Elastohydrodynamic lubricant flow with nanoparticle tracking.

Lubricants operating in elastohydrodynamic (EHD) contacts exhibit local variations in rheological properties when the contact pressure rises. Direct evidence of this behaviour has only been obtained by examining through-thickness velocity profiles U(z) of lubricants in a contact using luminescence-based imaging velocimetry. In the present study, nanoparticles (NPs) are added to polybutene (PB) as tracers to investigate the effect of pressure on the flow of PB in an EHD contact. By tracking NPs in the contact, particle velocity distributions f(U) under various pressures are obtained and found to be pressure dependent. Results show quantitatively that f(U) and U(z) are correlated and thus confirm that U(z) of PB changes from Couette flow to partial plug flow above a critical pressure. This confirmation highlights the complexity of lubricant rheology in a high pressure contact.

Comparing the molecular and global rheology of a fluid under high pressures.

The viscosity of liquids is a strong function of pressure. While viscosity is relatively easy to measure at low pressure, high-pressure rheology presents significant experimental challenges. As a result, rheological models are often used to extrapolate viscosity from low pressure measurements to higher pressures. Techniques to obtain data over a wide range of pressures and shear rates, as well as understanding the validity and limitations of methods to fill the gaps in the available data, are therefore of crucial practical and theoretical importance. This work examines the viscosity of polyalphaolefin (PAO) by combining average global area averaged measurements at high pressure and local molecular viscosity measurements at moderate pressures. Viscosities spanning five orders of magnitude are examined at pressures up to 720 MPa. High pressure results were obtained with friction measurements where the fluid is sheared between two surfaces in a loaded point contact. The local molecular microviscosity at medium and low pressures was measured by applying a technique based on fluorescence anisotropy, which probes the rotational motion of dye molecules in a nanoscale film under shear. Both sets of measurements are taken in the same configuration, an elastohydrodynamic (EHD) contact. This is the first set of quantitative local viscosity measurements that have been verified against both friction and high pressure rheometry measurements. Commonly used rheological models were compared to experimental results. Our work shows that fluorescence anisotropy and friction measurements can be used to determine the viscosity of liquids over a wide range of conditions from a single experimental setup. The results obtained match results from low- and high-pressure rheometry for PAO. The importance of correcting friction data for pressure non-uniformity, temperature and shear thinning is also highlighted.

Diagnostic accuracy of colour Doppler ultrasonography, CT angiography and blood-pool-enhanced MR angiography in assessing carotid stenosis: a comparative study with DSA in 170 patients.

PURPOSE: This study was undertaken to prospectively evaluate the diagnostic performance of colour Doppler ultrasonography (CDUS), first-pass (FP) and steady-state (SS) contrast-enhanced magnetic resonance angiography (MRA) and computed tomography angiography (CTA) of the carotid arteries using digital subtraction angiography (DSA) as the reference standard. MATERIALS AND METHODS: A total of 170 patients with previous cerebrovascular events and suspected carotid artery stenoses underwent CDUS, blood-pool MRA, CTA and DSA. Accuracy, sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated for CDUS, FP MRA, SS MRA and CTA. The McNemar and Wilcoxon tests and receiver operating characteristic (ROC) curve analysis were used to determine significant differences (p<0.05) between the diagnostic performances of the four modalities, and the degree of stenosis was compared using linear regression. RESULTS: A total of 336 carotid bifurcations were studied. The area under the curve (AUC) for degree of stenosis was: CDUS 0.85±0.02, FP MRA 0.982±0.005, SS MRA 0.994±0.002 and CTA 0.997±0.001. AUC analysis showed no statistically significant difference between CTA and MRA (p=0.0174) and a statistically significant difference between CDUS and the other techniques (p<0.001). Plaque morphology analysis showed no significant difference between CTA and SS MRA; a significant difference was seen between CTA and SS MRA versus FP MRA (p=0.04) and CDUS (p=0.038). Plaque ulceration analysis showed a statistically significant difference between MRA and CTA (0.04< p<0.046) versus CDUS (p=0.019). CONCLUSIONS: CTA is the most accurate technique for evaluating carotid stenoses, with a slightly better performance than MRA (97% vs. 95% for SS MRA and 92% for FP MRA) and a greater accuracy than CDUS (97% vs. 76%). Blood-pool contrast-enhanced SS sequences offer improved evaluation of degree of stenosis and plaque morphology with accuracy substantially identical to CTA.

[Current treatment strategies for sigmoid diverticulitis]. / Nouveautés dans la stratégie thérapeutique de la diverticulite sigmoïdienne.

Treatment of colonic diverticular disease has evolved over the past years. Most episodes are simple and can be successfully treated with antibiotics alone. For complicated diverticulitis, a strong trend is developing towards less invasive therapies including interventional radiology and laparoscopic lavage in an effort to avoid the morbidity and discomfort of a diverting colostomy. Based on a better understanding of the natural history of the disease, the indication to prophylactic colectomy after a few episodes of simple diverticulitis has been seriously challenged. For those patients who need a colectomy, single port laparoscopy, NOTES and transanal specimen extraction are being proposed. However larger studies are needed to confirm the hypothetical advantages of these evolving techniques.