Ūminis širdies nepakankamumas yra vis dažniau sutinkama patologija, reikalaujanti didelių diagnostikos ir gydymo resursų, o šios patologijos baigčių prognozavimas išlieka mažai tyrinėtas. Tyrimui pasirinktas sergančių ligonių ūminiu miokardo infarktu, komplikuotu ūminiu širdies nepakankamumu, kontingentas. Darbe siekiama nustatyti hemodinamikos rodiklių ir biocheminių žymenų vertę prognozuojant ūminio miokardo infarkto sąlygoto širdies nepakankamumo eigos ypatumus, komplikacijų išsivystymo riziką, gydymo efektyvumą ir baigtis. Keliami uždaviniai nustatyti intervencinio gydymo metodų derinimo vertę ligoniams, sergantiems ūminio miokardo infarkto sąlygotu širdies nepakankamumu. Taip pat šiems ligoniams darbe numatyta įvertinti hemodinaminių oksigenacijos rodiklių pokyčius, jų kitimo dinamiką ir vertę prognozuojant gydymo baigtis; įvertinti invaziniais hemodinamikos tyrimo metodais nustatytų hemodinamikos rodiklių bei biocheminių žymenų pokyčių vertę prognozavimui. Taip pat siekiama nustatyti ligonių, sergančių ūminiu širdies nepakankamumu, sąlygotu ūminio miokardo infarkto, ribines hemodinaminių ir biocheminių žymenų vertes gydymo baigčių prognozavimui ir pagrįsti biocheminių žymenų bei nepertraukiamo hemodinamikos stebėjimo tikslingumą skirtingo lygio pagalbą teikiančiuose gydymo centruose, numatant ligonių tikslingą perkėlimą, savalaikiai numatant diagnozuojant būklės sunkumą, gyvybei grėsmingų komplikacijų kilimą, vertinant gydymo efektyvumą, prognozuojant gydymo baigtis. / Heart failure is a significant issue in the healthcare system, and its prevalence in developed countries tends to increase due to the increasing proportion of the aging population. Acute heart failure as a complication of acute myocardial infarction is explored in the study. The aim of the study was to determine the value of hemodynamic indices and biochemical markers in the prognostication of the peculiarities of the course of acute heart failure, the risk of complications, and the effectiveness and outcomes of its treatment. The main objectives of the study were the following: to evaluate changes in hemodynamic oxygenation markers, and the dynamics and value of these changes in the prognostication of treatment outcomes in patients with acute heart failure depending on complications and therapeutic techniques;. to evaluate the value of the combination of interventional treatment techniques in patients with acute heart failure; to evaluate the prognostic value of hemodynamic markers identified via invasive hemodynamic examination techniques and changes in biochemical indices; to identify marginal values of hemodynamic and biochemical markers in the prognostication of treatment outcomes; to substantiate the expedience of and indications for biochemical markers and continuous monitoring of hemodynamics during the acute period of heart failure for timely detection of life-threatening complications, evaluation of treatment efficiency, and prognostication of outcomes.

The physical properties within the two-dimensional flow produced by the reflection of a plane shock of intermediate strength at a wedge, have been determined by analysis of the particle trajectories. The particle trajectories were obtained by high speed photography of smoke tracers within the flow. Trajectories were determined for different initial positions of the tracers relative to the wedge. The conservation of mass equation was used to determine the density at points within the flow. A knowledge of the shock configurations within the flow, together with the Rankins-Hugoniot equation, was used to determine the pressure immediately behind the incident and reflected shocks. The isentropic equation of state was used to determine the pressure after the passage of the reflected shock. The pressure determined in this manner agreed, within the limits of experimental error, with that obtained using a piezo-electric transducer. The temperature, velocity of sound, and particle velocity at points within the flow were also determined. / Graduate / 0605

