, patients and payers

Consensuality of Peer Nominations Among Scientists

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/69069/2/10.1177_107554708200400210.pd

Radionuclide ventriculography phase analysis for risk stratification of patients undergoing cardiotoxic cancer therapy

Background: Accurate diagnostic tools to identify patients at risk of cancer therapy-related cardiac dysfunction (CTRCD) are critical. For patients undergoing cardiotoxic cancer therapy, ejection fraction assessment using radionuclide ventriculography (RNVG) is commonly used for serial assessment of left ventricular (LV) function. Methods: In this retrospective study, approximate entropy (ApEn), synchrony, entropy, and standard deviation from the phase histogram (phase SD) were investigated as potential early markers of LV dysfunction to predict CTRCD. These phase parameters were calculated from the baseline RNVG phase image for 177 breast cancer patients before commencing cardiotoxic therapy. Results: Of the 177 patients, 11 had a decline in left ventricular ejection fraction (LVEF) of over 10% to an LVEF below 50% after treatment had commenced. This patient group had a significantly higher ApEn at baseline to those who maintained a normal LVEF throughout treatment. Of the parameters investigated, ApEn was superior for predicting the risk of CTRCD. Combining ApEn with the baseline LVEF further improved the discrimination between the groups. Conclusions: The results suggest that RNVG phase analysis using approximate entropy may aid in the detection of sub-clinical LV contraction abnormalities, not detectable by baseline LVEF measurement, predicting a subsequent decline in LVEF

UV-curable gels as topical nail medicines: in vivo residence, anti-fungal efficacy and influence of gel components on their properties

UV-curable gels, used as nail cosmetics for their in vivo durability, were reported to be promising as topical nail medicines. Our first aim was thus to investigate whether such durability applies to drug-loaded formulations. This was found to be true. However, ethanol inclusion in the pharmaceutical formulation (to enable drug loading) reduced the in vivo residence. The second aim was therefore to determine any other effects of ethanol, and if ethanol could be avoided by the choice of monomers. Thus, three methacrylate monomers, ethyl methacrylate, isobornyl methacrylate and 2-hydroxyethyl methacrylate (HEMA) were selected, and their influence on the formulation properties were determined. Ethanol and the methacrylate monomer influenced some (but not all) of the formulation properties. The most significant was that HEMA could dissolve drug and enable the preparation of ethanol-free, drug-loaded formulations, which would benefit in vivo residence. The absence of ethanol reduced drug loading, release and ungual flux, but had no negative impact on the in vitro anti-fungal efficacy. Thus, judicious selection of gel components enabled the exclusion of ethanol. The long in vivo residence, little residual monomers, sufficient ungual permeation and in vitro anti-fungal activity of the gels indicates their potential as anti-onychomycotic topical medicines

Validity and sensitivity to change of laser Doppler imaging as a novel objective outcome measure for cutaneous lupus erythematosus.

OBJECTIVES:The objectives of this study were to assess the reliability of a novel objective outcome measure, laser Doppler imaging (LDI), its validity against skin biopsy histology and other clinical instruments, including localized cutaneous lupus disease area and severity index (L-CLASI) and visual analogue scale (VAS) score of photographs, and its responsiveness to clinical change with therapy. METHODS:A prospective observational cohort study was conducted in 30 patients with active cutaneous lupus erythematosus (CLE). At baseline and 3 months, disease activity was assessed using L-CLASI and a high resolution LDI system by two assessors. Skin biopsy was scored as 0 = non-active, 1 = mild activity and 2 = active. Photographs were assessed by two clinicians using 100 mm VAS. Inter-rater reliability was analyzed using Bland-Altman limits of agreement. Correlation between histology and LDI, L-CLASI and VAS and sensitivity to change of LDI with physician subjective assessment of change (PSAC) at 3 months were analyzed using Kendall's tau-a. RESULTS:Of 30 patients with CLE, 28 (93%) were female, mean (SD) age 48.4 (11.5) y, 25 (83%) were Caucasians, 25 (83%) had concurrent systemic lupus erythematosus and 16 (53%) were smokers. CLE subtypes were acute = 9, subacute = 8 and chronic = 13. Inter-rater agreement for LDI was fair but for VAS score of photographs was poor. In 20 patients with biopsy, correlation with histology was better for LDI (tau-a = 0.53) than L-CLASI (tau-a = 0.26) (difference = 0.27; 90% CI 0.05-0.49) or VAS score of photographs (tau-a = 0.17) (difference = 0.36; 90% CI 0.04-0.68). There was a moderate correlation between PSAC score and change in LDI (tau-a = 0.56; 90% CI 0.38-0.74; p < 0.001, n = 15). CONCLUSION:LDI provides a reliable, valid and responsive quantitative measure of inflammation in CLE. It has a better correlation with histology compared to clinical instruments. LDI provides an objective outcome measure for clinical trials