856 research outputs found
Broadband characterisation of in-duct acoustic sources using an equivalent source approach
This paper is concerned with the development of an experimental method capable of independently characterising low Mach number, in-duct fluid machines, such as pumps, fans, etc. The aim is to propose and test a source characterisation method that is suitable for acoustic simulation and the construction Virtual Acoustic Prototypes. Such a requirement demands that the source characterisation be (a) independent, so that components can be virtually (re)combined within different assemblies and (b) valid over a wide frequency range so as to enable the output of a virtual assembly to be auralised. In this regard, standard methods based on sound power are not suitable. An equivalent source approach is proposed, based on a two-stage measurement procedure in which source strengths are obtained by solving an inverse problem. The experimental application of the procedure is illustrated as part of a case study where a high speed compressor unit is independently characterised and the resulting source data used to predict the operational response in a new assembly. Three frequency ranges are identified based on plane wave, modal and statistical behavior within the duct. The same measured data is used within each regime but subject to different processing according to different assumptions. Predictions are shown to be in good agreement with the directly measured response over a broad frequency range (100 Hz–10 kHz)
Cast versus functional brace in the rehabilitation of patients treated non-operatively for a rupture of the Achilles tendon : protocol for UK Study of Tendo Achilles Rehabilitation (UK STAR)
Introduction
Achilles tendon rupture affects over 11,000 people yearly in the UK, and the incidence is increasing. Controversy remains with regards the best rehabilitation strategy for these patients. In operatively treated patients, functional bracing provides better outcomes compared with plaster casts. However, the role of functional bracing in non-operatively managed patients is unclear. This is the protocol for a multi-centre randomised trial of plaster cast immobilisation versus functional bracing for patients with a non-operatively managed Achilles tendon rupture.
Methods and analysis
All adults presenting with a primary rupture of the Achilles tendon will be screened. Non-operatively treated patients will be eligible to take part in the trial. Broad eligibility criteria will ensure that the results of the study can be generalised to the wider patient population.
Randomisation will be on a 1:1 basis. Both rehabilitation strategies are widely used within the NHS. Standardised protocols will be followed, but details of plaster material and brace will be as per the site’s usual practice.
A minimum of 330 patients will be randomised to obtain 90% power to detect a difference of 8 points in Achilles Tendon Rupture Score (ATRS) at 9 months. Quality of life and resource use will also be collected at 3, 6 and 9 months. The differences between treatment groups will be assessed on an intention-to-treat basis.
Results are expected to be available in the summer of 2019.
Ethics and dissemination.
National Research Ethic Committee approved this study on the 18th of March 2016 (16/SC/0109).
The NIHR Health Technology Assessment monograph and a manuscript to a peer-reviewed journal will be submitted upon completion of the trial. The results of this trial will substantially inform clinical practice on the clinical and cost effectiveness of the treatment of this injury
Recurring types of variability and transitions in the ∼620 kyr record of climate change from the Chew Bahir basin, southern Ethiopia
The Chew Bahir Drilling Project (CBDP) aims to test possible linkages between climate and hominin evolution in Africa through the analysis of sediment cores that have recorded environmental changes in the Chew Bahir basin (CHB). In this statistical project we used recurrence plots (RPs) together with a recurrence quantification analysis (RQA) to distinguish two types of variability and transitions in the Chew Bahir aridity record and compare them with the ODP Site 967 wetness index from the eastern Mediterranean. The first type of variability is one of slow variations with cycles of ∼20 kyr, reminiscent of the Earth's precession cycle, and subharmonics of this orbital cycle. In addition to these cyclical wet-dry fluctuations in the area, extreme events often occur, i.e. short wet or dry episodes, lasting for several centuries or even millennia, and rapid transitions between these wet and dry episodes. The second type of variability is characterized by relatively low variation on orbital time scales, but significant century-millennium-scale variations with progressively increasing frequencies. Within this type of variability there are extremely fast transitions between dry and wet within a few decades or years, in contrast to those within Type 1 with transitions over several hundreds of years. Type 1 variability probably reflects the influence of precessional forcing in the lower latitudes at times with maximum values of the long (400 kyr) eccentricity cycle of the Earth's orbit around the sun, with the tendency towards extreme events. Type 2 variability seems to be linked with minimum values of this cycle. There does not seem to be a systematic correlation between Type 1 or Type 2 variability with atmospheric CO2 concentration. The different types of variability and the transitions between those types had important effects on the availability of water, and could have transformed eastern Africa's environment considerably, which would have had important implications for the shaping of the habitat of H. sapiens and the direct ancestors of this species
MDRD or CKD-EPI study equations for estimating prevalence of stage 3 CKD in epidemiological studies: which difference? Is this difference relevant?
