Cracked rotor demonstration

The purpose of this demonstration is to observe the behavior of a rotor with a single crack. This will be presented in oscilloscope orbits, 2X POLAR PLOTS, and spectrum cascade diagrams. Crack detection must be observed in all three formats and monitored over a period of time or start-ups. The change in the 2X behavior pattern provides an early warning that a crack potentially exists and that it is likely propagating toward total rotor fracture

Hydraulic induced instability on a vertical service

The case history contained provides insight toward the mechanical and hydraulic behavior of a vertical pump. It clearly demonstrates the need for measurements on the rotor at or near the impeller area. The results are reported of an analysis on a service water pump. This pump is typical of the water pumps used throughout the power generation industry. Although little is known of the mechanical behavior of vertical pumps because of difficulty in modeling the rotor system, recent developments in the application of submersible proximity transducers have made possible the measurement of pump dynamics under operating conditions. The purpose of this study was to determine the proper selection and installation of vibration-monitoring transducers as well as to measure the effects of imbalance, misalignment, and hydraulics on the performance and reliability of vertical pumps. In addition, the cause of shaft failures on this pump was to be determined

Paper 99: design guidelines versus practices for the Upper Seascheldt, the inland waterway connection between Antwerp and Ghent

Design guidelines for inland waterways are so far a national matter. PIANC InCom Working Group 141 "Design Guidelines for Inland Waterways" is nevertheless working on a report with a summary of existing guidelines and a methodology for the concept and detailed design of canals and rivers. For tidal rivers the design is a difficult process and an example is given through the accessibility of the Upper-Seascheldt for CEMT class IV and Va inland vessels between the port of Antwerp and the locks in Merelbeke. A combined evaluation based on concept design guidelines for canals, practices measured during a full-scale voyage and detailed design using ship handling simulators is discussed and illustrated

Patient-specific image-based computer simulation for theprediction of valve morphology and calcium displacement after TAVI with the Medtronic CoreValve and the Edwards SAPIEN valve

AIMS: Our aim was to validate patient-specific software integrating baseline anatomy and biomechanical properties of both the aortic root and valve for the prediction of valve morphology and aortic leaflet calcium displacement after TAVI. METHODS AND RESULTS: Finite element computer modelling was performed in 39 patients treated with a Medtronic CoreValve System (MCS; n=33) or an Edwards SAPIEN XT (ESV; n=6). Quantitative axial frame morphology at inflow (MCS, ESV) and nadir, coaptation and commissures (MCS) was compared between multislice computed tomography (MSCT) post TAVI and a computer model as well as displacement of the aortic leaflet calcifications, quantified by the distance between the coronary ostium and the closest calcium nodule. Bland-Altman analysis revealed a strong correlation between the observed (MSCT) and predicted frame dimensions, although small differences were detected for, e.g., Dmin at the inflow (mean±SD MSCT vs. MODEL: 21.6±2.4 mm vs. 22.0±2.4 mm; difference±SD: -0.4±1.3 mm, p<0.05) and Dmax (25.6±2.7 mm vs. 26.2±2.7 mm; difference±SD: -0.6±1.0 mm, p<0.01). The observed and predicted calcium displacements were highly correlated for the left and right coronary ostia (R2=0.67 and R2=0.71, respectively p<0.001). CONCLUSIONS: Dedicated software allows accurate prediction of frame morphology and calcium displacement after valve implantation, which may help to improve outcome

Cost-utility of transcatheter aortic valve implantation for inoperable patients with severe aortic stenosis treated by medical management: a UK cost-utility analysis based on patient-level data from the ADVANCE study.

OBJECTIVE: To use patient-level data from the ADVANCE study to evaluate the cost-effectiveness of transcatheter aortic valve implantation (TAVI) compared to medical management (MM) in patients with severe aortic stenosis from the perspective of the UK NHS. METHODS: A published decision-analytic model was adapted to include information on TAVI from the ADVANCE study. Patient-level data informed the choice as well as the form of mathematical functions that were used to model all-cause mortality, health-related quality of life and hospitalisations. TAVI-related resource use protocols were based on the ADVANCE study. MM was modelled on publicly available information from the PARTNER-B study. The outcome measures were incremental cost-effectiveness ratios (ICERs) estimated at a range of time horizons with benefits expressed as quality-adjusted life-years (QALY). Extensive sensitivity/subgroup analyses were undertaken to explore the impact of uncertainty in key clinical areas. RESULTS: Using a 5-year time horizon, the ICER for the comparison of all ADVANCE to all PARTNER-B patients was £13 943 per QALY gained. For the subset of ADVANCE patients classified as high risk (Logistic EuroSCORE >20%) the ICER was £17 718 per QALY gained). The ICER was below £30 000 per QALY gained in all sensitivity analyses relating to choice of MM data source and alternative modelling approaches for key parameters. When the time horizon was extended to 10 years, all ICERs generated in all analyses were below £20 000 per QALY gained. CONCLUSION: TAVI is highly likely to be a cost-effective treatment for patients with severe aortic stenosis

Nonlinear cochlear dynamics

In this report we examine a model for human hearing. The unknown parameters in the model are estimated using experimental data and standard optimisation methods as described in the text. Additionally, we suggest possible improvements to the model as well as proposing a method to use the current model in locating which frequencies are aected in a damaged ear. Keywords: cochlear model, delay dierential equation, parameter es-timation, hearing los

Effect of integrated care for sick listed patients with chronic low back pain: economic evaluation alongside a randomised controlled trial

Objective To evaluate the cost effectiveness, cost utility, and cost-benefit of an integrated care programme compared with usual care for sick listed patients with chronic low back pain