The local chaos characteristics of the time series pressure fluctuations of gas liquid two phase flow in a self aspirated reversed flow jet loop reactor are studied by the deterministic chaos analysis technique. It...The local chaos characteristics of the time series pressure fluctuations of gas liquid two phase flow in a self aspirated reversed flow jet loop reactor are studied by the deterministic chaos analysis technique. It is found that the estimated local largest Lyapunov exponent is positive in all cases and the profile is similar to that of the local fractal dimension in this reactor. The positive largest Lyapunov exponent shows that the reactor is a nonlinear chaotic system. The obvious distribution indicates that the local nonlinear characteristic parameters such as the Lyapunov exponent and the fractal dimension could be applied to further study the flow characteristics such as the flow regine transitions and flow structures of the multi phase reactors.展开更多
Hursts rescaled range (R/S) analysis and Wolfs attractor reconstruction technique have been adopted to estimate the local fractal dimensions and the local largest Lyapunov exponents in terms of the time series pressur...Hursts rescaled range (R/S) analysis and Wolfs attractor reconstruction technique have been adopted to estimate the local fractal dimensions and the local largest Lyapunov exponents in terms of the time series pressure fluctuations obtained from a gas liquid solid three phase self aspirated reversed flow jet loop reactor,respectively.The results indicate that the local fractal dimensions and the local largest Lyapunov exponents in both the jet region and the tubular region inside the draft tube increase with the increase in the jet liquid flowrates and the solid loadings,the local fractal dimension profiles are similar to those of the largest Lyapunov exponent,the local largest lyapunov exponents are positive for all cases,and the flow behavior of such a reactor is chaotic.The local nonlinear characteristic parameters such as the local fractal dimension and the local largest Lyapunov exponent could be applied to further study the flow properties such as the flow regime transitions and flow structures of this three phase jet loop reactor.展开更多
Background: Foreign body aspiration is a common yet preventable health problem. Headscarf pin aspiration is a unique example of aspirated foreign bodies in young Muslim women usually removed using the rigid bronchosco...Background: Foreign body aspiration is a common yet preventable health problem. Headscarf pin aspiration is a unique example of aspirated foreign bodies in young Muslim women usually removed using the rigid bronchoscope. However, the flexible bronchoscope is increasingly used for this purpose. This prospective study was conducted in Sulaimaniyah Teaching Hospital, Sulaimaniyah, Iraq and aimed to evaluate the usefulness of fiberoptic bronchoscope for removal of aspirated headscarf pins in view of the relevant literature. Methodology: Fifty female patients with headscarf pin aspiration were managed by fiberoptic bronchoscopy over an 8-year period (January 2008 to December 2015). The procedure was performed under local anesthesia and conscious sedation through the mouth. Results: The age ranged from 10 to 45 years with a mean of 27.5. All patients had cough, five had unilateral wheeze (10%) while haemoptysis occurred twice (4%). Fiberoptic bronchoscopy succeeded in 45 cases (90%). Rigid bronchoscopy under general anesthesia was necessary in (n = 4, 8%) while one patient (2%) required thoracotomy. ?Conclusion: Fiberoptic bronchoscopy is safe and effective in removal of aspirated headscarf pins and should be tried first.展开更多
Background: Foreign body (FB) aspiration is a common emergency in our practice. The routine method of removal is via rigid bronchoscopy (RB) under general anesthesia. This is the preferred procedure particularly in ch...Background: Foreign body (FB) aspiration is a common emergency in our practice. The routine method of removal is via rigid bronchoscopy (RB) under general anesthesia. This is the preferred procedure particularly in children who form the major affected population. Fiberoptic bronchoscopy (FOB) has also been used for FB removal in many countries, though in Iraq, the standard mean remains rigid bronchoscopy. Objective: Herein, we present 5 cases of FB inhalation in adults in whom FOB was used for removal. The aim is to test its feasibility with literature review. Setting: the department of thoracic surgery/Sulaimania Teaching Hospital/Sulaimania/Iraq. Study Design: a prospective study of 5 patients. Patients and methods: 5 patients (3 females and 2 males) with different bronchial or laryngeal FBs in whom FOB was used as a method