Cavitation estimates by orbit prediction of a journal bearing – Finite element modelling and experimental studies

The paper presents a two-sided approach to establish understanding of the cavitation phenomenon in dynamically loaded journal bearings, more specifically the engine bearings of large two-stroke marine diesel engines. One disadvantage of the journal bearing is the converging-diverging geometry making it prone to cavitation which again affects the load carrying capacity of the bearing. In combustion engines the journal bearing plays a vital role especially as main and crosshead bearings transmitting the combustion forces. Those forces vary highly during one combustion cycle which is further influencing the load carrying capacity and ultimately the chances of fatal shaft-sleeve contact. By solving Reynolds equation numerically using finite elements and incorporating a cavitation algorithm, the dynamic coefficients can be used to establish the journal orbit for a given bearing and load pattern. Validation of the results is done against the Ruston and Hornsby 6VEB-X Mk III engine. Besides the numerical investigations a cavitation test rig has been developed. With this rig it is possible to generate cavitation under controlled conditions in terms of load/eccentricity and rotational speed. The development of cavitation in time in terms of position and distribution can be visually recorded

Primary hyperparathyroidism as first manifestation in multiple endocrine neoplasia type 2A: an international multicenter study.

Multiple endocrine neoplasia type 2A (MEN 2A) is a rare syndrome caused by RET germline mutations and has been associated with primary hyperparathyroidism (PHPT) in up to 30% of cases. Recommendations on RET screening in patients with apparently sporadic PHPT are unclear. We aimed to estimate the prevalence of cases presenting with PHPT as first manifestation among MEN 2A index cases and to characterize the former cases. An international retrospective multicenter study of 1085 MEN 2A index cases. Experts from MEN 2 centers all over the world were invited to participate. A total of 19 centers in 17 different countries provided registry data of index cases followed from 1974 to 2017. Ten cases presented with PHPT as their first manifestation of MEN 2A, yielding a prevalence of 0.9% (95% CI: 0.4-1.6). 9/10 cases were diagnosed with medullary thyroid carcinoma (MTC) in relation to parathyroid surgery and 1/10 was diagnosed 15 years after parathyroid surgery. 7/9 cases with full TNM data were node-positive at MTC diagnosis. Our data suggest that the prevalence of MEN 2A index cases that present with PHPT as their first manifestation is very low. The majority of index cases presenting with PHPT as first manifestation have synchronous MTC and are often node-positive. Thus, our observations suggest that not performing RET mutation analysis in patients with apparently sporadic PHPT would result in an extremely low false-negative rate, if no other MEN 2A component, specifically MTC, are found during work-up or resection of PHPT.S D received a national grant (AZV 16-32665A).S