CFD Analysis of a Micro-Rotor In Ground Effect

In this work, computational fluid dynamics is used to compare experimental results for a two-bladed small rotor Out of Ground Effect and In Ground Effect conditions. The paper focuses on the evalutation and prediction of the performance of the rotor and investigates the outwash generated in ground effect. Time and phase averaged outflow velocities with two different scaling methods are compared with experiments. The results are also scaled to a full-size rotor, and compared with the PAXman model of crew operating in close rotor proximity. A particle pickup model is also used showing the dust cloud generated by the rotor

Bilateral Ramsay Hunt syndrome in a diabetic patient

BACKGROUND: Herpes zoster oticus accounts for about 10% cases of facial palsy, which is usually unilateral and complete and full recovery occurs in only about 20% of untreated patients. Bilateral herpes zoster oticus can sometime occur in immunocompromised patients, though incidence is very rare. CASE PRESENTATION: Diabetic male, 57 year old presented to us with bilateral facial palsy due to herpes zoster oticus. Patient was having bilateral mild to moderate sensorineural hearing loss. Patient was treated with appropriate metabolic control, anti-inflammatory drugs and intravenous acyclovir. Due to uncontrolled diabetes, glucocorticoids were not used in this patient. Significant improvement in hearing status and facial nerve functions were seen in this patient. CONCLUSIONS: Herpes zoster causes severe infections in diabetic patients and can be a cause of bilateral facial palsy and bilateral Ramsay Hunt syndrome. Herpes zoster in diabetic patients should be treated with appropriate metabolic control, NSAIDS and intravenous acyclovir, which we feel should be started at the earliest. Glucocorticoids should be avoided in diabetic patients

The Prescription Drug Monitoring Program in a Multifactorial Approach to the Opioid Crisis: PDMP Data, Pennsylvania, 2016–2020

Background: Prescription opioids remain an important contributor to the United States opioid crisis and to the development of opioid use disorder for opioid-naïve individuals. Recent legislative actions, such as the implementation of state prescription drug monitoring programs (PDMPs), aim to reduce opioid morbidity and mortality through enhanced tracking and reporting of prescription data. The primary objective of our study was to describe the opioid prescribing trends in the state of Pennsylvania (PA) as recorded by the PA PDMP following legislative changes in reporting guidelines, and discuss the PDMP\u27s role in a multifactorial approach to opioid harm reduction. Methods: State-level opioid prescription data summaries recorded by the PA PDMP for each calendar quarter from August 2016 through March 2020 were collected from the PA Department of Health. Data for oxycodone, hydrocodone, and morphine were analyzed by quarter for total prescription numbers and refills. Prescription lengths, pill quantities, and average morphine milliequivalents (MMEs) were analyzed by quarter for all 14 opioid prescription variants recorded by the PA PDMP. Linear regression was conducted for each group of variables to identify significant differences in prescribing trends. Results: For total prescriptions dispensed, the number of oxycodone, hydrocodone, and morphine prescriptions decreased by 34.4, 44.6, and 22.3% respectively (p \u3c 0.0001). Refills fluctuated less consistently with general peaks in Q3 of 2017 and Q3 of 2018 (p = 0.2878). The rate of prescribing for all opioid prescription lengths decreased, ranging in frequency from 22 to 30 days (47.5% of prescriptions) to 31+ days of opioids (0.8% of prescriptions) (p \u3c 0.0001). Similarly, decreased prescribing was observed for all prescription amounts, ranging in frequency from 22 to 60 pills (36.6% of prescriptions) to 60-90 pills (14.2% of prescriptions) (p \u3c 0.0001). Overall, the average MME per opioid prescription decreased by 18.9%. Conclusions: Per the PA PDMP database, opioid prescribing has decreased significantly in PA from 2016 to 2020. The PDMP database is an important tool for tracking opioid prescribing trends in PA, and PDMPs structured similarly in other states may enhance our ability to understand and influence the trajectory of the U.S. opioid crisis. Further research is needed to determine optimal PDMP policies and practices nationwide

Effect of Indoor Environment on Occupant Air Comfort and Productivity in Office Buildings: A Response Surface Analysis Approach

Indoor air quality is a significant factor influencing occupant comfort, health and productivity. Indoor air comfort and its relationship to occupant comfort and productivity are widely documented. Statistical correlation between the two has been highlighted in scientific literature. This paper investigates any unique correlations between non-air quality parameters (such as lux level, temperature, and noise level) and indoor air comfort and presents a study investigating the effect of indoor environmental quality on occupant air comfort and productivity. This study was conducted by collecting data on indoor environmental parameters using remote sensors and an online survey for occupant responses for twelve months. Data analysis was performed using Response Surface Analysis to present mathematical relationships between indoor environmental quality parameters and occupant air comfort. Results show that carbon dioxide up to 600 ppm, VOC up to 25% (by volume) and humidity up to 60% have a positive impact on occupant air comfort and productivity. Our research highlighted that some non-air quality parameters, such as outdoor temperature and lux levels, affect occupant air comfort. These results would enable built environment professionals to design and operate offices (subtropical desert climate) conducive to occupant comfort and productivity