for removal are presented. The age ranged from 16 to 71 years. The clinical and radiographic features are recorded. In all these patients, initial FOB examination under local anesthesia transorally or via tracheotomy stoma was done. When removed by this method failed, RB under GA was used and when this failed, thoracotomy was the last resort. Results and Conclusions: FBs encountered in this paper consisted of pins (n = 2), sewing needle (n = 1), speech valve (n = 1) and a medical leach (n = 1). Three FBs (medical leach, speech valve and one pin) were successfully removed by FOB. A pin in RMB was visualized but failed to be removed by FOB and therefore, RB was required for its retrieval, while a needle in left lower lobe was invisible by both FOB and RB and thus surgery was necessary to remove it. We conclude that in adolescent or adult patients with bronchial FBs, FOB should be tried first for removal. If this fails then RB can be used. To increase its success, FOB should be combined with certain accessories like special FB forceps and fluoroscopy.展开更多
BACKGROUND Orthobiologics-biological substances like platelet-rich plasma(PRP),bone marrow aspirate concentrate,and stem cells-are increasingly used in musculoskeletal care to promote tissue repair and reduce reliance...BACKGROUND Orthobiologics-biological substances like platelet-rich plasma(PRP),bone marrow aspirate concentrate,and stem cells-are increasingly used in musculoskeletal care to promote tissue repair and reduce reliance on invasive surgery.Despite global momentum,India's clinical adoption remains underexplored.AIM To inform education,policy,and resource allocation for the safe and effective adoption of orthobiologics in musculoskeletal care.METHODS A cross-sectional electronic survey was conducted from January to March 2025 among orthopaedic surgeons,academicians,and trainees across India.The questionnaire assessed demographics,knowledge of orthobiologics,attitudes toward training and subspecialization,usage trends,regulatory awareness,and perceived barriers.Data were analyzed using descriptive statistics andχ2/Fisher’s exact tests,with P<0.05 considered significant.RESULTS A total of 1280 valid responses were collected.Awareness of orthobiologics was high(97%),with PRP being the most familiar and widely used(80%).Formal training was reported by only 31%,though 85%showed interest in structured education,and 68%supported orthobiologics as a subspecialty.Satisfaction with clinical outcomes averaged 6.5±2.3 out of 10 points.Barriers included high treatment cost(64%),poor patient awareness(90%),and limited access to biologics labs(18%).Regulatory understanding was moderate,with academic-affiliated clinicians more informed about stem cell guidelines.CONCLUSION Indian orthopaedic professionals demonstrate strong awareness and optimism toward orthobiologics,but widespread gaps in training,infrastructure,and regulation hinder broader adoption.Strategic investments in education,standardized protocols,and accessible facilities are essential to support safe and evidence-driven integration of regenerative therapies into clinical practice.展开更多
BACKGROUND Mesenchymal stem cells(MSCs)are considered a promising therapy for various diseases due to their strong potential in regenerative medicine and immunomodulation.The tissue source of MSCs has gained attention...BACKGROUND Mesenchymal stem cells(MSCs)are considered a promising therapy for various diseases due to their strong potential in regenerative medicine and immunomodulation.The tissue source of MSCs has gained attention for its role in influencing their function,accessibility,and readiness for clinical use.AIM To identify the most suitable adipose source for MSC isolation and expansion for further applications.METHODS We isolated MSCs from solid adipose tissue and liposuction aspirates using the enzyme method.The MSCs were examined for their expansion using population doubling time,differentiation capacity using multilineage differentiation induction,surface markers using flow cytometry,and stability of chromosomes using the karyotyping method.Growth factors and cytokines in MSC-conditioned media were analyzed using the Luminex assay.RESULTS MSCs were isolated from solid adipose tissue and lipoaspirates and expanded from passage 0 to passage 2.All adipose-derived MSCs(AD-MSCs)exhibited the typical elongated,spindle-shaped morphology and comparable proliferation rate.They expressed positive surface markers(cluster of differentiation 73[CD73]:>97%,CD90:>98%,and CD105:>95%),and negative markers(<1%).All MSCs expressed similar levels of stemness genes(octamer-binding transcription factor 4,SRY-box 2,Krüppel-like factor,and MYC),colonyforming,and trilineage differentiation potential.Karyotyping analysis revealed normal chromosomal patterns in all samples,except one sample exhibiting a polymorphism(1qh+).Furthermore,the growth factors and cytokines of hepatocyte growth factor,vascular endothelial growth factor A,interleukin 6(IL-6),and IL-8 were detected in all AD-MSC conditioned media;but fibroblast growth factor-2 and keratinocyte growth factor were selectively expressed in conditioned media from solid or lipoaspirate AD-MSCs,respectively.CONCLUSION These findings indicate that AD-MSCs from both adipose sources possess all of the characteristic features of MSCs with source-specific secretome differences,which are suitable for further expansion and various clinical applications.展开更多
