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Sample records for cuff inflation pressure

  1. Cuff inflations do not affect night-time blood pressure

    DEFF Research Database (Denmark)

    Petersen, Emilie H; Theilade, Simone; Hansen, Tine W;

    2015-01-01

    Discomfort related to cuff inflation may bias 24 h ambulatory blood pressure (BP) measurements, especially during night-time. We accessed the impact of cuff inflations by comparing 24 h BP recorded with a cuff-less tonometric wrist device and an upper-arm oscillometric cuff device. Fifty...

  2. Cuff inflation during ambulatory blood pressure monitoring and heart rate

    Directory of Open Access Journals (Sweden)

    Mia Skov-Madsen

    2008-11-01

    Full Text Available Mia Skov-Madsen, My Svensson, Jeppe Hagstrup ChristensenDepartment of Nephrology, Aarhus University Hospital, Aalborg, DenmarkIntroduction: Twenty four-hour ambulatory blood pressure monitoring is a clinically validated procedure in evaluation of blood pressure (BP. We hypothesised that the discomfort during cuff inflation would increase the heart rate (HR measured with 24-h ambulatory BP monitoring compared to a following HR measurement with a 24-h Holter monitor.Methods: The study population (n = 56 were recruited from the outpatient’s clinic at the Department of Nephrology, Aalborg Hospital, Aarhus University Hospital at Aalborg, Denmark. All the patients had chronic kidney disease (CKD. We compared HR measured with a 24-h Holter monitor with a following HR measured by a 24-h ambulatory BP monitoring.Results: We found a highly significant correlation between the HR measured with the Holter monitor and HR measured with 24-h ambulatory blood pressure monitoring (r = 0.77, p < 0.001. Using the Bland-Altman plot, the mean difference in HR was only 0.5 beat/min during 24 hours with acceptable limits of agreement for both high and low HR levels. Dividing the patients into groups according to betablocker treatment, body mass index, age, sex, angiotensin-converting enzyme inhibitor treatment, statins treatment, diuretic treatment, or calcium channel blocker treatment revealed similar results as described above.Conclusion: The results indicate that the discomfort induced by cuff inflation during 24-h ambulatory BP monitoring does not increase HR. Thus, 24-h ambulatory BP monitoring may be a reliable measurement of the BP among people with CKD.Keywords: ambulatory blood pressure monitoring, Holter monitoring, heart rate, chronic kidney disease, hypertension

  3. The Effect of Endotraceheal Inflations Technique on Endotraceheal Cuff Pressure

    Science.gov (United States)

    2013-01-31

    pressures exerted by an endotracheal tube cuff pressure on the tracheal mucosa ( Guyton , Barlow, & Bresselievre, 1997). A 1984 study conducted by...20% of patients ( Guyton et äl, 1997). In an effort to reduce cuff induced tracheal ischemia, an improved cuff design was introduced in the late...pressure. Journal of the American Association of Nurse Anesthetists, 62(1), 77-81. Guyton , D., Barlow, M., Besselievre, T. (1997). Influence of

  4. Is sealing cuff pressure, easy, reliable and safe technique for endotracheal tube cuff inflation?: A comparative study

    Directory of Open Access Journals (Sweden)

    Roshdi R Al-metwalli

    2011-01-01

    Full Text Available Objective: To compare the three common methods of endotracheal tube cuff inflation (sealing pressure, precise standard pressure or finger estimation regarding the effective tracheal seal and the incidence of post-intubation airway complications. Methods: Seventy-five adult patients scheduled for N 2 O free general anesthesia were enrolled in this study. After induction of anesthesia, endotracheal tubes size 7.5 mm for female and 8.0 mm for male were used. Patients were randomly assigned into one of three groups. Control group (n=25, the cuff was inflated to a pressure of 25 cm H 2 O; sealing group (n=25, the cuff was inflated to prevent air leaks at airway pressure of 20 cm H 2 O and finger group (n=25, the cuff was inflated using finger estimation. Tracheal leaks, incidence of sore throat, hoarseness and dysphagia were tested. Results: Although cuff pressure was significantly low in the sealing group compared to the control group (P<0.001, the incidence of sore throat was similar in both groups. On the other hand, cuff pressure as well as the incidence of sore throat were significantly higher in the finger group compared to both the control and the sealing group (P<0.001 and P=0.008. The incidence of dysphagia and hoarseness were similar in the three groups. None of the patients in the three groups developed air leak around the endotracheal tube cuff. Conclusions: In N 2 O, free anesthesia sealing cuff pressure is an easy, undemanding and safe alternative to the standard technique, regarding effective sealing and low incidence of sore throat.

  5. Accuracy in Blood Pressure Monitoring: The Effect of Noninvasive Blood Pressure Cuff Inflation on Intra-arterial Blood Pressure Values.

    Science.gov (United States)

    Sheshadri, Veena; Tiwari, Akhilesh Kumar; Nagappa, Mahesh; Venkatraghavan, Lashmi

    2017-01-01

    Both invasive and noninvasive blood pressure (invasive arterial blood pressure [IABP] and noninvasive BP [NIBP]) monitors are used perioperatively; however, they often produce different values. The reason for this discrepancy is not clear, and it is possible that the act of cuff inflation itself might affect the IABP values, especially with the recurrent cycling of NIBP cuff. The aim of this study was to determine the effect of ipsilateral NIBP cuff inflation on the contralateral IABP values. Prospective, observational study. One hundred consecutive patients were studied. The NIBP device was set to cycle every 5 min for a total of 6 times. During each cuff inflation cycle, changes in IABP values from the arterial line in the contralateral arm were recorded. A total of 582 measurements were included for data analysis. Chi-square, paired t-test, analysis of variance. Mean (± standard deviation) changes in systolic BP (SBP), diastolic BP, and mean BP with cuff inflation were 6.7 ± 5.9, 2.6 ± 4.0, and 4.0 ± 3.9 mmHg, respectively. We observed an increase of 0-10 mmHg in SBP in majority (73.4%) of cuff inflations. The changes in IABP did not differ between the patients with or without hypertension or with the baseline SBP. This study showed that there is a transient reactive rise in IABP values with NIBP cuff inflation. This is important information in the perioperative and intensive care settings, where both these measurement techniques are routinely used. The exact mechanism for this effect is not known but may be attributed to the pain and discomfort from cuff inflation.

  6. In vitro evaluation of the method effectiveness to limit inflation pressure cuffs of endotracheal tubes

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    Rafael de Macedo Coelho

    2016-04-01

    Full Text Available ABSTRACT BACKGROUND AND OBJECTIVE: Cuffs of tracheal tubes protect the lower airway from aspiration of gastric contents and facilitate ventilation, but may cause many complications, especially when the cuff pressure exceeds 30 cm H2O. This occurs in over 30% of conventional insufflations, so it is recommended to limit this pressure. In this study we evaluated the in vitro effectiveness of a method of limiting the cuff pressure to a range between 20 and 30 cm H2O. METHOD: Using an adapter to connect the tested tube to the anesthesia machine, the relief valve was regulated to 30 cm H2O, inflating the cuff by operating the rapid flow of oxygen button. There were 33 trials for each tube of three manufacturers, of five sizes (6.5-8.5, using three times inflation (10, 15 and 20 s, totaling 1485 tests. After inflation, the pressure obtained was measured with a manometer. Pressure >30 cm H2O or <20 cm H2O were considered failures. RESULTS: There were eight failures (0.5%, 95% CI: 0.1-0.9%, with all by pressures <20 cm H2O and after 10 s inflation (1.6%, 95% CI: 0 5-2.7%. One failure occurred with a 6.5 tube (0.3%, 95% CI: -0.3 to 0.9%, six with 7.0 tubes (2%, 95% CI: 0.4-3.6%, and one with a 7.5 tube (0.3%, 95% CI: -0.3 to 0.9%. CONCLUSION: This method was effective for inflating tracheal tube cuffs of different sizes and manufacturers, limiting its pressure to a range between 20 and 30 cm H2O, with a success rate of 99.5% (95% CI: 99.1-99.9%.

  7. Tracheal tube cuff inflation guided by pressure volume loop closure associated with lower postoperative cuff-related complications: Prospective, randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Waleed A Almarakbi

    2014-01-01

    Full Text Available Background: The main function of an endotracheal tube (ETT cuff is to prevent aspiration. High cuff pressure is usually associated with postoperative complications. We tried to compare cuff inflation guided by pressure volume loop closure (PV-L with those by just to seal technique (JS and assess the postoperative incidence of sore throat, cough and hoarseness. Materials and Methods: In a prospective, randomized clinical trial, 100 patients′ tracheas were intubated. In the first group (n = 50, ETT cuff inflation was guided by PV-L, while in the second group (n. = 50 the ETT cuff was inflated using the JS technique. Intracuff pressures and volumes were measured. The incidence of postoperative cuff-related complications was reported. Results: Demographic data and durations of intubation were comparable between the groups. The use of PV-L was associated with a lesser amount of intracuff air [4.05 (3.7-4.5 vs 5 (4.8-5.5, P < 0.001] and lower cuff pressure than those in the JS group [18.25 (18-19 vs 33 (32-35, P ≤ 0.001]. The incidence of postextubation cuff-related complications was significantly less frequent among the PV-L group patients as compared with the JS group patients (P ≤ 0.009, except for hoarseness of voice, which was less frequent among the PV-L group, but not statistically significant (P ≤ 0.065. Multiple regression models for prediction of intra-cuff pressure after intubation and before extubation revealed a statistically significant association with the technique used for cuff inflation (P < 0.0001. Conclusions : The study confirms that PV-L-guided ETT cuff inflation is an effective way to seal the airway and associates with a lower ETT cuff pressure and lower incidence of cuff-related complications.

  8. Tracheal tube cuff inflation guided by pressure volume loop closure associated with lower postoperative cuff-related complications: Prospective, randomized clinical trial

    Science.gov (United States)

    Almarakbi, Waleed A.; Kaki, Abdullah M.

    2014-01-01

    Background: The main function of an endotracheal tube (ETT) cuff is to prevent aspiration. High cuff pressure is usually associated with postoperative complications. We tried to compare cuff inflation guided by pressure volume loop closure (PV-L) with those by just to seal technique (JS) and assess the postoperative incidence of sore throat, cough and hoarseness. Materials and Methods: In a prospective, randomized clinical trial, 100 patients’ tracheas were intubated. In the first group (n = 50), ETT cuff inflation was guided by PV-L, while in the second group (n. = 50) the ETT cuff was inflated using the JS technique. Intracuff pressures and volumes were measured. The incidence of postoperative cuff-related complications was reported. Results: Demographic data and durations of intubation were comparable between the groups. The use of PV-L was associated with a lesser amount of intracuff air [4.05 (3.7-4.5) vs 5 (4.8-5.5), P pressure than those in the JS group [18.25 (18-19) vs 33 (32-35), P ≤ 0.001]. The incidence of postextubation cuff-related complications was significantly less frequent among the PV-L group patients as compared with the JS group patients (P ≤ 0.009), except for hoarseness of voice, which was less frequent among the PV-L group, but not statistically significant (P ≤ 0.065). Multiple regression models for prediction of intra-cuff pressure after intubation and before extubation revealed a statistically significant association with the technique used for cuff inflation (P pressure and lower incidence of cuff-related complications. PMID:25191181

  9. Effects of user experience and method in the inflation of endotracheal tube pilot balloon on cuff pressure.

    Science.gov (United States)

    Ozer, A B; Demirel, I; Gunduz, G; Erhan, O L

    2013-01-01

    Endotracheal tube cuff pressure (ETCP) is recommended to be maintained between 20-30 cm H2O limits. While insufficient inflation of ETC may cause aspirations, over-inflation of it may lead to damage in tracheal epithelium. We planned to investigate the effects of user experience and cuff pressure inflation method differences following endotracheal tube cuff pressure and complaints about it. Two hundred and fifty patients planned for general anaesthesia were included in this study. ETC was inflated by users with different experience according to leakage or pilot balloon palpation techniques. ETCPs were measured by manometer at three periods (5 and 60 minutes after endotracheal intubation, and before extubation). Complaints about it were recorded in post anaesthetic care unit and 24 hours postoperatively. Though we found experience of user had significant effect on the ETCP regulations, we observed inflation methods did not have any effect. However we found ETCP was higher than normal range with experienced users. A correlation was observed between cuff pressure and anaesthesia duration with postoperative complaints. Our study concluded that the methods used do not have any significant advantage over one another. While ETC inflated at normal pressure increases as user's experience increases, experience alone is not enough in adjusting ETCP. A manometer should be used in routine inflation of ETC instead of conventional methods. CP and anaesthesia duration have correlations with some postoperative complaints.

  10. Numerical analysis of stress distribution in the upper arm tissues under an inflatable cuff: Implications for noninvasive blood pressure measurement

    Science.gov (United States)

    Deng, Zhipeng; Liang, Fuyou

    2016-07-01

    An inflatable cuff wrapped around the upper arm is widely used in noninvasive blood pressure measurement. However, the mechanical interaction between cuff and arm tissues, a factor that potentially affects the accuracy of noninvasive blood pressure measurement, remains rarely addressed. In the present study, finite element (FE) models were constructed to quantify intra-arm stresses generated by cuff compression, aiming to provide some theoretical evidence for identifying factors of importance for blood pressure measurement or explaining clinical observations. Obtained results showed that the simulated tissue stresses were highly sensitive to the distribution of cuff pressure on the arm surface and the contact condition between muscle and bone. In contrast, the magnitude of cuff pressure and small variations in elastic properties of arm soft tissues had little influence on the efficiency of pressure transmission in arm tissues. In particular, it was found that a thickened subcutaneous fat layer in obese subjects significantly reduced the effective pressure transmitted to the brachial artery, which may explain why blood pressure overestimation occurs more frequently in obese subjects in noninvasive blood pressure measurement.

  11. Numerical analysis of stress distribution in the upper arm tissues under an inflatable cuff: Implications for noninvasive blood pressure measurement

    Science.gov (United States)

    Deng, Zhipeng; Liang, Fuyou

    2016-10-01

    An inflatable cuff wrapped around the upper arm is widely used in noninvasive blood pressure measurement. However, the mechanical interaction between cuff and arm tissues, a factor that potentially affects the accuracy of noninvasive blood pressure measurement, remains rarely addressed. In the present study, finite element (FE) models were constructed to quantify intra-arm stresses generated by cuff compression, aiming to provide some theoretical evidence for identifying factors of importance for blood pressure measurement or explaining clinical observations. Obtained results showed that the simulated tissue stresses were highly sensitive to the distribution of cuff pressure on the arm surface and the contact condition between muscle and bone. In contrast, the magnitude of cuff pressure and small variations in elastic properties of arm soft tissues had little influence on the efficiency of pressure transmission in arm tissues. In particular, it was found that a thickened subcutaneous fat layer in obese subjects significantly reduced the effective pressure transmitted to the brachial artery, which may explain why blood pressure overestimation occurs more frequently in obese subjects in noninvasive blood pressure measurement.

  12. Achieving a Safe Endotracheal Tube Cuff Pressure in the Prehospital Setting: Is It Time to Revise the Standard Cuff Inflation Practice?

    Science.gov (United States)

    Carhart, Elliot; Stuck, Logan H; Salzman, Joshua G

    2016-01-01

    Numerous studies have reported unsafe endotracheal tube (ETT) cuff pressures (CP) in the prehospital environment. The purpose of this study was to identify an optimal cuff inflation volume (CIV) to achieve a safe CP (20-30 cmH2O). This observational study utilized 30 recently harvested ovine tracheae, which were warmed from refrigeration in a water bath at 85°F prior to testing. Each trachea was intubated with five different ETT sizes (6.0-8.0 mm), and each size tube was tested with six cuff inflation volumes (5-10 cc). The order of ETT size for each trachea and CIV for each size ETT was randomly pre-assigned. Data were descriptively summarized and categorized before mixed-effects logistic regression was used to determine optimal CIV. Only 113 CP measurements (12.6%, N = 900) were within the optimal range (M = 54.75 cmH2O, SD = 38.52), all of which resulted from a CIV 6 or 7 cc (61% and 39%, respectively). CIVs of 5 cc (n = 150) resulted in underinflation (30 cmH2O) in all instances, regardless of ETT size. The odds of achieving a safe CP were greater with CIV of 6 cc for tube sizes 6.0 (OR = 15.9, 95% CI = 3.85-65.58, p safe CP between CIV of 6 and 7 cc for tube sizes 7.0, 7.5, or 8.0 mm. Neither trachea circumference (M = 7.11 cm, SD = 0.40), nor tissue temperature (M = 81.32°F, SD = 0.93) were found to be significant predictors of CP (p = 0.20 and 0.81, respectively). Our study showed a high frequency of CP measurements outside of the desired norms. The CIV range of 6-7 cc resulted in the highest likelihood of achieving the desired cuff pressure range, while cuffs inflated with 8-10 cc resulted in dangerously high CPs in all instances. In the absence of a more ideal solution, the results of this study suggest that narrowing the recommended CIV from 5-10 cc to 6-7 cc might be a reasonable target for any tube size.

  13. The effect of user experience and inflation technique on endotracheal tube cuff pressure using a feline airway simulator.

    Science.gov (United States)

    White, Donna M; Redondo, José I; Mair, Alastair R; Martinez-Taboada, Fernando

    2017-02-24

    The effect of user experience and inflation technique on endotracheal tube cuff pressure using a feline airway simulator. Prospective, experimental clinical study. Participants included veterinary students at the beginning (group S1) and end (group S2) of their 2-week anaesthesia rotation and veterinary anaesthetists (group A). The feline airway simulator was designed to simulate an average size feline trachea, intubated with a 4.5 mm low-pressure, high-volume cuffed endotracheal tube, connected to a Bain breathing system with oxygen flow of 2 L minute(-1). Participants inflated the on-endotracheal tube cuff by pilot balloon palpation and by instilling the minimum occlusive volume (MOV) required for loss of airway leaks during manual ventilation. Intracuff pressures were measured by manometers obscured to participants and ideally were 20-30 cm H2O. Student t, Fisher exact, and Chi-squared tests were used where appropriate to analyse data (p < 0.05). Participants were 12 students and eight anaesthetists. Measured intracuff pressures for palpation and MOV, respectively, were 19 ± 12 and 29 ± 19 cm H2O for group S1, 10 ± 5 and 20 ± 11 cm H2O for group S2 and 13 ± 6 and 29 ± 18 cm H2O for group A. All groups performed poorly at achieving intracuff pressures within the ideal range. There was no significant difference in intracuff pressures between techniques. Students administered lower (p = 0.02) intracuff pressures using palpation after their training. When using palpation and MOV for cuff inflation operators rarely achieved optimal intracuff pressures. Experience had no effect on this skill and, as such, a cuff manometer is recommended. Copyright © 2017 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.

  14. Numerical analysis of stress distribution in the upper arm tissues under an inflatable cuff:Implications for noninvasive blood pressure measurement

    Institute of Scientific and Technical Information of China (English)

    Zhipeng Deng; Fuyou Liang

    2016-01-01

    An inflatable cuff wrapped around the upper arm is widely used in noninvasive blood pressure measurement. However, the mechanical interaction between cuff and arm tissues, a factor that potentially affects the accuracy of noninvasive blood pressure measurement, remains rarely addressed. In the present study, finite element (FE) mod-els were constructed to quantify intra-arm stresses generated by cuff compression, aiming to provide some theoretical evi-dence for identifying factors of importance for blood pressure measurement or explaining clinical observations. Obtained results showed that the simulated tissue stresses were highly sensitive to the distribution of cuff pressure on the arm sur-face and the contact condition between muscle and bone. In contrast, the magnitude of cuff pressure and small variations in elastic properties of arm soft tissues had little influence on the efficiency of pressure transmission in arm tissues. In par-ticular, it was found that a thickened subcutaneous fat layer in obese subjects significantly reduced the effective pres-sure transmitted to the brachial artery, which may explain why blood pressure overestimation occurs more frequently in obese subjects in noninvasive blood pressure measurement.

  15. 21 CFR 870.1120 - Blood pressure cuff.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Blood pressure cuff. 870.1120 Section 870.1120...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Diagnostic Devices § 870.1120 Blood pressure cuff. (a) Identification. A blood pressure cuff is a device that has an inflatable bladder in an...

  16. Application of Minimum Effective Cuff Inflating Volume for Laryngeal Mask Airway and its Impact on Postoperative Pharyngeal Complications

    Directory of Open Access Journals (Sweden)

    Bing-Bing Li

    2015-01-01

    Conclusions: The relationship between the cuff inflating volume and the intracuff pressure for size 4 or 5 LMA Well LeadTM is in a linear correlation manner at the range of 5–30 ml. The minimal cuff inflating volume is adequate for satisfactory airway sealing and consequently associated with lower incidence of postoperative pharyngeal complications for LMA Well Lead.™

  17. Comparison between Two Endotracheal Tube Cuff Inflation Methods; Just-Seal Vs. Stethoscope-Guided

    Science.gov (United States)

    Harde, Minal; Bhadade, Rakesh; Dave, Sona; Aswar, Swapnil Ganeshrao

    2017-01-01

    Introduction The Endotracheal Tube (ETT) cuff performs a critical function of sealing the airway during positive pressure ventilation. There is a narrow range of cuff pressure required to maintain a functionally safe seal without exceeding capillary blood pressure. Aim We aimed to compare Just-Seal (JS) and Stethoscope-Guided (SG) method of ETT cuff inflation with respect to the volume of air required to inflate the cuff, the manometric cuff pressure achieved and also to assess for the occurrence of postoperative sore throat after extubation in both the groups. Materials and Methods It was a prospective observational study done in a Tertiary Teaching Public Hospital over a period of 1½ years on 100 patients with 50 each in two groups; JS or SG method of cuff inflation. SPSS Version 17 was used for data analysis. Results Statistically significant difference (p-value of less than 0.05) was noted between the two methods based on the volume of air injected into the cuff {the mean volume injected in JS was 6.79 ml and in the SG was 4.95 ml with p=5.71E-16 (pressure achieved {mean cuff pressure achieved was 38.80 cm H2O in the JS and 29.64 cm H2O in SG with p=2.29E-14 (sore throat was 54% (27 in 50) in the JS group and only 12% (6 in 50) in the SG; p= 0.00000797. Conclusion ETT cuff inflation guided by a stethoscope is an effective technique for ensuring appropriate cuff pressures thus accomplishing the objective of providing safe and superior quality care of the patient both during and after anaesthesia and reducing the likelihood of even minimal risk complications that may still have legal implications. PMID:28764268

  18. Excessive pressure in multichambered cuffs used for sequential compression therapy

    NARCIS (Netherlands)

    Segers, P; Belgrado, JP; Leduc, A; Leduc, O; Verdonck, P

    2002-01-01

    Background and Purpose. Pneumatic compression devices, used as part of the therapeutic strategy for lymphatic drainage, often have cuffs with multiple chambers that are, inflated sequentially. The purpose of this study was to investigate (1) the relationship between cuff chamber pressure (P(chamber)

  19. [Analysis on risk factors of endotracheal cuff under inflation in mechanically ventilated patients].

    Science.gov (United States)

    Fu, You; Xi, Xiuming

    2014-12-01

    To investigate the prevalent condition of endotracheal cuff pressure and risk factors for under inflation. A prospective cohort study was conducted. Patients admitted to the Department of Critical Care Medicine of Fuxing Hospital Affiliated to Capital Medical University, who were intubated with a high-volume low-pressure endotracheal tube, and had undergone mechanical ventilation for at least 48 hours, were enrolled. The endotracheal cuff pressure was determined every 8 hours by a manual manometer connected to the distal edge of the valve cuff at 07 : 00, 15 : 00, and 23 : 00. Measurement of the endotracheal cuff pressure was continued until the extubation of endotracheal or tracheostomy tube, or death of the patient. According to the incidence of under inflation of endotracheal cuff, patients were divided into the incidence of under inflation lower than 25% group (lower low cuff pressure group) and higher than 25% group (higher low cuff pressure group). The possible influencing factors were evaluated in the two groups, including body mass index (BMI), size of endotracheal tube, duration of intubation, use of sedative or analgesic, number of leaving from intensive care unit (ICU), the number of turning over the patients, and aspiration of sputum. Logistic regression analysis was used to determine risk factors for under-inflation of the endotracheal cuff. During the study period, 53 patients were enrolled. There were 812 measurements, and 46.3% of them was abnormal, and 204 times (25.1%) of under inflation of endotracheal cuff were found. There were 24 patients (45.3%) in whom the incidence of under inflation rate was higher than 25%. The average of under inflation was 7 (4, 10) times. Compared with the group with lower rate of low cuff pressure, a longer time for intubation was found in group with higher rate of low cuff pressure [hours: 162 (113, 225) vs. 118 (97, 168), Z=-2.034, P=0.042]. There were no differences between the two groups in other factors

  20. Effect of Nitrous Oxide Anaesthesia on Endotracheal Cuff Pressure

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    Özlem Koşar

    2017-03-01

    Full Text Available Aim: When N2Ois used for general anaesthesia, it diffuses into the air-filled endotracheal cuff causing the cuff pressure to rise by over inflating the cuff, which results in tracheal damage. This study aimed to estimate changes in the endotracheal-cuff pressure with time during oxygen-air- and oxygen-N2O -induced anaesthesia and to determine its sore throat and hoarseness incidence. Methods: Fifty patients with American Society of Anesthesiologists physical status 1-2, aged 18-60 years were icluded to our study. Orotracheal intubation was performed using polyvinyl chloride high volume-low pressure endotracheal tubes. The AIR group 40% O2/60% air and N2O group 40% O2/60% N2O was used. The endotracheal cuff pressure at 5, 10, 15, 20 minutes immediately after intubation and at 10-minute intervals were recorded. When the cuff pressure reached 45 cm H2O, was attenuated to 25-30-cm H2O. At the post operative first and the 24th hour, the patients were queried for sore throat and hoarseness. Results: The N2O -group cuff pressure rose from the fifth minute onwards. Also, the N2O group had a higher incidence of sore throat and hoarseness. Conclusion: N2O results in elevated cuff pressure and tracheal morbidities. Cuff-pressure should be routinely monitored during anaesthesia using N2O.

  1. A COMPARATIVE STUDY OF 2 AGENTS, AIR AND DISTILLED WATER FOR INFLATION OF THE CUFFS OF ENDOTRACHEAL TUBES DURING LAPAROSCOPIC SURGICAL PROCEDURES UNDER GENERAL ANAESTHESIA

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    Sistla Gopala Krishna

    2016-03-01

    Full Text Available BACKGROUND & AIM During Nitrous Oxide+ Oxygen anaesthesia and during laparoscopic surgeries using carbon dioxide for creating pneumoperitoneum, if cuff of endotracheal tube is inflated with air, cuff pressure can rise to dangerous limits and it can produce ischemia of tracheal mucosa. Hence distilled water as an alternative agent to air for inflation of cuffs of endotracheal tubes was used for our study. Our aim is to investigate the difference in increase of intra-cuff pressure with time during laparoscopic surgical procedures under general endotracheal anaesthesia with Nitrous oxide+ Oxygen+ relaxant technique when cuffs of endotracheal tube were inflated by air & distilled water. METHODS Fifty patients (n=50 undergoing different laparoscopic surgical procedures under general endotracheal anaesthesia were randomly divided into 2 groups. In group A, air was used & in group D, distilled water was used to inflate the cuffs of endotracheal tubes. General anaesthesia was given with Nitrous oxide+ Oxygen+ relaxant technique. The intra-cuff pressures of endotracheal tube cuffs were recorded in the beginning and at the end of laparoscopic surgical procedures. Increase of pressures with time were recorded and analysed. RESULTS In group in whom we inflated the cuffs with air, there was a significant increase in intra-cuff pressures with time and there was definite diffusion of gases into the cuffs. Increase of pressure with time was statistically highly significant (P=0.00001. But in group in whom we used distilled water to inflate the cuffs, there was no change in the volume of water used for inflation and water came out of cuffs at the end of the laparoscopic surgical procedures. No additional air could be aspirated from the cuffs at the end of laparoscopic surgeries in distilled water group, indicating that there was no diffusion of gases into the cuffs or the gases diffused got dissolved in distilled water. Hence there was no increase of volume

  2. LMA Extubation in Pediatric Patients: A Comparison of Inflated and Deflated LMA Cuff Methods

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    Mahin Seyedhejazi

    2014-07-01

    Full Text Available Background and Objectives: Extubating LMA (Laryngeal mask airway can be performed either with inflated or deflated cuff. In this study the effects and complications of these two methods were compared in children.Materials and Methods: In a clinical trial, 180 patients under 11 years old with ASA I/II who were scheduled for elective surgeries for less than one hour with no need for muscle relaxation were randomly divided into two groups. In group D, LMAs were extubated after oral cavity suctioning and cuff deflation. In group I, LMAs were extubated without suctioning and deflating the cuffs.Results: In group I after removing the LMA, mean heart rate significantly increased, mean diastolic blood pressure significantly increased, and mean arterial blood saturation significantly decreased. In Group D, none of these changes occurred. Despite a higher incidence of complications in the group I, difference was not significant.Conclusions: LMA removal with inflated cuff increases hemodynamic changes and decreases the arterial blood saturation. Hence, when hemodynamic stability and saturation of arterial blood is particularly important for us, extubating the LMA with deflated cuff is recommended. Keywords: LMA; Complication; Inflated; Deflated

  3. The effect of endotracheal catheter cuff inflation method on cuff pressure and tracheal mucosal damage%比较研究气管导管套囊不同充气方法对导管套囊压与气管黏膜损伤的影响

    Institute of Scientific and Technical Information of China (English)

    赵邦术; 刘新伟

    2014-01-01

    Objective To investigate the effect of different methods of endotracheal catheter cuff inflation on cuff pressure and tracheal mucosal damage postoperatively .Methods 120 patients undergoing gynecological tumorectomy as a selective operation with general anesthesia were randomly divided into 3 groups with different methods of cuff inflation :finger kneading method ,spe-cialized cuff pressure meter ,and minimum closing volume method .The cuff pressure were measured by specialized cuff pressure gauge and the tracheal mucous membrane was examined by fibrolaryngoscope at the time of withdrawal of endotracheal tube .The cuff pressure and the tracheal mucosal change with different cuff inflation methods were compared .Results The average cuff pres-sure with finger kneading method(49 ± 11 .8 cm H2 O)was obviously higher than specialized cuff pressure meter group (27 ± 1 .5 cm H2O)and minimum closing volume method group(25 ± 2 .1 cm H2O) .The incidence of tracheal mucosal damage was obviously higher in the group with finger kneading method(87 .5% ) than other groups(20 .0% and 15 .0% respectively) .There were no obvi-ous differences in the incidence of tracheal mucosal damage between the rest two groups (P>0 .05) .Conclusion The cuff pressure in the finger kneading method was higher than the permitted value and it make the incidence of tracheal mucosal damage increase . The cuff inflation with specialized cuff pressure meter and minimum closing volume method can make the cuff pressure properly a-mong the permitted value and decrease the complications related to endotracheal intubation .%目的:观察气管导管套囊不同充气方法对导管套囊压与气管黏膜损伤的影响。方法选择择期全身麻醉下行妇科肿瘤切除术患者120例,随机分为3组,分别用指感法、测压法、最小封闭压力法给气管导管套囊充气,用专用套囊测压表分别测定3种方法给气管导管套囊充气后的套囊压力。术毕在患者苏

  4. Impact of laryngeal mask airway cuff pressures on the incidence of sore throat in children.

    Science.gov (United States)

    Wong, Justin Gin Leong; Heaney, Mairead; Chambers, Neil A; Erb, Thomas O; von Ungern-Sternberg, Britta S

    2009-05-01

    Hyperinflation of laryngeal mask airway cuffs can cause harm to the upper airway mainly by exerting high pressures on pharyngeal and laryngeal structures thus impairing mucosal perfusion. Although cuff manometers can be used to guide the monitoring of cuff pressures, their use is not routine in many institutions. In a prospective audit, we assessed the incidence of sore throat following day-case-surgery in relation to the intracuff pressure within the laryngeal mask airway. Four hundred children (3-21 years) were consecutively included in this study. The laryngeal mask airway was inflated as deemed necessary by the attending anesthetist. Cuff pressures were measured using a calibrated cuff manometer (Portex Limited, Hythe, Kent, UK, 0-120 cm H2O, pressures exceeding the measurement range were set at 140 cm H2O for statistical purposes) at induction of anesthesia. Forty-five children (11.25%) developed sore throat, 32 (8%) sore neck and 17 (4.25%) sore jaw. Of those that developed sore throat, 56.5% had cuff pressures exceeding >100 cm H2O. In contrast, when cuff pressures were sore throat, whilst there was only a 4.6% occurrence of sore throat if cuff pressures were between 40-60 cm H2O. We have demonstrated that intra cuff pressure in laryngeal mask airways is closely related to the development of sore throat with higher pressures increasing its likelihood. Hence, cuff pressures should be measured routinely using a manometer to minimize the incidence of sore throat.

  5. Application of Minimum Effective Cuff Inflating Volume for Laryngeal Mask Airway and its Impact on Postoperative Pharyngeal Complications

    Institute of Scientific and Technical Information of China (English)

    Bing-Bing Li; Jie Yan; Hong-Gang Zhou; Jing Hao; Ai-Jia Liu; Zheng-Liang Ma

    2015-01-01

    Background:High intracuffpressure can cause severe pharyngeal complications including sore throat or hoarseness after laryngeal mask airway (LMA) removal postoperatively.Though the application of minimum effective cuffinflating volume is suggested to maintain airway sealing and adequacy of ventilation for patients receiving general anesthesia with LMA at lower level of the intracuffpressure,it is currently not a standard care in most of the anesthetic departments.In this study,the minimum effective cuff inflating volume was determined for classic LMA Well LeadTM (Well Lead Medical Co.,Ltd.,China) and its impact on postoperative pharyngeal complications was also explored.Methods:Patients with American Society of Anesthesiologists physical status (Ⅰ-Ⅲ) undergoing the short-duration urological surgery were recruited in this trial.First,the minimum effective cuff inflating volume was determined for size 4 or 5 LMA Well LeadTM in the study 1.Immediately following placement and confirmation of ideal LMA position,the cuff was inflated with 5,7,10 ml of air and up to 30 ml at 5 ml increment.The intracuff pressure,oropharyngeal leak pressure (OLP),and inspiratory peak airway pressure under positive pressure ventilation at the corresponding cuff volume as indicated above were recorded.Second,the enrolled patients were randomly allocated into minimum effective cuff inflating volume group (MC) and routine care (RC) group in the study 2.The minimum effective cuff inflating volume was applied and maintained in MC group,whereas the cuff volume was inflated with half of the maximum cuff inflating volume recommended by manufacturer in RC group throughout the surgical procedure and stay in postanesthesia care unit prior to LMA removal.The incidence of pharyngeal complications at 0,2,24,and 48 h after removal of LMA and other intra-operative adverse events were also documented.Results:The intracuffpressure varied with the cuff inflating volume in a positive linear correlation

  6. Endotracheal Tube Cuff Pressure Monitoring in Children

    Directory of Open Access Journals (Sweden)

    V. V. Lazarev

    2012-01-01

    Full Text Available Objective: to estimate tracheal morphological changes in children, by using a device for the continuous monitoring and regulation of endotracheal tube cuff pressure. Subjects and methods. Two groups of children were examined. In Group A comprising 22 children aged 2 months to 16 years, the adequacy of the external control balloon palpation method was estimated to measure endotracheal tube cuff pressure. In Group B consisting of 12 children aged 5 to 18 years on mechanical ventilation for more than 3 days, the efficiency and appropriateness of applying a PressureEasy device for monitoring the pressure in the endotracheal tube cuff were assessed to prevent postintubation tracheal complications. In the latter group, the authors identified a study subgroup (BI of 8 patients where this device was employed and a control group of 4 patients (BII where it was not used. Results. Group A showed that endotracheal tube cuff pressure was 20—30 cm H2O in 31.8% of cases, greater than 30 cm H2O in 36.4%, and lower than 20 cm H2O in 31.8%. Subgroup BI displayed considerably lower macro- and microscopic histological changes than Subgroup BII. Conclusion. Determination of endotracheal tube cuff pressure by palpation of the external control balloon does not reflect its real values. The magnitude of tracheal changes is more intensive if continuous monitoring and regulation of pressure in the endotracheal tube cuff is absent. The PressureEasy device to monitor endotracheal tube cuff pressure permits its variability maintenance at a given level, by mitigating the damaging effect of the cuff on tracheal tissue. Key words: endotracheal tube, cuff, histology, ischemia, prevention, pressure, trachea.

  7. Correlation Between Endotracheal Tube Cuff Pressure and Tracheal Wall Pressure Using Air and Saline Filled Cuffs

    Science.gov (United States)

    2017-01-31

    AFRL-SA-WP-SR-2017-0004 Correlation Between Endotracheal Tube Cuff Pressure and Tracheal Wall Pressure Using Air - and Saline-Filled... Air Force Research Laboratory 711th Human Performance Wing U.S. Air Force School of Aerospace Medicine Aeromedical Research Department 2510 Fifth...Correlation Between Endotracheal Tube Cuff Pressure and Tracheal Wall Pressure Using Air - and Saline-Filled Cuffs 5a. CONTRACT NUMBER FA8650-14

  8. Endotracheal tube cuff pressure increases significantly during anterior cervical fusion with the Caspar instrumentation system.

    Science.gov (United States)

    Sperry, R J; Johnson, J O; Apfelbaum, R I

    1993-06-01

    To determine whether endotracheal tube cuff pressure increases significantly with surgical retraction and cervical spine distraction during anterior cervical spine surgery with Caspar instrumentation, we prospectively studied 10 patients undergoing this procedure. The tracheas of all patients were intubated with a Mallinckrodt Hi-Lo endotracheal tube. Tracheal tube cuff pressures measured with a transducer system were 42.4 mm Hg +/- 7.0 mm Hg (SEM) after intubation and cuff inflation. Air was removed from the endotracheal tube cuff until the trachea was just barely sealed at a cuff pressure of 15.2 mm Hg +/- 1.6 mm Hg. The endotracheal tube cuff pressure was readjusted to "just-seal" pressure before the surgeons introduced the Caspar instrumentation. The cuff pressure with traction and distraction was 43.2 mm Hg +/- 5.0 mm Hg. This pressure was significantly increased from the "just-seal" pressure, and from the cuff pressure after instrumentation was discontinued (9.8 mm Hg +/- 2.3 mm Hg). We conclude that anterior cervical spine surgery with Caspar instrumentation is associated with a significant increase in endotracheal tube cuff pressure.

  9. Endotracheal Tube Cuff Pressures in Patients Intubated Prior to Helicopter EMS Transport

    Directory of Open Access Journals (Sweden)

    Joseph Tennyson

    2016-11-01

    Full Text Available Introduction Endotracheal intubation is a common intervention in critical care patients undergoing helicopter emergency medical services (HEMS transportation. Measurement of endotracheal tube (ETT cuff pressures is not common practice in patients referred to our service. Animal studies have demonstrated an association between the pressure of the ETT cuff on the tracheal mucosa and decreased blood flow leading to mucosal ischemia and scarring. Cuff pressures greater than 30 cmH2O impede mucosal capillary blood flow. Multiple prior studies have recommended 30 cmH2O as the maximum safe cuff inflation pressure. This study sought to evaluate the inflation pressures in ETT cuffs of patients presenting to HEMS. Methods We enrolled a convenience sample of patients presenting to UMass Memorial LifeFlight who were intubated by the sending facility or emergency medical services (EMS agency. Flight crews measured the ETT cuff pressures using a commercially available device. Those patients intubated by the flight crew were excluded from this analysis as the cuff was inflated with the manometer to a standardized pressure. Crews logged the results on a research form, and we analyzed the data using Microsoft Excel and an online statistical analysis tool. Results We analyzed data for 55 patients. There was a mean age of 57 years (range 18–90. The mean ETT cuff pressure was 70 (95% CI= [61–80] cmH2O. The mean lies 40 cmH2O above the maximum accepted value of 30 cmH2O (p120 cmH2O, the maximum pressure on the analog gauge. Conclusion Patients presenting to HEMS after intubation by the referral agency (EMS or hospital have ETT cuffs inflated to pressures that are, on average, more than double the recommended maximum. These patients are at risk for tracheal mucosal injury and scarring from decreased mucosal capillary blood flow. Hospital and EMS providers should use ETT cuff manometry to ensure that they inflate ETT cuffs to safe pressures.

  10. Reliability of pressure cuff induced transient limb ischemia in conscious rabbits

    Institute of Scientific and Technical Information of China (English)

    Zhang Nanrong; Zheng Wanjun; Wen Yi; Hu Qiongyu; Jin Sanqing

    2014-01-01

    Background The protective effects of transient limb ischemia (TLI) induced by several cycles of intermittent pressure cuff inflation and deflation for a period have been widely investigated,however the reliability of this protocol has not been clearly verified.Our study aimed to investigate the reliability of pressure cuff induced TLI in conscious rabbits.Methods Eight New Zealand rabbits were subjected to TLI without anesthesia.TLI consisted of 3 cycles of ischemia and reperfusion induced by inflating the cuff placed on the left lower limb to 200 mmHg for 5 minutes followed by deflating the cuff for 5 minutes.Skin color,pulse oxygen saturation (SpO2),pulse rate (PR),plethysmogram waveform (Pleth),and ultrasound detection of the blood flow in the extremity distal to the ischemic segment were observed to confirm ischemia and reperfusion during TLI.The frequency of severe limb movement during TLI was also recorded to assess the amenability of this protocol in conscious rabbits.Results The skin color of the extremity distal to the ischemic segment changed from bright red to dark purple after inflating the cuff to 200 mmHg,and returned to normal after cuff deflation.Pleth,PR and SpO2 disappeared during ischemia and restored during reperfusion in the monitor.Blood flow of the left posterior tibial artery was completely blocked by a pressure of 200 mmHg during ischemia,and recovered immediately after cuff deflation.The frequency of severe limb movement in supine position was higher than that in prone position (P<0.05),but there was no severe limb movement that could result in disturbance to ischemia when the rabbits were placed in prone position.Conclusion Pressure cuff inflating to 200 mmHg for 5 minutes and deflating for 5 minutes is a reliable regimen to induce TLI in conscious rabbits.

  11. Endotracheal tube cuff pressure management in adult critical care ...

    African Journals Online (AJOL)

    Endotracheal tube (ETT) cuff pressure management is an essential ... convincing or sufficient evidence of effectiveness.7 The Nesibopho ... used the cuff pressure measurement (CPM) method, 24% used the palpation method or listened to air ...

  12. Does objective measurement of tracheal tube cuff pressures minimise adverse effects and maintain accurate cuff pressures? A systematic review and meta-analysis.

    Science.gov (United States)

    Hockey, C A; van Zundert, A A J; Paratz, J D

    2016-09-01

    Correct inflation pressures of the tracheal cuff are recommended to ensure adequate ventilation and prevent aspiration and adverse events. However there are conflicting views on which measurement to employ. The aim of this review was to examine whether adjustment of cuff pressure guided by objective measurement, compared with subjective measurement or observation of the pressure value alone, was able to prevent patient-related adverse effects and maintain accurate cuff pressures. A search of PubMed, Web of Science, Embase, CINAHL and ScienceDirect was conducted using keywords 'cuff pressure' and 'measure*' and related synonyms. Included studies were randomised or pseudo-randomised controlled trials investigating mechanically ventilated patients both in the intensive care unit and during surgery. Outcomes included adverse effects and the comparison of pressure measurements. Pooled analyses were performed to calculate risk ratios, effect sizes and 95% confidence intervals. Meta-analysis found preliminary evidence that adjustment of cuff pressure guided by objective measurement as compared with subjective measurement or observation of the pressure value alone, has benefit in preventing adverse effects. These included cough at two hours (odds ratio [OR] 0.42, confidence interval [CI] 0.23 to 0.79, P=0.007), hoarseness at 24 hours (OR 0.49, CI 0.31 to 0.76, P measurement to guide adjustment or observation of the pressure value alone may lead to patient-related adverse effects and inaccuracies. It is recommended that an objective form of measurement be used.

  13. Prehospital endotracheal intubation; need for routine cuff pressure measurement?

    NARCIS (Netherlands)

    Peters, J.H.; Hoogerwerf, N.

    2013-01-01

    In endotracheal intubation, a secured airway includes an insufflated cuff distal to the vocal cords. High cuff pressures may lead to major complications occurring after a short period of time. Cuff pressures are not routinely checked after intubation in the prehospital setting, dealing with a vulner

  14. Safety and reliability of the sealing cuff pressure of the Microcuff pediatric tracheal tube for prevention of post-extubation morbidity in children: A comparative study.

    Science.gov (United States)

    Al-Metwalli, Roshdi Roshdi; Sadek, Sayed

    2014-10-01

    The objective of this study is to evaluate the efficacy and safety of sealing pressure as an inflation technique of the Microcuff pediatric tracheal cuffed tube. A total of 60 children were enrolled in this study. After induction of anesthesia and intubation with Microcuff pediatric tracheal tube, patients were randomly assigned, to one of the three groups. Control group (n = 20) the cuff was inflated to a cuff pressure of 20 cm H2O; sealing group (n = 20) the cuff was inflated to prevent the air leak at peak airway pressure of 20 cm H2O and the finger group (n = 20) the cuff was inflated to a suitable pressure using the finger estimation. Tracheal leak, incidence and severity of post-extubation cough, stridor, sore throat and hoarseness were recorded. The cuff pressure as well as the volume of air to fill the cuff was significantly low in the sealing group when compared with the control group (P sore throat were significantly high in the finger group compared with both the control and the sealing group (P = 0.0009 and P = 0.0026). Three patients in the control group developed air leak around the endotracheal tube cuff. The incidence and severity of other complications were similar in the three groups. In pediatric N2O, free general anesthesia using Microcuff pediatric tracheal tub, sealing cuff pressure is safer than finger palpation technique regarding post-extubation morbidities and more reliable than recommended safe pressure in prevention of the air leak.

  15. Comparison of effects of ProSeal LMA™ laryngeal mask airway cuff inflation with air, oxygen, air:oxygen mixture and oxygen:nitrous oxide mixture in adults: A randomised, double-blind study

    Directory of Open Access Journals (Sweden)

    Mona Sharma

    2016-01-01

    Full Text Available Background and Aims : Laryngeal mask airway (LMA cuff pressure increases when the air is used for the cuff inflation during oxygen: nitrous oxide (O 2 :N 2 O anaesthesia, which may lead to various problems. We compared the effects of different gases for ProSeal LMA™ (PLMA cuff inflation in adult patients for various parameters. Methods: A total of 120 patients were randomly allocated to four groups, according to composition of gases used to inflate the PLMA cuff to achieve 40 cmH 2 O cuff pressure, air (Group A, 50% O 2 :air (Group OA, 50% O 2 :N 2 O (Group ON and 100% O 2 (Group O. Cuff pressure, cuff volume and ventilator parameters were monitored intraoperatively. Pharyngolaryngeal parameters were assessed at 1, 2 and 24 h postoperatively. Statistical analysis was performed using ANOVA, Fisher′s exact test and step-wise logistic regression. Results: Cuff pressure significantly increased at 10, 15 and 30 min in Group A, OA and O from initial pressure. Cuff pressure decreased at 5 min in Group ON (36.6 ± 3.5 cmH 2 O (P = 0.42. PLMA cuff volume increased in Group A, OA, O, but decreased in Group ON (6.16 ± 2.8 ml [P < 0.001], 4.7 ± 3.8 ml [P < 0.001], 1.4 ± 3.19 ml [P = 0.023] and − 1.7 ± 4.9 ml [P = 0.064], respectively, from basal levels. Ventilatory parameters were comparable in all four groups. There was no significant association between sore throat and cuff pressure, with odds ratio 1.002. Conclusion: Cuff inflation with 50% O 2 :N 2 O mixture provided more stable cuff pressure in comparison to air, O 2 :air, 100% O 2 during O 2 :N 2 O anaesthesia. Ventilatory parameters did not change with variation in PLMA cuff pressure. Post-operative sore throat had no correlation with cuff pressure.

  16. The effect of endotracheal tube cuff pressure change during gynecological laparoscopic surgery on postoperative sore throat: a control study.

    Science.gov (United States)

    Geng, Guiqi; Hu, Jingyi; Huang, Shaoqiang

    2015-02-01

    Postoperative respiratory complications related to endotracheal intubation usually present as cough, sore throat, hoarseness. The aim of the study was to examine the effects of endotracheal tube cuff pressure changes during gynecological laparoscopic surgery on postoperative sore throat rates. Thirty patients who underwent gynecological laparoscopic surgery and 30 patients who underwent laparotomy under general anesthesia with endotracheal intubation were included. After induction of general anesthesia and endotracheal intubation, the cuff was inflated to 25 mmHg. At 5, 15, 30, 45 and 60 min after endotracheal intubation, cuff pressure and peak airway pressure were recorded. At 2 and 24 h after surgery, the patients were assessed for complaints of a sore throat. In patients who underwent laparotomy, cuff pressure and peak airway pressure did not change significantly at different time points after intubation. In patients who received laparoscopic surgery, cuff pressure and peak airway pressure were significantly increased compared to initial pressure at all examined time points. In both groups, the endotracheal tube cuff pressure and peak airway pressure were significantly correlated (R=0.9431, Psore throat scores at both 2 and 24 h after surgery (Ppressure and cuff pressure, resulting in increased incidence of postoperative sore throat.

  17. Evaluation of tracheal cuff pressure variation in spontaneously breathing patients

    OpenAIRE

    Plotnikow, Gustavo A; Roux, Nicolas; Feld, Viviana; Gogniat, Emiliano; Villalba, Dario; Ribero, Noelia Vairo; Sartore, Marisa; Bosso, Mauro; Quiroga, Corina; Leiva, Valeria; Scrigna, Mariana; Puchulu, Facundo; Distéfano, Eduardo; Scapellato, Jose Luis; Intile, Dante

    2013-01-01

    Background: Most of the studies referring cuff tubes’ issues were conducted on intubated patients. Not much is known about the cuff pressure performance in chronically tracheostomized patients disconnected from mechanical ventilation. Objective: To evaluate cuff pressure (CP) variation in tracheostomized, spontaneously breathing patients in a weaning rehabilitation center. Materials and Methods: Experimental setup to test instruments in vitro, in which the gauge (TRACOE) performance at differ...

  18. Does sealing endotracheal tube cuff pressure diminish the frequency of postoperative laryngotracheal complaints after nitrous oxide anesthesia?

    Science.gov (United States)

    Braz, José Reinaldo Cerqueira; Volney, Alexandre; Navarro, Laís Helena Camacho; Braz, Leandro Gobbo; Nakamura, Giane

    2004-08-01

    To study endotracheal tube (ETT) cuff pressures during nitrous oxide (N2O) anesthesia when the cuffs are inflated with air to achieve sealing pressure, and to evaluate the frequency of postoperative laryngotracheal complaints. Prospective, randomized, blind study. Metropolitan teaching hospital. 50 ASA physical status I and II patients scheduled for elective abdominal surgery. Patients received standard general anesthesia with 66% N2O in oxygen. In 25 patients, the ETT cuff was inflated with air to achieve a sealing pressure (Pseal group). In 25 patients, the ETT cuff was inflated with air to achieve a pressure of 25 cm H2O (P25 group). ETT intracuff pressures were recorded before (control) and at 30, 60, 90, 120, and 150 minutes during N2O administration. We investigated the frequency and intensity of sore throat, hoarseness, and dysphagia in patients in the Post-Anesthesia Care Unit (PACU) and 24 hours following tracheal extubation. The cuff pressures in the Pseal group were significantly lower than in the P25 group at all time points studied (p pressures exceeded the critical pressure of 30 cm H2O only after 90 minutes in the Pseal group and already by 30 minutes in the P25 group. The frequency and intensity of sore throat, hoarseness, and dysphagia were similar in both groups in the PACU and 24 hours after tracheal extubation (p > 0.05). Minimum ETT sealing cuff pressure during N2O anesthesia did not prevent, but instead attenuated, the increase in cuff pressure and did not decrease postoperative laryngotracheal complaints. Copyright 2004 Elsevier Inc.

  19. The effect of cuff pressure on postoperative sore throat after Cobra perilaryngeal airway.

    Science.gov (United States)

    Joe, Han Bum; Kim, Dae Hee; Chae, Yun Jeong; Kim, Jong Yeop; Kang, Min; Park, Kwan Sik

    2012-04-01

    The cuff volume of the Cobra perilaryngeal airway (CobraPLA) is larger than that of other alternative airway devices and makes it difficult to predict the effect of cuff pressure on the perilaryngeal mucosa. We tested the hypothesis that adjustment of the cuff pressure of the CobraPLA could reduce the incidence of postoperative sore throat (POST). After induction of general anesthesia and insertion of the CobraPLA by standardized method, the cuff pressure was set to 60 cmH(2)O (group C, n = 87) or adjusted to minimal seal-up pressure +5 cmH(2)O (group A, n = 87). The frequency and severity (0, none; 1, mild; 2, moderate; 3, severe) of throat soreness, pain, discomfort, and adverse effects were evaluated 1 and 24 h after removal of the CobraPLA. Incidence of moderate POST in group C was higher than that in group A (11% vs. 2%, P = 0.021) whereas the overall POST incidence was not different between the two groups (31% vs. 20%, P = 0.092). The inflated air volume of group A was different from that of group C (41 vs. 50 ml, P = 0.009). Adjustment of cuff pressure reduces the incidence of moderate POST after use of the CobraPLA.

  20. Vapor pressure measured with inflatable plastic bag

    Science.gov (United States)

    1965-01-01

    Deflated plastic bag in a vacuum chamber measures initial low vapor pressures of materials. The bag captures the test sample vapors and visual observation of the vapor-inflated bag under increasing external pressures yields pertinent data.

  1. Development of adaptive pneumatic tourniquet systems based on minimal inflation pressure for upper limb surgeries.

    Science.gov (United States)

    Liu, Hong-yun; Guo, Jun-yan; Zhang, Zheng-bo; Li, Kai-yuan; Wang, Wei-dong

    2013-09-23

    Pneumatic tourniquets are medical devices that occlude blood flow to distal part of extremities and are commonly used in upper limb surgeries to provide a dry, clean and bloodless field. To decrease pressure-related injuries and potential risk of complications subjected to the high inflation pressure of pneumatic tourniquet, minimal inflation pressures are recommended. A new occlusion pressure mathematical model for the upper limb was established based on the correlation analysis between several possible influencing parameters and the minimal pneumatic tourniquet pressure at which the peripheral pulse disappeared was recorded using a digital plethysmograph. A prototype of an adaptive pneumatic tourniquet which automatically varies the pressure in the tourniquet cuff according to the above prediction model was developed for the upper limb which used the lowest possible inflation pressure to achieve occlusion. The prototype comprises a blood pressure monitoring module, an inflatable tourniquet cuff, and a pressure relief mechanism to maintain an optimal cuff inflation pressure. Simulation experiments were conducted to verify the function and stability of the designed adaptive pneumatic tourniquet and clinical experiments using volunteers were undertaken to evaluate the performance of the prototype design in achieving adequate haemostasis in the upper limb. Results demonstrated that the mean arterial occlusion pressure was 152.3 ± 16.7 mmHg, obviously below the 250 to 300 mmHg previously recommended (J Bone Joint Surg Br 68:625-628, 1986 and Arthroscopy 11:307-311, 1995). In conclusion, this adaptive method and apparatus which can provide minimal inflation pressure may be a clinically practical alternative for upper limb surgery performed with pneumatic tourniquets.

  2. Computerized cuff pressure algometry: A new method to assess deep-tissue hypersensitivity in fibromyalgia.

    Science.gov (United States)

    Jespersen, Anders; Dreyer, Lene; Kendall, Sally; Graven-Nielsen, Thomas; Arendt-Nielsen, Lars; Bliddal, Henning; Danneskiold-Samsoe, Bente

    2007-09-01

    The aim of this study was to evaluate the use of computerized cuff pressure algometry (CPA) in fibromyalgia (FM) and to correlate deep-tissue sensitivity assessed by CPA with other disease markers of FM. Forty-eight women with FM and 16 healthy age-matched women were included. A computer-controlled, pneumatic tourniquet cuff was placed over the gastrocnemius muscle. The cuff was inflated, and the subject rated the pain intensity continuously on an electronic Visual Analogue Scale (VAS). The subject stopped the inflation at the pressure-pain tolerance and the corresponding VAS-score was determined (pressure-pain limit). The pressure at which VAS firstly exceeded 0 was defined as the pressure-pain threshold. Other disease markers (FM only): Isokinetic knee muscle strength, tenderpoint-count, myalgic score, Beck Depression Inventory, and Fibromyalgia Impact Questionnaire. Student's T-test was used to compare pressure-pain threshold and pressure-pain tolerance and the Mann-Whitney test to compare pressure-pain limit. Pearson's correlation was used to detect linear relationships. Pressure-pain threshold and pressure-pain tolerance assessed by CPA were significantly lower in FM compared to healthy controls. There was no difference in pressure-pain limit. CPA-parameters were significantly correlated to isokinetic muscle strength where more hypersensitivity resulted in lower strength. Pressure-pain threshold and pressure-pain tolerance assessed by CPA were significantly lower in patients with FM indicating muscle hyperalgesia. CPA was associated with knee muscle strength but not with measures thought to be influenced by psychological distress and mood.

  3. Cuff pressure pain detection is associated with both sex and physical activity level in nonathletic healthy subjects

    DEFF Research Database (Denmark)

    Lemming, Dag; Börsbo, Björn; Sjörs, Anna

    2017-01-01

    PURPOSE : The aim of this study was to evaluate pressure pain sensitivity on leg and arm in 98 healthy persons (50 women) using cuff algometry. Furthermore, associations with sex and physical activity level were investigated. METHOD:  Normal physical activity level was defined as Godin Leisure...... is associated both with male sex and physical activity level.......-Time Exercise Questionnaire (GLTEQ) score ≤ 45 and high activity level as GLTEQ > 45. A pneumatic double-chamber cuff was placed around the arm or leg where a single chamber was inflated. The cuff inflation rate (1 kPa/s) was constant, and pain intensity was registered continuously on a 10 cm electronic visual...

  4. Safety and reliability of the sealing cuff pressure of the Microcuff pediatric tracheal tube for prevention of post-extubation morbidity in children: A comparative study

    Directory of Open Access Journals (Sweden)

    Roshdi Roshdi Al-Metwalli

    2014-01-01

    Full Text Available Objectives: The objective of this study is to evaluate the efficacy and safety of sealing pressure as an inflation technique of the Microcuff pediatric tracheal cuffed tube. Materials and Methods: A total of 60 children were enrolled in this study. After induction of anesthesia and intubation with Microcuff pediatric tracheal tube, patients were randomly assigned, to one of the three groups. Control group (n = 20 the cuff was inflated to a cuff pressure of 20 cm H 2 O; sealing group (n = 20 the cuff was inflated to prevent the air leak at peak airway pressure of 20 cm H 2 O and the finger group (n = 20 the cuff was inflated to a suitable pressure using the finger estimation. Tracheal leak, incidence and severity of post-extubation cough, stridor, sore throat and hoarseness were recorded. Results: The cuff pressure as well as the volume of air to fill the cuff was significantly low in the sealing group when compared with the control group (P < 0.001; however, their values were significantly high in the finger group compared with both the control and the sealing group (P < 0.001. The incidence and severity of sore throat were significantly high in the finger group compared with both the control and the sealing group (P = 0.0009 and P = 0.0026. Three patients in the control group developed air leak around the endotracheal tube cuff. The incidence and severity of other complications were similar in the three groups. Conclusion: In pediatric N 2 O, free general anesthesia using Microcuff pediatric tracheal tub, sealing cuff pressure is safer than finger palpation technique regarding post-extubation morbidities and more reliable than recommended safe pressure in prevention of the air leak.

  5. Effects of retractor application on cuff pressure and vocal cord function in patients undergoing anterior cervical discectomy and fusion

    Directory of Open Access Journals (Sweden)

    Rakesh Garg

    2010-01-01

    Full Text Available Anterior cervical discectomy and fusion is a commonly performed procedure for prolapse of cervical intervertebral disc. It involves retraction of soft tissue of neck for adequate exposure of anterior spinal canal. Increased cuff pressure with retractor application may affect the postoperative vocal cord function. Cuff pressures of tracheal tube were measured continuously in 37 patients using air-filled pressure transducer connected to the pilot balloon. Changes of pressure from baseline values were noted after application of cervical retractor. At the end of procedure, vocal cord movement was observed using fibreoptic bronchoscope. Significant increase in cuff pressure (168% of baseline values and airway pressure of tracheal tube during cervical retraction was observed. The vocal cord function was assessed using fibreoptic laryngoscope. One patient developed right vocal cord palsy (2.7% and two patients had postoperative hoarseness of voice (5.4%. All these complications improved over a period of time. It is suggested that the cuff of tracheal tube should be inflated to achieve ′just seal′, with adequate cuff pressure monitoring. Intermittent release of cervical retraction may help to prevent laryngeal morbidities.

  6. Effects of retractor application on cuff pressure and vocal cord function in patients undergoing anterior cervical discectomy and fusion.

    Science.gov (United States)

    Garg, Rakesh; Rath, Girija P; Bithal, Parmod K; Prabhakar, Hemanshu; Marda, Manish K

    2010-07-01

    Anterior cervical discectomy and fusion is a commonly performed procedure for prolapse of cervical intervertebral disc. It involves retraction of soft tissue of neck for adequate exposure of anterior spinal canal. Increased cuff pressure with retractor application may affect the postoperative vocal cord function. Cuff pressures of tracheal tube were measured continuously in 37 patients using air-filled pressure transducer connected to the pilot balloon. Changes of pressure from baseline values were noted after application of cervical retractor. At the end of procedure, vocal cord movement was observed using fibreoptic bronchoscope. Significant increase in cuff pressure (168% of baseline values) and airway pressure of tracheal tube during cervical retraction was observed. The vocal cord function was assessed using fibreoptic laryngoscope. One patient developed right vocal cord palsy (2.7%) and two patients had postoperative hoarseness of voice (5.4%). All these complications improved over a period of time. It is suggested that the cuff of tracheal tube should be inflated to achieve 'just seal', with adequate cuff pressure monitoring. Intermittent release of cervical retraction may help to prevent laryngeal morbidities.

  7. Estimation of central aortic pressure waveform features derived from the brachial cuff volume displacement waveform.

    Science.gov (United States)

    Butlin, Mark; Qasem, Ahmad; Avolio, Alberto P

    2012-01-01

    There is increasing interest in non-invasive estimation of central aortic waveform parameters in the clinical setting. However, controversy has arisen around radial tonometric based systems due to the requirement of a trained operator or lack of ease of use, especially in the clinical environment. A recently developed device utilizes a novel algorithm for brachial cuff based assessment of aortic pressure values and waveform (SphygmoCor XCEL, AtCor Medical). The cuff was inflated to 10 mmHg below an individual's diastolic blood pressure and the brachial volume displacement waveform recorded. The aortic waveform was derived using proprietary digital signal processing and transfer function applied to the recorded waveform. The aortic waveform was also estimated using a validated technique (radial tonometry based assessment, SphygmoCor, AtCor Medical). Measurements were taken in triplicate with each device in 30 people (17 female) aged 22 to 79 years of age. An average for each device for each individual was calculated, and the results from the two devices were compared using regression and Bland-Altman analysis. A high correlation was found between the devices for measures of aortic systolic (R(2)=0.99) and diastolic (R(2)=0.98) pressure. Augmentation index and subendocardial viability ratio both had a between device R(2) value of 0.82. The difference between devices for measured aortic systolic pressure was 0.5±1.8 mmHg, and for augmentation index, 1.8±7.0%. The brachial cuff based approach, with an individualized sub-diastolic cuff pressure, provides an operator independent method of assessing not only systolic pressure, but also aortic waveform features, comparable to existing validated tonometric-based methods.

  8. [Measurement of the Minimum Pressure in the Bronchial Cuff during One-lung Ventilation Using a Capnometer].

    Science.gov (United States)

    Okubo, Haruka; Kawasaki, Takashi; Shibayama, Aiko; Sata, Takeyoshi

    2015-08-01

    It is recommended to avoid overinflation of the bronchial cuff, leading to ischemic pressure damages to the respiratory mucosa and bronchial rupture. We investigated the minimum bronchial cuff pressure of 35 Fr double lumen tubes (DLTs) during one lung ventilation using a capnometer. We studied 50 patients who were scheduled to undergo thoracic surgery. General anesthesia was induced and the patients were intubated with 35 Fr left DLT. With a fiberoptic bronchoscope, the DLT was positioned appropriately. The bronchial cuff was inflated first with air 3-3.5 ml. Lung isolation was confirmed by auscultation. Measurements were performed with the patient in the lateral position. Ventilating one lung isolatedly for 5 minutes, we confirmed non ventilated condition with a capnometer displaying flat line. The bronchial cuff was deflated 0.5-ml steps just before displaying the respiratory pattern by the capnogram. The bronchial cuff pressure and volume were recorded at this point The minimum pressures of bronchial cuff (volume) for one lung ventilation are for male 5.46 ± 0.6 cmH2O (2.33?0.1 ml) and for female 1.5?0.5 cmH20 (1.09 ± 0.3 ml). These values are smaller than the recommended value (< 25 cmH2O). There was no case in which the collapse of the operated lung was insufficient. In this study, the bronchial pressure higher than 12 cmH2O was not necessary for one lung ventilation. If high intracuff pressure is necessary to seal the bronchus, there are possibilities of the incompatibility of the size of DLT and the herniation of the bronchial cuff to the proximal side. The method of confirmation of OLV using a capnometer can display the non ventilated condition on the monitor objectively. We can thus decrease troubles during operations.

