Study of the damping characteristics of general aviation aircraft panels and development of computer programs to calculate the effectiveness of interior noise control treatment, part 1

Tests were carried out on 20 inch x 20 inch panels at different test conditions using free-free panels, clamped panels, and panels as installed in the KU-FRL acoustic test facility. Tests with free-free panels verified the basic equipment set-up and test procedure. They also provided a basis for comparison. The results indicate that the effect of installed panels is to increase the damping ratio at the same frequency. However, a direct comparison is not possible, as the fundamental frequency of a free-free panel differs from the resonance frequency of the panel when installed. The damping values of panels installed in the test facility are closer to the damping values obtained with fixed-fixed panels. Effects of damping tape, stiffeners, and bonded and riveted edged conditions were also investigated. Progress in the development of a simple interior noise level control program is reported

Study of noise reduction characteristics of double-wall panels

The noise reduction characteristics of general aviation type, flat, double-wall structures were investigated. The experimental study was carried out on 20-by-20 inch panels with an exposed area of 18 by 18 inches. A frequency range from 20 to 5000 Hz was covered. The experimental results, in general, follow the expected trends. At low frequencies the double-wall structures are no better than the single-wall structures. However, for depths normally used in the general aviation industry, the double-wall panels are very attractive. The graphite-spoxy skin panels have higher noise reduction at very low frequencies ( 100 Hz) than the Kevlar skin panels. But the aluminum panels have higher noise reduction in the high frequency region, due to their greater mass. Use of fiberglass insulation is not effective in the low frequency region, and at times it is even negative. But the insulation is effective in the high-frequency region. The theoretical model for predicting the transmission loss of these multilayered panels is also discussed

Evolution and current state of assays for measuring parathyroid hormone

Development of the assays for parathyroid hormone (PTH) stems from the early radioimmunoassay development. Recognition of the assay shortcomings led to the development of the newer immunometric assays (IMA) that allowed for better characterization and understanding of the PTH molecule secretion, action and metabolism. Newer assays also allowed for reliable diagnosis of primary hyperparathyroidism and hypoparathyroidism in the majority of the patients. However, despite apparent improvements in the assay\u27s characteristics, considerable difficulties remain in assessment of the bone metabolism in the patients with end stage renal disease. Combining the results of second generation PTH IMA assays with third generation PTH IMA assays or standardizing the PTH results may offer further enhancement in the ability to assess bone metabolism in these patients, but further studies are necessary to elucidate their true clinical value

Clinical Features and Risk Factors of Autoimmune Liver Involvement in Pediatric Inflammatory Bowel Disease

OBJECTIVES:Autoimmune liver disease is reported in up to 7.8% of children with inflammatory bowel disease. A distinct inflammatory bowel disease phenotype has been suggested in adults and in small pediatric cohorts. The aim of the study was to evaluate the features of inflammatory bowel disease associated with autoimmune liver diseases and to analyze the characteristics of the liver disease. METHODS:Information on patients was obtained from the Italian Pediatric Inflammatory Bowel Disease Registry. Data of patients with and without autoimmune liver disease were compared. RESULTS:Autoimmune liver disease was detected in 6.8% of the 677 patients enrolled and was significantly associated with the diagnosis of ulcerative colitis (83%), with pancolonic involvement (84%), and with perinuclear antineutrophil cytoplasmic antibody positivity (41%) (all Ps < 0.05). Autoimmune liver disease was defined as sclerosing cholangitis in 61% of the patients and as an overlap syndrome in 33%. Concomitant intra- and extrahepatic biliary involvement was reported in 61% of cases, whereas exclusive extrahepatic lesions were reported in 21%. Hepatobiliary complications were observed in 9% of the patients during follow-up. CONCLUSIONS:Autoimmune liver disease, especially sclerosing cholangitis, was significantly more common in patients with extensive ulcerative colitis. Although complications are relatively rare in the pediatric age, monitoring is recommended

Adiposity measures, lean body mass, physical activity and mortality: NHANES 1999–2004