The onset of an explosion in an underground mining environment is a threat that has over years attracted a lot of attention. Much of this attention has focused on either arresting the explosion after it has been initiated or preventing the initiation. The methods devised have proved successful in most cases, but on the odd occasion that they fail, the end results can be disastrous. There have been fatalities from underground mining explosions as a result of fires burning and sapping all the oxygen in the atmosphere leading to asphyxiation. A different approach to arresting these explosions would enhance safety in the face of increased productivity. A novel method using an explosion door with a porous media acting as a shock wave attenuator and arresting the flames has been introduced. This research investigates the ability of the porous media used in the explosion door to withstand explosions. The performance of the porous media is crucial, as its failure would render the explosion door useless. In order to assess the performance of the porous media, a shock tube was built capable of generating shock waves with a Mach number of 1.5. By placing samples of the porous media within the test section of the shock tube, pressure measurements were taken fore and aft of the porous media as it was impinged upon by the shock wave. Tests were also conducted using thin orifice plates to provide data for comparing the performance characteristics of the porous media. Computational fluid dynamics (CFD) simulations of the porous media and the orifice plates were performed to validate the experimental work as well providing graphic detail of the flow around the test specimen. The work presented in this thesis makes a contribution to the efforts towards the provision of a safe underground environment. This contribution is achieved by investigating the performance of the porous media to be used in an explosion door and correlating the performance of the porous media with thin orifice plates. The porous media in the work presented here is currently used in the castings industry and its application as a shock wave attenuator and fire arrester would contribute greatly to the well being of all people working underground.

A two dimensional hydrodynamic model describing the solar wind interaction with the local interstellar medium, which surrounds the solar system, is used to study the heliosphere both as a steady-state- and dynamic structure. The finite volume method used to solve the associated system of hydrodynamic equations numerically is discussed in detail. Subsequently the steady state heliosphere is studied for both the case where the solar wind and the interstellar medium are assumed to consist of protons only, as well as the case where the neutral hydrogen population in the interstellar medium is taken into account. It is shown that the heliosphere forms as three waves, propagating away from the initial point of contact between the solar wind and interstellar matter, become stationary. Two of these waves become stationary at sonic points, forming the termination shock and bow shock respectively. The third wave becomes stationary as a contact discontinuity, called the heliopause. It is shown that the position and geometry of the termination shock, heliopause and bow shock as well as the plasma flow characteristics of the heliosphere largely depend on the dynamic pressure of either the solar wind or interstellar matter. The heliosphere is modelled as a dynamic structure, including both the effects of the solar cycle and short term variations in the solar wind observed by a range of spacecraft over the past ~ 30 years. The dynamic model allows the calculation of an accurate record of the heliosphere state over the past ~ 30 years. This record is used to predict the time at which the Voyager 2 spacecraft will cross the termination shock. Voyager 1 observations of 10 MeV cosmic ray electrons are then used in conjunction with a cosmic ray modulation model to constrain the record of the heliosphere further. It is shown that the dynamic hydrodynamic model describes the heliosphere accurately within a margin of error of ±0.7 years and ±3 AU. The model predicts that Voyager 2 crossed the termination shock in 2007, corresponding to preliminary results from observations indicating that the crossing occurred in August 2007. / Thesis (M.Sc. (Physics))--North-West University, Potchefstroom Campus, 2008.

