Analysis of Soot Particle Movement in Diesel Engine under the Influence of Drag Force

The formation of soot is influenced by the composition of air entrainment and structure of hydrocarbon in the fuel. Soot will then form during combustion in a diesel engine. Some of the soot particles will be released from the engine through the exhaust nozzle and some will stick to the cylinder walls. The soot that sticks to the cylinder wall can affect the lifetime of the lubricant oil. Subsequently this will decrease the durability of the diesel engine. By understanding the movement of the soot particles, the effect to the engine can be decreased. Therefore, the initial position and last position of soot particle was recognized through this study. The data for the formation of soot particles in the diesel engine was obtained from previous investigation. The study of soot movement at 8° crankshaft angle under the influence of drag force with different radial, axial and angular settings were carried out using a MATLAB routine. The results showed that the movement of soot particle will change with different parameter settings. Besides that, comparison of the results of soot particle movement influenced by drag force and without drag force has been carried out. It was observed that drag force caused shorter soot particle movement path and moves them away from the cylinder wall

Multi-institutional retrospective analysis of adverse events following rigid tracheobronchoscopy.

Background and objective: Rigid tracheobronchoscopy (RTB) has seen an increasing interest over the last decades with the development of the field of IPM but no benchmark exists for complication rates in RTB. We aimed to establish benchmarks for complication rates in RTB. Methods: A multicentric retrospective analysis of RTB performed between 2009 and 2015 in eight participating centres was performed. Results: A total of 1546 RTB were performed over the study period. One hundred and thirty-one non-lethal complications occurred in 103 procedures (6.7%, 95% CI: 5.5–8.0%). The periprocedural mortality rate was 1.2% (95% CI: 0.6–1.8%). The 30-day mortality rate was 5.6% (95% CI: 4.5–6.8%). Complication rate increases further when procedures were performed in an emergency setting. Procedures in patients with MAO are associated with a higher 30-day mortality (8.1% vs 2.7%, P < 0.01) and a different complication profile when compared to procedures performed for BAS. Conclusion: RTB is associated with a 6.7% non-lethal complication rate, a 1.2% periprocedural mortality rate and a 5.6% 30-day mortality in a large multicentre cohort of patients with benign and malignant airway disease. © 2020 Asian Pacific Society of Respirolog

ATS Core Curriculum 2020. Adult Pulmonary Medicine

The American Thoracic Society Core Curriculumupdates clinicians annually in adult and pediatric pulmonary disease, medical critical care, and sleep medicine in a 3- to 4-year recurring cycle of topics. The topics of the 2020 Pulmonary Core Curriculum include pulmonary vascular disease (submassive pulmonary embolism, chronic thromboembolic pulmonary hypertension, and pulmonary hypertension) and pulmonary infections (community-acquired pneumonia, pulmonary nontuberculous mycobacteria, opportunistic infections in immunocompromised hosts, and coronavirus disease [COVID-19]). Copyright © 2020 by the American Thoracic Society.Open access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Pleural fluid microbiota as a biomarker for malignancy and prognosis

Malignant pleural effusions (MPE) complicate malignancies and portend worse outcomes. MPE is comprised of various components, including immune cells, cancer cells, and cell-free DNA/RNA. There have been investigations into using these components to diagnose and prognosticate MPE. We hypothesize that the microbiome of MPE is unique and may be associated with diagnosis and prognosis. We compared the microbiota of MPE against microbiota of pleural effusions from non-malignant and paramalignant states. We collected a total of 165 pleural fluid samples from 165 subjects; Benign (n = 16), Paramalignant (n = 21), MPE-Lung (n = 57), MPE-Other (n = 22), and Mesothelioma (n = 49). We performed high throughput 16S rRNA gene sequencing on pleural fluid samples and controls. We showed that there are compositional differences among pleural effusions related to non-malignant, paramalignant, and malignant disease. Furthermore, we showed differential enrichment of bacterial taxa within MPE depending on the site of primary malignancy. Pleural fluid of MPE-Lung and Mesothelioma were associated with enrichment with oral and gut bacteria that are commonly thought to be commensals, including Rickettsiella, Ruminococcus, Enterococcus, and Lactobacillales. Mortality in MPE-Lung is associated with enrichment in Methylobacterium, Blattabacterium, and Deinococcus. These observations lay the groundwork for future studies that explore host-microbiome interactions and their influence on carcinogenesis </p

A randomised trial of lung sealant versus medical therapy for advanced emphysema

Uncontrolled pilot studies demonstrated promising results of endoscopic lung volume reduction using emphysematous lung sealant (ELS) in patients with advanced, upper lobe predominant emphysema. We aimed to evaluate the safety and efficacy of ELS in a randomised controlled setting. Patients were randomised to ELS plus medical treatment or medical treatment alone. Despite early termination for business reasons and inability to assess the primary 12-month end-point, 95 out of 300 patients were successfully randomised, providing sufficient data for 3- and 6-month analysis. 57 patients (34 treatment and 23 control) had efficacy results at 3 months; 34 (21 treatment and 13 control) at 6 months. In the treatment group, 3-month lung function, dyspnoea, and quality of life improved significantly from baseline when compared to control. Improvements persisted at 6 months with &gt;50% of treated patients experiencing clinically important improvements, including some whose lung function improved by &gt;100%. 44% of treated patients experienced adverse events requiring hospitalisation (2.5-fold more than control, p=0.01), with two deaths in the treated cohort. Treatment responders tended to be those experiencing respiratory adverse events. Despite early termination, results show that minimally invasive ELS may be efficacious, yet significant risks (probably inflammatory) limit its current utility. Copyright © ERS 2015

Towards a Spatial Planning Framework for the Re-naturing of Cities

This chapter presents a framework for the spatial planning of re-naturing cities. There is today a lively debate about re-naturing cities, since it can address multiple societal challenges and generate benefits such as the enhancement of health and wellbeing, sustainable urbanisation, ecosystems and their services and resilience to climate change. Yet, further consideration of the roles that positive spatial planning and planning models in particular have to play in fostering the integration of urbanisation with nature is needed. This chapter, thus, focuses on representative models with such potential, including the grid, the linear, the concentric and the radial. Initially, it identifies major principles for the spatial re-naturing of cities. Secondly, it analyses the main characteristics of each of the four models, concentrating in particular on their suitability to deliver on the re-naturing principles discussed previously. The chapter then centres on how a hybrid approach can maximise the systemic integration of natural and urban systems. Finally, the conclusions offer insights into the potentialities of planning models in bridging the city–nature dichotomy and potential future directions of development