Versatility of Bicoronal flap approach in Head and neck surgeries

Bicoronal approach popularised by Tessier is one of the versatile approaches for skulland frontal region (1-6).In this article we present our experience regarding Bicoronal flapapproach in 3 different cases. Each patient had different pathologies in frontal region forwhich the same approach had been used. We also describe in detail about the incision, itsindications and contra indications, advantages and disadvantages. Incision was made in hairbearing area. Hence post operatively, cosmetic results were appealing in all the patients 9. Itpreserves the supraorbital neurovascular bundle, so complaints related to that are avoided. Inthis article, we discuss about the individual patient, merits and demerits of this particularapproach in each patient. 

Probability distribution functions in turbulent convection

Results of an extensive investigation of probability distribution functions (pdfs) for Rayleigh-Benard convection, in hard turbulence regime, are presented. It is shown that the pdfs exhibit a high degree of internal universality. In certain cases this universality is established within two Kolmogorov scales of a boundary. A discussion of the factors leading to the universality is presented

A numerical investigation of high-Reynolds-number constant-volume non-Boussinesq density currents in deep ambient

The time-dependent behaviour of non-Boussinesq high-Reynolds-number density currents, released from a lock of height h0 and length x0 into a deep ambient and spreading over horizontal flat boundaries, is considered. We use two-dimensional Navier–Stokes simulations to cover: (i) a wide range of current-to-ambient density ratios, (ii) a range of length-to-height aspect ratios of the initial release within the lock (termed the lock aspect ratio λ=x0/h0) and (iii) the different phases of spreading, from the initial acceleration phase to the self-similar regimes. The Navier–Stokes results are compared with predictions of a one-layer shallow-water model. In particular, we derive novel insights on the influence of the lock aspect ratio (λ) on the shape and motion of the current. It is shown that for lock aspect ratios below a critical value (λcrit ), the dynamics of the current is significantly influenced by λ. We conjecture that λcrit depends on two characteristic time scales, namely the time it takes for the receding perturbation created at the lock upon release to reflect back to the front, and the time of formation of the current head. A comparison of the two with space–time diagrams obtained from the Navier–Stokes simulations supports this conjecture. The non-Boussinesq effect is observed to be significant. While the critical lock aspect ratio (λcrit ) is of order 1 for Boussinesq currents, its value decreases for heavy currents and increases significantly (up to about 20) for light currents. We present a simple analytical model which captures this trend, as well as the observation that for a light current the speed of propagation is proportional to λ1/4 when λ<λcrit

A numerical investigation of constant-volume non-Boussinesq density currents

The time-dependent behaviour of non-Boussinesq high-Reynolds-number density currents of density ρc, released from a lock of height h₀ and length x₀ into a ambient of height H and density ρₐ, is considered. We use two dimensional Navier-Stokes simulations to cover a wide range of density ratio ρc/ρₐ (for both "heavy"-bottom and "light"-top currents) and geometric ratios (H*=H/h₀, λ=x₀/h₀). To our knowledge, the ranges of parameters and times of propagation considered here were not covered in previous experimental or numerical studies. In the first part, we set the lock aspect ratio to λ=18.75, and vary the density ratio 10-⁴<ρc/ρₐ<10⁴ and initial depth ratio 1≤H*≤50. The Navier-Stokes results are compared with predictions of a shallow-water model, in the regime of constant-speed (slumping) phase. Good agreement is observed in a large region of the parameter space (ρc/ρₐ; H*). The larger discrepancy is observed in the range of high-H* and low-ρc/ρₐ for which the shallow-water model overpredicts the velocity of the current. Two possible reasons are suspected, namely the fluid motion in the ambient fluid which is not accounted for in the model, and the choice of the model for the front condition. In the second part, we set the initial depth ratio to H*=10, and vary the density ratio 10-²<ρc/ρₐ<10² and lock aspect ratio 0.5≤λ≤18.75. In particular, we derive novel insights on the influence of the lock aspect ratio λ=x₀/h₀ on the shape and motion of the current in the slumping stage. It is shown that a critical value exists, λcrit; the dynamics of the current is significantly influenced by λ if below λcrit. We present a simple analytical model which support the observation that for a light current the speed of propagation is proportional to λ¼ when λ<λcrit

