445 research outputs found
A note on leapfrogging vortex rings
In this paper we provide examples, by numerical simulation using the Navier-Stokes equations for axisymmetric laminar flow, of the 'leapfrogging' motion of two, initially identical, vortex rings which share a common axis of symmetry. We show that the number of clear passes that each ring makes through the other increases with Reynolds number, and that as long as the configuration remains stable the two rings ultimately merge to form a single vortex ring
Young Adult with Canon Ball Lung Metastasis and Unknown Primary: A Case of Primary Pulmonary Myxoid Sarcoma
Extra skeletal Myxoid Chondrosarcoma (EMC) is a rare soft tissue sarcoma, which primarily occurs deep in extremities, especially in the skeletal muscle or tendon. Unusual locations include tongue, retroperitoneum, spine, intracranium, testis, inguinal region, synovium, mammary gland, labium and pleura, however no case of has been described the aggressive involvement of lung with multiple canon ball metastatic atypical chondromyxoid neoplasm with unknown primary.
We hereby present a 38 year old Asian male patient initially presented for cough and occasional blood stained sputum with chest pain since few days, found to have multiple canon ball lung lesions which histopathological suggestive of atypical chondromyxoidnbsp sarcoma and primary source remained to be unknown.
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On the constitution of polar fiber-reinforced materials
This article presents important constitutive refinements and simplifications in the theory of polar elasticity of materials reinforced by a single family of fibres resistant in bending. One of these simplifications is achieved by paying attention to forms of the strain energy which are symmetric with respect to the symmetric and the antisymmetric parts of the fibre gradient tensor. This leads to the identification of a restricted version of the theory that is predominantly influenced by the fibre-splay mode of deformation. The lack of ellipticity of the governing equations of polar elasticity and the anticipation of existence of weak discontinuity surfaces even in the small deformation regime are also investigated. The manner in which potential activation of such surfaces is related with the action of either the fibre-bending or the fibre-splay deformation mode, as well as with their conjoined combination and coupling with their fibre-twist counterpart, is examined. The proposed constitutive equations can be simplified via the use of a new set of fourteen independent spectral invariants of the deformation. This set serves as an irreducible functional basis of relevant invariants or as an irreducible integrity basis of polynomial invariants. For instance, its use here enables identification of fourteen classical invariants that emerge as mutually independent from the known set of thirty-three in total classical invariants. In the special case of polynomial invariants, this result paves the way for identification of a corresponding minimal integrity basis
``Smoke Rings'' in Ferromagnets
It is shown that bulk ferromagnets support propagating non-linear modes that
are analogous to the vortex rings, or ``smoke rings'', of fluid dynamics. These
are circular loops of {\it magnetic} vorticity which travel at constant
velocity parallel to their axis of symmetry. The topological structure of the
continuum theory has important consequences for the properties of these
magnetic vortex rings. One finds that there exists a sequence of magnetic
vortex rings that are distinguished by a topological invariant (the Hopf
invariant). We present analytical and numerical results for the energies,
velocities and structures of propagating magnetic vortex rings in ferromagnetic
materials.Comment: 4 pages, 3 eps-figures, revtex with epsf.tex and multicol.sty. To
appear in Physical Review Letters. (Postscript problem fixed.
Daily Energy Intake from Meals and Afternoon Snacks: Findings from the Malaysian Adults Nutrition Survey(MANS)
Meal and snack patterns are associated with energy and nutrient intakes and
consequently health and nutritional status. The aim of this paper is to describe
the percentage of daily energy intake from meals and afternoon snack among
Malaysian adults. The study included a representative sample of adults aged 18-
59 years (n=7349) from a nationwide Food Consumption Survey conducted by
the Ministry of Health. Information on dietary intake was obtained using a one
day 24-hour diet recall (24-HDR). Dietary data on 6886 adults were analysed
using Nutritionist ProTM and statistical analysis was carried out using the SPSS
13.0. The median percentage of daily energy intake is reported only for adults
consuming meals and afternoon tea and by socio-demographic characteristics as
well as body mass index (BMI) status. More than 80% of Malaysian adults
consumed morning meals, lunch and dinner and 54% reported having afternoon
tea. The median percentage of energy intake from morning meals, lunch, dinner
and afternoon tea was 29.9%, 30.5%, 32.4% and 17%, respectively. There were
variations in the median percentage of energy from meals and snacks according
to the socio-demographic variables and BMI status. It is important to understand
the eating patterns of Malaysians as the information can assist in efforts to address
obesity and diet-related chronic diseases among adults
Calcaneal osteomyelitis presenting with acute tarsal tunnel syndrome: a case report
<p>Abstract</p> <p>Introduction</p> <p>Cases of acute tarsal tunnel syndrome are rare. To the best of our knowledge, we describe the only reported case of acute posterior tibial nerve compression resulting from adjacent haemotogenous pyogenic calcaneal osteomyelitis.</p> <p>Case presentation</p> <p>A previously healthy 38-year-old Caucasian woman developed symptoms of acute tarsal tunnel syndrome in her right foot over a six-day period. No antecedent trauma or systemic symptoms were noted. Magnetic resonance imaging and bone scan imaging, followed by surgical decompression and bone biopsy confirmed a diagnosis of <it>Staphylococcus aureus </it>calcaneal osteomyelitis. Her pain and paraesthesia disappeared after the operation, while her inflammatory markers normalised during a 12-week course of antibiotics. After four years she has remained asymptomatic without any indication of recurrence.</p> <p>Conclusion</p> <p>This case is not just unique in describing osteomyelitis as a cause of tarsal tunnel syndrome, because haemotogenous calcaneal osteomyelitis is in itself a rare pathology. We recommend considering infection as a differential diagnosis in patients presenting with acute tarsal tunnel syndrome.</p
High use of private providers for first healthcare seeking by drug-resistant tuberculosis patients: a cross-sectional study in Yangon, Myanmar.