Background: Prevalence of stage 3 chronic kidney disease (CKD) is increasing according to the NHANES study. Prevalence has been calculated using the MDRD study equation for estimating glomerular filtration rate (GFR). Recently, a new estimator based on creatinine, the CKD-EPI equation, has been proposed which is presumed to better perform in normal GFR ranges. The aim of the study was to measure the difference in prevalence of stage 3 CKD in a population using either the MDRD or the CKD-EPI study equations.
Methods: CKDscreening is organized in the Province of Liège, Belgium. On a voluntary basis, people aged between 45 and 75 years are invited to be screened. GFR is estimated by the MDRD study equation and by the "new" CKD-EPI equations.
Results: The population screened consisted in 1992 people (47% of men). Mean serum creatinine was 0.86 ± 0.20 mg/dl. The prevalence of stage 3 CKD in this population using the MDRD or the CKD-EPI equations was 11.04 and 7.98%, respectively. The prevalence of stage 3 CKD is significantly higher with the MDRD study equation (p <0,0012).
Conclusions: Prevalence of stage 3 CKDvaries strongly following the method used for estimating GFR, MDRD or CKDEPI study equations. Such discrepancies are of importance and must be confirmed and explained by additional studies using GFR measured with a reference method
Exceptional river gorge formation from unexceptional floods
An understanding of rates and mechanisms of incision and knickpoint retreat in bedrock rivers is fundamental to perceptions of landscape response to external drivers, yet only sparse field data are available. Here we present eye witness accounts and quantitative surveys of rapid, amphitheatre-headed gorge formation in unweathered granite from the overtopping of a rock-cut dam spillway by small-moderate floods (~100–1,500 m3 s−1). The amount of erosion demonstrates no relationship with flood magnitude or bedload availability. Instead, structural pattern of the bedrock through faults and joints appears to be the primary control on landscape change. These discontinuities facilitate rapid erosion (>270 m headward retreat; ~100 m incision; and ~160 m widening over 6 years) principally through fluvial plucking and block topple. The example demonstrates the potential for extremely rapid transient bedrock erosion even when rocks are mechanically strong and flood discharges are moderate. These observations are relevant to perceived models of gorge formation and knickpoint retreat
Gross-Neveu Models, Nonlinear Dirac Equations, Surfaces and Strings
Recent studies of the thermodynamic phase diagrams of the Gross-Neveu model
(GN2), and its chiral cousin, the NJL2 model, have shown that there are phases
with inhomogeneous crystalline condensates. These (static) condensates can be
found analytically because the relevant Hartree-Fock and gap equations can be
reduced to the nonlinear Schr\"odinger equation, whose deformations are
governed by the mKdV and AKNS integrable hierarchies, respectively. Recently,
Thies et al have shown that time-dependent Hartree-Fock solutions describing
baryon scattering in the massless GN2 model satisfy the Sinh-Gordon equation,
and can be mapped directly to classical string solutions in AdS3. Here we
propose a geometric perspective for this result, based on the generalized
Weierstrass spinor representation for the embedding of 2d surfaces into 3d
spaces, which explains why these well-known integrable systems underlie these
various Gross-Neveu gap equations, and why there should be a connection to
classical string theory solutions. This geometric viewpoint may be useful for
higher dimensional models, where the relevant integrable hierarchies include
the Davey-Stewartson and Novikov-Veselov systems.Comment: 27 pages, 1 figur
Soliton pair dynamics in patterned ferromagnetic ellipses
Confinement alters the energy landscape of nanoscale magnets, leading to the
appearance of unusual magnetic states, such as vortices, for example. Many
basic questions concerning dynamical and interaction effects remain unanswered,
and nanomagnets are convenient model systems for studying these fundamental
physical phenomena. A single vortex in restricted geometry, also known as a
non-localized soliton, possesses a characteristic translational excitation mode
that corresponds to spiral-like motion of the vortex core around its
equilibrium position. Here, we investigate, by a microwave reflection
technique, the dynamics of magnetic soliton pairs confined in lithographically
defined, ferromagnetic Permalloy ellipses. Through a comparison with
micromagnetic simulations, the observed strong resonances in the subgigahertz
frequency range can be assigned to the translational modes of vortex pairs with
parallel or antiparallel core polarizations. Vortex polarizations play a
negligible role in the static interaction between two vortices, but their
effect dominates the dynamics.Comment: supplemental movies on
http://www.nature.com/nphys/journal/v1/n3/suppinfo/nphys173_S1.htm
Superluminal motion of a relativistic jet in the neutron star merger GW170817
The binary neutron star merger GW170817 was accompanied by radiation across
the electromagnetic spectrum and localized to the galaxy NGC 4993 at a distance
of 41+/-3 Mpc. The radio and X-ray afterglows of GW170817 exhibited delayed
onset, a gradual rise in the emission with time as t^0.8, a peak at about 150
days post-merger, followed by a relatively rapid decline. To date, various
models have been proposed to explain the afterglow emission, including a
choked-jet cocoon and a successful-jet cocoon (a.k.a. structured jet). However,
the observational data have remained inconclusive as to whether GW170817
launched a successful relativistic jet. Here we show, through Very Long
Baseline Interferometry, that the compact radio source associated with GW170817
exhibits superluminal motion between two epochs at 75 and 230 days post-merger.