Stability and Vortex Shedding of Bluff Body Arrays

The primary purpose of this study was to develop an understanding of the stability of laminar flow through bluff body arrays, and investigate the nature of the unsteady vortex shedding regime that follows. The flow was numerically investigated using a specially developed multi-domain spectral element solver. Important criteria in the solver development were flexibility, efficiency, and accuracy. Flexibility was critical to the functionality of the code, as arrays of varying geometry were investigated. Efficiency with a high degree of accuracy was also of primary importance, with the code implemented to run efficiently on today's massively parallel architectures. Numerical two-dimensional stability analysis of the flow in several configurations of inline and staggered array geometries was performed. The growth rate, eigenfunction, and frequency of the disturbances were determined. The critical Reynolds number for flow transition in each case was identified and compared to that of flow over a single body. Based on the solutions of the laminar flow, a one-dimensional analytical analysis was performed on selected velocity profiles in the wake region. The results of this analysis were used to guide the interpretation of the two dimensional results and formulate a general theory of stability of inline and staggered bluff body arrays. The nature of the flow in the unsteady regime following the onset of instability was examined for an inline and a staggered arrangement. Particular attention was focused on the vortex shedding which was visualized and quantified through computation of the flow swirl, a quantity which identifies regions of rotary motion. The conditions required for the generation of leading edge vortex shedding were identified and discussed. Finally, a third geometry related to the inline and staggered arrays was considered. Flow solution data for this geometry is presented and its suitability as a model for louvered arrays was discussed.Air Conditioning and Refrigeration Project 11

Effect of gap flow on the shallow wake of a sharp-edged bluff body – turbulence parameters

This experimental study was carried out to investigate the turbulent wake generated by a vertical sharp-edged flat plate suspended in a shallow channel flow with a gap near the bed. The objective of this study is to understand the effect of the gap flow on the turbulent wake by studying two different gap heights between the channel bed and the bottom edge of the bluff body. These two cases were compared to the no-gap case which is considered as a reference case. The maximum flow velocity was 0.45 m/s and the Reynolds number based on the water depthwas 45,000. Extensivemeasurements of the flow field in the vertical mid-plane and in the horizontal near-bed, mid-depth, and near-surface planes weremade using particle-image velocimetry (PIV). This paper is the second part of an extensive study to characterise the gap-flow effects and is primarily focused on the mean and instantaneous turbulence quantities as well as coherent structures. The results revealed that the gap flow increased the transfer of the turbulent kinetic energy (TKE) from the streamwise to the vertical component along the vertical mid-plane. In addition, there is a corresponding increase and spread of the transverse component in the transverse direction as the flow evolves in the downstream direction. The momentum exchange by the Reynolds stress is significantly weak in the vertical mid-plane particularly in the lower half of the water depth, but the gap flow enhanced the momentum exchange in the upper half of the water depth by up to 1% of the freestream velocity squared. Furthermore, the intensity and bursting direction of the turbulence fluctuations in the far field are also affected by the gap flow when it is large. Furthermore, the proper orthogonal decomposition results revealed that the flow contains a large number of structures, and their interactions are responsible for deforming and/or tearing apart the structures, and transferring fluid throughout the velocity field

