Two-dimensional features of correlations in the flow and near pressure fields of Mach number 0.9 jets

International audienceIn the present study, two-dimensional spatial correlations are calculated in the flow and the near pressure fields of two isothermal round jets at a Mach number of 0.9, computed by highly-resolved simulations using cylindrical coordinates (r , θ, z). The two jets have diameter-based Reynolds numbers of 3, 125 and 100, 000, and they are initially weakly and strongly disturbed, respectively. For both jets, correlations are evaluated between signals at a given point, namely flow fluctuations on the jet axis at the end of the potential core and pressure fluctuations in the jet near field, and 2-D fields acquired in sections (z, r). The full signals but also the axisymmetric and first azimuthal modes are considered. Overall, despite the significant differences in Reynolds number and nozzle-exit conditions, the results for the two jets are very similar. Strong levels of correlations are obtained over large spatial regions and long time periods, providing information on noise generation mechanisms. In particular, the 2-D correlation fields reveal the presence of a wavepacket-like structure growing in the jet mixing layers, centered on a correlation spot in the potential core, and peaking in amplitude around the end of the jet core, which leads to the emission of sound waves in the downstream direction

The use of intravascular ultrasound imaging to improve use of inferior vena cava filters in a high-risk bariatric population

ObjectivePulmonary embolism is the leading cause of death after gastric bypass procedures for obesity, approximating 0.5% to 4%. All bariatric patients, but especially the super-obese, which have a body mass index (BMI) >50 kg/m2, are at significant risk for postoperative venous thromboembolism (VTE). Visualization and weight limitations of fluoroscopy tables exclude most bariatric and all super-obese patients from inferior vena cava (IVC) filter placement using fluoroscopy. Intravascular ultrasound (IVUS)-guided IVC filter placement is the only modality that allows these high-risk patients to have an IVC filter placed.MethodsHospital and outpatient records of the 494 patients who underwent gastric bypass procedures from January 1, 2004, to May 31, 2006, were reviewed. All patients who had concurrent IVC filter placement with the use of IVUS guidance were selected. Comorbidities, outcomes, and complications were recorded.ResultsWe identified 27 patients with mean BMI of 70 ± 3 kg/m2; of these, 25 were super-obese (BMI >50 kg/m2). Procedures included five laparoscopic and 22 open gastric bypass operations. All patients underwent concurrent IVC filter placement using IVUS guidance. In addition to super-obesity, indications for IVC filter placement included history of VTE (n = 4), known hypercoagulable state (n = 2), and profound immobility (n = 21). Mean follow up was 293 ± 40 days. Technical success rate was 96.3%. There were no catheter site complications. In one surviving patient, a nonfatal pulmonary embolism was detected by computed tomography 2 months postoperatively. Two patients died, and autopsy excluded VTE as the cause of death in both.ConclusionThis study suggests efficacy of IVUS-guided IVC filter placement in preventing mortality from pulmonary embolism in high-risk bariatric patients, including the super-obese. IVUS-guided IVC filter placement can be safely performed with an excellent success rate in all bariatric patients, including the super-obese, who otherwise would not be candidates for IVC filter placement due to the limitations imposed by their large body habitus

Mid-term results with laser atherectomy in the treatment of infrainguinal occlusive disease

BackgroundLaser atherectomy offers a potential intervention for multivessel infrainguinal disease in patients with poor revascularization options. Despite promising early results reported in the literature, the proper patient population who might benefit from laser atherectomy has yet to be determined.MethodsFrom July 2004 to June 2006, patients undergoing laser atherectomy were retrospectively reviewed and assessed for comorbidities, operative and follow-up variables potentially associated with the end points of nondefinitive therapy, and limb salvage.ResultsDuring the study period, 40 patients (21 women, 19 men) underwent laser atherectomy, and the average follow-up was 461 ± 49 days (range, 17 to 1050 days). Their average age was 68 ± 2 years (range, 43 to 93 years). The indication for laser atherectomy was critical limb ischemia in 26 (65%) and lower limb claudication in 11 (35%). A total of 47 lesions were treated in the following arterial segments: 34 femoropopliteal and 13 infrapopliteal. Femoropopliteal distribution by the Trans-Atlantic Society Classification (TASC) was A in 3, B in 17, C in 10, D in 4, and infrapopliteal lesions distribution was A in 1, B in 3, C in 4, and D in 5. Adjunctive angioplasty was used in 75% of cases. The overall technical success rate (<50% residual stenosis) was 88%. Laser atherectomy–based treatment was the definitive therapy for 23 patients (58%), and the overall 12-month primary patency was 44%. The limb salvage rate at 12 months in 26 patients with critical limb ischemia was 55%. Renal failure was a risk factor for amputation (P < .001) and failed primary patency (P < .05), type 2 diabetes mellitus was a risk factor for amputation (P < .05), and poor tibial runoff was associated with failed primary patency and amputation (P < .05). Outcome was associated with the number of patent infrapopliteal runoff vessels.ConclusionThese data demonstrate that laser atherectomy can be used with high initial technical success rate. Chronic renal failure and diabetes are risk factors for a negative outcome. Poor results in patients with diabetes and renal failure necessitate careful case selection in this subgroup, in which laser atherectomy is less likely to provide a definitive revascularization result or limb salvage