Effect of Indoor Environment on Occupant Air Comfort and Productivity in Office Buildings: A Response Surface Analysis Approach

Indoor air quality is a significant factor influencing occupant comfort, health and productivity. Indoor air comfort and its relationship to occupant comfort and productivity are widely documented. Statistical correlation between the two has been highlighted in scientific literature. This paper investigates any unique correlations between non-air quality parameters (such as lux level, temperature, and noise level) and indoor air comfort and presents a study investigating the effect of indoor environmental quality on occupant air comfort and productivity. This study was conducted by collecting data on indoor environmental parameters using remote sensors and an online survey for occupant responses for twelve months. Data analysis was performed using Response Surface Analysis to present mathematical relationships between indoor environmental quality parameters and occupant air comfort. Results show that carbon dioxide up to 600 ppm, VOC up to 25 (by volume) and humidity up to 60 have a positive impact on occupant air comfort and productivity. Our research highlighted that some non-air quality parameters, such as outdoor temperature and lux levels, affect occupant air comfort. These results would enable built environment professionals to design and operate offices (subtropical desert climate) conducive to occupant comfort and productivity

CFD Analysis of a Micro-Rotor In Ground Effect

In this work computational fluid dynamics is validated using experimental results for a model rotor In Ground Effect. The paper concentrates on the evaluation and prediction of the performance of the rotors and on the outwash generated In Ground Effect. Finally, safety considerations in terms of outflow forces and particles in the flow field are presented, comparing the results with other safety, distance based criteria. Using data of three different aircraft, scaling factors have been used to take into account the different size of the small-rotor studied and real case scenarios. The results show how heavier helicopters may generate the most dangerous situations, in terms of induced forces and presence of particles in a delimited area

Effects of Impact and Target Parameters on the Results of a Kinetic Impactor: Predictions for the Double Asteroid Redirection Test (DART) Mission

The Double Asteroid Redirection Test (DART) spacecraft will impact into the asteroid Dimorphos on 2022 September 26 as a test of the kinetic impactor technique for planetary defense. The efficiency of the deflection following a kinetic impactor can be represented using the momentum enhancement factor, β, which is dependent on factors such as impact geometry and the specific target material properties. Currently, very little is known about Dimorphos and its material properties, which introduces uncertainty in the results of the deflection efficiency observables, including crater formation, ejecta distribution, and β. The DART Impact Modeling Working Group (IWG) is responsible for using impact simulations to better understand the results of the DART impact. Pre-impact simulation studies also provide considerable insight into how different properties and impact scenarios affect momentum enhancement following a kinetic impact. This insight provides a basis for predicting the effects of the DART impact and the first understanding of how to interpret results following the encounter. Following the DART impact, the knowledge gained from these studies will inform the initial simulations that will recreate the impact conditions, including providing estimates for potential material properties of Dimorphos and β resulting from DART’s impact. This paper summarizes, at a high level, what has been learned from the IWG simulations and experiments in preparation for the DART impact. While unknown, estimates for reasonable potential material properties of Dimorphos provide predictions for β of 1–5, depending on end-member cases in the strength regime

Evaluating the Impact of Modic Changes on Operative Treatment in the Cervical and Lumbar Spine: A Systematic Review and Meta-Analysis

Modic changes (MCs) are believed to be potential pain generators in the lumbar and cervical spine, but it is currently unclear if their presence affects postsurgical outcomes. We performed a systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. All studies evaluating cervical or lumbar spine postsurgical outcomes in patients with documented preoperative MCs were included. A total of 29 studies and 6013 patients with 2688 of those patients having preoperative MCs were included. Eight included studies evaluated cervical spine surgery, eleven evaluated lumbar discectomies, nine studied lumbar fusion surgery, and three assessed lumbar disc replacements. The presence of cervical MCs did not impact the clinical outcomes in the cervical spine procedures. Moreover, most studies found that MCs did not significantly impact the clinical outcomes following lumbar fusion, lumbar discectomy, or lumbar disc replacement. A meta-analysis of the relevant data found no significant association between MCs and VAS back pain or ODI following lumbar discectomy. Similarly, there was no association between MCs and JOA or neck pain following ACDF procedures. Patients with MC experienced statistically significant improvements following lumbar or cervical spine surgery. The postoperative improvements were similar to patients without MCs in the cervical and lumbar spine