  9. Pulse Arrival Time Based Cuff-Less and 24-H Wearable Blood Pressure Monitoring and its Diagnostic Value in Hypertension.

    Science.gov (United States)

    Zheng, Yali; Poon, Carmen C Y; Yan, Bryan P; Lau, James Y W

    2016-09-01

    Ambulatory blood pressure monitoring (ABPM) has become an essential tool in the diagnosis and management of hypertension. Current standard ABPM devices use an oscillometric cuff-based method which can cause physical discomfort to the patients with repeated inflations and deflations, especially during nighttime leading to sleep disturbance. The ability to measure ambulatory BP accurately and comfortably without a cuff would be attractive. This study validated the accuracy of a cuff-less approach for ABPM using pulse arrival time (PAT) measurements on both healthy and hypertensive subjects for potential use in hypertensive management, which is the first of its kind. The wearable cuff-less device was evaluated against a standard cuff-based device on 24 subjects of which 15 have known hypertension. BP measurements were taken from each subject over a 24-h period by the cuff-less and cuff-based devices every 15 to 30 minutes during daily activities. Mean BP of each subject during daytime, nighttime and over 24-h were calculated. Agreement between mean nighttime systolic BP (SBP) and diastolic (DBP) measured by the two devices evaluated using Bland-Altman plot were -1.4 ± 6.6 and 0.4 ± 6.7 mmHg, respectively. Receiver operator characteristics (ROC) statistics was used to assess the diagnostic accuracy of the cuff-less approach in the detection of BP above the hypertension threshold during nighttime (>120/70 mmHg). The area under ROC curves were 0.975/0.79 for nighttime. The results suggest that PAT-based approach is accurate and promising for ABPM without the issue of sleep disturbances associated with cuff-based devices.

  10. [Variations in the internal pressure of the pneumatic cuffs of endotracheal tubes according to their contents and the anesthetic mixtures used. Experimental study].

    Science.gov (United States)

    de Santos, P; Castillo, J; Bogdanovich, A; Nalda, M A

    1989-01-01

    With the purpose of measuring pressure changes in the pneumatic cuffs of endotracheal tubes when the composition of the mixture of gases used for ventilation had to change for the same content, we designed a model of artificial respiration that consisted of a tube with a low pressure pneumatic cuff measuring 8.5 mm in inner diameter introduced in a replica of a human trachea, adjusted to two anesthetic bags. The cuff valve was connected to a pressure transducer by a three-ended stopcock and, after aspiration of its content, it was inflated with air, saline or nitrous oxide and oxygen at 60% up to a basal pressure of 20 mmHg. The tube was connected to a respirator adjusted to inflate 10 l/min at a rate of 15 insufflations/min of: oxygen 100% for 5 minutes, then nitrous oxide and oxygen at 60% for 30 minutes and oxygen 100% again for 15 minutes. When inflating the pneumatic cuff with air and ventilating with nitrous oxide and oxygen at 60%, its pressure reached a maximum mean value of 58 mmHg (190% with respect to base values). When insufflating with saline and ventilating in the same conditions, pressure reached a maximum mean value of 33 mmHg (65% with respect to base values). When the pneumatic cuff was inflated with nitrous oxide and oxygen at 60%, important changes in pressure were observed when the characteristics of the inspired gases were modified. We conclude that some method for monitoring pneumatic cuff pressure should be systematized.

  11. Measurements of endotracheal tube cuff contact pressure using fibre Bragg gratings

    Science.gov (United States)

    Hernandez, F. U.; Correia, R.; Korposh, S.; Morgan, S. P.; Hayes-Gill, B. R.; James, S. W.; Evans, D.; Norris, A.

    2015-09-01

    An optical fibre Bragg grating (FBG) was used to measure local strain (due to contact pressure) at the interface of a cuffed endotracheal tube (ETT) tested in a tracheal model. The tracheal model consisted of a corrugated tube. Two FBG sensors written in a single optical fibre were attached to the outside wall of the cuff of the ETT. Intracuff endotracheal pressure was measured using a digital manometer, while the contact pressure between the model trachea and the ETT was measured using Flexiforce sensors. Changes in the Bragg wavelengths in response to the inflation of the cuff of the ETT, and concomitant pressure increase, were observed to be dependent on the location of the FBGs at the corrugations, i.e., the annular peaks and troughs of the corrugated tube. The performance of both contact pressure sensors FBG and Flexiforce suggests that FBG technology is better suited to this application as it allows the measurement of contact pressures on non-uniform surfaces such as in the tracheal model.

  12. Maintaining endotracheal tube cuff pressure at 20 mm Hg to prevent dysphagia after anterior cervical spine surgery; protocol of a double-blind randomised controlled trial.

    Science.gov (United States)

    Arts, Mark P; Rettig, Thijs C D; de Vries, Jessica; Wolfs, Jasper F C; in't Veld, Bas A

    2013-09-25

    In anterior cervical spine surgery a retractor is obligatory to approach the spine. Previous studies showed an increase of endotracheal tube cuff pressure after placement of a retractor. It is known that high endotracheal tube cuff pressure increases the incidence of postoperative dysphagia, hoarseness, and sore throat. However, until now no evidence supports the fact whether adjusting the endotracheal tube cuff pressure during anterior cervical spine surgery will prevent this comorbidity. We present the design of a randomized controlled trial to determine whether adjusting endotracheal tube cuff pressure after placement of a retractor during anterior cervical spine surgery will prevent postoperative dysphagia. 177 patients (aged 18-90 years) scheduled for anterior cervical spine surgery on 1 or more levels will be included. After intubation, endotracheal tube cuff pressure is manually inflated to 20 mm Hg in all patients. Patients will be randomized into two groups. In the control group endotracheal tube cuff pressure is not adjusted after retractor placement. In the intervention group endotracheal tube cuff pressure after retractor placement is maintained at 20 mm Hg and air is withdrawn when cuff pressure exceeds 20 mm Hg. Endotracheal tube cuff pressure is measured after intubation, before and after placement and removal of the retractor. Again air is inflated if cuff pressure sets below 20 mmHg after removal of the retractor. The primary outcome measure is postoperative dysphagia. Other outcome measures are postoperative hoarseness, postoperative sore throat, degree of dysphagia, length of hospital stay, and pneumonia. The study is a single centre double blind randomized trial in which patients and research nurses will be kept blinded for the allocated treatment during the follow-up period of 2 months. Postoperative dysphagia occurs frequently after anterior cervical spine surgery. This may be related to high endotracheal tube cuff pressure. Whether

  13. Occlusion cuff for routine measurement of digital blood pressure and blood flow

    DEFF Research Database (Denmark)

    Lassen, N A; Krähenbühl, B; Hirai, M

    1977-01-01

    A miniaturized blood pressure cuff made of plastic material and applicable to fingers and toes is described. The cuff was compared to rubber cuffs and to bladder-free cuffs. It was found to be more reliable than the former type and much easier to use than the latter type. It is recommended for us...... in conjunction with a mercury-in-Silastic strain gauge for routine measurement of digital blood pressure and blood flow in patients with arterial disease.......A miniaturized blood pressure cuff made of plastic material and applicable to fingers and toes is described. The cuff was compared to rubber cuffs and to bladder-free cuffs. It was found to be more reliable than the former type and much easier to use than the latter type. It is recommended for use...

  14. Automated Control of Endotracheal Tube Cuff Pressure during Simulated Flight

    Science.gov (United States)

    2016-06-21

    711th Human Performance Wing U.S. Air Force School of Aerospace Medicine Int’l Expeditionary Educ & Training Dept Air Force Expeditionary Medical ...International Expeditionary Education & Training Dept Air Force Expeditionary Medical Skills Institute/C-STARS Cincinnati 2510 Fifth St., Bldg. 840...AFRL-SA-WP-SR-2016-0008 Automated Control of Endotracheal Tube Cuff Pressure during Simulated Flight Thomas C. Blakeman

  15. A comparison of the failure times of pulse oximeters during blood pressure cuff-induced hypoperfusion in volunteers.

    Science.gov (United States)

    Kawagishi, Toshiya; Kanaya, Noriaki; Nakayama, Masayasu; Kurosawa, Saori; Namiki, Akiyoshi

    2004-09-01

    Important information may not be obtained if the pulse oximetry signal is lost during inflation of a cuff for blood pressure measurement, particularly in patients with hemodynamic instability. In the present study, we compared the failure times of pulse oximeters during cuff-induced hypoperfusion in volunteers. A pulse oximeter sensor was attached to the index finger, and a blood pressure cuff was attached to the same arm of each volunteer. MasimoSET Radical (Masimo), Nellcor N-395 (N-395), Nellcor N-20PA, and Nellcor D-25 were tested. To evaluate the failure time of each pulse oximeter, time to peak of cuff pressure, time to loss of signal, time to recovery of signal, and failure interval were measured. All measurements were performed three times for each pulse oximeter and were averaged. There were no differences in hemodynamic measurements among the groups. Time to loss of signal was longer in Masimo than the other pulse oximeters. Masimo and N-395 showed significantly shorter times to recovery of signal than those of the other two pulse oximeters. Failure interval was in the order of Masimo Masimo did not lose a signal as rapidly as the other oximeters studied. Masimo was similar in performance to the N-395 at providing useful data sooner than conventional technology after a loss of the signal. These observations suggest that data will be more available with fewer false-positive alarms when using the Masimo oximeter followed by the N-395 when compared with conventional oximeters.

  16. Tracheal tube and laryngeal mask cuff pressure during anaesthesia - mandatory monitoring is in need

    Directory of Open Access Journals (Sweden)

    Møller Ann M

    2010-12-01

    Full Text Available Abstract Background To prevent endothelium and nerve lesions, tracheal tube and laryngeal mask cuff pressure is to be maintained at a low level and yet be high enough to secure air sealing. Method In a prospective quality-control study, 201 patients undergoing surgery during anaesthesia (without the use of nitrous oxide were included for determination of the cuff pressure of the tracheal tubes and laryngeal masks. Results In the 119 patients provided with a tracheal tube, the median cuff pressure was 30 (range 8 - 100 cm H2O and the pressure exceeded 30 cm H2O (upper recommended level for 54 patients. In the 82 patients provided with a laryngeal mask, the cuff pressure was 95 (10 - 121 cm H2O and above 60 cm H2O (upper recommended level for 56 patients and in 34 of these patients, the pressure exceeded the upper cuff gauge limit (120 cm H2O. There was no association between cuff pressure and age, body mass index, type of surgery, or time from induction of anaesthesia to the time the cuff pressure was measured. Conclusion For maintenance of epithelia flow and nerve function and at the same time secure air sealing, this evaluation indicates that the cuff pressure needs to be checked as part of the procedures involved in induction of anaesthesia and eventually checked during surgery.

  17. Comparison of endotracheal tube cuff pressure values before and after training seminar.

    Science.gov (United States)

    Özcan, Ayça Tuba Dumanlı; Döğer, Cihan; But, Abdülkadir; Kutlu, Işık; Aksoy, Şemsi Mustafa

    2017-07-22

    It is recommended that endotracheal cuff (ETTc) pressure be between 20 and 30 cm H2O. In this present study, we intend to observe average cuff pressure values in our clinic and the change in these values after the training seminar. The cuff pressure values of 200 patients intubated following general anesthesia induction in the operating theatre were measured following intubation. One hundred patients whose values were measured before the training seminar held for all physician assistants, and 100 patients whose values were measured after the training seminar were regarded as Group 1 and Group 2, respectively. Cuff pressures of both groups were recorded, and the difference between them was shown. Moreover, cuff pressure values were explored according to the working period of the physician assistants. There was no significant difference between the groups in terms of age, gender and tube diameters. Statistically significant difference was found between cuff pressure values before and after the training (p values decreased, however no statistically significant different was found (p training seminars held at intervals would prevent high cuff pressure values and potential complications.

  18. Analysis on risk factors of endotracheal cuff under inflation in mechanically ventilated patients%机械通气患者低气囊压力的影响因素分析

    Institute of Scientific and Technical Information of China (English)

    付优; 席修明

    2014-01-01

    插管患者中较为常见,气管插管使用时间越长,低气囊压力发生越频繁;需要加强对气囊压力的监测和管理。%Objective To investigate the prevalent condition of endotracheal cuff pressure and risk factors for under inflation. Methods A prospective cohort study was conducted. Patients admitted to the Department of Critical Care Medicine of Fuxing Hospital Affiliated to Capital Medical University,who were intubated with a high-volume low-pressure endotracheal tube,and had undergone mechanical ventilation for at least 48 hours,were enrolled. The endotracheal cuff pressure was determined every 8 hours by a manual manometer connected to the distal edge of the valve cuff at 07:00,15:00,and 23:00. Measurement of the endotracheal cuff pressure was continued until the extubation of endotracheal or tracheostomy tube,or death of the patient. According to the incidence of under inflation of endotracheal cuff,patients were divided into the incidence of under inflation lower than 25%group(lower low cuff pressure group)and higher than 25% group(higher low cuff pressure group). The possible influencing factors were evaluated in the two groups,including body mass index(BMI),size of endotracheal tube,duration of intubation,use of sedative or analgesic,number of leaving from intensive care unit(ICU),the number of turning over the patients, and aspiration of sputum. Logistic regression analysis was used to determine risk factors for under-inflation of the endotracheal cuff. Results During the study period,53 patients were enrolled. There were 812 measurements,and 46.3%of them was abnormal,and 204 times(25.1%)of under inflation of endotracheal cuff were found. There were 24 patients(45.3%)in whom the incidence of under inflation rate was higher than 25%. The average of under inflation was 7(4,10)times. Compared with the group with lower rate of low cuff pressure,a longer time for intubation was found in group with higher rate of low cuff pressure〔hours:162(113,225)vs. 118

  19. Tracheal tube and laryngeal mask cuff pressure during anaesthesia - mandatory monitoring is in need

    DEFF Research Database (Denmark)

    Rokamp, K.Z.; Secher, N.H.; Møller, Ann

    2010-01-01

    ABSTRACT: BACKGROUND: To prevent endothelium and nerve lesions, tracheal tube and laryngeal mask cuff pressure is to be maintained at a low level and yet be high enough to secure air sealing. METHOD: In a prospective quality-control study, 201 patients undergoing surgery during anaesthesia (without...... and age, body mass index, type of surgery, or time from induction of anaesthesia to the time the cuff pressure was measured. CONCLUSION: For maintenance of epithelia flow and nerve function and at the same time secure air sealing, this evaluation indicates that the cuff pressure needs to be checked...

  20. Assessment of musculoskeletal pain sensitivity and temporal summation by cuff pressure algometry

    DEFF Research Database (Denmark)

    Graven-Nielsen, Thomas; Vaegter, Henrik Bjarke; Finocchietti, Sara

    2015-01-01

    ) conditioned pain modulation (CPM) assessed by cuff algometry. The influences of age and gender were evaluated. On two different days, cuff pain threshold (cPPT), cuff pain tolerance (cPTT), and temporal summation of pain (TSP) by visual analogue scale scores to 10 repeated cuff stimulations at cPTT intensity......, as well as pressure pain threshold (PPT) with handheld pressure algometry were assessed in 136 healthy subjects. In one session cuff pain sensitivity was also assessed before and after the cold-pressor induced CPM. Good to excellent intraclass correlations (ICCs: 0.60 - 0.90) were demonstrated for manual.......05). TSP were increased in women compared with men (PCPM demonstrated as increased cPPT, cPTT and reduced TSP (P

  1. Effect of continuous cuff pressure regulator in general anaesthesia with laryngeal mask airway.

    Science.gov (United States)

    Jeon, Y-S; Choi, J-W; Jung, H-S; Kim, Y-S; Kim, D-W; Kim, J-H; Lee, J-A

    2011-01-01

    Postoperative pharyngolaryngeal complications (PPLC) occur during anaesthesia due to increased cuff pressure following the insertion of laryngeal mask airways. The use of a pressure regulator to prevent PPLC was evaluated in a prospective, randomized study. Sixty patients scheduled to receive general anaesthesia were randomly assigned to two equal groups of 30, either with or without the regulator. The 'just seal' cuff pressure (JSCP), cuff pressure at 5-min intervals during anaesthesia, incidence of pharyngeal sore throat (PST), dysphagia, dysphonia and other complications were evaluated at 1 and 24 h postoperatively. The combined mean ± SD JSCP of both groups was 20.3 ± 3.2 mmHg. In the group with the regulator, cuff pressure was maintained at a constant level during anaesthesia. This study demonstrated that the regulator is a simple, functional device that can reduce the incidence of PST significantly at 1 h postoperatively, following general anaesthesia.

  2. Comparison of Pressure Changes by Head and Neck Position between High-Volume Low-Pressure and Taper-Shaped Cuffs: A Randomized Controlled Trial.

    Science.gov (United States)

    Komasawa, Nobuyasu; Mihara, Ryosuke; Imagawa, Kentaro; Hattori, Kazuo; Minami, Toshiaki

    2015-01-01

    The present study compared changes in cuff pressure by head and neck position between high-volume low-pressure (HVLP) and taper-shaped (taper) cuffs in a prospective randomized clinical trial. Methods. Forty patients were intubated using tracheal tubes with either HVLP (n = 20; HVLP group) or taper-shaped (n = 20; Taper group) cuffs. Initial cuff pressure was adjusted to 15, 20, or 25 cmH2O in the neutral position. Cuff pressure was evaluated after changing the head and neck positions to flexion, extension, and rotation. Results. Cuff pressure significantly increased with flexion in both HVLP and Taper groups at all initial cuff pressures. It significantly increased with extension in the HVLP group, but not in the Taper group. Cuff pressure did not significantly differ with rotation in either group and was significantly smaller in the Taper group during flexion and extension than in the HVLP group, regardless of initial cuff pressure. Conclusion. Cuff pressure changes with head and neck flexion and extension were smaller in the Taper group than in the HVLP group. Our results highlight the potential for taper cuffs to prevent excessive cuff pressure increases with positional changes in the head and neck. This trial is registered with UMIN000016119.

  3. Comparison of Pressure Changes by Head and Neck Position between High-Volume Low-Pressure and Taper-Shaped Cuffs: A Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Nobuyasu Komasawa

    2015-01-01

    Full Text Available The present study compared changes in cuff pressure by head and neck position between high-volume low-pressure (HVLP and taper-shaped (taper cuffs in a prospective randomized clinical trial. Methods. Forty patients were intubated using tracheal tubes with either HVLP (n=20; HVLP group or taper-shaped (n=20; Taper group cuffs. Initial cuff pressure was adjusted to 15, 20, or 25 cmH2O in the neutral position. Cuff pressure was evaluated after changing the head and neck positions to flexion, extension, and rotation. Results. Cuff pressure significantly increased with flexion in both HVLP and Taper groups at all initial cuff pressures. It significantly increased with extension in the HVLP group, but not in the Taper group. Cuff pressure did not significantly differ with rotation in either group and was significantly smaller in the Taper group during flexion and extension than in the HVLP group, regardless of initial cuff pressure. Conclusion. Cuff pressure changes with head and neck flexion and extension were smaller in the Taper group than in the HVLP group. Our results highlight the potential for taper cuffs to prevent excessive cuff pressure increases with positional changes in the head and neck. This trial is registered with UMIN000016119.

  4. MEASUREMENT OF ENDOTRACHEAL TUBE CUFF PRESSURE IN MECHANICALLYVENTILATED PATIENTS ON ARRIVAL TO INTENSIVE CARE UNIT - A CROSS-SECTIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Arun Kumar Ajjappa

    2017-04-01

    Full Text Available BACKGROUND The monitoring of Endotracheal Tube (ETT cuff pressure in intubated patients on arrival to intensive care unit is very essential. The cuff pressure must be within an optimal range of 20-30cm H2O ensuring ventilation with no complications related to cuff overinflation and underinflation. This can be measured with a cuff pressure manometer. The aim of the study is to measure the endotracheal tube cuff pressure in patients on arrival to intensive care unit and to identify prevalence of endotracheal cuff underinflation and overinflation. MATERIALS AND METHODS A cross-sectional study was done on mechanically-ventilated patients who were intubated in casualty (emergency department on arrival to intensive care unit in S.S. Institute of Medical Sciences and Research Centre, Davangere. About 50 critically-ill patients intubated with a high volume, low pressure endotracheal tube were included in the study. An analogue manometer was used to measure the endotracheal tube cuff pressure. It was compared with the recommended level. The settings of mechanical ventilation, endotracheal tube size and peak airway pressure were recorded. RESULTS It was found that the mean cuff pressure was 64.10 cm of H2O with a standard deviation of 32.049. Of the measured cuff pressures, only 2% had pressures within an optimal range (20-30cm of H2O. 88% had cuff pressures more than 30cm of H2O. The mean peak airway pressure found to be 20.50cm of H2O with a Standard Deviation (SD of 5.064. CONCLUSION This study is done to emphasise the importance of cuff pressure measurement in all mechanically-ventilated patients as cuff pressure is found to be high in most of the patients admitted to intensive care unit. Complications of overinflation and underinflation can only be prevented if the acceptable cuff pressures are achieved.

  5. Tracheal tube and laryngeal mask cuff pressure during anaesthesia - mandatory monitoring is in need

    DEFF Research Database (Denmark)

    Rokamp, K.Z.; Secher, N.H.; Møller, Ann;

    2010-01-01

    ABSTRACT: BACKGROUND: To prevent endothelium and nerve lesions, tracheal tube and laryngeal mask cuff pressure is to be maintained at a low level and yet be high enough to secure air sealing. METHOD: In a prospective quality-control study, 201 patients undergoing surgery during anaesthesia (without...... the use of nitrous oxide) were included for determination of the cuff pressure of the tracheal tubes and laryngeal masks. RESULTS: In the 119 patients provided with a tracheal tube, the median cuff pressure was 30 (range 8 - 100) cm H2O and the pressure exceeded 30 cm H2O (upper recommended level) for 54...... patients. In the 82 patients provided with a laryngeal mask, the cuff pressure was 95 (10 - 121) cm H2O and above 60 cm H2O (upper recommended level) for 56 patients and in 34 of these patients, the pressure exceeded the upper cuff gauge limit (120 cm H2O). There was no association between cuff pressure...

  6. An affordable cuff-less blood pressure estimation solution.

    Science.gov (United States)

    Jain, Monika; Kumar, Niranjan; Deb, Sujay

    2016-08-01

    This paper presents a cuff-less hypertension pre-screening device that non-invasively monitors the Blood Pressure (BP) and Heart Rate (HR) continuously. The proposed device simultaneously records two clinically significant and highly correlated biomedical signals, viz., Electrocardiogram (ECG) and Photoplethysmogram (PPG). The device provides a common data acquisition platform that can interface with PC/laptop, Smart phone/tablet and Raspberry-pi etc. The hardware stores and processes the recorded ECG and PPG in order to extract the real-time BP and HR using kernel regression approach. The BP and HR estimation error is measured in terms of normalized mean square error, Error Standard Deviation (ESD) and Mean Absolute Error (MAE), with respect to a clinically proven digital BP monitor (OMRON HBP1300). The computed error falls under the maximum standard allowable error mentioned by Association for the Advancement of Medical Instrumentation; MAE <; 5 mmHg and ESD <; 8mmHg. The results are validated using two-tailed dependent sample t-test also. The proposed device is a portable low-cost home and clinic bases solution for continuous health monitoring.

  7. New parachute cuff and positive end-expiratory pressure to minimize tracheal injury and prevent aspiration.

    Science.gov (United States)

    Nordin, U; Lyttkens, L

    1979-01-01

    A new parachute cuff has been tested in combination with a positive end-expiratory pressure (PEEP) on mongrel dogs. During positive-pressure ventilation the intracuff and intratracheal pressures showed synchronous, identical pressure variations, and therefore theoretically with this type of cuff the pressure against the tracheal wall would be minimal. The cuff provided a seal against gas leakage from the lungs throughout the entire test period, i.e., for up to 7 h. To avoid aspiration of mouth contents during the passive exhalation phase, different amounts of PEEP were tested. A PEEP of 4.0--8.0 cm H2O always produced a seal against a column of fluid in the mouth exerting a hydrostatic pressure of 5.4--8.8 cm H2O against the cuff. This seal was maintained during the whole test period. No difference in sealing capacity was found when the cuff was used with a normal respiratory frequency (20/min) and with high-frequency positive-pressure ventilation (60/min). When the PEEP is eliminated, e.g., when the respirator is disconnected for suction of the endotracheal tube, the sealing effect will be abolished. As the cuff extends up into the larynx there will be no pooling of fluid above the cuff. The risk of aspiration can therefore be diminished by suction of oral cavity before disconnecting the respirator. With the use of the pneumatic valve principle together with high-frequency positive-pressure ventilation, an open respirator system can produce a continuous PEEP, thereby preventing aspiration even during suctioning of the tracheal tube.

  8. Improved Attachment in a Hybrid Inflatable Pressure Vessel

    Science.gov (United States)

    Johnson, Christopher J.; Patterson, Ross; Spexarth, Gary R.

    2010-01-01

    The vessel is a hybrid that comprises an inflatable shell attached to a rigid structure. The inflatable shell is, itself, a hybrid that comprises (1) a pressure bladder restrained against expansion by (2) a restraint layer that comprises a web of straps made from high-strength polymeric fabrics. The present improvements are intended to overcome deficiencies in those aspects of the original design that pertain to attachment of the inflatable shell to the rigid structure. In a typical intended application, such attachment(s) would be made at one or more window or hatch frames to incorporate the windows or hatches as integral parts of the overall vessel.

  9. Cuff size influences blood pressure measurement in obese children and adolescents

    DEFF Research Database (Denmark)

    Muhamed, P. K.; Olsen, M. H.; Holm, Jens-Christian

    2016-01-01

    Introduction: Recently, we established that a group ofobese children and adolescents had a higher blood pressure(BP) than a healthy control group. In the present study, weinvestigate whether the higher BP in the obese group wasinfluenced by BP cuff sizes.Methods: A total of 104 obese patients aged...... sizes had a significant impact on BP measurements.Despite the influence of cuff size, multiple regressionanalyses revealed that systolic BP was 68 mmHg higherand diastolic BP 32 mmHg higher in the obese groupthan in the control group. A step function, i.e. a sudden fallin BP, was seen at the point...... of switching from small to mediumcuff size in the control group, which suggests that systolicBP was overestimated when using small cuff size andunderestimated when using medium cuff size in subjectswith an AC near 23 cm.Conclusions: BP was higher in the obese group than inthe control group although BP...

  10. Accuracy of Cuff-Measured Blood Pressure: Systematic Reviews and Meta-Analyses

    DEFF Research Database (Denmark)

    Picone, Dean S; Schultz, Martin G; Otahal, Petr

    2017-01-01

    % CI: -1.5 to 2.1 mm Hg; p = 0.77) but poor agreement (mean absolute difference 8.0 mm Hg; 95% CI: 7.1 to 8.9 mm Hg). Concordance between BP classification using the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure cuff BP (normal......BACKGROUND: Hypertension (HTN) is the single greatest cardiovascular risk factor worldwide. HTN management is usually guided by brachial cuff blood pressure (BP), but questions have been raised regarding accuracy. OBJECTIVES: This comprehensive analysis determined the accuracy of cuff BP...... studies with 3,073 participants were included. Intra-arterial brachial systolic blood pressure (SBP) was higher than aortic values (8.0 mm Hg; 95% confidence interval [CI]: 5.9 to 10.1 mm Hg; p

  11. Cuff overinflation and endotracheal tube obstruction: case report and experimental study

    Directory of Open Access Journals (Sweden)

    Mack Martin G

    2010-04-01

    Full Text Available Abstract Background Initiated by a clinical case of critical endotracheal tube (ETT obstruction, we aimed to determine factors that potentially contribute to the development of endotracheal tube obstruction by its inflated cuff. Prehospital climate and storage conditions were simulated. Methods Five different disposable ETTs (6.0, 7.0, and 8.0 mm inner diameter were exposed to ambient outside temperature for 13 months. In addition, every second of these tubes was mechanically stressed by clamping its cuffed end between the covers of a metal emergency case for 10 min. Then, all tubes were heated up to normal body temperature, placed within the cock of a syringe, followed by stepwise inflation of their cuffs to pressures of 3 kPa and ≥12 kPa, respectively. The inner lumen of the ETT was checked with the naked eye for any obstruction caused by the external cuff pressure. Results Neither in tubes that were exposed to ambient temperature (range: -12°C to +44°C nor in those that were also clamped, visible obstruction by inflated cuffs was detected at any of the two cuff pressure levels. Conclusions We could not demonstrate a critical obstruction of an ETT by its inflated cuff, neither when the cuff was over-inflated to a pressure of 12 kPa or higher, nor in ETTs that had been exposed to unfavorable storage conditions and significant mechanical stress.

  12. [Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate].

    Science.gov (United States)

    Yurtlu, Bülent Serhan; Hanci, Volkan; Köksal, Bengü; Okyay, Dilek; Ayoğlu, Hilal; Turan, Işıl Özkoçak

    2015-01-01

    We have planned to evaluate the laryngeal mask cuff pressures (LMcp) inflated by anesthesia workers of several seniority, without using manometer. 180 patients scheduled to have short duration surgery with laryngeal mask were included in the study. Five anesthesia specialists (Group S), 10 residents (Group R) and 6 technicians (Group T) inflated the LMc; thereafter LMcp were measured with pressure manometer. Participants have repeated this practice in at least five different cases. LMcp higher than 60cm H2O at the initial placement or intraoperative period were adjusted to normal range. Sore throat was questioned postoperatively. Groups were compared in terms of mean LMcp and occupational experience. At the settlement of LM, LMcp pressures within the normal range were determined in 26 (14.4%) cases. Mean LMcp after LM placement in Group S, R and T were 101.2±14.0, 104.3±20.5cm H2O and 105.2±18.4cm H2O respectively (p>0.05). Mean LMcp values in all measurement time periods within the groups were above the normal limit (60cm H2O). When groups were compared in terms of LMcp, no difference has been found among pressure values. Occupational experience was 14.2±3.9; 3.3±1.1 and 6.6±3.8 years for specialists, residents and technicians respectively and measured pressure values were not different in regard of occupational experience. Seven (3.9%) patients had sore throat at the 24th hour interview. Considering lower possibility of normal adjustment of LMcp and ineffectiveness of occupational experience to obtain normal pressure values, it is suitable that all anesthesia practitioners should adjust LMcp with manometer. Copyright © 2013 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

  13. Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate

    Directory of Open Access Journals (Sweden)

    Bülent Serhan Yurtlu

    2015-12-01

    Full Text Available OBJECTIVE: We have planned to evaluate the laryngeal mask cuff pressures (LMcp inflated by anesthesia workers of several seniority, without using manometer. METHODS: 180 patients scheduled to have short duration surgery with laryngeal mask were included in the study. Five anesthesia specialists (Group S, 10 residents (Group R and 6 technicians (Group T inflated the LMc; thereafter LMcp were measured with pressure manometer. Participants have repeated this practice in at least five different cases. LMcp higher than 60 cm H2O at the initial placement or intraoperative period were adjusted to normal range. Sore throat was questioned postoperatively. Groups were compared in terms of mean LMcp and occupational experience. RESULTS: At the settlement of LM, LMcp pressures within the normal range were determined in 26 (14.4% cases. Mean LMcp after LM placement in Group S, R and T were 101.2 ± 14.0, 104.3 ± 20.5 cm H2O and 105.2 ± 18.4 cm H2O respectively (p > 0.05. Mean LMcp values in all measurement time periods within the groups were above the normal limit (60 cm H2O. When groups were compared in terms of LMcp, no difference has been found among pressure values. Occupational experience was 14.2 ± 3.9; 3.3 ± 1.1 and 6.6 ± 3.8 years for specialists, residents and technicians respectively and measured pressure values were not different in regard of occupational experience. Seven (3.9% patients had sore throat at the 24th hour interview. CONCLUSION: Considering lower possibility of normal adjustment of LMcp and ineffectiveness of occupational experience to obtain normal pressure values, it is suitable that all anesthesia practitioners should adjust LMcp with manometer.

  14. Short-term pressure induced suppression of the short-latency response: a new methodology for investigating stretch reflexes

    DEFF Research Database (Denmark)

    Leukel, Christian; Lundbye-Jensen, Jesper; Gruber, Markus;

    2009-01-01

    During experiments involving ischemic nerve block, we noticed that the short-latency response (SLR) of evoked stretches in m. soleus decreased immediately following inflation of a pneumatic cuff surrounding the lower leg. The present study aimed to investigate this short-term effect of pressure...... and inflated cuff. Results of the protocols were as follows: 1) inflation of the cuff reduced the SLR but not the MLR; 2) the H-reflex, the M-wave, and, 3) SNAPs of n. tibialis remained unchanged with deflated and inflated cuff; 4) the SLR was dependent on the stretch velocity with deflated and also inflated...

  15. Assessment of Intraocular and Systemic Vasculature Pressure Parameters in Simulated Microgravity with Thigh Cuff Countermeasure

    Science.gov (United States)

    Huang, Alex S.; Balasubramanian, Siva; Tepelus, Tudor; Sadda, Jaya; Sadda, Srinivas; Stenger, Michael B.; Lee, Stuart M. C.; Laurie, Steve S.; Liu, John; Macias, Brandon R.

    2017-01-01

    Changes in vision have been well documented among astronauts during and after long-duration space flight. One hypothesis is that the space flight induced headward fluid alters posterior ocular pressure and volume and may contribute to visual acuity decrements. Therefore, we evaluated venoconstrictive thigh cuffs as a potential countermeasure to the headward fluid shift-induced effects on intraocular pressure (IOP) and cephalic vascular pressure and volumes.

  16. Controle da pressão do cuff na unidade terapia intensiva: efeitos do treinamento Cuff pressure control in intensive care unit: training effects

    Directory of Open Access Journals (Sweden)

    Renata de Martin Penitenti

    2010-06-01

    Full Text Available OBJETIVOS: A pressão do cuff é transmitida de forma direta na parede da traquéia e isto pode ocasionar lesões. O objetivo deste trabalho foi verificar a eficácia de um treinamento com a equipe de enfermagem no controle da pressão do cuff. MÉTODOS: Foi realizado um levantamento retrospectivo das mensurações da pressão de cuff de janeiro de 2007 a junho de 2008, verificando-se o percentual de inadequação. Posteriormente, foi elaborado um programa de treinamento da equipe de enfermagem durante o mês de Junho 2008 em todos os três turnos de trabalho. Após o encerramento dessa fase de treinamento, o percentual de adequação na pressão de cuff foi verificado prospectivamente durante os meses de Julho a Dezembro. Foi comparado o percentual de inadequação da pressão do cuff entre os turnos de trabalho (matutino, vespertino e noturno e entre os períodos pré-treinamento e pós-treinamento pelo teste qualitativo de qui-quadrado, considerando-se como significativa diferença acima de 5% (pOBJECTIVES: Direct cuff pressure to the tracheal wall can cause damage. This paper aimed to verify the effectiveness of nursing team training on cuff pressure control. METHODS: A retrospective survey was initially made on the records of cuff pressure measurements from January 2007 to June 2008 and the inadequacy percent was verified. Next, a nursing team training program was provided involving all nursing shift teams during June 2008, and after the training the appropriate cuff pressures proportion was prospectively recorded between June and December 2008. The proportion of inappropriate cuff pressure was compared between the work shifts (morning, afternoon and evening-night and between pre- and post-training, using the qualitative Chi-square test. The 5% limit (p<0.05 was considered for significant differences. RESULTS: For the pre-training period, inappropriate cuff pressure measures (over 30cmH2O during morning, afternoon and evening-night shifts

  17. Should blood pressure be measured with the cuff on a bare arm?

    NARCIS (Netherlands)

    Thien, T.; Keltjens, E.B.; Lenders, J.W.M.; Deinum, J.

    2015-01-01

    OBJECTIVE: To establish whether the results of blood pressure (BP) measurements are affected by wearing clothing underneath the BP cuff during measurement. METHODS: Normotensive and hypertensive patients (n=133; 65 men) of an outpatient clinic participated in this study. BP was measured according to

  18. Changes in endotracheal tube cuff pressure during laparoscopic surgery in head-up or head-down position

    Science.gov (United States)

    2014-01-01

    Background The abdominal insufflation and surgical positioning in the laparoscopic surgery have been reported to result in an increase of airway pressure. However, associated effects on changes of endotracheal tube cuff pressure are not well established. Methods 70 patients undergoing elective laparoscopic colorectal tumor resection (head-down position, n = 38) and laparoscopic cholecystecomy (head-up position, n = 32) were enrolled and were compared to 15 patients undergoing elective open abdominal surgery. Changes of cuff and airway pressures before and after abdominal insufflation in supine position and after head-down or head-up positioning were analysed and compared. Results There was no significant cuff and airway pressure changes during the first fifteen minutes in open abdominal surgery. After insufflation, the cuff pressure increased from 26 ± 3 to 32 ± 6 and 27 ± 3 to 33 ± 5 cmH2O in patients receiving laparoscopic cholecystecomy and laparoscopic colorectal tumor resection respectively (both p < 0.001). The head-down tilt further increased cuff pressure from 33 ± 5 to 35 ± 5 cmH2O (p < 0.001). There six patients undergoing colorectal tumor resection (18.8%) and eight patients undergoing cholecystecomy (21.1%) had a total increase of cuff pressure more than 10 cm H2O (18.8%). There was no significant correlation between increase of cuff pressure and either the patient's body mass index or the common range of intra-abdominal pressure (10-15 mmHg) used in laparoscopic surgery. Conclusions An increase of endotracheal tube cuff pressure may occur during laparoscopic surgery especially in the head-down position. PMID:25210501

  19. Accuracy of a new wrist cuff oscillometric blood pressure device: comparisons with intraarterial and mercury manometer measurements.

    Science.gov (United States)

    Watson, S; Wenzel, R R; di Matteo, C; Meier, B; Lüscher, T F

    1998-12-01

    Accurate measurement of arterial blood pressure is of great importance for the diagnosis and treatment of hypertension. Because of the chronic nature of antihypertensive drug therapy, the involvement of the patient in blood pressure control is desirable. Such an involvement, however, is only feasible if simple, user-friendly, and precise blood pressure measurement devices are available. In this study we tested a new wrist cuff oscillometric blood pressure measurement device in 100 consecutive patients undergoing cardiac catheterization. Blood pressures were simultaneously taken intraarterially (axillary artery) and with a mercury manometer and stethoscope or noninvasive measurement device (OMRON R3). Intraarterial measurements were directly compared with two measurements taken in random order with either an arm cuff mercury manometer or the wrist cuff device. Systolic and diastolic blood pressure as assessed with the mercury manometer was higher, especially when compared with the intraarterial and the wrist cuff values, which were comparable. Correlations of blood pressure values with intraarterial measurement were 0.86 systolic and 0.75 diastolic (P mercury manometer measurements. Reproducibility of both measurements was good for the wrist cuff device ([systolic/diastolic]: r = 0.94/0.92; P mercury manometer (r = 0.97/0.88; P mercury manometer were higher than intraarterial values and those of the wrist cuff. Both noninvasive devices overestimated high diastolic values.

  20. The supine-to-prone position change induces modification of endotracheal tube cuff pressure accompanied by tube displacement.

    Science.gov (United States)

    Minonishi, Toshiyuki; Kinoshita, Hiroyuki; Hirayama, Michiko; Kawahito, Shinji; Azma, Toshiharu; Hatakeyama, Noboru; Fujiwara, Yoshihiro

    2013-02-01

    To determine whether the supine-to-prone position change displaced the endotracheal tube (ETT) and, if so, whether the displacement related to this change modified ETT cuff pressure. Prospective study. Operating room of a university hospital. 132 intubated, adult, ASA physical status 1, 2, and 3 patients undergoing lumbar spine surgery. After induction of anesthesia, each patient's trachea was intubated. The insertion depth of each ETT was 23 cm for men and 21 cm for women at the upper incisors. In the supine position and after the supine-to-prone position change with the head rotated to the right, the length from the carina to ETT tip and ETT cuff pressure were measured. After the supine-to-prone position change, 91.7% patients had ETT tube displacement. Of these, 48% of patients' ETT moved ≥ 10 mm, whereas 86.3% of patients had changes in tube cuff pressure. There was a slight but significant correlation between ETT movement and change in cuff pressure. Depending on the position change, ETT cuff pressure decreased and the ETT tended to withdraw. After the supine-to-prone position change, patients had ETT tube displacement. Such ETT movement may be accompanied by a decrease in cuff pressure. Copyright © 2013 Elsevier Inc. All rights reserved.

  1. An in vitro comparison of tracheostomy tube cuffs

    Directory of Open Access Journals (Sweden)

    Maguire S

    2015-04-01

    Full Text Available Seamus Maguire,1 Frances Haury,2 Korinne Jew2 1Research and Development, Covidien Respiratory and Monitoring Solutions, Athlone, Ireland; 2Medical Affairs, Covidien Respiratory and Monitoring Solutions, Boulder, CO, USA Introduction: The Shiley™ Flexible adult tracheostomy tube with TaperGuard™ cuff has been designed through its geometry, materials, diameter, and wall thickness to minimize micro-aspiration of fluids past the cuff and to provide an effective air seal in the trachea while also minimizing the risk of excessive contact pressure on the tracheal mucosa. The cuff also has a deflated profile that may allow for easier insertion through the stoma site. This unique design is known as the TaperGuard™ cuff. The purpose of the observational, in vitro study reported here was to compare the TaperGuard™ taper-shaped cuff to a conventional high-volume low-pressure cylindrical-shaped cuff (Shiley™ Disposable Inner Cannula Tracheostomy Tube [DCT] with respect to applied tracheal wall pressure, air and fluid sealing efficacy, and insertion force.Methods: Three sizes of tracheostomy tubes with the two cuff types were placed in appropriately sized tracheal models and lateral wall pressure was measured via pressure-sensing elements on the inner surface. Fluid sealing performance was assessed by inflating the cuffs within the tracheal models (25 cmH2O, instilling water above the cuff, and measuring fluid leakage past the cuff. To measure air leak, tubes were attached to a test lung and ventilator, and leak was calculated by subtracting the average exhaled tidal volume from the average delivered tidal volume. A tensile test machine was used to measure insertion force for each tube with the cuff deflated to simulate clinical insertion through a stoma site.Results: The average pressure exerted on the lateral wall of the model trachea was lower for the taper-shaped cuff than for the cylindrical cuff under all test conditions (P<0.05. The taper

  2. Endotracheal tube cuff pressures and tube position in critically injured patients on arrival at a referral centre: Avoidable harm?

    Directory of Open Access Journals (Sweden)

    Timothy C. Hardcastle

    2016-03-01

    Conclusion: Most patients, whether intubated on-scene or at hospital have ETT cuff pressures that are excessive, with the potential for ischaemic necrosis of the tracheal mucosa. ETT cuff manometry should be standard of care for all prehospital and in-hospital intubations where the tube will remain in situ for any prolonged period of time. Before inter-facility transfer ETT position should be confirmed radiologically.

  3. The pressure exerted on the tracheal wall by two endotracheal tube cuffs: A prospective observational bench-top, clinical and radiological study

    Directory of Open Access Journals (Sweden)

    Blunt Mark

    2010-12-01

    Full Text Available Abstract Background The Lotrach endotracheal tube has a unique low-volume, low-pressure (LVLP cuff, which has been designed to prevent pressure injury to the tracheal wall. We aimed to estimate the pressure exerted on the tracheal wall by the LVLP cuff and a conventional cuff in a bench-top, clinical and radiological study. Method In the bench-top study, a model trachea was intubated with the LVLP cuff and the conventional cuff. The cuff pressure was controlled using a constant pressure device. We assessed the pressure exerted on the tracheal wall by measuring the ability of the cuffs to support a column of water using a standard protocol. In the clinical study, we tested the ability of both cuffs to prevent air leak during a staged recruitment manoeuvre. In the radiological study, we recorded the degree of anatomical distortion of the trachea from both cuffs in the antero-posterior (AP and transverse tracheal diameters. We performed statistical analysis using non-inferiority tests. Results In the bench-top study, the LVLP cuff achieved a plateau at a mean height of 25.2 cmH2O (SD 0.34. In contrast, the conventional cuff failed to maintain any water above the cuff and a plateau could not be measured. In the clinical study, the mean pressure at which air leak occurred was 30.0 +/- 0.8 cmH2O (SD 3.8 using the LVLP cuff and 32.4 +/- 0.7 cmH2O (SD 3.0 using the conventional cuff. In the radiological study, the mean degree of anatomical distortion of the trachea in AP and transverse tracheal diameter was 2.9 +/- 2.2 mm (SD 2.1 and 1.8 +/- 1.4 mm (SD 1.4 using the LVLP cuff and 4.4 +/- 1.3 mm (SD 1.4 and 2.6 +/- 1.5 mm (SD 1.6 using the conventional cuff. Conclusions The bench-top and clinical studies both demonstrated that the LVLP cuff exerted approximately 30 cmH2O of pressure on the tracheal wall. These results are supported by our radiological study. We conclude that the LVLP cuff exerts an acceptable amount of pressure on the tracheal wall when

  4. Assessing endothelial function and providing calibrated UFMD data using a blood pressure cuff

    Energy Technology Data Exchange (ETDEWEB)

    Maltz, Jonathan S.

    2017-08-22

    Methods and apparatus are provided for assessing endothelial function in a mammal. In certain embodiments the methods involve using a cuff to apply pressure to an artery in a subject to determine a plurality of baseline values for a parameter related to endothelial function as a function of applied pressure (P.sub.m); b) applying a stimulus to the subject; and applying external pressure P.sub.m to the artery to determine a plurality of stimulus-effected values for the parameter related to endothelial function as a function of applied pressure (P.sub.m); where the baseline values are determined from measurements made when said mammal is not substantially effected by said stimulus and differences in said baseline values and said stimulus-effected values provide a measure of endothelial function in said mammal.

  5. Pavement damaging effects from dual tyre configurations of heavy vehicles with tyre inflation pressure differentials

    CSIR Research Space (South Africa)

    De Beer, M

    2015-08-16

    Full Text Available inflation pressure data in addition to tyre loading resulted in a rough empirical estimate of tyre inflation pressure directly from SIM contact stress measurements. In an ideal world, an instrument such as the SIM could be invaluable in not only capturing...

  6. Pavement damaging effects from dual tyre configurations of heavy vehicles with tyre inflation pressure differentials

    CSIR Research Space (South Africa)

    De Beer, M

    2015-08-01

    Full Text Available inflation pressure data in addition to tyre loading resulted in a rough empirical estimate of tyre inflation pressure directly from SIM contact stress measurements. In an ideal world, an instrument such as the SIM could be invaluable in not only capturing...

  7. Extending the Magic Formula and SWIFT tyre models for inflation pressure changes

    NARCIS (Netherlands)

    Schmeitz, A.J.C.; Besselink, I.J.M.; Hoogh, J. de; Nijmeijer, H.

    2005-01-01

    The Magic Formula and SWIFT tyre models are well-known semi-empirical tyre models for vehicle dynamic simulations. Up to now, the only way to account for inflation pressure changes is to identify all model parameters for each inflation pressure that has to be considered. Since this is a time

  8. Blood pressure values in healthy term newborns at a tertiary health ...

    African Journals Online (AJOL)

    2015-03-25

    Mar 25, 2015 ... The monitor (Dinamap 8100) is switched on while the cuff inflation and deflation is automatically done by ... Key words: Blood pressure, healthy, newborns, term ..... Moss AJ. Blood pressure in infants children and adolescents.

  9. Highly sensitive contact pressure measurements using FBG patch in endotracheal tube cuff

    Science.gov (United States)

    Correia, R.; Blackman, O. R.; Hernandez, F. U.; Korposh, S.; Morgan, S. P.; Hayes-Gill, B. R.; James, S. W.; Evans, D.; Norris, A.

    2016-05-01

    A method for measuring the contact pressure between an endotracheal tube cuff and the trachea was designed and developed by using a fibre Bragg grating (FBG) based optical fibre sensor. The FBG sensor is encased in an epoxy based UV-cured cuboid patch and transduces the transversely loaded pressure into an axial strain that induces wavelength shift of the Bragg reflection. The polymer patch was created by using a PTFE based mould and increases tensile strength and sensitivity of the bare fibre FBG to pressure to 2.10×10-2 nm/kPa. The characteristics of the FBG patch allow for continuous measurement of contact pressure. The measurement of contact pressure was demonstrated by the use of a 3D printed model of a human trachea. The influence of temperature on the measurements is reduced significantly by the use of a second FBG sensor patch that is not in contact with the trachea. Intracuff pressure measurements performed using a commercial manometer agreed well with the FBG contact pressure measurements.

  10. Effectiveness of Two Training Methods for Avoiding Excessive Inflation of Laryngeal Mask Airway Supreme.

    Science.gov (United States)

    Ya-Hong, Gong; Si, Chen; Zhi-Yong, Zhang; Yu-Guang, Huang

    2015-06-01

    To evaluate the effectiveness of two training methods for avoiding excessive inflation of laryngeal mask airway(LMA)Supreme. Totally 41 anesthesiologists were randomly divided into hand touch group(H group,n=20)and short-term pressure gauge training group(G group,n=21). Before training,subjects were asked to inflate the cuff of LMA Supreme to two target pressures,30 cmH(2)O and 60 cmH(2)O, according to their own experiences. The actual cuff pressures were recorded as baseline pressures. Subjects in H group then received the training of hand touch:touch the vermilion of the lip and apex nasi with the left ring finger and feel the hardness. A cuff pressure with hardness similar to the vermilion of the lip was defined as 30 cmH(2)O, and similar to the apex nasi as 60 cmH(2)O. Subjects in G group were asked to inflate the cuff with a pressure gauge and feel the hardness of the cuff when the pressure reached 30 cmH(2)O and 60 cmH(2)O. After one-week training,two groups of subjects repeated the cuff inflation test. Actual cuff pressures after training were also recorded and compared with the baseline pressures. Results Actual cuff pressures after training[Group H:(39.7±15.7) cmH(2)O(P=0.00);Group G:(26.2±13.2) cmH(2)O(P=0.03)]were significantly lower than baseline pressures in both groups when the target cuff pressure was 30 cmH(2)O, and the differences were not statistically significant between these two groups(P=0.06). When the target pressure was 60 cmH(2)O,the actual cuff pressure of H group [(91.1±24.3)cmH(2)O] was significantly higher than that of G group [(58.1±15.4) cmH(2)O (P=0.01)]. However,the actual cuff pressure of G group was similar to the target pressure. The two training methods are equally effective when the target pressure is 30 cmH(2)O, while short-term pressure gauge training method is superior when the target pressure is 60 cmH(2)O.

  11. Non-Axisymmetric Inflatable Pressure Structure (NAIPS) Full-Scale Pressure Test

    Science.gov (United States)

    Jones, Thomas C.; Doggett, William R.; Warren, Jerry E.; Watson, Judith J.; Shariff, Khadijah; Makino, Alberto; Yount, Bryan C.

    2017-01-01

    Inflatable space structures have the potential to significantly reduce the required launch volume for large pressure vessels required for exploration applications including habitats, airlocks and tankage. In addition, mass savings can be achieved via the use of high specific strength softgoods materials, and the reduced design penalty from launching the structure in a densely packaged state. Large inclusions however, such as hatches, induce a high mass penalty at the interfaces with the softgoods and in the added rigid structure while reducing the packaging efficiency. A novel, Non-Axisymmetric Inflatable Pressure Structure (NAIPS) was designed and recently tested at NASA Langley Research Center to demonstrate an elongated inflatable architecture that could provide areas of low stress along a principal axis in the surface. These low stress zones will allow the integration of a flexible linear seal that substantially reduces the added mass and volume of a heritage rigid hatch structure. This paper describes the test of the first full-scale engineering demonstration unit (EDU) of the NAIPS geometry and a comparison of the results to finite element analysis.

  12. Blood pressure monitoring during arrhythmia: agreement between automated brachial cuff and intra-arterial measurements.

    Science.gov (United States)

    Lakhal, K; Ehrmann, S; Martin, M; Faiz, S; Réminiac, F; Cinotti, R; Capdevila, X; Asehnoune, K; Blanloeil, Y; Rozec, B; Boulain, T

    2015-10-01

    Since arrhythmia induces irregular pulse waves, it is widely considered to cause flawed oscillometric brachial cuff measurements of blood pressure (BP). However, strong data are lacking. We assessed whether the agreement of oscillometric measurements with intra-arterial measurements is worse during arrhythmia than during regular rhythm. Among patients of three intensive care units (ICUs), a prospective comparison of three pairs of intra-arterial and oscillometric BP readings was performed among patients with arrhythmia and an arterial line already present. After each inclusion in the arrhythmia group, one patient with regular rhythm was included as a control. International Organization for Standardization (ISO) standard validation required a mean bias arterial measurements of systolic, diastolic and mean BP was similar to that observed in 136 patients with regular rhythm: for mean BP, similar mean bias [-0.1 (sd 5.2) and 1.9 (sd 5.9) mm Hg]. In both groups, the ISO standard was satisfied for mean and diastolic BP, but not for systolic BP (sd >10 mm Hg) in our ICU population. The ability of oscillometry to detect hypotension (systolic BP 10% increase in mean BP after cardiovascular intervention) and hypertension (systolic BP >140 mm Hg) was good and similar during arrhythmia and regular rhythm (respective areas under the receiver operating characteristic curves ranging from 0.89 to 0.96, arrhythmia vs regular rhythm between-group comparisons all associated with P>0.3). Contrary to widespread belief, arrhythmia did not cause flawed automated brachial cuff measurements. © The Author 2015. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  13. Effect of different cuff widths on the motor nerve conduction of the median nerve: an experimental study

    Directory of Open Access Journals (Sweden)

    Sandhu Jaspal S

    2008-01-01

    Full Text Available Abstract Background A bloodless operative field is considered mandatory for most surgical procedures on the upper and lower extremity. This is accomplished by using either an Esmarch bandage or a pneumatic tourniquet, but a number of complications are associated with both. Nerve palsy is one of the most frequently encountered complications of this procedure. Wider cuffs have been found to cause reduced risk of tourniquet induced injury to the underlying soft tissues than the narrower ones due to the fact that lower occlusion pressures are caused by the former. To address and investigate this question, conduction in the median nerve has been measured proximal to tourniquet as well as distal to the tourniquet. Parameters of nerve conduction measured are nerve conduction velocity, latency and amplitude. Methods Sphygmomanometer cuffs with widths 14 cm and 7 cm were applied to the upper extremities of 20 healthy, normotensive volunteers (9 males and 11 females with age ranging from 22 to 27. Systolic blood pressure was measured first and then the cuff was inflated to about 20–30 mm Hg above it and was kept inflated for 15 minutes. Recordings were done prior to, for the period of tourniquet inflation, and following release of the tourniquet. Results Nerve conduction was found to be more severely affected by the 14 cm cuff than the 7 cm cuff. Conclusion Wider cuffs resulted in more severe changes in the nerve. This brings us to the conclusion that though lower inflation pressures are required for the occlusion of the blood supply using wider cuffs, the nerve conduction is more severely affected by the wider ones. Both electrophysiological changes and occlusion pressure should be kept in mind while choosing the width of the cuff.

  14. Effectiveness and safety of endotracheal tube cuffs filled with air versus filled with alkalinized lidocaine: a randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Lais Helena Camacho Navarro

    Full Text Available CONTEXT AND OBJECTIVE: High intracuff pressure in endotracheal tubes (ETs may cause tracheal lesions. The aim of this study was to evaluate the effectiveness and safety of endotracheal tube cuffs filled with air or with alkalinized lidocaine. DESIGN AND SETTING: This was a prospective clinical study at the Department of Anesthesiology, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista. METHODS: Among 50 patients, ET cuff pressures were recorded before, 30, 60, 90 and 120 minutes after starting and upon ending nitrous oxide anesthesia. The patients were randomly allocated to two groups: Air, with ET cuff inflated with air to attain a cuff pressure of 20 cmH2O; and Lido, with ET cuff filled with 2% lidocaine plus 8.4% sodium bicarbonate to attain the same pressure. ET discomfort before tracheal extubation, and sore throat, hoarseness and coughing incidence were studied at the time of discharge from the post-anesthesia care unit, and sore throat and hoarseness were studied 24 hours after anesthesia. RESULTS: Pressures in Lido cuffs were significantly lower than in Air cuffs (p < 0.05. Tracheal complaints were similar for the two groups, except for lower ET discomfort and sore throat incidence after 24 hours and lower systolic arterial pressure at the time of extubation in the Lido group (p < 0.05. CONCLUSION: ET cuffs filled with alkalinized lidocaine prevented the occurrence of high cuff pressures during N2O anesthesia and reduced ET discomfort and postoperative sore throat incidence. Thus, alkalinized lidocaine-filled ET cuffs seem to be safer than conventional air-filled ET cuffs.

  15. [Changes in intracuff pressure of endotracheal tubes permeable or resistant to nitrous oxide and incidence of postoperative sore throat].

    Science.gov (United States)

    Sato, Koji; Tanaka, Makoto; Nishikawa, Toshiaki

    2004-07-01

    We assessed the nitrous oxide (N2O) gas-barrier properties of a new endotracheal tube cuff, the Profile Soft-Seal Cuff (Resistant: R) (Sims Portex, Kent, UK). The tracheas of randomly selected patients were intubated with the Profile Cuff (Permeable: P) (Sims Portex) tuble or with Portex Soft-Seal Cuff (R) (n=20 each) endotracheal tube. Cuffs were inflated with air, and intracuff pressure was measured during anesthesia using 67% N2O. Postoperative sore throat was assessed. In addition, the volume-pressure relationship of the cuff was determined in vitro. Cuff pressure increased gradually during anesthesia in both groups. The mean cuff pressure of the group R was significantly lower than that of the group P from 10 minutes to 230 minutes. The inflated gas and the deflated gas were not significantly different in both groups. The incidence of postoperative sore throat was not significantly different between the two groups. In vitro, the mean cuff pressure of the group R was significantly lower than that of the group P. The difference of cuff pressure is considered due to the difference in cuff compliance.

  16. The effect of the inflation pressure of tyres on motorcycle weave stability: experiments and simulation

    Science.gov (United States)

    Cossalter, V.; Favaron, V.; Giolo, E.; Jomaa, T.

    2016-10-01

    Increasing the stability of a motorcycle requires an understanding of the optimal conditions of the tyre. The inflation pressure is one of the main parameters that directly affects the tyre properties, which in turn influences motorcycle stability and safety. This paper focuses on the effect of the inflation pressure of the tested tyres on motorcycle weave stability. Experimental data are collected from tests carried out in straight running at constant speed. The data analysis is based on stochastic subspace identification methods. Simulations are performed using an advanced motorcycle multi-body code with parameters measured from the tested vehicle. Finally, the comparison between simulations and experimental tests is discussed. The research results show an agreement between experimental tests and simulations where weave stability increases with inflation pressure for the specified range of tyre pressure.

  17. Effects of decreasing endotracheal tube cuff pressures during neck retraction for anterior cervical spine surgery.

    Science.gov (United States)

    Ratnaraj, Jebadurai; Todorov, Alexandre; McHugh, Tom; Cheng, Mary Ann; Lauryssen, Carl

    2002-09-01

    The authors' goal was to determine whether the incidence of postoperative sore throat, hoarseness, and dysphagia associated with anterior spine surgery is reduced by maintaining endotracheal tube cuff pressure (ETCP) at 20 mm Hg during the period of neck retraction. Fifty-one patients scheduled for anterior cervical spine surgery were enrolled. After intubation, ETCP was adjusted to 20 mm Hg in all patients. Following placement of neck retractors, ETCP was measured. Patients were randomized to a control (no adjustment) or treatment group (ETCP adjusted to 20 mm Hg). A blinded observer questioned the patients about the presence of sore throat, dysphagia, and hoarseness at 1 hour, 24 hours, and 1 week postoperatively. No differences between groups at 1 hour postoperatively were demonstrated. At 24 hours, 51% of patients in the treatment group complained of sore throat compared with 74% of control patients (p predictors of postoperative throat discomfort following anterior cervical spine surgery in which neck retraction is performed: increased ETCP during neck retraction (sore throat), neck retraction time (dysphagia), and female sex (sore throat and hoarseness). The simple maneuver of decreasing ETCP to 20 mm Hg may be helpful in improving patient comfort following anterior cervical spine surgery.

  18. Correlations between controlled endotracheal tube cuff pressure and postprocedural complications: a multicenter study.

    Science.gov (United States)

    Liu, Jianhui; Zhang, Xiaoqing; Gong, Wei; Li, Shitong; Wang, Fen; Fu, Shukun; Zhang, Mazhong; Hang, Yannan

    2010-11-01

    Postoperative respiratory complications related to endotracheal intubation usually present as cough, sore throat, hoarseness, and blood-streaked expectorant. In this study, we investigated the short-term (hours) impact of measuring and controlling endotracheal tube cuff (ETTc) pressure on postprocedural complications. Five hundred nine patients from 4 tertiary care university hospitals in Shanghai, China scheduled for elective surgery under general anesthesia were assigned to a control group without measuring ETTc pressure, and a study group with ETTc pressure measured and adjusted. The duration of the procedure and duration of endotracheal intubation were recorded. Twenty patients whose duration of endotracheal intubation was between 120 and 180 minutes were selected from each group and examined by fiberoptic bronchoscopy immediately after removing the endotracheal tube. Endotracheal intubation-related complications including cough, sore throat, hoarseness, and blood-streaked expectorant were recorded at 24 hours postextubation. There was no significant difference in sex, age, height, weight, procedure duration, and duration of endotracheal intubation between the 2 groups. The mean ETTc pressure measured after estimation by palpation of the pilot balloon of the study group was 43 ± 23.3 mm Hg before adjustment (the highest was 210 mm Hg), and 20 ± 3.1 mm Hg after adjustment (P sore throat, hoarseness, and blood-streaked expectoration in the control group was significantly higher than in the study group. As the duration of endotracheal intubation increased, the incidence of sore throat and blood-streaked expectoration in the control group increased. The incidence of sore throat in the study group also increased with increasing duration of endotracheal intubation. Fiberoptic bronchoscopy in the 20 patients showed that the tracheal mucosa was injured in varying degrees in both groups, but the injury was more severe in the control group than in the study group. ETTc

  19. The reliability of continuous noninvasive finger blood pressure measurement in critically ill children.

    NARCIS (Netherlands)

    Lemson, J.; Hofhuizen, C.M.; Schraa, O.; Settels, J.J.; Scheffer, G.J.; Hoeven, J.G. van der

    2009-01-01

    INTRODUCTION: Continuous noninvasive arterial blood pressure can be measured in finger arteries using an inflatable finger cuff (FINAP) with a special device and has proven to be feasible and reliable in adults. We studied prototype pediatric finger cuffs and pediatric software to compare this blood

  20. Discrepancy between tonometric ambulatory and cuff-based office blood pressure measurements in patients with type 1 diabetes

    DEFF Research Database (Denmark)

    Theilade, Simone; Lajer, Maria Stenkil; Joergensen, Christel

    2012-01-01

    measurements were well-tolerated and successful in 98%. A total of 92% would volunteer for repeat measurements and 83% preferred the tonometry to conventional cuff-based devices. In patients with type 1 diabetes, tonometric ABP measurements are feasible. ABP and OBP disagree in diagnosing HTN in 31% to 37......The aim of the current study was to compare ambulatory blood pressure (ABP) with office blood pressure (OBP) in diagnosing hypertension (HTN) in type 1 diabetes. The cross-sectional study included 569 type 1 diabetes patients, with a mean ± standard deviation (SD) age of 55 ± 13 years and diabetes...

  1. Dynamics of bulk viscous pressure effected inflation in braneworld scenario

    Science.gov (United States)

    Jawad, Abdul; Ilyas, Amara; Rani, Shamaila

    2016-08-01

    The main goal of the present work is to examine the possible realization of warm chaotic inflation and logamediate inflation within the framework of a modified Chaplygin gas brane-world model. In this respect, the slow-roll parameters, number of e-folds, scalar-tensor power spectra, spectral indices, tensor-scalar ratio and running of scalar spectral index is being evaluated. These parameters are being analyzed for variable as well as constant dissipation and bulk viscous coefficients. Further, the trajectories among the inflationary parameters such as ns - ϕ , ns - r , αs - ϕ and ns -αs are also developed to examine their behavior as well as physical cosmology. Some of results of inflationary parameters in all cases are: r < 0.11, ns = 0.96 ± 0.025 and αs = - 0.019 ± 0.025 . It is interesting to mention here that the results of inflationary parameters are consistent with BICEP2, WMAP (7 + 9) and Planck data.

  2. Arterial blood oxygen saturation during blood pressure cuff-induced hypoperfusion

    Science.gov (United States)

    Kyriacou, P. A.; Shafqat, K.; Pal, S. K.