Detection of interstellar H_2D^+ emission

We report the detection of the 1_{10}-1_{11} ground state transition of ortho-H_2D^+ at 372.421 GHz in emission from the young stellar object NGC 1333 IRAS 4A. Detailed excitation models with a power-law temperature and density structure yield a beam-averaged H_2D^+ abundance of 3 x 10^{-12} with an uncertainty of a factor of two. The line was not detected toward W 33A, GL 2591, and NGC 2264 IRS, in the latter source at a level which is 3-8 times lower than previous observations. The H_2D^+ data provide direct evidence in support of low-temperature chemical models in which H_2D^+ is enhanced by the reaction of H_3^+ and HD. The H_2D^+ enhancement toward NGC 1333 IRAS 4A is also reflected in the high DCO^+/HCO^+ abundance ratio. Simultaneous observations of the N_2H^+ 4-3 line show that its abundance is about 50-100 times lower in NGC 1333 IRAS 4A than in the other sources, suggesting significant depletion of N_2. The N_2H^+ data provide independent lower limits on the H_3^+ abundance which are consistent with the abundances derived from H_2D^+. The corresponding limits on the H_3^+$ column density agree with recent near-infrared absorption measurements of H_3^+ toward W 33A and GL 2591.Comment: Standard AAS LaTeX format (15 pages + 2 figures

Impact of operative indication and surgical complexity on outcomes after thoracic endovascular aortic repair at National Surgical Quality Improvement Program Centers

IntroductionThoracic endovascular aortic repair (TEVAR) devices are increasingly being utilized to treat aortic pathologies outside of the original Food & Drug Administration (FDA) approval for nonruptured descending thoracic aorta aneurysms (DTAs). The objective of this study was to evaluate the outcomes of patients undergoing TEVAR, elucidating the role of surgical and pathologic variables on morbidity and mortality.MethodsNational Surgical Quality Improvement Program (NSQIP) data were reviewed for all patients undergoing endovascular thoracic aorta repair from 2005 to 2007. The patients' operative indication and surgical complexity were used to divide them into study and control populations. Comorbid profiles were assessed utilizing a modified Charlson Comorbidity Index (CCI). Thirty-day occurrences of mortality and serious adverse events (SAEs) were used as study endpoints. Univariate and multivariate models were created using demographic and clinical variables to assess for significant differences in endpoints (P ≤ .05).ResultsA total of 440 patients undergoing TEVAR were identified. When evaluating patients based on operative indication, the ruptured population had increased mortality and SAE rates compared to the nonruptured DTA population (22.6% vs 6.2%;P < .01 and 35.5% vs 9.1%;P < .01, respectively). Further analysis by surgical complexity revealed increased mortality and SAE rates when comparing the brachiocephalic aortic debranching population to the noncovered left subclavian artery population (23.1% vs 6.5%; P = .02 and 30.8% vs 9.1%; P < .01, respectively). Multivariate analysis demonstrated that operative indication was not a correlate of mortality or SAEs (odds ratio [OR], 0.95; P = .92 and OR, 1.42; P = .39, respectively); however, brachiocephalic aortic debranching exhibited a deleterious effect on mortality (OR, 8.75; P < .01) and SAE rate (OR, 6.67; P = .01).ConclusionThe operative indication for a TEVAR procedure was not found to be a predictor of poor patient outcome. Surgical complexity, specifically the need for brachiocephalic aortic debranching and aortoiliac conduit, was shown to influence the occurrence of SAEs in a multivariate model. Comparative data, such as these, illustrate real-world outcomes of patients undergoing TEVAR outside of the original FDA-approved indications. This information is of paramount importance to various stakeholders, including third-party payers, the device industry, regulatory agencies, surgeons, and their patients

Viscous simulations of shock-bubble interaction and Richtmyer-Meshkov instability

