8 research outputs found
Precise Thermal NDE for Quantifying Structural Damage
We have developed precise thermal NDE as a wide-area inspection tool to quantify structural damage within airframes and bridge decks. We used infrared cameras and image processing to produce precise temperature, thermal inertia, and cooling-rate maps of flash-heated aircraft skins. These maps allowed us to distinguish major structural defects from minor flaws which do not warrant costly repairs. We quantified aircraft skin corrosion defects with metal losses as low as 5% with 3% overall uncertainty [1â6]. We proved the feasibility of precise thermal NDE to inspect naturally-heated asphalt-concrete bridge decks. To this end, we quantified structural damage within asphalt-concrete slabs by locating the sites, and determining the relative volumes, of concrete displacements from 2-inch deep and 4-inch deep synthetic delaminations in asphalt-concrete slabs [4â8]
From Nylonkong to Haiwankong: an imagination
The recent developments have shown the advantages of the thermographic technique for the detection of corrosion and disbonds in aircraft structures[lâ3]. These have typically involved the application of heat with an infrared source and imaging the induced temperature change with an infrared imager. This offers a rapid method for detecting corrosion and quantifying its extent in single layer structures. In these application, the heating and imaging components of the system remain stationary during the measurement cycle. Two disadvantages of this technique are the expense of the infrared imager and the large power requirement for the infrared heater
Benign Esophagopulmonary Fistula Through an Epiphrenic Diverticulum and Asymptomatic Achalasia
Gastroesophageal Reflux Disease, Obesity, and Roux-en-Y Gastric Bypass: Complex Relationshipâa Narrative Review
Assessment of the characteristic of nutrients, total metals, and fecal coliform in Sibu Laut River, Sarawak, Malaysia
Serious Asthma Events with Fluticasone plus Salmeterol versus Fluticasone Alone
BACKGROUND:
The safe and appropriate use of long-acting beta-agonists (LABAs) for the treatment of asthma has been widely debated. In two large clinical trials, investigators found a potential risk of serious asthma-related events associated with LABAs. This study was designed to evaluate the risk of administering the LABA salmeterol in combination with an inhaled glucocorticoid, fluticasone propionate.
METHODS:
In this multicenter, randomized, double-blind trial, adolescent and adult patients (age, â„12 years) with persistent asthma were assigned to receive either fluticasone with salmeterol or fluticasone alone for 26 weeks. All the patients had a history of a severe asthma exacerbation in the year before randomization but not during the previous month. Patients were excluded from the trial if they had a history of life-threatening or unstable asthma. The primary safety end point was the first serious asthma-related event (death, endotracheal intubation, or hospitalization). Noninferiority of fluticasone-salmeterol to fluticasone alone was defined as an upper boundary of the 95% confidence interval for the risk of the primary safety end point of less than 2.0. The efficacy end point was the first severe asthma exacerbation.
RESULTS:
Of 11,679 patients who were enrolled, 67 had 74 serious asthma-related events, with 36 events in 34 patients in the fluticasone-salmeterol group and 38 events in 33 patients in the fluticasone-only group. The hazard ratio for a serious asthma-related event in the fluticasone-salmeterol group was 1.03 (95% confidence interval [CI], 0.64 to 1.66), and noninferiority was achieved (P=0.003). There were no asthma-related deaths; 2 patients in the fluticasone-only group underwent asthma-related intubation. The risk of a severe asthma exacerbation was 21% lower in the fluticasone-salmeterol group than in the fluticasone-only group (hazard ratio, 0.79; 95% CI, 0.70 to 0.89), with at least one severe asthma exacerbation occurring in 480 of 5834 patients (8%) in the fluticasone-salmeterol group, as compared with 597 of 5845 patients (10%) in the fluticasone-only group (P<0.001).
CONCLUSIONS:
Patients who received salmeterol in a fixed-dose combination with fluticasone did not have a significantly higher risk of serious asthma-related events than did those who received fluticasone alone. Patients receiving fluticasone-salmeterol had fewer severe asthma exacerbations than did those in the fluticasone-only group