    2007-10-01

    Pulse oximetry has been one of the most significant technological advances in clinical monitoring in the last two decades. Pulse oximetry is a non-invasive photometric technique that provides information about the arterial blood oxygen saturation (SpO2) and heart rate, and has widespread clinical applications. When peripheral perfusion is poor, as in states of hypovolaemia, hypothermia and vasoconstriction, oxygenation readings become unreliable or cease. The problem arises because conventional pulse oximetry sensors must be attached to the most peripheral parts of the body, such as finger, ear or toe, where pulsatile flow is most easily compromised. Pulse oximeters estimate arterial oxygen saturation by shining light at two different wavelengths, red and infrared, through vascular tissue. In this method the ac pulsatile photoplethysmographic (PPG) signal associated with cardiac contraction is assumed to be attributable solely to the arterial blood component. The amplitudes of the red and infrared ac PPG signals are sensitive to changes in arterial oxygen saturation because of differences in the light absorption of oxygenated and deoxygenated haemoglobin at these two wavelengths. From the ratios of these amplitudes, and the corresponding dc photoplethysmographic components, arterial blood oxygen saturation (SpO2) is estimated. Hence, the technique of pulse oximetry relies on the presence of adequate peripheral arterial pulsations, which are detected as photoplethysmographic (PPG) signals. The aim of this study was to investigate the effect of pressure cuff-induced hypoperfusion on photoplethysmographic signals and arterial blood oxygen saturation using a custom made finger blood oxygen saturation PPG/SpO2 sensor and a commercial finger pulse oximeter. Blood oxygen saturation values from the custom oxygen saturation sensor and a commercial finger oxygen saturation sensor were recorded from 14 healthy volunteers at various induced brachial pressures. Both pulse

  3. Arterial blood oxygen saturation during blood pressure cuff-induced hypoperfusion

    Energy Technology Data Exchange (ETDEWEB)

    Kyriacou, P A [School of Engineering and Mathematical Sciences, City University, London EC1V 0HB (United Kingdom); Shafqat, K [School of Engineering and Mathematical Sciences, City University, London EC1V 0HB (United Kingdom); Pal, S K [St Andrew' s Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, CM1 7ET (United Kingdom)

    2007-10-15

    Pulse oximetry has been one of the most significant technological advances in clinical monitoring in the last two decades. Pulse oximetry is a non-invasive photometric technique that provides information about the arterial blood oxygen saturation (SpO{sub 2}) and heart rate, and has widespread clinical applications. When peripheral perfusion is poor, as in states of hypovolaemia, hypothermia and vasoconstriction, oxygenation readings become unreliable or cease. The problem arises because conventional pulse oximetry sensors must be attached to the most peripheral parts of the body, such as finger, ear or toe, where pulsatile flow is most easily compromised. Pulse oximeters estimate arterial oxygen saturation by shining light at two different wavelengths, red and infrared, through vascular tissue. In this method the ac pulsatile photoplethysmographic (PPG) signal associated with cardiac contraction is assumed to be attributable solely to the arterial blood component. The amplitudes of the red and infrared ac PPG signals are sensitive to changes in arterial oxygen saturation because of differences in the light absorption of oxygenated and deoxygenated haemoglobin at these two wavelengths. From the ratios of these amplitudes, and the corresponding dc photoplethysmographic components, arterial blood oxygen saturation (SpO{sub 2}) is estimated. Hence, the technique of pulse oximetry relies on the presence of adequate peripheral arterial pulsations, which are detected as photoplethysmographic (PPG) signals. The aim of this study was to investigate the effect of pressure cuff-induced hypoperfusion on photoplethysmographic signals and arterial blood oxygen saturation using a custom made finger blood oxygen saturation PPG/SpO{sub 2} sensor and a commercial finger pulse oximeter. Blood oxygen saturation values from the custom oxygen saturation sensor and a commercial finger oxygen saturation sensor were recorded from 14 healthy volunteers at various induced brachial pressures

  4. Continuous cuff-less blood pressure monitoring based on the pulse arrival time approach: the impact of posture.

    Science.gov (United States)

    Muehlsteff, J; Aubert, X A; Morren, G

    2008-01-01

    There is an unmet need for cuff-less blood pressure (BP) monitoring especially, in personal healthcare applications. The pulse arrival time (PAT) approach might offer a suitable solution to enable comfortable BP monitoring even at beat-level. However, the methodology is based on hemodynamic surrogate measures, which are sensitive to patient activities such as posture changes, not necessarily related to blood pressure variations. In this paper, we analyze the impact of posture on the PAT measure and related hemodynamic parameters such as the pre-ejection period in well-defined procedures. Additionally, the PAT of a monitored subject is investigated in an unsupervised scenario illustrating the complexity of such a measurement. Our results show the failure of blood pressure inference based on simple calibration strategies using the PAT measure only. We discuss opportunities to compensate for the observed effects towards the realization of wearable cuff-less blood pressure monitoring. These findings emphasize the importance of accessing context information in personal healthcare applications, where vital sign monitoring is typically unsupervised.

  5. Simulation of Cooling and Pressure Effects on Inflated Pahoehoe Lava Flows

    Science.gov (United States)

    Glaze, Lori S.; Baloga, Stephen M.

    2016-01-01

    Pahoehoe lobes are often emplaced by the advance of discrete toes accompanied by inflation of the lobe surface. Many random effects complicate modeling lobe emplacement, such as the location and orientation of toe breakouts, their dimensions, mechanical strength of the crust, micro-topography and a host of other factors. Models that treat the movement of lava parcels as a random walk have explained some of the overall features of emplacement. However, cooling of the surface and internal pressurization of the fluid interior has not been modeled. This work reports lobe simulations that explicitly incorporate 1) cooling of surface lava parcels, 2) the propensity of breakouts to occur at warmer margins that are mechanically weaker than cooler ones, and 3) the influence of internal pressurization associated with inflation. The surface temperature is interpreted as a surrogate for the mechanic strength of the crust at each location and is used to determine the probability of a lava parcel transfer from that location. When only surface temperature is considered, the morphology and dimensions of simulated lobes are indistinguishable from equiprobable simulations. However, inflation within a lobe transmits pressure to all connected fluid locations with the warmer margins being most susceptible to breakouts and expansion. Simulations accounting for internal pressurization feature morphologies and dimensions that are dramatically different from the equiprobable and temperature-dependent models. Even on flat subsurfaces the pressure-dependent model produces elongate lobes with distinct directionality. Observables such as topographic profiles, aspect ratios, and maximum extents should be readily distinguishable in the field.

  6. User-independent assessment of conditioning pain modulation by cuff pressure algometry

    DEFF Research Database (Denmark)

    Graven-Nielsen, Thomas; Izumi, Masashi; Petersen, Kristian Kjær;

    2017-01-01

    BACKGROUND: The use of conditioning pain modulation (CPM) is hampered by poor reproducibility and lack of user-independent paradigms. This study refined the CPM paradigm by applying user-independent cuff algometry. METHODS: In 20 subjects, the CPM effect of conditioning with cuff stimulation...... (pain intensity standardized) and contralateral test stimuli were additionally evaluated (leg-arm, leg-leg, arm-thigh). The test-retest reliability in two sessions 1 month apart was assessed in five CPM protocols. RESULTS: In all protocols, the PDT, PVAS6 and PTT increased during conditioning compared...... with baseline (p CPM effect (i.e. conditioning minus baseline) for PVAS6, PTT and PPT increased for increasing conditioning intensities (p CPM effects were not significantly different for changes in conditioning durations or conditioning/test stimulus locations. In two sessions...

  7. The Non-Adiabatic Pressure Perturbation and Non-Canonical Kinetic Terms in Multifield Inflation

    CERN Document Server

    van de Bruck, C

    2012-01-01

    The evolution of the non-adiabatic pressure perturbation during inflation driven by two scalar fields is studied numerically for three different types of models. In the first model, the fields have standard kinetic terms. The other two models considered feature non-canonical kinetic terms; the first containing two fields which are coupled via their kinetic terms, and the second where one field has the standard kinetic term with the other field being a DBI field. We find that the evolution and the final amplitude of the non-adiabatic pressure perturbation depends strongly on the kinetic terms.

  8. High versus low-pressure balloon inflation during multilinktrade mark stent implantation: acute and long-term angiographic results.

    Science.gov (United States)

    Caixeta, A M; Brito, F S; Rati, M; Perin, M A; da Luz, P L; Ramires, J A; Ambrose, J A; Martinez, E E

    2000-08-01

    We compared the impact of low and high-pressure balloon inflation on acute and late angiographic results of Multilink stent. Low-pressure balloon inflation (9.5 +/- 1.9 atm) was used in 43 stents and high pressure (17.1 +/- 1.5 atm) in 44. A larger immediate luminal gain was achieved in stents with high-pressure balloon inflation (1.80 +/- 0.26 vs. 1.47 +/- 0.62; P = 0.002), resulting in a larger mean diameter in this group (2.71 +/- 0.37 vs. 2.48 +/- 0.47; P = 0.017). At follow-up, a larger luminal diameter was achieved in the high pressure group (1.93 +/- 0.72 vs. 1.45 +/- 0.66; P = 0.002) and a trend to a lower rate of angiographic restenosis (15% vs. 38%, P = 0.08).

  9. Comparison of the cuff pressure of a TaperGuard endotracheal tube and a cylindrical endotracheal tube after lateral rotation of head during middle ear surgery

    Science.gov (United States)

    Choi, Eunkyung; Park, Yongmin; Jeon, Younghoon

    2017-01-01

    Abstract Background: Positional change affects the cuff pressure of an endotracheal tube (ETT) in treacheally intubated patients. We compared the cuff pressure of a TaperGuard ETT and a cylindrical ETT after lateral rotation of head during middle ear surgery. Methods: Fifty-two patients aged 18–70 years underwent a tympanomastoidectomy under general anesthesia were randomly allocated to receive endotracheal intubation with cylindrical (group C, n = 26) or TaperGuard ETTs (group T, n = 26). After endotracheal intubation, the ETT cuff pressure was set at 22 cmH2O in the neutral position of head. After lateral rotation of head, the cuff pressure was measured again and readjusted to 22 cmH2O. In addition, the change of distance from the carina to the tip of the ETT was measured before and after the positional change. The incidence of cough, sore throat, and hoarseness was assessed at 30 minutes, 6 hours, and 24 hours after surgery. Results: There was no difference in demographic data between groups. After lateral rotation of head, the cuff pressure significantly increased in group T (11.9 ± 2.3 cmH2O) compared with group C (6.0 ± 1.9 cmH2O) (P 30 cmH2O was higher in group T (96.2%) than in group C (30.8%) (P < 0.001). In addition, the degree of displacement of an ETT was greater in group T (11.0 ± 1.7 mm) than in group C (7.2 ± 2.6 mm) (P < 0.001). The overall incidences of postoperative sore throat, hoarseness, and cough at 30 minutes, 6 hours, and 24 hours after surgery were comparable between two groups. Conclusion: The cuff pressure was higher in the TaperGuard ETT than in the cylindrical ETT after positional change of head from neutral to lateral rotation. In addition, after a positional change, the extent of displacement of ETT was greater in the TaperGuard ETT than in the cylindrical ETT. PMID:28272230

  10. Continuous non-invasive finger arterial pressure monitoring reflects intra-arterial pressure changes in children undergoing cardiac surgery.

    NARCIS (Netherlands)

    Hofhuizen, C.M.; Lemson, J.; Hemelaar, A.E.A.; Settels, J.J.; Schraa, O.; Singh, S.K.; Hoeven, J.G. van der; Scheffer, G.J.

    2010-01-01

    BACKGROUND: Continuous non-invasive measurement of finger arterial pressure (FAP) is a reliable technology in adults. FAP is measured with an inflatable cuff around the finger and simultaneously converted to a reconstructed brachial artery pressure waveform (reBAP) by the Nexfin device. We assessed

  11. Loss of rotator cuff tendon-to-bone interface pressure after reattachment using a suture anchor.

    Science.gov (United States)

    Brassart, Nicolas; Sanghavi, Sanjay; Hansen, Ulrich N; Emery, Roger J; Amis, Andrew A

    2008-01-01

    The purpose of this study was to examine the tendon-to-bone interface pressure, contact area, and force after reattaching a tendon to bone by use of a suture and suture anchor. Repairs were made in 8 ovine shoulders in vitro, by use of 3 suture types in each: Ethibond, polydioxanone, or Orthocord. A Tekscan pressure sensor was placed between the tendon and bone and monitored for 1 hour after the repair. The principal finding was a significant loss of approximately 60% of the contact parameters immediately after the suture was tied, followed by further significant loss over the next hour to a mean of only 14% of the initial readings. We concluded that pressure measurement systems that only record the initial maximum pressure would yield overly optimistic results for the actual repair pressure after the repair is completed. The Tekscan system, however, allowed us to monitor pressure reductions that occurred both during and after the repair.

  12. The CNAP™ Finger Cuff for Noninvasive Beat-To-Beat Monitoring of Arterial Blood Pressure: An Evaluation in Intensive Care Unit Patients and a Comparison with 2 Intermittent Devices.

    Science.gov (United States)

    Lakhal, Karim; Martin, Maëlle; Faiz, Sofian; Ehrmann, Stephan; Blanloeil, Yvonnick; Asehnoune, Karim; Rozec, Bertrand; Boulain, Thierry

    2016-11-01

    Continuous and intermittent noninvasive measurements of arterial blood pressure (BP) have not been compared in the same population. In a large panel of intensive care unit patients, we assessed the agreement between CNAP™ (Continuous Noninvasive Arterial Pressure) finger cuff beat-to-beat monitoring of BP and reference intraarterial measurements. Two automated oscillometric brachial cuff devices were also tested: CNAP brachial cuff (used for CNAP finger cuff calibration) and an alternative device. The performance for detecting hypotension (intraarterial mean BP 10%), and hypertension (intraarterial systolic BP >140 mm Hg) was evaluated. We also assessed the between-calibration drift of CNAP finger cuff BP in specific situations: cardiovascular intervention or no intervention. With each device, 3 pairs of noninvasive and intraarterial measurements were prospectively collected and analyzed according to current guidelines, the International Organization for Standardization (ISO) standard. The trending ability and drift of the CNAP finger cuff BP were assessed over a 15-minute observation period. In 182 patients, CNAP finger cuff and CNAP brachial cuff readings did not conform to ISO standard requirements (mean bias ± SD exceeding the maximum tolerated 5 ± 8 mm Hg), whereas the alternative automated brachial cuff succeeded for mean and diastolic BP. CNAP finger cuff trending ability was poor (concordance rate <70% over a 15-minute period) owing to a significant drift since calibration, especially if a cardiovascular intervention was performed (n = 75, -7.5 ± 10.2 mm Hg at the 14th minute, ie, before recalibration, versus -2.9 ± 7.9 mm Hg if no cardiovascular intervention occurred, n = 103, P = 0.0008). However, a similar and reliable performance was observed for the detection of hypotension with the CNAP finger cuff (within 4 minutes after calibration) and with the 2 automated brachial cuffs (area under the receiver operating characteristic curve ≥0

  13. Fe Analysis of Effect of Tyre Overload and Inflation Pressure on Rolling Loss in Cars

    Directory of Open Access Journals (Sweden)

    Gyadari Ramesh

    2015-08-01

    Full Text Available Rolling loss or rolling resistance is an ever important property for the tyre and automotive industries because of its practical implication. Fuel consumption and tyre rolling loss in all types of automobiles have become increasingly important because of adverse environmental effects (air pollution and global warming and economic costs (high petroleum price. In this thesis, the effect of rolling resistance and overload on fuel consumption of automobile car tyres is discussed. The investigations are made on two tyre models of automobile cars Skoda Rapid and Ford Classic. Theoretical calculations are also done to determine the rolling resistance due to inflation pressure. The default weight is considered for 5 persons and also the tyre overload is considered by taking 6 and 7 people’s weight.

  14. 6A.07: AORTIC SYSTOLIC PRESSURE VALUES BUT NOT INDICES DERIVED FROM WAVEFORM FEATURES ARE CONSISTENT BETWEEN BRACHIAL CUFF-BASED DEVICES USED FOR ESTIMATION OF CENTRAL AORTIC PRESSURE.

    Science.gov (United States)

    Butlin, M; Alqahtani, A; Qasem, A; Turner, M; Avolio, A P

    2015-06-01

    For ease of measurement, and the utility of ambulatory central aortic blood pressure measurement, there has been a move toward brachial cuff-based devices for non-invasive computation of central aortic blood pressure quantities based on waveform features. However, waveforms detected by volumetric cuff displacement techniques are inherently more damped than signals obtained by applanation tonometry, potentially impacting on parameters reliant on higher frequency components of the pulse waveform. In 45 subjects (age 46 ± 17 years, 30 male), in-clinic, seated measurements taken in triplicate using three brachial cuff-based devices (BPLab, [Petr Telgin]; Oscar2, [SunTech/AtCor Medical]; SphygmoCor XCEL, [AtCor Medical]) were compared using repeated measures ANOVA and Bland-Altman statistics against radial tonometric assessment of central aortic pressure (SphygmoCor CvMS, [AtCor Medical]). Results are expressed as means ± standard error. There was good agreement between devices for aortic systolic pressure (aSP) and aortic diastolic pressure (aDP). There was great variability in aortic augmentation index (aAIx), ejection duration (ED) and subendocardial viability ratio (SEVR, Table). Cuff-based device regression slopes against the tonometer-based method varied markedly for aSP (BPLab, 0.76; Oscar2, 0.92; XCEL, 0.77), aAIx (BPLab, 0.32; Oscar2, 0.74; XCEL, 0.88), ED (BPLab, 1.07; Oscar2 does not report; XCEL, 0.83), and SEVR (BPLab, 0.16; Oscar2 does not report; XCEL, 0.81).(Figure is included in full-text article.) : Parameters relying on the low frequency components of the peripheral waveform have better agreement between cuff-based devices than parameters that rely on higher frequency waveform components. Further research is required for quantitative assessment of filtering methods utilised in cuff-based devices, as well as the cuff-based approach itself for use in measuring AIx, ED and SEVR.

  15. Cuff-less blood pressure measurement using pulse arrival time and a Kalman filter

    Science.gov (United States)

    Zhang, Qiang; Chen, Xianxiang; Fang, Zhen; Xue, Yongjiao; Zhan, Qingyuan; Yang, Ting; Xia, Shanhong

    2017-02-01

    The present study designs an algorithm to increase the accuracy of continuous blood pressure (BP) estimation. Pulse arrival time (PAT) has been widely used for continuous BP estimation. However, because of motion artifact and physiological activities, PAT-based methods are often troubled with low BP estimation accuracy. This paper used a signal quality modified Kalman filter to track blood pressure changes. A Kalman filter guarantees that BP estimation value is optimal in the sense of minimizing the mean square error. We propose a joint signal quality indice to adjust the measurement noise covariance, pushing the Kalman filter to weigh more heavily on measurements from cleaner data. Twenty 2 h physiological data segments selected from the MIMIC II database were used to evaluate the performance. Compared with straightforward use of the PAT-based linear regression model, the proposed model achieved higher measurement accuracy. Due to low computation complexity, the proposed algorithm can be easily transplanted into wearable sensor devices.

  16. Airbag pressure gauge and experience method monitoring cuff pressure%应用气囊测压表与经验法监测气囊压力的临床观察

    Institute of Scientific and Technical Information of China (English)

    刘新平; 王爱芹; 卢艳霞

    2014-01-01

    目的 探讨气囊测压表监测人工气道气囊压力在临床应用中的价值.方法 应用气囊测压表测量29例患者气囊实际压力,与经验法判断进行对比.结果 29例中,27.59%高于理想值,48.28%低于理想值,仅24.14%处于理想值;测压表与经验法的相关系数为0.469,为低度相关.经验法的准确性41.02%,敏感性为11.77%,特异性63.64%,阳性预测值20.00%,阴性预测值48.28%,P=0.140.结论 用经验法判断气囊压力存在较大误差,建议定期应用气囊测压表对气囊进行压力检测,维持气囊压力在安全范围以保证机械通气患者安全.%Objective To explore the clinical value of airbag pressure gauge monitoring artificial airway cuff pressure.Methods 29 patients' cuff pressure was measured with airbag pressure gauge and experience method.The results between the two methods were compared.Results Among the 29 patients,27.59% patients had higher pressure than ideal value,48.28% lower,and only 24.14% equal.The correlation between airbag pressure gauge and experience method was a low level of 0.469.The accuracy was 41.02%,the sensitivity 11.77%,the specificity 63.64%,the positive predict value 20.00%,and the negative predict value 48.28% of experience method,P =0.140.Conclusions Measuring cuff pressure with experience method has a big error.Therefore,measuring cuff pressure regularly with airbag pressure gauge is recommended to ensure the safety of patients undertaking mechanical ventilation maintaining the cuff pressure within a safe range.

  17. Endotracheal Tube Cuff Management at Altitude

    Science.gov (United States)

    2014-02-05

    model study of endotracheal intubation including mechanical ventilation and four methods of cuff pressure management during ascent and descent...AFRL-SA-WP-SR-2014-0007 Endotracheal Tube Cuff Management at Altitude SSgt Tyler J. Britton, RRT1; Richard D. Branson, RRT2...REPORT TYPE Special Report 3. DATES COVERED (From – To) June 2012 – December 2013 4. TITLE AND SUBTITLE Endotracheal Tube Cuff Management

  18. Pressure Infusion Cuff and Blood Warmer during Massive Transfusion: An Experimental Study About Hemolysis and Hypothermia.

    Science.gov (United States)

    Poder, Thomas G; Pruneau, Denise; Dorval, Josée; Thibault, Louis; Fisette, Jean-François; Bédard, Suzanne K; Jacques, Annie; Beauregard, Patrice

    2016-01-01

    Blood warmers were developed to reduce the risk of hypothermia associated with the infusion of cold blood products. During massive transfusion, these devices are used with compression sleeve, which induce a major stress to red blood cells. In this setting, the combination of blood warmer and compression sleeve could generate hemolysis and harm the patient. We conducted this study to compare the impact of different pressure rates on the hemolysis of packed red blood cells and on the outlet temperature when a blood warmer set at 41.5°C is used. Pressure rates tested were 150 and 300 mmHg. Ten packed red blood cells units were provided by Héma-Québec and each unit was sequentially tested. We found no increase in hemolysis either at 150 or 300 mmHg. By cons, we found that the blood warmer was not effective at warming the red blood cells at the specified temperature. At 150 mmHg, the outlet temperature reached 37.1°C and at 300 mmHg, the temperature was 33.7°C. To use a blood warmer set at 41.5°C in conjunction with a compression sleeve at 150 or 300 mmHg does not generate hemolysis. At 300 mmHg a blood warmer set at 41.5°C does not totally avoid a risk of hypothermia.

  19. High-inflation pressure and positive end-expiratory pressure. Injurious to the lung? No.

    Science.gov (United States)

    Nelson, L D

    1996-07-01

    Survival rates in ARDS with conventional ventilation using high oxygen fractions and low PEEP levels have been reported to be less than 10%. In three prospective evaluations of ARDS in the 1980s, mortality rates remained greater than 60%. Early studies using high-level PEEP therapy in severe ARDS by Douglas, Downs, Kirby, and Civetta showed improved survival rates with ranges between 60% and 80%. In 1979 Gallagher reviewed 59 patients with ARDS who were treated with PEEP greater than 15 cm H2O titrated to improve FRC by achieving an intrapulmonary shunt fraction of 15%. The overall survival was 65%, with only 5% of the patients dying secondary to respiratory failure. In the more recent study by Miller in trauma patients and later by DiRusso in a variety of surgical patients, the overall mortality rate for those patients receiving PEEP greater than 15 cm H2O was 20% to 30%. Of the 14 patients who died, only seven (10% of the total) succumbed to respiratory failure. The remaining patients died from the primary underlying disease with normal oxygenation or after significant weaning from high PEEP levels. By using a goal-oriented approach to the management of patients with severe ARDS, we have found that high-level PEEP therapy was effective in lowering the intrapulmonary shunt and improving the SaO2 at acceptable levels of inspired oxygen. All of these patients were ventilated with traditional high tidal volumes (10 to 15 mL/kg) and therefore exhibited high peak inspiratory airway pressures. This support method did not seem to cause lung injury or an excessive amount of barotrauma in these patients, but in fact, was associated with a lower mortality rate (30%) than reported in other studies of patients with lesser degrees of lung oxygenation dysfunction and extrapulmonary organ system dysfunction. Currently available information indicates that increases in mean airway pressure (induced with PEEP or other modes of ventilatory support to restore losses in FRC that occur

  20. Comparison of the cuff pressure of a TaperGuard endotracheal tube and a cylindrical endotracheal tube after lateral rotation of head during middle ear surgery: A single-blind, randomized clinical consort study.

    Science.gov (United States)

    Choi, Eunkyung; Park, Yongmin; Jeon, Younghoon

    2017-03-01

    Positional change affects the cuff pressure of an endotracheal tube (ETT) in treacheally intubated patients. We compared the cuff pressure of a TaperGuard ETT and a cylindrical ETT after lateral rotation of head during middle ear surgery. Fifty-two patients aged 18-70 years underwent a tympanomastoidectomy under general anesthesia were randomly allocated to receive endotracheal intubation with cylindrical (group C, n = 26) or TaperGuard ETTs (group T, n = 26). After endotracheal intubation, the ETT cuff pressure was set at 22 cmH2O in the neutral position of head. After lateral rotation of head, the cuff pressure was measured again and readjusted to 22 cmH2O. In addition, the change of distance from the carina to the tip of the ETT was measured before and after the positional change. The incidence of cough, sore throat, and hoarseness was assessed at 30 minutes, 6 hours, and 24 hours after surgery. There was no difference in demographic data between groups. After lateral rotation of head, the cuff pressure significantly increased in group T (11.9 ± 2.3 cmH2O) compared with group C (6.0 ± 1.9 cmH2O) (P pressure >30 cmH2O was higher in group T (96.2%) than in group C (30.8%) (P sore throat, hoarseness, and cough at 30 minutes, 6 hours, and 24 hours after surgery were comparable between two groups. The cuff pressure was higher in the TaperGuard ETT than in the cylindrical ETT after positional change of head from neutral to lateral rotation. In addition, after a positional change, the extent of displacement of ETT was greater in the TaperGuard ETT than in the cylindrical ETT.

  1. Rotator Cuff Injuries

    Science.gov (United States)

    ... cuff are common. They include tendinitis, bursitis, and injuries such as tears. Rotator cuff tendons can become ... cuff depends on age, health, how severe the injury is, and how long you've had the ...

  2. Rotator cuff exercises

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000357.htm Rotator cuff exercises To use the sharing features on this ... gov/pubmed/25560729 . Read More Frozen shoulder Rotator cuff problems Rotator cuff repair Shoulder arthroscopy Shoulder CT scan Shoulder ...

  3. The impact of arm position and pulse pressure on the validation of a wrist-cuff blood pressure measurement device in a high risk population

    Directory of Open Access Journals (Sweden)

    Ali Reza Khoshdel

    2010-03-01

    Full Text Available Ali Reza Khoshdel1,2, Shane Carney2, Alastair Gillies21Faculty of Medicine, Aja University of Medical Science, Tehran, Iran; 2John Hunter Hospital, Faculty of Health, The University of Newcastle, Newcastle, NS W, AustraliaAbstract: Despite the increasing popularity of blood pressure (BP wrist monitors for self-BP measurement at home, device validation and the effect of arm position remains an issue. This study focused on the validation of the Omron HEM-609 wrist BP device, including an evaluation of the impact of arm position and pulse pressure on BP measurement validation. Fifty patients at high risk for cardiovascular disease were selected (age 65 ± 10 years. Each patient had two measurements with a mercury sphygmomanometer and three measurements with the wrist BP device (wrist at the heart level while the horizontal arm supported [HORIZONTAL], hand supported on the opposite shoulder [SHOULDER], and elbow placed on a desk [DESK], in random order. The achieved systolic BP (SBP and diastolic BP (DBP wrist-cuff readings were compared to the mercury device and the frequencies of the readings within 5, 10, and 15 mmHg of the gold standard were computed and compared with the British Hypertension Society (BHS and Association for the Advancement of Medical Instrumentation (AAMI protocols. The results showed while SBP readings with HORIZONTAL and SHOULDER positions were significantly different from the mercury device (mean difference = 7.1 and 13.3 mmHg, respectively; P < 0.05, the DESK position created the closest reading to mercury (mean difference = 3.8, P > 0.1. Approximately 71% of SBP readings with the DESK position were within ±10 mmHg, whereas it was 62.5% and 34% for HORIZONTAL and SHOULDER positions, respectively. Wrist DBP attained category D with BHS criteria with all three arm positions. Bland–Altman plots illustrated that the wrist monitor systematically underestimated SBP and DBP values. However a reading adjustment of 5 and 10 mm

  4. Highly wearable cuff-less blood pressure and heart rate monitoring with single-arm electrocardiogram and photoplethysmogram signals.

    Science.gov (United States)

    Zhang, Qingxue; Zhou, Dian; Zeng, Xuan

    2017-02-06

    Long-term continuous systolic blood pressure (SBP) and heart rate (HR) monitors are of tremendous value to medical (cardiovascular, circulatory and cerebrovascular management), wellness (emotional and stress tracking) and fitness (performance monitoring) applications, but face several major impediments, such as poor wearability, lack of widely accepted robust SBP models and insufficient proofing of the generalization ability of calibrated models. This paper proposes a wearable cuff-less electrocardiography (ECG) and photoplethysmogram (PPG)-based SBP and HR monitoring system and many efforts are made focusing on above challenges. Firstly, both ECG/PPG sensors are integrated into a single-arm band to provide a super wearability. A highly convenient but challenging single-lead configuration is proposed for weak single-arm-ECG acquisition, instead of placing the electrodes on the chest, or two wrists. Secondly, to identify heartbeats and estimate HR from the motion artifacts-sensitive weak arm-ECG, a machine learning-enabled framework is applied. Then ECG-PPG heartbeat pairs are determined for pulse transit time (PTT) measurement. Thirdly, a PTT&HR-SBP model is applied for SBP estimation, which is also compared with many PTT-SBP models to demonstrate the necessity to introduce HR information in model establishment. Fourthly, the fitted SBP models are further evaluated on the unseen data to illustrate the generalization ability. A customized hardware prototype was established and a dataset collected from ten volunteers was acquired to evaluate the proof-of-concept system. The semi-customized prototype successfully acquired from the left upper arm the PPG signal, and the weak ECG signal, the amplitude of which is only around 10% of that of the chest-ECG. The HR estimation has a mean absolute error (MAE) and a root mean square error (RMSE) of only 0.21 and 1.20 beats per min, respectively. Through the comparative analysis, the PTT&HR-SBP models significantly outperform

  5. Análise das pressões de balonetes em diferentes angulações da cabeceira do leito dos pacientes internados em unidade de terapia intensiva Cuff pressure analysis of intensive care unit patients with different inclinations of the head section of the bed

    Directory of Open Access Journals (Sweden)

    Fabiane Coelho Ono

    2008-09-01

    Full Text Available OBJETIVOS: A correta insuflação do balonete permite ventilação adequada, além de ser uma das formas de prevenção de pneumonia aspirativa bem como de diversas complicações traqueais. O objetivo deste estudo foi avaliar as pressões de balonetes dos tubos traqueais e/ou cânulas de traqueostomia nas angulações de zero, 30 e 60 graus de inclinação da cabeceira do leito de pacientes internados em unidades de terapia intensiva adulta. MÉTODOS: Realizado estudo transversal, com análise da pressão de balonetes, do volume- corrente expirado (VC e da pressão de pico das vias aéreas (PP nas posições de zero, 30 e 60 graus. A angulação de 30 graus foi considerada posição de referência como controle para a análise do comportamento dos valores nas posições de zero a 60 graus, as quais foram escolhidas de forma aleatória. Utilizou-se o teste t de Student, sendo considerado significativo quando p OBJECTIVES: Correct cuff inflation allows appropriate ventilation, and prevents aspiration pneumonia as well as several tracheal complications. The objective of this study was to evaluate endotracheal cuff pressure and/or tracheotomy tubes at zero, 30 and 60 degrees inclination of the patient's bed head section in adult intensive care units. METHODS: A cross sectional study was carried out evaluating the cuff pressure, the expiratory tidal volume (VT and the peak airway pressure (PP at inclinations zero, 30 and 60 degree of the head section of the patients' bed. The 30 degree inclination was considered the standard position used as control to analyze values in the zero and 60 degree positions, which were randomly ordered. The Student's t test was used and was considered significant when p < 0.05. RESULTS: A sample of 12 women and 12 men with a mean age of 51.29 ± 19.55 years was surveyed. When inclination of the bed head section was changed from 30 to zero degrees, there was a 16.9% mean reduction of the cuff pressure and 11.8% mean

  6. Influence of inflation pressure and balloon size on the development of intimal hyperplasia after balloon angioplasty. A study in the atherosclerotic rabbit.

    Science.gov (United States)

    Sarembock, I J; LaVeau, P J; Sigal, S L; Timms, I; Sussman, J; Haudenschild, C; Ezekowitz, M D

    1989-10-01

    To evaluate the effect of balloon size and inflation pressure on acute and subsequent outcome following balloon angioplasty (BA), 70 New Zealand White rabbits with bilateral femoral atherosclerosis were assigned to four groups: group 1, oversized balloon, low inflation pressure (n = 35 vessels; balloon size, 3.0 mm/inflation pressure, 5 atm); group 2, oversized balloon, high inflation pressure (n = 36; 3.0 mm/10 atm); group 3, appropriate size, low inflation pressure (n = 17; 2.5 mm/5 atm); and group 4, appropriate size balloon, high inflation pressure (n = 19; 2.5 mm/10 atm). Angiograms were obtained before, 10 minutes after, and 28 days after BA and read by two blinded observers using electronic calipers. The in vivo balloon-to-vessel ratio was measured for each group. There were eight non-BA controls. Rabbits were sacrificed either immediately (n = 34) or at 28 days after BA (n = 36), with the femoral vessels pressure perfused for histologic and morphometric analysis. The latter was performed at 28 days only. Absolute angiographic diameters increased in all groups immediately after BA (p less than 0.01). Acute angiographic success, defined as greater than 20% increase in luminal diameter, was higher using high inflation pressure (group 2, 32/36 [89%] and group 4, 16/19 [84%] vs. group 1, 23/35 [66%] and group 3, 9/17 [53%]; p less than 0.05). A 3.0-mm balloon resulted in significant oversizing irrespective of inflation pressure (balloon-to-vessel ratio, 1.5 +/- 0.1 vs. 1.1 +/- 0.1 to 1, for the 2.5-mm balloon). Vessels exposed to high inflation pressure had a significantly higher incidence of mural thrombus, dissection (p less than 0.01), and medial necrosis versus low pressure (p less than 0.05). At 28 days, the rates of restenosis (defined as greater than 50% loss of initial gain) were 14/20 (70%), 11/16 (69%), 5/10 (50%), and 5/10 (50%) for groups 1 through 4 (p = NS; a trend in favor of the groups using an oversized balloon). There was an increase in the

  7. Postoperative pharyngolaryngeal adverse events with laryngeal mask airway (LMA Supreme) in laparoscopic surgical procedures with cuff pressure limiting 25 cmH₂O: prospective, blind, and randomised study.

    Science.gov (United States)

    Kang, Joo-Eun; Oh, Chung-Sik; Choi, Jae Won; Son, Il Soon; Kim, Seong-Hyop

    2014-01-01

    To reduce the incidence of postoperative pharyngolaryngeal adverse events, laryngeal mask airway (LMA) manufacturers recommend maximum cuff pressures not exceeding 60 cmH₂O. We performed a prospective randomised study, comparing efficacy and adverse events among patients undergoing laparoscopic surgical procedures who were allocated randomly into low (limiting 25 cmH₂O, L group) and high (at 60 cmH₂O, H group) LMA cuff pressure groups with LMA Supreme. Postoperative pharyngolaryngeal adverse events were evaluated at discharge from postanaesthetic care unit (PACU) (postoperative day 1, POD 1) and 24 hours after discharge from PACU (postoperative day 2, POD 2). All patients were well tolerated with LMA without ventilation failure. Before pneumoperitoneum, cuff volume and pressure and oropharyngeal leak pressure (OLP) showed significant differences. Postoperative sore throat at POD 2 (3 versus 12 patients) and postoperative dysphagia at POD 1 and POD 2 (0 versus 4 patients at POD 1; 0 versus 4 patients at POD 2) were significantly lower in L group, compared with H group. In conclusion, LMA with cuff pressure limiting 25 cmH₂O allowed both efficacy of airway management and lower incidence of postoperative adverse events in laparoscopic surgical procedures. This clinical trial is registered with KCT0000334.

  8. Postoperative Pharyngolaryngeal Adverse Events with Laryngeal Mask Airway (LMA Supreme in Laparoscopic Surgical Procedures with Cuff Pressure Limiting 25 cmH2O: Prospective, Blind, and Randomised Study

    Directory of Open Access Journals (Sweden)

    Joo-Eun Kang

    2014-01-01

    Full Text Available To reduce the incidence of postoperative pharyngolaryngeal adverse events, laryngeal mask airway (LMA manufacturers recommend maximum cuff pressures not exceeding 60 cmH2O. We performed a prospective randomised study, comparing efficacy and adverse events among patients undergoing laparoscopic surgical procedures who were allocated randomly into low (limiting 25 cmH2O, L group and high (at 60 cmH2O, H group LMA cuff pressure groups with LMA Supreme. Postoperative pharyngolaryngeal adverse events were evaluated at discharge from postanaesthetic care unit (PACU (postoperative day 1, POD 1 and 24 hours after discharge from PACU (postoperative day 2, POD 2. All patients were well tolerated with LMA without ventilation failure. Before pneumoperitoneum, cuff volume and pressure and oropharyngeal leak pressure (OLP showed significant differences. Postoperative sore throat at POD 2 (3 versus 12 patients and postoperative dysphagia at POD 1 and POD 2 (0 versus 4 patients at POD 1; 0 versus 4 patients at POD 2 were significantly lower in L group, compared with H group. In conclusion, LMA with cuff pressure limiting 25 cmH2O allowed both efficacy of airway management and lower incidence of postoperative adverse events in laparoscopic surgical procedures. This clinical trial is registered with KCT0000334.

  9. Postoperative Pharyngolaryngeal Adverse Events with Laryngeal Mask Airway (LMA Supreme) in Laparoscopic Surgical Procedures with Cuff Pressure Limiting 25 cmH2O: Prospective, Blind, and Randomised Study

    Science.gov (United States)

    Kang, Joo-Eun; Choi, Jae Won; Son, Il Soon

    2014-01-01

    To reduce the incidence of postoperative pharyngolaryngeal adverse events, laryngeal mask airway (LMA) manufacturers recommend maximum cuff pressures not exceeding 60 cmH2O. We performed a prospective randomised study, comparing efficacy and adverse events among patients undergoing laparoscopic surgical procedures who were allocated randomly into low (limiting 25 cmH2O, L group) and high (at 60 cmH2O, H group) LMA cuff pressure groups with LMA Supreme. Postoperative pharyngolaryngeal adverse events were evaluated at discharge from postanaesthetic care unit (PACU) (postoperative day 1, POD 1) and 24 hours after discharge from PACU (postoperative day 2, POD 2). All patients were well tolerated with LMA without ventilation failure. Before pneumoperitoneum, cuff volume and pressure and oropharyngeal leak pressure (OLP) showed significant differences. Postoperative sore throat at POD 2 (3 versus 12 patients) and postoperative dysphagia at POD 1 and POD 2 (0 versus 4 patients at POD 1; 0 versus 4 patients at POD 2) were significantly lower in L group, compared with H group. In conclusion, LMA with cuff pressure limiting 25 cmH2O allowed both efficacy of airway management and lower incidence of postoperative adverse events in laparoscopic surgical procedures. This clinical trial is registered with KCT0000334. PMID:24778598

  10. Inflatable Models

    Institute of Scientific and Technical Information of China (English)

    Ling Li; Vasily Volkov

    2006-01-01

    A physically-based model is presented for the simulation of a new type of deformable objects-inflatable objects, such as shaped balloons, which consist of pressurized air enclosed by an elastic surface. These objects have properties inherent in both 3D and 2D elastic bodies, as they demonstrate the behaviour of 3D shapes using 2D formulations. As there is no internal structure in them, their behaviour is substantially different from the behaviour of deformable solid objects. We use one of the few available models for deformable surfaces, and enhance it to include the forces of internal and external pressure. These pressure forces may also incorporate buoyancy forces, to allow objects filled with a low density gas to float in denser media. The obtained models demonstrate rich dynamic behaviour, such as bouncing, floating, deflation and inflation.

  11. Subsonic pressure distributions around a solid model of an inflatable decelerator attached to the base of an ogive-cylinder

    Science.gov (United States)

    Sawyer, J. W.

    1972-01-01

    A wind-tunnel investigation was conducted at free-stream Mach numbers from 0.20 to 1.00 and corresponding Reynolds numbers, based on maximum afterbody diameter, from 2.25 x one million to 6.90 x one million on a solid model of an attached inflatable decelerator (AID) connected to the base of an ogive-cylinder. Tests were conducted to obtain ram-air and surface pressure distributions about the AID. AID shapes derived for subsonic deployment are dependent on the pressure distributions used in their derivation, and the different shapes obtained are dependent on the Mach number for which the design is made. The resulting pressure distributions were used in a design program to obtain new shapes which were compared with the original pressure-distribution shape.

  12. Mechanics of the occlusive arm cuff and its application as a volume sensor.

    Science.gov (United States)

    Drzewiecki, G; Bansal, V; Karam, E; Hood, R; Apple, H

    1993-07-01

    Although a common medical instrument, the mechanical function of an occlusive arm cuff has not been fully described in an engineering sense. The occlusive arm cuff is examined here using a mathematical mechanics model and experimental measurements. Cuff stretch was modeled by a nonlinear pressure-volume function. Air compression was represented by Boyle's law. An apparatus was developed to measure pressure due to the air volume pumped into the cuff for fixed arm volume. Data were obtained for two different cuff designs, and reveal a nonlinear cuff pressure-volume relationship that could be represented accurately by the mathematical model. Calibration constants are provided for the two types of occlusive cuff. Thus, the cuff pressure was found to consist of a balance between that produced by stretch of the elastic cuff bladder and that of the compression of the air contained within the bladder. The use of the gas law alone was found to be inadequate to represent the cuff mechanics. When applying the cuff to measure change in arm volume, such as during plethysmography or oscillometry, it cannot be assumed that the cuff sensitivity is constant. More precisely, it was found that the occlusive cuff is a transducer with a volume sensitivity that increases with cuff pressure and volume until it becomes nearly constant at high levels of cuff pressure (150 mmHg). A hypothetical case of a linear elastic artery with constant pulse pressure was used as input to the cuff model to illustrate the change in cuff pressure oscillations that occurs while cuff pressure is released.(ABSTRACT TRUNCATED AT 250 WORDS)

  13. Inflation or Not?

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    China is taking measures to cope with inflation pressures caused by soaring food prices Financial data released in August has created worry among the Chinese public about inflationary pressures confronting the economy.

  14. Rotator cuff repair - slideshow

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/presentations/100229.htm Rotator cuff repair - series—Normal anatomy To use the sharing ... to slide 4 out of 4 Overview The rotator cuff is a group of muscles and tendons that ...

  15. Pressure Relief, Visco-Elastic Foam with Inflated Air? A Pilot Study in a Dutch Nursing Home

    Directory of Open Access Journals (Sweden)

    Martin Van Leen

    2015-02-01

    Full Text Available Objective: There is still little evidence regarding the type of mattress that is the best for preventing pressure ulcers (PUs. In a Dutch nursing home, a new type of overlay mattress (air inflated visco-elastic foam was tested to analyze the opportunity for replacement of the normally used static air overlay mattress in its three-step PU prevention protocol In this small pilot the outcome measures were: healing of a category one pressure ulcer, new development or deterioration of a category one PU and need for repositioning. Methods: We included 20 nursing home residents with a new category one pressure ulcer, existing for no longer than 48 h following a consecutive sampling technic. All residents were staying for more than 30 days in the nursing home and were lying on a visco-elastic foam mattress without repositioning (step one of the 3-step protocol at the start of the pilot study. They had not suffered from a PU in the month before. The intervention involved use of an air inflated foam overlay instead of a static air overlay (normally step 2 of the 3-step protocol. At the start; the following data were registered: age; gender; main diagnosis and presence of incontinence. Thereafter; all participating residents were checked weekly for PU healing tendency; deterioration of PUs; new PUs and need of repositioning. Only when residents showed still a category one PU after 48 h or deterioration of an existing pressure ulcer or if there was development of a new pressure ulcer, repositioning was put into practice (step 3 of the PU protocol. All residents participated during 8 weeks. Results: Seven residents developed a new pressure ulcer category one and still had a category one pressure ulcer at the end of the study period. One resident developed a pressure ulcer category 2. Fifteen residents needed repositioning from one week after start of the study until the end of the study. Conclusions: Overall 40% of the residents developed a pressure ulcer

  16. Inflation Targeting and Inflation Persistence

    Institute of Scientific and Technical Information of China (English)

    GEORGE; J.BRATSIOTIS; JAKOB; MADSEN; CHRISTOPHER; MARTIN

    2015-01-01

    This paper argues that the adoption of an inflation target reduces the persistence of inflation.We develop the theoretical literature on inflation persistence by introducing a Taylor Rule for monetary policy into a model of persistence and showing that inflation targets reduce inflation persistence.We investigate changes in the time series properties of inflation in seven countries that introduced inflation targets in the late 1980s or early 1990s.We find that the persistence of inflation is greatly reduced or eliminated following the introduction of inflation targets.

  17. Determinação de volumes e pressões de balonetes de tubos traqueais insuflados com ar ambiente ou óxido nitroso Determinación de volúmenes y presiones de balones de tubos traqueales insuflados con aire ambiente u óxido nitroso Volume and pressure of tracheal tube cuffs filled with air or nitrous oxide

    Directory of Open Access Journals (Sweden)

    Ernesto Leonardo Cárpio Peña

    2004-06-01

    balanceada con entubación orotraqueal. El balón fue insuflado conforme criterios clínicos. Las medidas de base fueron realizadas después de 15 minutos del inicio de la anestesia con un manómetro aneróide calibrado en cm de H2O y dieron los valores iniciales de presión y volumen. Los pacientes fueron divididos en dos grupos: balón reinsuflado con aire ambiente, grupo A, o con óxido nitroso, grupo B. Las medidas de presión fueron obtenidas en intervalos hasta la primera hora y los resultados comparados. RESULTADOS: Los grupos se mostraron comparables para edad y sexo. En ambos grupos los valores basales medios para presión fueron próximos de 40 cmH2O con 8 ml de volumen. En el grupo con aire ambiente, las presiones aumentaron hasta 36 cmH2O en una hora. En el grupo de balón insuflado con N2O, las presiones cayeron abajo de 20 cmH2O entre 20 y 30 minutos de anestesia. CONCLUSIONES: El uso de N2O a 100% para insuflación del balón de sonda traqueal no constituye método seguro, acarreando progresiva pérdida de la capacidad de vedación. El uso de aire ambiente promueve aumento de volumen y de presión en el balón, aumentando la posibilidad de lesión de la mucosa traqueal.BACKGROUND AND OBJECTIVES: Tracheal tube cuff pressure against tracheal wall should to prevent air leaked or pulmonary aspiration, allowing adequate capillary blood flow. This study aimed at determining pressure variations of tracheal tube cuffs filled with air or 100% nitrous oxide. METHODS: Participated in this study 30 patients submitted to balanced general anesthesia with tracheal intubation. Cuff was inflated according to clinical criteria. The intracuff pressure measurements were undertaken after 15 minutes of anesthesia by means of an aneroid manometer gaged in cm of H2O and have provided initial pressure and volume values. The patients was allocated in two groups: cuff inflated with air, group A, and with nitrous oxide, group B. Measurements were recorded during one hour and results were

  18. Continuous Non-invasive finger cuff CareTaker® comparable to invasive intra-arterial pressure in patients undergoing major intra-abdominal surgery.

    Science.gov (United States)

    Gratz, Irwin; Deal, Edward; Spitz, Francis; Baruch, Martin; Allen, I Elaine; Seaman, Julia E; Pukenas, Erin; Jean, Smith

    2017-03-21

    Despite increased interest in non-invasive arterial pressure monitoring, the majority of commercially available technologies have failed to satisfy the limits established for the validation of automatic arterial pressure monitoring by the Association for the Advancement of Medical Instrumentation (AAMI). According to the ANSI/AAMI/ISO 81060-2:2013 standards, the group-average accuracy and precision are defined as acceptable if bias is not greater than 5 mmHg and standard deviation is not greater than 8 mmHg. In this study, these standards are used to evaluate the CareTaker® (CT) device, a device measuring continuous non-invasive blood pressure via a pulse contour algorithm called Pulse Decomposition Analysis. A convenience sample of 24 patients scheduled for major abdominal surgery were consented to participate in this IRB approved pilot study. Each patient was monitored with a radial arterial catheter and CT using a finger cuff applied to the contralateral thumb. Hemodynamic variables were measured and analyzed from both devices for the first thirty minutes of the surgical procedure including the induction of anesthesia. The mean arterial pressure (MAP), systolic and diastolic blood pressures continuously collected from the arterial catheter and CT were compared. Pearson correlation coefficients were calculated between arterial catheter and CT blood pressure measurements, a Bland-Altman analysis, and polar and 4Q plots were created. The correlation of systolic, diastolic, and mean arterial pressures were 0.92, 0.86, 0.91, respectively (p arterial pressures, respectively with a standard deviation of 7.34, 6.47, 5.33 mmHg for systolic, diastolic, and mean arterial pressures, respectively (p pressure measured using the non-invasive CT device was shown to correlate well with the arterial catheter measurements. Larger studies are needed to confirm these results in more varied settings. Most patients exhibited very good agreement between methods. Results were

  19. Effect on postoperative sore throat of spraying the endotracheal tube cuff with benzydamine hydrochloride, 10% lidocaine, and 2% lidocaine.

    Science.gov (United States)

    Hung, Nan-Kai; Wu, Ching-Tang; Chan, Shun-Ming; Lu, Chueng-He; Huang, Yuan-Shiou; Yeh, Chun-Chang; Lee, Meei-Shyuan; Cherng, Chen-Hwan

    2010-10-01

    Postoperative sore throat (POST) is a common complication after endotracheal intubation. We compared the effectiveness on POST of spraying the endotracheal tube (ETT) cuff with benzydamine hydrochloride, 10% lidocaine, and 2% lidocaine. Three hundred seventy-two patients were randomly allocated into 4 groups. The ETT cuffs in each group were sprayed with benzydamine hydrochloride, 10% lidocaine hydrochloride, 2% lidocaine hydrochloride, or normal saline before endotracheal intubation. After insertion, the cuffs were inflated to an airway leak pressure of 20 cm H(2)O. Anesthesia was maintained with propofol. The patients were examined for sore throat (none, mild, moderate, or severe) at 1, 6, 12, and 24 hours after extubation. The highest incidence of POST occurred at 6 hours after extubation in all groups. There was a significantly lower incidence of POST in the benzydamine group than 10% lidocaine, 2% lidocaine, and normal saline groups (P benzydamine group (17.0%) compared with 10% lidocaine (53.7%), 2% lidocaine (37.0%), and normal saline (40.8%) groups (P benzydamine group had significantly decreased severity of POST compared with the 10% lidocaine, 2% lidocaine, and normal saline groups (P benzydamine hydrochloride on the ETT cuff is a simple and effective method to reduce the incidence and severity of POST.

  20. Current Biomechanical Concepts for Rotator Cuff Repair

    Science.gov (United States)

    2013-01-01

    For the past few decades, the repair of rotator cuff tears has evolved significantly with advances in arthroscopy techniques, suture anchors and instrumentation. From the biomechanical perspective, the focus in arthroscopic repair has been on increasing fixation strength and restoration of the footprint contact characteristics to provide early rehabilitation and improve healing. To accomplish these objectives, various repair strategies and construct configurations have been developed for rotator cuff repair with the understanding that many factors contribute to the structural integrity of the repaired construct. These include repaired rotator cuff tendon-footprint motion, increased tendon-footprint contact area and pressure, and tissue quality of tendon and bone. In addition, the healing response may be compromised by intrinsic factors such as decreased vascularity, hypoxia, and fibrocartilaginous changes or aforementioned extrinsic compression factors. Furthermore, it is well documented that torn rotator cuff muscles have a tendency to atrophy and become subject to fatty infiltration which may affect the longevity of the repair. Despite all the aforementioned factors, initial fixation strength is an essential consideration in optimizing rotator cuff repair. Therefore, numerous biomechanical studies have focused on elucidating the strongest devices, knots, and repair configurations to improve contact characteristics for rotator cuff repair. In this review, the biomechanical concepts behind current rotator cuff repair techniques will be reviewed and discussed. PMID:23730471

  1. [Airway problem during the operation with beach-chair position: a case of arytenoid dislocation and the relationship between intra-cuff pressure of endotrachial tube and the neck position].

    Science.gov (United States)

    Habe, Kazutoshi; Kawasaki, Takashi; Horishita, Takafumi; Sata, Takeyoshi

    2011-06-01

    Shoulder arthroscopy has been performed in beach-chair position. In our hospital, the postoperative complications of the airway were reported in the patients who had undergone the operation in this position (hoarseness: 4 cases, paralysis of recurrent nerve: 2 cases, arytenoids dislocation: 1 case). We assumed that the neck bending during operation causes these complications. We investigated the relationship between the neck position and the intra-cuff pressure of endotrachial tube. The results showed that the neck bending significantly increases the intra-cuff pressure of endotrachial tube. Therefore, we conclude that it is necessary to pay attention to neck position to avoid postoperative complications of the airway in the patients who have the operation in beach-chair position.

  2. Utilizing Photogrammetry and Strain Gage Measurement to Characterize Pressurization of an Inflatable Module

    Science.gov (United States)

    Valle, Gerard D.; Selig, Molly; Litteken, Doug; Oliveras, Ovidio

    2012-01-01

    This paper documents the integration of a large hatch penetration into an inflatable module. This paper also documents the comparison of analytical load predictions with measured results utilizing strain measurement. Strain was measured by utilizing photogrammetric measurement and through measurement obtained from strain gages mounted to selected clevises that interface with the structural webbings. Bench testing showed good correlation between strain measurement obtained from an extensometer and photogrammetric measurement especially after the fabric has transitioned through the low load/high strain region of the curve. Test results for the full-scale torus showed mixed results in the lower load and thus lower strain regions. Overall strain, and thus load, measured by strain gages and photogrammetry tracked fairly well with analytical predictions. Methods and areas of improvements are discussed.

  3. Impact of external pneumatic compression target inflation pressure on transcriptome-wide RNA expression in skeletal muscle.

    Science.gov (United States)

    Martin, Jeffrey S; Kephart, Wesley C; Haun, Cody T; McCloskey, Anna E; Shake, Joshua J; Mobley, Christopher B; Goodlett, Michael D; Kavazis, Andreas; Pascoe, David D; Zhang, Lee; Roberts, Michael D

    2016-11-01

    Next-generation RNA sequencing was employed to determine the acute and subchronic impact of peristaltic pulse external pneumatic compression (PEPC) of different target inflation pressures on global gene expression in human vastus lateralis skeletal muscle biopsy samples. Eighteen (N = 18) male participants were randomly assigned to one of the three groups: (1) sham (n = 6), 2) EPC at 30-40 mmHg (LP-EPC; n = 6), and 3) EPC at 70-80 mmHg (MP-EPC; n = 6). One hour treatment with sham/EPC occurred for seven consecutive days. Vastus lateralis skeletal muscle biopsies were performed at baseline (before first treatment; PRE), 1 h following the first treatment (POST1), and 24 h following the last (7th) treatment (POST2). Changes from PRE in gene expression were analyzed via paired comparisons within each group. Genes were filtered to include only those that had an RPKM ≥ 1.0, a fold-change of ≥1.5 and a paired t-test value of <0.01. For the sham condition, two genes at POST1 and one gene at POST2 were significantly altered. For the LP-EPC condition, nine genes were up-regulated and 0 genes were down-regulated at POST1 while 39 genes were up-regulated and one gene down-regulated at POST2. For the MP-EPC condition, two genes were significantly up-regulated and 21 genes were down-regulated at POST1 and 0 genes were altered at POST2. Both LP-EPC and MP-EPC acutely alter skeletal muscle gene expression, though only LP-EPC appeared to affect gene expression with subchronic application. Moreover, the transcriptome response to EPC demonstrated marked heterogeneity (i.e., genes and directionality) with different target inflation pressures.

  4. Finding the optimal setting of inflated air pressure for a multi-cell air cushion for wheelchair patients with spinal cord injury.

    Directory of Open Access Journals (Sweden)

    Hamanami K

    2004-02-01

    Full Text Available Pressure distribution patterns of the seating interface on the multi-cell air cushion (ROHO High Profile of 36 adults with spinal cord injury (SCI (Neurological level Th3 -L1 were measured at different air pressure levels by a pressure mat measurement system. Stress distribution relative to the inflated air pressure in the air cushion on the patients' wheelchairs was analyzed to determine the appropriate inflated air pressure of the cushion for patients. The maximum pressure points in all subjects were at the areas of the ischial tuberosities (82 to 347 mmHg. The optimal reduction in interface pressure at the ischial tuberosities was obtained just before bottoming out. The cushion air pressure at that point was between 17 and 42 mmHg, and correlated well to body weight (r = 0.495, P = 0.0021. In contrast, the maximum pressure levels did not correlate to body weight or the Body Mass Index (BMI. Pressure at the ischial area could be reduced, but not eliminated, by adjusting the air pressure. The maximum pressure levels seemed to be related to the shape of the buttocks, especially the amount of soft tissue, and exceeded the defined threshold for pressure ulcers (> 80 g/cm2.

  5. Efeitos da pressão limite (25 cmH2O e mínima de “selo” do balonete de tubos traqueais sobre a mucosa traqueal do cão Efectos de la presión limite (25 cmH2O y mínima de “sello” del balón de tubos traquéales sobre la mucosa traqueal del can Effects of tracheal tube cuff limit pressure (25 cmH2O and “seal” pressure on tracheal mucosa of dogs

    Directory of Open Access Journals (Sweden)

    Emanuel Celice Castilho

    2003-12-01

    ón del tubo traqueal insuflado con volumen de aire suficiente para obtener presión de “sello” o con la presión limite de 25 cmH2O, abajo de la presión crítica de 30 cm de agua para producción de lesión de la mucosa traqueal. MÉTODO: Diez y seis canes fueron sometidos a anestesia venosa y ventilación artificial. Los canes fueron distribuidos aleatoriamente en dos grupos de acuerdo con la presión en el balón del tubo traqueal (Portex Blue-Line, Inglaterra: Gsello (n = 8 balón con presión mínima de “sello” para impedir vaciamiento de aire durante la respiración artificial; G25 (n = 8 balón insuflado hasta la obtención de la presión de 25 cmH2O. La medida de la presión del balón fue realizada por medio de manómetro digital en el inicio (control y después de 60, 120 y 180 minutos. Después del sacrificio de los canes, fueron hechas biopsias en las áreas de la mucosa traqueal adyacentes al balón y al tubo traqueal para análisis de microscopio electrónico de barredura (MEV. RESULTADOS: La presión media del balón en G25 se mantuvo entre 24,8 y 25 cmH2O y en Gsello entre 11,9 y 12,5 cmH2O durante el experimento. Las alteraciones a la MEV fueron pequeñas y no significantemente diferentes en los grupos (p > 0,30, pero ocurrieron lesiones más intensas en las áreas de contacto de la mucosa traqueal con el balón del tubo traqueal, en los dos grupos, en relación a las áreas de la mucosa adyacentes o no al tubo traqueal (p BACKGROUND AND OBJECTIVES: Injuries of tracheal mucosa in contact with tracheal tube cuff is a function of cuff pressure and exposure time. This study aimed at analyzing injuries of tracheal mucosa in contact with tracheal tube cuff inflated to reach “seal” pressure or limit 25 cmH2O pressure, below critical 30 cmH2O, to prevent tracheal damage. METHODS: This study involved 16 dogs submitted to intravenous anesthesia and artificial ventilation. Dogs were randomly distributed into two experimental groups according to

  6. A comparative analysis of young tennis player target accuracy when using balls inflated under different pressures

    Directory of Open Access Journals (Sweden)

    Dmytro Krylov

    2017-06-01

    Full Text Available Purpose: make a comparative analysis of the target accuracy of ten-year tennis players in performing test exercises with balls with a pressure of 75% of the standard and balls with standard pressure. Material & Methods: in the study participated 8 tennis players of ten years of age, the group 5 years of training. In the course of the research, the following methods were used: analysis and generalization of literature sources, analysis of documentary materials, testing, method of expert evaluations. Results: replacing balls with a pressure of 75% of the standard for standard leads to a deterioration in the target accuracy of ten-year tennis players, which is a consequence of distortion of the technical characteristics of movements. Conclusion: results of the study indicate the need for correction of the technique of players of this age in the transition from balls with a pressure of 75% from the standard to standard.

  7. Respiratory rate estimation from the oscillometric waveform obtained from a non-invasive cuff-based blood pressure device.

    Science.gov (United States)

    Pimentel, M A F; Santos, M D; Arteta, C; Domingos, J S; Maraci, M A; Clifford, G D

    2014-01-01

    The presence of respiratory activity in the electrocardiogram (ECG), the pulse oximeter's photoplethysmo-graphic and continuous arterial blood pressure signals is a well-documented phenomenon. In this paper, we demonstrate that such information is also present in the oscillometric signal acquired from automatic non-invasive blood pressure monitors, and may be used to estimate the vital sign respiratory rate (RR). We propose a novel method that combines the information from the two respiratory-induced variations (frequency and amplitude) via frequency analysis to both estimate RR and eliminate estimations considered to be unreliable because of poor signal quality. The method was evaluated using data acquired from 40 subjects containing ECG, respiration and blood pressure waveforms, the latter acquired using an in-house built blood pressure device that is able to connect to a mobile phone. Results demonstrated a good RR estimation accuracy of our method when compared to the reference values extracted from the reference respiration waveforms (mean absolute error of 2.69 breaths/min), which is comparable to existing methods in the literature that extract RR from other physiological signals. The proposed method has been implemented in Java on the Android device for use in an mHealth platform.

  8. 袖带放置位置对肱动脉血压值的影响%Effect of different position of cuff on the value of vascular blood pressure

    Institute of Scientific and Technical Information of China (English)

    向虹静; 吴小兰

    2010-01-01

    目的 探讨测量血压时,袖带放置位置对肱动脉血压值的影响.方法 对207例住院患者进行血压观察,同一患者分别依次采用:袖带下缘距肘窝2~3 cm(标准测量法),下缘位于肘窝部(实验测量法1),下缘位于肘窝下1 cm(实验测量法2),下缘位于肘窝下2 cm(实验测量法3)4种方法测量血压,对标准测量法和另外3种测量方法所测得的收缩压和舒张压进行统计学处理并进行比较.结果 实验测量法1所测得的血压值与标准测量法比较差异无统计学意义(P>0.05);实验测量法2和3两种方法所测得的血压值与标准测量法比较差异有统计学意义(P<0.05).结论 袖带下缘位于肘窝部进行测量,所测得的血压值与标准测量方法比较影响不大,临床可采用,但袖带放置位置过低,测得的血压值将会下降.%Objective To investigate the influence of the cuff placement to the blood pressure measurement. Methods To measure 207 hospitalized case' s blood pressure with four methods: the cuff' s lower edge is 2 ~ 3 cm from the cubital fossa' s upper edge(standard measurement),the cuff' s lower edge is near the cubital fossa(measurement 1),the cuff' s lower edge is 1 cm from the cubital fossa' s lower edge (measurement 2),the cuff' s lower edge is 2 cm from the cubital fossa' s lower edge(measurement 3). Then to compare the difference of the systolic and diastolic blood pressure values of four groups. Results The difference between the blood pressure values of standard measurement and measurement 1 was no significant(P > 0. 05).The difference between the blood pressure values of standard measurement and measurement 2 or 3 was highly significant(P <0. 05). Conclusions The blood pressure values of standard measurement and measurement 1 were nearly same,so we could measure blood pressure with measurement 1 in clinic. But the cuff placement can not be too low,otherwise,the measured blood pressure values would be

  9. Flavon Inflation

    CERN Document Server

    Antusch, S; Malinsky, M; Velasco-Sevilla, L; Zavala, I

    2008-01-01

    We propose an entirely new class of particle physics models of inflation based on the phase transition associated with the spontaneous breaking of family symmetry responsible for the generation of the effective quark and lepton Yukawa couplings. We show that the Higgs fields responsible for the breaking of family symmetry, called flavons, are natural candidates for the inflaton field in new inflation, or the waterfall fields in hybrid inflation. This opens up a rich vein of possible inflation models, all linked to the physics of flavour, with interesting cosmological and phenomenological implications. Out of these many possibilities we discuss two examples which realise flavon inflation: a model of new inflation based on the discrete non-Abelian family symmetry group A_{4} or Delta_{27}, and a model of hybrid inflation embedded in an existing flavour model with a continuous SU(3) family symmetry. With the inflation scale and family symmetry breaking scale below the Grand Unification Theory (GUT) scale, these ...

  10. Modelling effects of tyre inflation pressure on the stress distribution near the soil-tyre interface

    DEFF Research Database (Denmark)

    Schjønning, Per; Lamandé, Mathieu; Tøgersen, Frede A

    2008-01-01

    Several investigations have shown that the distribution of vertical stress in soil just below a loaded tyre is not uniform. The stress distribution and the size and form of the tyre-soil interface are decisive for the stress propagation in the soil profile. We measured the distribution of vertical...... stress in the contact area for two radial-ply agricultural trailer tyres (650/65R30.5 and 800/50R34) loaded with 60 kN. The study took place on a sandy soil at a water content slightly less than field capacity. We tested the effect of three different inflation pressures (50, 100 and 240 k......Pa) in a randomised block design with three replicates. The vertical stress was measured with load cells located in 0.1 m soil depth. The vertical stress data were used also for identifying the soil area in contact with the tyre, i.e. the tyre footprint. A model (named FRIDA) is proposed that describes the tyre...