Bei Patienten mit ARDS führt eine selektive pulmonale Vasodilatation durch inhaltives NO (iNO) zu einer Shuntreduktion. Die zusätzliche Gabe eines selektiven pulmonalen Vasokonstriktors führt zu einer additiven Verbesserung der Oxygenierung. Die Anzahl der NO-Responder ist bei vorliegender Sepsis reduziert. Es ist bekannt, dass hemoglobin based oxygen carriers (HBOC) durch NO-Scavenging einen pulmonalarteriellen Druckanstieg bewirken und dass dieser Effekt durch iNO antagonisierbar ist. In dieser Arbeit wurde untersucht, ob eine generalisierte Vasokonstriktion durch ein HBOC die Effektivität einer iNO-Therapie in einem Modell von ARDS mit LPS-induziertem Schock erhöht. Hierzu wurde bei 40 narkotisierten und instrumentierten Ratten mittels VILI und alveolärer Lavage ein stabiles ARDS etabliert und anschließend 1,5mg/kg LPS i.v. verabreicht. Es wurden 4 Versuchsgruppen gebildet: 1) und 3) erhielten 5ml/h HES10%, 2) und 4) 5ml/h Hämoglobin-glutamer 200 (Oxyglobin HBOC 301), 3) und 4) erhielten anschließend iNO. Die bekannten hämodynamischen Effekte eines HBOC und die Reduktion dieses Blutdruckanstiegs durch iNO wurden erstmals im ARDS mit LPS-induziertem Schock nachgewiesen. Zum Versuchsende zeigte keine Gruppe eine signifikante Änderung des MAP im Vergleich zum Ausgangspunkt. Bei alleiniger iNO-Therapie fiel der RVP (36,2 [30,0; 41,1] vs. 30,6mmHg [18,4; 36,3], p<0,05) und der PaO2 stieg von 82,6 [65,1; 107,3] auf 176,5mmHg [89,4; 207,5] (p<0,05). Die Kombination aus HBOC und iNO zeigte einen nicht signifikanten Abfall des RVP (32,8mmHg [28,5; 47,2] vs. 29,4mmHg [17,6; 49,1]) und Anstieg des PaO2 (65,76mmHg [61,0; 86,6] vs. 86,8mmHg [54,2; 203,0]). Es ergab sich kein additiver Effekt auf die Oxygenierung, wie er für pulmonale Vasokonstriktoren beschrieben ist. Eine Ursache dafür könnte die hohe endogene NO-Produktion nach LPSGabe sein, sodass die NO-Scavanging Kapazität im kombinierten Modell nicht ausreicht. Zukünftig sollte untersucht werden, ob dieser Effekt mit einer höheren Dosierung des HBOC erreichbar ist.

Aluminum alloys are a suitable substitution for heavy ferrous alloys in automobile structures. The purpose of this study was to investigate the flow stress behavior of as-cast and homogenized A535 aluminum alloy under various deformation conditions. A hot compression test of A535 alloy was performed in the temperature range of 473-673 K (200-400˚C) and strain rate range of 0.005-5 s-1 using a GleebleTM machine. Experimental data were fitted to Arrhenius-type constitutive equations to find material constants such as n, nʹ, β, A and activation energy (Q). Flow stress curves for as-cast and homogenized A535 alloy were predicted using an extended form of the Arrhenius constitutive equations. The dynamic shock load response of the alloy was studied using a split Hopkinson pressure bar (SHPB) test apparatus. The strain rate used ranged from 1400 s-1 to 2400 s-1 for as-cast and homogenized A535 alloy. The microstructures of the deformed specimens under different deformation conditions were analyzed using optical microscopy (OM) and scanning electron microscopy (SEM). Obtained true stress-true strain curves at elevated temperatures showed that the flow stress of the alloy increased by increasing the strain rate and decreasing the temperature for both as-cast and homogenized specimens. The homogenization heat treatment showed no effect on the mechanical behavior of the A535 alloy under hot deformation conditions. Hot deformation activation energy for both as-cast and homogenized A535 alloy was calculated to be 193 kJ/mol, which is higher than that for self-diffusion of pure aluminum (142 kJ/mol). The calculated stress values were compared with the measured ones and they showed good agreement by the correlation coefficient (R) of 0.997 and the average absolute relative error (AARE) of 6.5 %. The peak stress and the critical strain at the onset of thermal softening increased with strain rate for both the as-cast and homogenized A535 alloy. Homogenization heat treatment affected the high strain-rate deformation of the alloy, by increasing the peak stress and the thermal softening onset strain compared to those obtained for as-cast specimens. Deformed shear bands (DSBs) were formed in both the as-cast and homogenized A535 alloy in the strain rate range of 2000-2400 s-1.

