114 research outputs found

    Noise Reduction Technologies for Future Aircraft Concepts - First results of the H2020 project "ARTEM"

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    Overview presentation given at Aerodays conference in May 2019, representing the project status around month 18

    Novel liner concepts

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    Modern, low-emission aero-engine concepts, such as, for instance, Ultrahigh-Bypass Ratio (UHBR) designs, claim higher demands on the damping performance of acoustic wall treatment, called liner, installed in the engine. New liner concepts are needed providing a more broadband damping efficiency ranging explicitly to the low-frequency range. However, space and weight constrains are still also one of the crucial criteria which need to be fulfilled by the liner structure. To overcome this challenge, two novel liner concepts are presented here. One concept, the hybrid ZML, combines the classical Single-Degree-of-Freedom (SDOF) liner with a Zero-Massflow-Liner (ZML) principle. The other one, the FlexiS concept, takes advantage of the intrinsic material damping of flexible walls within the liner structure. A proof of concepts study of both novel concepts is provided highlighting the enhanced damping performance with respect to broadband capacity and low-frequency damping

    Achilles tendon suture deteriorates tendon capillary blood flow with sustained tissue oxygen saturation – an animal study

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    <p>Abstract</p> <p>Background</p> <p>Treatment of ruptured Achilles tendons currently constitutes of conservative early functional treatment or surgical treatment either by open or minimal invasive techniques. We hypothesize that an experimental Achilles tendon suture in an animal model significantly deteriorates Achilles tendon microcirculation immediately following suturing.</p> <p>Methods</p> <p>Fifteen Achilles tendons of eight male Wistar rats (275–325 g) were included. After preparation of the Achilles tendon with a medial paratendinous approach, Achilles tendon microcirculation was assessed using combined Laser-Doppler and spectrophotometry (Oxygen-to-see) regarding:</p> <p indent="1">- tendinous capillary blood flow [arbitrary units AU]</p> <p indent="1">- tendinous tissue oxygen saturation [%]</p> <p indent="1">- tendinous venous filling pressure [rAU]</p> <p>The main body of the Achilles tendon was measured in the center of the suture with 50 Hz. 10 minutes after Achilles tendon suture (6-0 Prolene), a second assessment of microcirculatory parameters was performed.</p> <p>Results</p> <p>Achilles tendon capillary blood flow decreased by 57% following the suture (70 ± 30 AU vs. 31 ± 16 AU; p < 0.001). Tendinous tissue oxygen saturation remained at the same level before and after suture (78 ± 17% vs. 77 ± 22%; p = 0.904). Tendinous venous filling pressure increased by 33% (54 ± 16 AU vs. 72 ± 20 AU; p = 0.019) after suture.</p> <p>Conclusion</p> <p>Achilles tendon suture in anaesthetised rats causes an acute loss of capillary perfusion and increases postcapillary venous filling pressures indicating venous stasis. The primary hypothesis of this study was confirmed. In contrast, tendinous tissue oxygen saturation remains unchanged excluding acute intratendinous hypoxia within the first 10 minutes after suture. Further changes of oxygen saturation remain unclear. Furthermore, it remains to be determined to what extent reduced capillary blood flow as well as increased postcapillary stasis might influence tendon healing from a microcirculatory point of view in this animal setting.</p

    Unrecognized hand ischemia after intraarterial drug injection: successful management of a "near miss" event

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    <p>Abstract</p> <p>Background</p> <p>Complications arising from accidental intraarterial drug injections have been described in the past. However, given the multitude of injected substances and complex pathophysiology, guidelines regarding diagnosis and management of patients with intraarterial injections remain vague. As such it remains unclear, when to expect limb ischemia and whether and for how long to monitor patients after intraarterial injections.</p> <p>Case report</p> <p>We present the case of a "near miss event" in an i.v. drug abuser presenting to the emergency department 3 hours after injection of water dissolved zolpidem (Ambien™) tablets into the right ulnar artery. Chief complaint was forearm pain. Clinical examination at the time revealed no concern for limb ischemia and patient was discharged. The patient returned unplanned 18 hours after injection with an ischemic right hand. Angiography revealed no flow in the distal ulnar artery and minimal flow in the palmar arch. Emergent intraarterial thrombolysis with Urokinase was performed and restored hand perfusion. Clinical follow-up 3 months after injury showed full recovery with regular recapillarisation and normal Allen test.</p> <p>Conclusion</p> <p>This case report highlights the need to rigorously monitor patients with suspected intraarterial injections for potential delayed onset of limb ischemia. This is to our knowledge the first described case report of a successful revascularization after prolonged ischemia with delayed onset after zolpidem injection. We recommend close monitoring of these patients for at least 24 hours in addition to starting prophylactic anticoagulation.</p

    Modelling of Acoustic Liners Consisting of Helmholtz Resonators Coupled with a Second Cavity by Flexible Walls

