399 research outputs found

    The impact of inlet boundary layer thickness on the unsteady aerodynamics of S-duct intakes

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    The need to reduce aero-engine emissions and direct operating costsis driving the civil aerospace sectortowards considering more integrated propulsion systems. Many of the proposed novel aircraft architectures employ convoluted intakes for either the aero-engine or propulsion system. These intakes are characterized by unsteady distortion that can hinder the performance and operability of the propulsion system. This work assessesthe impact of the inlet boundary layer on the unsteady aerodynamics of an S-duct intake using time-resolved particle image velocimetry at the aerodynamic interface plane.An increase in the boundary layer thickness at the intake inlet increasesthe flow unsteadiness on the swirl angle by up to 40% relativeto the baseline case. The azimuthal orientation of the inlet boundary layer modifies the intensity and topology of the most frequent swirl distortion pattern. For a relatively thick inlet boundary layer, the reduction of the dominant frequencies associated withthe unsteady swirl angle is postulated to be beneficial for the engine stability. Overall, this works gives guidelines for the integration between the intake and the engine across the range of potential inlet operating conditions

    In vivo Raman spectroscopy for bladder cancer detection using a superficial Raman probe compared to a nonsuperficial Raman probe

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    Raman spectroscopy is promising as a noninvasive tool for cancer diagnosis. A superficial Raman probe might improve the classification of bladder cancer, because information is gained solely from the diseased tissue and irrelevant information from deeper layers is omitted. We compared Raman measurements of a superficial to a nonsuperficial probe, in bladder cancer diagnosis. Two-hundred sixteen Raman measurements and biopsies were taken in vivo from at least one suspicious and one unsuspicious bladder location in 104 patients. A Raman classification model was constructed based on histopathology, using a principal-component fed linear-discriminant-analysis and leave-one-person-out cross-validation. The diagnostic ability measured in area under the receiver operating characteristics curve was 0.95 and 0.80, the sensitivity was 90% and 85% and the specificity was 87% and 88% for the superficial and the nonsuperficial probe, respectively. We found inflammation to be a confounder and additionally we found a gradual transition from benign to low-grade to high-grade urothelial carcinoma. Raman spectroscopy provides additional information to histopathology and the diagnostic value using a superficial probe. </p

    ACL reconstruction with hamstring tendon autograft and accelerated brace-free rehabilitation

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    Objective To investigate the clinical outcomes after hamstring tendon autograft ACL reconstruction (ACLR) with accelerated, brace-free rehabilitation. Design Systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Data sources Embase, MEDLINE Ovid, Web of Science, Cochrane CENTRAL and Google scholar from 1 January 1974 to 31 January 2017. Eligibility criteria for selecting studies Study designs reporting outcomes in adults after arthroscopic, primary ACLR with hamstring autograft and accelerated, brace-free rehabilitation. Results Twenty-four studies were included in the review. The clinical outcomes after hamstring tendon autograft ACLR with accelerated brace-free rehabilitation were the following: (1) early start of open kinetic exercises at 4 weeks in a limited range of motion (ROM, 90°-45°) and progressive concentric and eccentric exercises from 12 weeks did not alter outcomes, (2) gender and age did not influence clinical outcomes, (3) anatomical reconstructions showed better results than non-anatomical reconstructions, (4) there was no difference between single-bundle and double-bundle reconstructions, (5) femoral and tibial tunnel widening occurred, (6) hamstring tendons regenerated after harvest and (7) biological knowledge did not support return to sports at 4-6 months. Conclusions After hamstring tendon autograft ACLR with accelerated brace-free rehabilitation, clinical outcome is similar after single-bundle and double-bundle ACLR. Early start of open kinetic exercises at 4 weeks in a limited ROM (90°-45°) and progressive concentric and eccentric exercises from 12 weeks postsurgery do not alter clinical outcome. Further research should focus on achievement of best balance between graft loading and graft healing in the various rehabilitation phases after ACLR as well as on validated, criterion-based assessments for safe return to sports. Level of evidence Level 2b; therapeutic outcome studies

    Asymmetries in explosive strength following anterior cruciate ligament reconstruction

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    Background: Despite its apparent functional importance, there is a general lack of data regarding the time-related changes in explosive strength and the corresponding side-to-side asymmetries in individuals recovering from an ACL reconstruction (ACLR). The present study was designed to assess changes in the maximum and explosive strength of the quadriceps and hamstring muscles in athletes recovering from an ACLR. Methods: Twenty male athletes with an ACL injury completed a standard isometric testing protocol pre-ACLR, four and six months post-ACLR. In addition to the maximum strength (F-max), the explosive strength of quadriceps and hamstrings was assessed through four variables derived from the slope of the force-time curves over various time intervals (REDmax, RED50, RFD150 and RED250). Side-to-side asymmetries were calculated relative to post-ACLR measures of the uninvolved leg ("standard" asymmetries), and relative to pre-ACLR value of the uninvolved leg ("real" asymmetries). Results: Pre-ACLR asymmetries in quadriceps RFD (average 26%) were already larger than in F-max (14%) (p lt 0.05). Six months post-ACLR real asymmetries in RFD variables (33-39%) were larger than the corresponding standard asymmetries (26-28%; p lt 0.01). Average asymmetries in hamstrings' RFD and F-max were 10%, 25% and 15% for pre-ACLR and two post-ACLR sessions, respectively (all p gt 0.05). Conclusions: In addition to the maximum strength, the indices of explosive strength should also be included in monitoring recovery of muscle function following an ACLR. Furthermore, pre-injury/reconstruction values should be used for the post-ACLR side-to-side comparisons, providing a more valid criterion regarding the muscle recovery and readiness for a return to sports
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