Viscous simulations of shock-bubble interaction and Richtmyer-Meshkov instability are performed using an explicit high-order computational method. The simulations are performed by solving the Navier-Stokes equations associated with two convection equations governing the interface between two fluids. The stiffened equation of state is used to relate the pressure to the total energy of a liquid or a gas. Two-dimensional two-phase flows are considered. The first flow concerns the Richtmyer-Meshkov instability developed on a post-shocked interface between air and sulphur hexafluoride (SF6). The influence of the grid refinement on the instability shape is studied. The second problem deals with a shock wave propagating in air and hitting a cylindrical bubble filled with helium or chlorodifluoromethane (R22). A spatial-time diagram represents the locations of the various pressure waves generated from the interaction between the shock wave and the interface. For both simulations, the numerical results are in agreement with experimental data and visualizations

An open and parallel multiresolution framework using block-based adaptive grids

A numerical approach for solving evolutionary partial differential equations in two and three space dimensions on block-based adaptive grids is presented. The numerical discretization is based on high-order, central finite-differences and explicit time integration. Grid refinement and coarsening are triggered by multiresolution analysis, i.e. thresholding of wavelet coefficients, which allow controlling the precision of the adaptive approximation of the solution with respect to uniform grid computations. The implementation of the scheme is fully parallel using MPI with a hybrid data structure. Load balancing relies on space filling curves techniques. Validation tests for 2D advection equations allow to assess the precision and performance of the developed code. Computations of the compressible Navier-Stokes equations for a temporally developing 2D mixing layer illustrate the properties of the code for nonlinear multi-scale problems. The code is open source

CN in prestellar cores

Determining the structure of and the velocity field in prestellar cores is essential to understanding protostellar evolution.} {We have observed the dense prestellar cores L 1544 and L 183 in the $N = 1 \to 0$ rotational transition of CN and \thcn in order to test whether CN is depleted in the high--density nuclei of these cores.} {We have used the IRAM 30 m telescope to observe along the major and minor axes of these cores. We compare these observations with the 1 mm dust emission, which serves as a proxy for the hydrogen column density.}{We find that while CN\jone is optically thick, the distribution of \thcn\jone intensity follows the dust emission well, implying that the CN abundance does not vary greatly with density. We derive an abundance ratio of \rm [CN]/[\hh]=\dix{-9} in L 183 and 1-3\tdix{-9} in L 1544, which, in the case of L 183, is similar to previous estimates obtained by sampling lower--density regions of the core.}{We conclude that CN is not depleted towards the high--density peaks of these cores and thus behaves like the N-containing molecules \nnhp and \nhhh. CN is, to our knowledge, the first C--containing molecule to exhibit this characteristic.Comment: Accepted for publication in A&A Letter

A Spectral Line Survey of Selected 3 mm Bands Toward Sagittarius B2(N-LMH) Using the NRAO 12 Meter Radio Telescope and the BIMA Array I. The Observational Data

We have initiated a spectral line survey, at a wavelength of 3 millimeters, toward the hot molecular core Sagittarius B2(N-LMH). This is the first spectral line survey of the Sgr B2(N) region utilizing data from both an interferometer (BIMA Array) and a single-element radio telescope (NRAO 12 meter). In this survey, covering 3.6 GHz in bandwidth, we detected 218 lines (97 identified molecular transitions, 1 recombination line, and 120 unidentified transitions). This yields a spectral line density (lines per 100 MHz) of 6.06, which is much larger than any previous 3 mm line survey. We also present maps from the BIMA Array that indicate that most highly saturated species (3 or more H atoms) are products of grain chemistry or warm gas phase chemistry. Due to the nature of this survey we are able to probe each spectral line on multiple spatial scales, yielding information that could not be obtained by either instrument alone.Comment: 35 pages, 15 figures, to be published in The Astrophysical Journa

A spectral line survey in the 2 mm and 1.3 mm windows toward the carbon rich envelope of IRC +10216

We present the results of our spectral line surveys in the 2 mm and 1.3 mm windows toward the carbon rich envelope of IRC +10216. Totally 377 lines are detected, among which 360 lines are assigned to 57 known molecules (including 29 rare isotopomers and 2 cyclic isomers). Only 17 weak lines remain unidentified. Rotational lines of isotopomers 13CCH and HN13C are detected for the first time in IRC +10216. The detection of the formaldehyde lines in this star is also confirmed. Possible abundance difference among the three 13C substituted isotopic isomers of HC3N is reported. Isotopic ratios of C and O are confirmed to be non-solar while those of S and Si to be nearly solar. Column densities have been estimated for 15 molecular species. Modified spectroscopic parameters have been calculated for NaCN, Na13CN, KCN and SiC2. Transition frequencies from the present observations were used to improve the spectroscopic parameters of Si13CC, 29SiC2 and 30SiC2.Comment: 17 pages of text, 18 pages of 14 tables, 35 pages of 4 figures, a typo corrected in Abstrac