In the present paper,computational fluid dynamics(CFD) simulations were executed to exploring the intent of using aspirated cascade to replace tandem cascades.Firstly,the ONERA tandem cascades were investigated,and th...In the present paper,computational fluid dynamics(CFD) simulations were executed to exploring the intent of using aspirated cascade to replace tandem cascades.Firstly,the ONERA tandem cascades were investigated,and the performance of the cascades at the design point were listed,such as diffusion factor,total pressure loss coefficient,deviation angle etc.For replacing the ONERA tandem cascades,a new cascade was designed with the codes BLADEGEN developed by the authors.The quasi 3-D calculations were carried out using the collection of programs for cascade analysis and design,MISES.The cascade was analyzed and designed by using this code.And the cascade was simulated and analyzed by commercial CFD software.It is found there is an obvious separation on the suction side.Based on the 3D CFD simulation results of the cascade without aspiration,an aspirated cascade was designed by introducing a slot on the suction side.The performance of the aspirated cascade was investigated and compared with the tandem cascades,indicated that under the same inlet condition,the total pressure loss of the single row aspirated cascade was less than that of the tandem cascades,and the outlet static pressure is higher than that of the tandem cascades.Meanwhile,the different suction slot location,suction width and suction mass flow are studied for the aspirated cascade.展开更多
1 INTRODUCTIONSelf-aspirated reversed flow jet loop reactors,characterized by a well defined flow pat-tern,well better dispersing effects,relatively low power consumption and a high masstransfer coefficient,are widely...1 INTRODUCTIONSelf-aspirated reversed flow jet loop reactors,characterized by a well defined flow pat-tern,well better dispersing effects,relatively low power consumption and a high masstransfer coefficient,are widely used in chemical engineering,especially in biochemicalengineering.The characteristics of such reactors are highly random or stochastic due tothe influence of a variety of phenomena such as jetting and bubbling of the展开更多
文摘The local chaos characteristics of the time series pressure fluctuations of gas liquid two phase flow in a self aspirated reversed flow jet loop reactor are studied by the deterministic chaos analysis technique. It is found that the estimated local largest Lyapunov exponent is positive in all cases and the profile is similar to that of the local fractal dimension in this reactor. The positive largest Lyapunov exponent shows that the reactor is a nonlinear chaotic system. The obvious distribution indicates that the local nonlinear characteristic parameters such as the Lyapunov exponent and the fractal dimension could be applied to further study the flow characteristics such as the flow regine transitions and flow structures of the multi phase reactors.
文摘Hursts rescaled range (R/S) analysis and Wolfs attractor reconstruction technique have been adopted to estimate the local fractal dimensions and the local largest Lyapunov exponents in terms of the time series pressure fluctuations obtained from a gas liquid solid three phase self aspirated reversed flow jet loop reactor,respectively.The results indicate that the local fractal dimensions and the local largest Lyapunov exponents in both the jet region and the tubular region inside the draft tube increase with the increase in the jet liquid flowrates and the solid loadings,the local fractal dimension profiles are similar to those of the largest Lyapunov exponent,the local largest lyapunov exponents are positive for all cases,and the flow behavior of such a reactor is chaotic.The local nonlinear characteristic parameters such as the local fractal dimension and the local largest Lyapunov exponent could be applied to further study the flow properties such as the flow regime transitions and flow structures of this three phase jet loop reactor.