This measurement breaks the degeneracy between the models and indicates that,
while the early-time radio emission was powered by a wider-angle outflow
(cocoon), the late-time emission was most likely dominated by an energetic and
narrowly-collimated jet, with an opening angle of <5 degrees, and observed from
a viewing angle of about 20 degrees. The imaging of a collimated relativistic
outflow emerging from GW170817 adds substantial weight to the growing evidence
linking binary neutron star mergers and short gamma-ray bursts.Comment: 42 pages, 4 figures (main text), 2 figures (supplementary text), 2
tables. Referee and editor comments incorporate
Human α2β1HI CD133+VE epithelial prostate stem cells express low levels of active androgen receptor
Stem cells are thought to be the cell of origin in malignant transformation in many tissues, but their role in human prostate carcinogenesis continues to be debated. One of the conflicts with this model is that cancer stem cells have been described to lack androgen receptor (AR) expression, which is of established importance in prostate cancer initiation and progression. We re-examined the expression patterns of AR within adult prostate epithelial differentiation using an optimised sensitive and specific approach examining transcript, protein and AR regulated gene expression. Highly enriched populations were isolated consisting of stem (α(2)β(1)(HI) CD133(+VE)), transiently amplifying (α(2)β(1)(HI) CD133(-VE)) and terminally differentiated (α(2)β(1)(LOW) CD133(-VE)) cells. AR transcript and protein expression was confirmed in α(2)β(1)(HI) CD133(+VE) and CD133(-VE) progenitor cells. Flow cytometry confirmed that median (±SD) fraction of cells expressing AR were 77% (±6%) in α(2)β(1)(HI) CD133(+VE) stem cells and 68% (±12%) in α(2)β(1)(HI) CD133(-VE) transiently amplifying cells. However, 3-fold lower levels of total AR protein expression (peak and median immunofluorescence) were present in α(2)β(1)(HI) CD133(+VE) stem cells compared with differentiated cells. This finding was confirmed with dual immunostaining of prostate sections for AR and CD133, which again demonstrated low levels of AR within basal CD133(+VE) cells. Activity of the AR was confirmed in prostate progenitor cells by the expression of low levels of the AR regulated genes PSA, KLK2 and TMPRSS2. The confirmation of AR expression in prostate progenitor cells allows integration of the cancer stem cell theory with the established models of prostate cancer initiation based on a functional AR. Further study of specific AR functions in prostate stem and differentiated cells may highlight novel mechanisms of prostate homeostasis and insights into tumourigenesis
Supernumerary, ectopic tooth in the maxillary antrum presenting with recurrent haemoptysis
<p>Abstract</p> <p>Background</p> <p>Ectopic eruption of teeth in non-dental sites is a rare phenomenon and can present in a variety of ways such as chronic or recurrent sinusitis, sepsis, nasolacrimal duct obstruction, headaches, ostiomeatal complex disease and facial numbness. However, presentation of such patients with recurrent haemoptysis has not been described in the literature so far. We have described a case of an ectopic, supernumerary molar tooth in the maxillary antrum in a patient who initially presented with haemoptysis.</p> <p>Case presentation</p> <p>A 45-year-old male presented with a 2-month history of episodic haemoptysis. A pedunculated growth from the inferior nasal turbinate was seen with fibre-optic visualization. Although the patient was empirically started on antibiotic and anti-allergic therapy, there was no improvement after a few weeks and the patient had recurrent episodes of haemoptysis. Fibre-optic visualization was repeated showing bilateral osteomeatal erythema. Computed tomography scan of the paranasal sinuses demonstrated complete opacification of the left maxillary antrum along with a focal area of density comparable to bone. An ectopic, supernumerary molar tooth was found in the left maxillary antrum on endoscopic examination and subsequently removed. In addition, copious purulent discharge was seen. Post-operatively, the patient was treated with a 10-day course of oral amoxicillin-clavulanate. On follow-up, he reported resolution of symptoms.</p> <p>Conclusion</p> <p>Recurrent haemoptysis has not been described as a presentation for a supernumerary, ectopic tooth in literature before. We recommend that in patients with sinusitis-type of opacification of maxillary antrum and whose condition is refractory to conventional medical treatment, consideration should be given to the investigation of possible underlying anomalies as the cause of such symptoms. Presence of foreign bodies and ectopic teeth in paranasal sinuses can be reliably excluded with the use of appropriate radiological imaging and endoscopic examination.</p
- …