TiGL - An Open Source Computational Geometry Library for Parametric Aircraft Design

This paper introduces the software TiGL: TiGL is an open source high-fidelity geometry modeler that is used in the conceptual and preliminary aircraft and helicopter design phase. It creates full three-dimensional models of aircraft from their parametric CPACS description. Due to its parametric nature, it is typically used for aircraft design analysis and optimization. First, we present the use-case and architecture of TiGL. Then, we discuss it's geometry module, which is used to generate the B-spline based surfaces of the aircraft. The backbone of TiGL is its surface generator for curve network interpolation, based on Gordon surfaces. One major part of this paper explains the mathematical foundation of Gordon surfaces on B-splines and how we achieve the required curve network compatibility. Finally, TiGL's aircraft component module is introduced, which is used to create the external and internal parts of aircraft, such as wings, flaps, fuselages, engines or structural elements

A New Synthetic Conduit for the Treatment of Peripheral Nerve Injuries

Background Peripheral nerve defects (PND) often cause lifelong physical disability, and the available treatment options are often not satisfactory. PND are usually bridged with an autologous nerve transplant or a nerve guidance conduit (NGC), when coaptation as preferred technique is not possible. The aim of this experimental study was to determine the effectiveness of a novel NGC for regeneration in the treatment of PND. Materials and methods A conduit made of gelatin with an innovative interior structure was tested for the repair of a 6-mm gap versus direct microsurgical suture repair without gap. Results We found that bridging the defect with this conduit was as effective as direct microsurgical coaptation without a defect. Conclusions This nerve conduit, effective in bridging neural defects, appears as an alternative to autologous nerve grafts, avoiding the problems related to nerve graft harvesting, host–donor differences in diameter, mismatches in number and pattern of fascicles, cross-sectional shape and area, and morbidity of the donor area

Pregnancy Related Health Care Needs in Refugees : A Current Three Center Experience in Europe

Immigration into Europe has reached an all-time high. Provision of coordinated healthcare, especially to refugee women that are at increased risk for adverse pregnancy outcomes, is a challenge for receiving health care systems. Methods: We assessed pregnancy rates and associated primary healthcare needs in three refugee cohorts in Northern Germany during the current crisis. Results: Out of n = 2911 refugees, 18.0% were women of reproductive age, and 9.1% of these were pregnant. Pregnancy was associated with a significant, 3.7-fold increase in primary health care utilization. Language barrier and cultural customs impeded healthcare to some refugee pregnant women. The most common complaints were demand for pregnancy checkup without specific symptoms (48.6%), followed by abdominal pain or urinary tract infections (in 11.4% of cases each). In 4.2% of pregnancies, severe complications such as syphilis or suicide attempts occurred. Discussion: We present data on pregnancy rates and pregnancy associated medical need in three current refugee cohorts upon arrival in Germany. Healthcare providers should be particularly aware of the requirements of pregnant migrants and should adapt primary caretaking strategies accordingly

TiGL: An Open Source Computational Geometry Library for Parametric Aircraft Design

This paper introduces the software TiGL: TiGL is an open source high-fidelity geometry modeler that is used in the conceptual and preliminary aircraft and helicopter design phase. It creates full three-dimensional models of aircraft from their parametric CPACS description. Due to its parametric nature, it is typically used for aircraft design analysis and optimization. First, we present the use-case and architecture of TiGL. Then, we discuss it's geometry module, which is used to generate the B-spline based surfaces of the aircraft. The backbone of TiGL is its surface generator for curve network interpolation, based on Gordon surfaces. One major part of this paper explains the mathematical foundation of Gordon surfaces on B-splines and how we achieve the required curve network compatibility. Finally, TiGL's aircraft component module is introduced, which is used to create the external and internal parts of aircraft, such as wings, flaps, fuselages, engines or structural elements

Pediatric Healthcare Utilization in a Large Cohort of Refugee Children Entering Western Europe During the Migrant Crisis

Background: Currently, half of the population displaced worldwide is children and adolescents. Little is known on healthcare demand in underage migrants. Materials and Methods: We analyzed healthcare utilization in n = 1.411 children and adolescents living in a large German refugee reception in 2015-2016. Results: The mean age of all included refugees was 9 years (60.8% male). The majority came from the eastern Mediterranean region. During a mean camp inhabitance of 34 days, 57.6% needed primary healthcare, with a significant inverse correlation of healthcare seeking frequency with age and duration of camp inhabitance. Infants and unaccompanied minors displayed particular high demands for medical help. Discussion: Our analysis showed that pediatric primary healthcare in pediatric and adolescent refugees are most sought during the first period upon arrival with particular demand in infants, toddlers, and unaccompanied minors. Based on this data, future care taking strategies should be adapted accordingly