  11. Automorphic inflation

    Science.gov (United States)

    Schimmrigk, Rolf

    2015-09-01

    A framework of inflation is formulated based on symmetry groups and their associated automorphic functions. In this setting the inflaton multiplet takes values in a curved target space constructed from a continuous group G and a discrete subgroup Γ. The dynamics of inflationary models is essentially determined by the choice of the pair (G , Γ) and a function Φ on the group G. Automorphic inflation provides a natural structure in which the shift symmetry of large field inflation arises as one of generators of Γ. The model of j-inflation is discussed as an example of modular inflation associated with the special linear group.

  12. Automorphic inflation

    CERN Document Server

    Schimmrigk, Rolf

    2014-01-01

    A framework of inflation is formulated based on automorphic forms. In this setting the inflaton multiplet takes values in a curved target space constructed from a reductive group $G$ and an arithmetic subgroup $\\Gamma$. The dynamics of inflationary models is essentially determined by the choice of the groups $(G,\\Gamma)$ and a form $\\Phi$. Automorphic inflation provides a natural structure in which the shift symmetry of large field inflation arises as one of generating elements of the arithmetic group $\\Gamma$. The model of $j-$inflation is discussed as an example of modular inflation associated to the group SL(2).

  13. Soft inflation

    Science.gov (United States)

    Berkin, Andrew L.; Maeda, Kei-Ichi; Yokoyama, Junichi

    1990-01-01

    The cosmology resulting from two coupled scalar fields was studied, one which is either a new inflation or chaotic type inflation, and the other which has an exponentially decaying potential. Such a potential may appear in the conformally transformed frame of generalized Einstein theories like the Jordan-Brans-Dicke theory. The constraints necessary for successful inflation are examined. Conventional GUT models such as SU(5) were found to be compatible with new inflation, while restrictions on the self-coupling constant are significantly loosened for chaotic inflation.

  14. Automatic noninvasive measurement of systolic blood pressure using photoplethysmography

    Directory of Open Access Journals (Sweden)

    Glik Zehava

    2009-10-01

    Full Text Available Abstract Background Automatic measurement of arterial blood pressure is important, but the available commercial automatic blood pressure meters, mostly based on oscillometry, are of low accuracy. Methods In this study, we present a cuff-based technique for automatic measurement of systolic blood pressure, based on photoplethysmographic signals measured simultaneously in fingers of both hands. After inflating the pressure cuff to a level above systolic blood pressure in a relatively slow rate, it is slowly deflated. The cuff pressure for which the photoplethysmographic signal reappeared during the deflation of the pressure-cuff was taken as the systolic blood pressure. The algorithm for the detection of the photoplethysmographic signal involves: (1 determination of the time-segments in which the photoplethysmographic signal distal to the cuff is expected to appear, utilizing the photoplethysmographic signal in the free hand, and (2 discrimination between random fluctuations and photoplethysmographic pattern. The detected pulses in the time-segments were identified as photoplethysmographic pulses if they met two criteria, based on the pulse waveform and on the correlation between the signal in each segment and the signal in the two neighboring segments. Results Comparison of the photoplethysmographic-based automatic technique to sphygmomanometry, the reference standard, shows that the standard deviation of their differences was 3.7 mmHg. For subjects with systolic blood pressure above 130 mmHg the standard deviation was even lower, 2.9 mmHg. These values are much lower than the 8 mmHg value imposed by AAMI standard for automatic blood pressure meters. Conclusion The photoplethysmographic-based technique for automatic measurement of systolic blood pressure, and the algorithm which was presented in this study, seems to be accurate.

  15. Comparison of prophylactic effects of polyurethane cylindrical or tapered cuff and polyvinyl chloride cuff endotracheal tubes on ventilator-associated pneumonia.

    Science.gov (United States)

    Mahmoodpoor, Ata; Peyrovi-far, Ali; Hamishehkar, Hadi; Bakhtyiari, Zhaleh; Mirinezhad, Mir Mousa; Hamidi, Masoud; Golzari, Samad Eslam Jamal

    2013-08-07

    Because microaspiration of contaminated supraglottic secretions past the endotracheal tube cuff is considered to be central in the pathogenesis of pneumonia, improved design of tracheal tubes with new cuff material and shape have reduced the size and number of folds, which together with the addition of suction ports above the cuff to drain pooled subglottic secretions leads to reduced aspiration of oropharyngeal secretions. So we conducted a study to compare the prophylactic effects of polyurethane-cylindrical or tapered cuff and polyvinyl chloride cuff endotracheal tubes (ETT) on ventilator-associated pneumonia. This randomized clinical trial was carried out in a 12 bed surgical intensive care unit. 96 patients expected to require mechanical ventilation more than 96 hours were randomly allocated to one of three following groups: Polyvinyl chloride cuff (PCV) ETT, Polyurethane (PU) cylindrical Sealguard ETT and PU Taperguard ETT. Cuff pressure monitored every three hours 3 days in all patients. Mean cuff pressure didn't have significant difference between three groups during 72 hours. Pneumonia was seen in 11 patients (34%) in group PVC, 8 (25%) in Sealguard and 7 (21%) in Taperguard group. Changes in mean cuff pressure between Sealguard and PVC tubes and also between Taperguard and PVC tubes did not show any significant difference. There was no significant difference in overinflation between three groups. The use of ETT with PU material results in reducing ventilator-associated pneumonia compared to ETT with PVC cuff. In PU tubes Taperguard has less incidence of ventilator-associated pneumonia compared to Sealguard tubes.

  16. Noninvasive automatic blood pressure monitoring does not attenuate nighttime hypotension. Evidence from 24 h intraarterial blood pressure monitoring.

    Science.gov (United States)

    Villani, A; Parati, G; Groppelli, A; Omboni, S; Di Rienzo, M; Mancia, G

    1992-10-01

    Automatic ambulatory blood pressure monitoring makes use of repeated cuff inflations throughout the day and night. This may interfere with the cardiovascular effects of sleep and thus alter the 24 h blood pressure profile. The possibility that intermittent automatic blood pressure measurements prevent nocturnal hypotension was examined in 17 mild or moderate essential hypertensive patients in whom blood pressure was recorded intraarterially for 48 h by the Oxford technique. During the first or the second 24 h period, blood pressure was also monitored noninvasively by the SpaceLabs (Redmond, WA) 5300 (n = 10) and by the Sandoz Pressure System SPS 1558 (Lavanchy Electronique, Prilly, Switzerland) (n = 7) devices, automatic measurements being performed at 15 min intervals during the day and at 30 min intervals during the night. Separate computer analysis of 24 h intraarterial tracings obtained in absence and in concomitance of contralateral automatic blood pressure monitoring showed that the occurrence of automatic measurements had not interfered with the day-night intraarterial blood pressure and heart rate profiles. Thus the frequent cuff inflations that characterize automatic blood pressure monitoring do not attenuate nighttime hypotension and bradycardia. This finding supports use of the noninvasive approach in assessing blood pressure profiles.

  17. Can bulk viscosity drive inflation

    Energy Technology Data Exchange (ETDEWEB)

    Pacher, T.; Stein-Schabes, J.A.; Turner, M.S.

    1987-09-15

    Contrary to other claims, we argue that bulk viscosity associated with the interactions of non- relativistic particles with relativistic particles around the time of the grand unified theory (GUT) phase transition cannot lead to inflation. Simply put, the key ingredient for inflation, negative pressure, cannot arise due to the bulk-viscosity effects of a weakly interacting mixture of relativistic and nonrelativistic particles.

  18. Flavon inflation

    Science.gov (United States)

    Antusch, S.; King, S. F.; Malinský, M.; Velasco-Sevilla, L.; Zavala, I.

    2008-08-01

    We propose an entirely new class of particle physics models of inflation based on the phase transition associated with the spontaneous breaking of family symmetry responsible for the generation of the effective quark and lepton Yukawa couplings. We show that the Higgs fields responsible for the breaking of family symmetry, called flavons, are natural candidates for the inflaton field in new inflation, or the waterfall fields in hybrid inflation. This opens up a rich vein of possibilities for inflation, all linked to the physics of flavour, with interesting cosmological and phenomenological implications. Out of these, we discuss two examples which realise flavon inflation: a model of new inflation based on the discrete non-Abelian family symmetry group A or Δ, and a model of hybrid inflation embedded in an existing flavour model with a continuous SU(3) family symmetry. With the inflation scale and family symmetry breaking scale below the Grand Unification Theory (GUT) scale, these classes of models are free of the monopole (and similar) problems which are often associated with the GUT phase transition.

  19. Taming Inflation

    Institute of Scientific and Technical Information of China (English)

    ANDY XIE

    2008-01-01

    @@ China reported an 8.7% consumer price index (CPI) inflation rate for February, an II-year high. While explanations abound--the winter storms before the Chinese Spring Festival pushed up CPI temporarily, etc. -- they don't change facts: China has entered a prolonged period of high inflation.

  20. Disformal Inflation

    CERN Document Server

    Kaloper, Nemanja

    2004-01-01

    We show how short inflation naturally arises in a non-minimal gravity theory with a scalar field without any potential terms. This field drives inflation solely by its derivatives, which couple to the matter only through the combination $\\bar g_{\\mu\

  1. Inflation Returns

    Institute of Scientific and Technical Information of China (English)

    LIU YUNYUN

    2010-01-01

    @@ Before being able to catch its breath following two strenuous years of policy implementation following the global slowdown,the Chinese economy finds itself up against another challenge:inflation.Just as it did three years ago,consumer inflation,on everything from garlic and food to diapers and non-perishables,is plaguing the Chinese mainland.

  2. Development of a super-pressure balloon with a diamond-shaped net --- result of a ground inflation test of a 2,000 cubic-meter balloon ---

    Science.gov (United States)

    Saito, Yoshitaka; Nakashino, Kyoichi; Akita, Daisuke; Matsushima, Kiyoho; Shimadu, Shigeyuki; Goto, Ken; Hashimoto, Hiroyuki; Matsuo, Takuma

    2016-07-01

    A light super-pressure balloon has been developed using a method to cover a balloon with a diamond-shaped net of high-tensile fibers. The goal is to fly a payload of 900 kg to the altitude of 37 km with a 300,000 m^{3} balloon. Beginning from a demonstration test of the net-balloon with a 10 m^{3} balloon in 2010, we have been polished the net-balloon through ground inflation tests and flight tests, including a flight test of a 3,000 m ^{3} balloon in the tandem balloon configuration with a 15,000 m^{3} zero-pressure balloon in 2012, and a flight test of a 10 m^{3} balloon in the tandem balloon configuration with a 2 kg rubber balloon in 2013, as reported in the last COSPAR. In 2014, we developed a 5,000 m^{3} balloon and performed a ground inflation test to find that the balloon burst from a lip panel for termination with a differential pressure of 425 Pa. It was due to a stress concentration at the edge of a thick tape attached along the termination mechanism. In 2015, we modified the balloon by adding tapes on the lip panel to avoid the stress concentration, and also shorten the net length to leave some margin of the film and performed a ground inflation test again to find the balloon showed asymmetrical deployment and burst from the edge of the net with a differential pressure of 348 Pa. We consider it is due to the margin of the film along the circumferential direction, and proposed a gore shape which circumference length is kept as determined by the pumpkin shape of the balloon but setting meridian length longer than that. We developed a 10 m^{3} balloon with the gore design to find that the balloon deployed symmetrically and showed the burst pressure of 10,000 Pa. In 2016, we are going to develop a 2,000 m^{3} balloon with the gore design and perform its ground inflation test. In this paper, we are going to report its result with the sequence of the development.

  3. Pressão de insuflagem dos pneus no desempenho do conjunto trator-grade de discos Tire inflation pressure effects on tractor disc harrow performance

    Directory of Open Access Journals (Sweden)

    João Manuel Pereira Ramalho Serrano

    2008-02-01

    Full Text Available O objetivo deste trabalho foi avaliar o efeito da pressão de insuflagem dos pneus nos parâmetros de desempenho do conjunto trator-grade de discos. As pressões avaliadas foram: 100 kPa nos pneus da frente e 70 kPa nos pneus atrás; 140 kPa nos quatro pneus; 190 kPa nos quatro pneus. Os testes de um trator com grades de discos foram desenvolvidos em condições de campo, em solos de textura franca, mobilizados e secos. Os parâmetros de avaliação foram: o patinamento, a velocidade, a capacidade de trabalho, a eficiência energética global e o consumo de combustível por hectare. Entre as situações de pressão de insuflagem dos pneus indicadas pelo fabricante do trator e a pressão de insuflagem indicada pelo fabricante dos pneus, não se verificam diferenças significativas, tanto na capacidade de trabalho como no consumo de combustível por hectare. A utilização de elevadas pressões de insuflagem dos pneus conduz a uma redução da ordem de 3 a 5% na capacidade de trabalho e um aumento significativo entre 10 e 25% do consumo de combustível por hectare, mesmo em condições de boa aderência dos pneus, refletidas no intervalo de 7 a 15% de patinamento registrados.The objective of this work was to evaluate the tire inflation pressure effects on tractor disc harrow performance. The pressures tested were: 100 kPa in front tires and 70 kPa in rear tires; 140 kPa in the tires of both axles; 190 kPa in the tires of both axles. Field tests with disc harrow in secondary tillage were performed under real working conditions, in tilled and dry medium textured soils. The evaluation parameters were: the slip, the actual forward speed, the work capacity, the overall energy efficiency and the fuel consumption per hectare. Concerning the situations of tire inflation pressure specified by the tractor manufacturer and the inflation pressure specified by the tire manufacturer, there were no significant differences, both in work capacity and in fuel

  4. Rotator Cuff Injuries - Multiple Languages

    Science.gov (United States)

    ... Are Here: Home → Multiple Languages → All Health Topics → Rotator Cuff Injuries URL of this page: https://medlineplus.gov/ ... V W XYZ List of All Topics All Rotator Cuff Injuries - Multiple Languages To use the sharing features ...

  5. Sustained inflation and incremental mean airway pressure trial during conventional and high-frequency oscillatory ventilation in a large porcine model of acute respiratory distress syndrome

    Directory of Open Access Journals (Sweden)

    Wunder Christian

    2006-06-01

    Full Text Available Abstract Background To compare the effect of a sustained inflation followed by an incremental mean airway pressure trial during conventional and high-frequency oscillatory ventilation on oxygenation and hemodynamics in a large porcine model of early acute respiratory distress syndrome. Methods Severe lung injury (Ali was induced in 18 healthy pigs (55.3 ± 3.9 kg, mean ± SD by repeated saline lung lavage until PaO2 decreased to less than 60 mmHg. After a stabilisation period of 60 minutes, the animals were randomly assigned to two groups: Group 1 (Pressure controlled ventilation; PCV: FIO2 = 1.0, PEEP = 5 cmH2O, VT = 6 ml/kg, respiratory rate = 30/min, I:E = 1:1; group 2 (High-frequency oscillatory ventilation; HFOV: FIO2 = 1.0, Bias flow = 30 l/min, Amplitude = 60 cmH2O, Frequency = 6 Hz, I:E = 1:1. A sustained inflation (SI; 50 cmH2O for 60s followed by an incremental mean airway pressure (mPaw trial (steps of 3 cmH2O every 15 minutes were performed in both groups until PaO2 no longer increased. This was regarded as full lung inflation. The mPaw was decreased by 3 cmH2O and the animals reached the end of the study protocol. Gas exchange and hemodynamic data were collected at each step. Results The SI led to a significant improvement of the PaO2/FiO2-Index (HFOV: 200 ± 100 vs. PCV: 58 ± 15 and TAli: 57 ± 12; p 2-reduction (HFOV: 42 ± 5 vs. PCV: 62 ± 13 and TAli: 55 ± 9; p Ali: 6.1 ± 1 vs. T75: 3.4 ± 0.4; PCV: TAli: 6.7 ± 2.4 vs. T75: 4 ± 0.5; p Conclusion A sustained inflation followed by an incremental mean airway pressure trial in HFOV improved oxygenation at a lower mPaw than during conventional lung protective ventilation. HFOV but not PCV resulted in normocapnia, suggesting that during HFOV there are alternatives to tidal ventilation to achieve CO2-elimination in an "open lung" approach.

  6. Investigation of the Effects of Tire Inflation Pressure and Forward Speed of Driven Wheel on Horizontal Impact of Passing Rectangular Obstacle

    Directory of Open Access Journals (Sweden)

    H Mohammadzadeh

    2013-09-01

    Full Text Available The tire-mechanics models have been developed for the study of wheel movement on the road or soil surface while these models are unlikely to describe the motion of wheels on uneven surfaces. Due to dynamical complexity of this phenomena and the importance of this subject for farm conditions and the wheel carrier devices, the present research aimed to investigate the effects of several parameters on the wheel passing the obstacle. The experiments were carried out using single wheel tester in soil bin condition. The results indicated a relatively linear relationship between the impact force applied on tire and forward speed of wheel and also the height of rectangular obstacle. The effect of inflation pressure was inversed in the range of complete formed tire’s body on impact force and in low levels of tire inflation pressure; tire’s body damps the maximum impact forces. The medium levels of pressure (about 150-200 kPa resulted in less horizontal force that applied on the wheel for different levels of forward speed and obstacle’s height. Tractive force for passing obstacle was increased by raising forward speed and the obstacle’s height.

  7. Eternal Inflation

    CERN Document Server

    Guth, A H

    2001-01-01

    The basic workings of inflationary models are summarized, along with the arguments that strongly suggest that our universe is the product of inflation. It is argued that essentially all inflationary models lead to (future-)eternal inflation, which implies that an infinite number of pocket universes are produced. Although the other pocket universes are unobservable, their existence nonetheless has consequences for the way that we evaluate theories and extract consequences from them. The question of whether the universe had a beginning is discussed but not definitively answered. It appears likely, however, that eternally inflating universes do require a beginning.

  8. Galileon inflation

    Energy Technology Data Exchange (ETDEWEB)

    Burrage, Clare [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Rham, Claudia de [Univ. de Geneve (Switzerland). Dept. de Physique Theorique; Seery, David [Sussex Univ., Brigthon (United Kingdom). Dept. of Physics and Astronomy; Tolley, Andrew J. [Case Western Reserve Univ., Cleveland, OH (United States). Dept. of Physics

    2010-09-15

    Galileon inflation is a radiatively stable higher derivative model of inflation. The model is determined by a finite number of relevant operators which are protected by a covariant generalization of the Galileon shift symmetry. We show that the nongaussianity of the primordial density perturbation generated during an epoch of Galileon inflation is a particularly powerful observational probe of these models and that, when the speed of sound is small, f{sub NL} can be larger than the usual result f{sub NL} {proportional_to} C{sup -2}{sub s}. (orig.)

  9. Lightweight Inflatable Cryogenic Tank Project

    Data.gov (United States)

    National Aeronautics and Space Administration — This proposal describes the development of an inflatable and lightweight polymer-fabric structured pressure vessel designed for the containment of cryogenic fluids....

  10. Blood pressure measurement

    Science.gov (United States)

    Diastolic blood pressure; Systolic blood pressure; Blood pressure reading; Measuring blood pressure ... or your health care provider will wrap the blood pressure cuff snugly around your upper arm. The lower ...

  11. Spiral inflation

    Directory of Open Access Journals (Sweden)

    Gabriela Barenboim

    2015-02-01

    Full Text Available We propose a novel scenario of primordial inflation in which the inflaton goes through a spiral motion starting from around the top of a symmetry breaking potential. We show that, even though inflation takes place for a field value much smaller than Planck scale, it is possible to obtain relatively large tensor-to-scalar ratio (r∼0.1 without fine tuning. The inflationary observables perfectly match Planck data.

  12. Warm Inflation

    Directory of Open Access Journals (Sweden)

    Øyvind Grøn

    2016-09-01

    Full Text Available I show here that there are some interesting differences between the predictions of warm and cold inflation models focusing in particular upon the scalar spectral index n s and the tensor-to-scalar ratio r. The first thing to be noted is that the warm inflation models in general predict a vanishingly small value of r. Cold inflationary models with the potential V = M 4 ( ϕ / M P p and a number of e-folds N = 60 predict δ n s C ≡ 1 − n s ≈ ( p + 2 / 120 , where n s is the scalar spectral index, while the corresponding warm inflation models with constant value of the dissipation parameter Γ predict δ n s W = [ ( 20 + p / ( 4 + p ] / 120 . For example, for p = 2 this gives δ n s W = 1.1 δ n s C . The warm polynomial model with Γ = V seems to be in conflict with the Planck data. However, the warm natural inflation model can be adjusted to be in agreement with the Planck data. It has, however, more adjustable parameters in the expressions for the spectral parameters than the corresponding cold inflation model, and is hence a weaker model with less predictive force. However, it should be noted that the warm inflation models take into account physical processes such as dissipation of inflaton energy to radiation energy, which is neglected in the cold inflationary models.

  13. Rotator Cuff Injuries.

    Science.gov (United States)

    Connors, G. Patrick

    Many baseball players suffer from shoulder injuries related to the rotator cuff muscles. These injuries may be classified as muscular strain, tendonitis or tenosynovitis, and impingement syndrome. Treatment varies from simple rest to surgery, so it is important to be seen by a physician as soon as possible. In order to prevent these injuries, the…

  14. Rotator Cuff Injuries.

    Science.gov (United States)

    Connors, G. Patrick

    Many baseball players suffer from shoulder injuries related to the rotator cuff muscles. These injuries may be classified as muscular strain, tendonitis or tenosynovitis, and impingement syndrome. Treatment varies from simple rest to surgery, so it is important to be seen by a physician as soon as possible. In order to prevent these injuries, the…

  15. Aerocapture Inflatable Decelerator (AID)

    Science.gov (United States)

    Reza, Sajjad

    2007-01-01

    Forward Attached Inflatable Decelerators, more commonly known as inflatable aeroshells, provide an effective, cost efficient means of decelerating spacecrafts by using atmospheric drag for aerocapture or planetary entry instead of conventional liquid propulsion deceleration systems. Entry into planetary atmospheres results in significant heating and aerodynamic pressures which stress aeroshell systems to their useful limits. Incorporation of lightweight inflatable decelerator surfaces with increased surface-area footprints provides the opportunity to reduce heat flux and induced temperatures, while increasing the payload mass fraction. Furthermore, inflatable aeroshell decelerators provide the needed deceleration at considerably higher altitudes and Mach numbers when compared with conventional rigid aeroshell entry systems. Inflatable aeroshells also provide for stowage in a compact space, with subsequent deployment of a large-area, lightweight heatshield to survive entry heating. Use of a deployable heatshield decelerator not only enables an increase in the spacecraft payload mass fraction and but may also eliminate the need for a spacecraft backshell and cruise stage. This document is the viewgraph slides for the paper's presentation.

  16. Cuffed endotracheal tubes in children: the effect of the size of the cuffed endotracheal tube on intracuff pressure.

    Science.gov (United States)

    Krishna, Senthil G; Hakim, Mumin; Sebastian, Roby; Dellinger, Heather L; Tumin, Dmitry; Tobias, Joseph D

    2017-05-01

    In children, the size of the cuffed endotracheal tube is based on various age-based formulas. However, such formulas may over or underestimate the size of the cuffed endotracheal tube. There are no data on the impact of different-sized cuffed endotracheal tubes (ETT) on the intracuff pressure in children. The current study measures intracuff pressure with different-sized cuffed ETT. The study was conducted in an in vitro and in vivo phase. For the in vitro phase, 10 cuffed ETT of size 4.0, 4.5, and 5 mm internal diameter (ID) each were randomly placed inside a 1.0 cm ID plastic tube (mimicking the trachea), which was in turn connected to a 1 l test lung. After inflation of the cuff using the air leak test at a continuous positive airway pressure of 20 cmH2 O, the intracuff pressure was measured. The in vivo phase was conducted in 100 children (4-8 years) and were randomly divided into two groups to receive either a cuffed endotracheal tube based on the Khine formula (Group R) or a cuffed endotracheal tube that was a half-size (0.5 mm ID) smaller (Group S). Following the inflation of the cuff to seal the trachea, the intracuff pressure was measured. In the in vitro phase, the intracuff pressure was 45 ± 6, 23 ± 1, and 14 ± 6 cmH2 O with size 4.0, 4.5, and 5 mm ID cuffed ETT, respectively (F-test P pressure in Group R was 25 ± 19 cmH2 O vs 37 ± 35 cmH2 O in Group S (95% CI of difference: 1, 23; P = 0.039). If the cuffed endotracheal tube is too small, the trachea can still be sealed by inflating the cuff with additional air. However, this transforms the cuff from the intended high-volume, low-pressure cuff to an undesirable high-volume, high-pressure cuff. © 2017 John Wiley & Sons Ltd.

  17. Study of the suit inflation effect on crew safety during landing using a full-pressure IVA suit for new-generation reentry space vehicles

    Science.gov (United States)

    Wataru, Suzuki

    Recently, manned space capsules have been recognized as beneficial and reasonable human space vehicles again. The Dragon capsule already achieved several significant successes. The Orion capsule is going to be sent to a high-apogee orbit without crews for experimental purposes in September 2014. For such human-rated space capsules, the study of acceleration impacts against the human body during splashdown is essential to ensure the safety of crews. Moreover, it is also known that wearing a full pressure rescue suit significantly increases safety of a crew, compared to wearing a partial pressure suit. This is mainly because it enables the use of a personal life support system independently in addition to that which installed in the space vehicle. However, it is unclear how the inflation of the full pressure suit due to pressurization affects the crew safety during splashdown, especially in the case of the new generation manned space vehicles. Therefore, the purpose of this work is to investigate the effect of the suit inflation on crew safety against acceleration impact during splashdown. For this objective, the displacements of the safety harness in relation with the suit, a human surrogate, and the crew seats during pressurizing the suit in order to determine if the safety and survivability of a crew can be improved by wearing a full pressure suit. For these tests, the DL/H-1 full pressure IVA suit, developed by Pablo de Leon and Gary L. Harris, will be used. These tests use image analysis techniques to determine the displacements. It is expected, as a result of these tests, that wearing a full pressure suit will help to mitigate the impacts and will increase the safety and survivability of a crew during landing since it works as a buffer to mitigate impact forces during splashdown. This work also proposes a future plan for sled test experiments using a sled facility such as the one in use by the Civil Aerospace Medical Institute (CAMI) for experimental validation

  18. Polonyi Inflation

    CERN Document Server

    Schmitz, Kai

    2016-01-01

    Spontaneously broken supersymmetry (SUSY) and a vanishingly small cosmological constant imply that R symmetry must be spontaneously broken at low energies. Based on this observation, we suppose that, in the sector responsible for low-energy R symmetry breaking, a discrete R symmetry remains preserved at high energies and only becomes dynamically broken at relatively late times in the cosmological evolution, i.e., after the dynamical breaking of SUSY. Prior to R symmetry breaking, the Universe is then bound to be in a quasi-de Sitter phase---which offers a dynamical explanation for the occurrence of cosmic inflation. This scenario yields a new perspective on the interplay between SUSY breaking and inflation, which neatly fits into the paradigm of high-scale SUSY: inflation is driven by the SUSY-breaking vacuum energy density, while the chiral field responsible for SUSY breaking, the Polonyi field, serves as the inflaton. Because R symmetry is broken only after inflation, slow-roll inflation is not spoiled by o...

  19. Holographic Inflation

    CERN Document Server

    Halyo, E

    2004-01-01

    Using the de Sitter/CFT correspondence we describe a scenario of holographic inflation which is driven by a three dimensional boundary field theory. We find that inflationary constraints severely restrict the $\\beta$--function, the anomalous dimensions and the value of the $C$--function of the boundary theory. The scenario has model independent predictions such as $\\epsilon<< \\eta$, $n_T<0.04$, $P_{tensor}/P_{scalar}<0.08$ and $H<10^{14} GeV$. We consider some simple boundary theories and find that they do not lead to inflation. Thus, building an acceptable holographic inflation model remains a challenge. We also describe holographic quintessence and find that it closely resembles a cosmological constant.

  20. Catastrophic Inflation

    CERN Document Server

    Downes, Sean; Sinha, Kuver

    2011-01-01

    We study inflection point inflation using Singularity Theory, which relates degenerate critical points of functions to their local behavior. This approach illuminates universal features of small-field models and gives analytic control over parametrized families of scalar potentials near inflationary solutions. The behavior of the scalar potential is tied to the number of physical input parameters, which determines a set of universality classes. Within these classes, we obtain universal scaling relations for density perturbations and the scale of inflation. In specific models, we show that the scale of supersymmetry breaking also possesses scaling behavior. We illustrate this general structure with a specific example: the Racetrack Inflation model in type IIB string theory, with the inflaton being the real part of the K\\"ahler modulus, and the input parameters being flux dependent quantities that appear in the 4D, N=1 superpotential.

  1. Polymer inflation

    CERN Document Server

    Hassan, Syed Moeez; Seahra, Sanjeev S

    2014-01-01

    We consider the semi-classical dynamics of a free massive scalar field in a homogeneous and isotropic cosmological spacetime. The scalar field is quantized using the polymer quantization method assuming that it is described by a gaussian coherent state. For quadratic potentials, the semi-classical equations of motion yield a universe that has an early "polymer inflation" phase which is generic and almost exactly de Sitter, followed by a epoch of slow-roll inflation. We compute polymer corrections to the slow roll formalism, and discuss the probability of inflation in this model using a physical Hamiltonian arising from time gauge fixing. These results show the extent to which a quantum gravity motivated quantization method affects early universe dynamics.

  2. Trapped Inflation

    Energy Technology Data Exchange (ETDEWEB)

    Green, Daniel; Horn, Bart; /SLAC /Stanford U., Phys. Dept.; Senatore, Leonardo; /Princeton, Inst. Advanced Study /Harvard U., Phys. Dept. /Harvard-Smithsonian Ctr. Astrophys.; Silverstein, Eva; /SLAC /Stanford U., Phys. Dept.

    2009-06-19

    We analyze a distinctive mechanism for inflation in which particle production slows down a scalar field on a steep potential, and show how it descends from angular moduli in string compactifications. The analysis of density perturbations - taking into account the integrated effect of the produced particles and their quantum fluctuations - requires somewhat new techniques that we develop. We then determine the conditions for this effect to produce sixty e-foldings of inflation with the correct amplitude of density perturbations at the Gaussian level, and show that these requirements can be straightforwardly satisfied. Finally, we estimate the amplitude of the non-Gaussianity in the power spectrum and find a significant equilateral contribution.

  3. Nonlocal Inflation

    CERN Document Server

    Barnaby, Neil

    2008-01-01

    We consider the possibility of realizing inflation in nonlocal field theories containing infinitely many derivatives. Such constructions arise naturally in string field theory and also in a number of toy models, such as the p-adic string. After reviewing the complications (ghosts and instabilities) that arise when working with high derivative theories we discuss the initial value problem and perturbative stability of theories with infinitely many derivatives. Next, we examine the inflationary dynamics and phenomenology of such theories. Nonlocal inflation can proceed even when the potential is naively too steep and generically predicts large nongaussianity in the Cosmic Microwave Background.

  4. The changes of cuff pressure in the endotracheal tube during laparoscopic surgery and influence on postoperative sore throat%妇科腹腔镜手术中气管导管套囊压力对患者术后咽喉痛的影响

    Institute of Scientific and Technical Information of China (English)

    胡静宜; 耿桂启; 李泓; 黄绍强

    2013-01-01

    Objective To investigate the changes of cuff pressure in the endotracheal tube during laparoscopic surgery and analyze the influence of cuff pressure on postoperative sore throat. Methods Fifty gynecologic patients receiving laparoscopic surgery(n=25) or open abdominal surgery (n=25) were recruited in this study. After anesthesia induction and tracheal intubation, the cuff pressure was set at 25 mmHg. The cuff pressure and airway pressure was recorded at 5 mins,15 mins,30 mins, 45rains and 60 mins after intubation. The patients' sore throat was measured at 2 hrs and 24 hrs after the surgery. Results The cuff pressure and airway pressure was stable during the surgery in patients receiving open abdominal surgery,while the cuff pressure and airway pressure was significantly increased during the surgery in patients receiving laparoscopic surgery. Moreover, there was positive correlation between the cuff pressure and airway pressure. The score of postoperative sore throat was significantly higher in the laparoscopic surgery group than in the open abdominal surgery group(P<0.01). Conclusion Pneumoperitoneum and the Trendelenburg position during laparoscopic surgery increase the airway pressure and cuff pressure, and may raise the incidence of postoperative sore throat.%目的 探讨妇科腹腔镜手术气管导管套囊压力变化,以及对术后咽喉痛的影响.方法 选择拟在气管插管全身麻醉下行腹腔镜手术或开腹手术的妇科患者各25例,进行全身麻醉诱导及气管插管后将套囊充气至25mmHg.分别于气管插管后5min、15min、30min、45min、60min记录套囊压力及气道峰压,于手术后2h及24h评估患者咽喉痛情况.结果 腹腔镜手术患者套囊压力及气道峰压在各时间点均明显增加.开腹手术患者气管插管后各时间点气管导管套囊压力及气道峰压未见明显变化.患者气管导管套囊压力与气道峰压具有显著相关性,同开腹手术患者相

  5. K-core inflation

    OpenAIRE

    Alexander L. Wolman

    2011-01-01

    K-core inflation is a new class of underlying inflation measures. The two most popular measures of underlying inflation are core inflation and trimmed mean inflation. The former removes fixed categories of goods and services (food and energy) from the inflation calculation, and the latter removes fixed percentiles of the weighted distribution of price changes. In contrast, k-core inflation specifies a size of relative price change to be removed from the inflation calculation. Thus, the catego...

  6. Influence of Head and Neck Position on Oropharyngeal Leak Pressure and Cuff Position with the ProSeal Laryngeal Mask Airway and the I-Gel: A Randomized Clinical Trial

    Directory of Open Access Journals (Sweden)

    Sandeep Kumar Mishra

    2015-01-01

    Full Text Available Background. This study was designed to assess and compare the effect of head and neck position on the oropharyngeal leak pressures and cuff position (employing fibreoptic view of the glottis and ventilation scores between ProSeal LMA and the I-gel. Material and Methods. After induction of anesthesia, the supraglottic device was inserted and ventilation confirmed. The position of the head was randomly changed from neutral to flexion, extension, and lateral rotation (left. The oropharyngeal leak pressures, fibreoptic view of glottis, ventilation scores, and delivered tidal volumes and end tidal CO2 were noted in all positions. Results. In both groups compared with neutral position, oropharyngeal leak pressures were significantly higher with flexion and lower with extension but similar with rotation of head and neck. However the oropharyngeal leak pressure was significantly higher for ProSeal LMA compared with the I-gel in all positions. Peak airway pressures were significantly higher with flexion in both groups (however this did not affect ventilation, lower with extension in ProSeal group, and comparable in I-gel group but did not change significantly with rotation of head and neck in both groups. Conclusion. Effective ventilation can be done with both ProSeal LMA and I-gel with head in all the above positions. ProSeal LMA has a better margin of safety than I-gel due to better sealing pressures except in flexion where the increase in airway pressure is more with the former. Extreme precaution should be taken in flexion position in ProSeal LMA.

  7. Leakage of fluid around endotracheal tube cuffs: a cadaver study

    Science.gov (United States)

    Lucius, Ralph; Ewald, Kristian

    2013-01-01

    Background The aim of the study was to evaluate the leakage of liquid past the cuffs of tracheal tubes in fresh frozen human heads. Methods Six truncated fresh frozen heads were used and intubated with 8.0 mm endotracheal tubes. The intracuff pressures tested were 30 and 100 cmH2O. Subsequently, 20 ml of each of two oral antiseptic rinses (0.2% chlorhexidine and octenidine [octenidol®, Schülke & Mayr GmbH, Norderstedt, Germany]) was applied for thirty seconds in the mouth. During the trial, leakage of the cuffs was examined. Results The sealing between the tracheal cuff and tracheal wall was leakage-proof for all tested intracuff pressures and all tested antiseptic rinses. However, approximately 5.6 ml and 1.8 ml leaked into the esophagus and remained as a cuff-puddle, respectively. Conclusions The sealing between an endotracheal tube cuff with an intracuff pressure of 30 cmH2O and the tracheal wall is leakage-proof during oral care with antiseptic rinsing. An increase of intracuff pressure to 100 cmH2O does not appear to be required. PMID:24363847

  8. Smartphone-based Continuous Blood Pressure Measurement Using Pulse Transit Time.

    Science.gov (United States)

    Gholamhosseini, Hamid; Meintjes, Andries; Baig, Mirza; Linden, Maria

    2016-01-01

    The increasing availability of low cost and easy to use personalized medical monitoring devices has opened the door for new and innovative methods of health monitoring to emerge. Cuff-less and continuous methods of measuring blood pressure are particularly attractive as blood pressure is one of the most important measurements of long term cardiovascular health. Current methods of noninvasive blood pressure measurement are based on inflation and deflation of a cuff with some effects on arteries where blood pressure is being measured. This inflation can also cause patient discomfort and alter the measurement results. In this work, a mobile application was developed to collate the PhotoPlethysmoGramm (PPG) waveform provided by a pulse oximeter and the electrocardiogram (ECG) for calculating the pulse transit time. This information is then indirectly related to the user's systolic blood pressure. The developed application successfully connects to the PPG and ECG monitoring devices using Bluetooth wireless connection and stores the data onto an online server. The pulse transit time is estimated in real time and the user's systolic blood pressure can be estimated after the system has been calibrated. The synchronization between the two devices was found to pose a challenge to this method of continuous blood pressure monitoring. However, the implemented continuous blood pressure monitoring system effectively serves as a proof of concept. This combined with the massive benefits that an accurate and robust continuous blood pressure monitoring system would provide indicates that it is certainly worthwhile to further develop this system.

  9. Preempting Inflation

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    China makes adjustments to its monetary policy to alleviate inflation concerns In a sooner-than-expected move to rein in liquidity, the People’s Bank of China, the central bank, on January 12 ordered a reduction in the amount of cash commercial banks have available to lend. Starting January 18, most commercial banks should put 16 percent of their

  10. Chameleonic inflation

    CERN Document Server

    Hinterbichler, Kurt; Nastase, Horatiu; Rosenfeld, Rogerio

    2013-01-01

    We attempt to incorporate inflation into a string theory realization of the chameleon mechanism. Previously, it was found that the volume modulus, stabilized by the supersymmetric potential used by Kachru, Kallosh, Linde and Trivedi (KKLT) and with the right choice of parameters, can generically work as a chameleon. In this paper, we ask whether inflation can be realized in the same model. We find that we need a large extra dimensions set-up, as well as a semi-phenomenological deformation of the Kahler potential in the quantum region. We also find that an additional KKLT term is required so that there are now two pieces to the potential, one which drives inflation in the early universe, and one which is responsible for chameleon screening at late times. These two pieces of the potential are separated by a large flat desert in field space. The scalar field must dynamically traverse this desert between the end of inflation and today, and we find that this can indeed occur under the right conditions.

  11. Can bulk viscosity drive inflation

    Energy Technology Data Exchange (ETDEWEB)

    Pacher, T.; Stein-Schabes, J.A.; Turner, M.S.

    1987-04-01

    Contrary to other claims, we argue that, bulk viscosity associated with the interactions of nonrelativistic particles with relativistic particles around the time of the grand unified theory (GUT) phase transition cannot lead to inflation. Simply put, the key ingredient for inflation, negative pressure, cannot arise due to the bulk viscosity effects of a weakly-interacting mixture of relativistic and nonrelativistic particles. 13 refs., 1 fig.

  12. Comparison of prophylactic effects of polyurethane cylindrical or tapered cuff and polyvinyl chloride cuff endotracheal tubes on ventilator-associated pneumonia.

    Directory of Open Access Journals (Sweden)

    Ata Mahmoodpoor

    2013-07-01

    Full Text Available Because microaspiration of contaminated supraglottic secretions past the endotracheal tube cuff is considered to be central in the pathogenesis of pneumonia, improved design of tracheal tubes with new cuff material and shape have reduced the size and number of folds, which together with the addition of suction ports above the cuff to drain pooled subglottic secretions leads to reduced aspiration of oropharyngeal secretions. So we conducted a study to compare the prophylactic effects of polyurethane-cylindrical or tapered cuff and polyvinyl chloride cuff endotracheal tubes (ETT on ventilator-associated pneumonia. This randomized clinical trial was carried out in a 12 bed surgical intensive care unit. 96 patients expected to require mechanical ventilation more than 96 hours were randomly allocated to one of three following groups: Polyvinyl chloride cuff (PCV ETT, Polyurethane (PU cylindrical Sealguard ETT and PU Taperguard ETT. Cuff pressure monitored every three hours 3 days in all patients. Mean cuff pressure didn't have significant difference between three groups during 72 hours. Pneumonia was seen in 11 patients (34% in group PVC, 8 (25% in Sealguard and 7 (21% in Taperguard group. Changes in mean cuff pressure between Sealguard and PVC tubes and also between Taperguard and PVC tubes did not show any significant difference. There was no significant difference in overinflation between three groups. The use of ETT with PU material results in reducing ventilator-associated pneumonia compared to ETT with PVC cuff. In PU tubes Taperguard has less incidence of ventilator-associated pneumonia compared to Sealguard tubes.

  13. Performance of an agricultural tractor in no tillage as a function of displacement speed and the seeders' tire inflation pressure

    Energy Technology Data Exchange (ETDEWEB)

    Furlani, Carlos Eduardo Angeli; Cortez, Jorge Wilson; Silva, Rouverson Pereira da; Grotta, Danilo Cesar Checchio; Toledo, Anderson de [Universidade Estadual Paulista (UNESP), Jaboticabal, SP (Brazil)], E-mail: furlani@fcav.unesp.br

    2008-07-01

    The performance of an agricultural tractor under field conditions results from the tire wheel interaction together with its displacement speed. This work was developed to assess the performance of an agricultural tractor under the (75, 70, and 60 psi) tire inflation pressure conditions of a seeder and in two different gears providing speeds of 3.0 and 6.0 km h{sup -1}. The experiment took place at Sao Paulo State University (UNESP), at the Jaboticabal Campus, and was conducted by Laboratory of Machines and Agricultural Mechanization (LAMMA) at the Department of Rural Engineering. The delineation used was entirely randomized in a 2-factor factorial scheme (3 x 2) with 4 repetitions. We also observed that fuel consumption was influenced only by the tractor gear. Energy consumption was greater as speed increased, caused by gear shifting. The displacement speed was greater for the 75-psi pressure due to a lesser slippage in the seeder when under this pressure. Tractor slippage and initial stand did not change with the tested factors. (author)

  14. Eternal Hilltop Inflation

    CERN Document Server

    Barenboim, Gabriela; Park, Wan-Il

    2016-01-01

    We consider eternal inflation in hilltop-type inflation models, favored by current data, in which the scalar field in inflation rolls off of a local maximum of the potential. Unlike chaotic or plateau-type inflation models, in hilltop inflation the region of field space which supports eternal inflation is finite, and the expansion rate $H_{EI}$ during eternal inflation is almost exactly the same as the expansion rate $H_*$ during slow roll inflation. Therefore, in any given Hubble volume, there is a finite and calculable expectation value for the lifetime of the "eternal" inflation phase, during which quantum flucutations dominate over classical field evolution. We show that despite this, inflation in hilltop models is nonetheless eternal in the sense that the volume of the spacetime at any finite time is exponentially dominated by regions which continue to inflate. This is true regardless of the energy scale of inflation, and eternal inflation is supported for inflation at arbitrarily low energy scale.

  15. Eternal hilltop inflation

    Science.gov (United States)

    Barenboim, Gabriela; Park, Wan-Il; Kinney, William H.

    2016-05-01

    We consider eternal inflation in hilltop-type inflation models, favored by current data, in which the scalar field in inflation rolls off of a local maximum of the potential. Unlike chaotic or plateau-type inflation models, in hilltop inflation the region of field space which supports eternal inflation is finite, and the expansion rate HEI during eternal inflation is almost exactly the same as the expansion rate H* during slow roll inflation. Therefore, in any given Hubble volume, there is a finite and calculable expectation value for the lifetime of the ``eternal'' inflation phase, during which quantum flucutations dominate over classical field evolution. We show that despite this, inflation in hilltop models is nonetheless eternal in the sense that the volume of the spacetime at any finite time is exponentially dominated by regions which continue to inflate. This is true regardless of the energy scale of inflation, and eternal inflation is supported for inflation at arbitrarily low energy scale.

  16. Perivascular fluid cuffs decrease lung compliance by increasing tissue resistance

    Science.gov (United States)

    Lowe, Kevin; Alvarez, Diego F.; King, Judy A.; Stevens, Troy

    2010-01-01

    Objective Lung inflammation causes perivascular fluid cuffs to form around extra-alveolar blood vessels; however, the physiologic consequences of such cuffs remain poorly understood. Herein, we tested the hypothesis that perivascular fluid cuffs, without concomitant alveolar edema, are sufficient to decrease lung compliance. Design Prospective, randomized, controlled study. Setting Research laboratory. Subjects One hundred twenty male CD40 rats. Interventions To test this hypothesis, the plant alkaloid thapsigargin was used to activate store-operated calcium entry and increase cytosolic calcium in endothelium. Thapsigargin was infused into a central venous catheter of intact, sedated, and mechanically ventilated rats. Measurements Static and dynamic lung mechanics and hemodynamics were measured continuously. Main Results Thapsigargin produced perivascular fluid cuffs along extra-alveolar vessels but did not cause alveolar flooding or blood gas abnormalities. Lung compliance dose-dependently decreased after thapsigargin infusion, attributable to an increase in tissue resistance that was attributed to increased tissue damping and tissue elastance. Airway resistance was not changed. Neither central venous pressure nor left ventricular end diastolic pressure was altered by thapsigargin. Heart rate did not change, although thapsigargin decreased pressure over time sufficient to reduce cardiac output by 50%. Infusion of the type 4 phosphodiesterase inhibitor, rolipram, prevented thapsigargin from inducing perivascular cuffs and decreasing lung compliance. Rolipram also normalized pressure over time and corrected the deficit in cardiac output. Conclusions Our findings resolve for the first time that perivascular cuff formation negatively impacts mechanical coupling between the bronchovascular bundle and the lung parenchyma, decreasing lung compliance without impacting central venous pressure. PMID:20400904

  17. Verification and Validation of an Innovative Inflatable Structure Project

    Data.gov (United States)

    National Aeronautics and Space Administration — An inflatable habitat is a pressure vessel with flexible shell. Notable features such as low weight, large inflated operational volume, and small pre-deployment...

  18. Verification and Validation of an Innovative Inflatable Structure Design Project

    Data.gov (United States)

    National Aeronautics and Space Administration — An inflatable habitat is a pressure vessel with flexible shell. Notable features such as low weight, large inflated operational volume, and small pre-deployment...

  19. DIGITAL BLOOD PRESSURE MONITOR

    Directory of Open Access Journals (Sweden)

    R. Fuentes

    2004-12-01

    Full Text Available In this work we present a blood pressure monitor which measures both the high blood pressure (systolic pressure,and the low blood pressure (diastolic pressure. It is a semiautomatic meter because the inflation of the occlusivecuff is carried out in a manual way. The transducer used is a piezoresistive silicon pressure sensor integrated onchip which provides a proportional voltage to the input pressure, with a measurement range from 0 to 50 kPa (0–7.3 PSI. The oscillometric method is employed, which consists on detecting the oscillometric signal on brachialartery, being processed at each pressure step, when the cuff is gradually deflated. Signal sampling is carried out ata rate determined by the heart rate.In order to program the digital electronics of the circuit we used Altera tools, with the compiler MAX-PLUS II, andthe device selected to implement the design was an EPM7128SLC84-15 CPLD (Complex Programmable LogicDevice

  20. Gauged Inflation

    CERN Document Server

    Hofmann, Ralf; Hofmann, Ralf; Keil, Mathias Th.

    2002-01-01

    Based on thermal equilibrium between the vacuum and its relevant excitations a model for cosmic inflation is presented. Due to a vacuum dominating, U(1) gauged inflaton field an inflationary regime can be reached without explicitly imposing slow-roll conditions. Thereby, nontrivial euclidean BPS saturation of the inflaton bans gravity from the field equations and masquerades the gauge symmetry as a $Z_{N+1}$ symmetry at the point where thermal equilibrium breaks down. Solving the vacuum dynamics of the gauge field in the inflaton background in the spirit of a Born-Oppenheimer approximation, a temperature dependent cosmological constant $\\La=\\La(T)$ is obtained. The $T$ dependence of $\\La$ competes with the black body radiation of the (massive) gauge field during cosmic expansion. This leads to (initial condition independent) inflation at some critical value of the inflaton amplitude. The model allows for a closed, noncollapsing universe with Planckian initial density, and hence it resolves the flatness proble...

  1. Clockwork Inflation

    CERN Document Server

    Kehagias, Alex

    2017-01-01

    We investigate the recently proposed clockwork mechanism delivering light degrees of freedom with suppressed interactions and show, with various examples, that it can be efficiently implemented in inflationary scenarios to generate flat inflaton potentials and small density perturbations without fine-tunings. We also study the clockwork graviton in de Sitter and, interestingly, we find that the corresponding clockwork charge is site-dependent. As a consequence, the amount of tensor modes is generically suppressed with respect to the standard cases where the clockwork set-up is not adopted. This point can be made a virtue in resurrecting models of inflation which were supposed to be ruled out because of the excessive amount of tensor modes from inflation.

  2. Viscous Inflation

    CERN Document Server

    Visinelli, Luca

    2016-01-01

    We show that the inclusion of viscosity into the equation of motion for the inflaton field might lead to a constant Hubble rate expansion, thus to a period of inflation. The dynamics only involves a kinetic term and does not require an external potential for the inflaton to slow-roll. The primordial scale-invariant power spectrum follows from the equation of motion, and the relevant cosmological parameters are computed from the model.

  3. Non-Commutative Inflation

    CERN Document Server

    Alexander, S; Magueijo, J; Alexander, Stephon; Brandenberger, Robert; Magueijo, Joao

    2001-01-01

    We show how a radiation dominated universe subject to space-time quantization may give rise to inflation as the radiation temperature exceeds the Planck temperature. We consider dispersion relations with a maximal momentum (i.e. a mimimum Compton wavelength, or quantum of space), noting that some of these lead to a trans-Planckian branch where energy increases with decreasing momenta. This feature translates into negative radiation pressure and, in well-defined circumstances, into an inflationary equation of state. We thus realize the inflationary scenario without the aid of an inflaton field. As the radiation cools down below the Planck temperature, inflation gracefully exits into a standard Big Bang universe, dispensing with a period of reheating. Thermal fluctuations in the radiation bath will in this case generate curvature fluctuations on cosmological scales whose amplitude and spectrum can be tuned to agree with observations.

  4. Gauge fields and inflation

    Science.gov (United States)

    Maleknejad, A.; Sheikh-Jabbari, M. M.; Soda, J.

    2013-07-01

    small field models also have a potential minimum at φ≠0 which the system falls in at the end of inflation. A typical property of small field models is that a sufficient number of e-folds, requires a sub-Planckian inflaton initial value. For this reason they are called small field models. Natural inflation is an example of this type [12]. Hybrid inflation models: These models involve more than one scalar field while inflation is mainly driven by a single inflaton field ϕ. Inflaton starts from a large value rolling down until it reaches a bifurcation point, ϕ=ϕe, after which the field becomes unstable and undergoes a waterfall transition toward its global minimum. Its prime example is the Linde’s hybrid inflation model with the following potential [13] V(ϕ,χ)={λ}/{4}(+{1}/{2}g2ϕ2χ2+{1}/{2}m2ϕ2. During the initial inflationary phase the potential of the hybrid inflation is effectively described by a single field ϕ while inflation ends by a phase transition triggered by the presence of the second scalar field, the waterfall field χ. In other words, when the effective mass squared of a waterfall field becomes negative, the tachyonic instability makes waterfall field roll down toward the true vacuum state and the inflation suddenly ends.Number of e-folds Ne is given as Ne≃{M4}/{4λm2}ln({ϕ0}/{ϕe}), where ϕe={M}/{g} is the critical value of the inflaton below which, due to tachyonic instability, χ=0 becomes unstable and mχ2 gets negative. K-inflation: This is the prime example of models with non-canonical Kinetic term we discuss here. They are described by the action [14] S=∫d4x√{-g}({R}/{2}+P(φ,X)), where φ is a scalar field and X≔-{1}/{2}(. Here, P plays the rule of the effective pressure, while the energy density is given by ρ=2XP-P. Thus, the slow-roll parameter is given as ɛ={3XP}/{2XP-P}. The characteristic feature of these models is that in general they have a non-trivial sound speed cs2 for the propagation of perturbations (cf. our

  5. Postanesthesia patients with large upper arm circumference: is use of an "extra-long" adult cuff or forearm cuff placement accurate?

    Science.gov (United States)

    Watson, Sheri; Aguas, Marita; Bienapfl, Tracy; Colegrove, Pat; Foisy, Nancy; Jondahl, Bonnie; Yosses, Mary Beth; Yu, Larissa; Anastas, Zoe

    2011-06-01

    The purpose of this study was to determine if blood pressure (BP) measured in the forearm or with an extra-long BP cuff in the upper arm accurately reflects BP measured in the upper arm with an appropriately sized BP cuff in patients with large upper arm circumference. A method-comparison design was used with a convenience sample of 49 PACU patients. Noninvasive blood pressures were obtained in two different locations (forearm; upper arm) and in the upper arm with an extra-long adult and recommended large adult cuff sizes. Data were analyzed by calculating bias and precision for the BP cuff size and location and Student's t-tests, with P < .0125 considered significant. Significantly higher forearm systolic (P < .0001) and diastolic (P < .0002) BP measurements were found compared to BP obtained in the upper arm with the reference standard BP cuff. Significantly higher systolic (t(48df) = 5.38, P < .0001), but not diastolic (t(48df) = 4.11, P < .019), BP differences were found for BP measured with the extra-long cuff at the upper arm site compared to the upper arm, reference standard BP. Findings suggest that the clinical practice of using the forearm or an extra-long cuff in the upper arm for BP measurement in post anesthesia patients with large upper arm circumferences may result in inaccurate BP values.

  6. Peripheral arterial volume distensibility: significant differences with age and blood pressure measured using an applied external pressure.

    Science.gov (United States)

    Zheng, Dingchang; Murray, Alan

    2011-05-01

    A new arterial distensibility measurement technique was assessed in 100 healthy normotensive subjects. Arterial transmural pressures on the whole right arm were reduced with a 50 cm long cuff inflated to 10, 20, 30 and 40 mmHg. The electrocardiogram, and finger and ear photoplethysmograms were recorded simultaneously. Arm pulse propagation time, pulse wave velocity (PWV) and arterial volume distensibility were determined. With a 40 mmHg reduction in transmural pressure, arm pulse propagation time increased from 61 to 83 ms, PWV decreased from 12 to 8 m s(-1) and arterial distensibility increased from 0.102% to 0.232% per mmHg (all P pressures, arterial distensibility was significantly related to resting mean arterial pressure (MAP), diastolic blood pressure (DBP) and age, and for systolic blood pressure at 30 and 40 mmHg (all P pressure, arterial distensibility fell by 54% for a MAP increase from 75 to 105 mmHg, 57% for a DBP increase from 60 to 90 mmHg and 47% for an age increase from 20 to 70 years. These changes were more than double than those without cuff pressure. Our technique showed that systemic volume distensibility of the peripheral arm artery reduced with age, with a greater effect at higher external and lower transmural pressures.

  7. Hairy Inflation

    CERN Document Server

    Watanabe, Masa-aki; Soda, Jiro

    2009-01-01

    We study an inflationary scenario with a vector field coupled with an inflaton field. We show that the inflationary universe is endowed with anisotropic hair for a wide range of coupling functions. This hairy inflation is a tracking solution where the energy density of the vector field follows that of the inflaton field irrespective of initial conditions. Surprisingly, degrees of the anisotropy turn out to be of the order of a slow-roll parameter analogous to non-gaussianity in single inflaton models.

  8. Mechanically, the shoot apical meristem of Arabidopsis behaves like a shell inflated by a pressure of about 1 MPa

    Directory of Open Access Journals (Sweden)

    Léna eBeauzamy

    2015-11-01

    Full Text Available In plants, the shoot apical meristem contains the stem cells and is responsible for the generation of all aerial organs. Mechanistically, organogenesis is associated with an auxin-dependent local softening of the epidermis. This has been proposed to be sufficient to trigger outgrowth, because the epidermis is thought to be under tension and stiffer than internal tissues in all the aerial part of the plant. However, this has not been directly demonstrated in the shoot apical meristem. Here we tested this hypothesis in Arabidopsis using indentation methods and modeling. We considered two possible scenarios: either the epidermis does not have unique properties and the meristem behaves as a homogeneous linearly-elastic tissue, or the epidermis is under tension and the meristem exhibits the response of a shell under pressure. Large indentation depths measurements with a large tip (~size of the meristem were consistent with a shell-like behavior. This also allowed us to deduce a value of turgor pressure, estimated at 0.82 ± 0.16 MPa. Indentation with atomic force microscopy provided local measurements of pressure in the epidermis, further confirming the values obtained from large deformations. Altogether, our data demonstrate that the Arabidopsis shoot apical meristem behaves like a shell under a MPa range pressure and support a key role for the epidermis in shaping the shoot apex.

  9. The Baska Mask® -A new concept in Self-sealing membrane cuff extraglottic airway devices, using a sump and two gastric drains: A critical evaluation

    Directory of Open Access Journals (Sweden)

    Tom van Zundert

    2012-01-01

    Full Text Available Background: In this study, we evaluated the performance of the Baska Mask® , a new extraglottic airway device (EAD for use in anesthesia in adult patients undergoing a variety of surgical interventions. Materials and Methods: The self-recoiling membrane distally open cuff silicone mask consists of an anatomically curved airway tube with: (1 a bite block over the full length of the airway; (2 a self-sealing membranous variable-pressure cuff which adjusts to the contours of the mouth and pharynx; (3 a large sump cavity with two aspiratable gastric drain tubes; together with a number of special features such as (4 a tab for manually curving the mask to ease insertion; and (5 a suction elbow integral to one port with a second port acting as a free air flow access. The cuff of the Baska Mask® is not an inflatable balloon, but a membrane which inflates on every breath during intermittent positive pressure ventilation (IPPV to achieve a superior seal when opposed to the larynx. An increase in IPPV pressure increases the oropharyngeal seal. With existing extraglottic airway devices, an increase in IPPV merely increases the leak. Results: Fifty patients with American Society of Anesthesiologists (ASA physical status I-III were enrolled. We evaluated the "first attempt" and "overall insertion" success rates, insertion time, ease of insertion and removal of the device, oropharyngeal leak pressure, and anatomical position at fiberoptic view. The "first attempt" success rate was high (88% and "overall insertion" success rates was considered "easy" to "very easy" by the operators in 92% of patients. Removal of the device was considered easy in all cases. The oropharyngeal leak pressure was above 30 cm H 2 O in all patients and the maximum of 40 cm H 2 O was achieved in 82% of the patients. In two patients, no adequate capnogram was obtained, so a smaller size mask was inserted with correction to adequate function. At fiberoptic evaluation of the anatomical

  10. Axion landscape and natural inflation

    Directory of Open Access Journals (Sweden)

    Tetsutaro Higaki

    2015-05-01

    Full Text Available Multiple axions form a landscape in the presence of various shift symmetry breaking terms. Eternal inflation populates the axion landscape, continuously creating new universes by bubble nucleation. Slow-roll inflation takes place after the tunneling event, if a very flat direction with a super-Planckian decay constant arises due to the alignment mechanism. We study the vacuum structure as well as possible inflationary dynamics in the axion landscape scenario, and find that the inflaton dynamics is given by either natural or multi-natural inflation. In the limit of large decay constant, it is approximated by the quadratic chaotic inflation, which however is disfavored if there is a pressure toward shorter duration of inflation. Therefore, if the spectral index and the tensor-to-scalar ratio turn out to be different from the quadratic chaotic inflation, there might be observable traces of the bubble nucleation. Also, the existence of small modulations to the inflaton potential is a common feature in the axion landscape, which generates a sizable and almost constant running of the scalar spectral index over CMB scales. Non-Gaussianity of equilateral type can also be generated if some of the axions are coupled to massless gauge fields.

  11. Axion landscape and natural inflation

    Energy Technology Data Exchange (ETDEWEB)

    Higaki, Tetsutaro, E-mail: thigaki@post.kek.jp [Theory Center, KEK, 1-1 Oho, Tsukuba, Ibaraki 305-0801 (Japan); Takahashi, Fuminobu, E-mail: fumi@tuhep.phys.tohoku.ac.jp [Department of Physics, Tohoku University, Sendai 980-8578 (Japan); Kavli Institute for the Physics and Mathematics of the Universe (WPI), Todai Institutes for Advanced Study, University of Tokyo, Kashiwa 277-8583 (Japan)

    2015-05-11

    Multiple axions form a landscape in the presence of various shift symmetry breaking terms. Eternal inflation populates the axion landscape, continuously creating new universes by bubble nucleation. Slow-roll inflation takes place after the tunneling event, if a very flat direction with a super-Planckian decay constant arises due to the alignment mechanism. We study the vacuum structure as well as possible inflationary dynamics in the axion landscape scenario, and find that the inflaton dynamics is given by either natural or multi-natural inflation. In the limit of large decay constant, it is approximated by the quadratic chaotic inflation, which however is disfavored if there is a pressure toward shorter duration of inflation. Therefore, if the spectral index and the tensor-to-scalar ratio turn out to be different from the quadratic chaotic inflation, there might be observable traces of the bubble nucleation. Also, the existence of small modulations to the inflaton potential is a common feature in the axion landscape, which generates a sizable and almost constant running of the scalar spectral index over CMB scales. Non-Gaussianity of equilateral type can also be generated if some of the axions are coupled to massless gauge fields.

  12. Axion Landscape and Natural Inflation

    CERN Document Server

    Higaki, Tetsutaro

    2015-01-01

    Multiple axions form a landscape in the presence of various shift symmetry breaking terms. Eternal inflation populates the axion landscape, continuously creating new universes by bubble nucleation. Slow-roll inflation naturally takes place after the tunneling event, because a very flat direction with a super-Planckian decay constant arises due to the alignment mechanism. We study the vacuum structure as well as possible inflationary dynamics in the axion landscape scenario, and find that the inflaton dynamics is given by either natural or multi-natural inflation. In the limit of large decay constant, it is approximated by the quadratic chaotic inflation, which however is disfavored if there is a pressure toward shorter duration of inflation. If the spectral index and the tensor-to-scalar ratio turn out to be different from the quadratic chaotic inflation, there might be observable traces of the bubble nucleation. Also, the existence of small modulations to the inflaton potential is a common feature in the axi...

  13. Cosmological perturbations without inflation

    Science.gov (United States)

    Melia, Fulvio

    2017-01-01

    A particularly attractive feature of inflation is that quantum fluctuations in the inflaton field may have seeded inhomogeneities in the cosmic microwave background (CMB) and the formation of large-scale structure. In this paper, we demonstrate that a scalar field with zero active mass, i.e. with an equation of state ρ +3p=0 , where ρ and p are its energy density and pressure, respectively, could also have produced an essentially scale-free fluctuation spectrum, though without inflation. This alternative mechanism is based on the Hollands–Wald concept of a minimum wavelength for the emergence of quantum fluctuations into the semi-classical universe. A cosmology with zero active mass does not have a horizon problem, so it does not need inflation to solve this particular (non) issue. In this picture, the {{1}\\circ}{ {--}}{{10}\\circ} fluctuations in the CMB correspond almost exactly to the Planck length at the Planck time, firmly supporting the view that CMB observations may already be probing trans-Planckian physics.

  14. Cosmological Perturbations without Inflation

    CERN Document Server

    Melia, Fulvio

    2016-01-01

    A particularly attractive feature of inflation is that quantum fluctuations in the inflaton field may have seeded inhomogeneities in the cosmic microwave background (CMB) and the formation of large-scale structure. In this paper, we demonstrate that a scalar field with zero active mass, i.e., with an equation of state rho+3p=0, where rho and p are its energy density and pressure, respectively, could also have produced an essentially scale-free fluctuation spectrum, though without inflation. This alternative mechanism is based on the Hollands-Wald concept of a minimum wavelength for the emergence of quantum fluctuations into the semi-classical universe. A cosmology with zero active mass does not have a horizon problem, so it does not need inflation to solve this particular (non) issue. In this picture, the 1-10 degree fluctuations in the CMB correspond almost exactly to the Planck length at the time these modes were produced, firmly supporting the view that CMB observations may already be probing trans-Plancki...

  15. Sporcularda rotator cuff problemleri

    OpenAIRE

    Guven, Osman; Guven, Zeynep; Gundes, Hakan; Yalcin, Selim

    2004-01-01

    Rotator cuff tendinitinin etyolojisinde genellikle birden çok faktörün kombinasyonu görülür. Yüzme, raket sporları ve fırlatma sporlarının özellikle gelişmiş ülkelerde giderek yaygınlaşması bu konuya olan ilginin artmasına sebep olmuştur. Eski konseptlerde aktif bir sporcuda tedavinin başarısı genellikle eski atletik seviyesine dönmesi ile ölçülürdü. Son zamanlarda atletik tekniklerin analizi, atroskopik evaluasyon gibi yeni bir Iükse sahip olmamız ve Iiteratürün yeniden gözden geçirilmesi il...

