17 research outputs found
Investigation of the F117A vortical flow characteristics
Thesis (M.S.)--Massachusetts Institute of Technology, Dept. of Aeronautics and Astronautics, 1993.Includes bibliographical references (leaves 79-80).by Sabine Anne Vermeersch.M.S
Postoperative Treatment in a Patient After Hemithyroidectomy: the Therapeutic Challenges of a Hidden Thyrotropinoma
Objectives: We report the unusual case of a patient with a thyrotropinoma, discovered after a hemithyroidectomy for a suspicious thyroid nodule, and its therapeutic challenges.
Materials and methods: In a patient who underwent hemithyroidectomy for cold thyroid nodule, hyperthyroid symptoms persisted, despite stopping levothyroxine treatment. Further investigation was carried out through the following laboratory tests: thyroid-stimulating hormone (TSH) test; free thyroxine (fT4) test; and the thyrotropin releasing hormone (TRH) test. A pituitary magnetic resonance imaging (MRI) scan and genetic analysis was also carried out. The test results confirmed the diagnosis of a thyrotropinoma.
Results: Treatment with long-acting somatostatin analogues normalised thyroid hormones and symptoms of hyperthyroidism.
Conclusion: The diagnostic approach to the thyroid nodule should include a detailed clinical and biochemical examination. Initial biochemical evaluation by TSH alone does not allow detecting inappropriate TSH secretion that may increase the risk of thyroid malignancy. In case of a thyrotropinoma, the ideal treatment consists of combined care of central and peripheral thyroid disease
Investigation of the F117A Vortical Flow Characteristics Preliminary Results
The investigation of the vortical flow around the F117A Stealth Fighter is presented in
order to demonstrate the capability to resolve leading edge vortices with an adaptive
finite element solver for the Euler equations. The major goal is to capture vortex
breakdown at high angles of attack. This work presents the five main steps involved
in a typical study of the flow characteristics of a complete aircraft : the definition of
the model geometry, the realization of a suitable grid around the discretized model,
the implementation of a flow solver, the subsequent analysis of the flow field and the
comparison to experimental data sets. The computational data are compared to the
lift curves of the aircraft obtained in a subsonic 5' x 7' wind tunnel. The occurance
and location of vortex breakdown is determined by performing flow visualization in the
tunnel. Five cases are computed for this work. Each case is studied at Mach 0.3 and
angles of attack range between 7 and 30 degrees
The effect of family violence on sexual victimization among young women
Young people who grow up in a violent family context are more vulnerable to become victims of sexual aggression outside the family context. The present study contributes to the understanding of the mechanisms that explain this link among young women by looking at the mediating role of sexual exposure behavior and target vulnerability. Data were used from an online survey among 237 young women aged 16 to 26 (M = 21.0 years, SD = 2.75). Experiencing violence from (one of) the parents and to a lesser extent witnessing interparental violence were related to an elevated risk for sexual victimization. Witnessing interparental violence was related to increased target vulnerability but this factor did not mediate the link with sexual victimization. Experiencing parental violence was related to both increased sexual exposure behavior and increased target vulnerability and these factors did mediate the link with sexual victimization
Instrumentation of a roll compactor and the evaluation of the parameter settings by neural networks.
Postoperative radiotherapy for adenocarcinoma of the ethmoid sinuses: Treatment results for 47 patients
Evidence for autosomal dominant inheritance in prenatally diagnosed CHAOS
Congenital high airway obstruction syndrome (CHAOS) is a rare prenatal diagnosis consisting of a typical fetal triad of large hyperechogenic lungs, flattened or inverted diaphragms and ascites. Most cases are sporadic with unknown incidence. Before attempts of fetoscopic fetal salvage or ex utero intrapartum treatment (EXIT) are considered, additional malformations must be carefully excluded as CHAOS may be part of various monogenic conditions or chromosomal disorders. We report an unique family with autosomal dominant inheritance of CHAOS and variable expression in the affected father and two affected children. It is concluded that minor expression in one of the parents may be an important indicator for genetic counseling in CHAOS and management of future pregnancies
An impaired alveolar-capillary barrier in vitro: effect of proinflammatory cytokines and consequences on nanocarrier interaction
The alveolar region of the lung is an important target for drug and gene delivery approaches. Treatment with drugs is often necessary under pathophysiological conditions, in which there is acute inflammation of the target organ. Therefore, in vitro models of the alveolar-capillary barrier, which mimic inflammatory conditions in the alveolar region, would be useful to analyse and predict effects of novel drugs on healthy or inflamed tissues. The epithelial cell line H441 was cultivated with primary isolated human pulmonary microvascular endothelial cells (HPMECs) or the endothelial cell line ISO-HAS-1 on opposite sides of a permeable filter support under physiological and inflammatory conditions. Both epithelial and endothelial cell types grew as polarized monolayers in bilayer coculture and were analysed in the presence and absence of the proinflammatory stimuli tumour necrosis factor-alpha (TNF-α) and interferon-gamma (IFN-γ). In addition, the nanocarrier polyethyleneimine (PEI) was chosen as a model compound to study cell uptake (Oregon Green (OG)-labelled PEI) and gene transfer (PEI–pDNA complex). Upon treatment with TNF-α and IFN-γ, both cocultures exhibited comparable effects on the trans-bilayer electrical resistance, the transport of sodium fluorescein and the increase in secondary cytokine release. Basolateral (endothelial side) exposure to TNF-α or simultaneous exposure to TNF-α and IFN-γ generated an alveolar-capillary barrier with inflammation-like characteristics, impaired barrier function and a local disruption of the continuous apical labelling of the tight junction plaque protein zonula occludens-1 (ZO-1). Although transfection rates of 8 per cent were obtained for H441 cells in non-polarized monocultures, apical–basolateral-differentiated (polarized) H441 in coculture could not be transfected. After basolateral cytokine exposure, uptake of fluorescently labelled PEI in polarized H441 was predominantly detected in those areas with a local disruption of ZO-1 expression. Accordingly, transfected cells were only sparsely found in coculture after basolateral costimulation with TNF-α and IFN-γ. We designed a coculture model that mimics both the structural architecture of the alveolar-capillary barrier and inflammatory mechanisms with consequences on barrier characteristics, cytokine production and nanoparticle interaction. Our model will be suitable to systematically study adsorption, uptake and trafficking of newly synthesized nanosized carriers under different physiological conditions