文摘Background: Foreign body aspiration is a common yet preventable health problem. Headscarf pin aspiration is a unique example of aspirated foreign bodies in young Muslim women usually removed using the rigid bronchoscope. However, the flexible bronchoscope is increasingly used for this purpose. This prospective study was conducted in Sulaimaniyah Teaching Hospital, Sulaimaniyah, Iraq and aimed to evaluate the usefulness of fiberoptic bronchoscope for removal of aspirated headscarf pins in view of the relevant literature. Methodology: Fifty female patients with headscarf pin aspiration were managed by fiberoptic bronchoscopy over an 8-year period (January 2008 to December 2015). The procedure was performed under local anesthesia and conscious sedation through the mouth. Results: The age ranged from 10 to 45 years with a mean of 27.5. All patients had cough, five had unilateral wheeze (10%) while haemoptysis occurred twice (4%). Fiberoptic bronchoscopy succeeded in 45 cases (90%). Rigid bronchoscopy under general anesthesia was necessary in (n = 4, 8%) while one patient (2%) required thoracotomy. ?Conclusion: Fiberoptic bronchoscopy is safe and effective in removal of aspirated headscarf pins and should be tried first.
文摘Background: Foreign body (FB) aspiration is a common emergency in our practice. The routine method of removal is via rigid bronchoscopy (RB) under general anesthesia. This is the preferred procedure particularly in children who form the major affected population. Fiberoptic bronchoscopy (FOB) has also been used for FB removal in many countries, though in Iraq, the standard mean remains rigid bronchoscopy. Objective: Herein, we present 5 cases of FB inhalation in adults in whom FOB was used for removal. The aim is to test its feasibility with literature review. Setting: the department of thoracic surgery/Sulaimania Teaching Hospital/Sulaimania/Iraq. Study Design: a prospective study of 5 patients. Patients and methods: 5 patients (3 females and 2 males) with different bronchial or laryngeal FBs in whom FOB was used as a method for removal are presented. The age ranged from 16 to 71 years. The clinical and radiographic features are recorded. In all these patients, initial FOB examination under local anesthesia transorally or via tracheotomy stoma was done. When removed by this method failed, RB under GA was used and when this failed, thoracotomy was the last resort. Results and Conclusions: FBs encountered in this paper consisted of pins (n = 2), sewing needle (n = 1), speech valve (n = 1) and a medical leach (n = 1). Three FBs (medical leach, speech valve and one pin) were successfully removed by FOB. A pin in RMB was visualized but failed to be removed by FOB and therefore, RB was required for its retrieval, while a needle in left lower lobe was invisible by both FOB and RB and thus surgery was necessary to remove it. We conclude that in adolescent or adult patients with bronchial FBs, FOB should be tried first for removal. If this fails then RB can be used. To increase its success, FOB should be combined with certain accessories like special FB forceps and fluoroscopy.
文摘BACKGROUND Orthobiologics-biological substances like platelet-rich plasma(PRP),bone marrow aspirate concentrate,and stem cells-are increasingly used in musculoskeletal care to promote tissue repair and reduce reliance on invasive surgery.Despite global momentum,India's clinical adoption remains underexplored.AIM To inform education,policy,and resource allocation for the safe and effective adoption of orthobiologics in musculoskeletal care.METHODS A cross-sectional electronic survey was conducted from January to March 2025 among orthopaedic surgeons,academicians,and trainees across India.The questionnaire assessed demographics,knowledge of orthobiologics,attitudes toward training and subspecialization,usage trends,regulatory awareness,and perceived barriers.Data were analyzed using descriptive statistics andχ2/Fisher’s exact tests,with P<0.05 considered significant.RESULTS A total of 1280 valid responses were collected.Awareness of orthobiologics was high(97%),with PRP being the most familiar and widely used(80%).Formal training was reported by only 31%,though 85%showed interest in structured education,and 68%supported orthobiologics as a subspecialty.Satisfaction with clinical outcomes averaged 6.5±2.3 out of 10 points.Barriers included high treatment cost(64%),poor patient awareness(90%),and limited access to biologics labs(18%).Regulatory understanding was moderate,with academic-affiliated clinicians more informed about stem cell guidelines.CONCLUSION Indian orthopaedic professionals demonstrate strong awareness and optimism toward orthobiologics,but widespread gaps in training,infrastructure,and regulation hinder broader adoption.Strategic investments in education,standardized protocols,and accessible facilities are essential to support safe and evidence-driven integration of regenerative therapies into clinical practice.