On the spreading and instability of gravity current fronts of arbitrary shape

Experiments, simulations and theoretical analysis were carried out to study the influence of geometry on the spreading of gravity currents. The horizontal spreading of three different intial planforms of initial release were investigated: an extended ellipse, a cross, and a circle. The experiments used a pulley system for a swift nearly instantaneous release. The case of the axisymmetric cylinder compared favorably with earlier simulations. We ran experiments for multiple aspect ratios for all three configurations. Perhaps the most intriguing of the three cases is the ``ellipse,'' which within a short period of release flipped the major and minor axes. This behavior cannot be captured by current theoretical methods (such as the Box Model). These cases have also been investigated using shallow water and direct numerical simulations. Also, in this study, we investigate the possibility of a Rayleigh-Taylor (RT) instability of the radially moving, but decelerating front. We present a simple theoretical framework based on the inviscid Shallow Water Equations. The theoretical results are supplemented and compared to highly resolved three-dimensional simulations with the Boussinesq approximation

Spreading of non-planar non-axisymmetric gravity and turbidity currents

The dynamics of non-axisymmetric turbidity currents is considered here. The study comprises a series of experiments for which a finite volume of particle-laden solution is released into fresh water. A mixture of water and polystyrene particles of diameter 280<Dp<315μm and density ρc=1007Kg/m3 is initially confined in a hollow cylinder at the center of a large tank filled with fresh water. Cylinders with four different cross-sections are examined: a circle, a plus-shape, a rectangle and a rounded rectangle in which the sharp corners are smoothened. The time evolution of the front is recorded as well the spatial distribution of the thickness of the final deposit via the use of a laser triangulation technique. The dynamics of the front and final deposit are significantly influenced by the initial geometry, displaying substantial azimuthal variation especially for the rectangular case where the current extends farther and deposits more particles along the initial minor axis of the rectangular cross section. Interestingly, this departure from axisymmetry cannot be predicted by current theoretical methods such as the Box Model. Several parameters are varied to assess the dependence on the settling velocity, initial height aspect ratio, local curvature and mixture density

Effect of gap flow on the shallow wake of a sharp-edged bluff body –mean velocity fields

This experimental study was carried out to investigate the turbulent shallow wake generated by a vertical sharp-edged flat plate suspended in a shallow channel flow with a gap near the bed. The objective of this study is to understand the effect of the gap flow on the wake by studying two different gap heights between the channel bed and the bottom edge of the bluff body. These two cases will be compared to the no-gap case which is considered as a reference case. Themaximumflowvelocity was 0.45m/s and the Reynolds number based on the water depthwas 45,000. Extensivemeasurements of the flowfield in the verticalmid-plane and in the horizontal near-bed, mid-depth, and near-surface planes weremade using particle image velocimetry. This paper is part of an extensive study to characterise the gap-flow effects and is primarily concerned with the mean velocity fields, while a companion paper discusses the turbulence characteristics. The size of the wake identified in the horizontal planes is found to vary in the three planes, where the gap flow enhances the entrainment in the near-wake region in the near-bed velocity field. The results also revealed that, if the gap flow is weak, it is engulfed by the recirculation zone formed just behind the bluff body whose axis is perpendicular to the vertical mid-plane. On the other hand, if the gap flow is relatively strong, it penetrates in the downstream direction and only a portion of it is diverted upward to feed the recirculation zone

Multimodal and Multiscale Deep Neural Networks for the Early Diagnosis of Alzheimer's Disease using structural MR and FDG-PET images.

Alzheimer's Disease (AD) is a progressive neurodegenerative disease where biomarkers for disease based on pathophysiology may be able to provide objective measures for disease diagnosis and staging. Neuroimaging scans acquired from MRI and metabolism images obtained by FDG-PET provide in-vivo measurements of structure and function (glucose metabolism) in a living brain. It is hypothesized that combining multiple different image modalities providing complementary information could help improve early diagnosis of AD. In this paper, we propose a novel deep-learning-based framework to discriminate individuals with AD utilizing a multimodal and multiscale deep neural network. Our method delivers 82.4% accuracy in identifying the individuals with mild cognitive impairment (MCI) who will convert to AD at 3 years prior to conversion (86.4% combined accuracy for conversion within 1-3 years), a 94.23% sensitivity in classifying individuals with clinical diagnosis of probable AD, and a 86.3% specificity in classifying non-demented controls improving upon results in published literature