  16. Alteração da pressão intra-cuff do tubo endotraqueal após mudança da posição em pacientes sob ventilação mecânica Endotracheal tube cuff pressure alteration after changes in position in patients under mechanical ventilation

    Directory of Open Access Journals (Sweden)

    Armando Carlos Franco de Godoy

    2008-05-01

    Full Text Available OBJETIVO: O objetivo deste trabalho foi investigar a alteração da pressão intra-cuff (Pcuff do tubo endotraqueal em pacientes sob ventilação mecânica, após alteração de sua posição corporal. MÉTODOS: Todos os pacientes selecionados eram inicialmente colocados em posição de semi-Fowler (35º, Pcuff em 20 mmHg, e divididos aleatoriamente em dois grupos. No Grupo A: a Pcuff era medida após mover-se o paciente para decúbito lateral, costas voltadas para o ventilador (denominada Pcuff A1; após retornar o paciente à posição inicial (denominada Pcuff A2; após mover-se o paciente para decúbito lateral, de frente para o ventilador (denominada Pcuff A3; e após retornar o paciente, novamente, à posição inicial (denominada Pcuff A4. No Grupo B: a Pcuff era medida após mover-se o paciente para decúbito lateral, de frente para o ventilador (denominada Pcuff B1; após retornar o paciente à posição inicial (denominada Pcuff B2; após mover-se o paciente para decúbito lateral, costas voltadas para o ventilador (denominada Pcuff B3; e após retornar o paciente, novamente, à posição inicial (denominada Pcuff B4. RESULTADOS: Foram incluídos 70 pacientes no estudo, 31 no grupo A e 39 no grupo B. Valores >22 mmHg foram observados em 142 (50,7% das 280 medidas de Pcuff realizadas, e valores 22 mmHg. CONCLUSÕES: Mudanças na posição corporal dos pacientes sob ventilação mecânica podem alterar significativamente a Pcuff.OBJECTIVE: The purpose of this study was to investigate endotracheal tube cuff pressure (Pcuff alteration in patients under mechanical ventilation after changes in position. METHODS: All selected patients were initially placed in the 35º semi-Fowler position, with Pcuff adjusted to 20 mmHg, and randomly divided into two groups. Group A, in which patients were moved to the lateral decubitus position, facing away from the ventilator (measurement designated Pcuff A1, returned to the initial position (measurement

  17. Rehabilitation after Rotator Cuff Repair.

    Science.gov (United States)

    Nikolaidou, Ourania; Migkou, Stefania; Karampalis, Christos

    2017-01-01

    Rotator cuff tears are a very common condition that is often incapacitating. Whether non-surgical or surgical, successful management of rotator cuff disease is dependent on appropriate rehabilitation. If conservative management is insufficient, surgical repair is often indicated. Postsurgical outcomes for patients having had rotator cuff repair can be quite good. A successful outcome is much dependent on surgical technique as it is on rehabilitation. Numerous rehabilitation protocols for the management of rotator cuff disease are based primarily on clinical experience and expert opinion. This article describes the different rehabilitation protocols that aim to protect the repair in the immediate postoperative period, minimize postoperative stiffness and muscle atrophy. A review of currently available literature on rehabilitation after arthroscopic rotator cuff tear repair was performed to illustrate the available evidence behind various postoperative treatment modalities. There were no statistically significant differences between a conservative and an accelerated rehabilitation protocol . Early passive range of motion (ROM) following arthroscopic cuff repair is thought to decrease postoperative stiffness and improve functionality. However, early aggressive rehabilitation may compromise repair integrity. The currently available literature did not identify any significant differences in functional outcomes and relative risks of re-tears between delayed and early motion in patients undergoing arthroscopic rotator cuff repairs. A gentle rehabilitation protocol with limits in range of motion and exercise times after arthroscopic rotator cuff repair would be better for tendon healing without taking any substantial risks. A close communication between the surgeon, the patient and the physical therapy team is important and should continue throughout the whole recovery process.

  18. Spotted inflation

    Energy Technology Data Exchange (ETDEWEB)

    Matsuda, Tomohiro, E-mail: matsuda@sit.ac.jp [Laboratory of Physics, Saitama Institute of Technology, Fusaiji, Okabe-machi, Saitama 369-0293 (Japan)

    2010-11-01

    We describe new scenarios for generating curvature perturbations when inflaton (curvaton) has significant interactions. We consider a ''spot'', which arises from interactions associated with an enhanced symmetric point (ESP) on the trajectory. Our first example uses the spot to induce a gap in the field equation. We observe that the gap in the field equation may cause generation of curvature perturbation if it does not appear simultaneous in space. The mechanism is similar to the scenario of inhomogeneous phase transition. Then we observe that the spot interactions may initiate warm inflation in the cold Universe. Creation of cosmological perturbation is discussed in relation to the inflaton dynamics and the modulation associated with the spot interactions.

  19. Use of a Yankauer suction tip combined with the Colpo-Pneumo Occluder balloon to suction the surgical field at the vaginal cuff during robotic hysterectomy.

    Science.gov (United States)

    Stitely, Michael L; Hashmi, Mahreen; Jain, Preiya; Hochberg, Charles

    2011-01-01

    A 39-year-old patient with complex endometrial hyperplasia without atypia underwent robotic total laparoscopic hysterectomy with bilateral salpingo-oophorectomy. The procedure was technically challenging because of the patient's obesity (body mass index 50 kg/m(2)). Concomitant suction of pooled blood and retraction of bowel and omentum were necessary to close the vaginal cuff. An endoscopic retractor was used through the assistant's port, and a Yankauer suction tip was placed through an inflated Colpo-Pneumo Occluder balloon in the vagina to provide directed suction to the vagina cuff. This technique enabled efficient closure of the vaginal cuff.

  20. Air-Inflated Fabric Structures

    Science.gov (United States)

    2006-11-05

    inflatable boats, temporary bridging, and energy absorbers such as automotive air bags. However, the advent of today’s high performance fibers...were constructed using adhesively bonded, piece-cut manufacturing methods. These methods were limited to relatively low pressures because of fabric...environmental exposure to ultraviolet rays, moisture, fire, chemicals, etc. Coating such as urethane , PVC (polyvinyl chloride), neoprene, EPDM (ethylene

  1. New Inflation Factors Looming, Anti-inflation Remains China's No.1 Task

    Institute of Scientific and Technical Information of China (English)

    Luo Yufan; Hua Yedi; Ren Feng

    2011-01-01

    @@ As the surging pork price pushes China's consumer price index (CPI), a key gauge of inflation, to the highest level in three years, new inflation factors start to emerge, posing a potential threat to the already-high inflation in this country.Questions are raised concerning whether the inflationary pressure would continue in the future and how would these factors influence China's macroeconomic policy.

  2. New Inflation Factors Looming, Anti-inflation Remains China's No.1 Task

    Institute of Scientific and Technical Information of China (English)

    Luo Yufan; Hua Yedi; Ren Feng

    2011-01-01

    As the surging pork price pushes Chinas consumer price index (CPI), a key gauge of inflation, to the highest level in three years, new inflation factors start to emerge, posing a potential threat to the already-high inflation in this country. Questions are raised concerning whether the inflationary pressure would continue in the future and how would these factors influence China's macroeconomic policy.

  3. The Inflatable Poster

    Science.gov (United States)

    Tackley, P. J.

    2004-12-01

    Inflatable devices are frequently used in advertising in order to grab the attention of consumers: one sees, for example, 20 foot tall inflatable drink containers, inflatable cell phones, inflatable bubble gum packets, as well as blimps wafting majestically over major sports events. More usefully, inflatable representations of scientifically-interesting items are widely available, including astronauts, space shuttles, dinosaurs and globes and can help to build and inspire the interest of the general public, and in particular children, in such ideas. How can such concepts be adapted to improve poster presentations? Possibility one is to use relevant existing commercially-available inflatables to dress the poster: skeletons, astronauts, globes and so forth. More exciting is to develop custom inflatables that represent three-dimensional renderings of objects that the poster is describing. Examples of individual objects might be an inflatable slab, inflatable avalanche, inflatable plume, or it's larger cousin, the 10 foot high inflatable superplume or 20 foot high inflatable megaplume. More elaborately, inflatables might represent isosurfaces in three-dimensional spherical convection, although other fabrication methods may be more suitable. More simply, inflatable spheres could be imprinted with the planform of convection, geoid, or other spherical fields of geophysical interest. Finally, it should be possible to put an entire poster on an inflatable object, possibly small ones (balloons) to hand out. A major concern, however, is that the presenter may use such techniques to inflate their scientific findings, or to present overblown ideas.

  4. INFLATION AND FINANCIAL DEVELOPMENT: EVIDENCE

    Directory of Open Access Journals (Sweden)

    Emmanuel Nii Abbey

    2012-01-01

    Full Text Available The study examined the impact of inflation on financial development in Ghana using quarterly time series data (1990-2008. It was in line with the empirical works that provided support for the proposition that inflation affects financial development negatively. While price stability has been emphasized in the literature to be the best antidote in addressing the problem, recent evidence of disagreements on its definition and the ways to achieving it, coupled with, threshold effects between the two variables have questioned the precise link between the two variables and their acclaimed antidote. The study therefore made use of the Cointegration Approach the Granger Causality testing procedure suggested and the Conditional Least Squares technique to address these issues for the case of Ghana. The study established several statistically significant and economically meaningful relationships between the two variables. Pair-wise correlation analysis established a negative association between the two variables. In contrast, conflicting results were produced with regression analysis: the relationship between the two variables in the short run was established to be positive, while no relationship at all was established in the long run. Furthermore, a unidirectional causal link was established to be running from inflation to financial development; when the ratio of private sector credit to GDP and the market capitalization ratio were used as indicators for financial development. Lastly, threshold effects were observed in the inflation-financial development relation for inflation rates between 11-16% per annum. The study thus recommended the definition of price stability for inflation rates between 11-16% in support of financial development in Ghana. Additionally, it was recommended that the country should promote financial sector policies in a more holistic approach, as financial development does not granger cause inflation or inflationary pressures.

  5. Massive aspiration past the tracheal tube cuff caused by closed tracheal suction system.

    Science.gov (United States)

    Dave, Mital H; Frotzler, Angela; Madjdpour, Caveh; Koepfer, Nelly; Weiss, Markus

    2011-01-01

    Aspiration past the tracheal tube cuff has been recognized to be a risk factor for the development of ventilator-associated pneumonia (VAP). This study investigated the effect of closed tracheal suctioning on aspiration of fluid past the tracheal tube cuff in an in vitro benchtop model. High-volume low pressure tube cuffs of 7.5 mm internal diameter (ID) were placed in a 22 mm ID artificial trachea connected to a test lung. Positive pressure ventilation (PPV) with 15 cm H₂O peak inspiratory pressure and 5 cm H₂O positive end-expiratory pressure (PEEP) was used. A closed tracheal suction system (CTSS) catheter (size 14Fr) was attached to the tracheal tube and suction was performed for 5, 10, 15, or 20 seconds under 200 or 300 cm H₂O suction pressures. Amount of fluid (mL) aspirated along the tube cuff and the airway pressure changes were recorded for each suction procedure. Fluid aspiration during different suction conditions was compared using Kruskal-Wallis and Mann-Whitney test (Bonferroni correction [α = .01]). During 10, 15, and 20 seconds suction, airway pressure consistently dropped down to -8 to -13 cm H₂O (P suctioning. Aspiration along the tube cuff was higher with -300 cm H₂O than with -200 cm H₂O suction pressure (P suction time as compared to 5 seconds (P suction with the closed tracheal suction system. © SAGE Publications 2011.

  6. 46 CFR 122.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Science.gov (United States)

    2010-10-01

    ... apparatus, inflatable life jackets, and inflated rescue boats. 122.730 Section 122.730 Shipping COAST GUARD..., inflatable life jackets, and inflated rescue boats. (a) An inflatable liferaft or inflatable buoyant... the vessel, provided that the delay does not exceed 5 months. (c) Each inflatable life jacket must be...

  7. A comparison of noninvasive blood pressure measurement on the wrist with invasive arterial blood pressure monitoring in patients undergoing bariatric surgery.

    Science.gov (United States)

    Hager, Helmut; Mandadi, Goutham; Pulley, Debra; Eagon, J Chris; Mascha, Edward; Nutter, Benjamin; Kurz, Andrea

    2009-06-01

    In morbidly obese patients, oscillometric blood pressure measurements with an upper-arm cuff are often difficult to perform. The alternative method, invasive blood pressure monitoring, can be difficult to place and is associated with risks. A wrist-mounted blood pressure-monitoring device, the Vasotrac, provides accurate blood pressure measurements in lean patients. Even in the obese, wrist morphology remains relatively unchanged. We thus assessed the degree to which blood pressure measurements with the Vasotrac on the wrist and cuff measurements agree with invasive arterial blood pressure monitoring. We evaluated 22 morbidly obese patients undergoing bariatric surgery lasting 3.8+/-1.1 h. Intraoperative blood pressure was simultaneously measured using the Vasotrac mounted on one wrist; an arterial catheter was inserted in the opposite radial artery, and an oscillometric cuff was positioned on the upper arm. Preoperative patient comfort was evaluated on a scale from 1 to 10, with 10 being most uncomfortable, just after the first oscillometric cuff inflation. Values from the Vasotrac and arterial catheter were recorded at 5-s intervals. Bias, precision, and clinically acceptable agreement were calculated between the two continuous monitoring devices and between the arterial catheter and the cuff measurements, with the arterial catheter providing the reference value. The patients' age was 44.3+/-9.5 years (mean+/-SD), body mass index was 66.7+/-13.8 kg/m2, and arm circumference was 48.6+/-7.5 cm. Patients found the Vasotrac more comfortable than the oscillometric device [1.7+/-1.8 vs 5.3+/-0.5 (P=0.009)]. A total of 40,411 pairs of values from the Vasotrac and arterial catheter were recorded. Lin's concordance correlation coefficient (95% CI) for mean arterial blood pressure measured between the arterial line and the Vasotrac was 0.74 (0.67, 0.82). The bias (mean error) was -0.25 mmHg; however, the Bland-Altman limits where 95% of individual pressure differences are

  8. Generalized Higgs inflation

    Energy Technology Data Exchange (ETDEWEB)

    Kamada, Kohei [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Kobayashi, Tsutomu [Kyoto Univ. (Japan). Hakubi Center; Kyoto Univ. (Japan). Dept. of Physics; Takahashi, Tomo [Saga Univ. (Japan). Dept. of Physics; Yamaguchi, Masahide [Tokyo Institute of Technology (Japan). Dept. of Physics; Yokoyama, Jun' ichi [Tokyo Univ. (JP). Research Center for the Early Universe (RESCEU); Tokyo Univ., Chiba (JP). Inst. for the Physics and Mathematics of the Universe (IPMU)

    2012-03-15

    We study Higgs inflation in the context of generalized G-inflation, i.e., the most general single-field inflation model with second-order field equations. The four variants of Higgs inflation proposed so far in the literature can be accommodated at one time in our framework. We also propose yet another class of Higgs inflation, the running Einstein inflation model, that can naturally arise from the generalized G-inflation framework. As a result, five Higgs inflation models in all should be discussed on an equal footing. Concise formulas for primordial fluctuations in these generalized Higgs inflation models are provided, which will be helpful to determine which model is favored from the future experiments and observations such as the Large Hadron Collider and the Planck satellite.

  9. Inflation perceptions and inflation expectation in South Africa: trends ...

    African Journals Online (AJOL)

    The paper shows emerging trends that could be indicative of ... In countries targeting inflation, periodic inflation perceptions surveys are undertaken by, or on ..... A multinomial logit model was estimated for the inflation expectation and inflation ...

  10. Inflation Basics

    Energy Technology Data Exchange (ETDEWEB)

    Green, Dan [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States)

    2014-03-01

    inflation since metrical fluctuations, both scalar and tensor, are also produced in inflationary models. Thus, the time appears to be appropriate for a very basic and simple exposition of the inflationary model written from a particle physics perspective. Only the simplest scalar model will be explored because it is easy to understand and contains all the basic elements of the inflationary model.

  11. Inflation Basics

    Energy Technology Data Exchange (ETDEWEB)

    Green, Dan [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States)

    2014-03-01

    inflation since metrical fluctuations, both scalar and tensor, are also produced in inflationary models. Thus, the time appears to be appropriate for a very basic and simple exposition of the inflationary model written from a particle physics perspective. Only the simplest scalar model will be explored because it is easy to understand and contains all the basic elements of the inflationary model.

  12. THE PROSPECT OF INFLATION TARGETING IN KAZAKHSTAN

    Directory of Open Access Journals (Sweden)

    Zhandos Ybrayev

    2017-02-01

    Full Text Available Over the last two decades, there has been a significant increase in the number of countries that began to pursue an Inflation Targeting monetary policy framework. Since the collapse of the Soviet Union, each of the fifteen newly created independent countries started to develop and run their own autonomous monetary policies. Kazakhstan announced the implementation of an Inflation Targeting policy in August 2015. At the same time, a number of researches show that Inflation Targeting might not work as well for developing countries as it does for developed ones due to certain fundamental differences and preconditions that must be met before the implementation phase. Thus, this paper discusses the case of Kazakhstan as a typical emerging market economy example, examines its ability to respond to various external shocks and identifies the main transmission channels in order to contribute to the knowledge in this particular area. Identification assumptions generate contemporaneous monetary shocks on domestic inflation behavior, which also take into account various features of the small open economy as well as indicate different important transitory and persistent effects. The results show, based on the interpretation of impulse response functions, a positive interest rate shock has an uncertain inflationary impact, which raises questions about the effectiveness of interest rate manipulation in keeping inflation within the given band. In addition, a positive exchange rate shock leads to a stronger upward pressure in inflation rates. Finally, inflation inertia explains a substantial increase in future inflation rates.

  13. First-order inflation

    Energy Technology Data Exchange (ETDEWEB)

    Kolb, E.W. (Fermi National Accelerator Lab., Batavia, IL (USA) Chicago Univ., IL (USA). Enrico Fermi Inst.)

    1990-09-01

    In the original proposal, inflation occurred in the process of a strongly first-order phase transition. This model was soon demonstrated to be fatally flawed. Subsequent models for inflation involved phase transitions that were second-order, or perhaps weakly first-order; some even involved no phase transition at all. Recently the possibility of inflation during a strongly first-order phase transition has been revived. In this talk I will discuss some models for first-order inflation, and emphasize unique signatures that result in inflation is realized in a first-order transition. Before discussing first-order inflation, I will briefly review some of the history of inflation to demonstrate how first-order inflation differs from other models. 58 refs., 3 figs.

  14. Ultrasonography of the Rotator Cuff

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Yong Cheol [Samsung Medica Center, Sungkyunkwan University College of Medicine, Seoul (Korea, Republic of)

    2006-09-15

    The ultrasonography (US) is an important modality in evaluating shoulder disease. It is accurate in diagnosing the various shoulder diseases including tendinosis, calcific tendinitis, and subacromial bursitis as well as rotator cuff tears. This article presents a pictorial review of US anatomy of the shoulder, the technical aspects of shoulder US, major types of shoulder pathology, and interventional procedure under US guidance

  15. Brane Inflation and Defect Formation

    CERN Document Server

    Davis, A C; Van de Bruck, C

    2008-01-01

    Brane inflation and the production of topological defects at the end of the inflationary phase are discussed. After a description of the inflationary setup we discuss the properties of the cosmic strings produced at the end of inflation. Specific examples of brane inflation are described: $D-\\bar D$ inflation, $D3/D7$ inflation and modular inflation

  16. Inflation Protected Investment Strategies

    Directory of Open Access Journals (Sweden)

    Mirco Mahlstedt

    2016-03-01

    Full Text Available In this paper, a dynamic inflation-protected investment strategy is presented, which is based on traditional asset classes and Markov-switching models. Different stock market, as well as inflation regimes are identified, and within those regimes, the inflation hedging potential of stocks, bonds, real estate, commodities and gold are investigated. Within each regime, we determine optimal investment portfolios driven by the investment idea of protection from losses due to changing inflation if inflation is rising or high, but decoupling the performance from inflation if inflation is low. The results clearly indicate that these asset classes behave differently in different stock market and inflation regimes. Whereas in the long-run, we agree with the general opinion in the literature that stocks and bonds are a suitable hedge against inflation, we observe for short time horizons that the hedging potential of each asset class, especially of real estate and commodities, depend strongly on the state of the current market environment. Thus, our approach provides a possible explanation for different statements in the literature regarding the inflation hedging properties of these asset classes. A dynamic inflation-protected investment strategy is developed, which combines inflation protection and upside potential. This strategy outperforms standard buy-and-hold strategies, as well as the well-known 1 N -portfolio.

  17. Changes in extracellular muscle volume affect heart rate and blood pressure responses to static exercise

    Science.gov (United States)

    Baum, K.; Essfeld, D.; Stegemann, J.

    To investigate the effect of μg-induced peripheral extracellular fluid reductions on heart rate and blood pressure during isometric exercise, six healthy male subjects performed three calf ergometer test with different extracellular volumes of working muscles. In all tests, body positions during exercise were identical (supine with the knee joint flexed to 900). After a pre-exercise period of 25 min, during which calf volumes were manipulated, subjects had to counteract an external force of 180 N for 5 min. During the pre-exercise period three different protocols were applied. Test A: Subjects rested in the exercise position; test B: Body position was the same as in A but calf volume was increased by venous congestion (cuffs inflated to 80 mm Hg); test C: Calf volumes were decreased by a negative hydrostatic pressure (calves about 40 cm above heart level with the subjects supine). To clamp the changed calf volumes in tests B and C, cuffs were inflated to 300 mm Hg 5 min before the onset of exercise. This occlusion was maintained until termination of exercise. Compared to tests A and B, the reduced volume of test C led to significant increases in heart rate and blood pressure during exercise. Oxygen uptake did not exceed resting levels in B and C until cuffs were deflated, indicating that exclusively calf muscles contributed to the neurogenic peripheral drive. It is concluded that changes in extracellular muscle volume have to be taken into account when comparing heart rate and blood pressure during lg- and μg- exercise.

  18. k-Inflation

    CERN Document Server

    Armendariz-Picon, C; Mukhanov, V

    1999-01-01

    It is shown that a large class of higher-order (i.e. non-quadratic) scalar kinetic terms can, without the help of potential terms, drive an inflationary evolution starting from rather generic initial conditions. In many models, this kinetically driven inflation (or "k-inflation" for short) rolls slowly from a high-curvature initial phase, down to a low-curvature phase and can exit inflation to end up being radiation-dominated, in a naturally graceful manner. We hope that this novel inflation mechanism might be useful in suggesting new ways of reconciling the string dilaton with inflation.

  19. Delaminated rotator cuff tear: extension of delamination and cuff integrity after arthroscopic rotator cuff repair.

    Science.gov (United States)

    Gwak, Heui-Chul; Kim, Chang-Wan; Kim, Jung-Han; Choo, Hye-Jeung; Sagong, Seung-Yeob; Shin, John

    2015-05-01

    The purpose of this study was to evaluate the extension of delamination and the cuff integrity after arthroscopic repair of delaminated rotator cuff tears. Sixty-five patients with delaminated rotator cuff tears were retrospectively reviewed. The delaminated tears were divided into full-thickness delaminated tears and partial-thickness delaminated tears. To evaluate the medial extension, we calculated the coronal size of the delaminated portion. To evaluate the posterior extension, we checked the tendon involved. Cuff integrity was evaluated by computed tomography arthrography. The mean medial extension in the full-thickness and partial-thickness delaminated tears was 18.1 ± 6.0 mm and 22.7 ± 6.3 mm, respectively (P = .0084). The posterior extension into the supraspinatus and the infraspinatus was 36.9% and 32.3%, respectively, in the full-thickness delaminated tears, and it was 27.7% and 3.1%, respectively, in the partial-thickness delaminated tears (P = .0043). With regard to cuff integrity, 35 cases of anatomic healing, 10 cases of partial healing defects, and 17 cases of retear were detected. Among the patients with retear and partial healing of the defect, all the partially healed defects showed delamination. Three retear patients showed delamination, and 14 retear patients did not show delamination; the difference was statistically significant (P = .0001). The full-thickness delaminated tears showed less medial extension and more posterior extension than the partial-thickness delaminated tears. Delamination did not develop in retear patients, but delamination was common in the patients with partially healed defects. Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  20. Retraction pattern of delaminated rotator cuff tears: dual-layer rotator cuff repair

    OpenAIRE

    Cha, Sang-Won; Lee, Choon-Key; Sugaya, Hiroyuki; Kim, Taegyun; Lee, Su-Chan

    2016-01-01

    Background There has been no report to date regarding retraction patterns of delaminated rotator cuff tears. The purpose of this study was to evaluate the incidence and tearing patterns of delamination and repair integrity after the dual-layer repair of delaminated cuff tears. Methods/design A consecutive series of 64 patients with posterosuperior rotator cuff tears underwent arthroscopic rotator cuff repair from August 2011 to September 2012. Among the patients, 53 who received either dual-l...

  1. Glycosaminoglycans of human rotator cuff tendons: changes with age and in chronic rotator cuff tendinitis.

    OpenAIRE

    Riley, G P; Harrall, R. L.; Constant, C R; Chard, M D; Cawston, T E; Hazleman, B L

    1994-01-01

    OBJECTIVES--To analyse the glycosaminoglycans of the adult human rotator cuff tendon matrix, to characterise changes in the glycosaminoglycan composition with age and in chronic rotator cuff tendinitis. METHODS--Rotator cuff (supraspinatus) tendons (n = 84) and common biceps tendons (n = 26) were obtained from cadavers with no history of tendon pathology (age range 11-95 years). Biopsies of rotator cuff tendons (supraspinatus and subscapularis tendons, n = 53) were obtained during open should...

  2. Rotator cuff tear: A detailed update

    Directory of Open Access Journals (Sweden)

    Vivek Pandey

    2015-01-01

    Full Text Available Rotator cuff tear has been a known entity for orthopaedic surgeons for more than two hundred years. Although the exact pathogenesis is controversial, a combination of intrinsic factors proposed by Codman and extrinsic factors theorized by Neer is likely responsible for most rotator cuff tears. Magnetic resonance imaging remains the gold standard for the diagnosis of rotator cuff tears, but the emergence of ultrasound has revolutionized the diagnostic capability. Even though mini-open rotator cuff repair is still commonly performed, and results are comparable to arthroscopic repair, all-arthroscopic repair of rotator cuff tear is now fast becoming a standard care for rotator cuff repair. Appropriate knowledge of pathology and healing pattern of cuff, strong and biological repair techniques, better suture anchors, and gradual rehabilitation of postcuff repair have led to good to excellent outcome after repair. As the healing of degenerative cuff tear remains unpredictable, the role of biological agents such as platelet-rich plasma and stem cells for postcuff repair augmentation is still under evaluation. The role of scaffolds in massive cuff tear is also being probed.

  3. Ultrasound determination of rotator cuff tear repairability

    Science.gov (United States)

    Tse, Andrew K; Lam, Patrick H; Walton, Judie R; Hackett, Lisa

    2015-01-01

    Background Rotator cuff repair aims to reattach the torn tendon to the greater tuberosity footprint with suture anchors. The present study aimed to assess the diagnostic accuracy of ultrasound in predicting rotator cuff tear repairability and to assess which sonographic and pre-operative features are strongest in predicting repairability. Methods The study was a retrospective analysis of measurements made prospectively in a cohort of 373 patients who had ultrasounds of their shoulder and underwent rotator cuff repair. Measurements of rotator cuff tear size and muscle atrophy were made pre-operatively by ultrasound to enable prediction of rotator cuff repairability. Tears were classified following ultrasound as repairable or irreparable, and were correlated with intra-operative repairability. Results Ultrasound assessment of rotator cuff tear repairability has a sensitivity of 86% (p rotator cuff repairability were tear size (p rotator cuff tear. Conclusions Ultrasound assessment is accurate in predicting rotator cuff tear repairability. Tear size or anteroposterior tear length and age were the best predictors of repairability. PMID:27582996

  4. Response of pulmonary rapidly adapting receptors during lung inflation.

    Science.gov (United States)

    Pack, A I; DeLaney, R G

    1983-09-01

    Studies were conducted to establish the factors that determine the response of canine pulmonary rapidly adapting receptors (RAR) during lung inflation. Inflations of the lung were performed at several constant rates during which the activity of individual RAR was counted. At each rate of inflation tested multiple identical tests were performed. The volume of each test inflation was controlled. Data obtained in all tests at each flow rate were averaged to give the mean response of the receptor at that rate of inflation. These studies indicate the major response characteristics of RAR during lung inflation in conditions of relatively constant lung mechanics. First, at a constant rate of inflation, the activity of RAR augments increasingly as the lung is expanded. Second, their activity is influenced markedly by the rate of inflation. However, this sensitivity is nonlinear. Specifically, at low rates of inflation increases in flow rate produce more marked augmentation of RAR firing than do identical increases in flow at higher rates of inflation. The major difference between receptors is in their threshold; however, this too is a function of flow rate. With increasing flow rate the threshold, whether measured as the inflation volume or transpulmonary pressure at which receptors begin to fire, declines. The response of receptors, however, with thresholds over the entire range show the major features discussed above. The present results provide quantitative information which are necessary to begin to eludicate the transduction properties of this receptor type.

  5. TASI Lectures on Inflation

    CERN Document Server

    Baumann, Daniel

    2009-01-01

    In a series of five lectures I review inflationary cosmology. I begin with a description of the initial conditions problems of the Friedmann-Robertson-Walker (FRW) cosmology and then explain how inflation, an early period of accelerated expansion, solves these problems. Next, I describe how inflation transforms microscopic quantum fluctuations into macroscopic seeds for cosmological structure formation. I present in full detail the famous calculation for the primordial spectra of scalar and tensor fluctuations. I then define the inverse problem of extracting information on the inflationary era from observations of cosmic microwave background fluctuations. The current observational evidence for inflation and opportunities for future tests of inflation are discussed. Finally, I review the challenge of relating inflation to fundamental physics by giving an account of inflation in string theory.

  6. Is Inflation Persistence Over?

    Directory of Open Access Journals (Sweden)

    Fernando N. de Oliveira

    2014-09-01

    Full Text Available We analyze inflation persistence in several industrial and emerging countries in the recent past by implementing unit root tests in the presence of unknown structural breaks and by estimating reduced-form models of inflation dynamics. We select a very representative group of 23 industrial and 17 emerging economies. Our sample period is comprised of quarterly data and differs for each country. Our results indicate that inflation persistence is decreasing over time for the great majority of industrial economies. Many emerging economies, however, show increasing persistence and even a few have highly persistent inflationary processes. We also observe structural breaks in all inflation processes we study with the exception of the inflation processes of Germany and Austria. Our results are robust to different reduced forms of the inflation processes and different econometric techniques.

  7. Pseudosmooth tribrid inflation

    Energy Technology Data Exchange (ETDEWEB)

    Antusch, Stefan; Nolde, David; Rehman, Mansoor Ur, E-mail: stefan.antusch@unibas.ch, E-mail: david.nolde@unibas.ch, E-mail: mansoor-ur.rehman@unibas.ch [Department of Physics, University of Basel, Klingelbergstr. 82, CH-4056 Basel (Switzerland)

    2012-08-01

    We explore a new class of supersymmetric models of inflation where the inflaton is realised as a combination of a Higgs field and (gauge non-singlet) matter fields, using a ''tribrid'' structure of the superpotential. Inflation is associated with a phase transition around GUT scale energies. The inflationary trajectory already preselects the later vacuum after inflation, which has the advantage of automatically avoiding the production of dangerous topological defects at the end of inflation. While at first sight the models look similar to smooth inflation, they feature a waterfall and are therefore only pseudosmooth. The new class of models offers novel possibilities for realising inflation in close contact with particle physics, for instance with supersymmetric GUTs or with supersymmetric flavour models based on family symmetries.

  8. Initial conditions for inflation

    CERN Document Server

    Dimopoulos, Konstantinos

    2016-01-01

    A novel proposal is presented, which manages to overcome the initial conditions problem of inflation with a plateau. An earlier period of proto-inflation, beginning at Planck scale, accounts for the Universe expansion and arranges the required initial conditions for inflation on the plateu to commence. We show that, if proto-inflation is power-law, it does not suffer from any eternal inflationary stage. A simple model realisation is constructed in the context of $\\alpha$-attractors, which can both generate the inflationary plateau and the exponential slopes around it, necessary for the two inflation stages. Our mechanism allows to assume chaotic initial conditions at the Planck scale for proto-inflation, it is generic and it is shown to work without fine-tunings.

  9. Preheating in New Inflation

    CERN Document Server

    Desroche, M; Kratochvil, J; Linde, Andrei D; Desroche, Mariel; Felder, Gary N.; Kratochvil, Jan M.; Linde, Andrei

    2005-01-01

    During the last ten years a detailed investigation of preheating was performed for chaotic inflation and for hybrid inflation. However, nonperturbative effects during reheating in the new inflation scenario remained practically unexplored. We do a full analysis of preheating in new inflation, using a combination of analytical and numerical methods. We find that the decay of the homogeneous component of the inflaton field and the resulting process of spontaneous symmetry breaking in the simplest models of new inflation usually occurs almost instantly: for the new inflation on the GUT scale it takes only about 5 oscillations of the field distribution. The decay of the homogeneous inflaton field is so efficient because of a combined effect of tachyonic preheating and parametric resonance. At that stage, the homogeneous oscillating inflaton field decays into a collection of waves of the inflaton field, with a typical wavelength of the order of the inverse inflaton mass. This stage usually is followed by a long st...

  10. Adolescent hypertension identified with correct cuff and its cardiovascular and gestational problems after 29 years

    Directory of Open Access Journals (Sweden)

    Sandra Regina Ramos Silva

    2014-01-01

    Full Text Available OBJECTIVE: to identify, in 2011, rates of hypertension, cardiovascular and gestational problems in subjects presenting high blood pressure in 1982, when correct cuff size was used, according to the American Heart Association Arm Circumference/Cuff Width ratio of 0.40. METHODS: high blood pressure was defined in 2011 as systolic = 115 mmHg and diastolic = 80mmHg, resulting in 20 subjects between 39 and 43 years old. (Risk Group. They were compared to 20 subjects from the original sample with lower blood pressure values (Control group. RESULTS: the rates of hypertension, cardiovascular and gestational problems were significantly higher (Fisher: p=0.02 in the Risk Group, with one case of cardiovascular death. Our findings arouse speculations about whether, if a proper cuff had been used in clinical practice, the complications and death could have been avoided. CONCLUSIONS: data suggest compliance with the use of cuff width corresponding to 40% of arm circumference, despite polemics concerning cuff availability and difficulties of using many sizes.

  11. Validity and Usefulness of `Wearable Blood Pressure Sensing' for Detection of Inappropriate Short-Term Blood Pressure Variability in the Elderly

    Science.gov (United States)

    Iijima, Katsuya; Kameyama, Yumi; Akishita, Masahiro; Ouchi, Yasuyoshi; Yanagimoto, Shintaro; Imai, Yasushi; Yahagi, Naoki; Lopez, Guillaume; Shuzo, Masaki; Yamada, Ichiro

    An increase in short-term blood pressure (BP) variability is a characteristic feature in the elderly. It makes the management of hemodynamics more difficult, because it is frequently seen disturbed baro-reflex function and increased arterial stiffness, leading to isolated systolic hypertension. Large BP variability aggravates hypertensive target organ damage and is an independent risk factor for the cardiovascular (CV) events in elderly hypertensive patients. Therefore, appropriate control in BP is indispensable to manage lifestyle-related diseases and to prevent subsequent CV events. In addition, accumulating recent reports show that excessive BP variability is also associated with a decline in cognitive function and fall in the elderly. In the clinical settings, we usually evaluate their health condition, mainly with single point BP measurement using cuff inflation. However, unfortunately we are not able to find the close changes in BP by the traditional way. Here, we can show our advantageous approach of continuous BP monitoring using newly developing device `wearable BP sensing' without a cuff stress in the elderly. The new device could reflect systolic BP and its detailed changes, in consistent with cuff-based BP measurement. Our new challenge suggests new possibility of its clinical application with high accuracy.

  12. Instrumentation for the Characterization of Inflatable Structures

    Science.gov (United States)

    Swanson, Gregory T.; Cassell, Alan M.; Johnson, R. Keith

    2012-01-01

    Current entry, descent, and landing technologies are not practical for heavy payloads due to mass and volume constraints dictated by limitations imposed by launch vehicle fairings. Therefore, new technologies are now being explored to provide a mass- and volume-efficient solution for heavy payload capabilities, including Inflatable Aerodynamic Decelerators (IAD) [1]. Consideration of IADs for space applications has prompted the development of instrumentation systems for integration with flexible structures to characterize system response to flight-like environment testing. This development opportunity faces many challenges specific to inflatable structures in extreme environments, including but not limited to physical flexibility, packaging, temperature, structural integration and data acquisition [2]. In the spring of 2012, two large scale Hypersonic Inflatable Aerodynamic Decelerators (HIAD) will be tested in the National Full-Scale Aerodynamics Complex s 40 by 80 wind tunnel at NASA Ames Research Center. The test series will characterize the performance of a 3.0 m and 6.0 m HIAD at various angles of attack and levels of inflation during flight-like loading. To analyze the performance of these inflatable test articles as they undergo aerodynamic loading, many instrumentation systems have been researched and developed. These systems will utilize new experimental sensing systems developed by the HIAD ground test campaign instrumentation team, in addition to traditional wind tunnel sensing techniques in an effort to improve test article characterization and model validation. During the 2012 test series the instrumentation systems will target inflatable aeroshell static and dynamic deformation, structural strap loading, surface pressure distribution, localized skin deflection, and torus inflation pressure. This paper will offer an overview of inflatable structure instrumentation, and provide detail into the design and implementation of the sensors systems that will

  13. Radiative plateau inflation

    CERN Document Server

    Ballesteros, Guillermo

    2016-01-01

    We describe how monomial chaotic inflation becomes compatible with the latest CMB data thanks to radiative corrections producing a plateau. The interactions of the inflation with other fields, required for reheating, can flatten the potential and moderate the production of primordial gravitational waves, keeping these below the current upper bound. We show that the appearance of a plateau requires that the inflaton couples to fermions and to another scalar or a gauge group. We give concrete examples of minimal particle physics models leading to plateaus for quadratic and quartic chaotic inflation. We also provide a three-parameter model-independent description of radiatively corrected inflation that is amenable to CMB analyses.

  14. 46 CFR 185.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Science.gov (United States)

    2010-10-01

    ... apparatus, inflatable life jackets, and inflated rescue boats. 185.730 Section 185.730 Shipping COAST GUARD... liferafts, inflatable buoyant apparatus, inflatable life jackets, and inflated rescue boats. (a) An... life jacket must be serviced in accordance with the servicing procedure under § 160.176 in subchapter Q...

  15. The effectiveness of benzydamine hydrochloride spraying on the endotracheal tube cuff or oral mucosa for postoperative sore throat.

    Science.gov (United States)

    Huang, Yuan-Shiou; Hung, Nan-Kai; Lee, Meei-Shyuan; Kuo, Chang-Po; Yu, Jyh-Cherng; Huang, Go-Shine; Cherng, Chen-Hwan; Wong, Chih-Shung; Chu, Chi-Hong; Wu, Ching-Tang

    2010-10-01

    The etiology of postoperative sore throat (POST) is considered to be the result of laryngoscopy, intubation damage, or inflated cuff compression of the tracheal mucosa. In this study, we compared the effectiveness in alleviating POST using different approaches to benzydamine hydrochloride (BH) administration by spraying the endotracheal tube (ET) cuff or the oropharyngeal cavity, or both. Three hundred eighty patients were included in this prospective and double-blind study, which was randomized into 4 groups: group A, oropharyngeal cavity spray of BH, and distilled water on the ET cuff; group B, both the oropharyngeal cavity and the ET cuff received BH spray; group C, the ET cuff received BH spray, and the oropharyngeal cavity received distilled water; and group D, distilled water sprayed on both the ET tube and into the oropharyngeal cavity. The patients were examined for sore throat (none, mild, moderate, severe) at 0, 2, 4, and 24 hours postextubation. The incidence of POST was 23.2%, 13.8%, 14.7%, and 40.4% in groups A, B, C, and D, respectively. POST occurred significantly less frequently in groups B and C compared with group D (odds ratio: 0.36; 95% confidence interval: 0.21-0.60; P < 0.05). However, there was no significant difference between groups A and D (odds ratio: 0.62; 95% confidence interval: 0.38-1.01). Moreover, there was no significant interaction between spraying BH over the oropharyngeal cavity and the ET cuff on the incidence of POST (P = 0.088). The severity of POST was significantly more intense in group D compared with groups B and C (P < 0.001). Group B had a significantly higher incidence of local numbness, burning, and/or stinging sensation compared with patients in group D (P < 0.05). This study indicates that spraying BH on the ET cuff decreases the incidence and severity of POST without increased BH-related adverse effects.

  16. Proteomics perspectives in rotator cuff research

    DEFF Research Database (Denmark)

    Sejersen, Maria Hee Jung; Frost, Poul; Hansen, Torben Bæk

    2015-01-01

    Background Rotator cuff tendinopathy including tears is a cause of significant morbidity. The molecular pathogenesis of the disorder is largely unknown. This review aimed to present an overview of the literature on gene expression and protein composition in human rotator cuff tendinopathy and other...... studies on objectively quantified differential gene expression and/or protein composition in human rotator cuff tendinopathy and other tendinopathies as compared to control tissue. Results We identified 2199 studies, of which 54 were included; 25 studies focussed on rotator cuff or biceps tendinopathy......, which only allowed simultaneous quantification of a limited number of prespecified mRNA molecules or proteins, several proteins appeared to be differentially expressed/represented in rotator cuff tendinopathy and other tendinopathies. No proteomics studies fulfilled our inclusion criteria, although...

  17. Partial Thickness Rotator Cuff Tears: Current Concepts

    Science.gov (United States)

    Matthewson, Graeme; Beach, Cara J.; Nelson, Atiba A.; Woodmass, Jarret M.; Ono, Yohei; Boorman, Richard S.; Lo, Ian K. Y.; Thornton, Gail M.

    2015-01-01

    Partial thickness rotator cuff tears are a common cause of pain in the adult shoulder. Despite their high prevalence, the diagnosis and treatment of partial thickness rotator cuff tears remains controversial. While recent studies have helped to elucidate the anatomy and natural history of disease progression, the optimal treatment, both nonoperative and operative, is unclear. Although the advent of arthroscopy has improved the accuracy of the diagnosis of partial thickness rotator cuff tears, the number of surgical techniques used to repair these tears has also increased. While multiple repair techniques have been described, there is currently no significant clinical evidence supporting more complex surgical techniques over standard rotator cuff repair. Further research is required to determine the clinical indications for surgical and nonsurgical management, when formal rotator cuff repair is specifically indicated and when biologic adjunctive therapy may be utilized. PMID:26171251

  18. Baryogensis in fresh inflation

    CERN Document Server

    Bellini, M

    2002-01-01

    I study the possibility of baryogenesis can take place in fresh inflation. I find that it is possible that violation of baryon number conservation can occur during the period out-of-equilibrium in this scenario. Indeed, baryogenesis could be possible before the thermal equilibrium is restored at the end of fresh inflation.

  19. Photon mass from inflation.

    Science.gov (United States)

    Prokopec, Tomislav; Törnkvist, Ola; Woodard, Richard

    2002-09-01

    We consider vacuum polarization from massless scalar electrodynamics in de Sitter inflation. The theory exhibits a 3+1 dimensional analog of the Schwinger mechanism in which a photon mass is dynamically generated. The mechanism is generic for light scalar fields that couple minimally to gravity. The nonvanishing of the photon mass during inflation may result in magnetic fields on cosmological scales.

  20. Composite Inflation Setup and Glueball Inflation

    DEFF Research Database (Denmark)

    Bezrukov, Fedor; Channuie, Phongpichit; Jark Joergensen, Jakob

    2012-01-01

    the relevant example where the inflaton is identified with the glueball field of a pure Yang-Mills theory. We introduce the dilatonic-like glueball action which is obtained by requiring saturation of the underlying Yang-Mills trace anomaly at the effective action level. We couple the resulting action non......-minimally to gravity. We demonstrate that it is possible to achieve successful inflation with the confining scale of the underlying Yang-Mills theory naturally of the order of the grand unified energy scale. We also argue that within the metric formulation models of composite inflation lead to a more consistent...

  1. Medidas dos níveis de pressão do balonete em unidade de terapia intensiva: considerações sobre os benefícios do treinamento Measurement of tube cuff pressure levels in intensive care unit: considerations on the benefits of training

    Directory of Open Access Journals (Sweden)

    Silvia Renata Rezek Juliano

    2007-09-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A pressão do balonete transmitida diretamente na parede da traquéia de forma irregular pode ocasionar lesões e levar a broncoaspiração. O objetivo deste estudo foi demonstrar que ao implantar uma rotina de mensuração da pressão do balonete, obtém-se controle fidedigno para manter as medidas dentro dos parâmetros considerados seguros, evitando assim, as complicações descritas. MÉTODO: Foram avaliadas 3195 medidas de pressão de balonete em 1194 pacientes dos sexos masculino e feminino, internados nas unidades de terapia intensiva (UTI e coronariana (UC, que estavam sob ventilação mecânica com uso de prótese endotraqueal e cânula de traqueostomia, nos períodos matutino e vespertino. RESULTADOS: Durante o período de março a agosto de 2005 foi realizado acompanhamento das medidas colhidas pelos profissionais de fisioterapia e observou-se que as medidas foram irregulares, em média, em 80% dos casos. Diante desse fato foi elaborado um programa de treinamento, com foco nas Equipes de Enfermagem das UTI e UC, que consistiu na orientação dos procedimentos adequados realizados à beira do leito (treinamento em loco. Os treinamentos foram realizados em dois períodos (matutino e vespertino para abranger toda a equipe. CONCLUSÕES: Sugere-se a necessidade da vigilância das pressões do balonete através da implantação de uma rotina de mensurações matutina, vespertina e noturna, como meio profilático, para prevenir as possíveis complicações da pressão de balão da prótese traqueal.BACKGROUND AND OBJECTIVES: The tube cuff pressure directly transmitted on the tracheal wall in an irregular form can cause injuries and lead to bronchoaspiration. The aim of this study was to demonstrate that the implementation of routine tube cuff pressure measurements result in a reliable control to maintain the measurements within the parameters considered safe, thus preventing the described complications. METHODS: A

  2. The Observational Status of Cosmic Inflation after Planck

    CERN Document Server

    Martin, Jerome

    2015-01-01

    The observational status of inflation after the Planck 2013 and 2015 results and the BICEP2/Keck Array and Planck joint analysis is discussed. These pedagogical lecture notes are intended to serve as a technical guide filling the gap between the theoretical articles on inflation and the experimental works on astrophysical and cosmological data. After a short discussion of the central tenets at the basis of inflation (negative self-gravitating pressure) and its experimental verifications, it reviews how the most recent Cosmic Microwave Background (CMB) anisotropy measurements constrain cosmic inflation. The fact that vanilla inflationary models are, so far, preferred by the observations is discussed and the reason why plateau-like potential versions of inflation are favored within this subclass of scenarios is explained. Finally, how well the future measurements, in particular of $B$-Mode CMB polarization or primordial gravity waves, will help to improve our knowledge about inflation is also investigated.

  3. Metalloproteases and rotator cuff disease.

    Science.gov (United States)

    Del Buono, Angelo; Oliva, Francesco; Longo, Umile Giuseppe; Rodeo, Scott A; Orchard, John; Denaro, Vincenzo; Maffulli, Nicola

    2012-02-01

    The molecular changes occurring in rotator cuff tears are still unknown, but much attention has been paid to better understand the role of matrix metalloproteinases (MMP) in the development of tendinopathy. These are potent enzymes that, once activated, can completely degrade all components of the connective tissue, modify the extracellular matrix (ECM), and mediatethe development of painful tendinopathy and tendon rupture. To control the local activity of activated proteinases, the same cells produce tissue inhibitors of metalloproteinases (TIMP) that bind to the enzymes and prevent degradation. The balance between the activities of MMPs and TIMPs regulates tendon remodeling, whereas an imbalance produces a collagen dis-regulation and disturbances intendons. ADAMs (a disintegrin and metalloproteinase) are cell membrane-linked enzymes with proteolytic and cell signaling functions. ADAMTSs (ADAM with thrombospondin motifs) are secreted into the circulation, and constitute a heterogenous family of proteases with both anabolic and catabolic functions. Biologic modulation of endogenous MMP activity to basal levels may reduce pathologic tissue degradation and favorably influence healing after rotator cuff repair. Further studies are needed to better define the mechanism of action, and whether these new strategies are safe and effective in larger models. Copyright © 2012 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.

  4. Foam rigidized inflatable structural assemblies

    Science.gov (United States)

    Tinker, Michael L. (Inventor); Schnell, Andrew R. (Inventor)

    2010-01-01

    An inflatable and rigidizable structure for use as a habitat or a load bearing structure is disclosed. The structure consists of an outer wall and an inner wall defining a containment member and a bladder. The bladder is pressurized to erect the structure from an initially collapsed state. The containment member is subsequently injected with rigidizable fluid through an arrangement of injection ports. Exhaust gases from the curing rigidizable fluid are vented through an arrangement of exhaust ports. The rate of erection can be controlled by frictional engagement with a container or by using a tether. A method for fabricating a tubular structure is disclosed.

  5. Inflation, inflation uncertainty and output growth in the USA

    Science.gov (United States)

    Bhar, Ramprasad; Mallik, Girijasankar

    2010-12-01

    Employing a multivariate EGARCH-M model, this study investigates the effects of inflation uncertainty and growth uncertainty on inflation and output growth in the United States. Our results show that inflation uncertainty has a positive and significant effect on the level of inflation and a negative and significant effect on the output growth. However, output uncertainty has no significant effect on output growth or inflation. The oil price also has a positive and significant effect on inflation. These findings are robust and have been corroborated by use of an impulse response function. These results have important implications for inflation-targeting monetary policy, and the aim of stabilization policy in general.

  6. Tomography assessment of lung hyper inflation areas within cats in a pressure controlled ventilation staggered; Avaliacao tomografica das areas de de hiperinsuflacao pulmonar em gatos submetidos a ventilacao controlada a pressao escalonada

    Energy Technology Data Exchange (ETDEWEB)

    Martins, Alessandro Rodrigues de Carvalho, E-mail: doutorevet@hotmail.com [Universidade de Sao Paulo (FM/USP), SP (Brazil). Faculdade de Medicina. Programa de Anestesiologia; Fantoni, Denise Tabacchi; Ambrosio, Aline Magalhaes [Universidade de Sao Paulo (FMVZ/USP), SP (Brazil). Faculdade de Medicina Veterinaria e Zootecnia; Santos, Jaqueline Franca dos; Villamizar, Lenin Arturo [Universidade de Sao Paulo (FMVZ/USP), SP (Brazil). Faculdade de Medicina Veterinaria e Zootecnia. Programa de Cirurgia; Pinto, Ana Carolina Brandao de Campos Fonseca [Universidade de Sao Paulo (USP), SP (Brazil). Faculdade de Medicina Veterinaria e Zootecnia. Disciplina de Diagnostico por Imagem; Martins, Thiago do Amaral [UFAPE Vet Intenziv, Itapecerica da Serra, SP (Brazil); Malbouisson, Luis Marcelo Sa [Universidade de Sao Paulo (HC/USP), SP (Brazil). Faculdade de Medicina. UTI Anestesiologica

    2012-07-01

    Mechanical ventilation is essential for oxygen supply during anesthesia. Some strategies are related to lung injury associated with mechanical ventilation. 10 cats, 4±1 kg, 1-6 years old, induced and maintained with propofol (6mg/kg, 0,5mg/kg/min) placed in supine position, subjected to pressure controlled ventilation (PCV) in oxygen at 40% with 5cmH{sub 2}O peak pressure in 'ZEEP' for 20 minutes, rising in 2cmH{sub 2}O installments peak pressure every five minutes until it reached 15cmH{sub 2}O. Moments P5, P7, P9, P11, P13, P15. Respiratory rate and inspiratory time were held on 15 movements per minute and 1 second regardless their EtCO{sub 2}. Muscle relaxation achieved by rocuronium bollus (1mg/kg/IV). Immediately, at each increase on pressure was performed a 4 seconds' inspiratory pause to allow the five millimeters CT slice of diaphragmatic region followed by hemogasometric and cardiorespiratory variables collected. P5 had the smallest hyperinflated area (3,24±4,02) Compared to other moments. P5 blood gases showed acidaemia (7,257±0,08) for mild respiratory acidosis (45±9.2) with good oxygenation (178±40.8mmHg) compared to other times which obtained reduction of CO{sub 2} and an increased pH. As the increase in peak pressure was observed increased distension of the lung parenchyma, a fact related to possible risk of lung injury in prolonged periods. 5cmH{sub 2}O pressure was demonstrated to be less harmful due to its lower hyper inflated areas that other moments, even with a low pH and high CO{sub 2}, being corrected by increasing respiratory rate.

  7. 76 FR 60405 - Inflatable Personal Flotation Devices

    Science.gov (United States)

    2011-09-29

    ... manufacturers in performing required tests or clarify existing requirements. The Fourth Edition eliminates the... system discharge test procedure and the maximum crack pressure for the operability test. 3. UL 1123 UL... the date the rule went into effect, would facilitate teens using existing inflatable PFDs, and would...

  8. Inflation and Instability of a Polymeric Membrane

    DEFF Research Database (Denmark)

    Hassager, Ole; Kristensen, Susanne Brogaard; Larsen, Johannes Ruben

    1999-01-01

    We consider an axisymmetric polymeric membrane inflated by a uniform pressure difference acting across the membrane. The polymeric material is described by an arbitrary combination of a viscoelastic and a purely viscous component to the stress. Some viscoelastic materials described by a Mooney...

  9. Inflation and Instability of a Polymeric Membrane

    DEFF Research Database (Denmark)

    Neergaard, Jesper; Hassager, Ole

    1999-01-01

    We consider an axisymmetric polymeric membrane inflated by a uniform pressure difference acting across the membrane. The polymeric materialis described by an arbitrary combination of a viscoelastic and a purely viscous component to the stress. Some viscoelastic materials described by a Mooney...

  10. Stability of inflation processes with polymer melts

    DEFF Research Database (Denmark)

    Rasmussen, Henrik Koblitz; Eriksson, Torbjörn Gerhard; Hassager, Ole

    2002-01-01

    is performed applying a gas pressure into the core of the cylinder, which press the molten plastic cylinder outward. During the inflation the plastic may burst. The occurrence of this burst, or break, puts a limit on the possibility to produce a specified product at some, or all, processing conditions. Here...

  11. A system for the automatic measurement and digital display of systolic and diastolic blood pressures

    Science.gov (United States)

    Schulze, A. E.

    1971-01-01

    Basic components of system are - occluding cuff with mounted cuff microscope, cuff pump deflator, pressure transducer, preamplifier unit, electrocardiograph machine, an analog to digital convertor unit, and digital display unit. System utilizes indirect auscultatory method, based on Korotkoff sounds, for measurement.

  12. Higgs boson and inflation

    Directory of Open Access Journals (Sweden)

    FENG Chaojun

    2014-08-01

    Full Text Available Higgs is the only scalar particle that already observed up to now.In the standard model of particle physics,Higgs plays a very important role.On the other hand,inflation is also driven by scalar field called inflaton.Higgs boson can not be the inflaton since the large hierarchy energy scale of the mass between inflaton and itself.However,by using some indirectly method,inflaton could be another aspect of the Higgs boson.In this paper,the authors review some Higgs inflation models and discuss the role of the cosmological constant during inflation.

  13. Relative Prices and Inflation Stabilisation

    OpenAIRE

    Aoki, Kosuke

    2015-01-01

    When price adjustment is sluggish, inflation is costly in terms of welfare because it distorts various kinds of relative prices. Stabilising aggregate price inflation does not necessarily minimise these costs, but stabilising a well-designed core inflation minimises the cost of relative price fluctuations and thus the cost of inflation.

  14. Interest Rates and Inflation

    OpenAIRE

    Michael Coopersmith

    2011-01-01

    A relation between interest rates and inflation is presented using a two component economic model and a simple general principle. Preliminary results indicate a remarkable similarity to classical economic theories, in particular that of Wicksell.

  15. No-Scale Inflation

    CERN Document Server

    Ellis, John; Nanopoulos, Dimitri V.; Olive, Keith A.

    2016-01-01

    Supersymmetry is the most natural framework for physics above the TeV scale, and the corresponding framework for early-Universe cosmology, including inflation, is supergravity. No-scale supergravity emerges from generic string compactifications and yields a non-negative potential, and is therefore a plausible framework for constructing models of inflation. No-scale inflation yields naturally predictions similar to those of the Starobinsky model based on $R + R^2$ gravity, with a tilted spectrum of scalar perturbations: $n_s \\sim 0.96$, and small values of the tensor-to-scalar perturbation ratio $r < 0.1$, as favoured by Planck and other data on the cosmic microwave background (CMB). Detailed measurements of the CMB may provide insights into the embedding of inflation within string theory as well as its links to collider physics.

  16. Racetrack Inflation and Cosmic Strings

    CERN Document Server

    Brax, Philippe; Davis, Anne-Christine; Davis, Stephen C; Jeannerot, Rachel; Postma, Marieke

    2008-01-01

    We consider the coupling of racetrack inflation to matter fields as realised in the D3/D7 brane system. In particular, we investigate the possibility of cosmic string formation in this system. We find that string formation before or at the onset of racetrack inflation is possible, but they are then inflated away. Furthermore, string formation at the end of inflation is prevented by the presence of the moduli sector. As a consequence, no strings survive racetrack inflation.

  17. Eternal Inflation, past and future

    OpenAIRE

    Aguirre, Anthony

    2007-01-01

    Cosmological inflation, if it occurred, radically alters the picture of the `big bang', which would merely point to reheating at the end of inflation. Moreover, this reheating may be only local, so that inflation continues elsewhere and forever, continually spawning big-bang-like regions. This chapter reviews this idea of `eternal inflation', then focuses on what this may mean for the ultimate beginning of the universe. In particular, I will argue that given eternal inflation, the universe ma...

  18. Biological Augmentation of Rotator Cuff Tendon Repair

    National Research Council Canada - National Science Library

    Kovacevic, David; Rodeo, Scott A

    2008-01-01

    A histologically normal insertion site does not regenerate following rotator cuff tendon-to-bone repair, which is likely due to abnormal or insufficient gene expression and/or cell differentiation at the repair site...

  19. Conformally coupled inflation

    CERN Document Server

    Faraoni, Valerio

    2013-01-01

    A massive scalar field in a curved spacetime can propagate along the light cone, a causal pathology, which can, in principle, be eliminated only if the scalar couples conformally to the Ricci curvature of spacetime. This property mandates conformal coupling for the field driving inflation in the early universe. During slow-roll inflation, this coupling can cause super-acceleration and, as a signature, a blue spectrum of primordial gravitational waves.

  20. Conformally Coupled Inflation

    Directory of Open Access Journals (Sweden)

    Valerio Faraoni

    2013-07-01

    Full Text Available A massive scalar field in a curved spacetime can propagate along the light cone, a causal pathology, which can, in principle, be eliminated only if the scalar couples conformally to the Ricci curvature of spacetime. This property mandates conformal coupling for the field driving inflation in the early universe. During slow-roll inflation, this coupling can cause super-acceleration and, as a signature, a blue spectrum of primordial gravitational waves.

  1. Initial conditions for inflation

    Science.gov (United States)

    Dimopoulos, Konstantinos; Artymowski, Michał

    2017-09-01

    Within the α-attractors framework we investigate scalar potentials with the same pole as the one featured in the kinetic term. We show that, in field space, this leads to directions without a plateau. Using this, we present a proposal, which manages to overcome the initial conditions problem of inflation with a plateau. An earlier period of proto-inflation, beginning at Planck scale, accounts for the Universe expansion and arranges the required initial conditions for inflation on the plateau to commence. We show that, if proto-inflation is power-law, it does not suffer from a sub-Planckian eternal inflationary stage, which would otherwise be a problem. A simple model realisation is constructed in the context of α-attractors, which can both generate the inflationary plateau and the exponential slopes around it, necessary for the two inflation stages. Our mechanism allows to assume chaotic initial conditions at the Planck scale for proto-inflation, it is generic and it is shown to work without fine-tuning.

  2. Diagnostic imaging of shoulder rotator cuff lesions

    OpenAIRE

    Nogueira-Barbosa Marcello Henrique; Volpon José Batista; Elias Jr Jorge; Muccillo Gerson

    2002-01-01

    Shoulder rotator cuff tendon tears were evaluated with ultrasonography (US) and magnetic resonance imaging (MRI). Surgical or arthroscopical correlation were available in 25 cases. Overall costs were also considered. Shoulder impingement syndrome diagnosis was done on a clinical basis. Surgery or arthroscopy was considered when conservative treatment failure for 6 months, or when rotator cuff repair was indicated. Ultrasound was performed in 22 patients and MRI in 17 of the 25 patients. Sensi...

  3. Do inflation-linked bonds contain information about future inflation?

    Directory of Open Access Journals (Sweden)

    José Valentim Machado Vicente

    2013-06-01

    Full Text Available There is a widespread belief that inflation-linked bonds are a direct source of information about inflation expectations. In this paper we address this issue by analyzing the relationship between break-even inflation (the difference between nominal and real yields and future inflation. The dataset is extracted from Brazilian Treasury bonds covering the period from April 2005 to April 2011. We find that break-even inflation is an unbiased forecast only of the 3-month and 6-month ahead inflation. For medium horizons (12 and 18 months, break-even inflation has weak explanatory power of future inflation. Over long horizons (24 and 30 months, we report a significant, but counterintuitive, negative relationship between the break-even and realized inflation rates.

  4. Endotracheal tube cuff lidocaine is not superior to intravenous lidocaine in short pediatric surgeries.

    Science.gov (United States)

    Behzadi, Mehrdad; Hajimohamadi, Fatemeh; Alagha, Afshar Etemadi; Abouzari, Mehdi; Rashidi, Armin

    2010-05-01

    Instillation of lidocaine into the endotracheal tube cuff is a method with reported efficiency in promoting a smoother emergence from anesthesia with endotracheal intubation. However, whether or not this method is helpful in children and in surgeries with short duration has not been investigated previously. 176 ASA I-II children undergoing adenotonsillectomy were enrolled in this prospective, double-blind, randomized clinical trial. Patients were randomly allocated to two groups. Patients in the ECL group (n=88) were injected 2% lidocaine into their endotracheal tube cuff and received saline (1.5mg/kg) intravenously. The IVL group (n=88) received 1.5mg/kg of 2% lidocaine intravenously and saline into the endotracheal tube cuff. In both groups, intra-cuff injections were initiated immediately after insertion of the endotracheal tube and terminated before the cuff pressure reached 20 cmH(2)O. The parameters measured were: coughing (graded by a scale of 3 at the time of extubation), systolic and diastolic blood pressures and heart rate (from the time of extubation up to 5 min after extubation at 1-min intervals), and laryngospasm (defined as the presence of hoarseness or absence of airflow). The groups were not different in sex, age, weight, height, body mass index, anesthesia duration, and baseline hemodynamic parameters. The grade of coughing was significantly higher in the ECL group. The incidence of laryngospasm and hemodynamic trends did not differ between the groups. Our results indicate that intra-cuff lidocaine may not be beneficial in children and in surgeries with a short duration. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.

  5. [ESTABLISHMENT AND TESTING OF RATING SCALE OF RAT ROTATOR CUFF FUNCTION].

    Science.gov (United States)

    Ding, Shuchen; Fang, Xuewei; Yu, Rongbin; Liu, Zhengang; Fu Chudi; Lai, Yi; Zhang Zhiwu; Lu, Yisheng

    2016-01-01

    To provides an objective tool to evaluate rotator cuff function in rats. Sixty adult male Sprague Dawley rats, weighing (281.21 ± 20.12) g, were involved in this experiment. Botulinum toxin A (6 U/kg) was injected into the infraspinatus of 12 rats in Botox group. Infraspinatus tendons of 12 rats in tear group were cut by microinvasive method. Infraspinatus tendons of 12 rats in sham-operation group were exposed but not cut. No any treatment was performed on the 12 rats in normal control group. One shoulder joint of each rat was selected randomly as treatment side. After 7 days, cadence, rate of stand phase, support pressure, swing speed, stand speed, and stride length of rats in those 4 groups were measured. Treatment side and contralateral side ratio of each gait parameter was caculated. If parameters of Botox group and tear group both showed significant differences compared with those of normal control group and sham-operation group, the gait parameter was brought into rating scale as an item. Each item was assigned from 1 point to 5 points according to gait parameter. The chronic rotator cuff injury model was established in 12 rats of verification group and rating scale was used to evaluate rotator cuff function each week for 8 weeks after surgery. All gait parameters of tear group were significantly less than those of Botox group (P 0.05). All gait parameters were brought into rating scale as items. All items were rated from 1 point to 5 points, so the total score was 30 points and the lowest score was 6 points. Thirty points meant normal function of infraspinatus (rotator cuff function was normal), and 6 points meant complete loss of infraspinatus function (rotator cuff function was severely damaged). Rotator cuff functional scores of rats in verification group were 27.00 ± 1.86, 23.75 ± 2.83, 21.33 ± 1.92, 18.17± 2.37, 13.17 ± 1.64, 11.67 ± 2.50, 8.17 ± 1.27, 6.50 ± 0.67 from the 1st week to the 8th week respectively. The rating scale of rat rotator

  6. Occult Interpositional Rotator Cuff - an Extremely Rare Case of Traumatic Rotator Cuff Tear

    Energy Technology Data Exchange (ETDEWEB)

    Su, Wei Ren; Jou, I Ming [National Cheng Kung University Hospital, Tainan (China); Lin, Cheng Li [Show-Chwan Memorial Hospital, Changhua (China); Chih, Wei Hsing [Chia-Yi Christian Hospital, Chiayi (China)

    2012-01-15

    Traumatic interposition of a rotator cuff tendon in the glenohumeral joint without recognizable glenohumeral dislocation is an unusual complication after shoulder trauma. Here we report the clinical and imaging presentations of a 17-year-old man with trapped rotator cuff tendons in the glenohumeral joint after a bicycle accident. The possible trauma mechanism is also discussed.