BACKGROUND: Obesity and physical inactivity are major public health problems. We studied the associations between measures of adiposity, lean body mass, leisure time physical activity (LTPA), and death in those with and without chronic kidney disease (CKD). METHODS: Associations between body mass index (BMI), waist circumference (WC), percent body fat, lean body mass (assessed with Dual-Energy X-ray Absorptiometry[DEXA]), leisure time physical activity (LTPA) and death were examined using the National Health and Nutrition Examination Surveys (NHANES 1999–2004). All-cause mortality was ascertained by linkage of NHANES files with the National Death Index. RESULTS: 9,433 non-CKD participants and 2,153 CKD participants who had fat mass measured using DEXA, BMI, WC, LTPA and mortality data were included. After adjusting for demographics, comorbid conditions, kidney function measures, C-Reactive Protein (CRP), and sodium intake there was no significant risk for death noted with higher WC, fat mass and BMI in those with and without CKD. When examining normal, overweight, and obese groups based on BMI criteria, being overweight (BMI 25–29.9 kg/m(2)) was associated with lower risk of death in those without CKD (Hazard ratio 0.62, 95% CI 0.40, 0.95). Higher lean body mass was associated with lower risk for death in those without kidney disease but not in the CKD population. There was a significantly higher risk for death among those who did not meet the minimum LTPA goals compared to those who met or exceeded the recommended activity levels (>450 MET/min/week) in those with and without CKD (CKD Hazard ratio: 1.36, 95% CI 1.003, 1.85; non-CKD HR 1.65, 95% CI 1.21, 2.26). CONCLUSIONS: In a representative sample of the US population, higher LTPA levels and lean body mass were associated with lower mortality in those without kidney disease. In CKD, higher LTPA was associated with lower risk of death. There was no association between adiposity measures and death in those with and without CKD except for lower mortality associated with overweight among those without CKD. The data suggests the need to develop programs to facilitate an increase in physical activity in people with and without kidney disease

Research-based versus clinical serum creatinine measurements and the association of acute kidney injury with subsequent kidney function: findings from the Chronic Renal Insufficiency Cohort study.

Background:Observational studies relying on clinically obtained data have shown that acute kidney injury (AKI) is linked to accelerated chronic kidney disease (CKD) progression. However, prior reports lacked uniform collection of important confounders such as proteinuria and pre-AKI kidney function trajectory, and may be susceptible to ascertainment bias, as patients may be more likely to undergo kidney function testing after AKI. Methods:We studied 444 adults with CKD who participated in the prospective Chronic Renal Insufficiency Cohort (CRIC) Study and were concurrent members of a large integrated healthcare delivery system. We estimated glomerular filtration rate (eGFR) trajectories using serum creatinine measurements from (i) the CRIC research protocol (yearly) and (ii) routine clinical care. We used linear mixed effects models to evaluate the associations of AKI with acute absolute change in eGFR and post-AKI eGFR slope, and explored whether these varied by source of creatinine results. Models were adjusted for demographic characteristics, diabetes status and albuminuria. Results:During median follow-up of 8.5 years, mean rate of eGFR loss was -0.31 mL/min/1.73 m2/year overall, and 73 individuals experienced AKI (55% Stage 1). A significant interaction existed between AKI and source of serum creatinine for acute absolute change in eGFR level after discharge; in contrast, AKI was independently associated with a faster rate of eGFR decline (mean additional loss of -0.67 mL/min/1.73 m2/year), which was not impacted by source of serum creatinine. Conclusions:AKI is independently associated with subsequent steeper eGFR decline regardless of the serum creatinine source used, but the strength of association is smaller than observed in prior studies after taking into account key confounders such as pre-AKI eGFR slope and albuminuria

A Study of negative feedback damping property of roll-coupled hydro-pneumatic suspensions

The design of a vehicle suspension involves complex compromises due to conflicting ride comfort and handling requirements. High load capacity and high mass center commercial vehicles, especially, impose greater design challenges due to their relatively low rollover immunity. Road vehicles, invariably, employ auxiliary roll stiffeners such as antiroll bars to realize a better compromise among the roll dynamic and ride comfort performance. The anti-roll bars, however, add considerable weight, exhibit negligible damping and cause stronger coupling between the roll and vertical modes. Alternatively, roll-connected hydro-pneumatic suspensions offer superior anti-roll performance, while preserving the soft vertical ride characteristics. Reported studies have shown that such suspensions can provide anti-roll characteristics similar to an antiroll bar but with considerable roll damping and less weight. The feedback effects of the hydraulic couplings in such suspensions yield negative damping force in the vertical mode, which have not yet been explored. This thesis research presents a systematic study of negative damping features of the roll-coupled hydro-pneumatic suspensions and its significance for realizing variable damping properties. Three different configurations of hydro-pneumatic struts were conceived for realizing hydraulic couplings in the roll plane. Analytical models of the roll-coupled suspensions were formulated considering ideal gas law, turbulent flows through orifices and damping valves, laminar flows through interconnections, floating piston dynamics and fluid compressibility. The analytical formulations were used to describe the negative damping feature attributed to the flow feedbacks. The vertical and roll mode damping and stiffness properties of the proposed configurations were derived via analytical relations, which showed that hydraulic couplings yield high roll stiffness and damping with only minimal effect on the vertical mode properties. The simulation results demonstrated two negative damping force components of a strut attributed to flows through the interconnecting pipes and flows through orifices in the connected strut. These negative damping force components, however, contributed to only positive roll damping moment. A methodology to enhance negative damping force of the connected struts was proposed for realizing variable damping properties similar to those of the conventional damping valves. Deployments of small size multiple interconnections or the flow-control valves across the struts resulted in comprehensive magnitudes of negative damping force components. Simulation results were obtained under lateral acceleration excitation idealizing the centrifugal force encountered during a steady-turn maneuver, a road bump, and in-phase and out-of-phase harmonic road excitations. The results were obtained for unconnected and connected struts with and without the damping valves and interconnection flow valves. Comparisons of the results revealed that interconnection valves can provide variable damping properties similar to the damping valves. The interconnection valves, however, offer greater design/tuning flexibility since these are mounted externally. The results suggested that further efforts in parameterization of the coupling flows will be worthy for realizing optimal damping properties of the roll-coupled hydro-pneumatic suspensions