At the cellular level, the stress response involves the synthesis of a highly conserved family of heat shock proteins (Hsps). These proteins are essential for maintenance of cellular homeostasis, both in times of stress and in normal cell functioning. Some of the most abundant forms of Hsps in the cell are members of the 70 kDa family. Intracellular heat shock protein 70 (Hsp70) expression in response to proteotoxicity is a highly conserved cellular stress response, but little is known about the role of extracellular Hsp70 (eHsp70) in fish. In order to begin characterizing eHsp70 in fish, the hypothesis that an acute stressor will elevate plasma Hsp70 levels in rainbow trout (Oncorhynchus mykiss) was tested. Subsequent in vitro studies examined whether eHsp70 level was modulated by cortisol and if this involved the action of the glucocorticoid receptor (GR), a ligand-activated transcription factor. The effect of cortisol on the eHsp70 response is important to consider because this steroid is elevated as a result of stressor exposure to allow for short-term allocation of energy stores to cope with stress. Cortisol is the primary corticosteroid in fish and exerts its main effects by binding to either GR or mineralocorticoid receptors (MR). Furthermore, eHsp70 has been previously implicated as having important immunoregulatory roles in mammalian models, but nothing has yet been reported in fish. To this end, a hypothesis tested here was that eHsp70 levels will increase after exposure to the bacterial endotoxin lipopolysaccharide (LPS), and that this response is modulated by cortisol. Finally, research on the effects of exogenous Hsp70 has not been reported in lower vertebrates; however, the relevance of this protein in intercellular signaling, especially in regards to immune regulation, is gaining increasing importance in mammalian models. Therefore, an experiment to determine whether Hsp70 would elicit upregulation of key immunoregulatory cytokines was also conducted. To accurately measure the low levels of Hsp70 in the plasma, a competitive antibody-capture enzyme-linked immunosorbent assay (ELISA) was developed. In the in vivo study, fish exposed to an acute heat shock (1h at 10°C above ambient temperature) exhibited a significant elevation in red blood cell Hsp70 levels over a 24 h period. There was also a significant increase in plasma Hsp70 levels at 4 h, but not at 24 h post-heat shock. To more specifically determine how cortisol affected the release of Hsp70, in vitro studies using primary cultures of hepatocytes demonstrated that cortisol significantly decreased eHsp70 levels in the medium at 24 h when compared with untreated controls, and this response was abolished in the presence of a GR antagonist, mifepristone (RU486). This result for the first time established a link between cortisol signaling and eHsp70 release in any animal model. When hepatocytes were exposed to LPS in vitro, eHsp70 levels were significantly lower in the LPS (30 µg/ml) group; however, heat shock abolished this effect at 24 h. Though eHsp70 levels in the heat shocked hepatocytes treated with low-dose LPS (10 µg/ml) was similar to untreated control levels, high-dose LPS treated hepatocytes showed significant elevation of eHsp70 levels above the low dose group. The ability of LPS to modulate eHsp70 release was not observed to be further regulated by cortisol. While this work suggests the modulation of eHsp70 by LPS, the physiological role remains to be elucidated. Finally when hepatocytes were exposed to exogenous Hsp70, there was no effect on key immunoregulatory genes (IL-1β and IL-8) transcript levels; however, the effect of this protein remains to be tested using other cell systems, including immune cells in fish. Overall, eHsp70 concentration was measured in trout plasma using a competitive ELISA and demonstrates for the first time that stressor exposure affects plasma eHsp70 levels in fish. Furthermore, cortisol, the primary corticosteroid in teleosts, modulates eHsp70 release in trout hepatocytes and this is action is mediated by GR signaling. Also, while trout hepatocytes secrete eHsp70 in response to endotoxin shock, a role for eHsp70 in eliciting an immune response is not clear in lower vertebrates. Taken together the results from this study suggest a role for eHsp70 in acute stress adaptation in fish, but the target tissues involved and the physiological responses remain to be elucidated. Further work on the effects of eHsp70 on target tissues effects, and the mechanisms involved, may have important implications in our understanding of the role of this stress protein in cell signaling and stress adaptation in fish.