  7. Deformation of skull bone as intracranial pressure changing

    African Journals Online (AJOL)

    STORAGESEVER

    2009-03-06

    Mar 6, 2009 ... Key words: Deformation, skull bone, intracranial pressure, finite-element model, rat. ... air spontaneously, and the femoral arterial blood pressure was ..... pressure monitoring by flaccid-cuff catheter in an animal model. J.

  8. Inflation And Gravity Models

    CERN Document Server

    Solganik, S

    2005-01-01

    The thesis is devoted to a number of fundamental issues at the intersection of particle physics and cosmology. In particular, we invent one of the first models of the brane inflationary scenario in string theory, the so- called D-brane inflation. In this picture, the role of the inflation field is played by the brane-anti-brane separation. Branes are slowly attracted toward each other. During this slow motion, the potential energy of their tension causes the four-dimensional space to inflate. Inflation ends by the brane collision and annihilation, which reheats the Universe. Thus, in our picture inflation acquires a novel geometric meaning as seen from high-dimensional string theory. Another subject investigated in the thesis is the large distance modification of gravity, which is motivated by the observed mysterious accelerated expansion of the Universe. We study different aspects of the two possible approaches leading to modified gravity. One is Dvali- Gabadadze-Porrati (DGP) model, in which gravity gets mo...

  9. Quasi-open inflation

    CERN Document Server

    García-Bellido, J; Montes, X; Garcia-Bellido, Juan; Garriga, Jaume; Montes, Xavier

    1998-01-01

    We show that a large class of two-field models of single-bubble open inflation do not lead to infinite open universes, as it was previously thought, but to an ensemble of very large but finite inflating `islands'. The reason is that the quantum tunneling responsible for the nucleation of the bubble does not occur simultaneously along both field directions and equal-time hypersurfaces in the open universe are not synchronized with equal-density or fixed-field hypersurfaces. The most probable tunneling trajectory corresponds to a zero value of the inflaton field; large values, necessary for the second period of inflation inside the bubble, only arise as localized fluctuations. The interior of each nucleated bubble will contain an infinite number of such inflating regions of comoving size of order $\\gamma^{-1}$, where $\\gamma$ depends on the parameters of the model. Each one of these islands will be a quasi-open universe. Since the volume of the hyperboloid is infinite, inflating islands with all possible values...

  10. Supersymmetry and Inflation

    CERN Document Server

    Ferrara, S

    2015-01-01

    Theories with elementary scalar degrees of freedom seem nowadays required for simple descriptions of the Standard Model and of the Early Universe. It is then natural to embed theories of inflation in supergravity, also in view of their possible ultraviolet completion in String Theory. After some general remarks on inflation in supergravity, we describe examples of minimal inflaton dynamics which are compatible with recent observations, including higher-curvature ones inspired by the Starobinsky model. We also discuss different scenarios for supersymmetry breaking during and after inflation, which include a revived role for non-linear realizations. In this spirit, we conclude with a discussion of the link, in four dimensions, between "brane supersymmetry breaking" and the super--Higgs effect in supergravity.

  11. Disformally coupled inflation

    CERN Document Server

    van de Bruck, Carsten; Longden, Chris

    2015-01-01

    A disformal coupling between two scalar fields is considered in the context of cosmological inflation. The coupling introduces novel derivative interactions mixing the kinetic terms of the fields but without introducing superluminal or unstable propagation of the two scalar fluctuation modes. Though the typical effect of the disformal coupling is to inhibit one of the fields from inflating the universe, the energy density of the other field can drive viable near Sitter -inflation in the presence of nontrivial disformal dynamics, in particular when one assumes exponential instead of power-law form for the couplings. The linear perturbation equations are written for the two-field system, its canonical degrees of freedom are quantised, their spectra are derived and the inflationary predictions are reported for numerically solved exponential models. A generic prediction is low tensor-to-scalar ratio.

  12. Minimal Composite Inflation

    DEFF Research Database (Denmark)

    Channuie, Phongpichit; Jark Joergensen, Jakob; Sannino, Francesco

    2011-01-01

    We investigate models in which the inflaton emerges as a composite field of a four dimensional, strongly interacting and nonsupersymmetric gauge theory featuring purely fermionic matter. We show that it is possible to obtain successful inflation via non-minimal coupling to gravity, and that the u......We investigate models in which the inflaton emerges as a composite field of a four dimensional, strongly interacting and nonsupersymmetric gauge theory featuring purely fermionic matter. We show that it is possible to obtain successful inflation via non-minimal coupling to gravity......, and that the underlying dynamics is preferred to be near conformal. We discover that the compositeness scale of inflation is of the order of the grand unified energy scale....

  13. Inflatable Dark Matter.

    Science.gov (United States)

    Davoudiasl, Hooman; Hooper, Dan; McDermott, Samuel D

    2016-01-22

    We describe a general scenario, dubbed "inflatable dark matter," in which the density of dark matter particles can be reduced through a short period of late-time inflation in the early Universe. The overproduction of dark matter that is predicted within many, otherwise, well-motivated models of new physics can be elegantly remedied within this context. Thermal relics that would, otherwise, be disfavored can easily be accommodated within this class of scenarios, including dark matter candidates that are very heavy or very light. Furthermore, the nonthermal abundance of grand unified theory or Planck scale axions can be brought to acceptable levels without invoking anthropic tuning of initial conditions. A period of late-time inflation could have occurred over a wide range of scales from ∼MeV to the weak scale or above, and could have been triggered by physics within a hidden sector, with small but not necessarily negligible couplings to the standard model.

  14. Gravitational waves from inflation

    CERN Document Server

    Guzzetti, Maria Chiara; Liguori, Michele; Matarrese, Sabino

    2016-01-01

    The production of a stochastic background of gravitational waves is a fundamental prediction of any cosmological inflationary model. The features of such a signal encode unique information about the physics of the Early Universe and beyond, thus representing an exciting, powerful window on the origin and evolution of the Universe. We review the main mechanisms of gravitational-wave production, ranging from quantum fluctuations of the gravitational field to other mechanisms that can take place during or after inflation. These include e.g. gravitational waves generated as a consequence of extra particle production during inflation, or during the (p)reheating phase. Gravitational waves produced in inflation scenarios based on modified gravity theories and second-order gravitational waves are also considered. For each analyzed case, the expected power-spectrum is given. We discuss the discriminating power among different models, associated with the validity/violation of the standard consistency relation between t...

  15. Inflation and Cyclotron Motion

    CERN Document Server

    Greensite, Jeff

    2016-01-01

    We consider, in the context of a braneworld cosmology, the motion of the universe coupled to a four-form gauge field, with constant field strength, defined in higher dimensions. It is found, under rather general initial conditions, that in this situation there is a period of exponential inflation combined with cyclotron motion in the inflaton field space. The main effect of the cyclotron motion is that conditions on the flatness of the inflaton potential, which are typically necessary for exponential inflation, can be evaded. There are Landau levels associated with the four-form gauge field, and these correspond to quantum excitations of the inflaton field.

  16. Modulated natural inflation

    Directory of Open Access Journals (Sweden)

    Rolf Kappl

    2016-02-01

    Full Text Available We discuss some model-independent implications of embedding (aligned axionic inflation in string theory. As a consequence of string theoretic duality symmetries the pure cosine potentials of natural inflation are replaced by modular functions. This leads to “wiggles” in the inflationary potential that modify the predictions with respect to CMB-observations. In particular, the scalar power spectrum deviates from the standard power law form. As a by-product one can show that trans-Planckian excursions of the aligned effective axion are compatible with the weak gravity conjecture.

  17. A Note on Inflation Targeting.

    Science.gov (United States)

    Lai, Ching-chong; Chang, Juin-jen

    2001-01-01

    Presents a pedagogical graphical exposition to illustrate the stabilizing effect of price target zones. Finds that authorities' commitment to defend a price target zone affects the public's inflation expectations and, in turn, reduces actual inflation. (RLH)

  18. Topological inflation with graceful exit

    CERN Document Server

    Marunović, Anja

    2015-01-01

    We investigate a class of models of topological inflation in which a super-Hubble-sized global monopole seeds inflation. These models are attractive since inflation starts from rather generic initial conditions, but their not so attractive feature is that, unless symmetry is again restored, inflation never ends. In this work we show that, in presence of another nonminimally coupled scalar field, that is both quadratically and quartically coupled to the Ricci scalar, inflation naturally ends, representing an elegant solution to the graceful exit problem of topological inflation. While the monopole core grows during inflation, the growth stops after inflation, such that the monopole eventually enters the Hubble radius, and shrinks to its Minkowski space size, rendering it immaterial for the subsequent Universe's dynamics. Furthermore, we find that our model can produce cosmological perturbations that source CMB temperature fluctuations and seed large scale structure statistically consistent (within one standard...

  19. Dual-Compartment Inflatable Suitlock

    Science.gov (United States)

    Kennedy, Kriss J.; Guirgis, Peggy L.; Boyle, Robert M.

    2013-01-01

    There is a need for an improvement over current NASA Extravehicular Activity (EVA) technology. The technology must allow the capacity for quicker, more efficient egress/ingress, allow for shirtsleeve suit maintenance, be compact in transport, and be applicable to environments ranging from planetary surface (partial-g) to orbital or deep space zero-g environments. The technology must also be resistant to dust and other foreign contaminants that may be present on or around a planetary surface. The technology should be portable, and be capable of docking with a variety of habitats, ports, stations, vehicles, and other pressurized modules. The Dual-Compartment Inflatable Suitlock (DCIS) consists of three hard inline bulkheads, separating two cylindrical membrane-walled compartments. The Inner Bulkhead can be fitted with a variety of hatch types, docking flanges, and mating hardware, such as the Common Berthing Mechanism (CBM), for the purpose of mating with vehicles, habitats, and other pressurized modules. The Inner Bulkhead and Center Bulkhead function as the end walls of the Inner Compartment, which during operations, would stay pressurized, either matching the pressure of the habitat or acting as a lower-pressure transitional volume. The Inner Compartment contains donning/doffing fixtures and inner suit-port hatches. The Center Bulkhead has two integrated suit-ports along with a maintenance hatch. The Center Bulkhead and Outer Bulkhead function as the end walls of the Outer Compartment, which stays at vacuum during normal operations. This allows the crewmember to quickly don a suit, and egress the suitlock without waiting for the Outer Compartment to depressurize. The Outer Compartment can be pressurized infrequently for both nominal and off-nominal suit maintenance tasks, allowing shirtsleeve inspections and maintenance/repair of the environmental suits. The Outer Bulkhead has a pressure-assisted hatch door that stays open and stowed during EVA operations, but can

  20. Degenerative full thickness rotator cuff tears : Towards optimal management

    NARCIS (Netherlands)

    Lambers Heerspink, Frederik

    2016-01-01

    The shoulder is one of the most complex joints in the body. Besides a wide range of motion it also has to be stable. The rotator cuff is a major stabiliser of the glenohumoral joint. With increasing age rotator cuff tears are common. Successful treatment is described following surgical (rotator cuff

  1. Passively Adaptive Inflatable Structure for the Shooting Star Experiment

    Science.gov (United States)

    Tinker, Michael L..

    1998-01-01

    An inflatable structural system is described for the Shooting Star Experiment that is a technology demonstrator flight for solar thermal propulsion. The inflatable structure is a pressurized assembly used in orbit to support a fresnel lens for focusing sunlight into a thermal storage engine. When the engine temperature reaches a preset level, the propellant is injected into the storage engine, absorbs heat from a heat exchanger, and is expanded through the nozzle to produce thrust. The inflatable structure is an adaptive system in that a regulator and relief valve are utilized to maintain pressure within design limits during the full range of orbital conditions. Further, the polyimide film material used for construction of the inflatable is highly nonlinear, with modulus varying as a function of frequency, temperature, and level of excitation. A series of tests is described for characterizing the structure in response to various operating conditions.

  2. Role of metalloproteinases in rotator cuff tear.

    Science.gov (United States)

    Garofalo, Raffaele; Cesari, Eugenio; Vinci, Enzo; Castagna, Alessandro

    2011-09-01

    The role of matrix metalloproteinases (MMPs) and their inhibitors (TIMPS) in the pathophysiology of rotator cuff tears has not been established yet. Recent advances empathize about the role of MMPs and TIMPS in extracellular matrix (ECM) remodeling and degradation in rotator cuff tears pathogenesis and healing after surgical repair. An increase in MMPs synthesis and the resulting MMPs mediated alterations in the ECM of tendons have been implicated in the etiopathogenesis of tendinopathy, and there is an increase in the expression of MMPs and a decrease in TIMP messenger ribonucleic acid expression in tenocytes from degenerative or ruptured tendons. Importantly, MMPs are amenable to inhibition by cheap, safe, and widely available drugs such as the tetracycline antibiotics and bisphosphonates. A better understanding of relationship and activity of these molecules could provide better strategies to optimize outcomes of rotator cuff therapy.

  3. Modular invariant inflation

    CERN Document Server

    Kobayashi, Tatsuo; Urakawa, Yuko

    2016-01-01

    Modular invariance is a striking symmetry in string theory, which may keep stringy corrections under control. In this paper, we investigate a phenomenological consequence of the modular invariance, assuming that this symmetry is preserved as well as in a four dimensional (4D) low energy effective field theory. As a concrete setup, we consider a modulus field $T$ whose contribution in the 4D effective field theory remains invariant under the modular transformation and study inflation drived by $T$. The modular invariance restricts a possible form of the scalar potenntial. As a result, large field models of inflation are hardly realized. Meanwhile, a small field model of inflation can be still accomodated in this restricted setup. The scalar potential traced during the slow-roll inflation mimics the hilltop potential $V_{ht}$, but it also has a non-negligible deviation from $V_{ht}$. Detecting the primordial gravitational waves predicted in this model is rather challenging. Yet, we argue that it may be still po...

  4. Modular invariant inflation

    Energy Technology Data Exchange (ETDEWEB)

    Kobayashi, Tatsuo [Department of Physics, Hokkaido University,Kita, Sapporo, 060-0810 (Japan); Nitta, Daisuke; Urakawa, Yuko [Department of Physics and Astrophysics, Nagoya University,Chikusa, Nagoya 464-8602 (Japan)

    2016-08-08

    Modular invariance is a striking symmetry in string theory, which may keep stringy corrections under control. In this paper, we investigate a phenomenological consequence of the modular invariance, assuming that this symmetry is preserved as well as in a four dimensional (4D) low energy effective field theory. As a concrete setup, we consider a modulus field T whose contribution in the 4D effective field theory remains invariant under the modular transformation and study inflation drived by T. The modular invariance restricts a possible form of the scalar potenntial. As a result, large field models of inflation are hardly realized. Meanwhile, a small field model of inflation can be still accomodated in this restricted setup. The scalar potential traced during the slow-roll inflation mimics the hilltop potential V{sub ht}, but it also has a non-negligible deviation from V{sub ht}. Detecting the primordial gravitational waves predicted in this model is rather challenging. Yet, we argue that it may be still possible to falsify this model by combining the information in the reheating process which can be determined self-completely in this setup.

  5. Inflation without Selfreproduction

    CERN Document Server

    Mukhanov, Viatcheslav

    2014-01-01

    We find a rather unique extension of inflationary scenario which avoids selfreproduction and thus resolves the problems of multiverse, predictability and initial conditions. In this theory the amplitude of the cosmological perturbations is expressed entirely in terms of the total duration of inflation.

  6. Hilltop Supernatural Inflation

    Science.gov (United States)

    Lin, C.

    In this talk, I will explain how to reduce the spectral index to be n_s = 0.96 for supernatural inflation. I will also show the constraint to the reheating temperature from Big Bang Nucleosynthesis of both thermal and non-thermal gravitino production.

  7. Modular invariant inflation

    Science.gov (United States)

    Kobayashi, Tatsuo; Nitta, Daisuke; Urakawa, Yuko

    2016-08-01

    Modular invariance is a striking symmetry in string theory, which may keep stringy corrections under control. In this paper, we investigate a phenomenological consequence of the modular invariance, assuming that this symmetry is preserved as well as in a four dimensional (4D) low energy effective field theory. As a concrete setup, we consider a modulus field T whose contribution in the 4D effective field theory remains invariant under the modular transformation and study inflation drived by T. The modular invariance restricts a possible form of the scalar potenntial. As a result, large field models of inflation are hardly realized. Meanwhile, a small field model of inflation can be still accomodated in this restricted setup. The scalar potential traced during the slow-roll inflation mimics the hilltop potential Vht, but it also has a non-negligible deviation from Vht. Detecting the primordial gravitational waves predicted in this model is rather challenging. Yet, we argue that it may be still possible to falsify this model by combining the information in the reheating process which can be determined self-completely in this setup.

  8. SECOND ROUND EFFECTS AND PASS-THROUGH OF FOOD PRICES TO INFLATION IN KENYA

    Directory of Open Access Journals (Sweden)

    Roseline Nyakerario Misati

    2015-07-01

    Full Text Available In the recent past, the Kenyan economy experienced persistent inflationary pressures, partly attributed to food price spikes. However, the quantitative role of food prices in inflation is not well understood or formally empirically analyzed in Kenya yet food occupies a weight of 36 percent in the consumer price index and contributes a monthly average of over 40 percent to overall inflation. Based on monthly data covering the period 1997-2012, this paper attempts to fill this gap by examining the relationship between food prices and inflation. The study used gap models and Phillips curve approaches to estimate the passthrough effects of food prices to both overall inflation and non-food non-fuel inflation. Based on gap models, the results confirm presence of second round effects from food prices to inflation while estimations of the Phillips curve suggest a domestic food price pass-through of 0.49 to overall inflation and 0.38 to non-food non-fuel inflation. The world food prices pass-through to overall inflation and non-food non-fuel inflation are estimated at 0.09 and 0.08, respectively. Thus this paper recommends usage of headline inflation to estimate trend inflation, enhanced communication to mitigate second round effects and that while monetary policy is very critical in anchoring inflationary expectations, there is mutual gain from a supportive fiscal policy in addressing supply side shocks.

  9. Bispectrum from open inflation

    Energy Technology Data Exchange (ETDEWEB)

    Sugimura, Kazuyuki [Yukawa Institute for Theoretical Physics, Kyoto University, Kyoto (Japan); Komatsu, Eiichiro, E-mail: sugimura@yukawa.kyoto-u.ac.jp, E-mail: komatsu@mpa-garching.mpg.de [Max-Planck-Institut für Astrophysik, Karl-Schwarzschild Str. 1, 85741 Garching (Germany)

    2013-11-01

    We calculate the bispectrum of primordial curvature perturbations, ζ, generated during ''open inflation.'' Inflation occurs inside a bubble nucleated via quantum tunneling from the background false vacuum state. Our universe lives inside the bubble, which can be described as a Friedmann-Lemaȋtre-Robertson-Walker (FLRW) universe with negative spatial curvature, undergoing slow-roll inflation. We pay special attention to the issue of an initial state for quantum fluctuations. A ''vacuum state'' defined by a positive-frequency mode in de Sitter space charted by open coordinates is different from the Euclidean vacuum (which is equivalent to the so-called ''Bunch-Davies vacuum'' defined by a positive-frequency mode in de Sitter space charted by flat coordinates). Quantum tunneling (bubble nucleation) then modifies the initial state away from the original Euclidean vacuum. While most of the previous study on modifications of the initial quantum state introduces, by hand, an initial time at which the quantum state is modified as well as the form of the modification, an effective initial time naturally emerges and the form is fixed by quantum tunneling in open inflation models. Therefore, open inflation enables a self-consistent computation of the effect of a modified initial state on the bispectrum. We find a term which goes as (ζ{sub k{sub 1}}ζ{sub k{sub 2}}ζ{sub k{sub 3}})∝1/k{sub 1}{sup 2}k{sub 3}{sup 4} in the so-called squeezed configurations, k{sub 3} << k{sub 1} ≈ k{sub 2}, in agreement with the previous study on modifications of the initial state. The bispectrum in the exact folded limit, e.g., k{sub 1} = k{sub 2}+k{sub 3}, is also enhanced and remains finite. However, these terms are exponentially suppressed when the wavelength of ζ is smaller than the curvature radius of the universe. The leading-order bispectrum is equal to the usual one from single-field slow-roll inflation; the terms

  10. Viscous warm inflation: Hamilton-Jacobi formalism

    Science.gov (United States)

    Akhtari, L.; Mohammadi, A.; Sayar, K.; Saaidi, Kh.

    2017-04-01

    Using Hamilton-Jacobi formalism, the scenario of warm inflation with viscous pressure is considered. The formalism gives a way of computing the slow-rolling parameter without extra approximation, and it is well-known as a powerful method in cold inflation. The model is studied in detail for three different cases of the dissipation and bulk viscous pressure coefficients. In the first case where both coefficients are taken as constant, it is shown that the case could not portray warm inflationary scenario compatible with observational data even it is possible to restrict the model parameters. For other cases, the results shows that the model could properly predicts the perturbation parameters in which they stay in perfect agreement with Planck data. As a further argument, r -ns and αs -ns are drown that show the acquired result could stand in acceptable area expressing a compatibility with observational data.

  11. THE ACTUAL IMPLICATIONS OF INFLATION

    Directory of Open Access Journals (Sweden)

    Murăriţa Ilie

    2011-12-01

    Full Text Available The authors have started from the idea that inflationary phenomenon is a companion, the cause and the effect of the globalization of poverty in the broader context of world economy globalization. Therefore, starting from a common definition of inflation, the first objective was to identify causal relationships that singularize contemporary inflationary process. After that, attention was focused on the implications of inflation in the current stage, bearing in mind that monetary financial theory and practice are operating with perfectly anticipated inflation or imperfectly anticipated inflation. Inflation has great implications on the long-term contracts and wage contracts.

  12. Inflection point inflation and reheating

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Soo-Min; Lee, Hyun Min [Chung-Ang University, Department of Physics, Seoul (Korea, Republic of)

    2016-06-15

    We revisit the inflection point inflation with an extended discussion to large field values and consider the reheating effects on the inflationary predictions. Parametrizing the reheating dynamics in terms of the reheating temperature and the equation of state during reheating, we show how the observationally favored parameter space of inflection point inflation is affected by reheating dynamics. Consequently, we apply the general results to the inflation models with non-minimal coupling, such as the SM Higgs inflation and the B - L Higgs inflation. (orig.)

  13. Stabilising the Planck mass shortly after inflation

    CERN Document Server

    van de Bruck, Carsten; Robinson, Mathew

    2015-01-01

    We consider a model of the early universe which consists of two scalar fields: the inflaton, and a second field which drives the stabilisation of the Planck mass (or gravitational constant). We show that the non-minimal coupling of this second field to the Ricci scalar sources a non-adiabatic pressure perturbation. By performing a fully numerical calculation we find, in turn, that this boosts the amplitude of the primordial power spectrum after inflation.

  14. Composition of Muscle Fiber Types in Rat Rotator Cuff Muscles.

    Science.gov (United States)

    Rui, Yongjun; Pan, Feng; Mi, Jingyi

    2016-10-01

    The rat is a suitable model to study human rotator cuff pathology owing to the similarities in morphological anatomy structure. However, few studies have reported the composition muscle fiber types of rotator cuff muscles in the rat. In this study, the myosin heavy chain (MyHC) isoforms were stained by immunofluorescence to show the muscle fiber types composition and distribution in rotator cuff muscles of the rat. It was found that rotator cuff muscles in the rat were of mixed fiber type composition. The majority of rotator cuff fibers labeled positively for MyHCII. Moreover, the rat rotator cuff muscles contained hybrid fibers. So, compared with human rotator cuff muscles composed partly of slow-twitch fibers, the majority of fast-twitch fibers in rat rotator cuff muscles should be considered when the rat model study focus on the pathological process of rotator cuff muscles after injury. Gaining greater insight into muscle fiber types in rotator cuff muscles of the rat may contribute to elucidate the mechanism of pathological change in rotator cuff muscles-related diseases. Anat Rec, 299:1397-1401, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  15. COMPARATIVE STUDY OF SUBMENTAL INTUBATION CUFF IN VS CUFF OUT: A CASE SERIES

    Directory of Open Access Journals (Sweden)

    Aprajita

    2016-06-01

    Full Text Available In patients with panfacial trauma where short-term intraoperative control of airway is required, submental intubation is an alternative to tracheostomy as it is associated with lesser morbidity. It is also an interesting alternative to oral and nasal intubation as intraoperatively the tube does not cause any hindrance to the surgeon and occlusion can also be assessed simultaneously. Out of 10 cases of maxillofacial trauma operated in our hospital using submental intubation, the cuff of the pilot tube was brought out in 5 of them through the midline incision, while in remaining 5 it was left inside the nasopharynx. It was observed subsequently that cuff inside the nasopharynx had some advantage, viz. there were lesser chances of accidental extubation, rupture of cuff and the incision size need not be extended to extract the cuff which resulted into a cosmetically better scar.

  16. Inflatable habitation for the lunar base

    Science.gov (United States)

    Roberts, M.

    1992-01-01

    Inflatable structures have a number of advantages over rigid modules in providing habitation at a lunar base. Some of these advantages are packaging efficiency, convenience of expansion, flexibility, and psychological benefit to the inhabitants. The relatively small, rigid cylinders fitted to the payload compartment of a launch vehicle are not as efficient volumetrically as a collapsible structure that fits into the same space when packaged, but when deployed is much larger. Pressurized volume is a valuable resource. By providing that resource efficiently, in large units, labor intensive external expansion (such as adding additional modules to the existing base) can be minimized. The expansive interior in an inflatable would facilitate rearrangement of the interior to suite the evolving needs of the base. This large, continuous volume would also relieve claustrophobia, enhancing habitability and improving morale. The purpose of this paper is to explore some of the aspects of inflatable habitat design, including structural, architectural, and environmental considerations. As a specific case, the conceptual design of an inflatable lunar habitat, developed for the Lunar Base Systems Study at the Johnson Space Center, is described.

  17. MRI of the rotator cuff and internal derangement

    Energy Technology Data Exchange (ETDEWEB)

    Opsha, Oleg [Department of Radiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219 (United States)], E-mail: oopsha@hotmail.com; Malik, Archana [Department of Radiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219 (United States)], E-mail: dr.armal@gmail.com; Baltazar, Romulo [Department of Radiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219 (United States)], E-mail: rbaltazar@gmail.com; Primakov, Denis [Department of Radiology, North Shore University Hospital, 300 Community Drive, Manhasset, NY 11030 (United States)], E-mail: dgprim@yahoo.com; Beltran, Salvador [Dr. Ramon Marti, 2 Albons, Ginrona 17136 (Spain); Miller, Theodore T. [Department of Radiology and Imaging, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021 (United States)], E-mail: MillerTT@hss.edu; Beltran, Javier [Department of Radiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219 (United States)], E-mail: jbeltran46@msn.com

    2008-10-15

    Disease to the rotator cuff is the most common cause of shoulder pain and dysfunction in adults. This group of muscles performs multiple functions and is often stressed during various activities. The anatomy and physiology of the rotator cuff is complex and interconnected to other muscle groups in the shoulder. One must take the anatomic status of the rotator cuff tendons into account when planning the treatment of the rotator cuff injury. Diagnostic imaging of the rotator cuff, performed by MRI, provides valuable information about the nature of the injury. In this article, we will review the various types and causes of rotator cuff injuries, normal MR anatomy, function, patho-anatomy, and the biomechanics of the rotator cuff. We will also review shoulder impingement syndromes.

  18. Inflation and Inflation Uncertainty Revisited: Evidence from Egypt

    Directory of Open Access Journals (Sweden)

    Mesbah Fathy Sharaf

    2015-07-01

    Full Text Available The welfare costs of inflation and inflation uncertainty are well documented in the literature and empirical evidence on the link between the two is sparse in the case of Egypt. This paper investigates the causal relationship between inflation and inflation uncertainty in Egypt using monthly time series data during the period January 1974–April 2015. To endogenously control for any potential structural breaks in the inflation time series, Zivot and Andrews (2002 and Clemente–Montanes–Reyes (1998 unit root tests are used. The inflation–inflation uncertainty relation is modeled by the standard two-step approach as well as simultaneously using various versions of the GARCH-M model to control for any potential feedback effects. The analyses explicitly control for the effect of the Economic Reform and Structural Adjustment Program (ERSAP undertaken by the Egyptian government in the early 1990s, which affected inflation rate and its associated volatility. Results show a high degree of inflation–volatility persistence in the response to inflationary shocks. Granger-causality test along with symmetric and asymmetric GARCH-M models indicate a statistically significant bi-directional positive relationship between inflation and inflation uncertainty, supporting both the Friedman–Ball and the Cukierman–Meltzer hypotheses. The findings are robust to the various estimation methods and model specifications. The findings of this paper support the view of adopting inflation-targeting policy in Egypt, after fulfilling its preconditions, to reduce the welfare cost of inflation and its related uncertainties. Monetary authorities in Egypt should enhance the credibility of monetary policy and attempt to reduce inflation uncertainty, which will help lower inflation rates.

  19. Inflation on Fractional Branes: D--Brane Inflation as D--Term Inflation

    CERN Document Server

    Halyo, E

    2004-01-01

    We describe a D--brane inflation model which consists of two fractional D3 branes separated on a transverse $T^2 \\times K3$. Inflation arises due to the resolved orbifold singularity of $K3$ which corresponds to an anomalous D--term on the brane. Therefore D--brane inflation in the bulk corresponds to D--term inflation on the brane. The inflaton and the trigger field parametrize the interbrane distances on $T^2$ an $K3$ respectively. After inflation the branes reach a supersymmetric configuration in which they are at the origin of $T^2$ but separated along the $K3$ directions.

  20. Diagnostic imaging of shoulder rotator cuff lesions

    Directory of Open Access Journals (Sweden)

    Nogueira-Barbosa Marcello Henrique

    2002-01-01

    Full Text Available Shoulder rotator cuff tendon tears were evaluated with ultrasonography (US and magnetic resonance imaging (MRI. Surgical or arthroscopical correlation were available in 25 cases. Overall costs were also considered. Shoulder impingement syndrome diagnosis was done on a clinical basis. Surgery or arthroscopy was considered when conservative treatment failure for 6 months, or when rotator cuff repair was indicated. Ultrasound was performed in 22 patients and MRI in 17 of the 25 patients. Sensitivity, specificity and accuracy were 80%, 100% and 90.9% for US and 90%, 100% and 94.12% for MRI, respectively. In 16 cases both US and MRI were obtained and in this subgroup statistical correlation was excellent (p< 0.001. We concluded that both methods are reliable for rotator cuff full thickness tear evaluation. Since US is less expensive, it could be considered as the screening method when rotator cuff integrity is the main question, and when well trained radiologists and high resolution equipment are available.

  1. Biological strategies to enhance rotator cuff healing.

    Science.gov (United States)

    Longo, Umile Giuseppe; Rizzello, Giacomo; Berton, Alessandra; Maltese, Ludovica; Fumo, Caterina; Khan, Wasim S; Denaro, Vincenzo

    2013-11-01

    Rotator cuff tear causes a high rate of morbidity. After surgical repair, the presence of a scar tissue reduces tendon biomechanical properties. Emerging strategies for enhancing tendon healing are growth factors, cytokines, gene therapy and tissue engineering. However their efficacy has to be proved. Growth factors help the process of tendon healing by aiding cells chemotaxis, differentiation and proliferation. Numerous growth factors, including the bone morphogenetic proteins and platelet-derived growth factor can be found during the early healing process of a rotator cuff repair. Growth factors are delivered to the repair site using tissue-engineered scaffolding, coated sutures, or dissolved in a fibrin sealant. Platelet-rich plasma is an autologous concentration of platelets and contains an high density of growth factors. There is some evidence that platelet-rich plasma may improve pain and recovery of function in a short time period, but it does not improve healing rates in rotator cuff. Thus the routine use of platelet-rich plasma in rotator cuff repair is not recommended. The addition of mesenchymal stem cells to scaffolds can lead to the production of a better quality healing tissue. Gene therapy is a gene transfer from a cell into another, in order to over-express the gene required. In this way, cultures of stem cells can over-express growth factors. Better understanding of the mechanisms of physiological tendon healing can promote the correct use of these new biological therapies for a better healing tissue.

  2. Regenerative Medicine in Rotator Cuff Injuries

    Directory of Open Access Journals (Sweden)

    Pietro Randelli

    2014-01-01

    Full Text Available Rotator cuff injuries are a common source of shoulder pathology and result in an important decrease in quality of patient life. Given the frequency of these injuries, as well as the relatively poor result of surgical intervention, it is not surprising that new and innovative strategies like tissue engineering have become more appealing. Tissue-engineering strategies involve the use of cells and/or bioactive factors to promote tendon regeneration via natural processes. The ability of numerous growth factors to affect tendon healing has been extensively analyzed in vitro and in animal models, showing promising results. Platelet-rich plasma (PRP is a whole blood fraction which contains several growth factors. Controlled clinical studies using different autologous PRP formulations have provided controversial results. However, favourable structural healing rates have been observed for surgical repair of small and medium rotator cuff tears. Cell-based approaches have also been suggested to enhance tendon healing. Bone marrow is a well known source of mesenchymal stem cells (MSCs. Recently, ex vivo human studies have isolated and cultured distinct populations of MSCs from rotator cuff tendons, long head of the biceps tendon, subacromial bursa, and glenohumeral synovia. Stem cells therapies represent a novel frontier in the management of rotator cuff disease that required further basic and clinical research.

  3. Rotator Cuff and Shoulder Conditioning Program

    Science.gov (United States)

    ... upper back) • Biceps (front of upper arm) • Teres muscles (supporting the shoulder joint) • Triceps (back of upper arm) • Supraspinatus (supporting ... connection to expert information about bones, joints, and muscles www.orthoinfo.org Rotator Cuff and Shoulder Conditioning Program Stretching ... ...

  4. Regenerative Medicine in Rotator Cuff Injuries

    Science.gov (United States)

    Randelli, Pietro; Ragone, Vincenza; Menon, Alessandra; Cabitza, Paolo; Banfi, Giuseppe

    2014-01-01

    Rotator cuff injuries are a common source of shoulder pathology and result in an important decrease in quality of patient life. Given the frequency of these injuries, as well as the relatively poor result of surgical intervention, it is not surprising that new and innovative strategies like tissue engineering have become more appealing. Tissue-engineering strategies involve the use of cells and/or bioactive factors to promote tendon regeneration via natural processes. The ability of numerous growth factors to affect tendon healing has been extensively analyzed in vitro and in animal models, showing promising results. Platelet-rich plasma (PRP) is a whole blood fraction which contains several growth factors. Controlled clinical studies using different autologous PRP formulations have provided controversial results. However, favourable structural healing rates have been observed for surgical repair of small and medium rotator cuff tears. Cell-based approaches have also been suggested to enhance tendon healing. Bone marrow is a well known source of mesenchymal stem cells (MSCs). Recently, ex vivo human studies have isolated and cultured distinct populations of MSCs from rotator cuff tendons, long head of the biceps tendon, subacromial bursa, and glenohumeral synovia. Stem cells therapies represent a novel frontier in the management of rotator cuff disease that required further basic and clinical research. PMID:25184132

  5. The Primordial Inflation Explorer

    Science.gov (United States)

    Kogut, Alan J.

    2012-01-01

    The Primordial Inflation Explorer is an Explorer-class mission to measure the gravity-wave signature of primordial inflation through its distinctive imprint on the linear polarization of the cosmic microwave background. PIXIE uses an innovative optical design to achieve background-limited sensitivity in 400 spectral channels spanning 2.5 decades in frequency from 30 GHz to 6 THz (1 cm to 50 micron wavelength). The principal science goal is the detection and characterization of linear polarization from an inflationary epoch in the early universe, with tensor-to-scalar ratio r < 10(exp -3) at 5 standard deviations. The rich PIXIE data set will also constrain physical processes ranging from Big Bang cosmology to the nature of the first stars to physical conditions within the interstellar medium of the Galaxy. I describe the PIXIE instrument and mission architecture needed to detect the inflationary signature using only 4 semiconductor bolometers.

  6. Hybrid Natural Inflation

    Science.gov (United States)

    Ross, Graham G.; Germán, Gabriel; Vázquez, J. Alberto

    2016-05-01

    We construct two simple effective field theory versions of Hybrid Natural Inflation (HNI) that illustrate the range of its phenomenological implications. The resulting inflationary sector potential, V = Δ4(1 + acos( ϕ/f)), arises naturally, with the inflaton field a pseudo-Nambu-Goldstone boson. The end of inflation is triggered by a waterfall field and the conditions for this to happen are determined. Also of interest is the fact that the slow-roll parameter ɛ (and hence the tensor r) is a non-monotonic function of the field with a maximum where observables take universal values that determines the maximum possible tensor to scalar ratio r. In one of the models the inflationary scale can be as low as the electroweak scale. We explore in detail the associated HNI phenomenology, taking account of the constraints from Black Hole production, and perform a detailed fit to the Planck 2015 temperature and polarisation data.

  7. Braneworld Flux Inflation

    CERN Document Server

    Kanno, S; Wands, D; Kanno, Sugumi; Soda, Jiro; Wands, David

    2005-01-01

    We propose a geometrical model of brane inflation where inflation is driven by the flux generated by opposing brane charges and terminated by the collision of the branes, with charge annihilation. We assume the collision process is completely inelastic and the kinetic energy is transformed into the thermal energy after collision. Thereafter the two branes coalesce together and behave as a single brane universe with zero effective cosmological constant. In the Einstein frame, the 4-dimensional effective theory changes abruptly at the collision point. Therefore, our inflationary model is necessarily 5-dimensional in nature. As the collision process has no singularity in 5-dimensional gravity, we can follow the evolution of fluctuations during the whole history of the universe. It turns out that the radion field fluctuations have a steeply tilted, red spectrum, while the primordial gravitational waves have a flat spectrum. Instead, primordial density perturbations could be generated by a curvaton mechanism.

  8. Measures in Mutlifield Inflation

    CERN Document Server

    Grumitt, Richard

    2016-01-01

    We examine the classical dynamics of multifield inflation models with quadratic potentials. Such models are shown to have inflationary attractors in phase space, consistent with the stretching of phase space trajectories along the volume factor of the universe during inflation. Using the symplectic structure associated with Hamiltonian systems we form a measure on the phase space, as initially proposed by Gibbons, Hawking and Stewart. This is used to calculate lower bounds on the probabilities of observational agreement (i.e. the probability the model gives a value for the spectral index within the region $n_{s}=0.968\\pm{0.006}$) for equal mass two and three field models with quadratic potentials, giving values of 0.982 and 0.997 respectively. We derive the measure for a general $N$-field model and argue that as the number of fields approaches infinity, the probability of observational agreement approaches one.

  9. Inflation Expels Runaways

    CERN Document Server

    Bachlechner, Thomas C

    2016-01-01

    We argue that moduli stabilization generically restricts the evolution following transitions between weakly coupled de Sitter vacua and can induce a strong selection bias towards inflationary cosmologies. The energy density of domain walls between vacua typically destabilizes Kahler moduli and triggers a runaway towards large volume. This decompactification phase can collapse the new de Sitter region unless a minimum amount of inflation occurs after the transition. A stable vacuum transition is guaranteed only if the inflationary expansion generates overlapping past light cones for all observable modes originating from the time of reheating, which leads to an approximately flat and isotropic universe. High scale inflation is vastly favored. Our results point towards a framework for studying parameter fine-tuning and inflationary initial conditions in flux compactifications.

  10. Inflation expels runaways

    Science.gov (United States)

    Bachlechner, Thomas C.

    2016-12-01

    We argue that moduli stabilization generically restricts the evolution following transitions between weakly coupled de Sitter vacua and can induce a strong selection bias towards inflationary cosmologies. The energy density of domain walls between vacua typically destabilizes Kähler moduli and triggers a runaway towards large volume. This decompactification phase can collapse the new de Sitter region unless a minimum amount of inflation occurs after the transition. A stable vacuum transition is guaranteed only if the inflationary expansion generates overlapping past light cones for all observable modes originating from the reheating surface, which leads to an approximately flat and isotropic universe. High scale inflation is vastly favored. Our results point towards a framework for studying parameter fine-tuning and inflationary initial conditions in flux compactifications.

  11. Geometrical Destabilization of Inflation

    Science.gov (United States)

    Renaux-Petel, Sébastien; Turzyński, Krzysztof

    2016-09-01

    We show the existence of a general mechanism by which heavy scalar fields can be destabilized during inflation, relying on the fact that the curvature of the field space manifold can dominate the stabilizing force from the potential and destabilize inflationary trajectories. We describe a simple and rather universal setup in which higher-order operators suppressed by a large energy scale trigger this instability. This phenomenon can prematurely end inflation, thereby leading to important observational consequences and sometimes excluding models that would otherwise perfectly fit the data. More generally, it modifies the interpretation of cosmological constraints in terms of fundamental physics. We also explain how the geometrical destabilization can lead to powerful selection criteria on the field space curvature of inflationary models.

  12. Observing alternatives to inflation

    CERN Document Server

    Peter, P

    2009-01-01

    We discuss the possibility that the inflationary paradigm, undoubtfully today's best framework to understand all the present cosmological data, may still have some viable challengers. The underlying idea for such discussions is that although inflation already passed quite a large number of tests, indeed enough to make it part of the so-called ``standard model'' of cosmology, it has always been through indirect measurements: there is not a chance that we may ever directly check its validity, and therefore, in order to assert its factuality with increasing level of confidence, it is required that we compare its predictions not only to observations, but also to as many contenders as possible. Among other categories of possible models, we wish to put the emphasis in particular on bouncing cosmologies that, however not as complete as the inflation paradigm might be, could still represent a reasonnable way of explaining the current data. Hopefully, future data will be able to discriminate between these various sets...

  13. Inflatable Aeroponic System

    Science.gov (United States)

    Pelt, Jennifer Van

    2005-01-01

    Aeroponics Internationals (AI) innovation is a self-contained, self-supporting, flexible low mass aeroponic crop production unit with integral environmental systems for the control and delivery of a nutrient mist to the roots. This FLEX Aeroponic System model was developed for commercialization as a result of the NASA SBIR Phase I contract for the research and development of a low-mass, Inflatable Aeroponic System (IAS) for producing pesticide-free lettuces, grains, peppers, tomatoes and other vegetables. The innovation addresses the needs of water and nutrient delivery systems technologies for food production in space. The inflatable nature of the innovation makes it lightweight, allowing it to be deflated so it takes up less volume during transportation and storage. It improves upon AI's current aeroponic system design that uses more rigid structures and takes advantage of vertical inclines to increase bio-mass production by over 600%.

  14. Stochastic gravitoelectromagnetic inflation

    CERN Document Server

    Aguilar, J E M; Bellini, Mauricio

    2006-01-01

    Gravitoelectromagnetic inflation was recently introduced to describe, in an unified manner, electromagnetic, gravitatory and inflaton fields in the early (accelerated) inflationary universe from a 5D vacuum state. In this paper, we study a stochastic treatment for the gravitoelectromagnetic components $A_B=(A_{\\mu},\\phi)$, on cosmological scales. We focus our study on the seed magnetic fields on super Hubble scales, which could play an important role in large scale structure formation of the universe.

  15. Legitimate Inflation Fears

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Desperately trying to cure their financial ailments, central banks in the West fired up their money-printing machines to pour liquidity into their respective banking systems. While this no doubt helped thaw the credit freeze, it also inadvertently sowed the seeds of inflation. Andy Xie, a renowned independent Shanghai-based economist and former Morgan Stanley chief economist for Asia, discussed this issue in a recent interview with the Securities Times. Edited excerpts follow:

  16. Legitimate Inflation Fears

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ Desperately trying to cure their financial ailments,central banks in the West fired up their moneyprinting machines to pour liquidity into their respective banking systems.While this no doubt helped thaw the credit freeze,it also inadvertently sowed the seeds of inflation.Andy Xie,a renowned independent Shanghai-based economist and former Morgan Stanley chief economist for Asia,discussed this issue in a recent interview with the Securities Times.

  17. Hierarchical axion inflation.

    Science.gov (United States)

    Ben-Dayan, Ido; Pedro, Francisco Gil; Westphal, Alexander

    2014-12-31

    We propose a new field theory mechanism for generating an effective trans-Planckian decay constant from sub-Planckian ones. Using the minimal two axions and a hierarchy between two axion decay constants is sufficient for realizing inflation through nonperturbative effects only and with minimal tuning. The inflationary motion is kept entirely within a sub-Planckian domain. We outline possible strategies of embedding the model in a string theory setup.

  18. Inflation Expels Runaways

    OpenAIRE

    Bachlechner, Thomas C.

    2016-01-01

    We argue that moduli stabilization generically restricts the evolution following transitions between weakly coupled de Sitter vacua and can induce a strong selection bias towards inflationary cosmologies. The energy density of domain walls between vacua typically destabilizes Kahler moduli and triggers a runaway towards large volume. This decompactification phase can collapse the new de Sitter region unless a minimum amount of inflation occurs after the transition. A stable vacuum transition ...

  19. Stochastic gravitoelectromagnetic inflation

    Science.gov (United States)

    Madriz Aguilar, José Edgar; Bellini, Mauricio

    2006-11-01

    Gravitoelectromagnetic inflation was recently introduced to describe, in an unified manner, electromagnetic, gravitatory and inflaton fields in the early (accelerated) inflationary universe from a 5D vacuum state. In this Letter, we study a stochastic treatment for the gravitoelectromagnetic components A=(A,φ), on cosmological scales. We focus our study on the seed magnetic fields on super-Hubble scales, which could play an important role in large scale structure formation of the universe.

  20. Higgs Starobinsky inflation

    Science.gov (United States)

    Calmet, Xavier; Kuntz, Iberê

    2016-05-01

    In this paper we point out that Starobinsky inflation could be induced by quantum effects due to a large non-minimal coupling of the Higgs boson to the Ricci scalar. The Higgs Starobinsky mechanism provides a solution to issues attached to large Higgs field values in the early universe which in a metastable universe would not be a viable option. We verify explicitly that these large quantum corrections do not destabilize Starobinsky's potential.

  1. Higgs Starobinsky Inflation

    CERN Document Server

    Calmet, Xavier

    2016-01-01

    In this paper we point out that Starobinky inflation could be induced by quantum effects due to a large non-minimal coupling of the Higgs boson to the Ricci scalar. The Higgs Starobinsky mechanism provides a solution to issues attached to large Higgs field values in the early universe which in a metastable universe would not be a viable option. We verify explicitly that these large quantum corrections do not destabilize Starobinsky's potential.

  2. Inhomogeneous imperfect fluid inflation

    CERN Document Server

    Elizalde, Emilio

    2016-01-01

    A generalized equation of state corresponding to a model that includes a Chaplygin gas and a viscous term is investigated, in the context of the reconstruction program in scalar field cosmology. The corresponding inflationary model parameters can be conveniently adjusted in order to reproduce the most recent PLANCK data. The influence of the Chaplygin gas term contribution, in relation with previous models, is discussed. Exit from inflation is also shown to occur in the new model.

  3. Higgs Starobinsky inflation

    Energy Technology Data Exchange (ETDEWEB)

    Calmet, Xavier; Kuntz, Ibere [University of Sussex, Physics and Astronomy, Brighton (United Kingdom)

    2016-05-15

    In this paper we point out that Starobinsky inflation could be induced by quantum effects due to a large non-minimal coupling of the Higgs boson to the Ricci scalar. The Higgs Starobinsky mechanism provides a solution to issues attached to large Higgs field values in the early universe which in a metastable universe would not be a viable option. We verify explicitly that these large quantum corrections do not destabilize Starobinsky's potential. (orig.)

  4. Is inflation natural

    Energy Technology Data Exchange (ETDEWEB)

    Jensen, L.G.; Stein-Schabes, J.A.

    1987-02-15

    We show that under very general conditions any inhomogeneous cosmological model with a positive cosmological constant that can be described in a synchronous reference system will tend asymptotically in time towards the de Sitter solution, so making the problem of initial conditions less severe. The implications for inflationary scenarios are examined, and it is found that after inflation the Universe stays isotropic and homogeneous for a very long time.

  5. Inflation in the universe

    Energy Technology Data Exchange (ETDEWEB)

    Turner, M.S.

    1987-05-01

    The hot big bang cosmology, or the standard cosmology as it is appropriately known, is a highly successful model, providing a reliable and tested accounting of the Universe from 0.01 sec after the bang until today, some 15 Gyr later. However, very special initial data seem to be required in order to account for the observed smoothness and flatness of our Hubble volume and for the existence of the small primeval density inhomogeneities required for the formation of structure in the Universe. Inflation offers a means of accounting for these special initial data, which is based upon physics at sub-planck energy scales (<< m/sub pl/ approx. = 10/sup 19/ GeV) and is motivated by contemporary ideas in particle theory. Here I review the status of the 'Inflationary Paradigm'. At present essentially all inflationary models involve a very weakly-coupled (quantified by the presence of a dimensionless parameter of order 10/sup -12/ or so) scalar field which is displaced from the minimum of its potential. Regions of the Universe where the scalar field is initially displaced from its minimum undergo inflation as the scalar field relaxes, resulting in a Universe today which resembles ours in regions much larger than our present Hubble volume (approx. = 10/sup 28/ cm), but which on very large scales (>> 10/sup 28/ cm) may be highly irregular. The most conspicuous blemish on the paradigm is the lack of a compelling particle physics model to implement it. I also review some other unresolved issues, and discuss in detail the all important confrontation between inflation and observational data. Finally, I discuss the possibility that inflation leads to large-scale, primeval magnetic fields of sufficient strength to be of astrophysical interest. 123 refs., 4 figs.

  6. Inflation, Universality and Attractors

    CERN Document Server

    Scalisi, Marco

    2016-01-01

    In this PhD thesis, we investigate generic features of inflation which are strictly related to fundamental aspects of UV-physics scenarios, such as string theory or supergravity. After a short introduction to standard and inflationary cosmology, we present our research findings. On the one hand, we show that focusing on universality properties of inflation can yield surprisingly stringent bounds on its dynamics. This approach allows us to identify the regime where the inflationary field range is uniquely determined by both the tensor-to-scalar ratio and the spectral index. Then, we derive a novel field-range bound, which is two orders of magnitude stronger than the original one derived by Lyth. On the other hand, we discuss the embedding of inflation in supergravity and prove that non-trivial hyperbolic K\\"ahler geometries induce an attractor for the inflationary observables: the spectral tilt tends automatically to the center of the Planck dome whereas the amount of primordial gravitational waves is directly...

  7. The inflating curvaton

    Energy Technology Data Exchange (ETDEWEB)

    Dimopoulos, Konstantinos; Lyth, David H. [Consortium for Fundamental Physics, Department of Physics, Lancaster University, Lancaster LA1 4YB (United Kingdom); Kohri, Kazunori [Cosmophysics Group, Theory Center, IPNS, KEK, and The Graduate University for Advanced Study (Sokendai), Tsukuba 305-0801 (Japan); Matsuda, Tomohiro, E-mail: konst.dimopoulos@lancaster.ac.uk, E-mail: kohri@post.kek.jp, E-mail: d.lyth@lancaster.ac.uk, E-mail: matsuda@sit.ac.jp [Department of Physics, Lancaster University, Lancaster LA1 4YB (United Kingdom)

    2012-03-01

    The primordial curvature perturbation ζ may be generated by some curvaton field σ, which is negligible during inflation and has more or less negligible interactions until it decays. In the current scenario, the curvaton starts to oscillate while its energy density ρσ is negligible. We explore the opposite scenario, in which ρσ drives a few e-folds of inflation before the oscillation begins. In this scenario for generating ζ it is exceptionally easy to solve the η problem; one just has to make the curvaton a string axion, with anomaly-mediated susy breaking which may soon be tested at the LHC. The observed spectral index n can be obtained with a potential V∝φ{sup p} for the first inflation; p = 1 or 2 is allowed by the current uncertainty in n but the improvement in accuracy promised by Planck may rule out p = 1. The predictions include (i) running n' ≅ 0.0026 (0.0013) for p = 1 (2) that will probably be observed, (ii) non-gaussianity parameter f{sub NL}; ∼ −1 that may be observed, (iii) tensor fraction r is probably too small to ever observed.

  8. Preheating after modular inflation

    Science.gov (United States)

    Barnaby, Neil; Bond, J. Richard; Huang, Zhiqi; Kofman, Lev

    2009-12-01

    We study (p)reheating in modular (closed string) inflationary scenarios, with a special emphasis on Kähler moduli/Roulette models. It is usually assumed that reheating in such models occurs through perturbative decays. However, we find that there are very strong non-perturbative preheating decay channels related to the particular shape of the inflaton potential (which is highly nonlinear and has a very steep minimum). Preheating after modular inflation, proceeding through a combination of tachyonic instability and broad-band parametric resonance, is perhaps the most violent example of preheating after inflation known in the literature. Further, we consider the subsequent transfer of energy to the standard model sector in scenarios where the standard model particles are confined to a D7-brane wrapping the inflationary blow-up cycle of the compactification manifold or, more interestingly, a non-inflationary blow-up cycle. We explicitly identify the decay channels of the inflaton in these two scenarios. We also consider the case where the inflationary cycle shrinks to the string scale at the end of inflation; here a field theoretical treatment of reheating is insufficient and one must turn instead to a stringy description. We estimate the decay rate of the inflaton and the reheat temperature for various scenarios.

  9. New Old Inflation

    Energy Technology Data Exchange (ETDEWEB)

    Dvali, Gia

    2003-10-03

    We propose a new class of inflationary solutions to the standard cosmological problems (horizon, flatness, monopole,...), based on a modification of old inflation. These models do not require a potential which satisfies the normal inflationary slow-roll conditions. Our universe arises from a single tunneling event as the inflaton leaves the false vacuum. Subsequent dynamics (arising from either the oscillations of the inflaton field or thermal effects) keep a second field trapped in a false minimum, resulting in an evanescent period of inflation (with roughly 50 e-foldings) inside the bubble. This easily allows the bubble to grow sufficiently large to contain our present horizon volume. Reheating is accomplished when the inflaton driving the last stage of inflation rolls down to the true vacuum, and adiabatic density perturbations arise from moduli-dependent Yukawa couplings of the inflaton to matter fields. Our scenario has several robust predictions, including virtual absence of gravity waves, a possible absence of tilt in scalar perturbations, and a higher degree of non-Gaussianity than other models. It also naturally incorporates a solution to the cosmological moduli problem.

  10. Inflatable Dark Matter

    CERN Document Server

    Davoudiasl, Hooman; McDermott, Samuel D

    2016-01-01

    We describe a general scenario, dubbed "Inflatable Dark Matter", in which the density of dark matter particles can be reduced through a short period of late-time inflation in the early universe. The overproduction of dark matter that is predicted within many otherwise well-motivated models of new physics can be elegantly remedied within this context, without the need to tune underlying parameters or to appeal to anthropic considerations. Thermal relics that would otherwise be disfavored can easily be accommodated within this class of scenarios, including dark matter candidates that are very heavy or very light. Furthermore, the non-thermal abundance of GUT or Planck scale axions can be brought to acceptable levels, without invoking anthropic tuning of initial conditions. A period of late-time inflation could have occurred over a wide range of scales from ~ MeV to the weak scale or above, and could have been triggered by physics within a hidden sector, with small but not necessarily negligible couplings to the...

  11. Gravitational waves from inflation

    Science.gov (United States)

    Guzzetti, M. C.; Bartolo, N.; Liguori, M.; Matarrese, S.

    2016-09-01

    The production of a stochastic background of gravitational waves is a fundamental prediction of any cosmological inflationary model. The features of such a signal encode unique information about the physics of the Early Universe and beyond, thus representing an exciting, powerful window on the origin and evolution of the Universe. We review the main mechanisms of gravitational-wave production, ranging from quantum fluctuations of the gravitational field to other mechanisms that can take place during or after inflation. These include e.g. gravitational waves generated as a consequence of extra particle production during inflation, or during the (p)reheating phase. Gravitational waves produced in inflation scenarios based on modified gravity theories and second-order gravitational waves are also considered. For each analyzed case, the expected power spectrum is given. We discuss the discriminating power among different models, associated with the validity/violation of the standard consistency relation between tensor-to-scalar ratio r and tensor spectral index nT. In light of the prospects for (directly/indirectly) detecting primordial gravitational waves, we give the expected present-day gravitational radiation spectral energy-density, highlighting the main characteristics imprinted by the cosmic thermal history, and we outline the signatures left by gravitational waves on the Cosmic Microwave Background and some imprints in the Large-Scale Structure of the Universe. Finally, current bounds and prospects of detection for inflationary gravitational waves are summarized.

  12. Remote inflation as hybrid-like sneutrino/MSSM inflation

    Energy Technology Data Exchange (ETDEWEB)

    Matsuda, Tomohiro [Laboratory of Physics, Saitama Institute of Technology, Fusaiji, Okabe-machi, Saitama 369-0293 (Japan)], E-mail: matsuda@sit.ac.jp

    2009-11-21

    A new scenario of hybrid-like inflation is considered for sneutrino and MSSM fields. Contrary to the usual hybrid inflation model, the direct coupling between a trigger field and the sneutrino/MSSM inflaton field is not necessary for the scenario. The dissipation and the radiation from the sneutrino/MSSM inflaton can be written explicitly by using the Yukawa couplings. Remote inflation does not require the shift symmetry or cancellation in solving the {eta} problem.

  13. Monetary policy, expected inflation and inflation risk premia

    OpenAIRE

    Ravenna, Federico; Seppälä, Juha

    2007-01-01

    Within a New Keynesian business cycle model, we study variables that are normally unobservable but are very important for the conduct of monetary policy, namely expected inflation and inflation risk premia. We solve the model using a third-order approximation that allows us to study time-varying risk premia. Our model is consistent with rejection of the expectations hypothesis and the business-cycle behaviour of nominal interest rates in US data. We find that inflation risk premia are very sm...

  14. On the inflation of a rubber balloon

    Science.gov (United States)

    Vandermarlière, Julien

    2016-12-01

    It is a well-known fact that it is difficult to start a balloon inflating. But after a pressure peak that occurs initially, it becomes far easier to do it! The purpose of this article is to establish the experimental pressure-radius chart for a rubber balloon and to compare it to the theoretical one. We will demonstrate that the barometer of a smartphone is a very suitable tool to reach this goal. We hope that this phenomenon will help students realize that sometimes very simple questions can lead to very interesting and counterintuitive science.

  15. Body mass index and blood pressure measurement during pregnancy.

    LENUS (Irish Health Repository)

    Hogan, Jennifer L

    2012-02-01

    OBJECTIVE: The accurate measurement of blood pressure requires the use of a large cuff in subjects with a high mid-arm circumference (MAC). This prospective study examined the need for a large cuff during pregnancy and its correlation with maternal obesity. METHODS: Maternal body mass index (BMI), fat mass, and MAC were measured. RESULTS: Of 179 women studied, 15.6% were obese. With a BMI of level 1 obesity, 44% needed a large cuff and with a BMI of level 2 obesity 100% needed a large cuff. CONCLUSION: All women booking for antenatal care should have their MAC measured to avoid the overdiagnosis of pregnancy hypertension.

  16. Aeroelastic Deformation and Buckling of Inflatable Wings under Dynamic Loads

    Science.gov (United States)

    Simpson, Andrew; Smith, Suzanne; Jacob, Jamey

    2006-11-01

    Inflatable wings have recently been used to control a vehicle in flight via wing warping. Internal pressure is required to maintain wing shape and externally mounted mechanical actuators are used to asynchronously deform the wing semi-spans for control. Since the rigidity of the inflatable wing varies as a function of inflation pressure, there is a need to relate the wing shape with aerodynamic loads. Via wind tunnel tests, span-wise deformations, twist and flutter have been observed under certain dynamic loading conditions. Photogrammetry techniques are used to measure the static aeroelastic deformation of the wings and videogrammetry is used to examine the dynamic shape changes (flutter). The resulting shapes can be used to determine corresponding aerodynamic characteristics. For particular inflation pressures, buckling can be induced at sufficiently high dynamic loads either through high dynamic pressure or large angle of attack. This results in a set of critical loading parameters. An inflatable winged vehicle would require operation within these limits. The focus of the presentation will be on defining and exploring the unsuitable operating conditions and the effects these conditions have on the operation of the wing.

  17. Emergent Spacetime and Cosmic Inflation

    CERN Document Server

    Yang, Hyun Seok

    2015-01-01

    We propose a background-independent formulation of cosmic inflation. The inflation in this picture corresponds to a dynamical process to generate space and time while the conventional inflation is simply an (exponential) expansion of a preexisting spacetime owing to the vacuum energy carried by an inflaton field. We observe that the cosmic inflation is triggered by the condensate of Planck energy into vacuum responsible for the generation of spacetime and must be a single event according to the exclusion principle of noncommutative spacetime caused by the Planck energy condensate in vacuum. The emergent spacetime picture admits a background-independent formulation so that the inflation can be described by a conformal Hamiltonian system characterized by an exponential phase space expansion without introducing any inflaton field as well as an ad hoc inflation potential. This implies that the emergent spacetime may incapacitate all the rationales to introduce the multiverse hypothesis.

  18. Inflation and the Higgs Scalar

    Energy Technology Data Exchange (ETDEWEB)

    Green, Dan [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States)

    2014-12-05

    This note makes a self-contained exposition of the basic facts of big bang cosmology as they relate to inflation. The fundamental problems with that model are then explored. A simple scalar model of inflation is evaluated which provides the solution of those problems and makes predictions which will soon be definitively tested. The possibility that the recently discovered fundamental Higgs scalar field drives inflation is explored.

  19. Regional Inflation and Financial Dollarization

    OpenAIRE

    Brown, Martin; de Haas, Ralph; Sokolov, Vladimir

    2013-01-01

    We exploit variation in consumer price inflation across 71 Russian regions to examine the relationship between the perceived stability of the domestic currency and financial dollarization. Our results show that regions with higher inflation experience an increase in deposit dollarization and a decrease in the dollarization of loans to households and firms in non-tradable sectors. The negative impact of inflation on credit dollarization is weaker in regions with less integrated banking markets...

  20. Hubble multi-scalar inflation

    CERN Document Server

    Abedi, Habib

    2016-01-01

    Multiple field models of inflation exhibit new features than single field models. In this work, we study the hierarchy of parameters based on Hubble expansion rate in curved field space and derive the system of flow equations that describe their evolution. Then we focus on obtaining derivatives of number of $e$-folds with respect to scalar fields during inflation and at hypersurface of the end of inflation.

  1. Inflatables for Lightweight Satellite Application

    OpenAIRE

    1987-01-01

    In the 1960's, NASA put considerable effort into inflatable space structures, including Echo I and II, PAGEOS and Explorer IX and XIX. Overall, inflatables in space have been successful and their inherent advantages have been demonstrated. Inflatable space systems invariably require less packaged volume, are lower in weight and cheaper through both development and production phases than competing mechanically erected systems. The meteoroid problem is much less than originally anticipated beca...

  2. Public demand for low inflation

    OpenAIRE

    Kenneth Scheve

    2003-01-01

    In this paper, survey data from 20 advanced economies are used to examine individual preferences about macroeconomic priorities. The analysis gives rise to three key findings. First, the distributive consequences of inflation and unemployment are key determinants of how individuals weigh different economic objectives. New evidence is provided that nominal asset owners are relatively more inflation averse, consistent with their exposure to unanticipated inflation. Second, the findings also sug...

  3. Persistence in International Inflation Rates

    OpenAIRE

    Baum, Christopher F; John Barkoulas; Mustafa Caglayan

    1996-01-01

    We test for fractional dynamics in CPI-based inflation rates for twenty-seven countries and WPI-based inflation rates for twenty-two countries. The fractional differencing parameter is estimated using semiparametric and approximate maximum likelihood methods. Significant evidence of fractional dynamics with long-memory features is found in both CPI- and WPI-based inflation rates for industrial as well as developing countries. Implications of the findings are considered and sources of long mem...

  4. Inflation and the Higgs Scalar

    CERN Document Server

    Green, Dan

    2014-01-01

    This note makes a self-contained exposition of the basic facts of big bang cosmology as they relate to inflation. The fundamental problems with that model are then explored. A quartic scalar potential model of inflation is evaluated which provides the solution of those problems and makes predictions which will soon be definitively tested. The possibility that the recently discovered fundamental Higgs scalar field drives inflation is explored.