文摘BACKGROUND Mesenchymal stem cells(MSCs)are considered a promising therapy for various diseases due to their strong potential in regenerative medicine and immunomodulation.The tissue source of MSCs has gained attention for its role in influencing their function,accessibility,and readiness for clinical use.AIM To identify the most suitable adipose source for MSC isolation and expansion for further applications.METHODS We isolated MSCs from solid adipose tissue and liposuction aspirates using the enzyme method.The MSCs were examined for their expansion using population doubling time,differentiation capacity using multilineage differentiation induction,surface markers using flow cytometry,and stability of chromosomes using the karyotyping method.Growth factors and cytokines in MSC-conditioned media were analyzed using the Luminex assay.RESULTS MSCs were isolated from solid adipose tissue and lipoaspirates and expanded from passage 0 to passage 2.All adipose-derived MSCs(AD-MSCs)exhibited the typical elongated,spindle-shaped morphology and comparable proliferation rate.They expressed positive surface markers(cluster of differentiation 73[CD73]:>97%,CD90:>98%,and CD105:>95%),and negative markers(<1%).All MSCs expressed similar levels of stemness genes(octamer-binding transcription factor 4,SRY-box 2,Krüppel-like factor,and MYC),colonyforming,and trilineage differentiation potential.Karyotyping analysis revealed normal chromosomal patterns in all samples,except one sample exhibiting a polymorphism(1qh+).Furthermore,the growth factors and cytokines of hepatocyte growth factor,vascular endothelial growth factor A,interleukin 6(IL-6),and IL-8 were detected in all AD-MSC conditioned media;but fibroblast growth factor-2 and keratinocyte growth factor were selectively expressed in conditioned media from solid or lipoaspirate AD-MSCs,respectively.CONCLUSION These findings indicate that AD-MSCs from both adipose sources possess all of the characteristic features of MSCs with source-specific secretome differences,which are suitable for further expansion and various clinical applications.
基金funded by the International S&T Cooperation Program (No.2010DFB70620) of china
文摘In the present paper,computational fluid dynamics(CFD) simulations were executed to exploring the intent of using aspirated cascade to replace tandem cascades.Firstly,the ONERA tandem cascades were investigated,and the performance of the cascades at the design point were listed,such as diffusion factor,total pressure loss coefficient,deviation angle etc.For replacing the ONERA tandem cascades,a new cascade was designed with the codes BLADEGEN developed by the authors.The quasi 3-D calculations were carried out using the collection of programs for cascade analysis and design,MISES.The cascade was analyzed and designed by using this code.And the cascade was simulated and analyzed by commercial CFD software.It is found there is an obvious separation on the suction side.Based on the 3D CFD simulation results of the cascade without aspiration,an aspirated cascade was designed by introducing a slot on the suction side.The performance of the aspirated cascade was investigated and compared with the tandem cascades,indicated that under the same inlet condition,the total pressure loss of the single row aspirated cascade was less than that of the tandem cascades,and the outlet static pressure is higher than that of the tandem cascades.Meanwhile,the different suction slot location,suction width and suction mass flow are studied for the aspirated cascade.
基金Supported by the Science Foundation of the ChineseAcademy of Science.
文摘1 INTRODUCTIONSelf-aspirated reversed flow jet loop reactors,characterized by a well defined flow pat-tern,well better dispersing effects,relatively low power consumption and a high masstransfer coefficient,are widely used in chemical engineering,especially in biochemicalengineering.The characteristics of such reactors are highly random or stochastic due tothe influence of a variety of phenomena such as jetting and bubbling of the
