219 research outputs found

    Hip geometry in hip fracture patients in Greenland occurring over a 7.7-year period

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    Nonlinear Adaptive Control of Exhaust Gas Recirculation for Large Diesel Engines

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    A nonlinear adaptive controller is proposed for the exhaust gas recirculation system on large two-stroke diesel engines. The control design is based on a control oriented model of the nonlinear dynamics at hand that incorporates fuel flow and turbocharger speed changes as known disturbances to the exhaust gas recirculation. The paper provides proof of exponential stability for closed loop control of the model given. Difficulties in the system include that certain disturbance levels will make a desired setpoint in O2O_2 unreachable, for reasons of the physics of the system, and it is proven that the proposed control will make the system converge exponentially to the best achievable state. Simulation examples confirm convergence and good disturbance rejection over relevant operational ranges of the engine.© 2015 Published by Elsevier Ltd. This is the authors' accepted and refereed manuscript to the article. Locked until 2017-01-01

    Adaptive feedforward control of exhaust recirculation in large diesel engines

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    Environmental concern has led the International Maritime Organization to restrict NOx_x emissions from marine diesel engines. Exhaust gas recirculation (EGR) systems have been introduced in order to comply to the new standards. Traditional fixed-gain feedback methods are not able to control the EGR system adequately in engine loading transients so alternative methods are needed. This paper presents the design, convergence proofs and experimental validation of an adaptive feedforward controller that significantly improves the performance in loading transients. First the control concept is generalized to a class of first order Hammerstein systems with sensor delay and exponentially converging bounds of the control error are proven analytically. It is then shown how to apply the method to the EGR system of a two-stroke crosshead diesel engine. The controller is validated by closed loop simulation with a mean-value engine model, on an engine test bed and on a vessel operating at sea. A significant reduction of smoke formation during loading transients is observed both visually and with an opacity sensor

    The association between sleep quality, preoperative risk factors for chronic postoperative pain and postoperative pain intensity 12 months after knee and hip arthroplasty

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    BACKGROUND: Chronic postoperative pain following total joint replacement (TJA) is a substantial clinical problem, and poor sleep may affect predictive factors for postoperative pain, such as pain catastrophizing. However, the magnitude of these associations is currently unknown. This exploratory study investigated (1) the relationship between preoperative sleep quality, clinical pain intensity, pain catastrophizing, anxiety, and depression and (2) their associations with chronic postoperative pain following TJA. METHODS: This secondary analysis from a larger randomized controlled trial included rest pain intensity (preoperative and 12 months postoperative; visual analogue scale, VAS), preoperative Pittsburgh Sleep Quality Index (PSQI), Pain Catastrophizing Scale (PCS), Hospital Anxiety and Depression Scale (HADS) data from 74 knee and 89 hip osteoarthritis (OA) patients scheduled for TJA. Poor sleepers were identified based on preoperative PSQI scores higher than 5. RESULTS: Poor sleepers demonstrated higher preoperative VAS, pain catastrophizing, anxiety, and depression compared with good sleepers (all p < 0.003). Preoperative PSQI (β = 0.23, p = 0.006), PCS (β = 0.44, p < 0.005), and anxiety (β = 0.18, p = 0.036) were independent factors for preoperative VAS. Preoperative VAS (β = 0.32, p < 0.005), but not preoperative sleep quality (β = −0.06, p = 0.5), was an independent factor for postoperative VAS. CONCLUSION: The OA patients reporting poor preoperative sleep quality show higher preoperative pain, pain catastrophizing, anxiety, and depression. High preoperative pain intensity, but not poor sleep quality, was associated with higher chronic postoperative pain intensity. Future studies are encouraged to explore associations between sleep and chronic postoperative pain
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