  5. Biomechanical analysis of articular-sided partial-thickness rotator cuff tear and repair.

    Science.gov (United States)

    Mihata, Teruhisa; McGarry, Michelle H; Ishihara, Yoko; Bui, Christopher N H; Alavekios, Damon; Neo, Masashi; Lee, Thay Q

    2015-02-01

    Articular-sided partial-thickness rotator cuff tears are common injuries in throwing athletes. The superior shoulder capsule beneath the supraspinatus and infraspinatus tendons works as a stabilizer of the glenohumeral joint. To assess the effect of articular-sided partial-thickness rotator cuff tear and repair on shoulder biomechanics. The hypothesis was that shoulder laxity might be changed because of superior capsular plication in transtendon repair of articular-sided partial-thickness rotator cuff tears. Controlled laboratory study. Nine fresh-frozen cadaveric shoulders were tested by using a custom shoulder-testing system at the simulated late-cocking phase and acceleration phase of throwing motion. Maximum glenohumeral external rotation angle, anterior translation, position of the humeral head apex with respect to the glenoid, internal impingement area, and glenohumeral and subacromial contact pressures were measured. Each specimen underwent 3 stages of testing: stage 1, with the intact shoulder; stage 2, after creation of articular-sided partial-thickness tears of the supraspinatus and infraspinatus tendons; and stage 3, after transtendon repair of the torn tendons by using 2 suture anchors. Articular-sided partial-thickness tears did not significantly change any of the shoulder biomechanical measurements. In the simulated late-cocking phase, transtendon rotator cuff repair resulted in decreased maximum external rotation angle by 4.2° (P = .03), posterior shift of the humeral head (1.1-mm shift; P = .02), decreased glenohumeral contact pressure by 1.7 MPa (56%; P = .004), and decreased internal impingement area by 26.4 mm(2) (65%; P infraspinatus tears decreased glenohumeral and subacromial contact pressures at time zero; these changes might lead to reduced secondary subacromial and internal impingements and consequently progression to full-thickness rotator cuff tear. However, repair of the tendons decreased anterior translation and external rotation and

  6. Authorship Inflation in Medical Publications

    Directory of Open Access Journals (Sweden)

    Gaurie Tilak BA

    2015-07-01

    Full Text Available The number of authors per manuscript in peer-reviewed medical journals has increased substantially in the last several decades. Several reasons have been offered to explain this authorship growth, including increased researcher collaboration, honorary authorship driven by increased pressures for funding and promotion, the belief that including senior authors will facilitate publication, and the growing complexity of medical research. It is unknown, however, whether authorship has grown over time due to growing complexity of published academic articles, in which case growth could be warranted, or whether it has grown due to pressures of funding and academic promotion, which have created “authorship inflation.” To answer this question, we analyzed data on authorship count, study type, and size of study population for the first 50 original articles published in each decade during 1960-2010 in 3 major medical journals. Within each type of study we considered (eg, randomized trials, observational studies, etc, average authorship rose more than 3-fold during this period. Similar growth persisted after adjustment for changes in study population sizes over time. Our findings suggest that increasing research complexity is an inadequate explanation for authorship growth. Instead, growth in authorship appears inflationary.

  7. Statistical Anisotropy from Anisotropic Inflation

    CERN Document Server

    Soda, Jiro

    2012-01-01

    We review an inflationary scenario with the anisotropic expansion rate. An anisotropic inflationary universe can be realized by a vector field coupled with an inflaton, which can be regarded as a counter example to the cosmic no-hair conjecture. We show generality of anisotropic inflation and derive a universal property. We formulate cosmological perturbation theory in anisotropic inflation. Using the formalism, we show anisotropic inflation gives rise to the statistical anisotropy in primordial fluctuations. We also explain a method to test anisotropic inflation using the cosmic microwave background radiation (CMB).

  8. Limits of Inflation Targeting Strategy

    Directory of Open Access Journals (Sweden)

    Aura Niculescu

    2006-03-01

    Full Text Available This paper evaluates the trade-off between output volatility and the variability of the inflation rate around its target (Romanian case. The optimal choice for National Bank of Romania (NBR, in our opinion, is the flexible inflation targeting. For this purpose, NBR must explain the loss function and the optimal monetary policy rule. We then argued that this Romanian authority – NBR – can substantially improve its credibility under inflation targeting policy regime by becoming more accountable and transparent. Is the direct inflation targeting the best choice for the monetary policy regime in Romanian economy?

  9. Superconformal D-term inflation

    Energy Technology Data Exchange (ETDEWEB)

    Buchmüller, W.; Domcke, V.; Schmitz, K., E-mail: wilfried.buchmueller@desy.de, E-mail: valerie.domcke@desy.de, E-mail: kai.schmitz@ipmu.jp [Deutsches Elektronen-Synchrotron DESY, 22607 Hamburg (Germany)

    2013-04-01

    We study models of hybrid inflation in the framework of supergravity with superconformal matter. F-term hybrid inflation is not viable since the inflaton acquires a large tachyonic mass. On the contrary, D-term hybrid inflation can successfully account for the amplitude of the primordial power spectrum. It is a two-field inflation model which, depending on parameters, yields values of the scalar spectral index down to n{sub s} ≅ 0.96. Generically, there is a tension between a small spectral index and the cosmic string bound albeit, within 2σ uncertainty, the current observational bounds can be simultaneously fulfilled.

  10. New Surgery May Fix Tough-To-Treat Rotator Cuff Tears

    Science.gov (United States)

    ... html New Surgery May Fix Tough-to-Treat Rotator Cuff Tears Procedure could offer option for otherwise irreparable ... It was developed by Japanese surgeons to fix rotator cuff injuries once considered irreparable. The rotator cuff is ...

  11. Large/Massive Tears, Fatty Infiltration, and Rotator Cuff Muscle Atrophy: A Review Article With Management Options Specific to These Types of Cuff Deficiencies

    OpenAIRE

    Gandhi Nathan Solayar; Bradley Seeto; Darren Chen; Samuel Mac Dessi

    2016-01-01

    Context There are many studies in the literature looking into factors affecting outcomes in rotator cuff surgery. The aetiology of rotator cuff deficiency is often multi-factorial and there are many facets towards successful management in this often debilitating condition. Evidence Acquisition We performed a literature search of MEDLINE and Embase databases using the terms large rotator cuff tears, fatty infiltration rotator cuff,...

  12. Deformation of wrinkled membrane inflatable structures under concentrated loads

    Institute of Scientific and Technical Information of China (English)

    WANG Chang-guo; DU Xing-wen; WAN Zhi-min; HE Xiao-dong

    2008-01-01

    The axisymmetric deformation of a paraboloidal membrane inflatable structure subjected to a concentrated load at its apex and a uniform intemal pressure was analyzed.The wrinkle angle was obtained according to the membrane theory when wrinkles appeared and determined the wrinkle region.The wrinkled deformation was obtained based on the relaxed energy function.The effects of inflation pressure and concentrated loads on the wrinkle ansle were analyzed and the deformation Was obtained at the apex of structure.According to the numerical analysis,the shape of deformed meridians with wrinkles Was obtained.

  13. Magnetogenesis from axion inflation

    Science.gov (United States)

    Adshead, Peter; Giblin, John T., Jr.; Scully, Timothy R.; Sfakianakis, Evangelos I.

    2016-10-01

    In this work we compute the production of magnetic fields in models of axion inflation coupled to the hypercharge sector of the Standard Model through a Chern-Simons interaction term. We make the simplest choice of a quadratic inflationary potential and use lattice simulations to calculate the magnetic field strength, helicity and correlation length at the end of inflation. For small values of the axion-gauge field coupling strength the results agree with no-backreaction calculations and estimates found in the literature. For larger couplings the helicity of the magnetic field differs from the no-backreaction estimate and depends strongly on the comoving wavenumber. We estimate the post-inflationary evolution of the magnetic field based on known results for the evolution of helical and non-helical magnetic fields. The magnetic fields produced by axion inflation with large couplings to U(1)Y can reach Beff gtrsim 10-16 G, exhibiting a field strength Bphys ≈ 10-13 G and a correlation length λphys ≈10 pc. This result is insensitive to the exact value of the coupling, as long as the coupling is large enough to allow for instantaneous preheating. Depending on the assumptions for the physical processes that determine blazar properties, these fields can be found consistent with blazar observations based on the value of Beff. Finally, the intensity of the magnetic field for large coupling can be enough to satisfy the requirements for a recently proposed baryogenesis mechanism, which utilizes the chiral anomaly of the Standard Model.

  14. Predictions From Eternal Inflation

    Science.gov (United States)

    Leichenauer, Stefan

    We investigate the physics of eternal inflation, particularly the use of multiverse ideas to explain the observed values of the cosmological constant and the coincidences of cosmological timescales. We begin by reviewing eternal inflation, the multiverse, and the resulting measure problem. Then follows a detailed study of proposals to solve the measure problem, both analytical and numerical, including an analysis of their predictions for cosmological observables. A key outcome of this investigation is that the traditional anthropic calculations, which take into account the necessity of galaxies and heavy elements to produce observers, are redundant in our framework. The cosmological coincidence problem, the seemingly coincidental equality of the timescales of observation and of vacuum domination, is solved for the first time without appeal to detailed anthropic assumptions: very general geometric considerations do the job automatically. We also estimate a 10% likelihood that evidence for eternal inflation will be found in upcoming measurements of the energy density of the universe. Encouraged by this success, we go on to construct a modified version of the light-cone time measure which has conceptual advantages but also reproduces the phenomenology of its predecessor. We complete our study of the measure problem by noting that for a wide class of proposed solutions, including the one developed here, there is an implicit assumption being made about a catastrophic end to the universe. Finally, as a by-product of this research program we find geometries which violate some of the accepted common knowledge on holographic entropy bounds. We point this out and conjecture a general result.

  15. Wiggly whipped inflation

    Energy Technology Data Exchange (ETDEWEB)

    Hazra, Dhiraj Kumar; Shafieloo, Arman [Asia Pacific Center for Theoretical Physics, Pohang, Gyeongbuk 790-784 (Korea, Republic of); Smoot, George F. [Paris Centre for Cosmological Physics, APC (CNRS), Université Paris Diderot, Université Sorbonne Paris Cité, Paris 75013 (France); Starobinsky, Alexei A., E-mail: dhiraj@apctp.org, E-mail: arman@apctp.org, E-mail: gfsmoot@lbl.gov, E-mail: alstar@landau.ac.ru [Landau Institute for Theoretical Physics RAS, Moscow 119334 (Russian Federation)

    2014-08-01

    Motivated by BICEP2 results on the CMB polarization B-mode which imply primordial gravitational waves are produced when the Universe has the expansion rate of about H ≈ 10{sup 14} GeV, and by deviations from a smooth power-law behavior for multipoles ℓ <50 in the CMB temperature anisotropy power spectrum found in the WMAP and Planck experiments, we have expanded our class of large field inflationary models that fit both the BICEP2 and Planck CMB observations consistently. These best-fitted large field models are found to have a transition from a faster roll to the slow roll V(φ)=m{sup 2} φ{sup 2}/2 inflation at a field value around 14.6 M{sub Pl} and thus a potential energy of V(φ) ∼ (10{sup 16} GeV){sup 4}. In general this transition with sharp features in the inflaton potential produces not only suppression of scalars relative to tensor modes at small k but also introduces wiggles in the primordial perturbation spectrum. These wiggles are shown to be useful to explain some localized features in the CMB angular power spectrum and can also have other observational consequences. Thus, primordial GW can be used now to make a tomography of inflation determining its fine structure. The resulting Wiggly Whipped Inflation scenario is described in details and the anticipated perturbation power spectra, CMB power spectra, non-Gaussianity and other observational consequences are calculated and compared to existing and forthcoming observations.

  16. News on Inflation and the Epidemiology of Inflation Expectations

    DEFF Research Database (Denmark)

    Pfajfar, Damjan; Santoro, Emiliano

    2013-01-01

    This paper examines the nexus between news coverage on inflation and households’ inflation expectations. In doing so, we test the epidemiological foundations of the sticky information model (Carroll ). We use both aggregate and household-level data from the Survey Research Center at the Universit...

  17. News on Inflation and the Epidemiology of Inflation Expectations

    NARCIS (Netherlands)

    Pfajfar, D.; Santoro, E.

    2012-01-01

    Abstract: This paper examines the nexus between news coverage on inflation and households' inflation expectations. In doing so, we test the epidemiological foundations of the sticky information model (Carroll, 2003, 2006). We use both aggregate and household-level data from the Survey Research

  18. News on Inflation and the Epidemiology of Inflation Expectations

    NARCIS (Netherlands)

    Pfajfar, D.; Santoro, E.

    2012-01-01

    Abstract: This paper examines the nexus between news coverage on inflation and households' inflation expectations. In doing so, we test the epidemiological foundations of the sticky information model (Carroll, 2003, 2006). We use both aggregate and household-level data from the Survey Research Cente

  19. Inflation targeting and inflation performance : a comparative analysis

    NARCIS (Netherlands)

    Samarina, Anna; De Haan, Jakob; Terpstra, M.

    2014-01-01

    This article examines how the impact of inflation targeting on inflation performance depends on the choice of country samples, adoption dates, time periods and methodological approaches. We apply two different estimation methods - difference-in-differences and propensity score matching - for our sam

  20. Reconstruction of inflation models

    Energy Technology Data Exchange (ETDEWEB)

    Myrzakulov, Ratbay; Sebastiani, Lorenzo [Eurasian National University, Department of General and Theoretical Physics and Eurasian Center for Theoretical Physics, Astana (Kazakhstan); Zerbini, Sergio [Universita di Trento, Dipartimento di Fisica, Trento (Italy); TIFPA, Istituto Nazionale di Fisica Nucleare, Trento (Italy)

    2015-05-15

    In this paper, we reconstruct viable inflationary models by starting from spectral index and tensor-to-scalar ratio from Planck observations. We analyze three different kinds of models: scalar field theories, fluid cosmology, and f(R)-modified gravity. We recover the well-known R{sup 2} inflation in Jordan-frame and Einstein-frame representation, the massive scalar inflaton models and two models of inhomogeneous fluid. A model of R{sup 2} correction to Einstein's gravity plus a ''cosmological constant'' with an exact solution for early-time acceleration is reconstructed. (orig.)

  1. Free Biceps Tendon Autograft to Augment Arthroscopic Rotator Cuff Repair

    OpenAIRE

    Obma, Padraic R.

    2013-01-01

    Arthroscopic rotator cuff repairs have become the standard of treatment for all sizes of tears over the past several years. Current healing rates reported in the literature are quite good, but improving the healing potential of rotator cuff repairs remains a challenging problem. There has been an increase recently in the use of augmentation of rotator cuff repairs with xenografts or synthetics for large and massive tears. Biceps tenodesis is often indicated as part of the treatment plan while...

  2. Continuous non-invasive finger arterial pressure monitoring reflects intra-arterial pressure changes in children undergoing cardiac surgery.

    Science.gov (United States)

    Hofhuizen, C M; Lemson, J; Hemelaar, A E A; Settels, J J; Schraa, O; Singh, S K; van der Hoeven, J G; Scheffer, G J

    2010-10-01

    Continuous non-invasive measurement of finger arterial pressure (FAP) is a reliable technology in adults. FAP is measured with an inflatable cuff around the finger and simultaneously converted to a reconstructed brachial artery pressure waveform (reBAP) by the Nexfin™ device. We assessed the adequacy of a prototype device (Nexfin-paediatric), designed for a paediatric population, for detecting rapid arterial pressure changes in children during cardiac surgery. Thirteen anaesthetized children with a median age of 11 months (2 months-7 yr) undergoing congenital cardiac surgery were included in the study. reBAP and intra-arterial pressure (IAP) were recorded simultaneously during the surgical procedure. To assess the accuracy of reBAP in tracking arterial pressure changes, the four largest IAP variations within a 5 min time interval were identified from each procedure. These variations were compared offline with reBAP during a 10 s control period before and a 10 s period after an arterial pressure change had occurred. In 10 out of 13 children, a non-invasive arterial pressure recording could be obtained. Therefore, recordings from these 10 children were eligible for further analysis, resulting in 40 data points. The correlation coefficient between reBAP and IAP in tracking mean arterial pressure (MAP) changes was 0.98. reBAP followed changes in IAP with a mean bias for systolic, diastolic arterial pressure, and MAP of 0.0 mm Hg (sd 5.8), 0.1 (sd 2.8), and 0.19 (sd 2.7), respectively. The prototype device closely follows arterial pressure changes in children. However, in a considerable number of attempts, obtaining a signal was time-consuming or unsuccessful. This technique seems promising but requires further technical development.

  3. National Trends in Surgery for Rotator Cuff Disease in Korea.

    Science.gov (United States)

    Jo, Young Hoon; Lee, Kwang Hyun; Kim, Sung Jae; Kim, Jaedong; Lee, Bong Gun

    2017-02-01

    The objective of this study was to investigate the national trends in rotator cuff surgery in Korea and analyze hospital type-specific trends. We analyzed a nationwide database acquired from the Korean Health Insurance Review and Assessment Service (HIRA) from 2007 to 2015. International Classification of Diseases, 10th revision (ICD-10) codes, procedure codes, and arthroscopic device code were used to identify patients who underwent surgical treatment for rotator cuff disease. A total of 383,719 cases of rotator cuff surgeries were performed from 2007 to 2015. The mean annual percentage change in the age-adjusted rate of rotator cuff surgery per population of 100,000 persons rapidly increased from 2007 to 2012 (53.3%, P rotator cuff surgeries steadily rose from 89.9% in 2007 to 96.8% in 2015 (P rotator cuff surgery increased to the greatest degree in hospitals with 30-100 inpatient beds, and isolated acromioplasty procedure accounted for a larger proportion of the rotator cuff surgeries in small hospitals and clinics compared to large hospitals. Overall, our findings indicate that cases of rotator cuff surgery have increased rapidly recently in Korea, of which arthroscopic surgeries account for the greatest proportion. While rotator cuff surgery is a popular procedure that is commonly performed even in small hospitals, there was a difference in the component ratio of the procedure code in accordance with hospital type.

  4. Assessment and treatment strategies for rotator cuff tears

    Science.gov (United States)

    Al-Hakim, Wisam; Noorani, Ali

    2014-01-01

    Tears of the rotator cuff are common and becoming an increasingly frequent problem. There is a vast amount of literature on the merits and limitations of the various methods of clinical and radiological assessment of rotator cuff tears. This is also the case with regard to treatment strategies. Certain popular beliefs and principles practiced widely and the basis upon which they are derived may be prone to inaccuracy. We provide an overview of the historical management of rotator cuff tears, as well as an explanation for how and why rotator cuff tears should be managed, and propose a structured methodology for their assessment and treatment. PMID:27582960

  5. Structural testing and analysis of a braided, inflatable fabric torus structure

    Science.gov (United States)

    Young, Andrew C.; Davids, William G.; Whitney, Daniel J.; Clapp, Joshua D.; Goupee, Andrew J.

    2017-10-01

    Inflatable structural members have military, disaster relief, aerospace and other important applications as they possess low mass, can be stored in a relatively small volume and have significant load-carrying capacity once pressurized. Of particular interest to the present research is the Hypersonic Inflatable Aerodynamic Decelerator (HIAD) structure under development by NASA. In order to make predictions about the structural response of the HIAD system, it is necessary to understand the response of individual inflatable tori composing the HIAD structure. These inflatable members present unique challenges to structural testing and modeling due to their internal inflation pressure and relative compliance. Structural testing was performed on a braided, inflatable, toroidal structural member with axial reinforcing cords. The internal inflation pressure, magnitude of enforced displacement and loading methodology were varied. In-plane and out-of-plane experimental results were compared to model predictions using a three dimensional, corotational, flexibility-based fiber-beam finite element model including geometric and material nonlinearities, as well as the effects of inflation pressure. It was found that in order to approximate the load-deformation response observed in experimentation it is necessary to carefully control the test and model boundary conditions and loading scheme.

  6. Glenohumeral interposition of rotator cuff stumps: a rare complication of traumatic rotator cuff tear*

    Science.gov (United States)

    Agnollitto, Paulo Moraes; Chu, Marcio Wen King; Lorenzato, Mario Muller; Zatiti, Salomão Chade Assan; Nogueira-Barbosa, Marcello Henrique

    2016-01-01

    The present report describes a case where typical findings of traumatic glenohumeral interposition of rotator cuff stumps were surgically confirmed. This condition is a rare complication of shoulder trauma. Generally, it occurs in high-energy trauma, frequently in association with glenohumeral joint dislocation. Radiography demonstrated increased joint space, internal rotation of the humerus and coracoid process fracture. In addition to the mentioned findings, magnetic resonance imaging showed massive rotator cuff tear with interposition of the supraspinatus, infraspinatus and subscapularis stumps within the glenohumeral joint. Surgical treatment was performed confirming the injury and the rotator cuff stumps interposition. It is important that radiologists and orthopedic surgeons become familiar with this entity which, because of its rarity, might be neglected in cases of shoulder trauma. PMID:26929462

  7. Glenohumeral interposition of rotator cuff stumps: a rare complication of traumatic rotator cuff tear

    Directory of Open Access Journals (Sweden)

    Paulo Moraes Agnollitto

    2016-02-01

    Full Text Available Abstract The present report describes a case where typical findings of traumatic glenohumeral interposition of rotator cuff stumps were surgically confirmed. This condition is a rare complication of shoulder trauma. Generally, it occurs in high-energy trauma, frequently in association with glenohumeral joint dislocation. Radiography demonstrated increased joint space, internal rotation of the humerus and coracoid process fracture. In addition to the mentioned findings, magnetic resonance imaging showed massive rotator cuff tear with interposition of the supraspinatus, infraspinatus and subscapularis stumps within the glenohumeral joint. Surgical treatment was performed confirming the injury and the rotator cuff stumps interposition. It is important that radiologists and orthopedic surgeons become familiar with this entity which, because of its rarity, might be neglected in cases of shoulder trauma.

  8. Holography of Little Inflation

    Directory of Open Access Journals (Sweden)

    Brett McInnes

    2015-05-01

    Full Text Available For several crucial microseconds of its early history, the Universe consisted of a Quark–Gluon Plasma. As it cooled during this era, it traced out a trajectory in the quark matter phase diagram. The form taken by this trajectory is not known with certainty, but is of great importance: it determines, for example, whether the cosmic plasma passed through a first-order phase change during the transition to the hadron era, as has recently been suggested by advocates of the “Little Inflation” model. Just before this transition, the plasma was strongly coupled and therefore can be studied by holographic techniques. We show that holography imposes a strong constraint (taking the form of a bound on the baryonic chemical potential relative to the temperature on the domain through which the cosmic plasma could pass as it cooled, with important consequences for Little Inflation. In fact, we find that holography applied to Little Inflation implies that the cosmic plasma must have passed quite close to the quark matter critical point, and might therefore have been affected by the associated fluctuation phenomena.

  9. Gauge Fields and Inflation

    CERN Document Server

    Maleknejad, A; Soda, J

    2012-01-01

    The isotropy and homogeneity of the cosmic microwave background (CMB) favors "scalar driven" early Universe inflationary models. Non-scalar fields, and in particular gauge fields, are on the other hand commonplace in all high energy particle physics models proposed to be at work at the upper bound on energy scale of inflation set by the current CMB observations. In this review we consider the role and consequences, theoretical and observational, that gauge fields can have during inflationary era. Gauge fields may be turned on in the background during inflation, or may become relevant at the level of cosmic perturbations. There have been two main class of models with gauge fields in the background, models which show violation of cosmic no-hair theorem and those which lead to isotropic FLRW cosmology, respecting the cosmic no-hair theorem. Models in which gauge fields are only turned on at the cosmic perturbation level, may source primordial magnetic fields. We also review specific observational features of the...

  10. Minimal Higgs inflation

    CERN Document Server

    Maity, Debaprasad

    2016-01-01

    In this paper we propose two simple minimal Higgs inflation scenarios through a simple modification of the Higgs potential, as opposed to the usual non-minimal Higgs-gravity coupling prescription. The modification is done in such a way that it creates a flat plateau for a huge range of field values at the inflationary energy scale $\\mu \\simeq (\\lambda)^{1/4} \\alpha$. Assuming the perturbative Higgs quartic coupling, $\\lambda \\simeq {\\cal O}(1)$, for both the models inflation energy scale turned out to be $\\mu \\simeq (10^{14}, 10^{15})$ GeV, and prediction of all the cosmologically relevant quantities, $(n_s,r,dn_s^k)$, fit extremely well with observations made by PLANCK. Considering observed central value of the scalar spectral index, $n_s= 0.968$, our two models predict efolding number, $N = (52,47)$. Within a wide range of viable parameter space, we found that the prediction of tensor to scalar ratio $r (\\leq 10^{-5})$ is far below the current experimental sensitivity to be observed in the near future. The ...

  11. Dissipative Axial Inflation

    CERN Document Server

    Notari, Alessio

    2016-01-01

    We analyze in detail the background cosmological evolution of a scalar field coupled to a massless abelian gauge field through an axial term $\\frac{\\phi}{f_\\gamma} F \\tilde{F}$, such as in the case of an axion. Gauge fields in this case are known to experience tachyonic growth and therefore can backreact on the background as an effective dissipation into radiation energy density $\\rho_R$, which which can lead to inflation without the need of a flat potential. We analyze the system, for momenta $k$ smaller than the cutoff $f_\\gamma$, including numerically the backreaction. We consider the evolution from a given static initial condition and explicitly show that, if $f_\\gamma$ is smaller than the field excursion $\\phi_0$ by about a factor of at least ${\\cal O} (20)$, there is a friction effect which turns on before that the field can fall down and which can then lead to a very long stage of inflation with a generic potential. In addition we find superimposed oscillations, which would get imprinted on any kind of...

  12. Holography of Little Inflation

    Energy Technology Data Exchange (ETDEWEB)

    McInnes, Brett, E-mail: matmcinn@nus.edu.sg

    2015-05-15

    For several crucial microseconds of its early history, the Universe consisted of a Quark–Gluon Plasma. As it cooled during this era, it traced out a trajectory in the quark matter phase diagram. The form taken by this trajectory is not known with certainty, but is of great importance: it determines, for example, whether the cosmic plasma passed through a first-order phase change during the transition to the hadron era, as has recently been suggested by advocates of the “Little Inflation” model. Just before this transition, the plasma was strongly coupled and therefore can be studied by holographic techniques. We show that holography imposes a strong constraint (taking the form of a bound on the baryonic chemical potential relative to the temperature) on the domain through which the cosmic plasma could pass as it cooled, with important consequences for Little Inflation. In fact, we find that holography applied to Little Inflation implies that the cosmic plasma must have passed quite close to the quark matter critical point, and might therefore have been affected by the associated fluctuation phenomena.

  13. Regional Inflation and Financial Dollarization

    NARCIS (Netherlands)

    Brown, M.; de Haas, R.; Sokolov, V.

    2013-01-01

    Abstract: We exploit variation in consumer price inflation across 71 Russian regions to examine the relationship between the perceived stability of the local currency and financial dollarization. Our results show that regions with higher inflation experience an increase in the dollarization of house

  14. A Methane Balloon Inflation Chamber

    Science.gov (United States)

    Czerwinski, Curtis J.; Cordes, Tanya J.; Franek, Joe

    2005-01-01

    The various equipments, procedure and hazards in constructing the device for inflating a methane balloon using a standard methane outlet in a laboratory are described. This device is fast, safe, inexpensive, and easy to use as compared to a hydrogen gas cylinder for inflating balloons.

  15. Forecasting Interest Rates and Inflation

    DEFF Research Database (Denmark)

    Chun, Albert Lee

    the best overall for short horizon forecasts of short to medium term yields and inflation. Econometric models with shrinkage perform the best over longer horizons and maturities. Aggregating over a larger set of analysts improves inflation surveys while generally degrading interest rates surveys. We...

  16. Regional Inflation and Financial Dollarization

    NARCIS (Netherlands)

    Brown, M.; de Haas, R.; Sokolov, V.

    2013-01-01

    Abstract: We exploit variation in consumer price inflation across 71 Russian regions to examine the relationship between the perceived stability of the local currency and financial dollarization. Our results show that regions with higher inflation experience an increase in the dollarization of

  17. Hypersonic Inflatable Aerodynamic Decelerator (HIAD) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Hypersonic Inflatable Aerodynamic Decelerator (HIAD) project will focus on the development and demonstration of hypersonic inflatable aeroshell technologies...

  18. Analysis of failed rotator cuff repair – Retrospective survey of revisions after open rotator cuff repair

    Directory of Open Access Journals (Sweden)

    Rupert Schupfner

    2017-07-01

    Full Text Available Background Rotator cuff defects are frequently occurring shoulder pathologies associated with pain and movement impairment. Aims The aim of the study was to analyse the pathologies that lead to operative revisions after primary open rotator cuff repair. Methods In 216 patients who underwent primary rotator cuff repair and later required operative revision between 1996 to 2005, pathologies found intraoperatively during the primary operation and during revision surgery were collected, analysed and compared. Results The average age at the time of revision surgery was 54.3 years. The right shoulder (61.6 per cent was more often affected than the left, males (63.4 per cent more often than females. At primary operation – apart from rotator cuff repair – there were the following surgical procedures performed: 190 acromioplasty, 86 Acromiclavicular joint resections, 68 tenodesis, 40 adhesiolysis and 1 tenotomy. If an ACJ-resection had been performed in the primary operation, ACJ-problems were rare in revision surgery (p<0.01. Primary gleno-humeral adhesions were associated with a significant rise in re-tearing rate (p=0.049. Primary absence of adhesions went along with a significant lower rate of adhesions found at revision (p=0.018. Primary performed acromioplasty had no influence on re-tearing rate (p=0.408 or on the rate of subacromial impingement at revision surgery (p=0.709. Conclusion To avoid operative revision after rotator cuff repair relevant copathologies of the shoulder have to be identified before or during operation and treated accordingly. Therefore, even during open rotator cuff repair, the surgeon should initially start with arthroscopy of the shoulder joint and subacromial space to recognise co-pathologies.

  19. Gravity Waves from Chain Inflation

    CERN Document Server

    Ashoorioon, Amjad

    2008-01-01

    Chain inflation proceeds through a series of first order phase transitions, which can release considerable gravitational waves (GW). We demonstrate that bubble collisions can leave an observable signature for future high-frequency probes of GWs, such as advanced LIGO, LISA and BBO. A "smoking gun" for chain inflation would be wiggles in the spectrum (and consequently in the tensor spectral index) due to the multiple phase transitions. The spectrum could also be distinguished from a single first order phase transition by a small difference in the amplitude at low frequency. A second origin of GWs in chain inflation are tensor modes from quantum fluctuations; these GW can dominate and be observed on large scales. The consistency relation between scalar and tensor modes is different for chain inflation than for standard rolling models and is testable by Cosmic Microwave Background experiments. If inflation happened through a series of rapid tunnelings in the string landscape, future high frequency probes of GW c...

  20. Inflation and Loop Quantum Cosmology

    CERN Document Server

    Barrau, Aurelien

    2010-01-01

    On the one hand, inflation is an extremely convincing scenario: it solves most cosmological paradoxes and generates fluctuations that became the seeds for the growth of structures. It, however, suffers from a "naturalness" problem: generating initial conditions for inflation is far from easy. On the other hand, loop quantum cosmology is very successful: it solves the Big Bang singularity through a non-perturbative and background-independent quantization of general relativity. It, however, suffers from a key drawback: it is extremely difficult to test. Recent results can let us hope that inflation and LQC could mutually cure those pathologies: LQC seems to naturally generate inflation and inflation could allow us to test LQC.

  1. Inflation Targeting, Between Rhetoric and Reality. The Case of Transition Economies

    Directory of Open Access Journals (Sweden)

    Laurian Lungu

    2007-06-01

    Full Text Available The paper examines the inflation targeting regime in the context of transition economies. Recent years have witnessed an increasing number of central banks in these countries moving towards the implementation of inflation targeting regimes. However, the success of such a regime depends largely on the degree to which certain general requirements are met. As experience in a number of transition economies has shown so far, targeting inflation is not an easy task. The ongoing restructuring process in these economies makes the inflation forecasting process more difficult and introduces an additional source of uncertainty in the system. By unequivocally choosing inflation as a nominal anchor the central banks could face potential dilemmas if, for example, exchange rate appreciated too much under the pressure of massive capital inflows. The paper presents the broad framework in which inflation targeting could operate efficiently and attempts to assess the extent to which such a regime, when applied to transition economies, could fit into this framework

  2. Inflating metastable quark-gluon plasma universe.

    Science.gov (United States)

    Jenkovszky, L.

    The cosmic evolution of our universe before and after the assumed confinement phase transition is studied within the homogeneous, isotropic and spatially flat model. The Friedmann equation, describing its evolution is appended by an equation of state (EOS) of the quark-gluon plasma. A specifically interesting feature of this EOS, derived both in the content of the quark model (and quantum chromodynamics) and the S-matrix formulation of statistical mechanics is the presence of a local minimum in the pressure vs. temperature dependence, that may be the origin of the exponential expansion of our universe, called inflation. The conditions necessary for the deep supercooling, accompanied by nucleation in a first-order phase transition, have been investigated. The nucleation rate (and consequently the probability of the deep supercooling indispensable for the inflation) are shown to depend essentially on the surface tension of the created bubbles. The possibility of a "nuclear inflation" - the analogue of the above scenario in heavy ion collisions - is also discussed.

  3. Symptomatic Progression of Asymptomatic Rotator Cuff Tears

    Science.gov (United States)

    Mall, Nathan A.; Kim, H. Mike; Keener, Jay D.; Steger-May, Karen; Teefey, Sharlene A.; Middleton, William D.; Stobbs, Georgia; Yamaguchi, Ken

    2010-01-01

    Background: The purposes of this study were to identify changes in tear dimensions, shoulder function, and glenohumeral kinematics when an asymptomatic rotator cuff tear becomes painful and to identify characteristics of individuals who develop pain compared with those who remain asymptomatic. Methods: A cohort of 195 subjects with an asymptomatic rotator cuff tear was prospectively monitored for pain development and examined annually for changes in various parameters such as tear size, fatty degeneration of the rotator cuff muscle, glenohumeral kinematics, and shoulder function. Forty-four subjects were found to have developed new pain, and the parameters before and after pain development were compared. The forty-four subjects were then compared with a group of fifty-five subjects who remained asymptomatic over a two-year period. Results: With pain development, the size of a full-thickness rotator cuff tear increased significantly, with 18% of the full-thickness tears showing an increase of >5 mm, and 40% of the partial-thickness tears had progressed to a full-thickness tear. In comparison with the assessments made before the onset of pain, the American Shoulder and Elbow Surgeons scores for shoulder function were significantly decreased and all measures of shoulder range of motion were decreased except for external rotation at 90° of abduction. There was an increase in compensatory scapulothoracic motion in relation to the glenohumeral motion during early shoulder abduction with pain development. No significant changes were found in external rotation strength or muscular fatty degeneration. Compared with the subjects who remained asymptomatic, the subjects who developed pain were found to have significantly larger tears at the time of initial enrollment. Conclusions: Pain development in shoulders with an asymptomatic rotator cuff tear is associated with an increase in tear size. Larger tears are more likely to develop pain in the short term than are smaller

  4. Static response of elastic inflated wrinkled membranes

    Science.gov (United States)

    Barsotti, Riccardo; Ligarò, Salvatore S.

    2014-05-01

    In this paper we present an effective numerical algorithm for determining the equilibrium shapes of inflated elastic membranes susceptible to wrinkling. The use of a two-state constitutive law and the introduction of a suitable criterion allow for accounting for wrinkling of the membrane, although in an approximated way. In the active state, the material is able to transmit only tensile stresses; vice versa, in the passive state it is stress-free and can contract freely. Equilibrium of the membrane in the current inflated configuration is enforced by recourse to the minimum total potential energy principle, whereas the Lagrange multipliers method is used to solve the minimum problem by accounting for the aforesaid nonlinear constitutive law. We use an expressly developed iterative-incremental numerical algorithm, consistent with the established governing set of equations, for accurately monitoring the evolution of the stress field in the membrane during the inflation process. Specifically, we suppose that the membrane reaches its final shape at the end of a four-stage loading process corresponding to the temporary enforcement and the subsequent removal of a fictitious antagonist plane traction acting uniformly along its entire boundary. By this way it is possible to solve with great accuracy the set of governing equilibrium equations by means of a numerical procedure in which the membrane's tangent stiffness is always kept different from zero. The soundness of the proposed algorithm is verified by comparing the results with well-known solutions available in the literature. In particular, for each specific value of pressure, the current configuration of the inflated membrane found by assuming that compressions are allowed is compared in details to the corresponding pseudo-deformed surface, obtained by assuming a tension-only response.

  5. Inflation from field theory and string theory perspectives. Matter inflation and slow-walking inflation

    Energy Technology Data Exchange (ETDEWEB)

    Halter, Sebastian

    2012-07-09

    This thesis is concerned with aspects of inflation both from a field theory and a string theory perspective. It aims at exploring new approaches to address the problem of moduli destabilization and the η-problem and to realize inflation in the matter sector. The first part is devoted to studying models of inflation in the framework of four-dimensional N=1 supergravity. We begin with investigating a new proposal to solve the problem of moduli destabilization, which seems to force us to choose between low-energy supersymmetry and high-scale inflation. This new approach is based on a particular way to couple the modulus to the F-term driving inflation. Using chaotic inflation with a shift symmetry as an example, we show that we can successfully combine low-energy supersymmetry and high-scale inflation. We construct a class of inflation models in N=1 supergravity where the inflaton resides in gauge non-singlet matter fields. These are extensions of a special class of hybrid inflation models, so-called tribrid inflation, where the η-problem can be solved by a Heisenberg symmetry. Compared to previously studied models, we have generalized our models with some inspiration from string theory. We investigate moduli stabilization during inflation and identify situations in which the inflaton slope is dominated by radiative corrections. We outline under which conditions this class of matter inflation models could be embedded into heterotic orbifold compactifications. In doing so, we suggest a new mechanism to stabilize some Kaehler moduli by F-terms for matter fields. In the second part, we consider models of warped D-brane inflation on a family of ten-dimensional supergravity backgrounds. We consider inflation along the radial direction near the tip of the warped throat and show that generically an inflection point arises for the inflaton potential, which is related to an inflection point of the dilaton profile. A universal scaling behaviour with the parameters of the

  6. Performing a Launch Depressurization Test on an Inflatable Space Habitat

    Science.gov (United States)

    Martin, Patrick J.; Van Velzer, Paul

    2014-01-01

    In July, 2014 JPL's Environmental Test Laboratory successfully performed a launch depressurization test on an inflatable space habitat proposed to be installed on the International Space Station. The inflatable habitat is to be launched in the SpaceX Dragon Trunk. During the launch, the unpressurized Dragon Trunk will rapidly change from ground level atmospheric pressure to the vacuum of space. Since the inflatable habitat is tightly folded during launch with multiple layers of bladder, Kevlar fabric sections, and micro-meteoroid shielding, it was not possible to analyze or simulate how the residual air pockets would behave during the launch. If the inflatable habitat does not vent adequately and expands, it could rupture the payload bay of the launch vehicle. A launch depressurization test was chosen as the best way to qualify the inflatable habitat. When stowed, the inflatable habitat measured approximately 241 cm (95 inches) in diameter by 152 cm (60 inches) high and weighed close to 1361 kg (3,000 pounds). Two vacuum chambers connected by a large vacuum line were used to perform this test. The inflatable habitat was mounted in the smaller chamber, which was 396 cm (13 feet) in diameter and 1128 cm (37 feet) high. The larger chamber, which was 823 cm (27 feet) in diameter and 2,591 cm (85 feet) high, was rough pumped and used as a vacuum reservoir. A two stage axial type compressor and ten Stokes vacuum pumps were also used during the depressurization. Opening a butterfly valve on the vacuum line, at the smaller chamber, was manually controlled so that the smaller chamber's depressurization rate matched the launch pressure profile.

  7. Remarks on Higgs Inflation

    CERN Document Server

    Atkins, Michael

    2010-01-01

    We discuss models where the Higgs boson of the electroweak standard model plays the role of the inflaton. We focus on the question of the violation of perturbative unitarity due to the coupling of the Higgs boson either to the Ricci scalar or to the Einstein tensor and discuss the background dependence of the unitarity bounds. Our conclusion is that the simplest model which restricts itself to the standard model Higgs boson without introducing further degrees of freedom has a serious problem. However, in the asymptotically safe gravity scenario, the Higgs boson of the standard model could be the inflaton and no physics beyond the standard model is required to explain both inflation and the spontaneous breaking of the electroweak symmetry of the standard model.

  8. Quantum quenches during inflation

    CERN Document Server

    Carrilho, Pedro

    2016-01-01

    We propose a new technique to study fast transitions during inflation, by studying the dynamics of quantum quenches in an $O(N)$ scalar field theory in de Sitter spacetime. We compute the time evolution of the system using a non-perturbative large-$N$ limit approach. We derive the self-consistent mass equation for several physically relevant transitions of the parameters of the theory, in a slow motion approximation. Our computations reveal that the effective mass after the quench evolves in the direction of recovering its value before the quench, but stopping at a different asymptotic value, in which the mass is strictly positive. Furthermore, we tentatively find situations in which the effective mass can be temporarily negative, thus breaking the $O(N)$ symmetry of the system for a certain time, only to then come back to a positive value, restoring the symmetry. We argue the relevance of our new method in a cosmological scenario.

  9. Rotator Cuff Disease and Injury--Evaluation and Management.

    Science.gov (United States)

    Williams, Randy

    This presentation considers the incidence, evaluation, and management of rotator cuff disease and injury. Pathogenesis, symptoms, physical findings, treatment (therapeutic and surgical), and prevention are discussed. It is noted that rotator cuff problems, common in athletes, are usually related to an error in training or lack of training. They…

  10. Vacuum Energy and Inflation: 4. An Inflationary Universe

    Science.gov (United States)

    Huggins, Elisha

    2013-01-01

    This is the fourth paper in a series of four. The first paper in the series, "Vacuum Energy and Inflation: 1. A Liter of Vacuum Energy" [EJ1024183] discusses an example of vacuum energy. Vacuum energy is explained as an energy with a negative pressure whose energy density remains constant in an expanding space. Paper 2, "Vacuum…

  11. Vacuum Energy and Inflation: 4. An Inflationary Universe

    Science.gov (United States)

    Huggins, Elisha

    2013-01-01

    This is the fourth paper in a series of four. The first paper in the series, "Vacuum Energy and Inflation: 1. A Liter of Vacuum Energy" [EJ1024183] discusses an example of vacuum energy. Vacuum energy is explained as an energy with a negative pressure whose energy density remains constant in an expanding space. Paper 2, "Vacuum…

  12. Vacuum Energy and Inflation: 3. Newtonian Cosmology & GR

    Science.gov (United States)

    Huggins, Elisha

    2013-01-01

    This is paper #3 in a series of four papers on "vacuum energy" and inflation. In paper #1 [see EJ1024183] we discussed an example of what we have been calling vacuum energy. It is an energy with negative pressure whose energy density remains constant in an expanding space. We showed that an energy density with these properties exists…

  13. Vacuum Energy and Inflation: 3. Newtonian Cosmology & GR

    Science.gov (United States)

    Huggins, Elisha

    2013-01-01

    This is paper #3 in a series of four papers on "vacuum energy" and inflation. In paper #1 [see EJ1024183] we discussed an example of what we have been calling vacuum energy. It is an energy with negative pressure whose energy density remains constant in an expanding space. We showed that an energy density with these properties exists…

  14. Flavored axion-monodromy inflation

    Science.gov (United States)

    Ramos, Raymundo

    2016-10-01

    In this talk we consider the breaking of a flavor-symmetric potential as the origin of the pseudo-Goldstone bosons responsible for inflation. The breaking of flavor symmetry generates the fermion mass hierarchy while the breaking of accidental symmetries leads to pseudo-Goldstone bosons with an axion-monodromy potential appropriate for inflation. We deal with models where the inflaton is a linear combination of two fields. We will show that the mechanism by which inflation ends depends on the choice of parameters.

  15. Accidental Inflation in String Theory

    CERN Document Server

    Linde, Andrei

    2007-01-01

    We show that inflation in type IIB string theory driven by the volume modulus can be realized in the context of the racetrack-based Kallosh-Linde model (KL) of moduli stabilization. Inflation here arises through the volume modulus slow-rolling down from a flat hill-top or inflection point of the scalar potential. This situation can be quite generic in the landscape, where by uplifting one of the two adjacent minima one can turn the barrier either to a flat saddle point or to an inflection point supporting eternal inflation. The resulting spectral index is tunable in the range of 0.93 - phi or not.

  16. Anisotropic Inflation with General Potentials

    CERN Document Server

    Shi, Jiaming; Qiu, Taotao

    2015-01-01

    Anomalies in recent observational data indicate that there might be some "anisotropic hair" generated in an inflation period. To obtain general information about the effects of this anisotropic hair to inflation models, we studied anisotropic inflation models that involve one vector and one scalar using several types of potentials. We determined the general relationship between the degree of anisotropy and the fraction of the vector and scalar fields, and concluded that the anisotropies behave independently of the potentials. We also generalized our study to the case of multi-directional anisotropies.

  17. High-resolution MR imaging of the normal rotator cuff.

    Science.gov (United States)

    Middleton, W D; Kneeland, J B; Carrera, G F; Cates, J D; Kellman, G M; Campagna, N G; Jesmanowicz, A; Froncisz, W; Hyde, J S

    1987-03-01

    The shoulders of six normal volunteers were imaged with high-resolution MR in the axial, sagittal, and coronal planes. An angled pair of counter-rotating current loop-gap resonators designed specifically for the shoulder was used as a local coil. All images were compared with corresponding cryomicrotome sections from cadaver shoulders. The rotator cuff was analyzed in detail. It appeared as a complex, heterogeneous band to tissue superficial to the humeral head. The areas of low signal intensity corresponded to the central tendons of the four rotator cuff muscles. These tendons could be distinguished from each other as well as from the intervening components of the cuff, which have a moderate intensity. We concluded that MR is capable of imaging the normal rotator cuff and of separating the various components. This may allow for improved precision in the diagnosis of rotator cuff disorders.

  18. Observing the inflation potential. [in models of cosmological inflation

    Science.gov (United States)

    Copeland, Edmund J.; Kolb, Edward W.; Liddle, Andrew R.; Lidsey, James E.

    1993-01-01

    We show how observations of the density perturbation (scalar) spectrum and the gravitational wave (tensor) spectrum allow a reconstruction of the potential responsible for cosmological inflation. A complete functional reconstruction or a perturbative approximation about a single scale are possible; the suitability of each approach depends on the data available. Consistency equations between the scalar and tensor spectra are derived, which provide a powerful signal of inflation.

  19. Rotator cuff repair using cell sheets derived from human rotator cuff in a rat model.

    Science.gov (United States)

    Harada, Yoshifumi; Mifune, Yutaka; Inui, Atsuyuki; Sakata, Ryosuke; Muto, Tomoyuki; Takase, Fumiaki; Ueda, Yasuhiro; Kataoka, Takeshi; Kokubu, Takeshi; Kuroda, Ryosuke; Kurosaka, Masahiro

    2017-02-01

    To achieve biological regeneration of tendon-bone junctions, cell sheets of human rotator-cuff derived cells were used in a rat rotator cuff injury model. Human rotator-cuff derived cells were isolated, and cell sheets were made using temperature-responsive culture plates. Infraspinatus tendons in immunodeficient rats were resected bilaterally at the enthesis. In right shoulders, infraspinatus tendons were repaired by the transosseous method and covered with the cell sheet (sheet group), whereas the left infraspinatus tendons were repaired in the same way without the cell sheet (control group). Histological examinations (safranin-O and fast green staining, isolectin B4, type II collagen, and human-specific CD31) and mRNA expression (vascular endothelial growth factor; VEGF, type II collagen; Col2, and tenomodulin; TeM) were analyzed 4 weeks after surgery. Biomechanical tests were performed at 8 weeks. In the sheet group, proteoglycan at the enthesis with more type II collagen and isolectin B4 positive cells were seen compared with in the control group. Human specific CD31-positive cells were detected only in the sheet group. VEGF and Col2 gene expressions were higher and TeM gene expression was lower in the sheet group than in the control group. In mechanical testing, the sheet group showed a significantly higher ultimate failure load than the control group at 8 weeks. Our results indicated that the rotator-cuff derived cell sheet could promote cartilage regeneration and angiogenesis at the enthesis, with superior mechanical strength compared with the control. Treatment for rotator cuff injury using cell sheets could be a promising strategy for enthesis of tendon tissue engineering. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:289-296, 2017. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.

  20. The Rotator Cuff Organ: Integrating Developmental Biology, Tissue Engineering, and Surgical Considerations to Treat Chronic Massive Rotator Cuff Tears.

    Science.gov (United States)

    Rothrauff, Benjamin B; Pauyo, Thierry; Debski, Richard E; Rodosky, Mark W; Tuan, Rocky S; Musahl, Volker

    2017-08-01

    The torn rotator cuff remains a persistent orthopedic challenge, with poor outcomes disproportionately associated with chronic, massive tears. Degenerative changes in the tissues that comprise the rotator cuff organ, including muscle, tendon, and bone, contribute to the poor healing capacity of chronic tears, resulting in poor function and an increased risk for repair failure. Tissue engineering strategies to augment rotator cuff repair have been developed in an effort to improve rotator cuff healing and have focused on three principal aims: (1) immediate mechanical augmentation of the surgical repair, (2) restoration of muscle quality and contractility, and (3) regeneration of native enthesis structure. Work in these areas will be reviewed in sequence, highlighting the relevant pathophysiology, developmental biology, and biomechanics, which must be considered when designing therapeutic applications. While the independent use of these strategies has shown promise, synergistic benefits may emerge from their combined application given the interdependence of the tissues that constitute the rotator cuff organ. Furthermore, controlled mobilization of augmented rotator cuff repairs during postoperative rehabilitation may provide mechanotransductive cues capable of guiding tissue regeneration and restoration of rotator cuff function. Present challenges and future possibilities will be identified, which if realized, may provide solutions to the vexing condition of chronic massive rotator cuff tears.

  1. Medialized repair for retracted rotator cuff tears.

    Science.gov (United States)

    Kim, Young-Kyu; Jung, Kyu-Hak; Won, Jun-Sung; Cho, Seung-Hyun

    2017-08-01

    The purpose of this study was to evaluate the functional outcomes of medialized rotator cuff repair and the continuity of repaired tendon in chronic retracted rotator cuff tears. Thirty-five consecutive patients were selected from 153 cases that underwent arthroscopic rotator cuff repair for more than medium-sized posterosuperior rotator cuff tears between July 2009 and July 2012 performed with the medialized repair. All cases were available for at least 2 years of postoperative follow-up. The visual analog scale of pain, muscle strength, Constant score, American Shoulder and Elbow Surgeons (ASES) score, and University of California-Los Angeles score were evaluated. At the final follow-up, all clinical outcomes were significantly improved. The visual analog scale score for pain improved from 6 ± 1 preoperatively to 2 ± 1 postoperatively. The range of motion increased from preoperatively to postoperatively: active forward elevation, from 134° ± 49° to 150° ± 16°; active external rotation at the side, from 47° ± 15° to 55° ± 10°; and active internal rotation, from L3 to L1. The shoulder score also improved: Constant score, from 53.5 ± 16.7 to 79 ± 10; American Shoulder and Elbow Surgeons score, from 51 ± 15 to 82 ± 8; and University of California-Los Angeles score, from 14 ± 4 to 28 ± 4. The retear cases at the final follow-up were 6 (17%). Medialized repair may be useful in cases in which anatomic bone-to-tendon repair would be difficult because of the excessive tension of the repaired tendon and a torn tendon that does not reach the anatomic insertion. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  2. Coherent phase argument for inflation

    Energy Technology Data Exchange (ETDEWEB)

    Scott Dodelson

    2004-03-17

    Cosmologists have developed a phenomenally successful picture of structure in the universe based on the idea that the universe expanded exponentially in its earliest moments. There are three pieces of evidence for this exponential expansion--inflation--from observations of anisotropies in the cosmic microwave background. First, the shape of the primordial spectrum is very similar to that predicted by generic inflation models. Second, the angular scale at which the first acoustic peak appears is consistent with the flat universe predicted by inflation. Here the author describes the third piece of evidence, perhaps the most convincing of all: the phase coherence needed to account for the clear peak/trough structure observed by the WMAP satellite and its predecessors. The author also discusses alternatives to inflation that have been proposed recently and explain how they produce coherent phases.

  3. Linear inflation from quartic potential

    Science.gov (United States)

    Kannike, Kristjan; Racioppi, Antonio; Raidal, Martti

    2016-01-01

    We show that if the inflaton has a non-minimal coupling to gravity and the Planck scale is dynamically generated, the results of Coleman-Weinberg inflation are confined in between two attractor solutions: quadratic inflation, which is ruled out by the recent measurements, and linear inflation which, instead, is in the experimental allowed region. The minimal scenario has only one free parameter — the inflaton's non-minimal coupling to gravity — that determines all physical parameters such as the tensor-to-scalar ratio and the reheating temperature of the Universe. Should the more precise future measurements of inflationary parameters point towards linear inflation, further interest in scale-invariant scenarios would be motivated.

  4. Scalar-tensor linear inflation

    CERN Document Server

    Artymowski, Michal

    2016-01-01

    We investigate two approaches to non minimally coupled gravity theories which present linear inflation as attractor solution: a) the scalar-tensor theory approach, where we look for a scalar-tensor theory that would restore results of linear inflation in the strong coupling limit for any form of the non-minimal coupling to gravity of the form of $f(\\varphi)R/2$; b) the particle physics approach, where we motivate the form of the Jordan frame potential by the loop corrections to the inflaton field. In both cases the Jordan frame potentials are modifications of the induced inflation, but instead of the Starobinsky attractor they lead to the linear inflation in the strong coupling limit.

  5. April Showers Bring Inflation Flowers

    Institute of Scientific and Technical Information of China (English)

    HU YUE

    2010-01-01

    @@ Nearly two years after the devastating financial crisis,China's green shoots of economic recovery are in full bloom.But economists still worry about inflation,as prices across the board remain unstable.

  6. Higgs Inflation as a Mirage

    CERN Document Server

    Barbon, J L F; Elias-Miro, J; Espinosa, J R

    2015-01-01

    We discuss a simple unitarization of Higgs inflation that is genuinely weakly coupled up to Planckian energies. A large non-minimal coupling between the Higgs and the Ricci curvature is induced dynamically at intermediate energies, as a simple ratio of mass scales. Despite not being dominated by the Higgs field, inflationary dynamics simulates the `Higgs inflation' one would get by blind extrapolation of the low-energy effective Lagrangian, at least qualitatively. Hence, Higgs inflation arises as an approximate `mirage' picture of the true dynamics. We further speculate on the generality of this phenomenon and show that, if Higgs-inflation arises as an effective description, the details of the UV completion are necessary to extract robust quantitative predictions.

  7. Accidental inflation in the landscape

    Energy Technology Data Exchange (ETDEWEB)

    Blanco-Pillado, Jose J.; Metallinos, Konstantinos [Institute of Cosmology, Department of Physics and Astronomy, Tufts University, Medford, MA (United States); Gomez-Reino, Marta, E-mail: jose@cosmos.phy.tufts.edu, E-mail: marta.gomez-reino.perez@cern.ch, E-mail: Konstantinos.Metallinos@tufts.edu [Department of Physics, University of Oviedo, Oviedo (Spain)

    2013-02-01

    We study some aspects of fine tuning in inflationary scenarios within string theory flux compactifications and, in particular, in models of accidental inflation. We investigate the possibility that the apparent fine-tuning of the low energy parameters of the theory needed to have inflation can be generically obtained by scanning the values of the fluxes over the landscape. Furthermore, we find that the existence of a landscape of eternal inflation in this model provides us with a natural theory of initial conditions for the inflationary period in our vacuum. We demonstrate how these two effects work in a small corner of the landscape associated with the complex structure of the Calabi-Yau manifold P{sup 4}{sub [1,1,1,6,9]} by numerically investigating the flux vacua of a reduced moduli space. This allows us to obtain the distribution of observable parameters for inflation in this mini-landscape directly from the fluxes.

  8. Accidental Inflation in the Landscape

    CERN Document Server

    Blanco-Pillado, Jose J; Metallinos, Konstantinos

    2012-01-01

    We study some aspects of fine tuning in inflationary scenarios within string theory flux compactifications and, in particular, in models of accidental inflation. We investigate the possibility that the apparent fine-tuning of the low energy parameters of the theory needed to have inflation can be generically obtained by scanning the values of the fluxes over the landscape. Furthermore, we find that the existence of a landscape of eternal inflation in this model provides us with a natural theory of initial conditions for the inflationary period in our vacuum. We demonstrate how these two effects work in a small corner of the landscape associated with the complex structure of the Calabi-Yau manifold P^4_[1,1,1,6,9] by numerically investigating the flux vacua of a reduced moduli space. This allows us to obtain the distribution of observable parameters for inflation in this mini-landscape directly from the fluxes.

  9. Advances in Inflation in String Theory

    CERN Document Server

    Baumann, Daniel

    2009-01-01

    We provide a pedagogical overview of inflation in string theory. Our theme is the sensitivity of inflation to Planck-scale physics, which we argue provides both the primary motivation and the central theoretical challenge for the subject. We illustrate these issues through two case studies of inflationary scenarios in string theory: warped D-brane inflation and axion monodromy inflation. Finally, we indicate how future observations can test scenarios of inflation in string theory.

  10. Inflation of polymer melts into elliptic and circular cylinders

    DEFF Research Database (Denmark)

    Rasmussen, Henrik Koblitz; Christensen, Jens Horslund; Gøttsche, Søren

    2000-01-01

    of the inflating membrane is detected by fibreoptic sensors positioned in the cylinder. The pressure difference across the inflating membrane is measured as well. Measurements were performed on a polyisobutylene melt. As the deformation in this device is highly non-uniform, the response of the material is modelled...... by a finite element method (the 3D Lagrangian integral method). Here, the non-linear properties are modelled with a constitutive equation of the Factorised K-BKZ type, using a potential function F(u')), where u') represents the potential function from the Doi-Edwards reptation theory. The linear viscoelastic...

  11. Dissipative axial inflation

    Science.gov (United States)

    Notari, Alessio; Tywoniuk, Konrad

    2016-12-01

    We analyze in detail the background cosmological evolution of a scalar field coupled to a massless abelian gauge field through an axial term phi/fγ F ~F, such as in the case of an axion. Gauge fields in this case are known to experience tachyonic growth and therefore can backreact on the background as an effective dissipation into radiation energy density ρR, which can lead to inflation without the need of a flat potential. We analyze the system, for momenta k smaller than the cutoff fγ, including the backreaction numerically. We consider the evolution from a given static initial condition and explicitly show that, if fγ is smaller than the field excursion phi0 by about a factor of at least Script O (20), there is a friction effect which turns on before the field can fall down and which can then lead to a very long stage of inflation with a generic potential. In addition we find superimposed oscillations, which would get imprinted on any kind of perturbations, scalars and tensors. Such oscillations have a period of 4-5 efolds and an amplitude which is typically less than a few percent and decreases linearly with fγ. We also stress that the curvature perturbation on uniform density slices should be sensitive to slow-roll parameters related to ρR rather than dot phi2/2 and we discuss the existence of friction terms acting on the perturbations, although we postpone a calculation of the power spectrum and of non-gaussianity to future work and we simply define and compute suitable slow roll parameters. Finally we stress that this scenario may be realized in the axion case, if the coupling 1/fγ to U(1) (photons) is much larger than the coupling 1/fG to non-abelian gauge fields (gluons), since the latter sets the range of the potential and therefore the maximal allowed phi0~ fG.

  12. Dark energy from gravitoelectromagnetic inflation?

    CERN Document Server

    Membiela, Federico Agustin

    2008-01-01

    Gravitoectromagnetic Inflation (GI) was introduced to describe in an unified manner, electromagnetic, gravitatory and inflaton fields from a 5D vacuum state. On the other hand, the primordial origin and evolution of dark energy is today unknown. In this letter we show using GI that the zero modes of some redefined vector fields $B_i=A_i/a$ produced during inflation, could be the source of dark energy in the universe.

  13. Theoretical aspects of inflation targeting

    Directory of Open Access Journals (Sweden)

    Obradović Jelena

    2014-01-01

    Full Text Available Inflation targeting is one of the possible strategies used by central banks during conducting monetary policy. The basic characteristics, advantages and disadvantages of inflation targeting will be presented in this paper. The focus is on the the presentation and interpretation of the understanding of this strategy from the perspective of monetarist and Keynesian theory, the theory of rational expectations, and methodological analysis of the strategy in light of the game theory using payoff matrix.

  14. Inflation, Growth and Policy Coordination

    OpenAIRE

    Renato E. Reside Jr.; Parantap Basu

    1996-01-01

    The effect of monetary policy on output growth and inflation is examined in a monetary endogenous growth model with an explicit banking sector that intermediates capital. Monetary policy is coordinated with fiscal policy in the sense that all the seigniorage revenue gleaned through the inflation tax is spent to make efficient provision of public services. With the reserve requirement and money growth as instruments, policy coordination implies that one instrument may be solved endogenously wh...

  15. Inflation and the cosmological constant

    Directory of Open Access Journals (Sweden)

    FENG Chaojun

    2014-08-01

    Full Text Available By assuming the cosmological “constant” is no longer a constant during the inflation epoch,it is found that the cosmological constant fine-tuning problem is solved.In the meanwhile,inflation models could predict a large tensor-to-scalar ratio,correct power spectral index and a larger running of it.Furthermore,the e-folding number is large enough to overcome the horizon,flatness problems in the Big Bang cosmology.

  16. Complex hybrid inflation and baryogenesis.

    Science.gov (United States)

    Delepine, David; Martínez, Carlos; Ureña-López, L Arturo

    2007-04-20

    We propose a hybrid inflation model with a complex waterfall field which contains an interaction term that breaks the U(1) global symmetry associated with the waterfall field charge. We show that the asymmetric evolution of the real and imaginary parts of the complex field during the phase transition at the end of inflation translates into a charge asymmetry. The latter strongly depends on the vacuum expectation value of the waterfall field, which is well constrained by diverse cosmological observations.

  17. Accidental inflation from Kaehler uplifting

    Energy Technology Data Exchange (ETDEWEB)

    Ben-Dayan, Ido; Westphal, Alexander; Wieck, Clemens [Deutsches Elektronen-Synchrotron DESY, Hamburg (Germany). Theory Group; Jing, Shenglin [Toronto Univ., ON (Canada). Canadian Inst. for Theoretical Astrophysics; Toronto Univ., ON (Canada). Dept. of Astronomy and Astrophysics

    2013-09-15

    We analyze the possibility of realizing inflation with a subsequent dS vacuum in the Kaehler uplifting scenario. The inclusion of several quantum corrections to the 4d effective action evades previous no-go theorems and allows for construction of simple and successful models of string inflation. The predictions of several benchmark models are in accord with current observations, i.e., a red spectral index, negligible non-gaussianity, and spectral distortions similar to the simplest models of inflation. A particularly interesting subclass of models are ''left-rolling'' ones, where the overall volume of the compactified dimensions shrinks during inflation. We call this phenomenon ''inflation by deflation'' (IBD), where deflation refers to the internal manifold. This subclass has the appealing features of being insensitive to initial conditions, avoiding the overshooting problem, and allowing for observable running {alpha}<{proportional_to}0.012 and enhanced tensor-to-scalar ratio r{proportional_to}10{sup -5}. The latter results differ significantly from many string inflation models.

  18. Inflated Grades, Enrollments & Budgets

    Directory of Open Access Journals (Sweden)

    J. E. Stone

    1995-06-01

    Full Text Available Reports of the past 13 years that call attention to deficient academic standards in American higher education are enumerated. Particular attention is given the Wingspread Group's recent An American Imperative: Higher Expectations for Higher Education. Low academic standards, grade inflation, and budgetary incentives for increased enrollment are analyzed and a call is made for research at the state level. Reported trends in achievement and GPAs are extrapolated to Tennessee and combined with local data to support the inference that 15% of the state's present day college graduates would not have earned a diploma by mid 1960s standards. A conspicuous lack of interest by public oversight bodies is noted despite a growing public awareness of low academic expectations and lenient grading and an implicit budgetary impact of over $100 million. Various academic policies and the dynamics of bureaucratic control are discussed in relationship to the maintenance of academic standards. The disincentives for challenging course requirements and responsible grading are examined, and the growing movement to address academic quality issues through better training and supervision of faculty are critiqued. Recommendations that would encourage renewed academic integrity and make learning outcomes visible to students, parents, employers, and the taxpaying public are offered and briefly discussed.

  19. Inflation in Flatland

    Science.gov (United States)

    Hinterbichler, Kurt; Joyce, Austin; Khoury, Justin

    2017-01-01

    We investigate the symmetry structure of inflation in 2+1 dimensions. In particular, we show that the asymptotic symmetries of three-dimensional de Sitter space are in one-to-one correspondence with cosmological adiabatic modes for the curvature perturbation. In 2+1 dimensions, the asymptotic symmetry algebra is infinite-dimensional, given by two copies of the Virasoro algebra, and can be traced to the conformal symmetries of the two-dimensional spatial slices of de Sitter. We study the consequences of this infinite-dimensional symmetry for inflationary correlation functions, finding new soft theorems that hold only in 2+1 dimensions. Expanding the correlation functions as a power series in the soft momentum q, these relations constrain the traceless part of the tensorial coefficient at each order in q in terms of a lower-point function. As a check, we verify that the Script O(q2) identity is satisfied by inflationary correlation functions in the limit of small sound speed.

