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 multilayered panels and dual pane windows with Helmholtz resonators

The experimental noise attenuation characteristics of flat, general aviation type, multilayered panels are discussed. Experimental results of stiffened panels, damping tape, honeycomb materials and sound absorption materials are presented. Single degree of freedom theoretical models were developed for sandwich type panels with both shear resistant and non-shear resistant core material. The concept of Helmholtz resonators used in conjunction with dual panel windows in increasing the noise reduction around a small range of frequency was tested. It is concluded that the stiffening of the panels either by stiffeners or by sandwich construction increases the low frequency noise reduction

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

ROOT RESORPTION DURING LEVELING AND ALIGNING PHASE OF ORTHODONTIC TREATMENT – A RADIOGRAPHIC STUDY

Aim: This study aims to evaluate the root resorption (RR) during the leveling and aligning phase in patients undergoing fixed orthodontic treatment. Objective: This study helps in evaluating RR of anterior teeth during leveling and aligning phase of orthodontic treatment. Methods: This study involves 12 patients undergoing fixed appliance mechanotherapy. The roots of the anterior teeth root were evaluated for RR in each of these patients at 2 time intervals (a) at the start of fixed orthodontic treatment and (b) at the end of leveling and alignment with the help of either two-dimensional digital radiograph or three-dimensional cone-beam computed tomography. Results: Computerized evaluation of apical RR showed that the mean averaged RR was 0.53 mm (standard deviation [SD] 0.47) for all four incisors; the average for the central incisors was 0.48 mm (SD 0.53). Conclusions: RR can be detected even in the early leveling stages of orthodontic treatment. About 25% of patients have an average resorption of up to 2 mm of the four maxillary incisors, in the leveling and alignment phase of fixed appliance therapy. Although teeth with long, narrow, and deviated roots are at increased risk of resorption during this early stage, the explained variance of these risk factors is <25%

General aviation aircraft interior noise problem: Some suggested solutions

Laboratory investigation of sound transmission through panels and the use of modern data analysis techniques applied to actual aircraft is used to determine methods to reduce general aviation interior noise. The experimental noise reduction characteristics of stiffened flat and curved panels with damping treatment are discussed. The experimental results of double-wall panels used in the general aviation industry are given. The effects of skin panel material, fiberglass insulation and trim panel material on the noise reduction characteristics of double-wall panels are investigated. With few modifications, the classical sound transmission theory can be used to design the interior noise control treatment of aircraft. Acoustic intensity and analysis procedures are included

A research program to reduce interior noise in general aviation airplanes. Influence of depressurization and damping material on the noise reduction characteristics of flat and curved stiffened panels

Some 20 x 20 aluminum panels were studied in a frequency range from 20 Hz to 5000 Hz. The noise sources used were a swept sine wave generator and a random noise generator. The effect of noise source was found to be negligible. Increasing the pressure differential across the panel gave better noise reduction below the fundamental resonance frequency due to an increase in stiffness. The largest increase occurred in the first 1 psi pressure differential. The curved, stiffened panel exhibited similar behavior, but with a lower increase of low frequency noise reduction. Depressurization on these panels resulted in decreased noise reduction at higher frequencies. The effect of damping tapes on the overall noise reduction values of the test specimens was small away from the resonance frequency. In the mass-law region, a slight and proportional improvement in noise reduction was observed by adding damping material. Adding sound absorbtion material to a panel with damping material beneficially increased noise reduction at high frequencies

Biliary and pancreatic lithotripsy devices

© 2018 Background and Aims: Lithotripsy is a procedure for fragmentation or destruction of stones to facilitate their removal or passage from the biliary or pancreatic ducts. Although most stones may be removed endoscopically using conventional techniques such as endoscopic sphincterotomy in combination with balloon or basket extraction, lithotripsy may be required for clearance of large, impacted, or irregularly shaped stones. Several modalities have been described, including intracorporeal techniques such as mechanical lithotripsy (ML), electrohydraulic lithotripsy (EHL), and laser lithotripsy, as well as extracorporeal shock-wave lithotripsy (ESWL). Methods: In this document, we review devices and methods for biliary and pancreatic lithotripsy and the evidence regarding efficacy, safety, and financial considerations. Results: Although many difficult stones can be safely removed using ML, endoscopic papillary balloon dilation (EPBD) has emerged as an alternative that may lessen the need for ML and also reduce the rate of adverse events. EHL and laser lithotripsy are effective at ductal clearance when conventional techniques are unsuccessful, although they usually require direct visualization of the stone by the use of cholangiopancreatoscopy and are often limited to referral centers. ESWL is effective but often requires coordination with urologists and the placement of stents or drains with subsequent procedures for extracting stone fragments and, thus, may be associated with increased costs. Conclusions: Several lithotripsy techniques have been described that vary with respect to ease of use, generalizability, and cost. Overall, lithotripsy is a safe and effective treatment for difficult biliary and pancreatic duct stones

Design and rationale of FINE-REAL: A prospective study of finerenone in clinical practice

AIMS: Contemporary patterns of care of patients with chronic kidney disease (CKD) associated with type 2 diabetes (T2D) and the adoption of finerenone are not known. The FINE-REAL study (NCT05348733) is a prospective observational study in patients with CKD and T2D to provide insights into the use of the nonsteroidal mineralocorticoid receptor antagonist (MRA) finerenone in clinical practice. METHODS: FINE-REAL is an international, prospective, multicenter, single-arm study enrolling approximately 5500 adults with CKD and T2D in an estimated 200 sites across 22 countries. The study is anticipated to be ongoing until 2027. RESULTS: The primary objective is to describe treatment patterns in patients with CKD and T2D treated with finerenone in routine clinical practice. Secondary objectives include assessment of safety with finerenone. Other endpoints include characterization of healthcare resource utilization and occurrence of newly diagnosed diabetic retinopathy or its progression from baseline in patients with existing disease. A biobank is being organized for future explorative analyses with inclusion of participants from the United States. CONCLUSIONS: FINE-REAL is the first prospective observational study with a nonsteroidal MRA in a population with CKD and T2D and is expected to provide meaningful insights into the treatment of CKD associated with T2D. FINE-REAL will inform decision-making with respect to initiation of finerenone in patients with CKD and T2D

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