Acute Respiratory Distress Syndrome (ARDS) following hemorrhagic shock/resuscitation (S/R) is an important contributor to late morbidity and mortality in trauma patients. S/R promotes ARDS by inducing oxidative stress that primes cells of the innate immune system for excessive responsiveness to small inflammatory stimuli, termed the “twohit” hypothesis. Activated alveolar macrophages (AM) play a central role and when recovered from S/R animals exhibit an exaggerated responsiveness to lipopolysaccharide (LPS) with increased activation of the proinflammatory transcription factor NF-κB, and augmented expression of cytokines. LPS triggers AM signalling through Toll like receptor 4 (TLR4), which resides in plasma membrane lipid rafts. The objective of this work is to define cellular mechanisms of macrophage priming by oxidative stress following shock resuscitation. The main hypothesis investigated is that altered cellular distribution of TLR4 can lead to macrophage priming and antioxidant resuscitation strategies can diminish these effects. AM of rodents, exposed in vivo to oxidant stress following S/R, increase their surface levels of TLR4, which in turn results in augmented NF-κB translocation in response to small doses of LPS. Furthermore, in vitro H2O2 treatment of RAW 264.7 macrophages results in similar TLR4 surface translocation. Depletion of intracellular calcium, disruption of the cytoskeleton or inhibition of the Src kinases prevents the H2O2-induced TLR4 translocation, suggesting the involvement of receptor exocytosis. Further, fluorescent resonance energy iii transfer between TLR4 and lipid rafts as well as biochemical raft analysis demonstrated that oxidative stress redistributes TLR4 to surface lipid rafts. Preventing the oxidant-induced movement of TLR4 to lipid rafts using methyl-ß-cyclodextrin precluded the increased responsiveness of cells to LPS after H2O2 treatment. Further, AM priming by oxidative stress can be diminished by early exposure to resuscitation regimens with direct or indirect systemic antioxidant effects, such as 25% albumin, N-acetylcysteine and hypertonic saline. Hyperosmolarity was found to modulate AM TLR4 gene and protein expression. Collectively, these studies suggest a novel mechanism whereby oxidative stress might prime the responsiveness of cells of the innate immune system. Targeting the TLR4 signalling pathway early during shock resuscitation may represent an anti-inflammatory strategy able to ameliorate late morbidity and mortality following S/R.

Using social positioning theory and the concept of the liminoid, the objectives of this qualitative research project were three-fold: 1) investigate how social positioning affects the information behaviour of volunteer tourists; 2) determine what effects cultural confusion (aka culture shock), physical location, gender, technical skill, and previous intercultural education and/or experiences have on the information behaviour of volunteer tourists; and finally, 3) suggest how non-governmental organizations can use the research findings to assist volunteer tourists to successfully undertake their placements. These questions were explored through observation and semi-structured interviews with fifteen volunteer tourists in Thailand. Previous travel experience proved to be a significant predictor of participants information behaviour. Volunteer tourists reported more consciousness of the embodiment of information and the concept of face than they did at home. The results emphasize the importance of developing a theory of liminoidal information behaviour, in order to explore how people in the liminoid a place between cultures where identities are often suspended interact with information.

The issue of local scale and smoothness presents a crucial and daunting challenge for numerical simulation methods in fluid dynamics. Yet in the interests of both accuracy and economy, how can one devise a general technique that efficiently resolves flow features of consequence and discriminates against others which are either ``negligible' or amenable to ``universal' modeling? This is particularly difficult because geometries of engineering interest are complex and multi-dimensional, precluding a priori knowledge of the flowfield. To address this challenge, the current work employs wavelet theory for the local scale decomposition of functions, which provides a natural mechanism for the adaptive compression of data. The resulting technique is known as the Multi-Resolution Discontinuous Galerkin (MRDG) method. This research successfully demonstrates that the multi-resolution framework and the discontinuous Galerkin method are well-suited for a new approach to accuracy and cost as demonstrated by the relative ease of their integration in spatial dimension greater than one. Some specific steps achieved include the implementation of suitable data encoding and compression algorithms, construction of multi-wavelet expansion bases in one and two dimensions, and derivation of the multi-resolution derivative operator that includes an upwind-type correction to the central scheme. Solutions with the MRDG method are observed to adapt to and track both smooth and discontinuous flow features in an entirely solution-driven manner without the need for a priori user knowledge of those flow features. Run-time efficiency and local adaptation characteristics are explored via a series of classic test problems.