Anaerobic Co-digestion for Enhanced Renewable Energy and Green House Gas Emission Reduction

The need to develop renewable energy is important for replacing fossil fuel, which is limited in quantity and also tends to increase in price over time. The addition of high strength organic wastes in municipal anaerobic digesters is growing and tends to increase renewable energy production. In addition, conversion of wastes to energy significantly reduces uncontrolled greenhouse gas emissions. Co-digestion of municipal sludge with any combination of wastes can result in synergistic, antagonistic or neutral outcomes. The objectives of this study were to identify potential co-digestates, determine synergistic, antagonistic and neutral effects, determine economic benefits, quantify performance of bench scale co-digesters, identify influence of co-digestion on microbial communities and implement appropriate co-digestion, if warranted, after full-scale testing. A market study was used to identify promising co-digestates. Most promising wastes were determined by biochemical methane potential (BMP) and other testing followed by a simple economic analysis. Performance was investigated using bench-scale digesters receiving synthetic primary sludge with and without co-digestates. Denaturing gradient gel electrophoresis (DGGE) and quantitative polymerase chain reaction (qPCR) analyses were performed on the gene encoding the alpha subunit of methyl coenzyme M reductase (mcrA) to compare methanogen communities among the digesters. One significant band contributing to the greatest difference in banding patterns was excised, cloned, amplified and sequenced. Full-scale co-digestion was conducted using the most promising co-digestate at South Shore Wastewater Reclamation Facility (Oak Creek, WI). Over 80 wastes were identified from 54 facilities within 160 km of an existing municipal digester. A simple economic comparison identified the greatest benefits for seven co-digestates. Methane production rates of two co-digester systems increased by 105% and 66% in comparison to a control system. These increases were great than anticipated based on theoretical methane production from the additional chemical oxygen demand (COD) of the co-digestates. Co-digestion of the most promising wastes with primary sludge was estimated to generate enough electricity to power more than 2500 houses. Synergistic outcomes of co-digestion may be caused by chances in microbial community resulting in more rapid methane production rate and higher specific methanogenic activities of the biomass against acetate, propionate and H2 as substrates. The presence of Methanospirillum hungatei correlated to higher SMAs in the Co-Digester 1 system. In subsequent full-scale testing, acid whey in addition to primary sludge increased methane production by 16 %, biogas methane content by 5%, methane yield per VS destroyed by 9% ( from 650 to 710 L CH4 / kg VSdestroyed ) and volatile solids removal by 20%. Co-digestion is a promising technology to increase renewable energy production and convert municipal digesters into regional renewable energy facilities

Volumetric laser endomicroscopy and its application to Barrett's esophagus: results from a 1,000 patient registry.

Volumetric laser endomicroscopy (VLE) uses optical coherence tomography (OCT) for real-time, microscopic cross-sectional imaging. A US-based multi-center registry was constructed to prospectively collect data on patients undergoing upper endoscopy during which a VLE scan was performed. The objective of this registry was to determine usage patterns of VLE in clinical practice and to estimate quantitative and qualitative performance metrics as they are applied to Barrett's esophagus (BE) management. All procedures utilized the NvisionVLE Imaging System (NinePoint Medical, Bedford, MA) which was used by investigators to identify the tissue types present, along with focal areas of concern. Following the VLE procedure, investigators were asked to answer six key questions regarding how VLE impacted each case. Statistical analyses including neoplasia diagnostic yield improvement using VLE was performed. One thousand patients were enrolled across 18 US trial sites from August 2014 through April 2016. In patients with previously diagnosed or suspected BE (894/1000), investigators used VLE and identified areas of concern not seen on white light endoscopy (WLE) in 59% of the procedures. VLE imaging also guided tissue acquisition and treatment in 71% and 54% of procedures, respectively. VLE as an adjunct modality improved the neoplasia diagnostic yield by 55% beyond the standard of care practice. In patients with no prior history of therapy, and without visual findings from other technologies, VLE-guided tissue acquisition increased neoplasia detection over random biopsies by 700%. Registry investigators reported that VLE improved the BE management process when used as an adjunct tissue acquisition and treatment guidance tool. The ability of VLE to image large segments of the esophagus with microscopic cross-sectional detail may provide additional benefits including higher yield biopsies and more efficient tissue acquisition. Clinicaltrials.gov NCT02215291