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    Acoustic liners are an effective way to dampen aircraft noise. Conventional single-degree-of-freedom liners consist of a perforated facesheet backed with a honeycomb structure and a rigid end plate. Their damping excels near their resonance frequency which is anti-proportional to the cavity depth (lambda/4-resonator) or the cavity volume (Helmholtz resonator). However, this is a challenge for low-frequency noise with long wavelengths due to the limited installation space. We therefore propose a resonator in which the back cavity is divided into two cavities by a flexible plate. The aim is to combine the damping mechanisms of the Helmholtz resonator with the material damping of the flexible plate. With carefully chosen parameters, this flexible plate resonates well below the Helmholtz frequency. We derived an analytic model based on waveguide theory to predict the impedance of the resonator concept. The Helmholtz equation was solved to (numerically) determine the scattering coefficients of a channel section in which one wall is lined with the predicted resonator impedance. The predicted dissipation agreed well with experimental data from measurements at the aero-acoustic wind tunnel DUCT-R

    Experimental Investigations of Flexible Wall Effects in Helmholtz Resonators for Aircraft Engine Acoustic Liners

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    Acoustic liners working like Helmholtz resonators offer an effective way to dampen tonal noise in aircraft engines. In order to broaden the bandwidth of a Helmholtz resonator, we added flexible walls that result in an additional low frequency dissipation. We investigated different parameters of the concept with a modular setup. In this paper, the results of measurements for a resonator with a flexible wall - representing the basic element of an advanced liner concept - and its potential to dampen lower frequencies are shown. The measurements are conducted at an aero-acoustic wind tunnel for multiple combinations of up to two resonators and up to four flexible walls with different parameters such as material, thickness, distance, position, orientation and shape. In this paper we show which parameter has an influence on the dissipation caused by the flexible wall. An additional dissipation occurs at specific material parameter whereas the geometric parameters alter the frequency of the additional dissipation

    Modeling of Advanced Helmholtz Resonator Liners with a Flexible Wall

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    Acoustic liners are an effective way to dampen aircraft noise. Conventional single-degree-of-freedom liners consist of a perforated facesheet backed with a honeycomb structure and a rigid end plate. Their damping excels near their resonance frequency, which is antiproportional to the cavity depth (quarter-wave-resonator) or the cavity volume (Helmholtz resonator). However, this is a challenge for low-frequency noise with long wavelengths due to the limited installation space. We therefore propose a resonator in which the back cavity is divided into two cavities by a flexible plate. The aim is to combine the damping mechanisms of the Helmholtz resonator with the material damping of the flexible plate. With carefully chosen parameters, this flexible plate resonates well below the Helmholtz frequency. We derived an analytic model based on waveguide theory to predict the impedance of the resonator concept. The Helmholtz equation was solved to (numerically) determine the scattering coefficients of a channel section in which one wall is lined with the predicted resonator impedance. The predicted dissipation agreed well with experimental data from measurements at the aeroacoustic wind tunnel DUCT-R

    Cellulite and extracorporeal Shockwave therapy (CelluShock-2009) - a Randomized Trial

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    <p>Abstract</p> <p>Background</p> <p>Cellulite is a widespread problem involving females' buttocks and thighs based on the female specific anatomy. Given the higher number of fat cells stored in female fatty tissue in contrast to males, and the aging process of connective tissue leads to an imbalance between lipogenesis and lipolysis with subsequent large fat cells bulging the skin. In addition, microcirculatory changes have been suggested, however remain largely unknown in a controlled clinical setting. We hypothesize that the combination of extracorporeal shockwave and a daily gluteal muscle strength program is superior to the gluteal muscle strength program alone in cellulite.</p> <p>Methods/Design</p> <p>Study design: Randomized-controlled trial. IRB approval was granted at Hannover Medical School, Germany on May 22, 2009. For allocation of participants, a 1:1 ratio randomization was performed using opaque envelopes for the concealment of allocation. Reporting: according to CONSORT 2010. Eligible patients were females aged 18 or over and 65 or younger with cellulite with documented cellulite 1°-4° according to the Nürnberger score. Exclusion criteria were suspected or evident pregnancy, no cellulite, no informed consent or age under 18 years or above 65 years. Patients were recruited by advertisements in local regional newspapers and via the Internet. Analysis: Intention-to-treat. Outcome parameters: a) Photonumeric severity scale, b) Nürnberger Score, c) circumference measurements, d) capillary blood flow, e) tissue oxygen saturation, f) postcapillary venous blood flow. Intervention group: Six sessions of extracorporeal focused shock wave for six sessions (2000 impulses, 0,25 mJ/m2 every 1-2 weeks) at both gluteal and thigh regions plus a specific gluteal strength exercise training. Control group: Six sessions of sham extracorporeal focused shock wave for six sessions (2000 impulses, 0,01 mJ/m2 every 1-2 weeks) at both gluteal and thigh regions plus a specific gluteal strength exercise training. Follow-up: 12 weeks. Blinding was achieved for all participants enrolled in the trial, the photograph taking the digital images for the primary outcome measure, the two assessors of the outcome measures, all additional health care providers and for the analyst from the biometrical department. Only one researcher (BJ) was aware of the group assignment performing the randomisation and the extracorporeal shock wave therapy.</p> <p>Discussion</p> <p>This randomised-controlled trial will provide much needed evidence on the clinical effectiveness of focused extracorporal shock wave therapy as an adjunct to gluteal strength training in females suffering cellulite.</p> <p>ClinicalTrials.gov identifier</p> <p>NCT00947414</p
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