Bistable swirled flames and influence on flame transfer functions

Large Eddy Simulations (LES) are used to study a lean swirl-stabilized gas turbine burner where the flow exhibits two stable states. In the first one, the flame is attached to the central bluff body upstream of the central recirculation zone which contains burnt gases. In the second one the flame is detached from the central bluff body downecirculation zone which is filled by cold unburnt gases and dominated by a strong Precessing Vortex Core (PVC). The existence of these two states has an important effect on the dynamic response of the flame (FTF): both gain and phase of the FTF change significantly in the detached case compared to the attached one, suggesting that the stability of the machine to thermoacoustic oscillations will differ, depending on the flame state. Bifurcation diagrams show that the detached flame cannot be brought back to an attached position with an increased fuel flow rate, but it can be re-attached by forcing it at high amplitudes. The attached flame however, behaves inversely: it can be brought back to the detached position by both decreasing or increasing the pilot mass flow rate, but it remains attached at all forcing amplitudes

Regulation of glucose tolerance in patients after liver transplantation: impact of cyclosporin versus tacrolimus therapy

Background. We investigated the factors regulating glucose homeostasis in 10 healthy (control) subjects, as well as in stable, long-term, liver-grafted patients receiving monotherapy in the form of either cyclosporin A (n=10) or tacrolimus (n=10). Methods. We measured insulin sensitivity, first- and second-phase insulin secretion, with a minimal modeling technique based on the analysis of glucose, insulin, and C-peptide profiles during frequently sampled intravenous glucose tolerance tests (FSIGTT). Proinsulin levels, as a marker of β-cell dysfunction, were measured in the fasting state and during FSIGTT. Results. Glucose and insulin concentrations before and after glucose loading did not differ in liver transplant patients and in control subjects. Fasting C-peptide levels in both liver-grafted groups were higher than in healthy subjects and remained elevated during FSIGTT (P <0.05). Intravenous glucose tolerance [(KG), i.e. the slope of the regression of logarithm of the blood glucose concentrations vs. time], insulin sensitivity, and first-phase insulin secretion did not differ in liver-grafted groups and healthy subjects. Second-phase insulin secretion was about 56% higher in liver-grafted patients than in controls (P <0.05). Body mass index was the overall determinant of insulin sensitivity in all groups. Conclusions. Long-term monotherapy with cyclosporin A or tacrolimus has no deleterious effects on insulin sensitivity, first-phase insulin secretion, and insulin synthesis in liver transplant patients. Normal insulin sensitivity (posthepatic insulin effect) and enhanced second-phase insulin secretion (prehepatic insulin) point to an accelerated hepatic insulin clearance rate in liver transplant patients. Increased hepatic insulin clearance is compensated by enhanced insulin secretion, indicating that insulin clearance is the major determinant of pancreatic function in liver-grafted patients

Evidence for impaired glucose effectiveness in cirrhotic patients after liver transplantation

To evaluate the impact of acute and chronic liver disease and single immunosuppression (cyclosporine A [CSA] or FK506) on insulin sensitivity and glucose effectiveness in liver-grafted patients, we performed a frequently sampled intravenous glucose tolerance test (FSIGTT) in nondiabetic patients after orthotopic liver transplantation (OLT) with acute liver failure ([ALF] group, n = 9, with CSA therapy), in patients after OLT with chronic liver disease (CSA group, n = 8; FK506 group, n = 8), and in 9 healthy control subjects. Insulin sensitivity and glucose effectiveness were determined by analyzing glucose and insulin data from the FSIGTT with Bergman's minimal model technique for glucose. The intravenous glucose tolerance index ([KG] ie, the slope of the regression of the logarithm of blood glucose concentration) was not different between the ALF group (2.17 +/- 0.16 min(-1)) and controls (2.29 +/- 0.13 min(-1)), but was lower (P < .05) in both groups with chronic liver disease (CSA group, 1.46 +/- 0.1; FK506 group, 1.61 +/- 0.11 min(-1)) compared with the ALF group (P < .05). A positive relation for the KG and glucose effectiveness was found in all liver-grafted patients and controls. Insulin sensitivity was not different between all liver-grafted patients and controls. The body mass index (BMI) was the overall determinant of insulin sensitivity in all groups. Single immunosuppressive therapy does not impair insulin sensitivity in liver-grafted patients. The lower glucose effectiveness in liver-grafted patients with chronic liver disease but not in patients after ALF points to a defect in the regulation of glucose-mediated glucose uptake in peripheral tissue