BACKGROUND: Drug resistance is a growing challenge to tuberculosis (TB) control worldwide, but particularly salient to countries such as Myanmar, where the health system is fragmented across the public and private sector. A recent systematic review has identified a critical lack of evidence for local policymaking, particularly in relation to drivers of drug-resistance that could be the target of preventative efforts. To address this gap from a health systems perspective, our study investigates the healthcare-seeking behavior and preferences of recently diagnosed patients with drug-resistant tuberculosis (DR-TB), focusing on the use of private versus public healthcare providers. METHODS: The study was conducted in ten townships across Yangon with high DR-TB burden. Patients newly-diagnosed with DR-TB by GeneXpert were enrolled, and data on healthcare-seeking behavior and socio-economic characteristics were collected from patient records and interviews. A descriptive analysis of healthcare-seeking behavior was followed by the investigation of relationships between socio-economic factors and type of provider visited upon first feeling unwell, through univariate logistic regressions. RESULTS: Of 202 participants, only 8% reported first seeking care at public facilities, while 88% reported seeking care at private facilities upon first feeling unwell. Participants aged 25-34 (Odds Ratio = 0.33 [0.12-0.95]) and males (Odds Ratio = 0.39 [0.20-0.75]) were less likely to visit a private clinic or hospital than those aged 18-24 and females, respectively. In contrast, participants with higher income were more likely to utilize private providers. Prior to DR-TB diagnosis, 86% of participants took medications from private providers. After DR-TB diagnosis, only 7% of participants continued to take medications from private providers. CONCLUSION: In urban Myanmar, most patients shifted to being managed exclusively in the public sector after being formally diagnosed with DR-TB. However, since the vast majority of DR-TB patients first visited private providers in the period leading to diagnosis, related issues such as unregulated quality of care, potential delays to diagnosis, and lack of care continuity may greatly influence the emergence of drug-resistance. A greater understanding of the health system and these healthcare-seeking behaviors may simultaneously strengthen TB control programmes and reduce government and out-of-pocket expenditures on the management of DR-TB
The balloon-borne large-aperture submillimeter telescope for polarimetry: BLAST-Pol
The Balloon-borne Large Aperture Submillimeter Telescope for Polarimetry
(BLAST-Pol) is a suborbital mapping experiment designed to study the role
played by magnetic fields in the star formation process. BLAST-Pol is the
reconstructed BLAST telescope, with the addition of linear polarization
capability. Using a 1.8 m Cassegrain telescope, BLAST-Pol images the sky onto a
focal plane that consists of 280 bolometric detectors in three arrays,
observing simultaneously at 250, 350, and 500 um. The diffraction-limited
optical system provides a resolution of 30'' at 250 um. The polarimeter
consists of photolithographic polarizing grids mounted in front of each
bolometer/detector array. A rotating 4 K achromatic half-wave plate provides
additional polarization modulation. With its unprecedented mapping speed and
resolution, BLAST-Pol will produce three-color polarization maps for a large
number of molecular clouds. The instrument provides a much needed bridge in
spatial coverage between larger-scale, coarse resolution surveys and narrow
field of view, and high resolution observations of substructure within
molecular cloud cores. The first science flight will be from McMurdo Station,
Antarctica in December 2010.Comment: 14 pages, 9 figures Submitted to SPIE Astronomical Telescopes and
Instrumentation Conference 201
Design of 280 GHz feedhorn-coupled TES arrays for the balloon-borne polarimeter SPIDER
We describe 280 GHz bolometric detector arrays that instrument the
balloon-borne polarimeter SPIDER. A primary science goal of SPIDER is to
measure the large-scale B-mode polarization of the cosmic microwave background
in search of the cosmic-inflation, gravitational-wave signature. 280 GHz
channels aid this science goal by constraining the level of B-mode
contamination from galactic dust emission. We present the focal plane unit
design, which consists of a 1616 array of conical, corrugated feedhorns
coupled to a monolithic detector array fabricated on a 150 mm diameter silicon
wafer. Detector arrays are capable of polarimetric sensing via waveguide
probe-coupling to a multiplexed array of transition-edge-sensor (TES)
bolometers. The SPIDER receiver has three focal plane units at 280 GHz, which
in total contains 765 spatial pixels and 1,530 polarization sensitive
bolometers. By fabrication and measurement of single feedhorns, we demonstrate
14.7 FHWM Gaussian-shaped beams with 1% ellipticity in a 30%
fractional bandwidth centered at 280 GHz. We present electromagnetic
simulations of the detection circuit, which show 94% band-averaged,
single-polarization coupling efficiency, 3% reflection and 3% radiative loss.
Lastly, we demonstrate a low thermal conductance bolometer, which is
well-described by a simple TES model and exhibits an electrical noise
equivalent power (NEP) = 2.6 10 W/,
consistent with the phonon noise prediction.Comment: Proceedings of SPIE Astronomical Telescopes + Instrumentation 201
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