  20. Inflation in Flatland

    CERN Document Server

    Hinterbichler, Kurt; Khoury, Justin

    2016-01-01

    We investigate the symmetry structure of inflation in 2+1 dimensions. In particular, we show that the asymptotic symmetries of three-dimensional de Sitter space are in one-to-one correspondence with cosmological adiabatic modes for the curvature perturbation. In 2+1 dimensions, the asymptotic symmetry algebra is infinite-dimensional, given by two copies of the Virasoro algebra, and can be traced to the conformal symmetries of the two-dimensional spatial slices of de Sitter. We study the consequences of this infinite-dimensional symmetry for inflationary correlation functions, finding new soft theorems that hold only in 2+1 dimensions. Expanding the correlation functions as a power series in the soft momentum $q$, these relations constrain the traceless part of the tensorial coefficient at each order in $q$ in terms of a lower-point function. As a check, we verify that the ${\\cal O}(q^2)$ identity is satisfied by inflationary correlation functions in the limit of small sound speed.

  1. Generalized G-inflation: Inflation with the most general second-order field equations

    CERN Document Server

    Kobayashi, Tsutomu; Yokoyama, Jun'ichi

    2011-01-01

    We study generalized Galileons as a framework to develop the most general single-field inflation models ever, Generalized G-inflation, containing yet further generalization of G-inflation, as well as previous examples such as k-inflation, extended inflation, and new Higgs inflation as special cases. We investigate the background and perturbation evolution in this model, calculating the most general quadratic actions for tensor and scalar cosmological perturbations to give the stability criteria and the power spectra of primordial fluctuations.

  2. Rotator cuff rehabilitation: current theories and practice.

    Science.gov (United States)

    Osborne, Jeffrey D; Gowda, Ashok L; Wiater, Brett; Wiater, J Michael

    2016-01-01

    A fully functioning, painless shoulder joint is essential to maintain a healthy, normal quality of life. Disease of the rotator cuff tendons (RCTs) is a common issue that affects the population, increasing with age, and can lead to significant disability and social and health costs. RCT injuries can affect younger, healthy patients and the elderly alike, and may be the result of trauma or occur as a result of chronic degeneration. They can be acutely painful, limited to certain activities or completely asymptomatic and incidental findings. A wide variety of treatment options exists ranging from conservative local and systemic pain modalities, to surgical fixation. Regardless of management ultimately chosen, physiotherapy of the RCT, rotator cuff muscles and surrounding shoulder girdle plays an essential role in proper treatment. Length of treatment, types of therapy and timing may vary if therapy is definitive care or part of a postoperative protocol. Allowing time for adequate RCT healing must always be considered when implementing ROM and strengthening after surgery. With current rehabilitation methods, patients with all spectrums of RCT pathology can improve their function, pain and quality of life. This manuscript reviews current theories and practice involving rehabilitation for RCT injuries.

  3. Volumetric evaluation of the rotator cuff musculature in massive rotator cuff tears with pseudoparalysis.

    Science.gov (United States)

    Rhee, Yong Girl; Cho, Nam Su; Song, Jong Hoon; Park, Jung Gwan; Kim, Tae Yong

    2017-09-01

    If the balance of the rotator cuff force couple is disrupted, pseudoparalysis may occur, but the exact mechanism remains unknown. This study investigated the effect of rotator cuff force couple disruption on active range of motion in massive rotator cuff tear (mRCT) by rotator cuff muscle volume analysis. The study included 53 patients with irreparable mRCT: 22 in the nonpseudoparalysis group and 31 in the pseudoparalysis group. The volumes of the subscapularis (SBS), infraspinatus (ISP), and teres minor (TM) muscles were measured using magnetic resonance imaging (MRI), and the ratios of each muscle volume to the anatomic external rotator (aER) volume were calculated. A control group of 25 individuals with normal rotator cuffs was included. Anterior-to-posterior cuff muscle volume ratio (SBS/ISP + TM) was imbalanced in both mRCT groups (1.383 nonpseudoparalysis and 1.302 pseudoparalysis). Between the 2 groups, the ISP/aER ratio (0.277 vs. 0.249) and the inferior SBS/aER ratio (0.426 vs. 0.390) were significantly decreased in the pseudoparalysis group (P= .022 and P= .040, respectively). However, neither the TM/aER ratio (0.357 vs. 0.376) nor the superior SBS/aER ratio (0.452 vs. 0.424) showed a significant difference between the two groups (P= .749 and P= .068, respectively). If the inferior SBS was torn, a high frequency of pseudoparalysis was noted (81.0%, P= .010). The disruption of transverse force couple was noted in both irreparable mRCT groups, although no significant difference was found between the nonpseudoparalysis and pseudoparalysis groups. ISP and inferior SBS muscle volumes showed a significant decrease in pseudoparalysis group and, therefore, were considered to greatly influence the loss of active motion in mRCT. The TM did not exert significant effect on the incidence of pseudoparalysis. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  4. Effect of antigravity suit inflation on cardiovascular, PRA, and PVP responses in humans.

    Science.gov (United States)

    Kravik, S E; Keil, L C; Geelen, G; Wade, C E; Barnes, P R; Spaul, W A; Elder, C A; Greenleaf, J E

    1986-08-01

    Blood pressure, pulse rate (PR), serum osmolality and electrolytes, as well as plasma vasopressin (PVP) and plasma renin activity (PRA), were measured in five men and two women [mean age 38.6 +/- 3.9 (SE) yr] before, during, and after inflation of an antigravity suit that covered the legs and abdomen. After 24 h of fluid deprivation the subjects stood quietly for 3 h: the 1st h without inflation, the 2nd with inflation to 60 Torr, and the 3rd without inflation. A similar control noninflation experiment was conducted 10 mo after the inflation experiment using five of the seven subjects except that the suit was not inflated during the 3-h period. Mean arterial pressure increased by 14 +/- 4 (SE) Torr (P less than 0.05) with inflation and decreased by 15 +/- 5 Torr (P less than 0.05) after deflation. Pulse pressure (PP) increased by 7 +/- 2 Torr (P less than 0.05) with inflation and PR decreased by 11 +/- 5 beats/min (P less than 0.05); PP and PR returned to preinflation levels after deflation. Plasma volume decreased by 6.1 +/- 1.5% and 5.3 +/- 1.6% (P less than 0.05) during hours 1 and 3, respectively, and returned to base line during inflation. Inflation decreased PVP from 6.8 +/- 1.1 to 5.6 +/- 1.4 pg/ml (P less than 0.05) and abolished the significant rise in PRA during hour 1. Both PVP and PRA increased significantly after deflation: delta = 18.0 +/- 5.1 pg/ml and 4.34 +/- 1.71 ng angiotensin I X ml-1 X h-1, respectively. Serum osmolality and Na+ and K+ concentrations were unchanged during the 3 h of standing.(ABSTRACT TRUNCATED AT 250 WORDS)

  5. Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both?

    Science.gov (United States)

    Seitz, Amee L; McClure, Philip W; Finucane, Sheryl; Boardman, N Douglas; Michener, Lori A

    2011-01-01

    The etiology of rotator cuff tendinopathy is multi-factorial, and has been attributed to both extrinsic and intrinsic mechanisms. Extrinsic factors that encroach upon the subacromial space and contribute to bursal side compression of the rotator cuff tendons include anatomical variants of the acromion, alterations in scapular or humeral kinematics, postural abnormalities, rotator cuff and scapular muscle performance deficits, and decreased extensibility of pectoralis minor or posterior shoulder. A unique extrinsic mechanism, internal impingement, is attributed to compression of the posterior articular surface of the tendons between the humeral head and glenoid and is not related to subacromial space narrowing. Intrinsic factors that contribute to rotator cuff tendon degradation with tensile/shear overload include alterations in biology, mechanical properties, morphology, and vascularity. The varied nature of these mechanisms indicates that rotator cuff tendinopathy is not a homogenous entity, and thus may require different treatment interventions. Treatment aimed at addressing mechanistic factors appears to be beneficial for patients with rotator cuff tendinopathy, however, not for all patients. Classification of rotator cuff tendinopathy into subgroups based on underlying mechanism may improve treatment outcomes.

  6. Magnitude of Interfractional Vaginal Cuff Movement: Implications for External Irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Ma, Daniel J. [Department of Radiation Oncology, Washington University School of Medicine, St. Louis, MO (United States); Michaletz-Lorenz, Martha [Department of Education and Training, Elekta, Maryland Heights, MO (United States); Goddu, S. Murty [Department of Radiation Oncology, Washington University School of Medicine, St. Louis, MO (United States); Grigsby, Perry W., E-mail: pgrigsby@wustl.edu [Department of Radiation Oncology, Washington University School of Medicine, St. Louis, MO (United States); Division of Nuclear Medicine, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO (United States); Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO (United States)

    2012-03-15

    Purpose: To quantify the extent of interfractional vaginal cuff movement in patients receiving postoperative irradiation for cervical or endometrial cancer in the absence of bowel/bladder instruction. Methods and Materials: Eleven consecutive patients with cervical or endometrial cancer underwent placement of three gold seed fiducial markers in the vaginal cuff apex as part of standard of care before simulation. Patients subsequently underwent external irradiation and brachytherapy treatment based on institutional guidelines. Daily megavoltage CT imaging was performed during each external radiation treatment fraction. The daily positions of the vaginal apex fiducial markers were subsequently compared with the original position of the fiducial markers on the simulation CT. Composite dose-volume histograms were also created by summing daily target positions. Results: The average ({+-} standard deviation) vaginal cuff movement throughout daily pelvic external radiotherapy when referenced to the simulation position was 16.2 {+-} 8.3 mm. The maximum vaginal cuff movement for any patient during treatment was 34.5 mm. In the axial plane the mean vaginal cuff movement was 12.9 {+-} 6.7 mm. The maximum vaginal cuff axial movement was 30.7 mm. In the craniocaudal axis the mean movement was 10.3 {+-} 7.6 mm, with a maximum movement of 27.0 mm. Probability of cuff excursion outside of the clinical target volume steadily dropped as margin size increased (53%, 26%, 4.2%, and 1.4% for 1.0, 1.5, 2.0, and 2.5 cm, respectively.) However, rectal and bladder doses steadily increased with larger margin sizes. Conclusions: The magnitude of vaginal cuff movement is highly patient specific and can impact target coverage in patients without bowel/bladder instructions at simulation. The use of vaginal cuff fiducials can help identify patients at risk for target volume excursion.

  7. How thermal inflation can save minimal hybrid inflation in supergravity

    Energy Technology Data Exchange (ETDEWEB)

    Dimopoulos, Konstantinos; Owen, Charlotte [Consortium for Fundamental Physics, Physics Department,Lancaster University, Lancaster LA1 4YB (United Kingdom)

    2016-10-12

    Minimal hybrid inflation in supergravity has been ruled out by the 2015 Planck observations because the spectral index of the produced curvature perturbation falls outside observational bounds. To resurrect the model, a number of modifications have been put forward but many of them spoil the accidental cancellation that resolves the η-problem and require complicated Kähler constructions to counterbalance the lost cancellation. In contrast, in this paper the model is rendered viable by supplementing the scenario with a brief period of thermal inflation, which follows the reheating of primordial inflation. The scalar field responsible for thermal inflation requires a large non-zero vacuum expectation value (VEV) and a flat potential. We investigate the VEV of such a flaton field and its subsequent effect on the inflationary observables. We find that, for large VEV, minimal hybrid inflation in supergravity produces a spectral index within the 1-σ Planck bound and a tensor-to-scalar ratio which may be observable in the near future. The mechanism is applicable to other inflationary models.

  8. Core inflation indicators for Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Alkhareif Ryadh M.

    2015-01-01

    Full Text Available This paper constructs and analyzes core inflation indicators for Saudi Arabia for the period of March 2012 to May 2014 using two alternative approaches: the exclusion method (ex food and housing/rent and the statistical method. The findings of the analysis suggest that the ex food and housing/ rent inflation is more volatile than the overall CPI inflation over the sample period. In contrast, the statistical core inflation is relatively more stable and less volatile. Moreover, the ex food and housing/rent inflation is only weakly correlated with headline inflation, whereas the statistical core inflation exhibits a stronger correlation. This combination of lower volatility and higher correlation with headline inflation makes the statistical method a much better choice for policymakers. From a monetary policy standpoint, using a bundle of core inflation measures, including both properly constructed exclusion and statistical methods, is more desirable, especially when variation across measures is widespread, as is the case in Saudi Arabia.

  9. Intense focused ultrasound stimulation of the rotator cuff: evaluation of the source of pain in rotator cuff tears and tendinopathy.

    Science.gov (United States)

    Gellhorn, Alfred C; Gillenwater, Cody; Mourad, Pierre D

    2015-09-01

    The objective of this preliminary study was to evaluate the ability of individual 0.1-s long pulses of intense focused ultrasound (iFU) emitted with a carrier frequency of 2 MHz to evoke diagnostic sensations when applied to patients whose shoulders have rotator cuff tears or tendinopathy. Patients were adults with painful shoulders and clinical and imaging findings consistent with rotator cuff disease. iFU stimulation of the shoulder was performed using B-mode ultrasound coupled with a focused ultrasound transducer that allowed image-guided delivery of precisely localized pulses of energy to different anatomic areas around the rotator cuff. The main outcome measure was iFU spatial average-temporal average intensity (I_SATA), and location required to elicit sensation. In control patients, iFU produced no sensation throughout the range of stimulation intensities (≤2000 W/cm(2) I_SATA). In patients with rotator cuff disease, iFU was able to induce sensation in the tendons of the rotator cuff, the subacromial bursa, and the subchondral bone in patients with chronic shoulder pain and rotator cuff disease, with an average ± standard deviation intensity equaling 680 ± 281 W/cm(2) I_SATA. This result suggests a primary role for these tissues in the pathogenesis of shoulder pain related to rotator cuff tendinopathy. Copyright © 2015 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.

  10. The effect of rotator cuff repair on early overhead shoulder function: a study in 1600 consecutive rotator cuff repairs.

    Science.gov (United States)

    Robinson, Hayden A; Lam, Patrick H; Walton, Judie R; Murrell, George A C

    2017-01-01

    Rotator cuff tears are often surgically repaired, generally with good results. However, repairs not infrequently retear, and how important repair integrity is with respect to early functional outcomes after rotator cuff repair is unclear. Thus, the purpose of this study was to determine the effect of a retear on overhead activities in a large cohort of patients after rotator cuff repair. This was a retrospective cohort study of prospectively collected data from 1600 consecutive rotator cuff repairs. Outcomes were based on patient responses to the L'Insalata Shoulder Questionnaire and findings on examination preoperatively and at 6 months of follow-up. Repair integrity was determined by ultrasound imaging at the 6-month follow-up visit. The 1600 patients (885 men, 715 women) were a mean age of 58 years. Postoperative ultrasound imaging found 13% (211 of 1600) of repairs had retorn. Significant improvements were seen irrespective of rotator cuff integrity in pain levels with overhead activity (P rotation strength (P rotator cuff repair integrity on shoulder function. Patients who had an arthroscopic rotator cuff repair reported significant improvements in overhead pain levels irrespective of the repair integrity at 6 months. Repair integrity influenced supraspinatus and external rotation power, where patients with intact repairs were stronger than those with a retear. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  11. Thermalized axion inflation

    Science.gov (United States)

    Ferreira, Ricardo Z.; Notari, Alessio

    2017-09-01

    We analyze the dynamics of inflationary models with a coupling of the inflaton phi to gauge fields of the form phi F tilde F/f, as in the case of axions. It is known that this leads to an instability, with exponential amplification of gauge fields, controlled by the parameter ξ= dot phi/(2fH), which can strongly affect the generation of cosmological perturbations and even the background. We show that scattering rates involving gauge fields can become larger than the expansion rate H, due to the very large occupation numbers, and create a thermal bath of particles of temperature T during inflation. In the thermal regime, energy is transferred to smaller scales, radically modifying the predictions of this scenario. We thus argue that previous constraints on ξ are alleviated. If the gauge fields have Standard Model interactions, which naturally provides reheating, they thermalize already at ξgtrsim2.9, before perturbativity constraints and also before backreaction takes place. In absence of SM interactions (i.e. for a dark photon), we find that gauge fields and inflaton perturbations thermalize if ξgtrsim3.4 however, observations require ξgtrsim6, which is above the perturbativity and backreaction bounds and so a dedicated study is required. After thermalization, though, the system should evolve non-trivially due to the competition between the instability and the gauge field thermal mass. If the thermal mass and the instabilities equilibrate, we expect an equilibrium temperature of Teq simeq ξ H/bar g where bar g is the effective gauge coupling. Finally, we estimate the spectrum of perturbations if phi is thermal and find that the tensor to scalar ratio is suppressed by H/(2T), if tensors do not thermalize.

  12. Evaluation of Repair Tension in Arthroscopic Rotator Cuff Repair: Does It Really Matter to the Integrity of the Rotator Cuff?

    Science.gov (United States)

    Kim, Do Hoon; Jang, Young Hoon; Choi, Young Eun; Lee, Hwa-Ryeong; Kim, Sae Hoon

    2016-11-01

    Repair tension of a torn rotator cuff can affect healing after repair. However, a measurement of the actual tension during arthroscopic rotator cuff repair is not feasible. The relationship between repair tension and healing of a rotator cuff repair remains unclear. The purpose of this study was to evaluate the effect of repair tension on healing at the repair site. The hypothesis was that repair tension would be a major factor in determining the anatomic outcome of rotator cuff repair. Cohort study; Level of evidence, 2. Arthroscopic rotator cuff repairs (132 patients) for full-thickness rotator cuff tears were analyzed. An intraoperative model was designed for the estimation of repair tension using a tensiometer. Magnetic resonance imaging (MRI) was performed approximately 1 year (mean [±SD], 12.7 ± 3.2 months) postoperatively for the evaluation of healing at the repair site. Multivariable analysis was performed for tear size, amount of retraction, and fatty degeneration (FD) of rotator cuff muscles. The mean repair tension measured during the arthroscopic procedure was 28.5 ± 23.1 N. There was a statistically significant correlation between tension and tear size (Pearson correlation coefficient [PCC], 0.529; P rotator cuff muscles were included for multivariable logistic regression analysis, only FD of the infraspinatus showed an association with the anatomic outcome of repair (Exp(B) = 0.596; P = .010). Our intraoperative model for the estimation of rotator cuff repair tension showed an inverse correlation of repair tension with healing at the repair site, suggesting that complete healing is less likely with high-tension repairs. A significant association was observed on MRI between a high level of FD of the infraspinatus and repaired tendon integrity. © 2016 The Author(s).

  13. Response shift of the Western Ontario Rotator Cuff index in patients undergoing arthroscopic rotator cuff repair.

    Science.gov (United States)

    Hollman, Freek; Wessel, Ronald N; Wolterbeek, Nienke

    2016-12-01

    This study determined the response shift in patients undergoing rotator cuff repair using the Western Ontario Rotator Cuff index (WORC), a disease-specific quality of life questionnaire. We hypothesized there would be a response shift with a positive recalibration (overestimated their preoperative disability) on the WORC and increases over time. The study prospectively included 36 patients undergoing arthroscopic rotator cuff repair. At baseline, 3 months (T1), and 1 year (T2) after surgery the WORC, EuroQol (EQ)-5D-3L, and the patient's level of satisfaction after surgery were scored. To evaluate the response shift, patients also completed the WORC at 3 months (Pre-T1) and 1 year (Pre-T2) as how they perceived themselves to have been before surgery. The result on Pre-T1 and Pre-T2 results revealed that patients retrospectively rated their overall WORC score comparable with the baseline WORC score (Pre-T0; T0 = 40.5 ± 18.4, Pre-T1 = 45.0 ± 22.7, Pre-T2 = 34.3 ± 21.3). No response shift was observed on all domains except a negative recalibrated response shift for emotional disability on T1 (P = .04). No significant group-level response shift was observed using the WORC, except for the subdomain emotional disability at 3 months after arthroscopic rotator cuff repair. With the absence of any shift in patient's perception on the self-administered quality of life-related WORC questionnaire, this study suggests one could retrospectively reliably conduct group-level preoperative baseline information on quality of life up to 1 year after surgery. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  14. Targeting nominal income growth or inflation?

    DEFF Research Database (Denmark)

    Jensen, Henrik

    2002-01-01

    Within a simple New Keynesian model emphasizing forward-looking behavior of private agents, I evaluate optimal nominal income growth targeting versus optimal inflation targeting. When the economy is mainly subject to shocks that do not involve monetary policy trade-offs for society, inflation...... targeting is preferable. Otherwise, nominal income growth targeting may be superior because it induces inertial policy making, which improves the inflation-output-gap trade-off. Somewhat paradoxically, inflation targeting may be relatively less favorable the more society dislikes inflation, and the more...... persistent are the effects of inflation-generating shocks...

  15. The role of pectoralis major and latissimus dorsi muscles in a biomechanical model of massive rotator cuff tear.

    Science.gov (United States)

    Campbell, Sean T; Ecklund, Kier J; Chu, Eileen H; McGarry, Michelle H; Gupta, Ranjan; Lee, Thay Q

    2014-08-01

    Superior migration of the humeral head after massive rotator cuff tear (mRCT) is thought to lead to cuff tear arthropathy. Previous biomechanical studies have demonstrated the ability of the pectoralis major and latissimus dorsi (PM/LD) muscles to resist this migration. This study examined the role of PM/LD muscles on glenohumeral joint forces and acromiohumeral contact pressures in a mRCT model. Six cadaveric shoulders were tested using a custom shoulder-testing system. Muscle insertions of the rotator cuff, deltoid, and PM/LD were preserved and used for muscle loading. Specimens were tested in 3 different humeral rotation positions at 0° abduction and 2 rotation positions at 60° abduction. Testing was performed for intact specimens, after supraspinatus removal, and after supraspinatus/infraspinatus/teres minor removal. PM/LD were loaded or unloaded to determine their effect. Humeral head kinematics, glenohumeral joint forces, and acromiohumeral contact area and pressure were measured. For the mRCT condition at 0° abduction, unloading the PM/LD resulted in superior shift of the humeral head. Acromiohumeral contact pressures were undetectable when the PM/LD were loaded but increased significantly after PM/LD unloading. After mRCT, superior joint forces were increased and compressive forces were decreased compared with intact; loading the PM/LD resolved these abnormal forces in some testing conditions. In mRCT, the PM and LD muscles are effective in improving glenohumeral kinematics and reducing acromiohumeral pressures. Strengthening or neuromuscular training of this musculature, or both, may delay the progression to cuff tear arthropathy. Published by Mosby, Inc.

  16. Open inflation in the landscape

    CERN Document Server

    Yamauchi, Daisuke; Naruko, Atsushi; Sasaki, Misao; Tanaka, Takahiro

    2011-01-01

    Open inflation scenario is attracting a renewed interest in the context of string landscape. Since there are a large number of metastable de Sitter vacua in string landscape, tunneling transitions to lower metastable vacua through the bubble nucleation occur quite naturally. Although the deviation of Omega_0 from unity is small by the observational bound, we argue that the effect of this small deviation on the large angle CMB anisotropies can be significant for tensor-type perturbation in open inflation scenario. We consider the situation in which there is a large hierarchy between the energy scale of the quantum tunneling and that of the slow-roll inflation in the nucleated bubble. If the potential just after tunneling is steep enough, a rapid-roll phase appears before the slow-roll inflation. In this case the power spectrum is basically determined by the Hubble rate during the slow-roll inflation. If such rapid-roll phase is absent, the power spectrum keeps the memory of the high energy density there in the...

  17. Rotator cuff tears: An evidence based approach

    Science.gov (United States)

    Sambandam, Senthil Nathan; Khanna, Vishesh; Gul, Arif; Mounasamy, Varatharaj

    2015-01-01

    Lesions of the rotator cuff (RC) are a common occurrence affecting millions of people across all parts of the globe. RC tears are also rampantly prevalent with an age-dependent increase in numbers. Other associated factors include a history of trauma, limb dominance, contralateral shoulder, smoking-status, hypercholesterolemia, posture and occupational dispositions. The challenge lies in early diagnosis since a high proportion of patients are asymptomatic. Pain and decreasing shoulder power and function should alert the heedful practitioner in recognizing promptly the onset or aggravation of existing RC tears. Partial-thickness tears (PTT) can be bursal-sided or articular-sided tears. Over the course of time, PTT enlarge and propagate into full-thickness tears (FTT) and develop distinct chronic pathological changes due to muscle retraction, fatty infiltration and muscle atrophy. These lead to a reduction in tendon elasticity and viability. Eventually, the glenohumeral joint experiences a series of degenerative alterations - cuff tear arthropathy. To avert this, a vigilant clinician must utilize and corroborate clinical skill and radiological findings to identify tear progression. Modern radio-diagnostic means of ultrasonography and magnetic resonance imaging provide excellent visualization of structural details and are crucial in determining further course of action for these patients. Physical therapy along with activity modifications, anti-inflammatory and analgesic medications form the pillars of nonoperative treatment. Elderly patients with minimal functional demands can be managed conservatively and reassessed at frequent intervals. Regular monitoring helps in isolating patients who require surgical interventions. Early surgery should be considered in younger, active and symptomatic, healthy patients. In addition to being cost-effective, this helps in providing a functional shoulder with a stable cuff. An easily reproducible technique of maximal strength and

  18. Asymmetry Effect of Inflation on Inflation Uncertainty in Iran: Using from EGARCH Model, 1959-2009

    Directory of Open Access Journals (Sweden)

    Dahmardeh Nazar

    2010-01-01

    Full Text Available Problem statement: In this study, we tried to examine the relationship between inflation and inflation uncertainty in Iran, because of considerable variation in its inflation rate. Approach: Inflation uncertainty is the major cost of high inflation that can influence the decision making of economic agents. Results: This study constructed a time series of seasonally inflation uncertainty in Iran from 1959-2009 and investigated the relationship between inflation and inflation uncertainty. We modeled inflation uncertainty at time varying process through EARCH framework. Also, the asymmetric and consistence behavior of inflation uncertainty was analyzed by using this method. The result showed that there was an asymmetric relationship between inflation and inflation uncertainty and shocks inflation uncertainties do not die out rapidly. Thus, the positive shocks had a greater effect on uncertainty rather than negative shocks. In final, we investigated from the Granger Causality test that inflation was Granger Causality of inflation uncertainty. Conclusion/Recommendations: The results of study recommend to aiming at low average inflation rates in order to reduce the negative consequences of inflation uncertainty.

  19. Evaluation of cartilage degeneration in a rat model of rotator cuff tear arthropathy.

    Science.gov (United States)

    Kramer, Erik J; Bodendorfer, Blake M; Laron, Dominique; Wong, Jason; Kim, Hubert T; Liu, Xuhui; Feeley, Brian T

    2013-12-01

    Rotator cuff tears are the most common injury seen by shoulder surgeons. Glenohumeral osteoarthritis develops in many late-stage rotator cuff tear patients as a result of torn cuff tendons, termed "cuff tear arthropathy." However, the mechanisms of cuff tear arthropathy have not been fully established. It has been hypothesized that a combination of synovial and mechanical factors contribute equally to the development of cuff tear arthropathy. The goal of this study was to assess the utility of this model in investigating cuff tear arthropathy. We used a rat model that accurately reflects rotator cuff muscle degradation after massive rotator cuff tears through either infraspinatus and supraspinatus tenotomy or suprascapular nerve transection. Using a modified Mankin scoring system, we found significant glenohumeral cartilage damage after both rotator cuff tenotomy and suprascapular nerve transection after only 12 weeks. Cartilage degeneration was similar between groups and was present on both the humeral head and the glenoid. Denervation of the supraspinatus and infraspinatus muscles without opening the joint capsule caused cartilage degeneration similar to that found in the tendon transection group. Our results suggest that altered mechanical loading after rotator cuff tears is the primary factor in cartilage degeneration after rotator cuff tears. Clinically, understanding the process of cartilage degeneration after rotator cuff injury will help guide treatment decisions in the setting of rotator cuff tears. Basic science study, animal model. Copyright © 2013 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.

  20. Progression from calcifying tendinitis to rotator cuff tear.

    Science.gov (United States)

    Gotoh, Masafumi; Higuchi, Fujio; Suzuki, Ritsu; Yamanaka, Kensuke

    2003-02-01

    This report documents the clinical, radiographic and histologic findings in a 46-year-old man with calcifying tendinitis in his left shoulder which progressed to rotator cuff tear. The patient had a 1-year history of repeated calcifying tendinitis before being referred to our hospital. On the initial visit, radiographs and magnetic resonance imaging (MRI) revealed calcium deposition localized in the supraspinatus tendon without apparent tear. Three months after the first visit, MRI revealed a partial-thickness rotator cuff tear at the site of calcium deposition. Surgical and histologic findings demonstrated that calcium deposition was the cause of cuff rupture. To our knowledge, based on a review of the English literature, this is the first case report in which the progression from calcifying tendinitis to rotator cuff tear has been serially observed.

  1. Progression from calcifying tendinitis to rotator cuff tear

    Energy Technology Data Exchange (ETDEWEB)

    Gotoh, Masafumi; Higuchi, Fujio; Suzuki, Ritsu; Yamanaka, Kensuke [Department of Orthopaedic Surgery, Medical Center of Kurume University, 155-1 Kokubu-machi, Kurume City, Fukuoka 839-0862 (Japan)

    2003-02-01

    This report documents the clinical, radiographic and histologic findings in a 46-year-old man with calcifying tendinitis in his left shoulder which progressed to rotator cuff tear. The patient had a 1-year history of repeated calcifying tendinitis before being referred to our hospital. On the initial visit, radiographs and magnetic resonance imaging (MRI) revealed calcium deposition localized in the supraspinatus tendon without apparent tear. Three months after the first visit, MRI revealed a partial-thickness rotator cuff tear at the site of calcium deposition. Surgical and histologic findings demonstrated that calcium deposition was the cause of cuff rupture. To our knowledge, based on a review of the English literature, this is the first case report in which the progression from calcifying tendinitis to rotator cuff tear has been serially observed. (orig.)

  2. The phenomenology of trapped inflation

    CERN Document Server

    Pearce, Lauren; Sorbo, Lorenzo

    2016-01-01

    Trapped inflation is a mechanism in which particle production from the moving inflaton is the main source of friction in the inflaton equation of motion. The produced fields source inflaton perturbations, which dominate over the vacuum ones. We employ the set of equations for the inflaton zero mode and its perturbations which was developed in the original work on trapped inflation, and which we extend to second order in the perturbations. We build on this study by updating the experimental constraints, and by replacing the existing approximate solutions with more accurate ones. We obtain a different numerical value for the amplitude of the scalar power spectrum, and a parametrically different result for the bispectrum. This has implications for the allowed region of parameter space in models of trapped inflation, and for some of the phenomenological results obtained in this region. The main results in the allowed region are the following: monomial inflaton potentials, such as $V \\propto \\varphi,\\, \\varphi^2$ ...

  3. Local Scale Invariance and Inflation

    CERN Document Server

    Singh, Naveen K

    2016-01-01

    We study the inflation and the cosmological perturbations generated during the inflation in a local scale invariant model. The local scale invariant model introduces a vector field $S_{\\mu}$ in this theory. In this paper, for simplicity, we consider the temporal part of the vector field $S_t$. We show that the temporal part is associated with the slow roll parameter of scalar field. Due to local scale invariance, we have a gauge degree of freedom. In a particular gauge, we show that the local scale invariance provides sufficient number of e-foldings for the inflation. Finally, we estimate the power spectrum of scalar perturbation in terms of the parameters of the theory.

  4. Inflation on a Slippery Slope

    CERN Document Server

    Freivogel, Ben; Pajer, Enrico; Yang, I-Sheng

    2016-01-01

    We study inflation in a random multifield potential, using techniques developed by Marsh et al. The potential is a function of a large number of fields, and we choose parameters so that inflation only occurs in regions where the potential is accidentally flat. Using an improved estimate for the dynamics of eigenvalue repulsion, we are able to describe the steepening of the potential as inflation progresses. We provide suggestive arguments, but not a proof, that the resulting scalar power spectrum generically disagrees with observations. We also point out two problematic aspects of the model: there is no well-defined probability distribution for the gradient of the potential, and the evolution of the potential over small distances in field space is unphysical.

  5. Inflatable Antennas Support Emergency Communication

    Science.gov (United States)

    2010-01-01

    Glenn Research Center awarded Small Business Innovation Research (SBIR) contracts to ManTech SRS Technologies, of Newport Beach, California, to develop thin film inflatable antennas for space communication. With additional funding, SRS modified the concepts for ground-based inflatable antennas. GATR (Ground Antenna Transmit and Receive) Technologies, of Huntsville, Alabama, licensed the technology and refined it to become the world s first inflatable antenna certified by the Federal Communications Commission. Capable of providing Internet access, voice over Internet protocol, e-mail, video teleconferencing, broadcast television, and other high-bandwidth communications, the systems have provided communication during the wildfires in California, after Hurricane Katrina in Mississippi, and following the 2010 Haiti earthquake.

  6. Scalar-tensor linear inflation

    Science.gov (United States)

    Artymowski, Michał; Racioppi, Antonio

    2017-04-01

    We investigate two approaches to non-minimally coupled gravity theories which present linear inflation as attractor solution: a) the scalar-tensor theory approach, where we look for a scalar-tensor theory that would restore results of linear inflation in the strong coupling limit for a non-minimal coupling to gravity of the form of f(varphi)R/2; b) the particle physics approach, where we motivate the form of the Jordan frame potential by loop corrections to the inflaton field. In both cases the Jordan frame potentials are modifications of the induced gravity inflationary scenario, but instead of the Starobinsky attractor they lead to linear inflation in the strong coupling limit.

  7. Load limiting parachute inflation control

    Energy Technology Data Exchange (ETDEWEB)

    Redmond, J.; Hinnerichs, T.; Parker, G.

    1994-01-01

    Excessive deceleration forces experienced during high speed deployment of parachute systems can cause damage to the payload and the canopy fabric. Conventional reefing lines offer limited relief by temporarily restricting canopy inflation and limiting the peak deceleration load. However, the open-loop control provided by existing reefing devices restrict their use to a specific set of deployment conditions. In this paper, the sensing, processing, and actuation that are characteristic of adaptive structures form the basis of three concepts for active control of parachute inflation. These active control concepts are incorporated into a computer simulation of parachute inflation. Initial investigations indicate that these concepts promise enhanced performance as compared to conventional techniques for a nominal release. Furthermore, the ability of each controller to adapt to off-nominal release conditions is examined.

  8. Inflation on an Open Racetrack

    CERN Document Server

    Chen, Heng-Yu; Shiu, Gary

    2009-01-01

    We present a variant of warped D-brane inflation by incorporating multiple sets of holomorphically-embedded D7-branes involved in moduli stabilization with extent into a warped throat. The resultant D3-brane motion depends on the D7-brane configuration and the relative position of the D3-brane in these backgrounds. The non-perturbative moduli stabilization superpotential takes the racetrack form, but the additional D3-brane open string moduli dependence provides more flexibilities in model building. For concreteness, we consider D3-brane motion in the warped deformed conifold with the presence of multiple D7-branes, and derive the scalar potential valid for the entire throat. By explicit tuning of the microphysical parameters, we obtain inflationary trajectories near an inflection point for various D7-brane configurations. Moreover, the open racetrack potential admits approximate Minkowski vacua before uplifting. We demonstrate with a concrete D-brane inflation model where the Hubble scale during inflation ca...

  9. Remarks on asymptotically safe inflation

    Science.gov (United States)

    Tye, S.-H. Henry; Xu, Jiajun

    2010-12-01

    We comment on Weinberg’s interesting analysis of asymptotically safe inflation [S. Weinberg, Phys. Rev. DPRVDAQ1550-7998 81, 083535 (2010).10.1103/PhysRevD.81.083535]. We find that even if the gravity theory exhibits an ultraviolet fixed point, the energy scale during inflation is way too low to drive the theory close to the fixed point value. We choose the specific renormalization group flow away from the fixed point towards the infrared region that reproduces the Newton’s constant and today’s cosmological constant. We follow this renormalization group flow path to scales below the Planck scale to study the stability of the inflationary scenario. Again, we find that some fine-tuning is necessary to get enough e folds of inflation in the asymptotically safe inflationary scenario.

  10. Supernatural A-Term Inflation

    Science.gov (United States)

    Lin, Chia-Min; Cheung, Kingman

    Following Ref. 10, we explore the parameter space of the case when the supersymmetry (SUSY) breaking scale is lower, for example, in gauge mediated SUSY breaking model. During inflation, the form of the potential is V0 plus MSSM (or A-term) inflation. We show that the model works for a wide range of the potential V0 with the soft SUSY breaking mass m O(1) TeV. The implication to MSSM (or A-term) inflation is that the flat directions which is lifted by the non-renormalizable terms described by the superpotential W=λ p φ p-1/Mp-3 P with p = 4 and p = 5 are also suitable to be an inflaton field for λp = O(1) provided there is an additional false vacuum term V0 with appropriate magnitude. The flat directions correspond to p = 6 also works for 0 < ˜ V0/M_ P4 < ˜ 10-40.

  11. Anisotropic inflation in Finsler spacetime

    CERN Document Server

    Li, Xin; Chang, Zhe

    2015-01-01

    We suggest the universe is Finslerian in the stage of inflation. The Finslerian background spacetime breaks rotational symmetry and induces parity violation. The primordial power spectrum is given for quantum fluctuation of the inflation field. It depends not only on the magnitude of wavenumber but also on the preferred direction. We derive the gravitational field equations in the perturbed Finslerian background spacetime, and obtain a conserved quantity outside the Hubble horizon. The angular correlation coefficients are presented in our anisotropic inflation model. The parity violation feature of Finslerian background spacetime requires that the anisotropic effect only appears in angular correlation coefficients if $l'=l+1$. The numerical results of the angular correlation coefficients are given to describe the anisotropic effect.

  12. [Rotator cuff tear of the hip].

    Science.gov (United States)

    Jeanneret, Luc; Kurmann, Patric T; van Linthoudt, Daniel

    2008-05-14

    We report the observations of two women with a recurrent periarthritis of the hip complicated by a spontaneous rupture of the tendons of the gluteus medius and minimus. These patients usually complain from an acute lateral hip pain and show a Trendelenburg gait. When the rupture is complete, clinical evaluation reveals a drop of the pelvis on the non-stance side and resisted rotation starting from the extreme external rotation position is weak. MRI plays a key role in the diagnosis and the evaluation of a possible surgical repair. Hip rotator-cuff rupture is probably insufficiently diagnosed by ignorance. Nonetheless, optimized handling could relieve the pain of most these patients and improve the disability of some of them.

  13. Ultrasound of the rotator cuff with MRI and anatomic correlation

    Energy Technology Data Exchange (ETDEWEB)

    Rutten, Matthieu J.C.M. [Department of Radiology, Jeroen Bosch Hospital, Nieuwstraat 34, 5211 NL ' s-Hertogenbosch (Netherlands)]. E-mail: M.Rutten@JBZ.nl; Maresch, Bas J. [Department of Radiology, Hospital Gelderse Vallei, Willy Brandtlaan 10, 6710 HN Ede (Netherlands)]. E-mail: MareschB@zgv.nl; Jager, Gerrit J. [Department of Radiology, Jeroen Bosch Hospital, Nieuwstraat 34, 5211 NL ' s-Hertogenbosch (Netherlands)]. E-mail: G.Jager@JBZ.nl; Blickman, Johan G. [Department of Radiology, University Medical Center Nijmegen, Geert Grooteplein Zuid 18, 6500 HB Nijmegen (Netherlands)]. E-mail: J.Blickman@rad.umcn.nl; Holsbeeck, Marnix T. van [Department of Radiology, Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI 48202 (United States)]. E-mail: vanholsbeeck@comcast.net

    2007-06-15

    Magnetic resonance imaging and high-resolution ultrasound (US) are frequently used for the detection of rotator cuff tears. The diagnostic yield of US is influenced by several factors as technique, knowledge of the imaging characteristics of anatomic and pathologic findings and of pitfalls. The purpose of this article is to illustrates that the standardized high-resolution US examination of the shoulder covers the entire rotator cuff and correlates with MR imaging and anatomic sections.

  14. Augmentation of Rotator Cuff Repair With Soft Tissue Scaffolds

    Science.gov (United States)

    Thangarajah, Tanujan; Pendegrass, Catherine J.; Shahbazi, Shirin; Lambert, Simon; Alexander, Susan; Blunn, Gordon W.

    2015-01-01

    Background Tears of the rotator cuff are one of the most common tendon disorders. Treatment often includes surgical repair, but the rate of failure to gain or maintain healing has been reported to be as high as 94%. This has been substantially attributed to the inadequate capacity of tendon to heal once damaged, particularly to bone at the enthesis. A number of strategies have been developed to improve tendon-bone healing, tendon-tendon healing, and tendon regeneration. Scaffolds have received considerable attention for replacement, reconstruction, or reinforcement of tendon defects but may not possess situation-specific or durable mechanical and biological characteristics. Purpose To provide an overview of the biology of tendon-bone healing and the current scaffolds used to augment rotator cuff repairs. Study Design Systematic review; Level of evidence, 4. Methods A preliminary literature search of MEDLINE and Embase databases was performed using the terms rotator cuff scaffolds, rotator cuff augmentation, allografts for rotator cuff repair, xenografts for rotator cuff repair, and synthetic grafts for rotator cuff repair. Results The search identified 438 unique articles. Of these, 214 articles were irrelevant to the topic and were therefore excluded. This left a total of 224 studies that were suitable for analysis. Conclusion A number of novel biomaterials have been developed into biologically and mechanically favorable scaffolds. Few clinical trials have examined their effect on tendon-bone healing in well-designed, long-term follow-up studies with appropriate control groups. While there is still considerable work to be done before scaffolds are introduced into routine clinical practice, there does appear to be a clear indication for their use as an interpositional graft for large and massive retracted rotator cuff tears and when repairing a poor-quality degenerative tendon. PMID:26665095

  15. Ground and Flight Evaluation of a Small-Scale Inflatable-Winged Aircraft

    Science.gov (United States)

    Murray, James E.; Pahle, Joseph W.; Thornton, Stephen V.; Vogus, Shannon; Frackowiak, Tony; Mello, Joe; Norton, Brook; Bauer, Jeff (Technical Monitor)

    2002-01-01

    A small-scale, instrumented research aircraft was flown to investigate the night characteristics of innersole wings. Ground tests measured the static structural characteristics of the wing at different inflation pressures, and these results compared favorably with analytical predictions. A research-quality instrumentation system was assembled, largely from commercial off-the-shelf components, and installed in the aircraft. Initial flight operations were conducted with a conventional rigid wing having the same dimensions as the inflatable wing. Subsequent flights were conducted with the inflatable wing. Research maneuvers were executed to identify the trim, aerodynamic performance, and longitudinal stability and control characteristics of the vehicle in its different wing configurations. For the angle-of-attack range spanned in this flight program, measured flight data demonstrated that the rigid wing was an effective simulator of the lift-generating capability of the inflatable wing. In-flight inflation of the wing was demonstrated in three flight operations, and measured flight data illustrated the dynamic characteristics during wing inflation and transition to controlled lifting flight. Wing inflation was rapid and the vehicle dynamics during inflation and transition were benign. The resulting angles of attack and of sideslip ere small, and the dynamic response was limited to roll and heave motions.

  16. Inflation with light Weyl ghost

    Directory of Open Access Journals (Sweden)

    Tokareva Anna

    2016-01-01

    Full Text Available Inflationary perturbations are considered in a renormalizable but non-unitary theory of gravity with the additional Weyl term. We obtained that ghost degrees of freedom do not spoil the inflation and the scalar perturbation amplitude at the linear level even in a case of the ghost with mass smaller than Hubble parameter at inflation. The ghost impact to the observables is also estimated to be negligible for the range of masses allowed by the experiment. The non-linear level of the theory and its possible application are also discussed.

  17. Control Inflation while Maintain Growth

    Institute of Scientific and Technical Information of China (English)

    Yang Junsheng

    2008-01-01

    @@ Dragged by the U.S.subprime crisis and the soaring oil price, the global economy is slowing down,causing problems to China, the country which has continuously achieved miraculous economic growth.Apart from the accumulation of high inflation and risks of overheated economy, China is attacked by serious natural disasters ever since the beginning of 2008,including the snow disaster, the earthquake and the flood.It is obviously that China's priority now is to bring inflation under control so as to maintain the stable growth of economy.

  18. Open inflation in the landscape

    Science.gov (United States)

    Yamauchi, Daisuke; Linde, Andrei; Naruko, Atsushi; Sasaki, Misao; Tanaka, Takahiro

    2011-08-01

    The open inflation scenario is attracting a renewed interest in the context of the string landscape. Since there are a large number of metastable de Sitter vacua in the string landscape, tunneling transitions to lower metastable vacua through the bubble nucleation occur quite naturally, which leads to a natural realization of open inflation. Although the deviation of Ω0 from unity is small by the observational bound, we argue that the effect of this small deviation on the large-angle CMB anisotropies can be significant for tensor-type perturbation in the open inflation scenario. We consider the situation in which there is a large hierarchy between the energy scale of the quantum tunneling and that of the slow-roll inflation in the nucleated bubble. If the potential just after tunneling is steep enough, a rapid-roll phase appears before the slow-roll inflation. In this case the power spectrum is basically determined by the Hubble rate during the slow-roll inflation. On the other hand, if such a rapid-roll phase is absent, the power spectrum keeps the memory of the high energy density there in the large angular components. Furthermore, the amplitude of large angular components can be enhanced due to the effects of the wall fluctuation mode if the bubble wall tension is small. Therefore, although even the dominant quadrupole component is suppressed by the factor (1-Ω0)2, one can construct some models in which the deviation of Ω0 from unity is large enough to produce measurable effects. We also consider a more general class of models, where the false vacuum decay may occur due to Hawking-Moss tunneling, as well as the models involving more than one scalar field. We discuss scalar perturbations in these models and point out that a large set of such models is already ruled out by observational data, unless there was a very long stage of slow-roll inflation after the tunneling. These results show that observational data allow us to test various assumptions concerning

  19. Inflation in a refined racetrack

    CERN Document Server

    Wen, Wen-Yu

    2007-01-01

    In this note, we refine the racetrack inflation model constructed in arXiv:hep-th/0406230 by including the open string modulus. This modulus encodes the embedding of our braneworld inside some Calabi-Yau throat. We argue that in generic this open string modulus dynamically runs with the inflaton field thanks to its nonlinear coupling. A full analysis becomes difficult because the scalar potential changes progressively during the inflation epoch. Nevertheless, by explicit construction we are still able to build a realistic model through appropriate choices of the initial conditions.

  20. Dynamics of gauge field inflation

    Energy Technology Data Exchange (ETDEWEB)

    Alexander, Stephon; Jyoti, Dhrubo [Center for Cosmic Origins and Department of Physics and Astronomy, 6127 Wilder Laboratory, Dartmouth College, Hanover, NH 03755 (United States); Kosowsky, Arthur [Department of Physics and Astronomy, University of Pittsburgh, 3941 O’Hara Street, Pittsburgh, PA 15260 (United States); Pittsburgh Particle Physics, Astrophysics, and Cosmology Center (Pitt-PACC), 420 Allen Hall, 3941 O’Hara Street, Pittsburgh, PA 15260 (United States); Marcianò, Antonino [Center for Field Theory and Particle Physics & Department of Physics, Fudan University, 220 Handan Road, Shanghai (China)

    2015-05-05

    We analyze the existence and stability of dynamical attractor solutions for cosmological inflation driven by the coupling between fermions and a gauge field. Assuming a spatially homogeneous and isotropic gauge field and fermion current, the interacting fermion equation of motion reduces to that of a free fermion up to a phase shift. Consistency of the model is ensured via the Stückelberg mechanism. We prove the existence of exactly one stable solution, and demonstrate the stability numerically. Inflation arises without fine tuning, and does not require postulating any effective potential or non-standard coupling.

  1. Local observation in eternal inflation.

    Science.gov (United States)

    Hartle, James; Hawking, S W; Hertog, Thomas

    2011-04-01

    We consider landscape models that admit several regions where the conditions for eternal inflation hold. It is shown that one can use the no-boundary wave function to calculate small departures from homogeneity within our past light cone despite the possibility of much larger fluctuations on super horizon scales. The dominant contribution comes from the history exiting eternal inflation at the lowest value of the potential. In a class of landscape models this predicts a tensor to scalar ratio of about 10%. In this way the no-boundary wave function defines a measure for the prediction of local cosmological observations.

  2. Improved apparatus for predictive diagnosis of rotator cuff disease

    Science.gov (United States)

    Pillai, Anup; Hall, Brittany N.; Thigpen, Charles A.; Kwartowitz, David M.

    2014-03-01

    Rotator cuff disease impacts over 50% of the population over 60, with reports of incidence being as high as 90% within this population, causing pain and possible loss of function. The rotator cuff is composed of muscles and tendons that work in tandem to support the shoulder. Heavy use of these muscles can lead to rotator cuff tear, with the most common causes is age-related degeneration or sport injuries, both being a function of overuse. Tears ranges in severity from partial thickness tear to total rupture. Diagnostic techniques are based on physical assessment, detailed patient history, and medical imaging; primarily X-ray, MRI and ultrasonography are the chosen modalities for assessment. The final treatment technique and imaging modality; however, is chosen by the clinician is at their discretion. Ultrasound has been shown to have good accuracy for identification and measurement of full-thickness and partial-thickness rotator cuff tears. In this study, we report on the progress and improvement of our method of transduction and analysis of in situ measurement of rotator cuff biomechanics. We have improved the ability of the clinician to apply a uniform force to the underlying musculotendentious tissues while simultaneously obtaining the ultrasound image. This measurement protocol combined with region of interest (ROI) based image processing will help in developing a predictive diagnostic model for treatment of rotator cuff disease and help the clinicians choose the best treatment technique.

  3. Humeral head cysts: association with rotator cuff tears and age.

    Science.gov (United States)

    Suluova, Fatih; Kanatli, Ulunay; Ozturk, Burak Yagmur; Esen, Erdinc; Bolukbasi, Selcuk

    2014-07-01

    The objective of this study was to retrospectively evaluate the prevalence of the cystic changes at rotator cuff footprint on proximal humeral tuberosities and investigate their relationship with rotator cuff tears and patient age. Magnetic resonance (MR) images of 657 patients who underwent shoulder arthroscopy for treatment of rotator cuff disorders were reviewed to localize the cystic changes at anterior (supraspinatus insertion) and posterior (infraspinatus insertion) aspects of greater tuberosity (GT) and lesser tuberosity (subscapularis insertion). Preoperative MR reports as well as cyst size and locations on MR images were correlated with arthroscopic records of rotator cuff pathology (tear type, size, location and tendon involvement) and patient age. The prevalence of cystic changes was 9.1% (60 patients) in the study population. Anterior GT cysts were found in 56% of patients and were strongly associated with full-thickness (pinfraspinatus tears (p=.09). A significant relation was found between patient age and the cyst size (p=.01), while none of the cyst localizations were statistically related to age. Anterior GT cysts were more common in this patient group and demonstrated a strong association with rotator cuff disorders regardless of age. Posterior GT and lesser tuberosity cysts were less common and showed no association with rotator cuff pathology or patient age.

  4. Suprascapular Nerve: Is It Important in Cuff Pathology?

    Directory of Open Access Journals (Sweden)

    Lewis L. Shi

    2012-01-01

    Full Text Available Suprascapular nerve and rotator cuff function are intimately connected. The incidence of suprascapular neuropathy has been increasing due to improved understanding of the disease entity and detection methods. The nerve dysfunction often results from a traction injury or compression, and a common cause is increased tension on the nerve from retracted rotator cuff tears. Suprascapular neuropathy should be considered as a diagnosis if patients exhibit posterosuperior shoulder pain, atrophy or weakness of supraspinatus and infraspinatus without rotator cuff tear, or massive rotator cuff with retraction. Magnetic resonance imaging and electromyography studies are indicated to evaluate the rotator cuff and function of the nerve. Fluoroscopically guided injections to the suprascapular notch can also be considered as a diagnostic option. Nonoperative treatment of suprascapular neuropathy can be successful, but in the recent decade there is increasing evidence espousing the success of surgical treatment, in particular arthroscopic suprascapular nerve decompression. There is often reliable improvement in shoulder pain, but muscle atrophy recovery is less predictable. More clinical data are needed to determine the role of rotator cuff repair and nerve decompression in the same setting.

  5. Relationships between rotator cuff tear types and radiographic abnormalities

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Soo Hyun; Chun, Kyung Ah; Lee Soo Jung; Kang, Min Ho; Yi, Kyung Sik; Zhang, Ying [Dept. of Diagnostic Radiology, College of Medicine, Chungbuk National University, Cheongju (Korea, Republic of)

    2014-11-15

    To determine relationships between different types of rotator cuff tears and radiographic abnormalities. The shoulder radiographs of 104 patients with an arthroscopically proven rotator cuff tear were compared with similar radiographs of 54 age-matched controls with intact cuffs. Two radiologists independently interpreted all radiographs for; cortical thickening with subcortical sclerosis, subcortical cysts, osteophytes in the humeral greater tuberosity, humeral migration, degenerations of the acromioclavicular and glenohumeral joints, and subacromial spurs. Statistical analysis was performed to determine relationships between each type of rotator cuff tears and radiographic abnormalities. Inter-observer agreements with respect to radiographic findings were analyzed. Humeral migration and degenerative change of the greater tuberosity, including sclerosis, subcortical cysts, and osteophytes, were more associated with full-thickness tears (p < 0.01). Subacromial spurs were more common for full-thickness and bursal-sided tears (p < 0.01). No association was found between degeneration of the acromioclavicular or glenohumeral joint and the presence of a cuff tear. Different types of rotator cuff tears are associated with different radiographic abnormalities.

  6. No prosthetic management of massive and irreparable rotator cuff tears

    Science.gov (United States)

    Garofalo, Raffaele; Cesari, Eugenio

    2014-01-01

    A massive rotator cuff tear is not necessarily irreparable. Number of tendons involved, muscle-tendon unit quality, and decreased acromionhumeral distance (AHD) are as important as tear size in determining reparability of lesion. Massive and irreparable rotator cuff tears cannot be anatomically repaired to the bone and are a common source of pain and disability even in middle-aged patients. In these patients when conservative management has failed, it is possible to perform different surgical techniques. A functional repair can help to restore the horizontal force couple of the cuff on the humeral head and to increase the AHD. Debridement of irreparable tears and biceps tenotomy or tenodesis can have a role in low functional demand patients but results deteriorate over time. Recently, several commercially available tissue-engineered biological and synthetic scaffolds have been developed to augment rotator cuff repairs. The aim is to provide a mechanical improvement in case of poor quality tissue at time zero and give a support to have a better cuff healing. In selected cases, the scaffold can be used also to bridge tendon defect. Patients who not have pseudoparalysis, cuff tear arthropathy and with intact deltoid function can benefit from tendon transfers with satisfactory outcomes. These different procedures should be chosen for each patient with selected criteria and after a satisfactory explanation about the really possible expectation after surgery. PMID:27582930

  7. Air Tight: Building Inflatables/Inflatable Construction: Planning and Details

    Science.gov (United States)

    Kennedy, Kriss J.

    2016-01-01

    A design-build seminar consisting of students from Physics, Mechanical and Civil Engineering, Robotic, Material Science, Art, and Architecture who will work together on a deployable "closed-loop" inflatable greenhouse for Mars in theory, and an Earth analogue physical mockup on campus.

  8. Inflation targeting and product market deregulation

    OpenAIRE

    Moretti, Laura

    2012-01-01

    I evaluate the effect of inflation targeting on inflation and how it interacts with product market deregulation during the disinflationary process in the 1990s. Using a sample of 21 OECD countries, I show that, after controlling for product market deregulation, the effect of inflation targeting is quantitatively important and statistically significant. Moreover, product market deregulation also matters in particular in countries that adopted an inflation targeting regime. I propose a New Keyn...

  9. Inflation and Failure of Polymeric Membranes

    DEFF Research Database (Denmark)

    Hassager, Ole; Neergaard, Jesper

    2000-01-01

    We consider the inflation of an axisymmetric polymeric membrane.Some membranes composed of viscoelastic materialsdescribed by a Mooney-Rivlin model show a monotone increasingpressure during inflation. These materialsdevelop a homogeneous membrane thickness in agreement with the Considere-Pearson ......We consider the inflation of an axisymmetric polymeric membrane.Some membranes composed of viscoelastic materialsdescribed by a Mooney-Rivlin model show a monotone increasingpressure during inflation. These materialsdevelop a homogeneous membrane thickness in agreement with the Considere...

  10. Consistency Relations for Large Field Inflation

    CERN Document Server

    Chiba, Takeshi

    2014-01-01

    Consistency relations for chaotic inflation with a monomial potential and natural inflation and hilltop inflation are given which involve the scalar spectral index $n_s$, the tensor-to-scalar ratio $r$ and the running of the spectral index $\\alpha$. The measurement of $\\alpha$ with $O(10^{-3})$ and the improvement in the measurement of $n_s$ could discriminate monomial model from natural/hilltop inflation models. A consistency region for general large field models is also presented.

  11. Generalized Inflations of Completely Simple Semigroups

    Institute of Scientific and Technical Information of China (English)

    Qiang Wang; Shelly L. Wismath

    2007-01-01

    Clarke and Monzo defined a construction called a generalized inflation of a semigroup, and proved that for unions of groups, all null extensions are generalized inflations. We characterize when a groupoid containing a completely simple semigroup B is an as\tsociative generalized inflation of B, and thus provide a way to construct all associative generalized inflations (null extensions) of a given completely simple semigroup.This answers a question posed by Clarke and Monzo.

  12. Inflation targeting and disinflation in Serbia

    OpenAIRE

    Savić, Nebojša; Pitić, Goran; Nedeljković, Milan

    2016-01-01

    This paper provides a brief overview of the existing monetary policy strategies and their advantages and weaknesses. The analysis highlights the strengths of the flexible inflation targeting regime and its role in disinflation processes in countries with high inflation history. It then focuses on Serbia and discusses monetary policy instruments within the flexible inflation targeting regime which have spurred the stabilization of inflation at a low level over the past three years. In addition...

  13. Inflation targeting and disinflation in Serbia

    OpenAIRE

    Savić, Nebojša; Pitić, Goran; Nedeljković, Milan

    2016-01-01

    This paper provides a brief overview of the existing monetary policy strategies and their advantages and weaknesses. The analysis highlights the strengths of the flexible inflation targeting regime and its role in disinflation processes in countries with high inflation history. It then focuses on Serbia and discusses monetary policy instruments within the flexible inflation targeting regime which have spurred the stabilization of inflation at a low level over the past three years. In addition...

  14. Does Education Corrupt? Theories of Grade Inflation

    Science.gov (United States)

    Oleinik, Anton

    2009-01-01

    Several theories of grade inflation are discussed in this review article. It is argued that grade inflation results from the substitution of criteria specific to the search for truth by criteria of quality control generated outside of academia. Particular mechanisms of the grade inflation that occurs when a university is transformed into a…

  15. Oscillometric measurement of systolic and diastolic blood pressures validated in a physiologic mathematical model

    Directory of Open Access Journals (Sweden)

    Babbs Charles F

    2012-08-01

    Full Text Available Abstract Background The oscillometric method of measuring blood pressure with an automated cuff yields valid estimates of mean pressure but questionable estimates of systolic and diastolic pressures. Existing algorithms are sensitive to differences in pulse pressure and artery stiffness. Some are closely guarded trade secrets. Accurate extraction of systolic and diastolic pressures from the envelope of cuff pressure oscillations remains an open problem in biomedical engineering. Methods A new analysis of relevant anatomy, physiology and physics reveals the mechanisms underlying the production of cuff pressure oscillations as well as a way to extract systolic and diastolic pressures from the envelope of oscillations in any individual subject. Stiffness characteristics of the compressed artery segment can be extracted from the envelope shape to create an individualized mathematical model. The model is tested with a matrix of possible systolic and diastolic pressure values, and the minimum least squares difference between observed and predicted envelope functions indicates the best fit choices of systolic and diastolic pressure within the test matrix. Results The model reproduces realistic cuff pressure oscillations. The regression procedure extracts systolic and diastolic pressures accurately in the face of varying pulse pressure and arterial stiffness. The root mean squared error in extracted systolic and diastolic pressures over a range of challenging test scenarios is 0.3 mmHg. Conclusions A new algorithm based on physics and physiology allows accurate extraction of systolic and diastolic pressures from cuff pressure oscillations in a way that can be validated, criticized, and updated in the public domain.

  16. Electrotherapy modalities for rotator cuff disease.

    Science.gov (United States)

    Page, Matthew J; Green, Sally; Mrocki, Marshall A; Surace, Stephen J; Deitch, Jessica; McBain, Brodwen; Lyttle, Nicolette; Buchbinder, Rachelle

    2016-06-10

    Management of rotator cuff disease may include use of electrotherapy modalities (also known as electrophysical agents), which aim to reduce pain and improve function via an increase in energy (electrical, sound, light, or thermal) into the body. Examples include therapeutic ultrasound, low-level laser therapy (LLLT), transcutaneous electrical nerve stimulation (TENS), and pulsed electromagnetic field therapy (PEMF). These modalities are usually delivered as components of a physical therapy intervention. This review is one of a series of reviews that form an update of the Cochrane review, 'Physiotherapy interventions for shoulder pain'. To synthesise available evidence regarding the benefits and harms of electrotherapy modalities for the treatment of people with rotator cuff disease. We searched the Cochrane Central Register of Controlled Trials (CENTRAL; 2015, Issue 3), Ovid MEDLINE (January 1966 to March 2015), Ovid EMBASE (January 1980 to March 2015), CINAHL Plus (EBSCOhost, January 1937 to March 2015), ClinicalTrials.gov and the WHO ICTRP clinical trials registries up to March 2015, unrestricted by language, and reviewed the reference lists of review articles and retrieved trials, to identify potentially relevant trials. We included randomised controlled trials (RCTs) and quasi-randomised trials, including adults with rotator cuff disease (e.g. subacromial impingement syndrome, rotator cuff tendinitis, calcific tendinitis), and comparing any electrotherapy modality with placebo, no intervention, a different electrotherapy modality or any other intervention (e.g. glucocorticoid injection). Trials investigating whether electrotherapy modalities were more effective than placebo or no treatment, or were an effective addition to another physical therapy intervention (e.g. manual therapy or exercise) were the main comparisons of interest. Main outcomes of interest were overall pain, function, pain on motion, patient-reported global assessment of treatment success

  17. Estimating Core Inflation - The Role of Oil Price Shocks and Imported Inflation

    OpenAIRE

    Bjørnland, Hilde Christiane

    1997-01-01

    This paper calculates core inflation, by imposing long run restrictions on a structural vector autoregression (VAR) model containing the growth rate of output, inflation and oil prices. Core inflation is identified as that component in inflation that has no long run effect on output. No restrictions are placed on the response of output and inflation to the oil price shocks. The analysis is applied to Norway and the United Kingdom, both oil producing OECD countries. A model that ...

  18. Aligned natural inflation with modulations

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Kiwoon, E-mail: kchoi@ibs.re.kr [Center for Theoretical Physics of the Universe, Institute for Basic Science (IBS), Daejeon, 34051 (Korea, Republic of); Kim, Hyungjin, E-mail: hjkim06@kaist.ac.kr [Center for Theoretical Physics of the Universe, Institute for Basic Science (IBS), Daejeon, 34051 (Korea, Republic of); Department of Physics, KAIST, Daejeon, 305-701 (Korea, Republic of)

    2016-08-10

    The weak gravity conjecture applied for the aligned natural inflation indicates that generically there can be a modulation of the inflaton potential, with a period determined by sub-Planckian axion scale. We study the oscillations in the primordial power spectrum induced by such modulation, and discuss the resulting observational constraints on the model.

  19. Inflation as de Sitter instability

    Energy Technology Data Exchange (ETDEWEB)

    Cadoni, Mariano; Franzin, Edgardo [Universita di Cagliari, Cittadella Universitaria, Dipartimento di Fisica, Monserrato (Italy); INFN, Sezione di Cagliari, Monserrato (Italy); Mignemi, Salvatore [INFN, Sezione di Cagliari, Monserrato (Italy); Universita di Cagliari, Dipartimento di Matematica e Informatica, Cagliari (Italy)

    2016-09-15

    We consider cosmological inflation generated by a scalar field slowly rolling off from a de Sitter maximum of its potential. The models belong to the class of hilltop models and represent the most general model of this kind in which the scalar potential can be written as the sum of two exponentials. The minimally coupled Einstein-scalar gravity theory obtained in this way is the cosmological version of a two-scale generalization of known holographic models, allowing for solitonic solutions interpolating between an AdS spacetime in the infrared and scaling solutions in the ultraviolet. We then investigate cosmological inflation in the slow-roll approximation. Our model reproduces correctly, for a wide range of its parameters, the most recent experimental data for the power spectrum of primordial perturbations. Moreover, it predicts inflation at energy scales of four to five orders of magnitude below the Planck scale. At the onset of inflation, the mass of the tachyonic excitation, i.e. of the inflaton, turns out to be seven to eight orders of magnitude smaller than the Planck mass. (orig.)

  20. Aligned natural inflation with modulations

    Directory of Open Access Journals (Sweden)

    Kiwoon Choi

    2016-08-01

    Full Text Available The weak gravity conjecture applied for the aligned natural inflation indicates that generically there can be a modulation of the inflaton potential, with a period determined by sub-Planckian axion scale. We study the oscillations in the primordial power spectrum induced by such modulation, and discuss the resulting observational constraints on the model.